Steroid use, particularly anabolic-androgenic steroids (AAS), can be a significant indicator of eating disorders in males, often tied to body image concerns and muscle dysmorphia (bigorexia). While eating disorders in men can sometimes go unnoticed due to societal stigma, excessive focus on muscularity and leanness—often leading to steroid abuse—can be a key warning sign.

Eating disorders have long been stereotyped as a female issue, leading to underdiagnosis and lack of awareness about their prevalence in boys. However, research shows that one in three people with an eating disorder is male, highlighting the need for greater recognition and support. Despite this, boys and young men often go unnoticed in discussions about eating disorders due to misconceptions, social stigma, and gender biases in diagnosis (Murray et al., 2017).