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The side effects of Androderm can include high blood pressure due to high levels of water retention. However, water retention is highly unlikely due to the low level dosing plans that will be prescribed and easily combatable with anti-estrogen medications if needed. The use of exogenous testosterone can also have a negative impact on cholesterol, particularly in the suppression or reduction of HDL cholesterol. However, therapeutic doses of testosterone to even moderate performance doses do not appear to have a strong, negative statistical impact on cholesterol when testosterone is used alone. When the use of an AI is conjoined with testosterone, this does appear to create a notable impact on HDL reductions. A negative impact cannot occur with the use of a SERM; in fact, SERM’s will actually improve cholesterol levels due to their estrogenic activity in the liver.
While cholesterol issues are possible, they are also easy to avoid. AI’s should not be used unless necessary, but even if necessary healthy cholesterol levels can be maintained with a healthy lifestyle. Limiting saturated fats and simple sugars is a good place to start along with plenty of omega fatty acids. Daily fish oil supplementation is recommended as is daily cardiovascular activity.
Testosterone enanthate ( USAN , BAN ) (brand names Delatestryl , Testostroval , Testro LA , Andro LA , Durathate , Everone , Testrin , Andropository ), or testosterone heptanoate , is an androgen and anabolic steroid and a testosterone ester .    Along with testosterone cypionate and testosterone propionate , it is one of the most widely used testosterone esters.  Testosterone enanthate was first introduced in 1952.  Administered via intramuscular injection , it is the most widely used form of testosterone in androgen replacement therapy .