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Studies show that too much dht is linked to prostate swelling, trouble with urination, and prostate cancer. While these epiandrosterone side effects may not be as severe as anabolic steroids, they can still be problematic considering how unimpressive the results can be. These problems sparked drug discovery efforts for selective androgen receptor modulators (sarms). 214 although sarms are not yet in clinical use, several nonsteroidal sarms are under development. 215 ideally, a tissue-selective sarm would have the beneficial anabolic effect of androgens with reduced risk of prostate cancer in men or hirsutism and virilization in women. Uzych l "anabolic-androgenic steroids and psychiatric-related effects: a review. " can j psychiatry 37 (1992): 23-8. Nuzzo jl, manz hj, maxted wc "peliosis hepatis after long-term androgen therapy. " urology 25 (1985): 518-9. Yu mw, chen cj "elevated serum testosterone levels and risk of hepatocellular carcinoma. 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