Drug Abuse
Psychological
Aggressive behavior
Mood swings
Depression and Anxiety
Hallucinations and Delusions
Physical
Males
Reduced sperm count
Baldness
Breast development
Females
Deepening of voice
Facial hair
Decreased breast size
Large Doses
Heart attack/Stroke
Heart Disease
Disrupt sleep
High blood pressure
Death
Major influence for youth
Thinness in Females and Muscular body in Males
Drive can turn negative
"winning at all cost"
See it as permission to use drugs
Biggger and Stronger
Not all athletes can afford performance-enhancing drugs
Have better performace than others
Pressure from coaches and parents
Compromise their ability to practice good sportsmanship
Values
Honesty
Fair play
Teamwork
Moral and Ethical issues