The supply of steroids and other performance and image enhancing drugs (PIEDs) in one English city: Fakes, counterfeits, supplier trust, common beliefs and access
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文摘

‘Social supply’ defined much of the supply of local steroids and other PIED.

Forensic analysis of local user-sourced PIED showed them to be nearly all poor-quality fakes or counterfeits.

PIED users believed substances they sourced were genuine and efficacious, and used largely ineffective and outdated lay ‘methods’ to detect fakes/counterfeits.

The negative health effects of poor-quality, fake and counterfeit PIED should not be exaggerated or assumed without more evidence.

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