Damn. I guess there’s no point in trying it because that guy wrote a fiction novel portraying it as bad.
OTOH bodybuilding (the part people care about) and some strength sports allow PEDs. Some people do die young from steroid abuse, but not a lot of top dogs.
Body building is an interesting example to choose here. The top dogs often do die young. It seems like it's just kind of accepted as the cost of the sport.
Needless to say it is a pure dystopia.