Health Advanced Free Analysis

‘Natty or not?’: how steroids got big

Stephen Buranyi · The Guardian June 6, 2024 22 min read ~5,500 words

Why Read This

What Makes This Article Worth Your Time

Summary

What This Article Is About

Stephen Buranyi investigates how steroid use has exploded from a niche bodybuilding practice into mainstream culture, with an estimated 500,000 to 1 million UK men using performance-enhancing drugs annually—potentially rivaling cocaine use. Through profiles of users like Dave, an ordinary office worker who casually injects 600mg of testosterone weekly, the article reveals how easy online availability, saturating social media fitness content, and shifting masculine beauty standards have normalized what would have seemed “frightening or pathological” to previous generations.

The piece explores the ecosystem enabling this explosion: Instagram dealers offering £150 eight-week cycles, fitness influencers with millions of followers whose extreme physiques set new norms, and community-compiled knowledge about compounds like trenbolone (a livestock drug never tested on humans) that users discuss with “supremely confident” certainty despite scientific ignorance about long-term effects. While some experts predict a “tsunami of health problems” including heart damage, cognitive impairment, and testicular atrophy, the UK’s harm-reduction approach through clinics like Sheffield’s Juice stands in contrast to Scandinavian “muscle-profiling” enforcement—though underfunded services struggle to meet demand from increasingly young, naive users who see steroids as casual as “making a brew in the morning.”

Key Points

Main Takeaways

From Niche to Mainstream

Steroid use has shifted from hardcore bodybuilders to ordinary office workers, with estimates suggesting 500,000-1 million UK men use annually.

Online Access Eliminates Gatekeepers

Instagram and Telegram dealers offer eight-week steroid cycles for £150, while 80-90% of UK steroids come from invisible domestic underground laboratories.

Influencer Culture Normalizes Extremes

Millions follow fitness influencers like Sam Sulek, making once-extreme physiques seem normal while “natty or not?” obsessions dominate online fitness discourse.

Scientific Ignorance Meets User Confidence

Compounds like trenbolone (a livestock drug never tested on humans) are discussed with certainty online, though endocrinologists warn “we are very in the dark.”

Long-Term Health Tsunami Predicted

Danish studies show steroid use triples death risk over a decade, while brain scans reveal significant reductions in grey matter among long-term users.

Harm Reduction Over Criminalization

UK clinics like Sheffield’s Juice offer non-judgmental blood testing and support, contrasting with Scandinavian “muscle-profiling” that failed to reduce use.

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Article Analysis

Breaking Down the Elements

Main Idea

Steroid Mainstreaming as Cultural Shift

The article argues that steroid use has undergone a fundamental transformation from subcultural practice to mainstream behavior driven by three converging forces: digital technology eliminating traditional gatekeepers through easy online access, social media influencers normalizing extreme physiques to millions of followers, and shifting masculine ideals that make pharmaceutical enhancement seem as routine as “making a brew”—creating a public health crisis where young, naive users embrace compounds whose long-term effects remain scientifically unknown.

Purpose

To Illuminate Hidden Epidemic

Buranyi seeks to make visible what researchers call a “looming public health threat” by documenting steroid culture’s infrastructure—from underground labs to harm-reduction clinics—while balancing sympathy for individual users with warnings about collective health consequences, ultimately advocating for expanded non-judgmental services rather than criminalization, recognizing that enforcement failed in Scandinavia while UK’s permissive approach enables frank conversations about irreversible risks.

Structure

Personal → Systemic → Scientific → Policy

The piece opens with Dave’s intimate profile establishing individual normalization, expands to document supply chains and influencer ecosystems driving cultural shift, pivots to scientific uncertainty about compounds like trenbolone and brain damage research, then concludes comparing enforcement approaches through Sheffield clinic visits versus Scandinavian muscle-profiling—moving from humanizing detail through structural analysis to policy implications while maintaining journalistic balance between user perspectives and expert warnings.

Tone

Investigative, Non-Judgmental & Cautionary

Buranyi maintains journalistic objectivity while letting users describe experiences in their own language (“hopped on gear,” “pinning”), avoiding moralization about individual choices while clearly conveying medical experts’ concerns about population-level consequences. The tone balances fascination with subculture’s technical sophistication—community-compiled knowledge about “tren cough”—against endocrinologists’ warnings that such confidence masks profound scientific ignorance, ultimately expressing empathy for vulnerable young users while insisting society must provide support infrastructure.

