Steroids. I won't go out into the main night life strips in any Australian city any more because there is too many retarded bodybuilder types on steroids looking for fights. And it's always the worst sub types - middle easterns and southern europeans - because they have such fragile egos and know that they are shit people. But they betray their self belief with the targets they choose - no one that's bigger than them or looks like he can handle himself - they go for the weakest just like school bullies. Of course there is worse - the steroid cocaine combo.
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It isn't just 'roids.
Amphetamines (which are cheap as shit compared to heroin or coke) severely compromise emotional regulation. Do methamphetamines' enough for a while and it is very permanent.
The worst cases are on both 'roids and meth. Meth revs them up and gives them extra energy to lift weights. It lets them party all night and not feel the effects of alcohol. They don't get hungry or thirsty while they are using, and it makes them feel like a superman.
A perfect combination if you have crippling self-esteem issues and a tiny, shriveled dick as a side effect of the 'roids.