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Surface here is educational only; do not use without medical supervision. Our editorial verdict is SKIP-FOR-NOW — current cost / risk / redundancy puts it below the line.
Ostarine
Non-steroidal SARM with bone/muscle tropism — milder than LGD-4033 in both efficacy and HPG suppression, but not innocent.
Aliases (7)
Overview
What is Ostarine?
Ostarine (MK-2866, enobosarm) is a non-steroidal selective androgen receptor modulator (SARM) developed by GTx Inc., investigated for muscle wasting, cachexia, and osteoporosis. It is not FDA-approved and is banned by WADA for athletic use.
Key Benefits
Promotes lean muscle gain and bone density without the androgenic side effects (acne, hair loss, prostate effects) typical of anabolic steroids. Used in research for sarcopenia, muscle wasting in cancer cachexia, and stress urinary incontinence.
Mechanism of Action
Selective tissue-specific agonist at the androgen receptor (AR), with preferential anabolic activity in skeletal muscle and bone over prostate, sebaceous, and hair follicle tissue. Recruits coactivators that drive muscle protein synthesis without full prostatic activation.
Pharmacokinetics
▸ Cycle structure & PCT AAS oral
Ramp dose over week 1, hold steady through cycle weeks. Track baseline labs (TT/FT/E2/SHBG/HCT/lipids/LFTs) at week 0; recheck at week 4 and end-of-cycle.
On the last dose, the ester clears over its half-life window . PCT begins after the active compound has cleared.
Standard PCT is enclomiphene 12.5-25 mg/day or clomid 50/50/25/25 over 4 weeks (or nolvadex 20/20/10/10). HCG bridge optional during cycle to preserve testicular volume + faster restart. Bloodwork at PCT week 4 + 8 to confirm HPG axis recovery (LH, FSH, TT back to baseline).
Peptide Interactions
independent additive lean-mass effect, no pharmacological collision. A-tier rationale.
substrate for any anabolic stimulus. A-tier.
supports endogenous T axis during PCT recovery.
Compounds suppression, no proven additive efficacy. Common community mistake.
Defeats the "milder than AAS" pitch; combines suppression and toxicity profiles.
Liver-load stacking — ostarine's idiosyncratic hepatotoxicity plus 17α-alkyl liver strain is a known bad combination.
(acetaminophen ≥3g/day chronic, isoniazid, methotrexate, high-dose niacin, etc.).
Liver-load compounding.
multiplies counterfeit risk.
Quality Indicators
Pharmacy-dispensed, intact packaging
Prescription tablets in original sealed packaging from a licensed pharmacy.
Generic vs branded
Generics are usually fine but bioavailability can vary slightly; track if you switch.
Unbranded blister or counterfeit risk
Counterfeit pharmaceuticals are a known issue; verify pharmacy and lot if buying internationally.
What to Expect
- Week 1-2Nothing perceptible most days; occasional users report mild appetite increase, slightly improved gym recovery, joint comfort.
- Week 3-6Recovery between training sessions feels noticeably better; lean mass starts visibly accumulating; pump/fullness in muscles increases (likely glycogen + min…
- Week 6-12~3-6 lbs LBM, ~5-10% strength gains on compound lifts at moderate doses (15-25mg/day). Joint comfort often cited (likely real — ostarine is studied for oste…
Side Effects & Safety
Common (>10% users at typical 15-25 mg/day):
- HPG suppression — dose-dependent T drop (~25-40% at 3mg/day; higher at 25mg/day). LH/FSH suppression follows.
- Mild HDL reduction — ostarine reduces HDL cholesterol in essentially all users at 8+ weeks. Magnitude varies (~10-30% drop).
- Mild ALT/AST elevation — often subclinical, often resolves on cessation; concerning when persistent or symptomatic.
