As many other steroids, Di-Anabol-20 has many potential side effects, but they are rare when the daily dosage is up to 20 mg. This steroid is I 7-alpha-alkylated, so it can be toxic to liver when it is taken in high dosage and for a long period of time. Di-Anabol-20 strongly converts into estrogens and in some athletes causes gynecomastia. To avoid such effects it is recommended to take such drugs as Nolvadex and Proviron. Because of androgenic component the sebaceous gland is stimulated and it can cause acne vulgaris on the face, neck, chest, back and shoulders.
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