Third, heterogeneity across included studies limits direct comparability
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Trainers, training partners, and peer groups often influence decision-making processes, either directly through recommendation or indirectly by fostering a permissive social climate toward substance use ( Although these platforms serve as a major source of information, they are also associated with the dissemination of misinformation ( 5.3 Individual psychological and personality risk factors At the individual level, negative body image represents a key risk factor for AAS use, particularly among young adult men with a strong desire to increase muscle mass ( Importantly, no single factor independently determines the decision to use anabolicandrogenic steroids
