Physical changes are typically the most pronounced short-term symptoms as they are not easily concealed by the novice user and include: 1-Unusually greasy hair or oily skin (often with stretch marks on the inner joints) 2-Small red or purplish acne, including breakouts on the shoulders and back 3-Gynocomastia, the abnormally excessive development of the breast tissue in males 4-Persistent bad breath 5-Thinning hair throughout the head or receding hairline (male pattern baldness) 6-Increased length and thickness in hair (on body parts other than the head) 7-Hair loss in bed, shower, comb or brush 8-Jaundice or yellowing of the skin; this signals liver damage 9-Skin eruptions and infections, such as abscesses and cysts 10-Drastic appetite shifts (extreme hunger or lessened/loss of appetite) 11-Joint pain; greater chance of injuring muscles and tendons 12-Disrupted sleep patterns (not sleeping well or sleeping too much) 13-Fluid level changes, bloating (face & body), and night sweating 14-Dizziness, trembling, nausea or vomiting 15-Rapid or progressive weight gain 16-Increased muscle size (sudden or progressive) 17-Hyperactivity or lethargy (too little energy) 18-Trouble urinating; discoloration or blood in urine 19-Rare and occasional side effects 20-Steroid abusers often experience mood swings Personality and Psychiatric changes often happen suddenly and without visible triggers or reasons. They include: 1-Extreme mood swings 2-Increased aggression or irritability 3-Becomes disrespectful or abusive (verbally and/or physically) 4-Poor decision making stemming from feelings of invincibility 5-Becomes secretive and/or starts lying 6-Withdraws from family members 7-Depression (usually when steroids are discontinued) 8-Hallucinations - seeing or hearing things that aren't there 9-Paranoia - extreme feelings of mistrust or fear Social changes may be mistaken for natural teenage distancing or independence. These are: 1-Closes and/or locks bedroom door more often 2-Takes longer showers or baths (this time is often used for injecting) 3-Phone conversations become more private 4-Begins receiving more packages in the mail 5-Asks for money more often, or has more money than usual 6-Is stealing or losing belongings 7-Begins taking naps and/or falls asleep in class 8-Loss of focus or concentration (at work, school or home) 9-Decline in grades 10-Forgets plans, dates and activities 11-Loss of interest in friends, or suddenly gains new friends Source
