The Oxandrolone hormone does not carry any estrogenic related side effects. It does not aromatize and cannot lead to gynecomastia or water retention due to increases in estrogen levels. It further carries no progestin related activity, which again supports no estrogenic related side effects. Due to water retention being impossible with this steroid, this will decrease the risk of high blood pressure. Excess water retention can promote high blood pressure. Some steroids that do not aromatize can lead to high blood pressure, such as Trenbolone , but Anavar is rarely associated with this trait.
Currently, the SHBG test is not performed frequently or routinely. In many cases, health practitioners feel that the total testosterone , and perhaps free testosterone (as measured by a method called equilibrium dialysis), provides sufficient information. SHBG is ordered primarily when the total testosterone results do not seem to be consistent with clinical signs and symptoms , such as infertility, decreased sex drive, and erectile dysfunction in men or infertility , irregular menstrual periods, and excess facial and body hair in women.
Some side effects of prohormone supplementation can include acne breakouts, temporary hair loss, and increased sensitivity of the breast tissue. To help minimize these undesirable side effects, many users add a process known as post cycle therapy. Completing post cycle therapy entails taking an additional supplement that will offset spikes in testosterone levels and clear any toxins that have accumulated in the liver. Since prohormones are processed and broken down in the liver, it can add more stress on this organ than normal. These supplements can also lead to increases in blood pressure, which is another reason why post cycle therapy is a good idea.