Anabolic Steroid Side Effect Management Table

nuke84

nuke84

Iron
Joined
Nov 8, 2025
Posts
58
Reputation
38

Problem​

Solution and Comments​

Acne/oily skin
Caused by testosterone and oxymetholone, less by nandrolone, generally not caused by oxandrolone or stanozolol.
  • Accutane – a powerful prescription item – 40 mg/day for one week sometimes stops acne if started at the first sign or as directed by your doctor. Accutane is potentially highly liver toxic.
  • Sporanox – Effective for some acne-like eruptions that are caused by fungi. Some doctors also prescribe antibiotics, like tetracycline, for acne with good results.
  • Anti-bacterial soaps – Use a scrubbing brush and wash twice a day, especially after sweating during a workout.
  • UV light or sunlight with moderation.
Hair loss
Caused by too much testosterone, and by oxymetholone. Rarely seen with nandrolone, oxandrolone or stanozolol.
  • Proxiphen salve and NANO shampoo/NANO conditioner
  • Nizoral shampoo
  • Rogaine
  • Propecia (finesteride) – Available by prescription. A few males experience decreased erections with finesteride.
Increased sex drive
Caused by testosterone and oxymetholone more than other steroids.
  • A problem? Sex drive can decrease in HIV. Sex drive is part of quality-of-life. This is not necessarily a bad side effect. Enjoy it.
Impotence during a steroid cycle
Rarely caused by testosterone, much more by other steroids. This happens more with steroids other than testosterone because they do not support healthy sexual function in the same way that testosterone does. That is why i recommend that all steroid cycles be built on a testosterone foundation.
  • Viagra, Cialis, Levitra – Enables robust erections. Take an allergy medication and ibuoprofen with it to minimize sinus congestion and headaches.
  • Yohimbine (Yocon) – increases sex organ sensitivity. Can increase heart rate and blood pressure
  • Muse – A pellet inserted into the urethra to produce erection.
  • Trimix – The best and cheapest formula for injection into the penis for lasting erections.
  • Caverject – An injection into the penis that produces an erection that can last 1 to 2 hours. Be careful with injecting too much since it can produce dangerously ling erections that need to be treated in emergency rooms! Follow instructions from your urologist.
  • Papaverine – An older injectable medication, less expensive than Caverject.
  • Wellbutrin – Prescription at 300 to 450 mg/day; increases dopamine.
  • Human chorionic gonadatropin (HCG) – First dose is 5,000 IU, then taken again one week later. Note: If impotence happens while on testosterone, try varying the doses of testosterone. E.g. higher and lower.
Insomnia
Usually this is caused by dosages that are too high. Find the least amount that gives you a good result.
  • Sleeping medications e.g. Ambien, Sonata, Restoril
  • Melatonin – 1 to 3 mg before bedtime.
  • Avoid working out too close to bedtime.
  • Limit caffeine, especially after 3 pm.
  • Do not administer oral steroids after 6 pm.
Sleep Apnea
  • Have a sleep specialist prescribe a sleep study. Some people may have to wear a C-PAP machine to breathe at night.
Testicular atrophy
Caused by all steroids
  • HCG – One 5,000 unit injection per week for 2 weeks, followed by maintenance of 250 IU twice a week
Enhanced assertiveness
mostly testosterone, and oxymetholone, but they can all increase
drive depending on dosage.
  • Count until 10 and be aware of your interaction with others.
  • Decrease caffeine.
  • Meditation, yoga, breathe from your belly for a few minutes when over reacting.
  • The steroid dosage may be too high, especially testosterone and oxymetholone.
High blood pressure/water retention
testosterone, oxymetholone, nandrolone. Sometimes this is caused by elevated hematocrit or water retention and sometimes by steroid doses that are too high. High blood pressure is associated with chronic use of steroids, though
  • Blood pressure medications – Elevated blood pressure is usually transient and stops within a few weeks of the end of a steroid cycle. However, ongoing or chronic steroid use is associated with high blood pressure. Try ACE or ACE II inhibitors since they seem to have fewer sexual dysfunction related effects
  • Supplements – Magnesium (600 mg/day); vitamin B6 (100 to 200 mg/day); may help reduce water retention.
  • Water – Drink extra water every day to help flush the kidneys.
Gynecomastia (male breast development)
Caused by overproduction of estrogen, which can happen when is there is too much testosterone. (Testosterone converts into estrogen.) Oxymetholone use is sometimes involved. Nandrolone is less likely to, while oxandrolone and stanozolol shouldn’t. Growth hormone can also promote it.
  • Arimidex – Inhibits estrogen production. 1 mg/day until sensitivity stops, then ½ mg per day. Some people take .5 mg three times a week for maintenance. Ensure that your estradiol is under 20 pg/dl but do not go too low since it is needed for bon, skin and hair health.
  • Nolvadex – Competes with estrogen for receptors. 10 to 20 mg/day. Not as effective as Arimidex. Use of Nolvadex during a steroid cycle may reduce the net anabolic effect, as it decreases the production of GH and IGF-1. Severe cases may require removal of the breast tissue by surgery.
  • DHT cream– Some people have obtained great results by robbing a 10% DHT cream on their nipples.
Virilization (body hair growth and a deepened voice)
Caused by testosterone, less by oxymetholone and nandrolone, much less by stanozolol. Generally not caused by oxandrolone.
  • Discontinue steroid use or only use steroids that have the lowest androgenic potential, like oxandrolone.
  • Note that GH used with steroids seems to exacerbate body hair growth in males.
  • Proscar – Available by prescription at 1 to 5 mg/day.
Benign Prostate enlargement
testosterone and oxymetholone. Nandrolone less. Stanozolol and oxandrolone have even less potential to cause this and may not have an effect at all. This is not clear.
  • Proscar – Available by prescription, 1 to 5 mg/day. (Note: Can cause decreased sex drive and erections in some men.)
  • Hytrin, Flomax – Available by prescription.
  • Saw palmetto extract – Very effective for reducing prostate problems, but one study suggests that this herb may reduce the effects of testosterone, too.
  • Estrogen inhibitors like Arimidex. Estrogen dominance appears to increase prostate growth.
  • Check your prostate specific antigen and have a digital rectal exam before starting any steroid program, to detect potential for prostate cancer, especially if you are over 35 or have a family history of prostate problems, and have it checked on a regular basis.
Polycythemia (Elevated hematocrit, which means there are too many red blood cells)
Caused by testosterone, nandrolone and oxymetholone, much more than oxandrolone or stanozolol.
  • Therapeutic phlebotomy; means to have a pint or more of blood removed, usually 1 pint per week over several weeks. (1 pint usually will lower hematocrit by about 3 points.) Polycythemia is a compelling reason to avoid using higher steroid doses than are necessary. Taking the lowest effective dose reduces the risk of over-production of hemoglobin (red blood cells).
Elevated liver enzymes
Incidence is often exaggerated, but is related to 17-alpha alkylated oral steroids, not oil-based injectable steroids.

