There are growing concerns that a desire to conform to a "ripped" body image is causing increasing numbers of young men in Wales to take steroids for looks rather than sport.
Staff at a needle exchange in Newport have told ITV Wales that some of the users they see are now buying and taking the drugs before setting foot in a gym.
There are fears that a lack of understanding amongst some GPs means users are not seeking or receiving the help they need.
Craig (not his real name) began using steroids in his twenties.
A keen, but non competitive, bodybuilder, he says a low opinion of his own body image drove him to obsessively bulk up.
More than ten years on, he's now in recovery.
Craig says his usage has left him with long-term health problems.
- Anabolic steroids are class C drugs, which can only be sold by pharmacists with a prescription.
- It's not illegal to possess anabolic steroids for personal use.
- It is illegal to possess, import or export anabolic steroids if it's believed you're supplying or selling them.
At his needle exchange in Newport, centre head Mike Mallett runs a fortnightly drop-in clinic for steroid users.
Staffed by a volunteer team of three, the clinic offers a chance for users to get a check up and talk through their health.
He says an increasing number of young people are using steroids to enhance their image.
He says there's a reluctance among many users to approach their GPs about any problems they might be having, or even to reveal the fact they're using steroids at all.
Josie Smith, Head of Substance Misuse Programme at Public Health Wales, acknowledges that new approaches might be needed to tackle the problem.
The Royal College of General Physicians says its members "non-judgemental atmosphere of mutual trust, recognising that individuals may chose different lifestyles".
It stresses that patients need to be made aware of the "significant health risks" of taking steroids.
Craig now plans to formally train to help other people overcome their addictions.
He regrets his steroid usage, citing the impact it had on his relationships, health and temperament.
"I wouldn't take a steroid again" he adds.
- Hear his story below:
You can watch the full report below: