
Anabolic steroids are frequently used by bodybuilders and weightlifters as dietary supplements to increase muscle mass and strength. However, while these drugs are known to cause endocrine and liver dysfunction, recent studies have found that they also have harmful effects on the kidneys. Research has shown that athletes who use anabolic steroids to bulk up are at risk of serious kidney damage, including acute kidney injury, chronic kidney disease, and glomerular toxicity. In some cases, this damage can be irreversible. Therefore, it is important for athletes and doctors to be aware of the potential risks associated with anabolic steroid use and to monitor kidney function closely.
| Characteristics | Values |
|---|---|
| Anabolic steroids may help athletes | Gain muscle mass and strength |
| Anabolic steroids may cause | Kidney damage |
| Kidney damage may be caused by | Extreme increases in muscle mass |
| Extreme muscle mass increases | Increase the kidneys' filtration load |
| Extreme muscle mass increases | Place harmful levels of stress on the kidneys |
| Anabolic steroids may have | Direct toxic effects on the kidneys |
| Anabolic steroids may cause | Acute kidney injury |
| Acute kidney injury may be caused by | Allergic reactions |
| Acute kidney injury may be caused by | Anabolic steroids and vitamin supplement abuse |
| Acute kidney injury may be caused by | High doses of vitamin D |
| Acute kidney injury may be caused by | High protein intake |
| Acute kidney injury may be caused by | High creatine intake |
| Kidney damage may be reversible | Yes |
| Kidney damage may be irreversible | Yes |
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What You'll Learn

Kidney damage reversibility
Anabolic steroids may help athletes gain muscle mass and strength, but this comes at the risk of serious kidney damage. The habitual use of steroids has harmful effects on the kidneys, and steroid abuse is prevalent among amateur and professional athletes.
When bodybuilders discontinued steroid use, their kidney abnormalities improved, except for one individual with advanced kidney disease who required dialysis. However, one bodybuilder started taking steroids again and suffered a relapse of severe kidney dysfunction.
While chronic kidney disease (CKD) and chronic kidney failure are progressive and irreversible conditions, acute kidney injury (AKI) can be reversible. AKI refers to a sudden decrease in kidney function, while CKD is a progressive and persistent disease lasting over 90 days. If the cause of AKI is treated, the kidneys may regain their ability to function, and people with AKI may make a full recovery. However, all cases of AKI increase the risk of developing CKD in the future.
There are several lifestyle habits that can help prevent CKD and reverse it in its earliest stages, including weight management, exercise, quitting smoking, regular check-ups, and avoiding certain medications.
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The link between muscle mass and kidney function
Anabolic steroids are commonly used by athletes and bodybuilders to increase muscle mass and strength. However, this practice comes with serious risks to kidney function. Research has shown that the habitual use of anabolic steroids can lead to severe kidney damage and even end-stage kidney failure. This occurs because extreme increases in muscle mass drive the kidneys to increase their filtration load, placing harmful levels of stress on these organs.
The major laboratory test for kidney function, the serum creatinine level, is influenced by an individual's muscle mass. Creatinine is produced from creatine, which is found in high amounts in muscle. Therefore, individuals with larger muscle mass tend to have higher creatinine levels, which can make it difficult to accurately assess kidney function in highly muscular individuals. This means that kidney dysfunction in athletes and bodybuilders who use steroids may be overlooked.
Additionally, kidney damage caused by steroid use can be more severe than that seen in morbidly obese patients with higher body mass indices, indicating that anabolic steroids likely have direct toxic effects on the kidneys. This was demonstrated in a study where bodybuilders who discontinued steroid use showed improvement in kidney function, except for one individual with advanced kidney disease.
On the other hand, decreased muscle mass is a common finding in patients with end-stage kidney disease (ESKD) and chronic kidney disease (CKD). This muscle wasting is a result of malnutrition, chronic diseases, a sedentary lifestyle, and drug-related side effects. The consequences of muscle loss in these patients include physical debilitation, depression, malnutrition, cardiovascular complications, increased hospitalization, and higher mortality rates.
In conclusion, while anabolic steroids may lead to increased muscle mass, they also have detrimental effects on kidney function. The link between muscle mass and kidney function is complex, and further research is needed to fully understand the relationship between the two.
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The impact of steroids on the glomeruli
Anabolic steroids have been found to have harmful effects on the kidneys, specifically the glomeruli. The glomeruli are the "million capillary sieves per kidney required for the ultrafiltration of plasma to form urine". Extreme increases in muscle mass drive the kidneys to increase their filtration load, placing harmful levels of stress on the kidneys. This is especially true in the case of bodybuilders who ingest massive amounts of protein and other supplements to bulk up.