Note: Injectable stanozolol, is also 17-alpha alkylated.
  • Standardized silymarin (milk thistle herb) – 160 mg/three times/day
  • LiverCare – two 640 mg tabs twice per day
  • Evening primrose oil – 1300 mg/three times/day
  • Lung Tan Xie Gan – Chinese herb formula
  • Alpha lipoic acid – 100 to 300 mg/three times/day
  • Glycyrrhizinate Forte Three or more capsules/day, but this may increase blood pressure.
  • N-acetyl cysteine – 600 mg/three times/day
  • Glutamine powder – 4 to 12 grams/three times/day.
  • Omega-3 fatty acids – 6 to 10 capsules per day.
  • With a history of liver problems or Hepatitis C, avoid oral steroids and use only injectable steroids – testosterone or nandrolone.
  • Antioxidant vitamins Vitamin C – 1,000 to 2,000 mg/three times/day with vitamin E – 400 to 800 IU three times/day.
  • Selenium – 200 mcg twice per day.
  • Alpha lipoic acid – 100 to 300 mg twice per day.
 
  • +1
Reactions: bigburritos and thuuk
dnr your ai slop
 
  • WTF
  • +1
Reactions: chud.nico and nuke84
jipiti
 
  • +1
Reactions: wannabemogger

Problem​

Solution and Comments​

Acne/oily skin
Caused by testosterone and oxymetholone, less by nandrolone, generally not caused by oxandrolone or stanozolol.
  • Accutane – a powerful prescription item – 40 mg/day for one week sometimes stops acne if started at the first sign or as directed by your doctor. Accutane is potentially highly liver toxic.
  • Sporanox – Effective for some acne-like eruptions that are caused by fungi. Some doctors also prescribe antibiotics, like tetracycline, for acne with good results.
  • Anti-bacterial soaps – Use a scrubbing brush and wash twice a day, especially after sweating during a workout.
  • UV light or sunlight with moderation.
Hair loss
Caused by too much testosterone, and by oxymetholone. Rarely seen with nandrolone, oxandrolone or stanozolol.
  • Proxiphen salve and NANO shampoo/NANO conditioner
  • Nizoral shampoo
  • Rogaine
  • Propecia (finesteride) – Available by prescription. A few males experience decreased erections with finesteride.
Increased sex drive
Caused by testosterone and oxymetholone more than other steroids.
  • A problem? Sex drive can decrease in HIV. Sex drive is part of quality-of-life. This is not necessarily a bad side effect. Enjoy it.
Impotence during a steroid cycle
Rarely caused by testosterone, much more by other steroids. This happens more with steroids other than testosterone because they do not support healthy sexual function in the same way that testosterone does. That is why i recommend that all steroid cycles be built on a testosterone foundation.
  • Viagra, Cialis, Levitra – Enables robust erections. Take an allergy medication and ibuoprofen with it to minimize sinus congestion and headaches.
  • Yohimbine (Yocon) – increases sex organ sensitivity. Can increase heart rate and blood pressure
  • Muse – A pellet inserted into the urethra to produce erection.
  • Trimix – The best and cheapest formula for injection into the penis for lasting erections.
  • Caverject – An injection into the penis that produces an erection that can last 1 to 2 hours. Be careful with injecting too much since it can produce dangerously ling erections that need to be treated in emergency rooms! Follow instructions from your urologist.
  • Papaverine – An older injectable medication, less expensive than Caverject.
  • Wellbutrin – Prescription at 300 to 450 mg/day; increases dopamine.
  • Human chorionic gonadatropin (HCG) – First dose is 5,000 IU, then taken again one week later. Note: If impotence happens while on testosterone, try varying the doses of testosterone. E.g. higher and lower.
Insomnia
Usually this is caused by dosages that are too high. Find the least amount that gives you a good result.
  • Sleeping medications e.g. Ambien, Sonata, Restoril
  • Melatonin – 1 to 3 mg before bedtime.
  • Avoid working out too close to bedtime.
  • Limit caffeine, especially after 3 pm.
  • Do not administer oral steroids after 6 pm.
Sleep Apnea
  • Have a sleep specialist prescribe a sleep study. Some people may have to wear a C-PAP machine to breathe at night.
Testicular atrophy
Caused by all steroids
