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Men are buying potentially risky steroid substitutes online to get the 'ideal body'

- September 3, 2020

Selective androgen receptor modulators (SARMs) may be perceived as a safer muscle-building alternative to steroids. (Shutterstock)
Selective androgen receptor modulators (SARMs) may be perceived as a safer muscle-building alternative to steroids. (Shutterstock)

About the authors:Ìý is a graduate student in Pharmacology at pilipiliÂþ»­. is an assistant professor Mount Saint Vincent University at Dal PhD (Health) grad.

Unapproved muscle-building drugs are being . These chemicals, called SARMS or selective androgen receptor modulators, are popular in part due to their , but the health risks of these drugs are still widely unknown and potentially serious.

Images in society influence our body image


Images of bodies surround us in our daily life, in advertising, media, the Twitterverse and dating apps, informing . We come to understand ourselves through the images circulating in our culture and society that define what it means to belong to a particular gender.

For many men, social images create an understanding of what their bodies should look like to be . Often the dominant ideal, both celebrated and desired, is fat-free, with bulging muscles and well-defined pecs: a celebration of .

A young man in a hoodie looks pensive with his arms folded across his chest. Behind him, on a blackboard, a drawing of caricatured muscular arms lines up with his shoulders.
For many men, social images create an understanding of what their bodies should look like to be considered masculine. (Pixabay)

Many men strive to embody this idealized image of masculinity, but it’s not one everyone can achieve. The difference between men’s actual bodies and the cultural ideas about masculinity that may .

We suggest that more discussion is needed surrounding both masculine body image ideals and the potential dangers of SARMs in our society.

Body image standards affect men differently


For many (gay, bi, pansexual, queer, men who have sex with men, etc.), the consequences of not living up to idealized standards for masculine bodies , including negative body image and .

This can influence the way people live, such as eating and exercising. For example, one study noted a small association with social media use and . Sexually diverse men have also reported engaging in to achieve their desire to become muscular.

Ethnicity can also intersect with body image for sexually diverse men. , Black, East/Southeast Asian, South Asian, Latino/Brazilian gay and bisexual men report skipping meals, vomiting and taking steroids to achieve bodies that cultural messages and images define as the most masculine.

Potential danger


Anabolic steroids can be viewed by men with body dissatisfaction as . Now SARMs, which are not steroids per se but by increasing muscle mass and strength, are perceived as a safer alternative to steroids and are easily purchased online: A potential danger for those desperate to achieve these hyper-muscular bodies.

A black dumbbell with drug capsules in the foreground
Anabolic steroids can be viewed by men with body dissatisfaction as a way to achieve the idolized masculine body. Now SARMS may be viewed as an alternative to steroids. (Pexels)

SARMS have been researched for more than 20 years as treatments for medical conditions including cancer, osteoporosis, Alzheimer’s disease and muscle-wasting, but no SARMs are approved by the FDA for any medical condition yet and they are not authorized for use in Canada. In fact, Health Canada released a in March 2020 advocating against the use of SARMs, and reported a seizure of various SARMs from stores in Alberta.

We know little about the safety and toxicity of these drugs, which is what makes them risky. A 32-year old male recently suffered after taking a SARM for two weeks, suggesting there are indeed health risks.

A factor that may have contributed to this case is that recreational steroid users often take . SARMs, like other drugs, can have . If men are taking high doses to achieve the dominant image of a masculine body, it is likely that their health risks are higher as well.

Although SARMs may end up being safe drugs when properly used for medical conditions, there are still major involved with taking SARMs currently, including liver damage, cardiovascular issues and testosterone suppression. Furthermore, the purity of SARMs bought online is currently .

What can we do?


In light of these safety concerns, the was introduced to the United States Congress, which seeks to tighten regulatory control over these drugs. This act effectively equates SARMs with anabolic steroids on a regulatory level. This type of regulation is necessary to help contain a drug with health risks and potential for abuse.

Thus, we have a storm brewing. On one hand we have unrealistic masculine body image standards for gay men, which promote and even demand the use of anabolic drugs to reach that goal. On the other hand, SARMs promise the idolized body and are easily available over the internet.

We need to honestly discuss the dangers of promoting unattainable masculine body image standards for men of all sexual orientations and warn about easily accessible SARMs that may not be safe to use and almost certainly not safe to abuse.The Conversation

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