I say very but it depends...
If you are living the lifestyle (including the drugs) and are taking precautions you minimise your risk.
Regular bloods mainly for hematocrit, keeping it within normal ranges,(give blood to control) taking baby asprin. Elevated hematocrit is a big risk factor for old body builders for heart attack and stroke. Monitoring blood pressure on a regular basis, taking medication to lower it. Taking a statin or supplements to make sure ldl is not really high, getting Hdl up is always gonna be tough, niacin can be effective. If guys don't do any of this they can be walking around like a time bomb with hematocrit and blood pressure through the roof none the wiser, young guys can get away with this but 50+ very risky stuff....
And yeah heaps of people are fat slobs and can be just as bad, it's all relative... But if there's two of you and one is 250 juiced to the max and the other is 180 living a "normal" lifestyle chances are much greater the heavy one drops of the perch first.
But as I said I don't have anything against going after it at any age, what anyone does with their body is their choice.
I say Possibly & Opinions Vary - Though Not Denying There Could Be an Elvated Risk Factor.
All You Posted is Fine & Correct - Only Let Me ask You Genuinely- Are all The Patients in Hospital
From The Very Young to The Very Elderly that are Taking Steroids in Varying amounts From Low
Dosages To Very Large Dosages & Many For Very Many years if Not Most of Their Lives So Well
Monitored & Given all Necessary ancillaries??
I’d Have to Guess NO they are Not - Unless a Problem Occurs,
Why would that be - Maybe Because Either they
1, They don’t care - Doubtfull. Or
2, The Risk Factors aren’t that Big.
My own Son was on a quite Large dosage of Steroids for around 10yrs & No ancillaries from a very
Young age into his Teens.
Though His Consultant was monitoring him well & was okay with speaking to me about such things.