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Sixteen of the 25 users reported at least one psychological effect due to AAS, including moodiness, irritability and aggressiveness. Fourteen of these women reported hypo manic symptoms during steroid use and 10 reported depressive symptoms during steroid withdrawal. Only one of 16 women reported engaging in violent acts while taking steroids. Nineteen of the steroid users reported at least one adverse medical effect, the most serious side effect being acute renal failure, which was reported by three women. According to the researchers, one of the most interesting findings of the study was the high incidence of eating disorders and other psychiatric disorders in women bodybuilders in general. The first syndrome, dubbed by the researchers as "eating disorder, bodybuilder type (ED, BT)," is characterized by strict adherence to a high-calorie, high-protein, low-fat diet eaten at regularly scheduled intervals. ED, BT was found in 55 of the 75 study subjects. .Sixty-five out of the 75 study subjects reported extreme dissatisfaction with their bodies, a newly described syndrome called "muscle dysmorphia" in which bodybuilders in top physical condition feel small and weak. "These patterns of eating behavior, gender role behavior and body image disorder caused profound effects on the social and occupational functioning of women bodybuilders. We encountered women who held degrees in law, medicine or business, yet had abandoned these careers to pursue an all-consuming lifestyle of rigorous dieting and spending many hours at the gym," said Gruber. The study was funded partly by the National Institute on Drug Abuse.
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