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PIED users believed substances they sourced were genuine and efficacious, and used largely ineffective and outdated lay ‘methods’ to detect fakes/counterfeits.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