contraindications: Known or suspected androgen-dependent malignancies (prostate or breast cancer)
Hypercalcaemia or hypercalciuria in immobilised patients
Severe hepatic impairment
Allergy to testosterone enanthate or sesame/castor oil excipients
Pregnancy or planned pregnancy
side_effects: Oestrogen-mediated effects (fluid retention, gynaecomastia) from aromatisation — aromatase inhibitor co-administration may be required
Androgenic effects: accelerated scalp hair loss in genetically predisposed individuals, acne vulgaris
Polycythaemia: haematocrit elevation monitored by full blood count at 6-week intervals
Endogenous testosterone suppression and testicular atrophy during cycle
Injection-site reactions: transient discomfort, erythema, induration — rotate sites systematically
monitoring: Serum total and free testosterone, SHBG, and haematocrit at baseline and every 6 weeks
Lipid panel (LDL, HDL) by enzymatic assay: testosterone use is associated with dose-dependent HDL reduction
PSA screening in males over 40 at baseline and at cycle mid-point
Liver enzymes (AST, ALT) when oral anabolics are co-stacked as synergy partners
Blood pressure monitoring — twice weekly during peak-phase of synergy protocol
pct: Initiate SERM-based PCT (e.g. Tamoxifen or Clomiphene, per prescriber protocol) approximately 14 days after the final Testosteron Depo injection to allow enanthate clearance before HPTA recovery begins. Extended synergy stacks of 12 weeks or more typically require 4–6 weeks of PCT.