By Mentally Jacked - Dinesh Dudeja

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 Comprehensive Guide to Hormonal, Cardiovascular, and Systemic Side Effects of PEDs
and Their Management

Author: [Dinesh Dudeja] Insta: mentally_jacked

Legal Disclaimer:
This document is for informational purposes only and is not intended as medical advice. The use
of performance-enhancing drugs (PEDs) carries risks, and users should consult with a qualified
healthcare professional before making any decisions. The author does not condone or promote
illegal drug use and assumes no responsibility for misuse or complications arising from the
information provided.

Hormonal & Endocrine Side

Effects
1. Suppression of Natural Testosterone Production

Cause: Anabolic steroids suppress the hypothalamic-pituitary-gonadal (HPG) axis, reducing

luteinizing hormone (LH) and follicle-stimulating hormone (FSH) levels, leading to decreased
endogenous testosterone production.

Fix:

 Post-Cycle Therapy (PCT):

o Clomiphene Citrate (Clomid) – 25-50 mg daily for 4-6 weeks
o Tamoxifen (Nolvadex) – 10-20 mg daily for 4-6 weeks
o hCG (if testicular atrophy is present) – 500-1000 IU every other day for 2-3 weeks before
starting Clomid/Nolva
 Supplements:
o Ashwagandha (500-600 mg daily)
o Zinc (30-50 mg daily)
o Vitamin D3 (5000 IU daily)
o D-Aspartic Acid (3g daily, short-term)

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2. Testicular Atrophy (Shrinking of Testicles)

Cause: Reduced LH/FSH production leads to decreased spermatogenesis and testicular
shrinkage.

Fix:

 hCG – 500-1000 IU every other day for 2-3 weeks (short-term use recommended to prevent
desensitization)
 hMG – 37.5 IU every other day if fertility is a concern
 Vitamin E & Selenium – Improves testicular health (Vitamin E 400 IU daily, Selenium 200 mcg
daily)

3. Infertility (Low Sperm Count)

Cause: Suppression of LH/FSH results in decreased sperm production.

Fix:

 hCG & hMG – As mentioned above

 Clomid (25 mg daily) & Nolvadex (10-20 mg daily) – Can help restore FSH/LH levels
 Coenzyme Q10 (100-200 mg daily) – Supports mitochondrial function in sperm cells
 L-Carnitine (2g daily) – Enhances sperm motility

4. Erectile Dysfunction (Deca Dick, Tren Dick)

Cause:

 Deca Dick – Dihydro-nandrolone (DHN) binds weakly to androgen receptors, reducing DHT
activity.
 Tren Dick – Increased prolactin and dopamine imbalance cause sexual dysfunction.

Fix:

 For Deca Dick:

o Proviron (25-50 mg daily) – Increases free testosterone and DHT
o DHT Gel (Applied topically to scrotum)
 For Tren Dick:
o Cabergoline (0.25-0.5 mg twice a week) – Lowers prolactin
o Vitamin B6 (P5P form, 100-200 mg daily) – Natural prolactin control

5. Gynecomastia (Man Boobs due to Estrogen Increase)

Cause: Aromatization of testosterone to estradiol leads to estrogen dominance.

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Fix:

 Aromatase Inhibitors (AIs):

o Arimidex (0.5 mg every other day)
o Aromasin (12.5 mg every other day, better for long-term use)
 Selective Estrogen Receptor Modulators (SERMs):
o Nolvadex (10-20 mg daily) – Binds to estrogen receptors in breast tissue
 Avoid AI Overuse – Too much suppression can crash estrogen, leading to joint pain and mood
swings.

6. Increased Prolactin Levels (Sexual Dysfunction & Lactation)

Cause: Some steroids (like Trenbolone & Deca) increase prolactin, leading to sexual
dysfunction and nipple lactation.

