title: Multi-organ damage induced by anabolic steroid supplements: a case report and literature review.
abstract: BACKGROUND
  The use of anabolic supplements and other related drugs for body building and to enhance athletic performance is nowadays widespread and acutely pervasive all around the world. This alarming increase in the use of anabolic and amino acid supplements has been linked to a diverse array of pathologies. As previously reported, the abuse of androgenic steroids is not without severe physiological, psychiatric and physical costs. The case we report here describes multi-organ damage resulting from the abuse and uncontrolled use of anabolic steroid supplements, mainly testosterone.
  
  
  METHODS
  A 24-year-old white man presented with abdominal pain concomitant with nausea and vomiting. Laboratory analysis revealed hypercalcemia, elevated liver enzymes and high levels of amylase, lipase and creatine protein kinase.
  
  
  CONCLUSIONS
  Amino acid as well as anabolic supplements may lead to abnormal functioning of many organs, which could be fatal in some instances. This mandates worldwide and concerted efforts to educate the public, especially the youth, about the dangers of these increasingly abused drugs.
authors.affiliation: Department of Biology, College of Science, United Arab Emirates University, Al-Ain, UAE. ali.samaha@liu.edu.lb
authors.forename: Ali A
authors.initials: AA
authors.lastname: Samaha
authors.forename: Walid
authors.initials: W
authors.lastname: Nasser-Eddine
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Shatila
authors.forename: John J
authors.initials: JJ
authors.lastname: Haddad
authors.forename: Jaafar
authors.initials: J
authors.lastname: Wazne
authors.forename: Ali H
authors.initials: AH
authors.lastname: Eid