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Therefore, the mechanism of these variables remains unclear.183 Reports of linking illicit substance use (e.g., anabolic steroids and peptide hormones) by college students (especially male student-athletes) to an increased general tendency to engage in more risky health behaviors including increased alcohol, smoking and drug use.184,185 Moreover, young adult males reported greater involvement in violent behavior with the use of AAS.186 On the other hand, the hypogonadal treated group had significant reductions in negative mood (fatigue, anger, and tension) followed by an increase in vigor.182 Another study supports testosterone administration (600 mg/wk) increased ratings of manic symptoms in normal men aged 20-50. 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