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In 1958, when Ciba released methandrostenolone (methandienone, Dianabol), Dr Ziegler switched to this preparation. Unlawful distribution or possession with intent to distribute AAS as a first offense is punished by up to ten years in prison. It also leads to virilization—the development of masculine traits, including increased libido and deepening of the voice. Others, such as getting a rounder face, happen after weeks or months.

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