For me this year more then ever because I have the veins coming out in my shoulders and arms and I'm 6'0 and 245lbs. Before that I was always around 220 when I was lean. When my friends start to notice is the d-bol or anadrol because my face gets very very round and I lose my jaw line all together. Thats about it. I don't get bad acne and my temper isn't an issue although it has gotten much worse lately on tren.