  • HCG – One 5,000 unit injection per week for 2 weeks, followed by maintenance of 250 IU twice a week
Enhanced assertiveness
mostly testosterone, and oxymetholone, but they can all increase
drive depending on dosage.
  • Count until 10 and be aware of your interaction with others.
  • Decrease caffeine.
  • Meditation, yoga, breathe from your belly for a few minutes when over reacting.
  • The steroid dosage may be too high, especially testosterone and oxymetholone.
High blood pressure/water retention
testosterone, oxymetholone, nandrolone. Sometimes this is caused by elevated hematocrit or water retention and sometimes by steroid doses that are too high. High blood pressure is associated with chronic use of steroids, though
  • Blood pressure medications – Elevated blood pressure is usually transient and stops within a few weeks of the end of a steroid cycle. However, ongoing or chronic steroid use is associated with high blood pressure. Try ACE or ACE II inhibitors since they seem to have fewer sexual dysfunction related effects
  • Supplements – Magnesium (600 mg/day); vitamin B6 (100 to 200 mg/day); may help reduce water retention.
  • Water – Drink extra water every day to help flush the kidneys.
Gynecomastia (male breast development)
Caused by overproduction of estrogen, which can happen when is there is too much testosterone. (Testosterone converts into estrogen.) Oxymetholone use is sometimes involved. Nandrolone is less likely to, while oxandrolone and stanozolol shouldn’t. Growth hormone can also promote it.
  • Arimidex – Inhibits estrogen production. 1 mg/day until sensitivity stops, then ½ mg per day. Some people take .5 mg three times a week for maintenance. Ensure that your estradiol is under 20 pg/dl but do not go too low since it is needed for bon, skin and hair health.
  • Nolvadex – Competes with estrogen for receptors. 10 to 20 mg/day. Not as effective as Arimidex. Use of Nolvadex during a steroid cycle may reduce the net anabolic effect, as it decreases the production of GH and IGF-1. Severe cases may require removal of the breast tissue by surgery.
  • DHT cream– Some people have obtained great results by robbing a 10% DHT cream on their nipples.
Virilization (body hair growth and a deepened voice)
Caused by testosterone, less by oxymetholone and nandrolone, much less by stanozolol. Generally not caused by oxandrolone.
  • Discontinue steroid use or only use steroids that have the lowest androgenic potential, like oxandrolone.
  • Note that GH used with steroids seems to exacerbate body hair growth in males.
  • Proscar – Available by prescription at 1 to 5 mg/day.
Benign Prostate enlargement
testosterone and oxymetholone. Nandrolone less. Stanozolol and oxandrolone have even less potential to cause this and may not have an effect at all. This is not clear.
  • Proscar – Available by prescription, 1 to 5 mg/day. (Note: Can cause decreased sex drive and erections in some men.)
  • Hytrin, Flomax – Available by prescription.
  • Saw palmetto extract – Very effective for reducing prostate problems, but one study suggests that this herb may reduce the effects of testosterone, too.
  • Estrogen inhibitors like Arimidex. Estrogen dominance appears to increase prostate growth.
  • Check your prostate specific antigen and have a digital rectal exam before starting any steroid program, to detect potential for prostate cancer, especially if you are over 35 or have a family history of prostate problems, and have it checked on a regular basis.
Polycythemia (Elevated hematocrit, which means there are too many red blood cells)
Caused by testosterone, nandrolone and oxymetholone, much more than oxandrolone or stanozolol.
  • Therapeutic phlebotomy; means to have a pint or more of blood removed, usually 1 pint per week over several weeks. (1 pint usually will lower hematocrit by about 3 points.) Polycythemia is a compelling reason to avoid using higher steroid doses than are necessary. Taking the lowest effective dose reduces the risk of over-production of hemoglobin (red blood cells).
Elevated liver enzymes
Incidence is often exaggerated, but is related to 17-alpha alkylated oral steroids, not oil-based injectable steroids.

