SARMs can lead to elevated liver enzymes, reduced HDL cholesterol, and suppression of the HPG axis, though they typically have fewer side effects than anabolic steroids. However, their long-term safety is still under study. Anabolic steroids are linked to liver damage, cardiovascular issues, hormonal imbalances, and psychiatric effects, as well as acne, hair loss, and prostate enlargement. We strongly recommend consulting a healthcare professional before considering their use.