Nandrolone (19-nortestosterone): Is It Right for You?


Is Nandrolone Right For You?

The Doctors at Innovative Men’s Clinics can provide nandrolone therapy in addition to your Testosterone treatment.

Marc DiJulio, MD, FACEP
Innovative Physicians Group
Medical Director
Innovative Men’s Clinic, Lynnwood

Why is this important?

Men and women are constantly in a state of muscle loss/atrophy as we age. The only way to prevent this is regular activity and weight training on a regular basis. Most people do not do this. Over years, patients gradually become less strong due to the loss of muscle mass and flexibility. Additionally, age leads to the accumulation of joint dysfunction/damage, falls, injuries, osteoporosis and fractures. Joint replacement surgery has become refined and patients enjoy much better results than even 10 years ago. Recovery from joint surgery can be rigorous and difficult for most.

What is Nandrolone?

Nandrolone is an Anabolic Steroid. Another name for Nandrolone is Deca-Durabolin. Androgenic Anabolic Steroids (ASS) are a group of chemically related structures derived from the male sex hormone, Testosterone, developed to combat muscle wasting medical conditions: Trauma, Burn and Chronically ill patients who spend a long period of time bedridden during treatment have been demonstrated to benefit from AAS administration. Lately, there has been much interest in the use of anabolic steroids in the recovery process from orthopedic surgical procedures such as joint replacement surgery and shoulder repair that are associated with prolonged and difficult rehabilitation. They have potent anabolic effects on the musculoskeletal system, including an increase in lean body mass, a dose-related hypertrophy of muscle fibers resulting in an increase in muscle strength and mass, not to mention improved bone mineral density.

“Nandrolone is safe and effective
when used properly under a physician’s supervision.”

It is important to note that most of the “bad press” that surrounds the use of AASs is based on the inappropriate, non-physician-directed use of black market AAS products. Nandrolone is safe and effective when used properly under a physician’s supervision. Side effects are rare and mostly benign and reversible on cessation of the medication. We recommend that patients be on Testosterone while taking Nandrolone.

Muscle Wasting

The key point in surgical or injury recovery is muscle wasting(atrophy) and malnutrition. Any injury, surgical or accident, results in muscle wasting around the joint/injury. The injury results in decreased activity, which further promotes atrophy. With injury/pain, and pain medications(opiates), there is a decrease in appetite leading to inadequate calories and protein. This further exacerbates the muscle wasting. The net effect is a prolonged and painful recovery. When a patient has a lot of pain, loss of range-of-motion and/or weakness, it is hard for them to stick to the rehab protocol recommended by their physicians. The longer the patient has such difficulty, the more likely they will have incomplete recovery and a less satisfactory outcome. Incomplete recovery means chronic weakness, loss of balance, greater risk of falls and fractures.

The ability of nandrolone to preferentially stimulate muscle growth formed the basis of its use in the treatment of anorexia and cachexia in patients with chronic medical disorders such as chronic renal failure and HIV. In these patients, administration of nandrolone has been shown to increase lean body mass as well as muscle mass and strength. 

Other Health Benefits of Testosterone and Nandrolone.

Hypogonadism (Inadequate production of Testosterone) has been shown to be associated with dyslipidemia, atherosclerosis, cardiovascular disease, metabolic syndrome, and diabetes. Testosterone Replacement Therapy (TRT) in hypogonadal men improves these risk factors leading, in some patients, to complete resolution of their metabolic syndrome. Indeed, an increase in lean body mass and muscle mass with the systemic administration of nandrolone could improve body composition and augment testosterone’s effects in preventing and reversing metabolic syndrome and the risk of type 2 diabetes in hypogonadal men.

 Who is a Candidate for Nandrolone Therapy?

  1. Patients who are planning to have Rotator Cuff/Shoulder Surgery or Total Joint Replacement Surgery, especially of the hips or knees.

  2. Patients who have had any condition that lead to prolonged inactivity and significant atrophy of muscles. HIV/AIDs and Multiple Trauma injuries (car or work accident), to name a few.

  3. Patient with chronic muscle wasting conditions such as Muscular Dystrophy, Multiple Sclerosis and ALS, among others. Parkinson’s patients will probably benefit as well but the data is still sparse on this sub-group.

  4. Chronic pain can be so difficult to treat. Pain prevents activity which leads to muscle atrophy -> which causes less support for the joints/back -> leads to more pain and dysfunction -> and a vicious cycle develops, including weight gain. An increase in Visceral Fat leads to higher levels of inflammatory markers/pain. AAS use improves muscle strength, stimulates bone strengthening, and improves the repair of soft tissues (muscle, ligament and tendons). As a result, even patients with long term chronic painful conditions could benefit from a course of AAS/Nandrolone.

  5. Patients with Visceral Fat levels >10. We measure this in the office using InBody technology. Visceral fat, referred to as “brown fat” or “bad fat” by some, surrounds the intestines in the abdominal cavity. This is different from “love handles”, for example. We now know that visceral fat acts like its own organ by pumping out hormones and inflammatory substances. Storing excess fat around the abdominal organs increases production of pro-inflammatory chemicals, also called cytokines, which leads to inflammation; at the same time, it interferes with hormones that regulate appetite, weight, mood and brain function. Nandrolone has been shown to be very effective in targeting visceral fat. Visceral fat levels greater than 10 are a strong risk factor for vascular events (stroke/heart attack), metabolic syndrome, diabetes, cancer, Sleep issues, depression, hypertension, morbid obesity and dementia.

  6. Patients who have had significant muscle loss over time, and Testosterone therapy is not adequate to get a more rapid improvement. Testosterone builds muscle well but has its limitations. Nandrolone has 40% better muscle building capacity and is a fantastic addition to Testosterone with a very low side effect profile.

  7. Patients with “metabolic syndrome”: diabetes, hypertension, obesity and elevated cholesterol usually meet one or more of the above criteria. 

The Doctors at Innovative Physicians Group/Innovative Men’s Clinics can provide nandrolone therapy in addition to your Testosterone treatment. We adhere to a strict protocol for treatment and monitoring to ensure the best possible benefit. Make an appointment and we will go over all the details with you, explain the follow up and discuss realistic expectations with therapy.