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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.
Winstrol
Stanozolol — synthetic 17α-alkylated DHT-derivative AAS with a fused pyrazole ring; oral or aqueous-suspension injectable; the "Ben Johnson 1988 Seoul" steroid
Aliases (12)
Overview
What is Winstrol?
Stanozolol (Winstrol) is a synthetic anabolic-androgenic steroid derived from dihydrotestosterone, with a fused pyrazole ring on the A-ring and 17α-methyl group enabling oral bioavailability. Originally FDA-approved in 1962 for hereditary angioedema (HAE) prophylaxis (NDA withdrawn 2010 by Sanofi). DEA Schedule III. WADA S1.1 prohibited at all times. The compound that ended Ben Johnson's 100m gold at the 1988 Seoul Olympics — culturally synonymous with sports doping.
Key Benefits
Lean, dry, hard physique without water retention; strength + power gains useful for weight-class sports; SHBG suppression sharply elevates free testosterone; non-aromatizing so no gyno or estrogen-related water retention; available in both oral and injectable forms.
Mechanism of Action
17α-methylated tablet absorbed orally; first-pass intact through liver; ~9-hour half-life requiring multiple daily doses. Maximum hepatotoxicity profile of any common AAS due to oral 17α-aa exposure across all gut-blood-liver passes. Free fraction rises rapidly via SHBG crash.
Pharmacokinetics
Research Indications
What stanozolol is, structurally
Stanozolol is 17α-methyl-2'H-androst-2-eno[3,2-c]pyrazol-17β-ol — a synthetic anabolic-androgenic steroid derived from 5α-dihydrotestoste…
Receptor + signaling
Stanozolol is a direct AR agonist with binding affinity approximately 22% of DHT — modest in absolute terms, but the high anabolic-to-and…
Why SHBG crash dominates the systemic profile
The single most distinctive pharmacological feature of stanozolol is its dramatic suppression of sex hormone-binding globulin (SHBG): - S…
Hepatotoxicity — among the worst in the AAS class
17α-alkylation forces the parent molecule to traverse the liver intact, producing dose-dependent cholestatic injury. Stanozolol's hepatot…
Atherogenic dyslipidemia — among the worst in the AAS class
Stanozolol has one of the most severe lipid profiles of any AAS: - Thompson et al. 1989 JAMA (PMID 2915439): Direct comparison of stanozo…
Tendon, ligament, and cartilage signals — the signature combat-athlete concern
This is the section that determines the verdict for the user: - Karpakka et al. 1992 (PMID 1636855, AJSM): Rat skeletal muscle + Achilles…
Peptide Interactions
Standard "test base" — prevents total HPG crash, preserves libido during cycle. Common protocol: test enanthate 300-400 mg/week × 12 weeks + Winstrol 30-50 m…
Both DHT-derivative orals, both 17α-alkylated — stacking compounds hepatotoxicity dramatically. Sometimes used in contest prep ("oral stacking") but widely c…
DHT-derivative injectable (methenolone enanthate) often paired with Winstrol for cutting; primobolan adds anabolic without compounding hepatotoxicity (it's a…
Another DHT-derivative; similar hardening + anti-estrogen profile. Common contest-prep stack with Winstrol — compounds DHT-class side effects (joint dryness,…
Synergistic for aggressive cutting; compounds cardiovascular + neurologic + lipid risks dramatically.
Common cutting stack additions; compound cardiovascular load.
Adds anabolic synergy + theoretical tendon support (collagen synthesis); compounds insulin resistance + cancer-pathway concerns.
Compounds hepatotoxicity dramatically; Winstrol is at the high end of C17-aa hepatotoxicity already.
Stanozolol is non-aromatizing — adding an AI on top crashes E2 below normal range, producing severe joint pain (already a Winstrol problem), low libido, lipi…
Additive liver burden. Real-world collision for athletes using NSAIDs/acetaminophen for training pain.
Pharmacologically logical for crashing HDL/LDL but adds hepatic burden on top of an already-hepatotoxic 17α-aa drug. The appropriate move is to discontinue t…
Stanozolol potentiates warfarin significantly; per prescribing information, dose reduction with frequent INR monitoring required.
