Dianabol is also capable of interaction with the enzyme aromatase resulting in the possibility of estrogenic side effects. Gynecomastia may become apparent even very early into a cycle, so the user must always ensure that they have the necessary drugs to treat the condition at the earliest possible opportunity. A Selective Estrogen Modulator (SERM) such as Tamoxifen (brand name Nolvadex) is usually used in these instances, perhaps with the addition of an anti-estrogen such as Proviron or Arimidex which will help hinder further estrogenic conversion. (For more information see the article Combating Oestrogens & Progesterone ).
As with testosterone suppression, the side effects of Anadrol revolving around hepatotoxicity are guaranteed. This is a C17-alpha alkylated (C17-aa) anabolic steroid, and regardless of genetics this makes it hepatotoxic. Liver enzyme values will increase with use. This does not mean damage has occurred, but it is an indicator of stress and possible damage to come . If your liver is not healthy you should not supplement with this steroid. If you are healthy enough for use, in order to avoid liver damage you will need to follow a set of guidelines. If you are healthy enough for use, if you follow these guidelines, while enzyme values will increase with use they will return to normal shortly after use is discontinued and no damage will be done. The guidelines are as follows: