Which of the following is NOT typically a symptom of steroid use?

Increased fatigue is not typically associated with steroid use. In fact, anabolic steroids usually have the opposite effect, often resulting in increased energy levels and stamina due to enhanced muscle recovery and growth. This stimulation of energy is one of the reasons athletes and individuals might abuse steroids to improve performance.

On the other hand, mood swings, voice lowering, and acne are common symptoms linked to steroid use. Mood swings can occur due to hormonal changes, which are a direct result of increased testosterone levels. Voice lowering, particularly in females, is due to the virilizing effects of steroids, which can lead to changes in vocal cord structure. Acne is also prevalent as steroids can increase sebum production and lead to more severe cases of acne, especially on the back and shoulders where oil glands are more concentrated. Therefore, recognizing that increased fatigue does not align with the expected symptoms of steroid use helps clarify the differences in how steroids affect the body compared to other potential effects.