Note: Injectable stanozolol, is also 17-alpha alkylated.
  • Standardized silymarin (milk thistle herb) – 160 mg/three times/day
  • LiverCare – two 640 mg tabs twice per day
  • Evening primrose oil – 1300 mg/three times/day
  • Lung Tan Xie Gan – Chinese herb formula
  • Alpha lipoic acid – 100 to 300 mg/three times/day
  • Glycyrrhizinate Forte Three or more capsules/day, but this may increase blood pressure.
  • N-acetyl cysteine – 600 mg/three times/day
  • Glutamine powder – 4 to 12 grams/three times/day.
  • Omega-3 fatty acids – 6 to 10 capsules per day.
  • With a history of liver problems or Hepatitis C, avoid oral steroids and use only injectable steroids – testosterone or nandrolone.
  • Antioxidant vitamins Vitamin C – 1,000 to 2,000 mg/three times/day with vitamin E – 400 to 800 IU three times/day.
  • Selenium – 200 mcg twice per day.
  • Alpha lipoic acid – 100 to 300 mg twice per day.
Wow that's really good even if ChatGPT spat that out, thanks (y)
 
  • Love it
Reactions: nuke84
Fucking ban AI slop posts already
 
  • +1
Reactions: 0bs
UV light or sunlight with moderation.
  • Proxiphen salve and NANO shampoo/NANO conditioner
  • Nizoral shampoo
  • Rogaine
  • Propecia (finesteride) – Available by prescription. A few males experience decreased erections with finesteride.
jfl, no dut or ru58841, the only oned you need
DHT cream– Some people have obtained great results by robbing a 10% DHT cream on their nipples.
Images 25
Image
 
  • +1
Reactions: nuke84
If you have any further questions feel free to send me a message for personalized help. :D
You may hear from me in future, but I am not on roids rn, thinking about it tho so this helped my planning (y)
 
jfl, no dut or ru58841, the only oned you need

View attachment 4646777View attachment 4646780
Not very knowledgeable about them hence why i discluded them. Will edit the table sometime in the future when i think its appropiate to include these. Thanks for the tip bro!

"DHT cream– Some people have obtained great results by robbing a 10% DHT cream on their nipples."
Hey, if it worked it worked.
 
You may hear from me in future, but I am not on roids rn, thinking about it tho so this helped my planning (y)
Sure, no problem.

If you ever need tips on cycles and what not.

My message box is always open my friend.
 
  • +1
Reactions: Dr Sonne

Similar threads

nuke84
Replies
1
Views
50
greedpsl
greedpsl
nuke84
Replies
5
Views
81
nuke84
nuke84
nuke84
Replies
2
Views
41
nuke84
nuke84

Users who are viewing this thread

Back
Top