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Regular exercise, a healthy diet, and adequate sleep can also support hormone balance and overall well-being during the post-cycle period. Factors such as age, genetics, and overall health can all play a role in how low testosterone levels affect an individual. This can be especially problematic for individuals who have worked hard to build muscle during their cycle period and want to maintain their gains during the post-cycle phase. Others however reported that the use of PCT worsened some psychiatric symptoms. Griffiths et al.’s thematic analysis reported increased mood disturbances upon AAS cessation with some reporting an improvement in symptoms with PCT . In our anonymous survey, the use of self-administered PCT reduced self-reported craving symptoms and withdrawal symptoms by 60% each and suicidal thoughts by 50%. There are currently no studies that quantitatively evaluate the effect of PCT on neuropsychiatric symptoms. However, these risks can be managed with the help of healthcare professionals and through lifestyle interventions. Additionally, these risks and side effects can often be managed and minimized through appropriate interventions. Another potential side effect of low testosterone is a decrease in libido or sexual drive. Testosterone plays a key role in muscle protein synthesis, which is the process by which your muscles repair and grow. We sometimes see patients who have taken Dianabol as a first steroid cycle, with beginners wanting significant results fast. Despite Dianabol causing toxic effects, some bodybuilders illicitly supplement with it for its potent effects on mass gain. We have also seen Proviron reduce the estrogenic side effects of Dianabol due to its working as a systemic anti-estrogenic agent (41). Proviron does this by increasing the metabolites of other steroids, such as Dianabol. Thus, if users are anxious about liver damage, trenbolone is the less deleterious option. The risk of gynecomastia from Dianabol is due to aromatization, i.e., the conversion of testosterone to estrogen. D-Bal showed 60-70% of Dianabol's effects without significant side effects. Nolvadex vs Clomid for PCT use natural ingredients to mimic Dbol. Minimal side effects if dosed correctly. Maintaining a healthy weight, getting enough sleep, and managing stress levels can also have a positive impact on testosterone levels. Regular monitoring of testosterone levels and overall health is necessary to ensure the therapy is effective and safe. Hormone replacement therapy can help restore testosterone levels to normal and alleviate symptoms.