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The way people chase the dream

of their perfect body is changing.

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The pressure men are now facing

is similar to what women have had

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to deal with the decades.

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Diets, workouts, days spent

in the gym, and for many,

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young men especially,

anabolic steroids are

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being increasingly used

to help achieve that dream.

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In this film, I'm going to find out

from one user why he takes them,

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and put him through a series

of tests to see what damage, if any,

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they've done to his body.

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I'll hear from the experts,

look at the law surrounding

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steroid use in the UK,

and speak to a dealer

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about why he does it.

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Gareth Jenkins, who is 29 and lives

just outside of Cardiff,

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is one of the estimated hundreds

of thousands of people

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who regularly take anabolic

steroids to build muscle.

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Been using steroids

for about four, five years.

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When you train naturally,

which I have done for a number

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of years before using steroids,

you tire quicker, you ache more,

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and obviously when you use

the performance enhancing drug,

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which is the steroid,

you don't have the muscle soreness

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anywhere near as much.

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I feel more awake, I feel better

in myself, I feel more manly,

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I've got a higher sex drive.

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There are some serious potential

risks you're running,

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from a medical perspective,

about using steroids,

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things like increased

risk of heart attacks,

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increased risk of strokes,

mood swings, infertility.

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Do those things not worry you?

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The way that I look at it is, yes,

they do bother me, obviously,

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but like everything...

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So you're aware of the risks?

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I'm fully aware, yeah,

I've done my research to see

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what harm they would have on me,

or potential harm they would have

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But the fact of the matter is,

in terms of the risks,

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everything that we do in life now

carries a risk of heart attack,

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cancer, whatever it is,

so whatever it is, I'm going to get

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those risks anyway, so I choose not

to do certain things, and I choose

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this as my lifestyle instead.

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So as I don't go out drinking

and smoking, I take steroids.

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Steroids can cause health problems

because they create an imbalance

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of hormones in the body which can

damage many organs,

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but especially the heart.

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Gareth says he tries

to minimise any risks

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by taking his steroids in cycles,

like 16 weeks on and

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then eight weeks off.

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There's two types of steroids,

one that comes in liquid form,

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which is an intramuscular injection,

that's this type.

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So you inject it into yourself?

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I would inject this directly

into a muscle two times a week.

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Then the other type

is a tablet form.

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When I'm using this type of steroid,

I would use five a day for seven

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days, so basically five

a day every day.

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So over the course of a period

of around six months,

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when you're on steroids for that

long, roughly how much do

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you think you spend on them?

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A rough guesstimate,

probably with the cycle itself

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and the post-course treatment,

round about £500.

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That's a lot of money.

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It is, it's probably a lot less

in six months than somebody

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who spends on drinking

on the weekend.

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Worth it, do you think?

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For me, personally, yeah.

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When it comes to the law

on anabolic steroids,

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it is legal to use them and legal

to possess them right across the UK.

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What is illegal, though,

is supplying them,

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unless you're a doctor,

and that means selling them or just

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passing them on for free.

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If caught, you could face up

to 14 years in prison.

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Because Gareth's only

using steroids, not supplying them,

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he's not in any trouble

with the law.

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It could be a different story

with his health, though,

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so later this week he's agreed to go

to London for a series of tests that

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will find out what damage, if any,

he's done to his heart.

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We need to be quite quiet,

because I need to keep...

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Yeah, yeah, yeah.

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..keep your throat still.

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I basically started working out

because I was bullied

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when I was younger for being small

and basically just the feral

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child at the school.

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So I just ended up locking

myself away in a gym,

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training and getting bigger

and getting stronger,

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and getting inked.

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It all sort of fell into one big

procedure that I seem to be doing,

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and a lifestyle that

I lead, pretty much.

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In the middle here is not nice.

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The rest isn't too bad.

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So, going down to London to have

all those tests done,

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which I'm excited about,

to be honest with you,

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yet slightly nervous

because obviously it could come back

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and say there's something

significantly wrong and if I don't

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change my lifestyle then...

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Obviously I could

have health issues.

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My prediction is that I think I'd be

pretty stupid or naive to think

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that my heart wouldn't have changed.

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You know, four, five years of use

of any performance-enhancing drug

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that's anabolic is going to have

that effect, so I think if it hasn't

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then what I've been taking is fake

and I've done it naturally.

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So...!

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And obviously if it is significant,

then there would be absolutely no

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doubt in my mind that

I would change my

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lifestyle overnight.

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Whether people use or abuse anabolic

steroids is a matter of opinion.

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For some in the medical world,

if steroids aren't prescribed

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by a doctor, then it is simple -

taking them is abuse.

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Many people who research dosages

and try to minimise the risks,

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though, would say they don't abuse

them, but instead use them.

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One thing that is widely agreed on,

though, is that the issue is now

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affecting more people

than ever before.

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We don't know the exact number

of anabolic steroid users

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there are, but it certainly measures

in the hundreds of thousands.

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We're seeing now a different

population of users.

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While we still have people

who are using for the purpose

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of body-building, we are seeing

a new population of predominantly

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young males but also quite older

males as well who are using purely

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for cosmetic purposes.

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There's a number of pressures

on young men and most of these

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pressures weren't around

a generation ago.

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These are things like social media,

mainstream advertising.

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If ever you see a male

with their shirt off, the chances

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are they will have quite

a well-defined physique.

