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Some of the common triggers are: Using anabolic steroids Certain medications like antidepressant or hormone treatments Weight gain or obesity Drinking alcohol or using recreational drugs Liver or kidney conditions Low testosterone levels Sometimes, ongoing skin concerns, like acne linked to hormones, can be a sign that hormones are not balanced

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Heart Disease Consult your doctor Individuals with heart conditions should consult their doctor before use, especially if they are on long-term medications

Long-term safety data beyond 24 weeks in humans is absent from the published literature