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Being a strong androgen, we can expect the typical side effects. This includes oily skin, acne body/facial hair growth and premature balding. The addition of Proscar/Propecia should be able to minimize such side effects, as it will limit the conversion of testosterone to DHT (dihydrotestosterone). Sustanon will also suppress natural testosterone production rather quickly.
Sustanon is generally well tolerated, but some unwanted side effects may occur. These include retention of salt and water, swelling, increased number of blood vessels in the skin, high calcium levels in the blood and change in blood sugar levels. Some of users even reported painful erections and other signs of excessive sexual stimulation and even male breast enlargement.
As with any form of testosterone, Sustanon will convert to the primary female hormone estrogen (via a mechanism known as aromatization) when it is metabolized by the aromatize enzyme. Estrogen can lead to side effects, such as acne, the growth of breast tissue (called gynocomastia), as well as fat gain and reduced fat breakdown, testicular shrinkage and water retention. Testosterone is also metabolized into Dihydrotestosterone (DHT) by the 5alpha-reductase enzyme. This is a more androgenic form of Testosterone, and DHT has a high binding affinity to the tissues of both the prostate and the scalp resulting in hair loss in loss in users who may suffer from male pattern baldness. Prostate enlargement is also possible.
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