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Common side effects may include: Acne Oily skin Hair loss Mood changes Changes in blood pressure Cholesterol abnormalities More serious risks can involve: Suppression of natural testosterone Infertility Cardiovascular complications Gynecomastia Liver complications with certain steroids Reproductive effects Long-term endocrine changes Women may experience masculinizing effects including: Voice deepening Facial hair growth Scalp hair thinning Acne Menstrual irregularities Changes in libido Some virilizing changes can be difficult or impossible to reverse

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