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Most of the data on bodybuilders, steroids and testicular atrophy comes from case reports rather than longitudinal or cohort studies. And, in most cases, the research was conducted not by steroid users, but by scientists who had never used steroids."If you looked down to those who don't use steroids we would say they're really not having any health benefits," says Fusar-Poli. "In all of the cases reviewed, no adverse findings were seen."Yet despite those assurances, there is evidence that, although they're not doing very much harm, steroids can have beneficial effects.In many ways, they are a drug that gives the body an advantage. "It's like the way you can do some sports as long as you are fast and have great speed and an unbelievable arm," says Kelly, the Ohio coach, because you can do it without steroids. Yet that advantage can be good, says Kelly, in that it can make you fast for more endurance events, which in turn make you better at longer, harder endurance events.It may sound like a contradiction, but the athletes who use steroids are doing something else, says Fusar-Poli."Why do some athletes do them and why should other athletes not try to do them?" he said. "It's not that steroids are bad. But they can do something that people don't do."He adds, "If other sports people come to me saying, 'Hey, I'm going to take steroids, I'm going to do what the rest of you guys are doing,' I can understand that."Kelly says most players who use steroids don't do so for the performance enhancing benefits. "I do think it has a placebo effect," he said. "You have athletes using steroids for a variety of reasons. Some use it to enhance the health of their own bodies, some use it for their teammates' development because it gives them a better competitive advantage. And some just use it to feel good."But many athletes also use them as a way to hide their true intentions from others, says Kelly. And in that way, steroid use is a "self-limiting behavior," says Kelly.If you want to use steroids, it's important to have a plan. That way, if you are not successful, you learn from your past mistakes."If, on a team, I'm using steroids and I lose my job," says Kelly, "I might think, 'Wow, what did I do?' or 'What I'm now doing is not the best way toRelated Article: