Anyone taking any form of testosterone supplement needs to keep track of their general health, especially their red blood cells, liver function, and cholesterol levels. Taking anabolic steroids can cause you to make too many red blood cells, leading to stickier blood that's more prone to clotting. All steroids (but particularly oral steroids) can cause liver inflammation and abnormal cholesterol results where LDL (bad) cholesterol rises and HDL (good) cholesterol falls to below-normal levels.
Our approach to testing for people taking steroids is to reduce harm by helping to highlight the impact of steroid use on your health. Some abnormalities can revert to normal once you stop taking steroids, but others can cause lasting damage, especially if your cycles are long. In particular, hypogonadism, where the testicles shrink and can no longer produce enough testosterone for fertility, mood, and general well-being, is a common and sometimes lasting side-effect of supplementing with testosterone. Our doctors will not judge you, so please tell them as much as possible about your steroid use when you take this test. Read more in our blog: the effects of steroids on the body.