“…Recreationally, AAS are used to increase muscle mass, improve physical appearance, and enhance strength or athletic performance (Brennan, Wells, & Van Hout, 2016; Ip, Barnett, Tenerowicz, & Perry, 2011; Ip et al, 2015). Reasons for initiating use include body dissatisfaction (Kimergård, 2015), low confidence or poor self-esteem (Cohen, Collins, Darkes, & Gwartney, 2007; Maycock & Howat, 2009), safety and security (Maycock & Howat, 2009), to improve social status (Griffiths, Henshaw, McKay, & Dunn, 2015; Maycock & Howat, 2009; Seer, Fraser, Moore, & Murphy, 2015), or to fit into a “fitness” lifestyle or identity (Ravn & Coffey, 2016).…”