Anabolic steroids may cause blood lipid changes with increased risk of arteriosclerosis. Use with caution in hepatic disease. May cause peliosis hepatis or liver cell tumors. Use with caution in breast cancer (may cause hypercalcemia by stimulating osteolysis), in diabetes mellitus, in conditions influenced by edema (may cause fluid retention), and in elderly patients (greater risk for prostatic hyperplasia, fluid retention, and transaminase elevations). May accelerate bone maturation without producing compensatory gain in linear growth in children. May cause mild virilization in women. May decrease thyroxine-binding globulin, T~4~, and increase resin uptake of T~3~ and T~4.~