Anabolic steroids can cause many adverse effects . Most of these side effects are dose dependent, the most common being elevated blood pressure , especially in those with hypertension ,  and harmful cholesterol levels: some steroids cause an increase in bad cholesterol and a decrease in good cholesterol .  Anabolic steroids such as testosterone also increase the risk of cardiovascular disease ,  or coronary artery disease   in men with high risk of bad cholesterol . Acne is fairly common among anabolic steroid users, mostly due to increases in testosterone stimulating the sebaceous glands .   Conversion of testosterone to dihydrotestosterone (DHT) can accelerate the rate of premature baldness for those who are genetically predisposed.