Fix:

 Cabergoline (0.25 mg twice a week)

 Vitamin B6 (P5P form, 100-200 mg daily)
 Mucuna Pruriens (L-Dopa, 500 mg daily) – Supports dopamine, which suppresses prolactin

7. Increased Androgenic Side Effects (Acne, Hair Loss, Aggression)

Cause: High DHT and androgenic compounds stimulate sebaceous glands and affect hair
follicles.

Fix:

 For Acne & Oily Skin:

o Accutane (10-20 mg daily, short-term use only)
o Salicylic Acid Face Wash
o Niacinamide & Zinc-based Skincare Products
 For Hair Loss:
o Topical Minoxidil (5% applied daily)
o Ketoconazole Shampoo (2-3 times a week)
o Low-dose Finasteride (0.5 mg daily, only if severe)
 For Aggression & Mood Swings:
o Magnesium (400 mg daily)
o Ashwagandha (500 mg daily)
o L-Theanine (100-200 mg daily)

8. Changes in Thyroid Hormone Levels (T3/T4 Suppression)

Cause: Some compounds like Tren and GH can suppress TSH production.

Fix:

 T3 Supplementation (Cytomel): 12.5-25 mcg daily if needed

  Iodine & Selenium: Supports thyroid function (Iodine 150 mcg, Selenium 200 mcg daily)

Cardiovascular Side Effects

1. Increased LDL (Bad Cholesterol) & Decreased HDL (Good Cholesterol)

Cause: PEDs, especially anabolic steroids, increase hepatic lipase activity, which lowers HDL
and raises LDL, promoting an atherogenic lipid profile.

Fix:

 Dietary Adjustments:
o Increase intake of omega-3 fatty acids (Fish oil: 2-4g daily)
o Reduce trans fats and processed foods
o Increase fiber intake (Soluble fiber 25-30g daily)
 Medications & Supplements:
o Niacin (500-1000 mg daily, under medical supervision)
o Citrus Bergamot Extract (500 mg daily)
o Red Yeast Rice (1200 mg daily)
o Statins (if prescribed by a doctor)
 Exercise:
o Regular cardiovascular exercise (30-45 mins, 4-5x/week)

2. Increased Blood Pressure (Hypertension)

Cause: PEDs increase water retention, aldosterone, and sympathetic nervous system activity,
leading to elevated blood pressure.

Fix:

 Dietary Adjustments:
o Reduce sodium intake (<2000 mg/day)
o Increase potassium-rich foods (bananas, avocados, leafy greens)
o Hydration (3-4L of water daily)
 Medications & Supplements:
o Telmisartan (20-40 mg daily, if prescribed)
o Magnesium (400 mg daily)
o CoQ10 (100-200 mg daily)
o Garlic Extract (600 mg daily)
o Hawthorn Berry Extract (500 mg daily)

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3. Increased Risk of Heart Attack & Stroke

Cause: Elevated blood pressure, increased clotting risk, and endothelial dysfunction contribute
to higher cardiovascular event risk.

Fix:

 Lifestyle Adjustments:
o Avoid smoking & excessive alcohol consumption
o Maintain a healthy weight
o Manage stress (meditation, deep breathing, sleep hygiene)
 Medications & Supplements:
o Aspirin (Low-dose, only if prescribed by a doctor)
o Omega-3 (3-4g daily)
o Resveratrol (500 mg daily)
o L-Arginine (3-6g daily for vasodilation)
o Regular cardiovascular workouts

4. Increased Blood Viscosity (Thicker Blood) & Elevated Hematocrit & RBC
Count

Cause: Androgens stimulate erythropoiesis, increasing RBC count, which raises blood viscosity
and clotting risk.

Fix:

 Blood Donation:
o Therapeutic phlebotomy (donate blood every 8-12 weeks if hematocrit is high)
 Hydration:
o At least 4L of water daily
 Supplements:
o Nattokinase (2000 FU daily) – Natural blood thinner
o Aspirin (Low-dose, under medical supervision)
o Taurine (2g daily) – Reduces blood viscosity
o Vitamin E (400 IU daily)

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5. Left Ventricular Hypertrophy (Heart Muscle Thickening)

Cause: Chronic steroid use increases myocardial growth, potentially reducing cardiac efficiency.

