Stanozolol appears to offer less hepatic stress than an equivalent dose of Dianabol (methandrostenolone). Studies giving 12mg of stanozolol per day for 27 weeks failed to demonstrate clinically-significant changes in markers of liver function, including serum aspartate amino-transferase, alanine amino-transferase, gamma-glutamyltransferase, bilirubin, and alkaline phosphatase. 621 Relative hepatotoxicity increases as the dosage escalates, so hepatic dysfunction should still be a concern. In rare instances, high doses (alone or in combination with other steroids) have been implicated in cases of serious life-threatening hepatotoxicity in bodybuilders. Injectable stanozolol has also been implicated in severe hepatotoxicity in an otherwise healthy bodybuilder, 622 and should not be used as an alternative medication when liver toxicity precludes oral stanozolol use.
The use of anabolic steroids such as Winstrol may be associated with serious adverse reactions, many of which are dose related. Patients should be placed on the lowest possible effective dose. Medications that may interact with Winstrol include anticoagulants (blood thinners), insulin , or an oral diabetes medicine. Tell your doctor all medications you are taking. Winstrol is known to cause birth defects in a fetus. Do not take this medication if you are pregnant or could become pregnant during treatment. It is not known whether Winstrol is excreted in human milk. Many drugs are excreted in human milk and there is the potential for adverse reactions in nursing infants from anabolic steroids. Consult your doctor before breastfeeding.