What I've seen in older long term users
1. high red blood cells - donate blood
2. reduced cardio endurance - keep up with cardio
3. progressive acne - 6 months of accutane at 20mg ED one time
4. excessive sweating - body temp increases when on gear
5. sustained hypertension - diet issue
6. progressive water retention - diet issue
7. progressive dependence on steroids - very possible for some
8. altered lipid profiles - diet issue and oral issue
9. high creatinine levels - this happens to ALL lifters who are consistent
10. progressive joint pain - scale down the volume, take time off
11. gynecomastia - A/I
12. high liver markers - Use Tyler's
13. sexual dysfunction - not if you're on trt
14. increased frequency of muscle tears - streach like a mofo
15. increased frequency of tendon tears - streach like a mofo
I'm just keeping it honest here. Personally I've seen a number of heart attacks, one kidneys failure, a muscle sarcoma, and a number of things such as scary and life threatening tachycardia, sudden and dramatic weight loss(thyroid dysfunction) and some other things. All these things happened in long time users and if you asked them, by and large, they would tell you it was from, or at least in part, due to steroids.