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By definition, a supplement is described as “any product intended for ingestion as a supplement to a diet” (). AAS are not presently available over the counter but can easily be ordered over the internet. The criteria for dependence, with specific reference to “anabolic-androgenic steroid (AAS) dependence (see Appendix A) has been [interpreted] for” diagnosis (Kanayama et al. [118]), the crux of dependence is characterized by the regular, patterned use of AAS, this use then leads to impairment or distress (both of which must be significant) and additionally three or more of the criteria, as listed, within a 12-month period. Anabolic steroid abuse is becoming an increasing problem particularly for boys and men, and around “30% of AAS users appear to develop a dependence syndrome, characterized by chronic use despite adverse effects on physical, psychosocial or occupational functioning” (Kanayama: 2009).

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