Fix:

 Exercise:
o Include steady-state cardio (30-40 min sessions, 4-5 times per week)
o Avoid excessive heavy lifting without cardiovascular balance
 Supplements & Medications:
o Telmisartan (if prescribed, 20-40 mg daily)
o CoQ10 (100-200 mg daily)
o Hawthorn Berry Extract (500 mg daily)
o Magnesium (400 mg daily)

6. Increased Risk of Atherosclerosis (Plaque Buildup in Arteries)

Cause: Reduced HDL, increased LDL, and inflammation promote plaque buildup, increasing
cardiovascular disease risk.

Fix:

 Dietary Adjustments:
o Increase polyphenols (berries, green tea, dark chocolate)
o Increase fiber intake (25-30g per day)
o Reduce refined sugar and processed foods
 Supplements:
o Citrus Bergamot (500 mg daily)
o Curcumin (500 mg daily, with black pepper for absorption)
o Vitamin K2 (MK-7, 100 mcg daily)
o Garlic Extract (600 mg daily)

7. Endothelial Dysfunction (Damaged Blood Vessels)

Cause: PEDs impair nitric oxide (NO) production, reducing vascular function and increasing
inflammation.

Fix:

 Dietary & Lifestyle Adjustments:

o Increase nitrate-rich foods (beetroot, spinach, dark chocolate)
o Reduce inflammatory foods (processed carbs, sugars, trans fats)
o Exercise (cardio & resistance training for vascular flexibility)
 Supplements & Medications:
o L-Arginine (3-6g daily) – Supports nitric oxide production
o L-Citrulline (3-6g daily) – Improves blood flow
 o Omega-3 (3-4g daily) – Anti-inflammatory
o Vitamin C & E (500 mg & 400 IU daily) – Antioxidants

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Liver & Kidney Side Effects

1. Liver Toxicity (From Orals like Superdrol, Anadrol, Dianabol)

Cause: Oral anabolic steroids pass through the liver (first-pass metabolism), increasing hepatic
stress and toxicity.

Fix:

 Liver Protection:
o TUDCA (500 mg daily) – Supports bile flow & detoxification
o NAC (600-1200 mg daily) – Antioxidant & glutathione precursor
o Milk Thistle (500 mg daily) – Liver support
o Avoid alcohol & excessive NSAID use
 Monitoring:
o Regular liver function tests (AST, ALT, GGT, Bilirubin)
o Avoid excessive oral steroid duration (limit cycles to 4-6 weeks)

2. Elevated Liver Enzymes (SGOT/SGPT)

Cause: Hepatotoxicity from steroids leads to increased liver enzyme leakage into the
bloodstream.

Fix:

 Liver Supplements:
o TUDCA (500 mg daily)
o NAC (600-1200 mg daily)
o Alpha Lipoic Acid (ALA, 300 mg daily)
o Dandelion Root (500 mg daily)
 Diet & Lifestyle:
o Stay hydrated (3-4L water daily)
o Avoid processed foods & excessive saturated fats
o Moderate protein intake if liver stress is high
 📸 Instagram: mentally_jacked | dinesh.dudeja

3. Cholestasis (Bile Flow Obstruction)

Cause: Some anabolic steroids disrupt bile production and secretion, leading to reduced bile
flow and toxic buildup in the liver.

Fix:

 Bile Flow Support:

o TUDCA (500 mg daily) – Supports bile acid function
o Taurine (1-2g daily) – Aids bile production
o Choline (500 mg daily) – Supports liver function
 Hydration & Diet:
o Increase water intake
o Include bitter foods (dandelion greens, artichoke, beets)
o Reduce high-fat meals that burden bile processing

4. Increased Risk of Liver Tumors & Cancer (Rare but Possible)

Cause: Long-term steroid abuse and high-dose oral steroids can increase oxidative stress,
leading to DNA damage in liver cells.

