So as far as I understand, the answer to that is really "it depends". I'm not a doctor, I just find this stuff interesting. If you do it properly, I think you can supplement things like testosterone in a sustainable way, you'll have to cycle on and off the drugs to prevent long term damage to your body's ability to produce endogenous hormones, and then you'll take things that decrease side effects of the doping.
For example, a lot of fighters get caught taking drugs that decrease the estrogen production in the body, rather than actually getting caught taking steroids. Leagues ban steroids AND things that are used in coordination with steroids to increase the ability to enforce the steroid ban.
Now, I would argue that even if it does cause a long term dependency, it should be viewed, for the average person, the same way heart pressure medication is viewed. You have a medical condition, and this is a prescription you'll take for the rest of your life, but it will make you live a longer, healthier life.
For example, a lot of fighters get caught taking drugs that decrease the estrogen production in the body, rather than actually getting caught taking steroids. Leagues ban steroids AND things that are used in coordination with steroids to increase the ability to enforce the steroid ban.
Now, I would argue that even if it does cause a long term dependency, it should be viewed, for the average person, the same way heart pressure medication is viewed. You have a medical condition, and this is a prescription you'll take for the rest of your life, but it will make you live a longer, healthier life.