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The risk of side effects also depends greatly on the strength of the steroid injection you took, as lighter mixtures tend to leave no side effectsand stronger mixtures may leave more of a chemical reaction, especially early in treatment. Other Side Effects Some people may experience an adverse reaction to certain drugs, so even minor side effects you may experience before taking anabolic steroids may cause adverse reactions afterward. Hematomas In rare circumstances, high levels of testosterone can cause a rare hemoglobin deficiency called hemophilia, called hemophilia B, which results in red blood cells (hemophagocytic anemia). Hemophilia B affects about one one per million people globally. If you have hemophilia (H.B.), your doctor may want to check your liver function first while you are taking steroids. This condition is extremely rare, with only 8 cases reported in the medical literature. This condition is also very treatable: you will be given a new blood platelet count before starting anabolic steroids to determine your hemoglobin level and treat your symptoms in a way similar to how someone would treat a heart condition. In patients with H.B., some experts think that if you take steroids for any length of time and your body does not develop antibodies, it may be possible to maintain high levels of testosterone in the blood longterm. For this reason, we highly advise you to ask your doctor about your results at least several weeks after you started and again at least 6 months after your last steroid. High Preexecution If you have high-grade tumors that make up 20% or more of your skin volume, the risk of side effects with anabolic steroids is high. This includes the risk of: Abnormal skin pigmentation A small tumor inside a nerve root or a muscle that makes up 30-50% of your body mass (skin cancer) A small tumor inside a rib that makes up 20% or less of your body mass (cancer) If you have cancer and take steroids, ask your doctor for an updated ultrasound. This is especially important for men in their 40s or 50s who may still have a tumor, or for men starting anabolic steroids who are getting older. Hemorrhagic Encephalopathy For women, anabolic steroids can cause an increase in bleeding when they stop treatment. This can happen after just a short period of treatment. In many cases, the initial effect of taking anabolic steroids is to lower your T levels, so that you are able to lose Related Article: