“…In brief, these adverse effects include cardiovascular dysfunction (Lane, Grace, Smith, Morris, Cockcroft, Scanlon, et al, 2006;Nottin, Nguyen, Terbah, & Obert, 2006), liver dysfunction (Kafrouni, Anders, & Verma, 2007), reproductive difficulties (Knuth, Maniera, & Nieschlag, 1989) and suicide (Middleman, Faulkner, Woods, Emans, & DuRant, 1995;Pärssinen, Kujala, Vartiainen, Sarna, & Seppälä, 2000). A thorough analysis of the adverse effects of AS misuse is presented elsewhere (see Kanayama et al, 2008;Modlinski & Fields, 2006;Payne, Kotwinski, & Montgomery, 2004;Pope, Wood, Rogol, Nyberg, Bowers, & Bhasin, 2014) and these analyses suggest the misuse of ASs by adolescents may pose significant health consequences. Thus, there is general consensus in the medical and professional community that misuse of ASs by adolescents should be prevented (American College of Sports Medicine 2004; American Academy of Pediatrics, 2005).…”