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SERMs are more optimal than taking AI’s, in relation to cardiovascular health, with SERMs having no adverse effects on blood lipids (3). Steroid-users may also opt for less estrogenic steroids, in an attempt to avoid this visually unpleasant side effect. Some examples of hihgly estrogenic steroids are: anadrol, dianabol and testosterone. Some examples of anabolic steroids that fail to aromatize (and convert to estrogen) are: trenbolone, anavar and winstrol. Further implications of estrogenic steroids are water retention and bloating. Estrogen increases osmotic sensitivity (4) and sodium retention, due to fluctuations in aldosterone (5); thus causing extracellular fluid to accumulate (outside the muscle cells). This contributes to a decrease in muscle tone and higher incidents of bloating in users, with the extent of which depending on the dosage. Many weight lifters and bodybuilders administer significantly higher dosages of AAS today, compared to those in previous generations, resulting in bigger waistlines and puffier physiques. Steroid-induced water retention can also cause extremely full and even 3D-looking muscles, tri-test 400 mg injectable steroids sustanon (testosterone blend). This is due to increased glycogen uptake inside the muscle cells, causing exceptional thickness and a constant pumped look. Increased Visceral Body Fat. Steroid-users can be lean, yet have a bloated or fat-looking stomach. This isn’t always attributed to water retention, but instead higher levels of visceral fat (VF). Visceral fat is adipose tissue that accumulates around vitals organs, such as the liver and intestines. This type of fat isn’t visible to the naked eye (unlike subcutaneous fat), however it can cause the abdomen to have a protruding appearance. High levels of VF are associated with increased health risks, such as cardiovascular disease and type II diabetes. One study measured the body fat percentage of ex-steroid users and found them to have less fat mass (on average), compared to non steroid-users (3). However, the steroid-user group had higher levels of visceral fat, compared to males who had never taken AAS. This increase in visceral fat is due to impaired insulin sensitivity, caused by anabolic steroids, which can prolong for several years after steroid cessation. In contrast, natural bodybuilders can display very tiny waists at low levels of body fat, with no distension or bloating (from the midsection). Although many anabolic steroids increase visceral fat, there is evidence to suggest certain steroids may reduce VF; at least in the case of anavar (oxandrolone). In one study they found anavar-use not only resulted in less subcutaneous fat, but also less visceral fat; compared to testosterone (4). This may be linked to anavar improving insulin sensitivity, rather than worsening it (5,6). If women use highly androgenic steroids, they may experience virilization effects, otherwise known as masculinization. Such adverse effects include: Irregular menstrual cycles Clitoral enlargement Breast reduction Hair growth (on the body) Hair loss (on the scalp) More pronounced jawline Adam’s apple (laryngeal prominence) There are however some female-friendly steroids that have a low virilization risk, such as: anavar and primobolan.
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