A 39-year-old man presents to his primary-care clinic to discuss having blood work checked. • Also mentioned is that some men using chronic high doses of AAS may have direct testicular damage-thus not responding to agents other than testosterone. At week 10, SERM dose should be reduced to 50% of starting dosage and continued until the target testosterone level is achieved. • After 8 weeks, the authors recommend rechecking testosterone and gonadotrophs. After 4 weeks, the author suggested ending testosterone therapy and continuing SERM use, also adding hCG 1000–3000 IU SQ 3 times weekly if labs suggested a poor response. Inside Bodybuilding is a virtual health clinic that specializes in treating bodybuilders who have taken AAS (anabolic androgenic steroids). Studies indicate that all anabolic steroids increase exogenous testosterone levels and decrease endogenous (natural) levels. With a modest calorie deficit diet and regular workouts, bodybuilders can typically retain their muscle size and strength when cutting without the addition of dianabol pills side effects. Moreover, with testosterone levels at an all-time low, you could end up losing all the muscle and strength gained during the steroid cycle. While almost always found as an oral tablet, Dianabol can be found as an injectable solution, but the tablets represent the primary route of administration. Proviron does this by increasing the metabolites of other steroids, such as Dianabol. Thus, if users are anxious about liver damage, trenbolone is the less deleterious option. The risk of gynecomastia from Dianabol is due to aromatization, i.e., the conversion of testosterone to estrogen. In contrast, water retention is almost certain with Dianabol, due to its moderate estrogenic attributes. The liver is the primary deactivator (and metabolizer) of androgens like testosterone. When you ingest Dianabol (or any C-17 alpha alkylated steroid), it travels to the intestines, is absorbed into portal circulation, then transported to the liver. When I look at methyltestosterone (the same structure without that bond), I see a more toxic, less effective anabolic. The additional double bond isn’t what we’re going to concern ourselves with, but rather the introduction of alkylation at the 17th carbon position (which puts Dianabol in the category of C-17 alpha alkylated steroids). So what makes steroids (potentially) hepatotoxic? Fast-forward to the present day and most underground labs produce a 50mg pill, and very few bodybuilders would consider using it alone or at a lower dose. Gynecomastia occurs when a man’s hormones become imbalanced and estrogen levels (the female sex hormone) rise excessively. If bloating or water retention becomes excessive, users should lower the dose or discontinue use. However, we have seen such protocols decrease strength gains due to the removal of intracellular fluid (inside the muscle cell). We have found regular cardiovascular exercise to be the most beneficial protocol for lowering high blood pressure in patients. As your body retains more fluid and your weight increases, so does your blood pressure (9). Thus, a Dianabol cycle is likely to cause an increase in visceral fat and a decrease in subcutaneous fat. This is why they often have a more bloated look to their physiques, despite being under 4% body fat on stage. Visceral fat is a disadvantageous type of fat that collects around the vital organs, such as the stomach, liver, and intestines. Firstly, Dianabol causes noticeable water retention due to aromatization. A popular formulation, known as synthol, consists of 85% oil suspended in an alcohol and lidocaine.59 An additional compound, polymethylmethacrylate (PMMA), has been misused for cosmetic body sculpting.60 Screening for hypertension and ECG testing should be performed in all patients using these agents. A case series on misuse of these agents described severe hypotension, cardiovascular collapse, and death52; combining PDE-5 inhibitors with nitrates is particularly dangerous given the potential for significant decreases in systolic blood pressure and coronary perfusion.53 The primary adverse effects of hCG include potential suppression of the HPT-axis and gynecomastia.2 Human chorionic gonadotropin (hCG) is used to prevent testicular atrophy and preserve some degree of testicular function.27 It is also utilized as PCT to expedite the recovery of testosterone production by Leydig cells.20 The use of anabolic-androgenic steroids (AAS) should only be considered under the supervision of a qualified medical professional and in accordance with all applicable laws and regulations. Swolverine does not sell or distribute anabolic steroids such as Dianabol (Methandrostenolone), nor does it endorse the illegal use of any controlled substance. Dianabol (Methandrostenolone) is a powerful oral steroid with the potential to rapidly increase muscle size, strength, and workout recovery. "The psychological effects of androgenic steroids can be subtle or severe, depending on personality and hormonal response."— Trenbolone vs Masteron – Swolverine While the anabolic effects are desirable, the androgenic effects are often problematic—especially for genetically sensitive users. Dianabol is classified as an anabolic-androgenic steroid (AAS), meaning it exhibits both muscle-building (anabolic) and masculinizing (androgenic) properties.
