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Anabolic steroids are synthetic derivatives of testosterone . Nitrogen balance is improved with anabolic agents but only when there is sufficient intake of calories and protein . Whether this positive nitrogen balance is of primary benefit in the utilization of protein-building dietary substances has not been established. Oxymetholone enhances the production and urinary excretion of erythropoietin in patients with anemias due to bone marrow failure and often stimulates erythropoiesis in anemias due to deficient red cell production.