Our supplements are of the highest quality made with no concern for our cost. Our goal is to create a supplement line that can come close to a safe cycle of steroids and not put you behind bars or in the hospital. Up until today there is still no effective way to protect AAS users from counterfeit AAS, as there is no formal quality control in place to ensure that what is acquired is real. Counterfeit products can potentially lead to negative health outcomes and are considered an individual and public health threat . The effect of supraphysiologic doses of anabolic androgenic steroids (AAS) on muscles, especially combined with strength training, has been described and recognized in literature for decades 1–5. Most studies were nonclinical laboratory studies (95%) and provided samples seized by authorities (74%). Supraphysiologic doses of anabolic androgenic steroids (AAS) are widely used to improve body image and sport performance goals. Believe me, this isone of the best natural testosterone boosters on the market today! Notrecommended for use by women.Believe me, this isone of the best natural testosterone boosters on the market today! There is a great need for future prevention and harm-reduction programs to protect users from these substances. We also demonstrate that these drugs could contain no active ingredient, or in another amount than that labeled, a wrong active ingredient, as well as not all or more active ingredients than were labeled. The review protocol has been published and registered in INPLASY. Additional hand searches were conducted to obtain studies not found in the primary literature search. We searched PubMed/Medline, Embase and Google Scholar for articles published before March 2022. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. The detailed search and screening strategy has been published within the review protocol . Furthermore, we continued pursuing relevant references to articles and manually tracked electronic citations related to the topic in order to identify sources in obscure locations, also called the snow-ball method . With this systematic review we aim to further elaborate on these threats and suggest evidence-based approaches to reduce harms for this user population. These drugs may contain no active ingredient, or in another amount than that labeled, a wrong active ingredient, as well as not all or more active ingredients than were labeled. Importantly, there are more than 60 different anabolic androgenic steroids listed on the WADA prohibited list and novel compounds are frequently detected on the market. Rather, those products are produced in clandestine underground laboratories lacking the necessary knowledge or equipment to produce these compounds in adequate quantity and quality, as also described by other authors 26, 35, 38. Substandard and counterfeit products found in our systematic review were most likely produced by manufacturers not in line with good manufacturing practices (GMP’s) . We demonstrate that substantial proportions of AAS found on the black market are fake. Both the proportion of substandard and counterfeit products are described to be higher in formulations for oil-based solutions used for injectables compared to tablets used for oral administration 25, 26, 36, 43.