Quality Indicators
Pharmaceutical-grade tablet, sealed pharmacy packaging
Genuine pharmaceutical Winstrol (now rare in US; available abroad as Stromba, Stanazol, Menabol). Sealed, lot-numbered, intact blister packaging from licensed pharmacy.
Injectable: milky-white aqueous suspension, particles re-suspend with vigorous shake
Injectable stanozolol is a water-based suspension of micronized particles — appears milky-white. Particles settle quickly; need to shake vial vigorously immediately before drawing. Clear or slightly opalescent solution suggests counterfeit (oil-based product mislabeled, or solvent-based knockoff).
Generic / international pharmacy variation
Bioequivalence between brands varies modestly. Common generics: Stanabol, Stanazol, Strombafort, Stromba, Menabol. Track lot if switching between sources.
Injectable: PIP (post-injection pain) + cough is normal but harsh
Aqueous suspension Winstrol famously causes injection-site pain, redness, and a transient 'Winstrol cough' (vasovagal/PE-mimicking) if particle hits venule. Painful enough that many users prefer oral despite hepatotoxicity tradeoff.
Crystalline residue, brown/yellow discoloration, or oil base on supposed injectable
Genuine injectable Winstrol is white aqueous suspension. Discolored, oil-based, or crystalline product is counterfeit. Counterfeit is endemic in the Winstrol UGL market — frequently substituted with cheaper oral powder dissolved in oil.
Underground lab (UGL) tablets without batch testing
UGL Winstrol tablets are commonly underdosed, contaminated with fillers, or substituted with cheaper compounds (often dianabol or methyltestosterone). Third-party batch testing strongly recommended; many users in tested sports have failed for other compounds in 'pure' Winstrol product.
What to Expect
- Day 1-3Subjective drive shift; libido often spikes early as free T rises (SHBG crash). Strength noticeable in gym within 3-5 sessions.
- Week 1-2Aesthetic shift begins — drier appearance, vascularity increasing, "harder" muscle quality. Strength climbing. Joint stiffness emerging in some users (espec…
- Week 2-4Peak aesthetic phase — dry, hard, vascular look maximally expressed. Power output up. Lipid changes well-established on bloodwork; HDL crash measurable. Joi…
- Week 4-6Side-effect curve climbs. Libido may swing from initial spike to depression (HPG suppression catching up). ALT/AST starting to rise meaningfully on oral use…
- Week 6-8Cycle exit window. Hepatotoxicity risk rises with continued use; most users plan to stop here.
Side Effects & Safety 15
Side Effects
- 1HDL crash + LDL elevation — universal on bloodwork; HDL drops 30-50% within weeks, often acutely within 3-7 days per Haffner timeline
- 2ALT/AST elevation — dose-dependent transaminitis, typically reversible on cessation; meaningful elevation common at 4-6 weeks of oral cycle
- 3HPG suppression — measurable LH/FSH suppression and endogenous testosterone reduction; recovery typically 4-12 weeks post-cycle without PCT
- 4Joint pain / "dry joints" — universal complaint; loaded movement uncomfortable; pre-existing joint issues exacerbated
- 5SHBG crash — 50-70% reduction within days; sharp free-T spike (subjective drive/aggression); rebound on cessation
- 6Acne — mild-to-moderate, especially shoulders/back (DHT-derivative signaling)
- 7Hair shedding in genetically predisposed users — DHT-class signaling at scalp follicles
- 8Injection site pain (Winstrol Depot) — notorious; many users prefer oral despite hepatotoxicity tradeoff
- 9Cholestatic jaundice — yellowing of skin/sclera, dark urine, pruritus; may persist weeks post-cessation per Petrolini phenotype data
- 10Mood changes — irritability, occasional aggression; less than testosterone or trenbolone but reported
- 11Hypertension — modest BP elevation, dose-dependent
