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Furthermore, the prevalence of blood borne viruses is linked, at least in part, to high risk sexual behaviours and psychoactive drug use and as such, there may be a need for targeted services aimed at these higher risk AAS users

Also, the NGT relies on expert consensus rather than objective clinical research data, is subject to personal interpretation, may be influenced by factors such as hospital or healthcare system policies, and does not account for long-term outcomes, cost analyses, or adverse effects