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But some teens on long-term steroid treatment take pills at home, and might have a steroid card or wear a medical alert bracelet, all of which might indicate that there should be some suspicion. "The risk here is that kids are taking a substance that has potentially negative effects," said Dr. Daniel Zarrillo of the University of Alabama at Birmingham School of Medicine. "We just don't fully understand the risks yet." For now, there are more questions than answers. Zarrillo said there also are fewer studies of long-term steroid use than there are of people who use a stimulant drug. Long-term effects of long-term steroid use on the body "The risk is definitely greater than the risks associated with stimulants," he said. "But we have no way to know how it compares to the risks that many young people are taking in our schools and communities to deal with peer pressures, other issues and to fit in." Most of the research on long-term steroid users has been performed in animal models, and there is little human data yet. But some studies have shown positive associations of long-term steroid use, at least in people, with brain and bone health disorders, including Parkinson's disease. In 2001, an Australian study found that long-term, intermittent use of steroids had a negative impact on men with erectile dysfunction and on men with delayed ejaculation. A 2014 study of long-term steroid users in Hawaii found that some had elevated levels of estrogen in their urine. The hormone is produced by the ovaries and helps control fertility. People with low testosterone might have lower levels of estrogen. Even relatively small quantities of steroids can have negative effects, Zarrillo noted. They can lead to loss of muscle mass, or weight gain, and might interfere with certain hormones. Zarrillo was uncertain that long-term steroid use had any negative effects on the brain and bone health. "I would be more concerned about these compounds on women," he said. "That's what I'm worried about. But I think the study we don't have has important implications beyond just women's health." "It's hard to come up with a risk to people," added Zarrillo, describing the risks of long-term steroid use as "very small." Related Article: