Which of the following is listed as a bad side effect of anabolic steroids?

• A. Acne, gynecomastia, liver damage, high blood pressure
• B. Weight gain and improved vision
• C. Mood changes and increased energy
• D. Decreased appetite and fatigue

Answer: (A)

Anabolic steroids can cause adverse effects across several body systems, especially the skin, hormonal balance, liver, and cardiovascular system. Acne happens because increased androgen activity boosts oil production in the skin, clogging pores. Gynecomastia occurs when hormonal imbalances or conversion to estrogen stimulate breast tissue growth in men. Some oral steroids are hepatotoxic, so liver damage can occur with long-term or high-dose use. High blood pressure can result from fluid retention, unfavorable lipid changes, and other cardiovascular stresses linked to steroid use.

The other options describe effects that aren’t typical or as clearly harmful consequences of steroid use—for example, improved vision isn’t a known adverse effect, and decreased appetite with fatigue isn’t a classic steroid-related outcome.