A very typical case of severe cholestasis due to anabolic steroid use. Because the steroids were being used without medical supervision, the dose and actual duration of use of each preparation was unclear, but cholestasis usually arises within 4 to 12 weeks of starting a C-17 alkylated androgenic steroid. The jaundice can be severe and prolonged and accompanied by severe pruritus and marked weight loss. The serum enzymes are typically minimally elevated except for a short period immediately after stopping therapy. The pattern of enzyme elevations can be hepatocellular, cholestatic or mixed. Liver biopsy shows a “bland” cholestasis with minimal inflammation and hepatocellular necrosis. Ma Huang has also been implicated in cases of drug induced liver injury, but is associated with an acute hepatocellular pattern of injury.
Anabolic steroids differ in their characteristics, which means there are steroids that are only suitable for specific uses. For instance, Trenbolone is not recommended for bulking but it is an outstanding fat burner. This makes it perfect for a lean mass cycle or a cutting cycle. Always take the side effects of a particular compound into consideration whenever you plan a stack. Do not combine anabolic steroids that show similar side effects. For example, never combine Anapolon and Dianabol because they are already quite toxic and if you combine them, the toxicity will increase exponentially and cause serious damage to your body.
Beyond testosterone, there are a few other anabolic steroids that can be labeled safe steroids in the ultimate sense. Such steroids that meet this end include Anavar, Deca-Durabolin, NPP or Durabolin, Primobolan Depot, and to a degree Equipoise. With responsible use, these steroids will rarely produce side-effects, and if they do they can be very easy to control with slight adjustments. Of course, you probably noticed there are several steroids missing from the ones we just listed, but that doesn't mean they can't meet the safe steroids requirements. Steroids like Dianabol, Masteron, Trenbolone and Winstrol can be used very safely, but they simply do not carry a safety rating as high as the ones mentioned before.