Muscle dysmorphia

Some experts believe illegal AAS usage is linked with a body image disorder called muscle dysmorphia. Affecting mostly males, people with muscle dysmorphia feel ashamed of looking too small when they re actually big. For this reason, it is often referred to as reverse anorexia because it is the opposite of the mostly female disease of anorexia nervosa, in which patients believe they are always too fat, sometimes despite extreme weight loss. 

While conditions such as muscle dysmorphia, a history of physical or sexual abuse, or engaging in high-risk behaviors may increase steroid abuse, researchers concur that most steroid abusers are psychologically normal when they start abusing the drugs. 

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