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Thus, major effects of caffeine on exercise capacity have not been found, although some small (but, in competitive sports, important) effects may be present. Common side effects with anabolic steroids may include: severe acne, oily skin and hair hair loss liver disease, such as liver tumors and cysts kidney disease heart disease, such as heart attack and stroke altered mood, irritability, increased aggression, depression or suicidal tendencies alterations in cholesterol and other blood lipids high blood pressure gynecomastia (abnormal development of mammary glands in men causing breast enlargement) shrinking of testicles azoospermia (absence of sperm in semen) menstrual irregularities in women infertility excess facial or body hair (hirsutism), deeper voice in women stunted growth and height in teens risk of viral or bacterial infections due to unsterile injections.

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