132 The Ubiquitous Availability and Easy Acquisition of Illicit Anabolic Androgenic Steroids and Testosterone Preparations on the Internet

To determine the availability and ease of purchase of anabolic androgenic steroids (AAS), testosterone (T), and anabolic supplements on the Internet. A Google search was performed using “buy steroids.” The top 10 ranked sites were evaluated for content, and discussion forums and YouTube links were excluded. The availability of agents per site was stratified by AAS, T, anabolic supplements (naturally occurring extracts), and post-cycle recovery and erectile dysfunction medications. Purchase was simulated up to payment entry. Ease of purchase was evaluated by need for prescription, pharmacy location, and payment and delivery options. Supportive information and instruction was stratified by cycle recommendations, recovery information, and non-steroid alternatives. 8 sites remained after exclusion. The most commonly available synthetic AAS were Dianabol, Deca-Durabolin, Anadrol, Masteron, and Winstrol respectively, on 87% of sites, with 62% offering additional agents. Injectable T preparations including enanthate, cypionate, propionate, and T blends were available on 87% of sites. Only 12.5% offered anabolic supplements or alternatives. Recovery agents available included clomiphene citrate offered by 75% of sites, 62% offered tamoxifen and anastrozole, and 50% offered hCG and letrozole. PDE5 inhibitors were offered by 62% of sites, and one offered intracavernosal alprostadil. For ease of purchase, no site required a prescription, 71% accepted credit card/Paypal, 37% accepted Bitcoin, and all sites supplied international pharmacies shipping directly to home addresses with disclaimers that consumers are liable to local laws. For supportive information, 75% of sites had cycle recommendations, 62% provided post-cycle recovery information, and only one site provided non-steroid alternatives.