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[DOI] [Google Scholar] 41.Xiang-Qun Hu, Xiao D, Zhu R, et al

The letter can explain that the odor is a known medical side effect of a life-saving medication, entirely unrelated to personal hygiene

TNF, tumor necrosis factor alpha

doi: 10.1093/brain/awac272

Nevertheless, available evidence indicates that prolonged exposure to supraphysiological doses of AAS is associated with a substantial risk of adverse psychological outcomes, including the development of dependence and persistent emotional and interpersonal difficulties (62)

Overall, the literature highlights the heterogeneous and multifactorial nature of psychological responses to AAS use