A very typical case of severe cholestasis due to anabolic steroid use. Because the steroids were being used without medical supervision, the dose and actual duration of use of each preparation was unclear, but cholestasis usually arises within 4 to 12 weeks of starting a C-17 alkylated androgenic steroid. The jaundice can be severe and prolonged and accompanied by severe pruritus and marked weight loss. The serum enzymes are typically minimally elevated except for a short period immediately after stopping therapy. The pattern of enzyme elevations can be hepatocellular, cholestatic or mixed. Liver biopsy shows a “bland” cholestasis with minimal inflammation and hepatocellular necrosis. Ma Huang has also been implicated in cases of drug induced liver injury, but is associated with an acute hepatocellular pattern of injury.
Superdrol is a decent anabolic steroid, but we would not call it superior or even “Super” as its marketing campaign once implied. What truly makes this steroid special was a group of men who recognized a hole in the steroid law and were able to capitalize on it, and in turn, make a nice profit. Due to the marketing and ease of purchase that existed for a long time, many athletes fell in love with this steroid, and it is a fine steroid, but there’s nothing magical or superior going on. Superdrol is a very basic anabolic steroid.
DHEA is a naturally occurring steroid hormone produced in the adrenal glands by both men and women. Production of it decreases with age. DHEA is not recommended for people under 40 years of age, unless DHEA levels are known to be low (<130 mg/dl in women and <180 mg/dl in men). Therapeutic doses of 10-50mg of DHEA are used by many mature individuals (age 40+) for increase in perceived physical and psychological well-being (improved quality of sleep, more relaxed, increased energy, better ability to handle stress, improved depressive state)1. For men or women who have either adrenal insufficiency or hypopituitarism, although gluco-and mineralocorticosteroid replacement is needed, 50 mg a day of DHEA is sufficient for replacement2. Studies have shown no dangerous side effects from DHEA supplementation when taken in normal recommended therapeutic doses3. With respect to potential increase of the urinary testosterone/epitestosterone ratio (T/E) through DHEA supplementation, studies support DHEA use of 50mg/day or less having only slightly affected levels for a short period of time (2–5 h) without exceeding the 6:1 current acceptable ratio for NANBF and the IPE. DHEA’s effectiveness as an anabolic or energy-producing agent remains unproven.