General
Tom’s been using performance-enhancing drugs for eight years, and like many others, he feels trapped in a cycle

At 29, Tom* has used performance and image-enhancing drugs (PIEDs) for the past eight years.
Key points:
- Experts suspect the use of performance and image-enhancing drugs is much higher than reported
- Doctors say users often delay seeking help for fear of judgment
- The use of these drugs can be linked…
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