Less common (1-10%):
- Cholestatic hepatotoxicity — clinically apparent jaundice, dark urine, pruritus, marked LFT elevation. Multiple published case reports, mostly young men, mostly resolves on cessation but recovery can take 1-3 months and a minority require hospitalization.
- Suppression-related symptoms in PCT — fatigue, low libido, mood drop in the 4-8 week recovery window.
- Mild gyno — rare, related to T:E2 shift during recovery rather than direct estrogenic activity (ostarine doesn't aromatize).
- Visual disturbances — uncommon but reported; mechanism unclear (some SARMs interact with retinoid receptors at high doses).
- Headache, GI upset, mild nausea — minor, typical research-chem side-effect grab-bag.
Rare-serious (<1% but worth knowing):
- Severe cholestatic hepatitis with prolonged recovery — published cases; mechanism appears idiosyncratic (not predictable by dose alone). Some users with 5-10 mg/day developed clinical hepatitis; others on 50 mg/day did not.
- Drug-induced liver injury requiring transplant evaluation — at least one published case.
- Rhabdomyolysis (rare, training-context confounded).
- Cardiac concerns from chronic HDL suppression — theoretical, no MACE data exist for SARMs in any population.
- Counterfeit / contamination-related toxicity — ostarine sold as "ostarine" has been independently lab-tested (Cohen et al. 2017, JAMA, n=44 SARM products: 52% accurate label, 39% contained no SARM, 9% contained SARM not on the label, 25% contained substances banned by FDA) — so a "side effect" can be from an entirely different undisclosed compound.
- WADA AAF / banned-list positives — long detection window (multiple weeks); ostarine metabolites are detectable in urine for 6-9 weeks at very low concentrations.
Specific watch periods:
- Weeks 4-8: First likely window for LFT derangement to appear — many published case reports cluster here.
- End of cycle and into PCT (week 8-16): HPG axis recovery monitoring. T, LH, FSH, E2, hematocrit at 2 and 6 weeks post-cycle.
- Lipid panel at 6 weeks on, end of cycle, and 6 weeks post: HDL trajectory.
References
POWER 1 + POWER 2 Phase 3 cancer cachexia trials — GTx press release / Lancet Oncology summary
70168-3/abstract) — pivotal Phase 3, mixed outcomes
View StudyDalton et al. 2011, Journal of Cachexia, Sarcopenia and Muscle — Phase 2 ostarine in elderly
body composition Phase 2
View StudyCohen et al. 2017, JAMA — Variability in label accuracy of SARM products
contamination / mislabeling data
View StudyFDA Consumer Update — Body Building Products with SARMs Prohibited
FDA position, 2017 + reaffirmed
View StudyFDA Warning Letters to SARM-containing supplement vendors, 2017 batch
regulatory action
View StudyFlores et al. 2020 — Ostarine-induced cholestatic liver injury case report
hepatotoxicity case literature
View StudyBedi et al. 2021 — SARM hepatotoxicity case series, ACG Case Reports
hepatotoxicity case literature
View StudyBarbara et al. 2020 — SARM-associated hepatotoxicity in young man
hepatotoxicity case literature
View StudyVeru Inc. — enobosarm pipeline (ENABLAR-2 breast cancer, QUALITY weight loss)
current clinical program
View StudyVeru Q4 2024 / 2025 readouts — investor materials
partial readouts, mixed
View StudyWADA Prohibited List 2026 — S1.2 Other Anabolic Agents
current banned-list status
View StudyGTx Inc. enobosarm SEC filings 2013-2014
original sponsor regulatory documentation
View StudyDalton, Steiner, Miller — original SARM medicinal chemistry, University of Tennessee
discovery / medicinal chemistry
View StudyOstarine pharmacokinetics and metabolism — published Phase 1 data
PK/metabolism reference
View StudyMohideen 2024 — SARM hepatotoxicity systematic review
most recent hepatotoxicity literature review
View StudyHow was your experience with this compound?
Anonymous · one vote per session · results below at 5+ votes.
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