While there may be relatively more eating disorders in the gay male community, most males with eating disorders are heterosexual. One study found little connection between sexual orientation and incidence of eating disorders. Instead, the researchers identified a connection between gender identification and the eating disorder’s expression : those individuals who identified with more feminine gender norms tended to have thinness body concerns, while those who identified with more masculine norms tended towards muscularity concerns.
In addition to the mentioned side effects several others have been reported. In both males and females acne are frequently reported, as well as hypertrophy of sebaceous glands, increased tallow excretion, hair loss, and alopecia. There is some evidence that anabolic steroid abuse may affect the immune system, leading to a decreased effectiveness of the defense system. Steroid use decreases the glucose tolerance, while there is an increase in insulin resistance. These changes mimic Type II diabetes. These changes seem to be reversible after abstention from the drugs.