Key Terms

Vocabulary from the Article

Click each card to reveal the definition

Herculean
adjective
Click to reveal
Requiring enormous strength, effort, or determination; extremely difficult to accomplish; resembling the legendary strength of the mythological hero Hercules.
Striated
adjective
Click to reveal
Marked with thin parallel lines, grooves, or bands; having a striped or ridged appearance, particularly describing muscle tissue.
Atrophied
verb (past tense)
Click to reveal
Decreased in size, wasted away, or degenerated due to lack of use, disease, or inadequate nourishment; withered from disuse.
Ubiquitous
adjective
Click to reveal
Present, appearing, or found everywhere simultaneously; seeming to be constantly encountered; existing or being everywhere at the same time.
Pharmacopoeia
noun
Click to reveal
A complete collection or stock of drugs, medicinal preparations, or pharmaceutical compounds; an official publication listing medicinal drugs with descriptions and formulas.
Pathological
adjective
Click to reveal
Relating to disease or abnormal conditions; compulsive or excessive to an unhealthy degree; caused by or involving physical or mental disease.
Ephemeral
adjective
Click to reveal
Lasting for a very short time; transient or fleeting; existing or valuable only temporarily before disappearing or changing.
Hypertrophy
noun
Click to reveal
The enlargement of an organ or tissue through an increase in the size of its cells, particularly muscle growth through exercise.

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Tough Words

Challenging Vocabulary

Tap each card to flip and see the definition

Colloquially kuh-LOH-kwee-uh-lee Tap to flip
Definition

In a way characteristic of informal or conversational speech rather than formal writing; using everyday language or slang expressions.

“The majority of what we colloquially call steroids are kinds of synthetic testosterone.”

Endocrinologist EN-doh-krih-NOL-uh-jist Tap to flip
Definition

A medical specialist who diagnoses and treats disorders of the endocrine system, including hormones, metabolism, and glands like thyroid and pancreas.

“‘Big muscles, a big heart and big boobs,’ says Wiebke Arlt, an endocrinologist at the University of Birmingham.”

Histrionics his-tree-ON-iks Tap to flip
Definition

Exaggerated dramatic behavior designed to attract attention; theatrical or overly emotional actions intended to be impressive or manipulative.

“Sulek is a slab of pure lean meat with an 80s-rocker shag of black hair, and an affable style: plainspoken, no histrionics, lots of warm eye contact.”

Charisma kuh-RIZ-muh Tap to flip
Definition

Compelling attractiveness or charm that inspires devotion in others; a special magnetic appeal or personal quality enabling someone to influence people.

“There isn’t a single influencer with the thousand-watt charisma of a young Schwarzenegger.”

Testosterone tes-TOS-tuh-rone Tap to flip
Definition

A steroid hormone primarily produced in male testes that promotes development of masculine characteristics including muscle mass, deep voice, and body hair.

“On a course of steroids where testosterone levels can be up to 100 times higher than normal, the body’s systems for muscle tissue production are thrown into overdrive.”

Sanctum SANK-tum Tap to flip
Definition

A sacred or private place; a place of inviolability or special privilege where only initiated or authorized persons are permitted entry.

“There was a time when sourcing trenbolone required initiation into the inner sanctum of bodybuilding culture.”

1 of 6

Reading Comprehension

Test Your Understanding

5 questions covering different RC question types

True / False Q1 of 5

1According to the article, trenbolone has been extensively studied in academic laboratories for human use since its invention in the 1960s.

Multiple Choice Q2 of 5

2What change has most fundamentally altered who can access steroids, according to the article?

Text Highlight Q3 of 5

3Which sentence best captures the article’s argument about how social media has changed perceptions of male bodies?

Multi-Statement T/F Q4 of 5

4Evaluate these statements about the health effects of steroid use mentioned in the article:

Research in Norway found that steroid users had smaller brain volume and significant reductions in grey matter compared to non-users.

Danish studies showed that steroid use over a decade doubles the overall chance of death compared to non-users.

While basic heart functions are affected during steroid use, Australian research showed hearts appear to recover after use ceases.

Select True or False for all three statements, then click “Check Answers”

Inference Q5 of 5

5Based on the article’s comparison of regulatory approaches, why would the author likely support the UK’s harm-reduction clinics over Scandinavian criminalization?

