Which of the following is a negative side effect of anabolic steroids?

• A. Increased chance of heart attack
• B. Reproductive system problems
• C. Loss of bone density
• D. Bulimia

Answer: (A)

Anabolic steroids can seriously affect cardiovascular health. The most important negative effect is an increased risk of heart attack because these substances can raise blood pressure, negatively alter cholesterol (lowering good cholesterol and raising bad cholesterol), and cause changes in the heart muscle and vessels that promote atherosclerosis. That combination makes heart attack risk a direct, life-threatening consequence that is strongly supported by evidence.

Reproductive system effects can occur with long-term use, such as testicular shrinkage or fertility changes, but the cardiovascular risk stands out as the most well-established and critical side effect. Bulimia isn’t a typical direct result of steroid use, and changes in bone density are possible in some cases but are not as prominent or immediate as the heart-related risks.