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Testosterone propionate is preferred by most bodybuilders but it is not readily available. The drug has been claimed to promote good health, increase exercise performance and leads to a positive nitrogen balance. There are reports that it also selectively decreases fat and increases muscle mass. Sometimes the water retention can be quite dramatic and some individuals do take a diuretic pill to remove it.
To prevent the breast enlargement, testosterone propionate is cycled with drugs like Arimidex or Tamoxifen. Most individuals take the testosterone for 4-6 weeks and then stop for a few weeks. During this wash out phase, one may use Arimidex.
All testosterone analogues have the potential to cause virilizing effects when the duration of use is prolonged. In females, these virilizing signs may be deepening of voice, excessive hair growth, irregular menstrual cycles, mood alterations and clitoral enlargement. It is recommended that at the first sign of virilizing symptoms the drug should be stopped. The reason for this is that some of the virilizing signs may not be reversible even after discontinuation of the steroid.
Like all anabolic steroids, testosterone propionate has a few side effects. These side effects are generally mild and well tolerated. The majority of individuals do see some side effects after 2-4 months of therapy. The most common side effects include:
irregular menstrual cycles
painful penile erections
hair loss, acne oily skin
retention of body water
nausea, vomiting, jaundice
liver cancer (rare)
mental changes, depression, headaches, anxiety,
increased serum cholesterol
While most of these side effects are reversible, the breast enlargement and some virilizing effects are not. The concomitant use of estrogens to diminish the side effects of virilization is not always helpful.
The drug should be used very cautiously in individuals with:
breast cancer and hypercalcemia
There have been isolated reports of individuals developing a dry cough, breathing difficulties after injection with testosterone propionate. This has been linked to the oil based preparation or a contaminant in the formulation.
All individuals who use testosterone should have their liver enzymes and blood hematocrit regularly checked to ensure that they are within normal limits.
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