While tremendously beneficial to the cutting phase and often considered essential to competitive bodybuilders during contest prep, Trenbolone Acetate is also a phenomenal off-season bulking steroid . When we refer to this hormonal compound as versatile, that is truly an accurate statement. There are very few anabolic steroids that can promote mass like Trenbolone Acetate. More importantly, the effects of Trenbolone Acetate in this regard are not only strong but are far cleaner than most traditional bulking steroids. This hormone will not and cannot promote water retention, meaning each and every pound of weight gained due to use will be lean muscle mass. Of equal importance will be this steroid’s ability to help the individual control fat gain during a period of growth. To achieve true growth, this will require total caloric intake to be slightly above maintenance levels. How far above will vary from one man to the next, and while many often take it too far, this phase will still require a slight surplus. Unfortunately, this necessary surplus will promote body fat gains but due to the metabolic factors that surround Trenbolone Acetate they will be minimized. This is not a license to eat like there’s no end in sight, you can still gain a lot of fat if you continually gorge but you should be able to make better use of your total caloric intake. Those who supplement with Trenbolone Acetate during off-season periods of growth should gain less body fat than they would have without it.
Side effects of anabolic steroids with relevance in forensic medicine are mainly due to life-threatening health risks with potential fatal outcome and cases of uncertain limitations of criminal liability after steroid administration. Both problems are typically associated with long-term abuse and excessive overdose of anabolic steroids. Side effects may be due to direct genomic or nongenomic activities (myotrophic, hepatotoxic), can result from down-regulation of endogenous biosynthesis (antiandrogenic) or be indirect consequence of steroid biotransformation (estrogenic).Logically, there are no systematic clinical studies available and the number of causally determined fatalities is fairly limited. The following compilation reviews typical abundant observations in cases where nonnatural deaths (mostly liver failure and sudden cardiac death) were concurrent with steroid abuse. Moreover, frequent associations between structural characteristics and typical side effects are summarized.
The most commonly used AAS in medicine are testosterone and its various esters (but most commonly testosterone undecanoate , testosterone enanthate , testosterone cypionate , and testosterone propionate ),  nandrolone esters (most commonly nandrolone decanoate and nandrolone phenylpropionate ), stanozolol , and metandienone (methandrostenolone).  Others also available and used commonly but to a lesser extent include methyltestosterone , oxandrolone , mesterolone , and oxymetholone , as well as drostanolone propionate , metenolone (methylandrostenolone), and fluoxymesterone .  Dihydrotestosterone (DHT; androstanolone, stanolone) and its esters are also notable, although they are not widely used in medicine.  Boldenone undecylenate and trenbolone acetate are used in veterinary medicine .