Oxandrolone is most certainly a hepatotoxic steroid. It does not carry the strongest level of hepatotoxicity among anabolic steroids, but it is stronger than most. This is due to it being a C17-aa anabolic steroid. All C17-aa steroids are hepatic, but the level of toxicity varies greatly between them. Due to this steroid’s strong hepatotoxicity, this is why total use must be limited (see administration section).
Due to use, those who supplement with Anadrol will find their liver enzyme values increase. An increase in values is not a sign of damage but rather a sign of stress that can lead to damage if responsible practices are not followed and the stress is allowed to remain. Proper dosing and duration of use protocols are imperative when it comes to this steroid. Further, it is important the individual avoids excess alcohol consumption when supplementing with this steroid due to the liver stress such consumption will cause. In fact, most will find avoiding all alcohol to be best during use. If this is a problem and you are supplementing for the purpose of performance enhancement remember there is nothing on earth that is as anti-performance as alcohol. Those who supplement are also encouraged to limit their use of Over the Counter (OTC) medications. Many OTC medications carry strong hepatic natures, and the added stress can be extensive when coupled with Anadrol. Use should be limited to when only absolutely needed. If these rules can be followed, once use is discontinued liver enzyme values will return to normal and no damage will be done. As a final note, Anadrol should not be used if the liver is unhealthy.
The patient should be positioned for comfort, ., in Sims position (lying on the left side with knees and hips comfortably flexed). A chaperone and/or a drape should be provided for patient safety, comfort, and dignity. After an explanation of the procedure to the patient, several mL of surgical lubricant are placed on the examiner's glove, usually on the index finger. The examiner visually inspects the anus and perineum, then places the gloved finger on the anal opening while asking the patient to bear down gently. After the finger enters the anus, it is used to sweep circumferentially around the interior of the distal intestine. It is then directed anteriorly (when examining a male patient) to evaluate the consistency, size, and nodularity of the prostate gland. Samples of stool obtained during the exam may be sent to the lab to test them for the presence of occult blood.