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But they can also cause other, potentially dangerous health problems if misused, including cancer and heart disease. The legal status of performance-enhancing drugs varies widely from country to country. In some countries, such as Thailand, anabolic steroids and human growth hormone are illegal unless prescribed by a doctor for a specific medical reason; in other nations, such as Australia, the drugs are available without prescription under certain conditions.

Many young male bodybuilders from countries such as Australia are taking advantage of lax steroid regulations in Thailand and other Asian destinations to boost their bulk. Jarrad Fisher, a bodybuilder from Queensland who was featured in a News Corp investigation last week, said he used a cocktail of anabolic steroids and hormones during a three-month steroid holiday in Pattaya that saw him grow from 70kg to a fully fledged professional bodybuilder.

But the steroid trade is a global business, and not just in places like Thailand where the products are cheaper than they are at home. The unchecked distribution of anabolic steroids and other performance-enhancing medicines across the world can lead to adulterated, low quality products that may be harmful if taken for extended periods of time.

A growing number of people are travelling to Phuket to buy steroids because the cost is much lower than in other countries. But the ease with which they can be obtained in Phuket is alarming to sports medicine specialists and others who fear that anabolic steroids are contributing to the rise of ‘glue ear’, a serious condition where fluid builds up in the middle ear, leading to hearing impairment and other symptoms. Steroids Thailand