Thus, it’d be wise to keep Dianabol cycles short (4-6 weeks), minimizing damage to this vital organ. Thus, after discontinuing Dianabol, liver enzyme values are likely to drop back down to normal. These are essentially hormone-induced liver tumors, which can be benign or cancerous in nature. This can cause pain in the upper right of the abdomen, jaundice, anemia, or bleeding. We have had patients develop cholestatic syndrome, which is when bile flow becomes impaired, resulting in a buildup and causing inflammatory damage to the liver. The body’s way of dealing with this is to suppress the person’s appetite (as a self-defense mechanism), reducing food consumption. The liver is a resilient organ with strong self-healing properties (commonly regenerating itself post-cycle). Every time you eat food, the liver has to digest it; thus, when taking hepatotoxic steroids and eating large quantities of food, the liver is becoming increasingly taxed. A common incident of moobs in men is the result of excessive chest fat, which can be corrected via fat loss and muscle-building exercises targeting the pectoral region. If you begin treatment early (in the first 2 years), it’s possible to reverse it using AIs (aromatase inhibitors), which essentially reduce estrogen levels and increase testosterone. In general, 37% of steroid users will experience some form of gynecomastia (11). That’s why Dianabol is well known for causing huge pumps, and sometimes it becomes unbearably painful. If you ask around you get plenty of opinions, some of users confirming your suspicion, while others not even in a higher dosage than you. Always consult with a healthcare professional before starting any new supplement or steroid regimen. Dbol can be used for bodybuilding, but safety is a primary concern. Inside Bodybuilding is a virtual health clinic that specializes in treating bodybuilders who have taken AAS (anabolic androgenic steroids). We have had success utilizing Proviron as a post-cycle therapy, with research showing it to increase sperm count and fertility (42), which is dissimilar to other anabolic steroids. However, we have had some bodybuilders use Dianabol during cutting cycles to help them maintain strength and muscle size when in a calorie deficit. Bodybuilders not lucky enough to live in Mexico or Thailand (where methandrostenolone is legal) commonly buy Dianabol on the black market (illegally). Hitting a nerve or blood vessel is a risk with injectables due to improper technique. Dianabol injections are commonly administered into the glutes, outer leg, and deltoids. AIs have also been shown to be advantageous when combined with SERMs for restoring testosterone production. SERMs can be used over the long term, being deemed "acceptable" in regard to side effects (22). Research shows that taking 25–50 mg of clomiphene per day, or every other day, is effective at restoring natural testosterone production (21). SERMs are medications that interfere with estrogen receptors via the hypothalamus in the brain, decreasing the production of the female sex hormone and thus increasing testosterone. Dianabol is typically an oral steroid; however, there are veterinary versions of it available that can be injected, immediately entering your bloodstream and bypassing the liver. Injectable Dianabol is an option for those who don’t want to experience liver issues when taking this steroid. However, liver failure remains a possibility with Dianabol and other hepatotoxic steroids. Our patients sometimes comment that Dianabol reduces their appetite, which is due to the strain on the liver. However, the downside to Dianabol being resistant to such hepatic breakdown is increased hepatotoxicity. This structural change enables Dianabol to survive liver metabolism. Being an oral steroid, Dianabol will cause C17-alpha alkylation, which is a modification to the 17th carbon position. This is why we utilize Nolvadex (tamoxifen), which reduces estrogen levels while simultaneously having a positive effect on cholesterol levels (15). Research has found estrogen to have a positive effect on HDL cholesterol levels (14). Several of the above have been shown to be effective in restoring normal HPT axis function and thus increasing endogenous (natural) testosterone back to normal levels. Some users will simply wait for their natural testosterone production to recover after using Dianabol. Psychological symptoms involving decreased well-being contribute to steroid addiction, with 30% of AAS users becoming dependent (20). This is a vascular condition where blood-filled cysts appear throughout the liver. Thus, the liver will almost certainly become damaged during a cycle of Dianabol. Thus, we often find ALT and AST liver enzymes rising during a Dianabol cycle.