What effect does increased LDL cholesterol have as an adverse effect of anabolic steroids?

Increased LDL cholesterol levels are associated with a higher risk of cardiovascular disease because LDL (low-density lipoprotein) is often referred to as "bad cholesterol." When anabolic steroids are used, especially in excessive amounts, they can disrupt lipid metabolism, leading to elevated LDL cholesterol levels. High LDL cholesterol can contribute to the development of atherosclerosis, a condition where plaque builds up in the arteries, narrowing them and impeding blood flow.

This impairment of blood flow can increase the risk of serious cardiovascular events such as heart attacks and strokes. Additionally, the overall balance of cholesterol in the body can be negatively affected, with a decrease in HDL (high-density lipoprotein, or "good cholesterol") which helps clear LDL cholesterol from the bloodstream. Thus, the rise in LDL due to steroid use significantly correlates with adverse cardiovascular outcomes, making the link between elevated LDL cholesterol and increased risk of cardiovascular disease particularly important in understanding the health implications of anabolic steroid use.