Abuse of anabolic steroids, however, can result in significant harm to the body. In humans, abuse can lead to coronary heart disease , sexual and reproductive disorders, immunodeficiencies , liver damage, stunted growth, aggressive behaviour , susceptibility to connective tissue injury, and (in females) irreversible masculinization. Similar side effects can occur in livestock and other animals. In horses , for example, anabolic steroids can cause liver damage and weakening of the tendons and can result in decreased testis size and sperm production in stallions and altered reproductive cycling in mares. Anabolic steroids are readily detected in urine and blood .
Epidural steroid injections are generally very safe, but there are some rare potential complications. One of the most common risks is for the needle to go too deep and cause a hole in the dura, the tissue that surrounds the spinal cord and nerve roots. When this occurs spinal fluid can leak out through the hole and cause a headache . This headache can be treated with bedrest, or with a blood patch. A blood patch involves drawing some blood from the vein and the injecting it over the hole in the dura. The blood forms a seal over the hole and prevents any further fluid from leaking out.
High dosages of oral corticosteroids taken daily for prolonged periods of time can have serious systemic side effects including bone loss ( osteoporosis), increased risk of infections and diabetes and cataracts, thinning of skin, stretch marks, increased facial/body hair growth, acne, fluid retention, weight gain with redistribution of fat (fat deposits on back and face, thinning of limbs), muscle weakness, decreased resistance to infections, stomach ulcers, mood swings, insomnia, suppression of the body's own production of cortisol, etc.