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Successful prevention of steroid abuse focuses on teaching people about how to refuse drugs and about other ways to build muscle bulk and strength. Testosterone replacement in older men has produced benefits, but not consistently. Increasing penalties associated with the use and possession of image and performance enhancing drugs are unlikely to prevent uptake or encourage users to stop. Hepatitis C, also known as HCV, is the most serious form of the virus, and is also the form most associated with steroid abuse. This reality adds another dimension to the daily protein requirement for athletes and bodybuilders. Nevertheless, the relatively easy availability of both legal and illegal substances, means that better interventions will need to be found to avert more people from using them.

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