In addition to the mentioned side effects several others have been reported. In both males and females acne are frequently reported, as well as hypertrophy of sebaceous glands, increased tallow excretion, hair loss, and alopecia. There is some evidence that anabolic steroid abuse may affect the immune system, leading to a decreased effectiveness of the defense system. Steroid use decreases the glucose tolerance, while there is an increase in insulin resistance. These changes mimic Type II diabetes. These changes seem to be reversible after abstention from the drugs.
Steroid use can lead to manic behavior and psychosis that include hallucinations and delusions. Mania occurs when steroid users lose touch with reality . Users can express a better- or worse-than-expected emotional state that is out-of-touch with their current circumstances. During these manic or psychotic episodes, the steroid user may feel extremely euphoric or be prone to rash, impulsive or violent behavior when he or she feels challenged. In other cases, the individual may feel invisible. These episodes can affect the user’s social life, which can lead to depression or an increased use of drugs and alcohol. Steroid use can also lead to a heightened sense of paranoia .