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In rats, anabolic steroids also act in the peripheral metabolism of thyroid hormones and seem to exert an important proliferative effect on thyroid cells. This suggests that anabolic steroids may stimulate the proliferation of thyroid cells in vitro. This is in accord with the observations that anabolic steroid-induced apoptosis of thyroid cells leads to decrease in the size of thyroid tissue, a decrease in thyroid weight, and, in a small percentage of rats, a reduction in the number of thyroid nodules, anabolic steroids comprar.[27] The evidence supporting a role for anabolic steroids in the thyroid gland is mixed with some suggesting a beneficial effect and others pointing to adverse effects, either positive or negative, anabolic steroids effect on thyroid.[5,16,19,22,24,29,30] The fact that thyroid cancer is the leading cause of death in men and women combined with the presence of low-grade thyroid tumors in patients with idiopathic hypothyroidism, has led to many attempts in the past to relate the risk of developing thyroid cancer to anabolic steroid use (or abuse). Recent reports indicate that anabolic steroid use is probably not a cause of thyroid cancer, although a large proportion of patients using anabolic steroids have thyroid cancer.[8,20,17,31,32,33,34] In contrast, a recent report[35] indicated that, in patients with anabolic steroid abuse, the risk of developing thyroid cancer is reduced by 1, steroid shop.5-fold (relative risk reduction, 3, steroid shop.2), steroid shop. In addition, the risk of developing a subclinical hyperthyroidism (the condition associated with long-term steroid use) decreased significantly in those who only used anabolic steroids, clomid luteal phase defect.[19] Although these studies are more limited than those supporting the role of anabolic steroid abuse in thyroid cancer, the results support the hypothesis of anabolic steroid use affecting thyroid function.[16,19] Since 2003, the World Health Organization and the Food and Drug Administration have issued guidelines to regulate anabolic steroid use in adult athletes in an effort to prevent the abuse of steroids and promote the health and safety of athletes participating in sports and other activities that involve anabolic steroids.[18,19,20,23] These guidelines are based on evidence from a number of sources including clinical trials that included human subjects and observations of steroid metabolism in the various tissues of human beings, anabolic steroids for low testosterone. Recently, an analytical method was developed (AES[36]) to measure the amount of steroids and their metabolites in both human plasma proteins and thyroid gland tissue. In this way, the concentration of steroid hormones in human plasma proteins and thyroid glands can be correlated directly with the activity of steroid enzymes.
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