Steroid use can have several physical consequences. what effect can the use of steroids have on men?
a. deepened voice
b. enlarged breasts
c. increased facial hair

Actually, the correct answer is all three of them. A, B, C.

In all three, there have been reported cases when people who were using steroids did develop these symptoms. So saying, only one or two is likely a wrong answer. Because steroids are mostly (not all of course) composed of synthetic testosterone, the mentioned consequences are not that surprising. 

Well, l think that some effective communication is, emotional barriers and lack of attention, interest distraction or irrelevance. also some physical disabilities such as hearing problems or speech difficulties.      l hope i am correct  and you good luck.