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Being a competitive bodybuilder, powerlifter or athlete places a tremendous strain on the body. Many bodybuilders and powerlifters suffer from high blood pressure due to excessive bodyweight. Sometimes this is caused by eating a lot of food in the off season to gain as much weight as possible. Other times, performance enhancement drugs such as steroids contribute to this.
Many competitive bodybuilders also suffer from poor cholesterol levels. (High HDL and low LDL).
Steroids are well known for impacting cholesterol levels in a negative fashion. Oral steroids in particular are known for this.