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It’s worth noting that bodybuilders often consume significantly higher dosages of anabolic steroids, compared to in medical settings; thus increasing the risk of side effects. Furthermore, bodybuilders often take steroids without having regular check ups with a medical doctor, which is a further risk. However, below are the most mild and least destructive steroids a bodybuilder can take: Testosterone Anavar Deca durabolin. Testosterone is an FDA-approved injectable steroid, used to treat millions of men all over the world, who are deficient in natural testosterone, good steroids to build muscle. This is known as testosterone replacement therapy, or TRT. Testosterone was included in the World Heath Organization’s List of Essential Medicines , regarded as crucial for treating endocrine disorders (1). In 2017, it was the 132nd most prescribed medication throughout the U. S (2); with over 5 million prescriptions (3). From 2001 to 2011 testosterone prescriptions have tripled (4), indicating a current low testosterone epidemic. In bodybuilding, testosterone is predominantly used in bulking cycles to add large amounts of muscle and strength; however it’s also utilized in cutting cycles to retain muscle hypertrophy. When injected correctly, it can be argued that testosterone is one of the safest steroids available. Testosterone causes hefty gains in muscle size (20-30lbs) and remains as one of the most popular steroids in bodybuilding; despite coming to market over 80 years ago. If injected incorrectly, any steroid or medication can be dangerous (or fatal). However, there is oral testosterone available (undecanoate) for those wanting to avoid needles. Oral testosterone is less commonly used in bodybuilding, compared to injectables, due to its higher market price. Testosterone poses little to no hepatic concern (liver stress), due to it being an injectable and thus entering the blood stream immediately; instead of the liver having to filter it. Oral testosterone (undecanoate) is also safe for the liver, with it being absorbed via the intestinal lymphatic route; thus preventing hepatic strain. One study gave 2,800mg per week of testosterone undecanoate to male subjects for 21 days (5); yet none of them experienced any hepatotoxic stress, despite such an exceedingly large dose. Testosterone is likely to increase blood pressure, due to a redistribution of HDL/LDL cholesterol levels. However, such cholesterol fluctuations are mild, compared to other anabolic steroids. There are a couple of reasons why testosterone doesn’t negatively affect blood pressure significantly. Firstly, it converts to estrogen, with the female hormone having a positive effect on blood lipids. Secondly, testosterone doesn’t pass through the liver, thus failing to stimulate hepatic lipase, an enzyme which can skew cholesterol levels in the wrong direction. There is evidence oral testosterone may even improve cardiovascular health, when therapeutic doses are administered in overweight men (6). This however is likely to be correlative, with a reduction in fat mass likely being the culprit for such reductions in BP.
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