noobkiller999
Truth, no matter how bitter, is better than a lie
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Oxandrolone is a medication used to promote weight gain in various clinical scenarios. Its applications include counteracting protein catabolism induced by long-term corticosteroid therapy, facilitating recovery from severe burns, managing bone pain associated with osteoporosis, and aiding in the development of girls with Turner syndrome.
Differential benefits of steroid therapies in adults following major burn injury: This study compared the effects of oxandrolone and corticosteroids following serious burns. Steroid therapy after severe thermal injury can significantly influence a patient's prognosis. Oxandrolone was associated with superior outcomes, with the exception of multiple organ failure (MOF). When treating burn patients, the side effect profiles of both corticosteroids and oxandrolone must be considered.
As we can observe overall, oxandrolone demonstrated favorable results, including an absence of certain adverse effects typically associated with corticosteroid (CS) use.
Oxandrolone is an FDA-approved drug for use in HIV patients. For instance, in the resource "Oxandrolone for weight gain," we find the following statement:
Is this convincing? It seems quite so. However, our analysis of this steroid's safety profile does not end here. There is a rather interesting study: "Use of Oxandrolone to Promote Growth in Neonates following Surgery for Complex Congenital Heart Disease: An Open-Label Pilot Trial." Indeed, you heard correctly—oxandrolone therapy at the investigated doses appears to be safe for neonates following surgery for complex congenital heart disease (CHD).
Returning to the topic of burns, let us examine another interesting study: "FIVE-YEAR OUTCOMES AFTER LONG-TERM OXANDROLONE ADMINISTRATION IN SEVERELY BURNED CHILDREN: A RANDOMIZED CLINICAL TRIAL." This study included 119 severely burned patients, randomized to a control group (n = 84) and a long-term oxandrolone group (n = 35). Oxandrolone was administered for an average of 16.1 months post-burn (range 12.1–25.2 months).
The researchers conducted numerous measurements, and the conclusions are as follows:
Reviewing the research, "Aspects of the treatment of Turner syndrome":
The low incidence of oxandrolone's side effects is attributed to its strong anabolic and weak androgenic properties. Oxandrolone possesses six times the anabolic activity of testosterone. It was first synthesized in 1962 and introduced for medical use in 1964. Activation of the androgen receptor stimulates protein synthesis, promoting muscle growth, lean body mass, and bone mineral density.
Because oxandrolone is already 5α-reduced, it is not a substrate for the 5α-reductase enzyme and, therefore, is not potentiated in androgen-sensitive tissues such as the skin, hair follicles, and prostate gland.
The substitution of a carbon atom with an oxygen atom at the C2 position in the A ring makes oxandrolone resistant to inactivation by 3α-hydroxysteroid dehydrogenase in skeletal muscle. This contrasts with DHT and is believed to underlie oxandrolone's preserved anabolic activity.
As oxandrolone is 5α-reduced, it is not a substrate for aromatase and therefore cannot be converted into metabolites with estrogenic activity. Oxandrolone also lacks progestogenic activity.
Oxandrolone is uniquely less hepatotoxic than other 17α-alkylated AAS, which may be related to differences in metabolism (The anabolic androgenic steroid oxandrolone in the treatment of wasting and catabolic disorders: review of efficacy and safety).
btw guys i used ai for translation into English so faggots stfu
Differential benefits of steroid therapies in adults following major burn injury: This study compared the effects of oxandrolone and corticosteroids following serious burns. Steroid therapy after severe thermal injury can significantly influence a patient's prognosis. Oxandrolone was associated with superior outcomes, with the exception of multiple organ failure (MOF). When treating burn patients, the side effect profiles of both corticosteroids and oxandrolone must be considered.
As we can observe overall, oxandrolone demonstrated favorable results, including an absence of certain adverse effects typically associated with corticosteroid (CS) use.
