If Joe is thinking of taking steroids, then Sarah should first mention to Joe if he already consulted a physician about it. For some reasons (e.g. hormonal issues), health provides can prescribed them if needed but at a certain regulated dosage. If steroids are misused, it create short and long term effects such as: irritations, delusions, kidney or liver failures, enlargement of heart, risk to heart attack, cholesterol changes, physical changes in the body, and so on.