Nandrolone chemical structureQV Nandrolone Deca, a form of nandrolone abused by atheletes.
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Durabolin

Nandrolone is an anabolic steroid occurring naturally in the human body, albeit in small quantities. Nandrolone is most commonly sold commercially as its decanoate ester (Deca-Durabolin) and less commonly as a phenylpropionate ester (Durabolin). Nandrolone use is indirectly detectable in urine tests by testing for the presence of 19-norandrosterone, a metabolism product of this molecule. The International Olympic Committee has set a limit of 2 ng per ml of urine as the upper limit, beyond which an athlete is suspected of doping. more...

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Urine analysis as a method of detecting nandrolone abuse has recently become somewhat controversial, following studies by the University of Aberdeen showing that the metabolite product can also show up in urine in quantities above the upper limit from a combination of high-protein diets utilising the legal nutritional supplement creatine and hard cardiovascular exercise. The reason for this unexpected result has not been determined. Another possible (though unlikely) reason for a false positive result is the consumption of beef from cattle treated with steroids including nandrolone (used in overturning the verdict against the bobsleigh racer, Lenny Paul). A final possible cause of incorrect urine test results is the prescence of metabolites from other anabolic steroids. However, as all such substances are also banned, this source is somewhat insignificant when interpreting the results of such a test. As a result of the numerous overturned verdicts, the testing procedure was reviewed by UK Sport in 2000.

Nandrolone binds to the androgen receptor to a greater degree than testosterone, but due to its inability to act on the muscle in ways unmediated by the receptor, has less overall effect on muscle growth. The drug is also unusual in that unlike most anabolic steroids, it is not broken down into the more reactive DHT by the enzyme 5α-reductase, but rather into a less effective product. As such, some of the negative effects associated with most such drugs are somewhat mitigated.

The positive effects of the drug include muscle growth, appetite stimulation and increased red blood cell production and bone density. Clinical studies have shown it to be effective in treating anaemia, osteoporosis and some forms of neoplasia including breast cancer, and also acts as a progestin-based contraceptive. For these reasons, nandrolone received FDA approval in 1983, and while sale is now restricted by the Controlled Substances Act, it remains available by prescription in most countries. In addition to legal production, Nandrolone is also extensively produced and used illegally by athletes and bodybuilders seeking an edge in professional competition.

Because nandrolone is not broken down into DHT, the deleterious effects common to most anabolic steroids on the scalp, skin, and prostate are lessened to a degree. The lack of alkylation on the 17α-carbon drastically reduces the drug's liver toxicity. Estrogenic effects resulting from reaction with aromatase are also mitigated as a result of the drug being a progestin, but effects such as gynaecomastia and reduced libido still occur in larger doses. Other side-effects can include erectile dysfunction and cardiovascular damage, as well as several ailments resulting from the drug's effect of lowering levels of luteinizing hormone through negative feedback.

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Nandrolone disappears in U.S., generic may return in July - Deca Durabolin - Brief Article
From AIDS Treatment News, 6/28/02 by John S. James

In late May or early June treatment activists learned that the only version of nandrolone currently available in the U.S. (brand name Deca Durabolin) was being discontinued. Soon we started hearing from patients whose pharmacies told them they could not find the drug. Nandrolone is approved for anemia due to renal insufficiency, but many doctors use it off label for AIDS wasting. (1,2,3) Usually the patients, doctors, and pharmacists had heard nothing about the drug going away. It just disappeared from the supply chain.

Nandrolone remains available in other countries. But because it is a controlled substance due to abuse by body builders, patients cannot import those products for personal use. Until three years ago there were lower-cost generic nandrolone products available in the U.S. Then they also disappeared with little notice.

Other anabolics that had also been used off label in AIDS have been discontinued -- and then later come back with an HIV label (FDA approval for the HIV use), but with a huge price increase, typically more than 10 times their former cost. We do not know if that will happen with nandrolone.

Activists have investigated and been told that a new generic nandrolone will be available after the July 4 weekend. But what we have heard so far is confusing and contradictory.

Recently we heard that a compounded version of nandrolone is available now.

Because the situation is unclear and rapidly changing, check Web sites of organizations that have been following this issue, including http://www.houstonbuyersclub.com, http://www.atac-usa.org, and http://www.medibolics.com for the latest information.

References

(1.) Sattler FR, Jaque SV, Schroeder ET, and others. Effects of pharmacological doses of nandrolone decanoate and progressive resistance training in immunodeficient patients infected with human immunodeficiency virus. Journal of Clinical Endocrinology and Metabolism. April 1999; volume 84, number 4, pages 1268-1276.

(2.) Strawford A, Barbieri T, Neese R, and others. Effects of nandrolone decanoate therapy in borderline hypogonadal men with HIV-associated weight loss. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirology. Feb. 1999; volume 20, number 2, pages 137-46.

(3.) Gold J, High HA, Li Y, and others. Safety and efficacy of nandrolone decanoate for treatment of wasting in patients with HIV infection. AIDS. June 1996; volume 10, number 7, pages 745-52.

COPYRIGHT 2002 John S. James
COPYRIGHT 2002 Gale Group

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