Synthetic anabolic steroids are similar to the natural testosterone produced by the body. As estrogen levels increase, users may experience side effects such as water retention, bloating, and an increased risk of gynecomastia. The authors estimated the risk of side effects in Brazilian male athletes using anabolic steroids. It is a modification of testosterone with a methyl group at the C17α position and an additional double bond between the C1 and C2 positions. Unlike methyltestosterone, owing to the presence of its C1(2) double bond, metandienone does not produce 5α-reduced metabolites. The drug is metabolized in the liver by 6β-hydroxylation, 3α- and 3β-oxidation, 5β-reduction, 17-epimerization, and conjugation among other reactions. It has very low affinity for human serum sex hormone-binding globulin (SHBG), about 10% of that of testosterone and 2% of that of DHT. The co-administration of an antiestrogen such as an aromatase inhibitor like anastrozole or a selective estrogen receptor modulator like tamoxifen can reduce or prevent such estrogenic side effects. As such, it can cause side effects such as gynecomastia and fluid retention. In general, 37% of steroid users will experience some form of gynecomastia (11). This is relatively common in AAS (anabolic-androgenic steroids) use, particularly Dianabol, due to its estrogenic nature. As your body retains more fluid and your weight increases, so does your blood pressure (9). When testosterone increases, low-density lipoprotein (LDL) cholesterol levels also increase. In our experience, any anabolic steroid that causes a powerful positive reaction will also cause a negative one (typically in similar measure). Although other anabolic steroids are more likely to cause androgenetic alopecia, which is the shrinking of hair follicles, causing significant thinning and hair loss (on the scalp). Yes, anabolic steroids and corticosteroids can both lead to hair loss. Yes, finasteride can help reduce hair loss caused by Dianabol and similar anabolic steroids. This guide will explain how steroids affect hair, the risks involved, and potential hair loss treatments. Natural testosterone supplements for post-cycle therapy (PCT) are typically used by individuals who have undergone a cycle of anabolic steroids or prohormones. Second, consider adding a hair loss prevention supplement to your regimen. Additionally, Dianabol use can also lead to an increase in estrogen levels. First, as we mentioned, the increase in DHT levels can be a major factor. Research has shown natural testosterone levels recover to normal levels in 67% of male steroid users after 6 months and 90% of males after 12 months (21). Dianabol users can also experience low libido, decreased well-being, depression, lower levels of energy, and erectile dysfunction when testosterone levels plummet. In our experience, how shut down a user’s testosterone levels will be is determined by the dose and duration of the cycle. Consequently, when exogenous testosterone is removed, low testosterone levels can be experienced post-cycle, with the HPT axis being restored. 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. Studies have found that prolonged use of AAS (anabolic-androgenic steroids) can cause a 100% increase in LDL cholesterol and a 90% reduction in HDL cholesterol (6). They do so by blocking the activity of the enzyme responsible for hair loss. The content of this website is intended to provide accurate, up-to-date and scientifically-based information on all aspects of hair loss. The most-reported chronic side effects were arterial hypertension at 36.0%m liver disease at 28.0%, and cancer at 8.0%. If you take these things into account, you can cycle Dianabol safely and effectively for the best results. Lastly, be sure to monitor your liver values closely while on Dianabol, as it can be hard on your liver. Second, make sure you are training hard and eating enough calories while on the cycle.