Description

(Anabolic Steroid Injection for Muscle Wasting, Osteoporosis, and Hormonal Support)

Anabolic Support for Muscle Preservation, Bone Health, and Recovery in Clinical and Therapeutic Settings

Nandrolone Decanoate 200 mg/mL Injection is a long-acting, intramuscular anabolic steroid formulation designed to promote lean tissue development, improve nitrogen retention, and enhance bone mineral density. Compounded at a concentration of 200 mg/mL and supplied in a 5 mL sterile multiple-dose vial, this preparation contains a total of 1,000 mg of active nandrolone decanoate.

Originally developed for the treatment of anemia and muscle wasting syndromes, nandrolone continues to be utilized in modern clinical practice for a range of off-label and therapeutic applications—including andropause, HIV-associated wasting, recovery after surgery or trauma, and advanced osteoporosis.

With a favorable anabolic-to-androgenic ratio, nandrolone supports muscle mass and bone density with fewer androgenic side effects compared to testosterone, making it a preferred choice in selected male and female patients under medical supervision.

Key Features

• Contains nandrolone decanoate 200 mg/mL, a long-acting anabolic steroid

• Total of 1,000 mg in each 5 mL vial

• Promotes muscle protein synthesis and nitrogen retention

• Enhances bone density and joint health

• Lower androgenic activity than testosterone—less acne, hair loss, and aggression

• Used in HRT adjunct therapy, catabolic states, and physical rehabilitation

• Compounded in a USP <797>-compliant sterile facility

• Suitable for intramuscular (IM) administration only

Mechanism of Action

Nandrolone decanoate is a synthetic derivative of testosterone, modified to reduce androgenic effects while maintaining potent anabolic activity. Once administered intramuscularly, the decanoate ester slowly releases active nandrolone into the bloodstream, allowing for sustained activity over 7–14 days.

Its primary effects include:

• Increased muscle protein synthesis and lean mass retention

• Enhanced collagen synthesis and joint lubrication

• Improved calcium balance and osteoblastic activity

• Mild erythropoietin stimulation for improved red blood cell production

Clinical Applications

Nandrolone 200 mg/mL Injection is used in therapeutic and monitored off-label scenarios, including:

1. Muscle Wasting and Catabolic Conditions

• HIV/AIDS-related cachexia

• Postoperative or chronic illness-related sarcopenia

• Corticosteroid-induced muscle loss

2. Hormone Replacement Therapy (HRT)

• Used adjunctively in male testosterone replacement when muscle preservation or bone support is a concern

• Occasionally utilized in female patients with muscle-wasting conditions under strict clinical oversight

3. Osteoporosis and Bone Fragility

• Improves bone mineral density in aging men or postmenopausal women (under specialist care)

4. Injury Recovery and Rehabilitation

• Promotes muscle regeneration and strength restoration during physical therapy

• Often used in orthopedic or post-traumatic rehab

Dosing & Administration

• Administered via deep intramuscular injection into the gluteal muscle

• Typical dosing ranges from 100–200 mg every 1–2 weeks, depending on indication and patient profile

• Dosage should be individualized and monitored by a licensed healthcare provider

• Do not administer intravenously or subcutaneously

Safety and Monitoring

Nandrolone, while well-tolerated in many patients, requires appropriate monitoring due to its hormonal activity. Clinicians may evaluate:

• Liver function tests (LFTs)

• Lipid profiles (HDL, LDL)

• Hematocrit and hemoglobin levels

• Prostate-specific antigen (PSA) in males

• Estradiol and progesterone levels if used alongside testosterone

Potential Side Effects

Common and dose-dependent:

• Water retention, especially at higher doses

• Suppression of endogenous testosterone production

• Mild gynecomastia in estrogen-sensitive individuals

• Acne or oily skin, though less than with testosterone

• Elevated hematocrit or blood pressure

Rare but serious (with long-term misuse):

• Hepatic strain

• Lipid profile changes

• Cardiovascular stress

• Psychological effects (aggression, mood swings)

Contraindications

• History of hormone-sensitive cancers (e.g., prostate, breast)

• Pregnancy or breastfeeding

• Severe liver, kidney, or cardiac impairment

• Uncontrolled polycythemia or hypertension

Storage and Handling

• Store at 15–25°C (59–77°F)

• Do not freeze

• Protect from direct light and moisture

• Keep out of reach of children

• Shake gently if particulate matter is present

• For intramuscular use only

Patient Suitability

Ideal candidates for nandrolone therapy include:

• Males undergoing testosterone therapy with persistent catabolic symptoms

• Patients in recovery from trauma, chronic illness, or severe weight loss

• Individuals with age-related or medical-induced osteoporosis

• Clinically monitored athletes or patients seeking non-testosterone anabolic support

Nandrolone Decanoate 200 mg/mL – 5 mL Injection provides a powerful, long-acting anabolic solution to support muscle mass, bone density, and recovery without the harsh androgenic effects of conventional steroids. Its clinical value in rehabilitation, chronic illness, and hormone replacement makes it a key compound in advanced therapeutic regimens—when used responsibly under physician supervision.