Shelton and Rajfer (2012) noted that androgen deficiency in aging men is common, and the potential sequelae are numerous. In addition to low libido, erectile dysfunction, decreased bone density, depressed mood, and decline in cognition, studies suggest strong correlations between low testosterone, obesity, and the metabolic syndrome. Because causation and its directionality remain uncertain, the functional and cardiovascular risks associated with androgen deficiency have led to intense investigation of testosterone replacement therapy in older men. Although promising, evidence for definitive benefit or detriment is not conclusive, and treatment of LOH is complicated.
As with all anabolic steroids Oxandrolone will suppress natural testosterone production in men. Testosterone suppression does vary from steroid to steroid in terms of the rate and Oxandrolone is one of the milder forms. However, most all men will still need some form of exogenous testosterone if they are using Oxandrolone at any significant dose for any significant time. Those who do not supplement with testosterone have an excellent chance of putting themselves into a low testosterone condition. For the purpose of information a performance level dosing of Oxandrolone will suppress natural testosterone production in most men by dropping serum testosterone levels by 50%. This will put most men into a low level state and if not certainly in a below optimal state.
Once the use of Oxandrolone is done and it along with all anabolic steroids has cleared the body natural testosterone production will begin again. It’s important to note that recovering prior natural levels assumes no prior low level condition existed and that there was no damage done to the HPTA during steroid use . Most men will need a Post Cycle Therapy (PCT) plan to aid in recovery, but they should also note that PCT will not promote full recovery. It takes several months to recover from anabolic steroid use and there’s no guarantee that you always will even with the best PCT plan in the world.