Fix:

 Antioxidants & Liver Protection:

o Glutathione precursors (NAC, 600-1200 mg daily)
o Selenium (200 mcg daily) – Supports antioxidant defenses
o Curcumin (500 mg daily) – Anti-inflammatory & liver-protective
 Regular Monitoring:
o Ultrasound screening for liver abnormalities
o Routine bloodwork (AST, ALT, ALP, Bilirubin, GGT)

5. Kidney Damage (Especially from Tren, DNP, and High Blood Pressure)

Cause: Some PEDs, particularly Trenbolone and DNP, increase oxidative stress and
dehydration, leading to nephrotoxicity.

Fix:

 Kidney Protection:
o Astragalus (5-10g daily) – Protects kidney function
o Cordyceps (1-2g daily) – Supports kidney health
 o Electrolyte balance (Potassium, Magnesium, Sodium)
 Hydration & Lifestyle:
o Minimum 4L of water daily
o Avoid high-protein intake if kidney function is impaired
o Reduce caffeine & stimulant use

6. Decreased eGFR (Kidney Filtration Rate)

Cause: Chronic PED use can reduce glomerular filtration rate (GFR), indicating impaired kidney
function.

Fix:

 Kidney Function Support:

o Astragalus (5-10g daily)
o Beetroot extract (500 mg daily) – Supports kidney circulation
o Hydration (3-4L water daily)
 Regular Bloodwork Monitoring:
o eGFR, Creatinine, BUN, Cystatin C

7. Increased Risk of Kidney Stones

Cause: Dehydration, excessive mineral intake, and PED-induced metabolic imbalances can
contribute to kidney stone formation.

Fix:

 Prevention & Management:

o Increase citrate intake (Lemon water, Potassium Citrate 300 mg daily)
o Stay hydrated (at least 3-4L of water daily)
o Reduce oxalate-rich foods (spinach, nuts, chocolate)
 Supplements:
o Magnesium (400 mg daily) – Prevents stone formation
o B6 (50-100 mg daily) – Reduces oxalate buildup

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 📸 Instagram: mentally_jacked | dinesh.dudeja

Neurological & Mental Side Effects

1. Increased Aggression ("Roid Rage")

Cause: High androgen levels, especially from steroids like Trenbolone and Halotestin, increase
dopamine and suppress serotonin, leading to mood instability.

Fix:

 Supplements & Medications:

o Magnesium (400 mg daily) – Calms the nervous system
o Ashwagandha (500 mg daily) – Reduces cortisol and aggression
o L-Theanine (100-200 mg daily) – Promotes relaxation
o 5-HTP (50-100 mg daily) – Supports serotonin levels
 Lifestyle Adjustments:
o Practice mindfulness and meditation
o Engage in activities that promote relaxation (yoga, deep breathing)
o Ensure balanced sleep and nutrition

2. Anxiety & Panic Attacks

Cause: Fluctuating dopamine and cortisol levels, overstimulation of the central nervous system,
and withdrawal from PEDs contribute to heightened anxiety.

Fix:

 Supplements & Medications:

o L-Theanine (200 mg daily) – Reduces stress response
o Magnesium Glycinate (400 mg daily) – Calms the nervous system
o Ashwagandha (500 mg daily) – Lowers cortisol
o GABA (500 mg daily) – Supports relaxation
 Lifestyle Adjustments:
 o Reduce caffeine and stimulant use
o Practice deep breathing exercises
o Engage in regular physical activity (light cardio, walking)

3. Depression (Especially Post-Cycle)

Cause: Abrupt drop in dopamine and serotonin levels after stopping PEDs, along with
suppressed natural testosterone production.

Fix:

 PCT Support:
o Clomid (25 mg daily for 4-6 weeks) – Restores natural testosterone
o Nolvadex (10-20 mg daily for 4-6 weeks)
 Neurotransmitter Support:
o 5-HTP (100 mg daily) – Boosts serotonin
o St. John’s Wort (300 mg daily) – Natural antidepressant
o SAMe (400-800 mg daily) – Supports mood regulation
 Lifestyle Adjustments:
o Engage in social activities and exercise
o Maintain a consistent sleep schedule

4. Insomnia & Poor Sleep Quality

Cause: Increased dopamine and cortisol levels disrupt the body's natural sleep-wake cycle.

