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It is therefore highly advised that any Turinabol user engage in a proper PCT (Post Cycle Therapy) protocol, which should always include the use of Testosterone production stimulating ancillary compounds, such as Nolvadex and/or HCG (Human Chorionic Gonadotropin) for an average PCT period of 4 ‘ 6 weeks following the end of a cycle of any anabolic steroid regardless of how ‘mild’ it is claimed to be in terms of its impacts on the HPTA. No anabolic steroid cycle, whether it includes a compound that is considered as safe as Turinabol, should ever end without a PCT protocol superseding it. Failure to do so can result in permanent damage to the HPTA, whereby the individual will insufficiently produce proper levels of Testosterone for the remainder of his life, which if left untreated will ultimately medical intervention in the form of TRT (Testosterone Replacement Therapy). Because Turinabol is in fact a C17-alpha alkylated oral anabolic steroid, it does exhibit negative effects on the liver. Although clinical data in regards to the level of liver toxicity from Turinabol is very hard to come by, logic would suggest that due to its very low androgenic strength, liver toxicity would be minor but still existent. The fact that many East German Olympic athletes prior to 1990 were administered Turinabol for several years without significant liver problems1. However, it is important to understand that in the case of the East German athletes, the dose administered was between 5 ‘ 35mg per day, and often times at the low end of this range. Therefore, there would be a significant difference in potential hepatotoxicity between an individual running Turinabol for 8 weeks at 15mg per day, and an individual running Turinabol for 8 weeks at 80mg per day. Even the original manufacturer pamphlets in the prescription Turinabol packages recommended that regular liver function tests be conducted during use due to the fact that liver function can be significantly affected by high dose use. With that having been said, Turinabol is, however, one of the oral anabolic steroids that is considered the least hepatotoxic (alongside Anavar and Primobolan) ‘ but the risk of possible liver damage cannot be excluded, especially with higher dose use. Negative cardiovascular risks, side effects, and cholesterol changes are a known side effect shared by all anabolic steroids, and this side effect does apply to Turinabol side effects. Negative cardiovascular side effects resultant from anabolic steroid use involves the reduction of HDL (the good cholesterol) and increases of LDL (the bad cholesterol). 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