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Over 4 million average Americans are now using anabolic steroids (AAS) and other performance enhancing drugs—harmful legal and illegal substances that offer the promise of sculpting the ideal male physique. While this powerful drive explains some of the risk-taking associated with these drugs, Board Certified internist Dr. Thomas O’Connor—a record holding power lifter himself—presents evidence that there is a point when AAS use can no longer be seen as a free choice: when 15-30% of users become dependent or addicted as a result of cycling and withdrawal syndrome associated with AAS use. He defines the specific health risks of AAS, including anabolic steroid induced hypogonadism (ASIH), and describes medical protocols recommended to prevent and address these risks, and to provide safe and effective cessation.