AAS & Lipids
The bottom line is alwasy the same: genetic, genetics, genetics.
The HDL & LDL of a friend actually got slightly better with AAS, but that was probably because of routine exercise. And still, because of family history, they were bad.
Many medications can trash our lipid profiles and many of these meds are being pushed by doctors who want at four day cruise in the Caribbean in January paid for by a pharm company. American medicine, you have to remember, ranks 37th in morbidity and our lifespans are only 38th compared to Western Europe (and Japan)--where they still smoke like crazy and eat high fat foods routinely. (WHO figures).
This being said, you have to get the bloodtests and deal with the ire/anger/wrath/pissed off reaction of your doc.
The big picture, as I see it, is that the problem isn't addressed with the proper research and that sports doctors, such as those hired for the billion dollar industy of the NFL, are not publishing what they see due to legal issues. There is a wink & a nod here, athletes are expendible racehorses. There is always a younger (and cheaper) horse in the pipeline.
The reality is that individual athletes, such as bodybuilders & powerlifters, have a common knownledge--unstructured and uneven--which far exceeds our trained "scientific" MDs. And that there should be a meeting of the minds if the most important issue was people's lives. But putting all of this together is one of the functions of this list, I guess.