===== Substance Use & Physical Health Impact =====

[[start|« Back to Physical Health Overview]]

**Vaping & Lung Health: The "Popcorn Lung" Reality**
  * American Lung Association (ALA), Update / 2025: [[https://www.lung.org/lung-health-diseases/lung-disease-lookup/popcorn-lung/learn-about-popcorn-lung|Bronchiolitis Obliterans in Teens: Why E-Cigarette Flavorings Scar Airways]]
  * Johns Hopkins Medicine, Research Review / 2024: [[https://www.hopkinsmedicine.org/health/wellness-and-prevention/what-does-vaping-do-to-your-lungs|EVALI (E-cigarette or Vaping Product Use-Associated Lung Injury): A Rising Threat]]

**Alcohol & Hormones: Testosterone Suppression**
  * Alcohol Research: Current Reviews (NIAAA), Article / 2025: [[https://arcr.niaaa.nih.gov/|Impact of Binge Drinking on Hypothalamic-Pituitary-Gonadal Axis in Adolescents]]
  * Journal of Endocrinology, Study / 2024: [[https://joe.bioscientifica.com/|Alcohol-Induced Hypogonadism: Why Drinking Lowers Testosterone in Young Men]]

**Performance Enhancing Drugs (PEDs): The "Muscle Dysmorphia" Driver**
  * American Academy of Pediatrics (AAP), Clinical Report / 2025: [[https://publications.aap.org/pediatrics/article/137/6/e20161300/52398/Use-of-Performance-Enhancing-Substances-in|Dietary Supplements and Steroids in Youth Sports]]
  * Journal of Adolescent Health, Survey / 2025: [[https://www.jahonline.org/|Prevalence of Creatine and Protein Supplement Misuse in High School Boys]]

**Cannabis & The Developing Brain: The IQ Impact**
  * National Institute on Drug Abuse (NIDA), Monitoring the Future / 2025: [[https://nida.nih.gov/research-topics/marijuana/what-are-marijuanas-long-term-effects-brain|Cannabis Use and Cognitive Decline in Males Under 25]]
  * JAMA Psychiatry, Longitudinal Study / 2024: [[https://jamanetwork.com/journals/jamapsychiatry|Association Between Adolescent Cannabis Use and Adult Psychosis Risk]]