contraindications: Contraindicated in individuals with diagnosed or suspected androgen-sensitive malignancies, including prostate carcinoma.
Not for use in women of childbearing potential; Nandrolone is classified as a virilising agent and carries teratogenic risk.
Individuals with hepatic impairment, nephrotic syndrome, or hypercalcaemia should not use this compound without specialist medical supervision.
Contraindicated alongside anticoagulant therapy — Nandrolone potentiates anticoagulant effect, increasing haemorrhagic risk.
side_effects: HPTA suppression leading to endogenous testosterone reduction — onset within the first weeks of use at standard doses.
Elevated serum prolactin levels secondary to 19-nor compound use; may manifest as lactation or sexual dysfunction if unmanaged.
Fluid retention and oedema, particularly at higher weekly doses exceeding 400 mg, driven by aldosterone-pathway interaction.
Potential for mood alteration, including aggression or depressive episodes, linked to altered androgen-to-oestrogen signalling during use.
monitoring: Baseline and on-cycle serum testosterone, LH, FSH, and prolactin panels are essential — minimum every 6–8 weeks during active use.
Monitor haematocrit and haemoglobin; Nandrolone's EPO-stimulating mechanism can raise red blood cell mass above safe thresholds.
Track hepatic enzyme panels (ALT, AST) and lipid profiles (LDL/HDL ratio) at each monitoring interval.
Blood pressure monitoring is advised; fluid retention can elevate systolic and diastolic readings during the cycle.
pct: Initiate PCT no earlier than 3–4 weeks after the final injection to allow sufficient plasma Nandrolone clearance before SERM therapy begins.
Standard PCT protocols employ Tamoxifen (Nolvadex) at 40 mg/day for the first two weeks, reducing to 20 mg/day for weeks three and four.
Prolactin management with a dopamine agonist (cabergoline) should be considered where serum prolactin was elevated during cycle.
Repeat full hormonal bloodwork four weeks post-PCT to confirm HPG axis recovery before considering any subsequent cycle.