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FAQ

Frequently Asked Questions

“Natty or not”—short for “natural or not”—asks whether someone achieved their physique without performance-enhancing drugs. The article explains this question dominates online fitness culture, appearing in countless comments, podcasts, YouTube videos, and forums like Reddit’s 175,000-member “nattyorjuice” board. It matters because the ubiquity of steroid-enhanced influencers has distorted perceptions of what’s naturally achievable. When millions follow influencers whose extreme physiques require pharmaceutical enhancement but who claim to be natural, it creates impossible standards that push people toward steroids. Jesse James West notes he receives hundreds of messages questioning his natural status, with even small weight fluctuations dissected online. The obsession reveals how steroid use has become the elephant in the room of fitness culture—simultaneously everywhere and officially nowhere, since most influencers deny use despite community-wide suspicion.

The demographic shift stems from eliminated access barriers combined with weakened subcultural norms. Harm reduction worker Jon Findlay reports the average steroid user is now ‘younger—in their 20s or even teens—and more naive. Not a bodybuilder who is monitoring his bloodwork and taking care, but a kid who might barely even work out.’ Former users like Steve Gardener disapprove, arguing people under 25 lack the ‘physical maturity, and emotional maturity’ for steroids. But once online dealers replaced gym-based networks requiring initiation and trust, these protective gatekeeping mechanisms vanished. A 20-year-old told Buranyi he started steroids after less than a year of gym attendance, feeling he ‘wasn’t progressing fast enough’—a decision that would have been impossible when you had to ‘know a guy, in a gym.’ The accessibility means young people make consequential pharmaceutical choices before developing the discipline or knowledge older users possessed.

Bordo’s 1999 book The Male Body identified how advertising’s fixation on muscular, athletic male bodies represented a fundamental shift in masculine ideals. Previously, body type correlated with social position (plump office manager versus muscled factory worker), but erosion of these hierarchies meant bodies became representations of identity rather than class. Bordo lamented: ‘I never dreamed that equality would move in the direction of men worrying more about their looks rather than women worrying less.’ Her observation is significant because it predicted the current crisis: once male bodies became sites of identity performance and self-worth, they became vulnerable to the same shame-making consumer culture that had long affected women. The article suggests steroid use represents an extreme manifestation of this shift—men now chemically alter their bodies to achieve ideals that are literally superhuman, driven by the same insecurities about inadequacy that consumer culture deliberately cultivates.

Readlite provides curated articles with comprehensive analysis including summaries, key points, vocabulary building, and practice questions across 9 different RC question types. Our Ultimate Reading Course offers 365 articles with 2,400+ questions to systematically improve your reading comprehension skills.

This article is rated Advanced due to its substantial length (5,500+ words), sophisticated narrative structure weaving personal profiles with technical medical information and cultural analysis, and specialized vocabulary spanning endocrinology (testosterone, atrophied, endocrinologist), pharmacology (metandienone, trenbolone, oxandrolone), and bodybuilding subculture (pinning, gains, hypertrophy, natty). Advanced readers must track multiple interconnected themes—individual user experiences, online marketplace mechanics, influencer culture dynamics, medical research findings, and policy approaches across countries—synthesizing them into a coherent argument about cultural mainstreaming. The article assumes familiarity with concepts like algorithmic content curation, harm reduction philosophy, and the difference between correlation and causation in health studies, while requiring readers to navigate between empathetic portraits of users and stark medical warnings without losing critical analytical distance.

This gap represents the article’s central tension between appearance of knowledge and actual scientific ignorance. While community-compiled resources about steroids are ‘very impressive’ and users discuss compounds with ‘supremely confident’ certainty, endocrinologist Channa Jayasena warns ‘most of these compounds were never approved for people, so scientifically we are very in the dark.’ Trenbolone exemplifies this perfectly: never tested on humans (it’s a livestock drug), its effects are documented through decades of user experimentation rather than controlled studies. Nobody can even explain ‘tren cough’ scientifically. This matters because users mistake community consensus for scientific validation, believing they’ve ‘figured out’ steroids when medical experts emphasize profound uncertainty about long-term effects. The confidence encourages younger users to take compounds whose mechanisms, interactions, and cumulative damage remain largely unknown—making them unwitting participants in an uncontrolled, decades-long experiment whose results (brain damage, cardiac issues) are only now emerging.

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