I’d like to see this as well. Cause I suffered with severe cystic acne at 26-28 with AAS. Had trouble with acne in puberty, but only on my face.
Acne has nothing to do with being healthy internally. It’s caused by excess oils, dirt, dead skin, etc on your skin clogging your pores. They become clogged and develop a small infection. Exogenous hormones tossed into the mix will produce even more oils if your prone. It exacerbates the issue.
Cage
That's ridiculous. He's someone who is prone to bad acne. Using hormones isn't helping. It doesn't have anything to do with his "...organs being attacked..."
Viewing acne as just a skin condition that's unrelated to anything internal is an out of date mentality and honestly, pretty ignorant at this point.
Acne can literally be caused by insulin resistance (
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4565837/)
Probiotics that reduce inflammatory diseases of the gut have been shown to reduce acne (
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5418745/)
There's even a name for the type of acne caused by Liver dysfunction (
https://pubmed.ncbi.nlm.nih.gov/32725250/)
We know that there is a strong link between oxidative stress and acne (
https://pubmed.ncbi.nlm.nih.gov/22648222/). In fact, it's pretty clear (yes, in the literature), that oxidative stress can be both a symptom and a cause of acne.
And, we know that acne is very often caused by IGF-1 elevation (
https://pubmed.ncbi.nlm.nih.gov/19932324/).
And that's ignoring micronutrient deficiencies that cause acne, which aren't related enough for me to dig up.
It's entirely possible that a young steroid users propensity to acne has nothing to do with any of these things, but there's at least a compelling reason to believe that a young steroid user who has very bad acne issues may also be the type of person who has a genetic propensity to struggling with the oxidative stress and inflammation caused by androgen use.
It's possible that said person could get around it with proper anti-ox strategies and hygiene, but either they can't, or they're not the type who will. Neither of which is a good sign for longevity.
IMO, it is also often a sign of someone using far, far more steroids than they need at a given time. They see progress, but IME they're always the ones suffering the worst at the cellular level, the ones who age the fastest and flame out before getting anywhere near an elite level.
The combination of those things (and honestly, Sam's training style) are all very good reasons for the "wow, this kid isn't going to make it very far" posts in this thread.
Hopefully he proves that theory wrong and I'm sure everyone in this thread would be happy for him if he does.