- 12Erythrocytosis — mild hematocrit increase; less than testosterone esters
- 13Sleep disturbance in some users
- 14"Winstrol cough" — transient post-injection cough/chest tightness from particle entry into small venule; resolves in seconds; alarming if first-time experience
- 15Virilization in women — clitoral hypertrophy, voice deepening (often irreversible), hirsutism, menstrual disruption — rises sharply above 10 mg/day
When to Stop
- Acute liver failure — Rui 2017 (PMID 28856252), Patel 2023 (PMID 37948000); fatal cases documented
- Hepatocellular adenoma — Cerullo 2025 (PMID 40909442); chronic-exposure benign hepatic neoplasm
- Peliosis hepatis — cystic blood-filled hepatic lesions; potentially life-threatening (hepatic hemorrhage); documented across 17α-aa class
- Hepatocellular carcinoma — extremely rare, documented with long-term high-dose 17α-aa exposure
- Tendon rupture — Kanayama 2015 baseline 22% in long-term users; risk concentrated in upper-body explosive tendons (pec, biceps long head, quadriceps tendon) and Achilles
- Severe atherogenic dyslipidemia leading to accelerated CVD — particularly with cumulative multi-cycle use over years
- Cardiomyopathy — Baggish et al. (Circulation 2017) — cardiac MRI evidence of LV hypertrophy + diastolic dysfunction in long-term AAS users; cumulative-exposure-dependent
- Severe HPG suppression with prolonged hypogonadism post-cycle — secondary hypogonadism failing to recover, requiring TRT salvage; risk rises with cycle length
- Mood crash / post-cycle depression — well-documented bodybuilding-community phenomenon; persistent anhedonia / low mood for weeks-to-months post-cycle in susceptible users
- Counterfeit / contaminated product effects — UGL Winstrol is endemically counterfeit (often substituted with cheaper compounds); multiple WADA failures by athletes who claimed "I was on Winstrol" but tested for other AAS
- Day 3-7: SHBG nadir + HDL crash should be measurable; if HDL drops >50% at week 1 bloodwork, this is a particularly bad responder
- Week 4 of any cycle: ALT/AST + lipid panel — flag if ALT >3× ULN, HDL drops >50%, or any cholestatic symptom (jaundice, pruritus, dark urine)
- Week 6-8: Hepatotoxicity escalation window; cholestasis can present 7-9 weeks per Petrolini phenotype
- End of cycle: Full HPG panel (T, LH, FSH, E2) to confirm degree of suppression
- Week 4-8 post-cycle: HPG recovery check; if still suppressed, formal PCT or endocrinology consult
- Multi-cycle users (years): Periodic echocardiogram, lipid trend tracking, liver imaging at any symptom or persistent transaminase elevation
- New tendon pain or pop during loaded movement — STOP IMMEDIATELY for combat athletes; this is the highest-relevance early warning
References
Small M et al. 1984 — Alteration of hormone levels in normal males given the anabolic steroid stanozolol (Clin Endocrinol)
PMID 6430603, 55% T reduction + SHBG crash
View StudySinnecker GH et al. 1989 — SHBG response to stanozolol (Acta Endocrinol)
PMID 2723028, basis of androgen-sensitivity test
View StudyThompson PD et al. 1989 — Contrasting effects of testosterone and stanozolol on serum lipoprotein levels (JAMA)
PMID 2915439, head-to-head HDL crash comparison
View StudyHaffner SM et al. 1983 — Studies on metabolic mechanism of reduced HDL during anabolic steroid therapy (Metabolism)
PMID 6413814, HTGL upregulation mechanism
View StudyApplebaum-Bowden D et al. 1987 — Dyslipoproteinemia of anabolic steroid therapy (Metabolism)
PMID 3657514, HTGL precedes HDL drop
View StudyKarpakka JA et al. 1992 — Effects of anabolic steroids on collagen synthesis in rat skeletal muscle and tendon (Am J Sports Med)
PMID 1636855, prolyl 4-hydroxylase reduction in Achilles tendon
View StudyInhofe PD et al. 1995 — Effects of anabolic steroids on rat tendon — ultrastructural, biomechanical, biochemical (Am J Sports Med)