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Again, males may not be geared up

to dealing with this.

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This is something that

women have had to deal

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with for generations,

but this is quite

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a new thing for men.

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For Gareth, he's about to undergo

a series of tests that

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will check what damage, if any,

he's done to his heart.

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The person in charge is cardiology

doctor Anil Malhotra.

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We're going to do three tests today,

the first is to look

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at the electrical activity

of the heart.

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The second is to look

at the heart muscle itself,

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and the third to actually

exercise your heart and we'll

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see how you perform.

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Right, okey-dokey.

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Is that all right?

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Not a problem.

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NHS guidelines say that

by taking anabolic steroids,

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Gareth's risking side effects

like infidelity, mood swings,

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and even heart attacks and strokes.

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This is the sound of

the blood flowing across

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the valves of your heart.

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We're just assessing how quickly

the blood flows through that valve,

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and we're able to see

whether there's any

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narrowing of the valve

or any leakages as well.

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I suspect that they will show

some form of thickness

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or abnormality to the heart.

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It's bound to have changed

in some way after four

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or five years of taking

a performance-enhancing drug.

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The British Cardiovascular ociety

says tens of thousands of people

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could be putting themselves

at increased risk of the most

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serious side-effects

by taking anabolic steroids.

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I'm cycling towards a cheesecake.

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And I'll get there, I'll get there!

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Billionaire's cheesecake

on the horizon!

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Let's get there.

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After pushing himself to the limit,

Gareth will be able to find out

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how his heart performs

and what affect his

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steroid use has had.

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With hundreds of thousands of people

now thought to be taking steroids

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every year right across the UK,

clearly they are getting

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them from somewhere.

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But Government figures show that,

for the whole of 2015 and 2016

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right across England and Wales,

there were just 25 convictions

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related to the legal supply

of steroids, and just seven of those

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ended with a prison sentence.

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So, for this man, who spoke

on condition of anonymity,

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the law hasn't come close

to stopping him from dealing.

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We know you supply steroids,

we know you are a steroid dealer,

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obviously it is illegal,

you are breaking the law.

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A lot of people would say

you are putting people's

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lives, their health,

certainly, at risk.

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What do you say for that?

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To start off with the health risks,

I think steroids are readily

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available to anyone who wants

to access them at the moment.

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I like to see myself more as someone

who provides information,

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to ensure people can do it safely.

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People are going to use them

regardless of whether they buy them

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from me or from an unknown source

online, but if they can

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talk to me about it,

how to inject themselves safely

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or look at doses, or if I can help

them, even if not to take steroids

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if I don't think it's appropriate

for them, then I will.

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That's the reason

I'm involved in it.

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Who are the types of people getting

them from you, who's coming

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to you for the steroids?

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There's a very broad spectrum

of people who use steroids.

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Ranging from young guys

at 18 years old, 19,

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20, just starting out,

training, looking to bulk up

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for maybe a summer holiday

or just to look good for...

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For a summer holiday?

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For a summer holiday, or they just

want to attract the girls,

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they want to go out on a night out

and attract the girls.

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These are the guys that are less

aware, so these are the guys that

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you have to be more informative

when you talk to them about it,

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make them more aware

of the risks and the dangers.

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What about the health

of the people who you are

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supplying these drugs to?

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They can say things

like infertility, they can face mood

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swings, they can face getting

strokes decades earlier

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than the average, heart attacks.

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It's illegal for a reason.

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Yeah.

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But I don't agree with it

being illegal, because I'll tell

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you that doctors prescribe

testosterone to people,

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so if there's a reason...

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You're not a doctor.

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No, no, I'm saying that doctors

prescribe it, so steroids,

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or testosterone in this example,

if it was killing people

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left, right and centre,

they wouldn't prescribe it.

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And I think the media

sensationalises it.

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And I'm going to tell you now,

there's people that abuse steroids,

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and they do damage their health,

but that's their choice.

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One man who is all too aware

of the risks of taking steroids he's

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got on the black market is Gareth.

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And, after using them

for nearly five years,

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he's about to find out the effect

they've had on his heart.

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Do take a seat.

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We can go over your results.

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I've got your ECG tracing,

your Echo report and other reports

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from the exercise test as well.

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What it shows is that your heart

is working well, and that's,

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and you've come through your

exercise test well as well.

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Yeah.

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But we do think that

you are at the upper limit of normal

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in terms of the wall thickness

of your heart, so that is most

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likely due to your weightlifting

and your steroid use.

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You are still young and you've not

been using steroids for that long,

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but if one does continue to do

so then you are putting yourself

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at increased risk of heart attacks

and potentially strokes as well.

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Yeah.

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Steroid usage does have a variety

of bad effects on the heart.

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I class myself as quite a sensible

person, taking my own health

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into account that it would just be

sensible, being the keyword, to not

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push that boundary to the point

where something isn't reversible.

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So not keep using steroids?

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Not keep using steroids, yeah.

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All for the better.

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Cheaper, too.

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HE LAUGHS.

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It looks like Gareth's steroid

days might be numbered,

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but he's just one of hundreds

of thousands of users.

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Dealers are unlikely to get caught,

the number of convictions for supply

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is low, and doctors want change,

worried about potential long-term

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health problems for users.

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So, is change on the way?

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Well, we do know that the group that

advises the Government on drugs

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misuse is in the middle of a big

review into steroids.

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We don't know yet

what it's going to say.

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