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It's more then just steroids. It's the stress they are under to get to the top of the card. It's the lifestyle they live. It's the damage they take in the ring.
Just taking one back bump is not heathly for your back. Trust me I know. The human body only has a certian amount of bumps it can take until it screams no more. Then you are in pain everytime you take the simplest back bump then people start with the pain killers and steroids an such.
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This is a little reminder for all the quote "MMA Fans" who bitch about ground fighting.
"Reality is not always pretty"
Pat Miletich @ UFC 21
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