Metabolic/Endocrine: Decreased glucose tolerance (see PRECAUTIONS ), increased serum levels of low-density lipoproteins and decreased levels of high-density lipoproteins (see PRECAUTIONS , Laboratory Tests ), increased creatine and creatinine excretion, increased serum levels of creatinine phosphokinase (CPK). Reversible changes in liver function tests also occur, including increased Bromsulphalein (BSP) retention and increases in serum bilirubin , glutamic-oxaloacetic transaminase ( SGOT ), and alkaline phosphatase .
Since these steroids are meant to improve performance and increase muscle tissue, the heart is going to be affected in one way or the other. Prolonged usage may lead to different cardiovascular problems like increased cholesterol levels, high blood pressure, abnormally high red blood cells count and enlargement of the heart as well as irregular heartbeats. This is owed to the enhanced characteristic of the anabolic androgenic steroid. These problems may lead to heart attacks and failures that may prove to be fatal. However, it should be known that these issues arise with misuse of the steroid.
If you’re looking for an injectable alternative, it should be noted that the most potent bulking steroids come in oral form. It is difficult (if not impossible) to duplicate the effects of Anadrol or Dianabol, which are the two kings of bulking, in an injectable form. If you prefer injections, consider using the pill form of Anadrol 50 at the front-end of a cycle with Trenbolone or even Deca Durabolin for four weeks. This will help you jumpstart your gains, allowing you to swap off to the injectable steroid at the fourth week. The chart below shows this and other alternatives for you to get your gains with injectable steroids.