PMID 7778710, stiffer tendons fail at less elongation
View StudyMarqueti RC et al. 2006 — AAS + mechanical loading inhibit MMP and affect Achilles tendon remodeling (Med Sci Sports Exerc)
PMID 16636352, MMP downregulation
View StudyFalanga V et al. 1998 — Stimulation of collagen synthesis by stanozolol via TGF-β1 (J Invest Dermatol)
PMID 9856839, dermal fibroblast collagen synthesis
View StudyKanayama G et al. 2015 — Ruptured tendons in AAS users: cross-sectional cohort study (Am J Sports Med)
PMID 26362436, 22% vs 6% rupture rate
View StudyDamgaard A et al. 2025 — Effect of current and former AAS abuse on the patellar tendon (Am J Sports Med)
patellar tendon mechanics, partial reversibility
View StudyBoada LD et al. 1999 — Acute and chronic hepatotoxic effects of stanozolol in rats (Toxicology)
PMID 10650918, rat hepatotoxicity model
View StudyRui F et al. 2017 — Severe intrahepatic cholestasis and liver failure after stanozolol — case report
PMID 28856252, 19yo IM stanozolol case
View StudyPatel B et al. 2023 — Fatal AAS overdose in amateur bodybuilder (Forensic Sci Med Pathol)
PMID 37948000, fatal hepatic necrosis
View StudyPetrolini VA et al. 2025 — Stanozolol-induced liver injury phenotype
PMID 40040852, 55-day mean latency cholestatic phenotype
View StudyCerullo G et al. 2025 — Hepatocellular adenoma due to long-term stanozolol
PMID 40909442, chronic-exposure neoplasia
View StudyHelfman T, Falanga V — Stanozolol in dermatology (J Am Acad Dermatol)
PMID 10954677, lipodermatosclerosis context
View StudyVasconcelos RP et al. 2015 — Liver enzymes + lipids in lipodermatosclerosis stanozolol RCT
PMID 25652757, placebo-controlled clinical confirmation
View StudyPelliccia P et al. 2013 — Intra-articular stanozolol on synovial membrane and cartilage (ovine OA model)
cartilage matrix effects
View StudyBaggish AL et al. 2017 — Cardiovascular toxicity of illicit AAS use (Circulation)
long-term cardiac MRI cohort
View StudyGöschl L et al. 2021 — Stanozolol-N-glucuronide metabolites for routine anti-doping (Drug Test Anal)
PMID 34089570, 28-day detection window
View StudyJones IA et al. 2018 — AAS and tendons: review of mechanical, structural, biologic effects (J Orthop Res)
PMID 30047601, comprehensive AAS-tendon review
View StudyImpact of Anabolic Steroids on Tendons — Narrative Review 2024 (PMC12579764)
recent synthesis review
View StudyFDA Winstrol Approval History (Discontinued)
1962 approval, 2010 NDA withdrawal
View StudyHero or villain? Ben Johnson and the dirtiest race in history (CNN)
1988 Seoul Olympics scandal cultural reference
View StudyBen Johnson (Canadian sprinter) — Wikipedia
) — biographical context, Dubin Inquiry
View StudyWinstrol (stanozolol) for hereditary angioedema — Angioedema News
historical HAE indication
View StudyDrug Information Group — HAE management current options (UIC 2025)
modern HAE landscape (Takhzyro, Orladeyo, Cinryze)
View StudyLatest research
- case-reportHepatocellular Adenoma Due to Long-Term Oral Stanozolol Administration (PMID 40909442)15yo male with aplastic anemia developed hepatocellular adenoma on chronic oral stanozolol — reaffirms the chronic-exposure hepatic neoplasia risk previously documented in the AAS literature.
- clinical-cohortEffect of Current and Former AAS Abuse on the Patellar TendonCurrent AAS users showed altered patellar tendon mechanical properties; some changes persisted in former users — suggesting incomplete reversibility of tendon stiffness changes.
- case-seriesStanozolol-induced Liver Injury — A Distinctive Cholestatic Phenotype at Presentation (PMID 40040852)Mean latency 55 days; prominent jaundice + pruritus + bilirubin elevation; GGT often within or slightly above normal — distinctive presentation pattern useful for clinical recognition.
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