References: 1. Bikowski J, Pillai R, Shroot B. The position not the presence of the halogen in corticosteroids influences potency and side effects. J Drugs Dermatol . 2006;5(2):125-130. 2. Del Rosso J, Friedlander SF. Corticosteroids: options in the era of steroid-sparing therapy. J Am Acad Dermatol . 2005; 53(1 Suppl 1):s50-s58. 3. US Food and Drug Administration NDA 017765. Promius Pharma, LLC, Princeton, NJ: Aug 1977. 4. Rosenthal AL. Clocortolone pivalate: a paired comparison clinical trial of a new topical steroid in eczema/atopic dermatitis. Cutis . 1980;25(1):96-98. 5. Kircik LH. A study to assess the occlusivity and moisturization potential of three topical corticosteroid products using the skin trauma after razor shaving (STARS) bioassay. J Drugs Dermatol . 2014;13(5):582-585. 6. Cloderm [package insert]. Princeton, NJ: Promius Pharma, LLC; 2017.
All bets are off the table when high-dose testosterone and its many metabolites are used illegally, such as with anabolic steroid abuse. Strokes, embolisms, and cardiovascular disease are all more likely, as is sudden death, and liver and kidney disease. 44 In women, acne, irreversible deepening of the voice, baldness, increased facial hair, enlarged sex organs, breast reduction, depression, and infertility have all been reported. In adult men that abuse anabolic steroids, acne, baldness, permanent infertility, gynecomastia, loss of libido, erectile dysfunction, testicle shrinkage, and profuse sweating are all reported side effects. Increased testicular cancer hasn't been reported, though. 45,46
Nolvadex is widely available and one of the easiest items on earth to obtain. In the . it is not classified as controlled substance; however, true legal possession will require a prescription. On the black market, nearly all anabolic steroid suppliers carry the SERM and counterfeits, while possible appear to be very rare. The SERM as with many related items is also available through research chemical labs (RCL’s). These RCL’s have found a loophole in the law that allows them to legally manufacture and sell SERM’s, AI’s, Peptides and many other items so as long as it’s for research only. This allows anyone to make a related purchase without a prescription and legally so. However, many of these RCL’s are very low grade. It’s common for their products to lose potency fast, to be unstable, and in some cases, so heavily concentrated they’re hard to dose. While there is a lot of garbage out there, there are quite a few very good RCL’s on the market. A little digging and you’ll easily find one.