The causes and effects of using performance enchanting substances varies from each different substance, but they do all tend to have similar effects on the body. Some of the causes of using those substances are peer pressure, body image, media influences, and role models. Some of the common effects on the body when using the substances are really bad acne, stunted growth in teens, high blood pressure, unhealthy cholesterol changes, heart disease, blood clots and stroke, liver damage, jaundice, or liver cancer, headaches, aching joints, and muscle cramps, increased risk of ligament and tendon injuries, hepatitis B and C or HIV which causes AIDS, and baldness.
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