Oxandrolone is an FDA-approved drug for use in HIV patients. For instance, in the resource "Oxandrolone for weight gain," we find the following statement:
The statement that the incidence of side effects is significantly lower compared to other anabolic-androgenic steroids (AAS) is particularly encouraging. However, for a community that strives to operate on evidence-based facts, a single claim is insufficient. Therefore, let us refer to this study: "Oxandrolone in the treatment of HIV-associated weight loss in men: a randomized, double-blind, placebo-controlled study." As you can see, this study meets all the criteria for reliability. From it, we learn the following information:Several small studies have shown promising results for HIV-associated weight loss using doses two to eight times the recommended levels. Daily doses of 20 mg to 80 mg are necessary to treat HIV-associated wasting syndrome. Many side effects commonly linked to anabolic steroids, including hepatotoxicity, are not as frequently observed with oxandrolone.
Let us examine the basis for these conclusions in more detail. As noted above, this was a randomized, double-blind, placebo-controlled trial involving 262 HIV-infected men with confirmed weight loss of 10% to 20%, or a low Body Mass Index. A more detailed look reveals that body weight increased in all groups, including the placebo group, during the double-blind phase. However, at the 12-week mark, only the weight gain in the 40 mg oxandrolone group and the body cell mass (BCM) gain in the 40 mg and 80 mg oxandrolone groups were significantly greater than in the placebo group. Oxandrolone treatment was associated with significant suppression of sex hormone-binding globulin, luteinizing hormone, follicle-stimulating hormone, and total and free testosterone levels. The treatment was generally well-tolerated but was accompanied by significant increases in transaminase and low-density lipoprotein (LDL) levels, as well as a decrease in high-density lipoprotein (HDL) levels.Oxandrolone administration effectively promotes a dose-dependent increase in body weight and lean body mass in HIV-infected men with weight loss.
Is this convincing? It seems quite so. However, our analysis of this steroid's safety profile does not end here. There is a rather interesting study: "Use of Oxandrolone to Promote Growth in Neonates following Surgery for Complex Congenital Heart Disease: An Open-Label Pilot Trial." Indeed, you heard correctly—oxandrolone therapy at the investigated doses appears to be safe for neonates following surgery for complex congenital heart disease (CHD).
Returning to the topic of burns, let us examine another interesting study: "FIVE-YEAR OUTCOMES AFTER LONG-TERM OXANDROLONE ADMINISTRATION IN SEVERELY BURNED CHILDREN: A RANDOMIZED CLINICAL TRIAL." This study included 119 severely burned patients, randomized to a control group (n = 84) and a long-term oxandrolone group (n = 35). Oxandrolone was administered for an average of 16.1 months post-burn (range 12.1–25.2 months).
The researchers conducted numerous measurements, and the conclusions are as follows:
This smoothly leads us to another aspect: bone health, bone mass, or whatever you wish to call it. To analyze the effect of Oxandrolone in this area, we will consider another study: "Cortical Bone Mass is Low in Boys with Klinefelter Syndrome and Improves with Oxandrolone."The results of this study provide evidence supporting the prescription of oxandrolone for 24 months to improve growth in children with severe burns. A primary benefit of long-term oxandrolone administration is a significant increase in lumbar spine bone mineral content (LS-BMC), lumbar spine bone mineral density (LS-BMD), and whole-body bone mineral content (WB-BMC), which became apparent after oxandrolone was discontinued at 2 years post-injury or later. Furthermore, long-term oxandrolone administration is associated with increased growth velocity for 2 years post-burn and a significant reduction in the risk of falling into the osteoporotic range for bone mineral density Z-scores. Based on the data presented here, we anticipate that administering the drug for a full 24 months could lead to even greater improvement in the included endpoints. In conclusion, given the improvements in BMC and BMD, oxandrolone administration for 24 months should be tested in a larger patient population to determine if these results are applicable to patients of all ages.
To continue, let us explore the potential for treating Turner syndrome, a chromosomal disorder characterized by the complete or partial absence of one X chromosome.Bone mass, as measured by bone health index standard deviation score (BHI SDS), is low in some children with KS and improves with OX. Since these individuals are at risk for osteoporosis, age-appropriate androgen replacement therapy and future research on bone health in children with KS should be further investigated.
