Hypertension (High Blood Pressure) Elevated blood pressure, which often times accompanies anabolic steroids, over a long period, can lead to cardiovascular disease. Many athletes report greater water retention when on steroids. Fluid /electrolyte balance is thought to be related to hypertension. This can be caused by steroids effect on the adrenal cortex. The adrenal cortex helps maintain electrolyte balance. Steroids increase both potassium and nitrogen levels, which can increase blood pressure. Blood pressure seems to return to normal once steroids are discontinued, but the long term effects are not known.
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