Some people in bodybuilding believe that roid rage is a myth; however, research shows that 60% of steroid users experience an increase in aggressive behavior (28). We see people with blessed genetics take androgenic steroids for years and still keep their hair. This is why some bodybuilders take DHT blockers when taking steroids to keep their hair thick and their follicles intact. Once endogenous testosterone has been restored, if a user wants to continue taking AAS, we have found hCG to be effective at maintaining fertility in doses of 500 IU every other day. Dianabol users can also experience low libido, decreased well-being, depression, lower levels of energy, and erectile dysfunction when testosterone levels plummet. Consequently, when exogenous testosterone is removed, low testosterone levels can be experienced post-cycle, with the HPT axis being restored. Dianabol is not a suitable steroid for females to use because of its potency, which results in severe virilizing effects. Even though it has a half-life of just eight hours, Dianabol has a detection time in drug tests of up to 6 weeks after your last dose. Dianabol (Dbol) is also a powerful plateau breaker, and when used in this phase of a cycle, it will help you push past barriers and slow or halt gains so you don’t succumb to a plateau. Doses of this nature are hazardous, as they severely open the door to adverse effects. The Dbol cycle below is not something I can recommend in the name of safety. Adding Nandrolone to this stack doesn’t necessarily mean you need to increase Dianabol’s dosage because it is still very potent at low doses. Dianabol is an oral steroid that takes effect very quickly compared with most injectables. One of its primary uses and benefits is as a kickstart compound in a cycle. Acne and bloating are two of the biggest pet peeves, but women who love Dianabol are often happy to deal with the sides to reach size and strength goals. He attributed the damage to his heart as the result of his own experimental steroid use (when creating Dianabol). Coincidentally, Dr. Ziegler, in his later days, suffered from heart disease, eventually dying from a heart attack in 1983. As your body retains more fluid and your weight increases, so does your blood pressure (9). Dianabol aromatizes into estrogen, which can lead to water retention, mood swings, and gynecomastia (man boobs). Skipping it puts you at risk for estrogen dominance, low testosterone, and long-term health issues. "Combining multiple hepatotoxic or estrogenic agents increases the probability of adverse events—especially liver damage and hormonal imbalance."— Pope et al., New England Journal of Medicine The two most common side effects of Dianabol are Gynecomastia (male breast enlargement) and excess water retention or bloating. Let’s focus on one of the most popular steroids, Dianabol (Methandrostenolone), and see what we discover. Just like with certain foods where one person may have no issues while another gets sick, the same goes for steroids. But if you’re a competitive bodybuilder, it’s best not to use it toward the end of your cut due to its high aromatase factor. It can help maintain strength levels, which often drop when you’re in a calorie deficit. It’s better to keep Dianabol cycles short to keep your liver healthy. Crucially, Dianabol excels in synergy with other steroids rather than serving as a standalone base. Functionally, Dianabol primarily enhances protein synthesis, nitrogen retention, and glycogenolysis, crucial for muscle growth. Despite a lower binding affinity to androgen receptors compared to testosterone, Dianabol boasts a potent anabolic nature, with a rating of 40-60. Doses exceeding 100mg per day are not recommended due to increased risk of side effects and health concerns. Doses of 50mg per day are considered high and are typically only used by experienced users. They’re more into other steroids like Anavar or Winstrol because they don’t bulk up as quickly. It’s the go-to steroid for bulking up during the off-season, and you’ll notice a big jump in your strength too. For instance, stacking Dianabol with steroids like Trenbolone, Masteron, or Equipoise amplifies results far beyond their individual capacities. Daily alcohol consumption can be more harmful to the liver than Dianabol itself. However, for healthy individuals, these levels typically return to normal once Dianabol use is stopped, and they usually do so quickly. All Dianabol tablets possess this 17-aa nature, which can lead to liver toxicity as it puts strain on the liver. This modification allows the hormone to survive the liver’s first pass metabolism by altering it at the 17th carbon position. Cholesterol levels may also be affected, but maintaining a diet rich in healthy fats, particularly Omega Fatty Acids, can help mitigate this risk. Anecdotally, we have found that such supplementation stabilizes rising ALT and AST levels. To combat hepatotoxicity, our patients regularly take liver support supplements, such as milk thistle (Silybum marianum). Thus, after discontinuing Dianabol, liver enzyme values are likely to drop back down to normal.