Reviewing the research, "Aspects of the treatment of Turner syndrome":
Let us proceed further; one study is not enough. Let us examine this one: "Safety and efficacy of oxandrolone in growth hormone-treated girls with Turner syndrome: evidence from recent studies and recommendations for use." Its conclusions are drawn from three studies:Growth hormone (GH) therapy improves final height and should be initiated in childhood at a high dose of approximately 1 IU/kg/week (range 0.6-2 IU/kg/week). Some authors advocate for combination therapy with anabolic steroids at various doses (e.g., oxandrolone 0.05–0.1 mg/kg/day). This treatment leads to a significant increase in final height, with most treated girls achieving a final height greater than 150 cm.
Although we have established above that oxandrolone's side effects are relatively infrequent, they can include masculinization, acne, hirsutism, voice changes, and increased libido. Information on such effects is documented by the FDA.Three recent controlled studies have shown that adding Ox to GH treatment (initiated between 8 and 16 years of age) results in increased growth velocity and a moderate increase in adult height, averaging 2.3–4.6 cm, confirming the results of previous clinical trials. Thus, the additional effect of Ox can be estimated at 25–50%.
The low incidence of oxandrolone's side effects is attributed to its strong anabolic and weak androgenic properties. Oxandrolone possesses six times the anabolic activity of testosterone. It was first synthesized in 1962 and introduced for medical use in 1964. Activation of the androgen receptor stimulates protein synthesis, promoting muscle growth, lean body mass, and bone mineral density.
Because oxandrolone is already 5α-reduced, it is not a substrate for the 5α-reductase enzyme and, therefore, is not potentiated in androgen-sensitive tissues such as the skin, hair follicles, and prostate gland.
The substitution of a carbon atom with an oxygen atom at the C2 position in the A ring makes oxandrolone resistant to inactivation by 3α-hydroxysteroid dehydrogenase in skeletal muscle. This contrasts with DHT and is believed to underlie oxandrolone's preserved anabolic activity.
As oxandrolone is 5α-reduced, it is not a substrate for aromatase and therefore cannot be converted into metabolites with estrogenic activity. Oxandrolone also lacks progestogenic activity.
Oxandrolone is uniquely less hepatotoxic than other 17α-alkylated AAS, which may be related to differences in metabolism (The anabolic androgenic steroid oxandrolone in the treatment of wasting and catabolic disorders: review of efficacy and safety).
The oral bioavailability of oxandrolone is 97%. Its plasma protein binding ranges from 94% to 97%. The drug is metabolized primarily by the kidneys and to a lesser extent by the liver. Its elimination half-life ranges from 9.4 to 10.4 hours, but is prolonged in the elderly to 13.3 hours. Approximately 28% of an oral oxandrolone dose is excreted unchanged in the urine, and 3% is excreted in the feces (source: OXANDROLONE- oxandrolone tablet).Unlike other orally administered C17-alpha-alkylated AAS, oxandrolone's novel chemical configuration confers resistance to hepatic metabolism as well as pronounced anabolic activity. Furthermore, oxandrolone does not appear to exhibit the severe hepatotoxic effects (jaundice, cholestatic hepatitis, peliosis hepatis, hyperplasia, and neoplasms) inherent to C17-alpha-alkylated AAS.
Chemical Profile
Oxandrolone is a synthetic androstane steroid and a 17α-alkylated derivative of dihydrotestosterone (DHT). It is also known as 2-oxa-17α-methyl-5α-dihydrotestosterone (2-oxa-17α-methyl-DHT) or as 2-oxa-17α-methyl-5α-androstan-17β-ol-3-one. Structurally, it is a DHT molecule with a methyl group at the C17α position and the C2 carbon replaced by an oxygen atom. Oxandrolone was first synthesized by Raphael Pappo and Christopher J. Jung at Searle Laboratories.btw guys i used ai for translation into English so faggots stfu