Anabolic steroids can cause a wide range of unwanted effects, even when used for short cycles. Common physical issues include acne and oily skin, water retention and bloating, and increased blood pressure, all of which raise cardiovascular risk. Many users experience testicular shrinkage and reduced natural testosterone production, leading to low libido and potential infertility after a cycle. Liver strain is a particular concern with oral steroids, especially at higher doses or when stacked with other hepatotoxic substances. Psychological changes such as irritability, anxiety, aggression, or low mood after coming off a cycle are also reported. These risks mean users should prioritize regular blood work, conservative dosing, and appropriate post-cycle support.