Arid (pseudonym), 22, and Rahil (pseudonym), 25, sought treatment in Dhaka for serious health issues linked to steroid use. Arid has abnormal liver enzymes, while Rahil's testosterone production has ceased—conditions atypical for their ages.

Their families became aware of their problems after observing behavioral changes and physical deterioration despite their gym workouts. Dr. Raihan Shahidullah, director of Green Diagnostic Center, noted that their recovery is long-term and costly.

Dr. Shahidullah explained that steroids fall into two categories: those prescribed by doctors for medical conditions and anabolic steroids used in bodybuilding. The latter are not manufactured by any pharmaceutical company in Bangladesh but are often smuggled from China and India. He emphasized, "Without a doctor's prescription, no pharmacy will give it to anyone."

He added that public awareness about these substances has increased in recent years. "Ten years ago, people were not aware... Many thought these were supplements. However, it is quite inappropriate to have this in gyms."

Sohag Amin, who regularly goes to a gym in Dhanmondi, said, "Supplements are available here. Boys intentionally take steroids for rapid muscle growth. I have never taken them because I know they are harmful."

Rafi Mahtab, who works out in a Badda gym, confirmed the presence of steroids in some gyms, saying, "No gym forces anyone; they are made available only if someone asks."

The primary effect of anabolic steroids is accelerated muscle growth. "What can be gained from working out in a year can be achieved in two-three months by using steroids," Dr. Shahidullah explained. This rapid gain can lead to the permanent shutdown of natural hormone production. In males, testosterone production may cease entirely, resulting in various physical and behavioral issues.

Additionally, steroid use can cause liver problems and heart failure. Dr. Shahidullah warned that improper gym training can also affect joints. He emphasized that after taking steroids, one should undergo “Post Cycle Therapy” to restore hormonal balance.

A visit to several gyms in Badda and Aftabnagar revealed a shortage of qualified trainers. Najmus Shakib, a fitness coach remarked, "Not all gyms have trainers. There is no institutional education because there is no institution for gym trainers." He emphasized that long-term use of steroids can lead to serious side effects. "I have never suggested it," he said.

Former Deputy Director of the Drug Administration, Nurul Alam, commented on the situation, saying, "Steroids are generally prescribed by doctors. We are unaware that it is being used in gyms." He expressed gratitude for raising the issue and promised to investigate. "Muscle building is a natural process. If we find evidence that an unethical business is being done in the name of bodybuilding, we will certainly inform the administration and take action."