What tests do I need to take before and after a course of steroids? Full list

Steroid Course: Blood Testing and Preventing Side Effects

It’s no secret that a steroid course can lead to a variety of negative symptoms that pose risks to health. However, athletes have numerous methods to prevent and treat most side effects. For example, there are effective ways to thin the blood or perform bloodletting to normalize levels. Many abnormalities are challenging to detect without additional testing, and once symptoms become apparent, treatment is often less effective. Therefore, conducting blood and urine tests and other medical examinations before and after steroid use is essential to identify hidden pathologies in internal organs.

Where to Get Blood Tests and Other Examinations

You can visit your family doctor and request a referral for some of the tests listed below, mentioning any relevant health concerns. A general practitioner can either prescribe these tests directly or refer you to a specialist who will create a personalized list of tests based on your specific needs.

Blood and Urine Tests Required

Tests should be done both before starting a steroid course and after, as the results can differ significantly, and it’s crucial to monitor any changes in the body.

Tests Before Starting an Anabolic Steroid Course

At this stage, testing aims primarily to detect contraindications to steroid use. Below is a list of recommended tests:

1. Hormonal Panel:
   • Total and free testosterone
   • FSH (Follicle-stimulating hormone)
   • LH (Luteinizing hormone)
   • Prolactin
   • Cortisol
   These values provide a baseline for future comparisons.
2. Complete Blood Count:
   • ALT (Alanine transaminase) and AST (Aspartate transaminase)
   • Red and white blood cells
     Elevated leukocytes may indicate the need for blood thinning. Consult a doctor rather than self-medicating.
3. Biochemistry Panel:
   • Bilirubin
   • Liver enzymes
   • Protein levels
   • Glucose
   • Potassium, sodium, magnesium
4. Urine Analysis:
   • Urea and creatinine levels
5. Instrumental Tests:
   • Blood pressure measurement
   • ECG (Electrocardiogram)
   • Liver ultrasound

Tests After Completing a Steroid Course

At the end of an anabolic cycle, the same health markers are tested as before starting the course. Additionally, specific tests may be required based on complaints or individual reactions to the steroid. Monitoring during the steroid course is vital, along with understanding the measures needed to ensure reliable test results.

Preparing for Tests

To obtain accurate results:

• Avoid eating for 8 hours before visiting the laboratory. Skip breakfast and refrain from consuming sugary drinks (water is allowed).
• Avoid physical and mental stress for 48 hours before testing, as strenuous exercise can affect androgen and thyroid hormone levels.
• Refrain from sexual activity, as it can impact LH, FSH, testosterone, and prolactin levels.
• Schedule testing for the morning after a restful night’s sleep.

Ask your doctor about additional precautions necessary for specific tests. This ensures the most accurate and reliable results.