This obsession has become so common that Dr. Pope has come up with a term for it: Adonis Complex. What fuels it, he says, are the ridiculously outsized bodies purveyed by Hollywood, magazine covers, and even action-toy manufacturers (just check out the size of . Joe these days). "One of the biggest lies being handed to American men today is that you can somehow attain by natural means the huge shoulders and pectorals of the biggest men in the magazines," says Dr. Pope. "Generations of young men are working hard in the gym and wondering what on earth they're doing wrong. They don't realize that the 'hypermale' look that's so prevalent these days is essentially unattainable without steroids."
Sacks et al. (2005) reported the case of a 72-year-old man, described as professionally successful, intelligent, and cultivated, with polymyalgia rheumatica, who after being treated with prednisone developed a psychosis and dementia , which several behavioral neurology and neuropsychiatry consultants initially diagnosed as early dementia or Alzheimer's disease .  Large dosage variations in the patient's medication (including a self-increased dosage from 10 mg/day to as much as 100 mg/day for at least 3 months) produced extreme behavioral changes, from missed appointments to physical altercations, and eventually admission to a psychiatric ward and later to a locked Alzheimer facility. During this time, neuropsychological testing showed a decline in the patient's previously superior IQ as well as deficits in memory, language, fluency, and visuospatial function, which given the patient's age was considered to be compatible with early dementia. When the steroid treatment ended after a year, the patent's confusion and disorganized appearance stopped immediately. Within several weeks, testing showed strong improvement in almost all cognitive functions. His doctors were surprised at the improvement, since the results were inconsistent with a diagnosis of dementia or Alzheimer's. Testing after 14 months showed a large jump in Full Scale IQ from 87 to 124, but mild dysfunction in executive function, memory, attentional control, and verbal/nonverbal memory remained.