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Peer-Reviewed Publication
Med Sci Sports Exerc2026April 27, 2026Journal Article

When Size Goes Inside: Visceromegaly in Bodybuilders Is Not Attributed to High Protein Intake but More Likely Associated with the Use of Appearance- and Performance-Enhancing Drugs.

Cas J Fuchs1, Bente Brauwers1, Jorn Trommelen1, Serhat Yildiz1, Per Widholm2, Olof Dahlqvist Leinhard2, Jeanine J Prompers1, Luc J C van Loon1
1Department of Human Biology, Institute of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre+, Maastricht, THE NETHERLANDS.
2AMRA Medical AB, Linköping, SWEDEN.

Abstract

BACKGROUND: Bodybuilders use progressive resistance exercise training and high protein intake diets to develop muscular physiques. Some also use appearance- and performance-enhancing drugs (APED) to further enhance their physique. It has been speculated that a high protein intake and/or APED use may induce visceral organ hypertrophy. Therefore, the primary objective of this study was to assess vis…

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