The use of anabolic steroids has been linked to acute kidney injury and renal insufficiency. In one study, 10 bodybuilders who used steroids for many years developed protein leakage into the urine and severe reductions in kidney function. When the bodybuilders discontinued steroid use, their kidney abnormalities improved, except for one individual who developed end-stage kidney failure. Another study found that four bodybuilders developed acute renal insufficiency while using anabolic steroids and consuming moderately increased amounts of protein and creatine.
The exact mechanism by which anabolic steroids cause kidney damage is not yet fully understood. However, it is proposed that the extreme increases in muscle mass caused by steroid use require the kidneys to increase their filtration rate, placing harmful levels of stress on the organs. It is also likely that steroids have direct toxic effects on the glomeruli, whose cells bear receptors for these agents.
Glucocorticoids, a type of steroid, have been used to treat glomerular diseases for almost 70 years. However, their use may be inappropriate or even deleterious in some cases. For example, they should not be administered to newborns with nephrotic syndrome or to subjects with maladaptive glomerular sclerosis. In addition, the continued use of high doses of steroids has been associated with significant adverse events, contributing to premature patient mortality. As a result, steroid avoidance or minimization is now being considered for the treatment of glomerular diseases.
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The role of vitamin supplements in kidney damage
Anabolic steroids may help athletes gain muscle mass and strength, but this comes at the risk of serious kidney damage. Research published in the Journal of the American Society of Nephrology indicates that the habitual use of anabolic steroids has harmful effects on the kidneys.
Vitamin supplements are generally safe and beneficial, but high doses of certain vitamins can be harmful, especially for those with kidney disease. For example, excessive vitamin C supplements may increase the risk of kidney stones, as vitamin C can be converted into oxalate, which combines with calcium to form kidney stones. Similarly, high doses of vitamin D supplements can lead to high levels of calcium in the blood, which can damage the kidneys.
In addition, some herbal supplements, such as Ephedra and St. John's Wort, have been linked to kidney damage and failure due to their toxic effects on the kidneys or interference with kidney function.
For individuals with chronic kidney disease or those on dialysis, dietary restrictions may result in a lack of certain vitamins and minerals. In such cases, supplements can help ensure adequate vitamin and mineral intake. However, it is crucial to consult with a healthcare professional before taking any supplements to ensure safety and appropriateness for one's overall health and specific kidney condition.
While vitamin supplements can play a beneficial role in supporting kidney health, excessive doses or interactions with other substances can potentially lead to kidney damage. Therefore, caution and professional guidance are essential when considering the use of vitamin supplements, especially for individuals with existing kidney conditions.
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The prevalence of steroid abuse among athletes
The exact number of athletes who abuse anabolic steroids is unknown. Many athletic associations ban their use, including the National Football League (NFL), Major League Baseball (MLB), National Collegiate Athletic Association (NCAA), and the Olympics. As a result, few athletes are willing to admit to using these drugs.
Athletes take anabolic steroids to boost testosterone levels, build lean muscle mass, increase aggressiveness, and promote weight gain. Anabolic steroids are chemical derivatives of testosterone, the male sex hormone. When properly used, they can aid in treating various medical conditions. However, they can also cause irreversible physical harm and have significant side effects, such as physical addiction and increased risk of HIV transmission through shared needles.
To enhance their performance, athletes sometimes take multiple anabolic steroids simultaneously, combining oral and injectable types and adding other drugs like stimulants, painkillers, or growth hormones. This practice, known as "stacking," is based on the belief that using multiple drugs will lead to greater strength or muscle size than using a single drug.
The Adolescents Training and Learning to Avoid Steroids (ATLAS) program has been successful in reducing steroid misuse among high school football players. By educating students about the harmful effects of anabolic steroids and providing alternative training and nutrition options, the program has increased healthy behaviors and decreased intentions to misuse steroids.
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Frequently asked questions
Anabolic steroids can cause kidney damage, especially when used habitually. They can induce or aggravate acute kidney injury, chronic kidney disease, and glomerular toxicity.
In most cases, kidney abnormalities improved after stopping steroid use. However, one individual with advanced kidney disease progressed to end-stage kidney failure and required dialysis.
Extreme increases in muscle mass can stress the kidneys by increasing their filtration load. Consuming large amounts of protein and creatine supplements along with steroids can further increase the risk of kidney injury.










