Fix:

 Supplements & Medications:

o Magnesium Glycinate (400 mg daily)
o Melatonin (3-5 mg before bed)
o L-Theanine (100-200 mg before bed)
o Ashwagandha (500 mg daily)
 Lifestyle Adjustments:
o Avoid blue light exposure before bed
o Maintain a cool and dark sleeping environment
o Reduce stimulant use (caffeine, pre-workouts)

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5. Increased Dopamine Levels (Short-Term Euphoria)

Cause: Some PEDs increase dopamine, causing short-term euphoria but leading to dopamine
depletion afterward.

Fix:

 Neurotransmitter Support:
o L-Tyrosine (500-1000 mg daily) – Supports dopamine production
o Vitamin B6 (50 mg daily) – Assists dopamine synthesis
o Mucuna Pruriens (L-Dopa 500 mg daily) – Supports dopamine balance
 Avoid Dopamine Crashes:
o Reduce overstimulation from social media, excessive training
o Maintain a well-balanced diet with sufficient protein

6. Decreased Serotonin (Can Lead to Depression)

Cause: Increased androgenic and dopamine activity can suppress serotonin levels, leading to
mood instability.

Fix:

 Serotonin Support:
o 5-HTP (100 mg daily) – Supports serotonin production
o Omega-3 Fatty Acids (2-4g daily) – Improves neurotransmitter function
o Tryptophan (500 mg daily) – Precursor to serotonin

7. Cognitive Impairment (Brain Fog, Memory Loss)

Cause: Hormonal fluctuations, increased inflammation, and neurotransmitter imbalances

contribute to cognitive dysfunction.

Fix:

 Brain Health Support:

o Alpha-GPC (300 mg daily) – Supports cognitive function
o Lion’s Mane Mushroom (500 mg daily) – Promotes nerve growth factor (NGF)
o Acetyl L-Carnitine (500-1000 mg daily) – Enhances brain energy metabolism

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8. Increased Risk of Neurodegeneration (Long-Term Use)

Cause: Chronic steroid use may lead to oxidative stress and neuronal damage.

Fix:

 Neuroprotection:
o Curcumin (500 mg daily) – Reduces inflammation
o CoQ10 (100-200 mg daily) – Supports mitochondrial function
o Resveratrol (500 mg daily) – Antioxidant protection

9. Suppression of BDNF (Brain-Derived Neurotrophic Factor)

Cause: Trenbolone and certain steroids can lower BDNF levels, affecting brain plasticity and
recovery.

Fix:

 BDNF Support:
o Omega-3 Fatty Acids (2-4g daily)
o Lion’s Mane Mushroom (500 mg daily)
o Exercise (regular aerobic activity boosts BDNF)

10. "Tren Paranoia" (Hallucinations, Excessive Fear)

Cause: Trenbolone alters dopamine and serotonin balance, leading to paranoia and increased
fear responses.

Fix:

 Dopamine & Serotonin Balance:

o L-Theanine (200 mg daily)
o 5-HTP (100 mg daily)
o Magnesium (400 mg daily)
o Reduce Trenbolone dosage or cycle length if severe

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 Skin & Hair Side Effects
1. Severe Acne (Especially on Back & Shoulders)

Cause: Increased androgen levels lead to overproduction of sebum, clogging pores and
promoting bacterial growth.

Fix:

 Topical Treatments:
o Benzoyl Peroxide (5-10% applied daily)
o Salicylic Acid (2% wash for deep pore cleansing)
o Retinoids (Tretinoin 0.025%–0.05% for severe cases)
 Oral Treatments:
o Accutane (Isotretinoin) – Low dose (10-20 mg daily, under medical supervision)
o Zinc (30-50 mg daily) – Reduces inflammation and oil production
 Lifestyle Adjustments:
o Shower immediately after sweating
o Change pillowcases frequently
o Avoid excessive dairy and high-GI foods (which may trigger acne)

Caution: Accutane can cause severe dryness, mood swings, and liver toxicity. Always use under
medical supervision.

