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Nandrolone decanoate: Pharmacological properties and therapeutic use in osteoporosis Clinical Rheumatology

The defensive effect of silymarin against cardiac damage was studied by Avci et al.,2017 [36] who reported that silymarin improve the cardiotoxic histopathological effects induced by cyclophosphamide. Other study performed by Aktas and Ozgocmen, 2020 [37] showed that silymarin preserves the histological structure of the heart and effectively promotes the antioxidant defense system against valproic acid induced injuries. Frankenfeld https://r-18.gao-nn.com/2023/12/18/usa-embraces-quality-steroids-to-support/ et al., 2014 [32] showed a decrease in the activity of catalase enzyme after AS (nandrolone decanoate) intake. Gobalakrishnan et al., 2016 [29] explained the different mechanisms for silymarin induced hypo-cholesterolemic effect. Among these effects are the increased the production of LDL receptors on hepatic cells increasing the clearance of plasma LDL. Also, silymarin increases the conversion of cholesterol into bile acid.

Also, Arnold Schwarzenegger, the former professional bodybuilder and Hollywood star, has stated that he used steroids during his competitive bodybuilding days. Schwarzenegger has been open about his use of performance-enhancing substances like Deca Durabolin, attributing his impressive physique partly to their use. Synthetic steroidal androgens, most developed by 1970, comprise categories of 17α-alkylated androgens, 1-methyl androgens, and nandrolone and its derivatives. Nandrolone decanoate can stimulate the growth of cancerous tissue and should not be used in male patients with prostate cancer or breast cancer.

1. Endocrine and Genital Disorders

We can only speculate on the efficacy of higher doses of nandrolone decanoate or nandrolone decanoate administration in the weeks prior to the onset of disuse. The latter would be of interest but only applicable for those patients with elective, planned surgery. Clearly, the proposed benefits of nandrolone decanoate on preventing or attenuating muscle mass and strength loss during disuse are not as evident as anticipated. The present study shows that nandrolone decanoate administration does not represent an effective adjuvant pharmaceutical strategy to prevent or attenuate muscle disuse atrophy. Subjects received blinded treatment for 12 weeks, followed by open-label therapy for 12 weeks.

  • The level of MDA increased in group II with mean ± SD (2.8 ± 0.2) while decreased were in group III with mean ± SD (2.3 ± 0.1).
  • Initial reaction constituents of 1,4-dimetalation of the most electron deficient positions of the aromatic ring–in the case of an estrogen, the 1 and 4-positions.
  • As regards to the lipid profile, rats received AS showed a significant elevation in serum cholesterol, triglycerides and LDL levels and a significant decrease in serum HDL levels.
  • Aqueous extract was obtained by heating the powder for 5 min after soaking in drinking water followed by filtration.

This means that the ascending phase of the curve represents the disposition of nandrolone, and the descending part of the curve represents the rate-limiting process of release of nandrolone decanoate from the muscle into the general circulation (19). Therefore, the half-life in the descending phase of the curve is an estimate of the absorption half-life rather than the elimination half-life. The fact that the terminal half-life for the 50-mg dose was significantly shorter than those for the higher doses may be a result of the fact that nandrolone concentrations do not decrease in a monoexponential way, but, rather, with an increasing half-life over time. In the 50-mg group, the last nandrolone concentrations of the time curve were often below the limit of quantification. As a result, these time points were not taken into account for calculation of the terminal half-life. Consequently, in the low-dose group, the terminal half-life was, on the average, calculated over an earlier time interval than in the higher dose groups.

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They demonstrated an increase in the activity of SOD and decrease in MDA levels denoting a protective effect against lipid peroxidation and oxidative damage. Similarly, Aktas and Ozgocmen, 2020 [37] revealed in their study an increase in the activity of glutathione enzyme and decrease in MDA levels in cardiac tissue of rats treated by silymarin. Nandrolone Decanoate is one of the Class II anabolic androgenic steroids which quickly spread globally and used clinically and illicitly and composed of 19-nortestosterone-derivates [2].

Because of the serious health risks, most sports organizations have banned anabolic steroids like nandrolone. Also, there were non-significant decrease in Silymarin and fenugreek seeds extract. When, silymarin and fenugreek seeds extract were given with AS the levels of serum troponin decreased with no significant differences.Similarly, Kulaksiz and Sefa, 2019 [18] reported an increase in the serum levels of troponin in testosterone treated rats.

Nandrolone decanoate and intranasal calcitonin as therapy in established osteoporosis. Characteristics of steroid of hormone receptors in cultured MC3T3–El osteoblastic cells and effect of steroid hormones on cell proliferation. The prevalence of osteophytes was 63% in the ND group and 52.3% in the placebo group. Aorta calcification was observed in 40.7% of the ND group and in 47% of the placebo group. Approximately 30% of the participants in the ND group and 28.5% of the placebo group demonstrated both changes. Using standardized procedures, X-rays of thoracic and lumbar spine were taken of all participants at baseline and after 2 years of treatment.

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Overall, the cohort was composed of 49 men and 30 women; 46 (58%) were black, 19 (24%) were Asian or Pacific Islander, and 14 (18%) were white (including 10 of Hispanic ethnicity). The average age of study participants was 56 ± 13 yr with a range of 26 to 88. There were no significant differences in baseline patient characteristics across study groups (Table 1).

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Notably, men could experience side effects such as testicular atrophy, erectile dysfunction, or a reduced sperm count. On the other hand, if women surpass the suggested dosages, they might face virilization symptoms including voice deepening, unusual hair growth, or menstrual cycle changes. Navigating steroid use cautiously and maintaining recommended dosages can help ensure Deca Durabolin’s benefits are maximized, while the potential side effects remain at bay. Within the first month of using Deca Durabolin, users may start observing a considerable change in their physique. While it’s not rapid-acting like some other steroids, within four weeks, a gradual increase in muscle can be seen, often around 5 to 10%.

Muscular Size and Strength

Patients also were timed while walking up one flight of stairs and while rising from a chair five times. The actions of androgens could be antagonized by 5-alpha reductase inhibitors (i.e., dutasteride, finasteride).1011 Avoid concurrent use of androgens with 5-alpha-reductase inhibitors. Nandrolone decanoate injection is classified as a Schedule III controlled substance under the Anabolic Steroids Control Act of 1990. Abdelhafez, 2014 [46] showed highly degenerated muscle fibers with areas of hemorrhage and widened endomysium. Surai, 2015 [38] reported that silymarin is a potent antioxidant inhibiting the lipid peroxidation and prevents the reduction of glutathione enhancing the activity of antioxidants enzymes. Histopathological examination of the skeletal muscle obtained from group I, III and IV were normal (Fig. 2a), (Fig. 2c) and (Fig. 2d) respectively.

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