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Adverse effects of anabolic-androgenic steroids: a literature review

Initial assessment typically involves liver function tests (ALT, AST, ALP, bilirubin, albumin), metabolic screening (glucose, HbA1c, lipid profile), and viral hepatitis serology, in line with British Society of Gastroenterology (BSG) guidance on abnormal liver blood tests

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For instance, ascorbate level reduces for nearly 50% in leukocytes in individuals at age 85 and above compared to those at age 60 (Attwood et al., 1957)

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