2. Oily Skin & Increased Sebum Production

Cause: Androgenic steroids increase sebaceous gland activity, leading to excessive oil buildup.

Fix:

 Topical Solutions:
o Niacinamide Serum (2-5%) – Helps regulate sebum production
o Clay Masks (Kaolin or Bentonite) – Absorbs excess oil
o Green Tea Extract – Natural anti-androgen properties
 Oral Supplements:
o Vitamin A (5000 IU daily) – Regulates sebum production
o Omega-3 Fatty Acids (2-3g daily) – Reduces inflammation

Caution: Over-drying the skin with harsh cleansers can trigger more oil production as a rebound
effect.

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3. Hair Loss (Male Pattern Baldness)

Cause: Dihydrotestosterone (DHT) binds to hair follicles, causing miniaturization and eventual
hair loss in those genetically predisposed.

Fix:

 Topical Treatments:
o Minoxidil (5% solution applied daily) – Promotes hair regrowth
o Ketoconazole Shampoo (2% used 3x per week) – Reduces scalp DHT levels
 Oral Treatments:
o Finasteride (0.5-1 mg daily) – Blocks DHT conversion (ONLY if willing to
accept potential side effects like libido loss)
o Saw Palmetto (320 mg daily) – Natural alternative to finasteride (less potent but
safer)
 Additional Support:
o Biotin (5000 mcg daily) – Strengthens hair structure
o Collagen (5-10g daily) – Supports hair follicle health

Caution: Finasteride may cause erectile dysfunction, depression, and other persistent side effects
in some users.

4. Hirsutism (Excessive Body & Facial Hair in Women)

Cause: Increased androgens stimulate hair follicle growth in areas where women typically do
not experience thick hair.

Fix:

 Hormonal Management:
o Spironolactone (50-100 mg daily) – Blocks androgen receptors
o Oral Contraceptives – Regulate androgen levels (if appropriate)
 Topical Solutions:
o Eflornithine (Vaniqa Cream) – Slows hair growth
o Laser Hair Removal – Permanent reduction of hair follicles

Caution: Long-term use of Spironolactone may cause potassium imbalances and low blood
pressure.

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5. Skin Discoloration & Stretch Marks

Cause: Rapid muscle gain or fat fluctuations can cause collagen breakdown, leading to stretch
marks and hyperpigmentation.

Fix:

 Topical Treatments:
o Retinoids (Tretinoin 0.025%–0.05%) – Stimulates collagen repair
o Vitamin C Serum – Helps fade discoloration
o Hyaluronic Acid – Improves skin elasticity
 Oral Support:
o Collagen Peptides (5-10g daily) – Strengthens skin
o Vitamin E (400 IU daily) – Supports skin healing

Caution: Tretinoin increases sun sensitivity; always use sunscreen (SPF 30+).

6. Increased Sweating & Night Sweats

Cause: Some steroids (e.g., Trenbolone) increase metabolic rate and thermogenesis, leading to
excessive sweating.

Fix:

 Lifestyle Adjustments:
o Wear moisture-wicking clothing
o Maintain proper hydration (at least 4L daily)
o Avoid spicy foods and excessive stimulants
 Supplements:
o Magnesium (400 mg daily) – Helps regulate body temperature
o Electrolytes (Potassium, Sodium, Zinc) – Prevent dehydration

Caution: Excessive sweating can lead to electrolyte imbalances, dehydration, and sleep
disturbances.

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7. Increased Body Odor Due to Hormonal Changes

Cause: Higher androgen levels increase sweat gland activity and alter body odor.

