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Anabolic steroids are a class of medications that contain a synthetically manufactured form of the hormone testosterone, or a related compound that is derived from (or similar in structure and action to) this hormone. In order to fully grasp how anabolic steroids work it is therefore important to understand the basic functioning of testosterone.

Testosterone is the primary male sex hormone. It is manufactured by the Leydigs cells in the testes at varying amounts throughout a persons life span. The effects of this hormone become most evident during the time of puberty, when an increased output of testosterone will elicit dramatic physiological changes in the male body. This includes the onset of secondary male characteristics such as a deepened voice, body and facial hair growth, increased oil output by the sebaceous glands, development of sexual organs, maturation of sperm and an increased libido. Indeed the male reproductive system will not function properly if testosterone levels are not significant. All such effects are considered the masculinizing or "androgenic" properties of this hormone.

Increased testosterone production will also cause growth promoting or "anabolic" changes in the body, including an enhanced rate of protein synthesis (leading to muscle accumulation). Testosterone is clearly the reason males carry more muscle mass than women, as the two sexes have vastly contrasting amounts of this hormone. More specifically, the adult male body will manufacture between 2.5 and 11 mg per day while females only produce about 1-4 mg. The dominant sex hormone for women is actually estrogen, which has a significantly different effect on the body. Among other things, a lower androgen and high estrogen level will cause women to store more body fat, accumulate less muscle tissue, have a shorter stature and become more apt to bone weakening with age (osteoporosis).

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