Some bodybuilders use drugs such as anabolic steroids and precursor substances such as prohormones to increase muscle hypertrophy. Anabolic steroids cause hypertrophy of both types (I and II) of muscle fibers, likely caused by an increased synthesis of muscle proteins. They also provoke undesired side effects including hepatotoxicity, gynecomastia, acne, the early onset of male pattern baldness and a decline in the body's own testosterone production, which can cause testicular atrophy. Other performance-enhancing substances used by competitive bodybuilders include human growth hormone (HGH), which can cause acromegaly.
One of the most misunderstood areas for new bodybuilders is nutrition. I talk to guys all the time that have no idea of their daily calorie intake, their daily protein intake, their carbohydrate intake. They have no idea of what types of foods they should be eating, or when they should be eating them. They don't know what supplements do what and what they should using. Let me refer readers to some of my other articles that detail these areas.