Many abusers who inject anabolic steroids may use nonsterile injection techniques or share contaminated needles with other abusers. In addition, some steroid preparations are manufactured illegally under nonsterile conditions. These factors put abusers at risk for acquiring lifethreatening viral infections, such as HIV and hepatitis B and C. Abusers also can develop endocarditis, a bacterial infection that causes a potentially fatal inflammation of the inner lining of the heart. Bacterial infections also can cause pain and abscess formation at injection sites.
Experienced users can opt for slightly higher levels of dosage. However, like other steroids, Dianabol’s effects too plateau off beyond a certain dosage, and majority of experienced users keep themselves well below the dose range of 70-80 mg per day. However, they can augment Dianabol’s anabolic properties with a stack of other steroids used for mass building. Deca-Durabolin and Testosterone Enanthate are two steroids that can complement Dianabol . Consuming a diet rich in calories and essential nutrients is also important during Dianabol treatment. This anabolic/androgenic steroid has been the favorite of bodybuilders for several decades now and when used within recommended limits, and with a well-balanced diet can result in remarkable muscle growth.
Some bodybuilders and athletes use trenbolone for its muscle-building and otherwise performance-enhancing effects. [ citation needed ] Such use is illegal in the United States and many other countries. The DEA classifies trenbolone as a Schedule III controlled substance under the Controlled Substances Act .  Trenbolone is classified as a Schedule 4 drug in Canada  and a class C drug with no penalty for personal use or possession in the United Kingdom .  Use or possession of steroids without a prescription is a crime in Australia .  The infamous "duchess" cocktail administered to Russian athletes at the Sochi Winter Olympics consisted of oxandrolone , metenolone , and trenbolone.