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Females and young boys who use steroids do have certain predictable changes that may be permanent and not altogether pleasing. Nevertheless, the number of female steroid users is growing, especially among adolescents. The gains in strength that women get from steroids are so dramatic that it is often easier to see the performance- enhancing effects in women’s competition rather than in men’s, where the differences may be just enough to make the difference between receiving an Olympic medal and finishing in the pack. In any event, sports performance itself is unpredictable. Outstanding athletic achievement occurs when many separate factors blend, and manipulating only one factor will almost never be enough to determine success. The ingredients for optimal athletic performance include genetic heritage, level of conditioning, skill, mental state or mind set, and diet. No amount of any drug can make up for poor conditioning or lack of skill. 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