No the gym guys are the ones giving the steroids a bad name... Again just remeber to have a break from TRT due to Polycythemia... Polycythemia can happen from all steroids, but the higher androgenic the steroid the more of a risk you may run into.. Equipoise is also pround for increases RBC by stimulating endogenous serum EPO levels.
End of the day it isn't something to worry about if you cycle on and off steroids (well it isn't normally a major problem) but being on an androgenic steroid for the rest of your life, I would keep a close eye on it.. I would just like any drug, take some time off, (i'm not refering to other life dependency drugs like BP, Heart pills, etc) but I strongly believe anabolic steroids do need to be cycled, regardless if a doctor has prescribed it or not..
Play safe and enjoy a health life