Acne is often present. Acne conglobata is a particularly severe form of acne that can develop during steroid abuse or even after the drug has been discontinued. Infections are a common side effect of steroid abuse because of needle sharing and unsanitary techniques used when injecting the drugs into the skin. These are similar risks to IV drug abusers with increased potential to acquire blood-borne infections such as hepatitis and HIV/AIDS . Skin abscesses may occur at injection sites and may spread to other organs of the body. Endocarditis or an infection of the heart valves is not uncommon.
Bolt was growing more popular in his homeland. Howard Hamilton, who was given the task of Public Defender by the government, urged the JAAA to nurture him and prevent burnout , calling Bolt "the most phenomenal sprinter ever produced by this island".  His popularity and the attractions of the capital city were beginning to be a burden to the young sprinter. Bolt was increasingly unfocused on his athletic career and preferred to eat fast food, play basketball, and party in Kingston's club scene. In the absence of a disciplined lifestyle, he became ever-more reliant on his natural ability to beat his competitors on the track.