Many abusers who inject anabolic steroids may use nonsterile injection techniques or share contaminated needles with other abusers. In addition, some steroid preparations are manufactured illegally under nonsterile conditions. These factors put abusers at risk for acquiring lifethreatening viral infections, such as HIV and hepatitis B and C. Abusers also can develop endocarditis, a bacterial infection that causes a potentially fatal inflammation of the inner lining of the heart. Bacterial infections also can cause pain and abscess formation at injection sites.
“You cannot compare what we took in the Seventies with what they’re taking now. We were taking 15mg then and they take 1000mg of the same thing now. It’s really outrageous. It’s just huge amounts of dosages. It’s only because of a lack of education that they don’t know that it will kill them. What they need to do is rely more on the work. One of my six principles of success is work your ass off. There is no shortcut. If you think there is, you’re wrong. Everything I’ve ever accomplished in my life was because I worked my butt off, not because I found some shortcut.”
The number of players who have admitted using steroids in a confidential survey conducted by the NCAA since the 1980s has dropped from percent in 1989 to percent in 2003.  During the 2003 season, there were over 7,000 drug tests, with just 77 turning up as positive test results.  Scukanec claims that methods were used to get around the drug testing, whether it be avoiding the tests by using the drugs during the off-season, or flushing the drugs out of your system. This was used with a liquid he referred to as the "pink."  He stated: