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Ethical issues with steroids in bodybuilding revolve around fairness, health, and the influence on the broader fitness culture. In competitive bodybuilding, anabolic steroids provide clear advantages in size, strength, and recovery, creating an uneven playing field between enhanced and natural athletes. This raises questions about fairness in federations that claim to be drug-free, where some competitors may secretly use performance enhancers, undermining the integrity of the sport. Beyond competition, there are concerns about the health trade-offs. Steroid use can cause long-term damage to the liver, heart, and endocrine system, leading many to argue that athletes are sacrificing their well-being for short-term success and appearance.

Ethical debates also extend to the message it sends to younger athletes and aspiring bodybuilders, who may feel pressured to use steroids early in their training to achieve unrealistic physiques. This normalization of enhancement can blur the line between disciplined training and reliance on drugs. Some argue that if all competitors openly used steroids under medical supervision, fairness would be restored, while others maintain that bodybuilding should prioritize natural achievement. Ultimately, the ethical dilemma centers on whether the pursuit of extreme muscularity and competitive dominance justifies the risks, deception, and societal pressures created by steroid use.