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Being an oral C17-alpha alkylated anabolic steroid, we know straight off that Dianabol is going to cause stress to the liver. Needless to say, this is a steroid with pronounced androgenic effects that generally should be avoided by females unless she is happy to tolerate the side effects. Luckily, this conversion of testosterone to dihydrotestosterone from Dianabol is relatively low, so DHT levels should not spike too much with this steroid. Being an oral steroid, Dianabol will cause C17-alpha alkylation, which is a modification to the 17th carbon position. This is why we utilize Nolvadex (tamoxifen), which reduces estrogen levels while simultaneously having a positive effect on cholesterol levels (15). Research has found estrogen to have a positive effect on HDL cholesterol levels (14). A common incident of moobs in men is the result of excessive chest fat, which can be corrected via fat loss and muscle-building exercises targeting the pectoral region. Severe gynecomastia from steroid use can be treated in several ways. Gynecomastia occurs when a man’s hormones become imbalanced and estrogen levels (the female sex hormone) rise excessively. It’s the androgenic activity that causes problems for females who want to use Dianabol. However, if you’re considering using a drug like the 5a-reductase inhibitor (anti-androgen) Finasteride to treat hair loss, it is unlikely to be effective against Dianabol. When DHT levels are high, androgens are also high, and this can also lead to the development of acne. The leading cause of these adverse effects is Dbol’s 5-alpha reductase enzyme metabolization. A rule some guys use is to have the time off duration double that of your cycle.