Fix:

 Hygiene Solutions:
o Use antibacterial soaps
o Apply aluminum-free deodorant with activated charcoal or magnesium
o Shave or trim body hair to reduce bacterial growth
 Dietary Adjustments:
o Reduce red meat intake (excess sulfuric compounds can worsen odor)
o Increase chlorophyll-rich foods (parsley, spinach, wheatgrass)
 Supplements:
o Chlorophyll (100-300 mg daily) – Natural deodorizer
o Zinc (30 mg daily) – Reduces bacterial growth on skin

Caution: Overusing antiperspirants with aluminum may contribute to long-term health risks.
Choose natural deodorant options.

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 Sexual & Reproductive Side Effects
1. Loss of Libido (Especially Post-Cycle)

Cause: Post-cycle suppression of natural testosterone production leads to decreased androgen

levels, impacting sexual desire and function.

Fix:

 Post-Cycle Therapy (PCT):

o Clomiphene Citrate (Clomid) – 25-50 mg daily for 4-6 weeks
o Tamoxifen (Nolvadex) – 10-20 mg daily for 4-6 weeks
o hCG (500-1000 IU every other day for 2-3 weeks) – If testicular atrophy is
present
 Supplements:
o Zinc (30-50 mg daily) – Supports testosterone production
o Vitamin D3 (5000 IU daily)
o Tribulus Terrestris (500-1000 mg daily) – May help boost libido naturally
 Lifestyle Adjustments:
o Ensure adequate sleep (7-9 hours per night)
o Manage stress levels (meditation, deep breathing, light exercise)

Caution: Prolonged suppression without proper PCT may lead to long-term hormonal
imbalance.

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2. Increased Libido (During Cycle, Depending on Compounds)

Cause: Certain steroids (Testosterone, Trenbolone, Anavar) can increase dopamine and
androgen levels, leading to heightened sexual drive.

Fix:

 Balance Estrogen Levels:

o Use Aromatase Inhibitors (AIs) if necessary (e.g., Arimidex 0.5 mg every other
day)
 Regulate Prolactin Levels:
o Cabergoline (0.25-0.5 mg twice a week) – If using prolactin-inducing steroids like
Deca or Tren
 Monitor Dopamine Levels:
o Mucuna Pruriens (500 mg daily) – Supports dopamine balance
Caution: Uncontrolled high libido can lead to compulsive behaviors or post-cycle crashes.

3. Decreased Semen Volume

Cause: Suppression of FSH and LH production reduces sperm count and semen volume.

Fix:

 Restore FSH & LH Levels:

o hCG (500-1000 IU every other day for 2-3 weeks)
o hMG (75 IU every other day) – If fertility restoration is needed
 Nutritional Support:
o Coenzyme Q10 (100-200 mg daily) – Supports sperm quality
o L-Carnitine (2g daily) – Enhances sperm motility
o Vitamin E (400 IU daily) – Improves sperm health

Caution: Long-term PED use can lead to permanent fertility issues if not managed correctly.

4. Clitoral Enlargement (In Women)

Cause: High androgen levels from anabolic steroids stimulate androgen receptors in the clitoral
tissue, leading to growth.

Fix:

 Stop Androgenic Steroid Use Immediately – If changes are noticed early, some
reversibility is possible
 Support Hormonal Balance:
o DIM (Diindolylmethane, 200 mg daily) – Helps regulate estrogen balance
o Ashwagandha (500 mg daily) – Supports hormone stability
 Consult a Specialist:
o If irreversible changes occur, surgical options may be the only remedy

Caution: Clitoral enlargement may be permanent and irreversible if exposure to androgens

continues.

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5. Irregular Menstrual Cycles or Cessation of Menstruation (In Women)

Cause: Androgenic steroids suppress estrogen and progesterone levels, leading to disrupted
menstrual cycles.

Fix:

 Restore Natural Hormone Balance:

o Chasteberry (Vitex, 500 mg daily) – Supports progesterone balance
o Magnesium (400 mg daily) – Helps reduce menstrual irregularities
 Post-Cycle Support:
o Clomiphene Citrate (25 mg daily for 4-6 weeks) – May help restore ovulation
 Monitor Bloodwork:
o Check estradiol, progesterone, LH, and FSH levels

Caution: Prolonged suppression can lead to long-term reproductive issues, including infertility.

