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Anabolic steroids , also known more properly as anabolic—androgenic steroids AAS , [1] are steroidal androgens that include natural androgens like testosterone as well as synthetic androgens that are structurally related and have similar effects to testosterone. They increase protein within cells , especially in skeletal muscles , and also have varying degrees virilizing effects, including induction of the development and maintenance of masculine secondary sexual characteristics such as the growth of facial and body hair. Androgens or AAS are one of three types of sex hormone agonists , the others being estrogens like estradiol and progestogens like progesterone. AAS were synthesized in the s, and are now used therapeutically in medicine to stimulate muscle growth and appetite , induce male puberty and treat chronic wasting conditions, such as cancer and AIDS. The American College of Sports Medicine acknowledges that AAS, in the presence of adequate diet, can contribute to increases in body weight , often as lean mass increases and that the gains in muscular strength achieved through high-intensity exercise and proper diet can be additionally increased by the use of AAS in some individuals.
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Stages of Puberty in Teenage Girls

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Stages of Puberty in Girls

The highly anticipated judgment on Tuesday concerned legal action taken by year-old Keira Bell against the service — the only one of its kind for England and Wales. Bell, a former patient, argued she had been too young to consent to the medical treatment overseen by the GIDS that began her female-to-male transition as a teenager. In a page ruling, the court concluded that children under the age of 16 considering gender reassignment are unlikely to be mature enough to give informed consent to be prescribed puberty-blocking drugs, in effect curtailing medical intervention for unders with gender dysphoria. It is doubtful that a child aged 14 or 15 could understand and weigh the long-term risks and consequences of the administration of puberty blockers. The decision was welcomed by some as a victory for common sense and safeguarding, and condemned by others as having a chilling effect on the rights of young trans people.
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The NHS gender identity service is seeking leave to appeal against a High Court ruling that restricts children under 16 from accessing "puberty-blocking" drugs. Doctors and parents have told the BBC the ruling could put already vulnerable trans teens at risk. And trans young people have been giving their reaction, with one calling the ruling "honestly terrifying". Gender dysphoria is when a mismatch between a person's sex assigned at birth and their gender identity causes them distress.
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