6. Voice Deepening (Irreversible in Women)

Cause: Androgen receptors in the vocal cords respond to high androgen exposure, leading to
thickening and deepening of the voice.

Fix:

 Immediate Discontinuation of Androgens – To prevent further deepening

 Voice Therapy:
o Speech therapy may help control vocal strain
 Medical Intervention:
o If severe, surgical intervention may be the only corrective measure

Caution: Voice deepening is permanent and cannot be reversed once vocal cord thickening has
occurred.

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7. Breast Shrinkage (In Women)

Cause: Low estrogen levels due to steroid use lead to fat loss in breast tissue, causing shrinkage.

Fix:

 Estrogen Support:
o Phytoestrogens (Flaxseed, Soy Isoflavones) – May help balance estrogen levels
o Low-dose Estradiol Replacement Therapy – Only under medical supervision
 Diet & Lifestyle Adjustments:
o Maintain adequate dietary fat intake (Omega-3s, Avocados, Nuts)
o Ensure hormonal balance post-cycle

Caution: Long-term low estrogen may lead to osteoporosis and other health risks. Always
monitor estrogen levels.
Legal Disclaimer

1. For Informational and Educational Purposes Only

This document is strictly for informational and educational purposes. It does not
constitute medical advice, endorsement, or encouragement to use any prescription
medication, anabolic steroids, or performance-enhancing substances.
2. Compliance with Laws and Regulations
The possession, sale, and use of anabolic steroids and other performance-enhancing drugs
(PEDs) may be illegal in various jurisdictions and prohibited by sports organizations. It
is the sole responsibility of the reader to be aware of and comply with all applicable
local, state, federal, and international laws and regulations regarding these
substances.
3. Medical Supervision and Consultation
The information provided does not replace professional medical advice, diagnosis, or
treatment. Always consult a licensed physician or healthcare professional before
considering the use of any substance that may affect your health. Do not self-medicate
or use any drug without proper medical guidance.
4. No Encouragement or Promotion
This document does not promote, encourage, or endorse the use of anabolic steroids,
PEDs, or any substances that could be potentially harmful. Any information regarding
such substances is presented purely for educational purposes, including risk factors,
potential consequences, and harm reduction strategies.
5. Health Risks and Potential Consequences
The use of anabolic steroids and PEDs can pose serious health risks, including but not
limited to:
o Cardiovascular issues (heart disease, high blood pressure, cholesterol imbalance)
o Hormonal imbalances (testosterone suppression, infertility, gynecomastia)
o Liver and kidney toxicity (especially with oral steroids)
o Psychological effects (mood swings, aggression, depression, dependence)
o Other complications (hair loss, acne, gynecomastia, virilization in women, etc.)

Users assume full responsibility for any health risks associated with the use of these
substances.

6. No Liability or Responsibility
The authors, publishers, and distributors of this document expressly disclaim any
liability for any direct, indirect, incidental, or consequential damages arising from the
use, misuse, or reliance on the information provided herein. This includes, but is not
limited to:
o Any legal consequences due to possession or use of prohibited substances.
o Any health complications resulting from substance use.
o Any misinterpretation or misapplication of the provided information.

By reading this document, you acknowledge that you are solely responsible for any
decisions you make regarding your health, fitness, and legal compliance.
7. No Warranties or Guarantees
The information provided is based on research, anecdotal reports, and professional
knowledge at the time of publication. However, scientific and medical knowledge is
constantly evolving, and the accuracy, completeness, and reliability of the information
presented cannot be guaranteed. Use this information at your own discretion.
8. Not a Substitute for Professional Advice
This document does not replace legal, medical, or professional advice. For any concerns
related to health, legality, or sports regulations, consult a licensed healthcare provider,
legal professional, or relevant regulatory body.
9. Intended Audience
This content is intended for responsible adults over the age of 18 who are seeking
knowledge for educational purposes only. It is not directed at minors or individuals
prohibited from accessing such information by local laws.

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