Winstrol (Stanozolol): Tablets, Joints and Cholesterol

Stanozolol is famous for the dry, hard look and infamous for what it does to cholesterol and joints. Here is the full picture.

SteroidsCanada.org editorial teamUpdated · 3 min read

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On this page
  1. What stanozolol is
  2. Why it is linked to a dry look
  3. The cholesterol problem
  4. Other side effects
  5. A short history
  6. Tablets and injections
  7. Who should avoid stanozolol
  8. Joints and tendons
  9. Interactions
  10. After stopping
  11. Bloodwork
  12. Legal status

Stanozolol was developed in the early 1960s and sold as Winstrol. As a medicine it was used mainly for hereditary angioedema, a rare condition causing sudden swelling, because it raises levels of a protein that keeps the swelling in check. In sport it became famous for less innocent reasons, including several high-profile Olympic doping cases.

What stanozolol is

Stanozolol is derived from DHT with a ring structure fused onto it, and it carries the 17-alpha methyl group that lets it survive as a tablet. Being DHT-derived, it does not convert to estrogen, so there is little water retention.

DHT-derivedno conversion to estrogen
17-alpha-alkylatedliver strain, even as an injection
About 9 hoursapproximate oral half-life

The angioedema label used about 2 mg three times a day, then tapered to the lowest amount that worked. Many modern tablets are 10 to 50 mg each.

Why it is linked to a dry look

With no estrogen conversion and a tendency to lower sex hormone-binding globulin, stanozolol is associated with less water under the skin. On someone already lean, muscles look harder. On anyone else, very little changes visually.

The cholesterol problem

Stanozolol is one of the steroids most strongly linked to a fall in HDL, the protective cholesterol, along with a rise in LDL. Studies in the 1980s and 1990s documented HDL dropping by around half within weeks in some users. Combined with raised blood pressure, that shifts cardiovascular risk in the wrong direction quickly.

Other side effects

  • Joint aches and a feeling of dryness in tendons
  • Liver enzyme rises, and rarely cholestatic liver injury
  • Hair thinning and acne in prone people
  • Suppression of natural testosterone
  • In women: voice deepening and body hair, possibly permanent

A short history

Stanozolol was developed by Winthrop Laboratories in 1962. Beyond hereditary angioedema, it was studied for anemia, blood vessel disorders and some skin conditions. In veterinary medicine it was given to horses and dogs. In sport, it became one of the most frequently detected steroids, including in the most famous Olympic disqualification of the 1980s. Tablets for human use were discontinued in North America, but it remains widely produced elsewhere.

Tablets and injections

Oral stanozolol

  • Taken once or twice daily
  • Passes through the liver first
  • Fast changes in HDL

Injectable stanozolol

  • A water-based suspension, not an oil
  • Often painful at the injection site
  • Still 17-alpha-alkylated; still strains the liver

Who should avoid stanozolol

  • Anyone with low HDL, high LDL or a family history of early heart disease
  • People with liver disease or raised liver enzymes
  • Anyone with tendon or joint injuries, or training through joint pain
  • Women, given the risk of permanent voice changes
  • Men trying to conceive, and anyone under 21

Joints and tendons

Users frequently describe dry, cracking or aching joints on stanozolol. Whether that reflects low estrogen, changes in fluid around joints or direct effects on collagen is not settled. What is clear is that heavy lifting while joints ache is a risk for tendon injuries. Reducing load, warming up thoroughly and stopping if pain persists are sensible responses.

Interactions

Stanozolol is known to strengthen the effect of warfarin; the old label specifically warned about bleeding. It can also lower blood sugar in people taking insulin or diabetes tablets. Alcohol and high doses of acetaminophen add to liver strain.

After stopping

HDL usually begins to recover within weeks of stopping, though it can take longer after long or heavy use. Natural testosterone production also needs to restart. A lipid panel and testosterone test six to eight weeks later show where you stand.

Bloodwork

Lipid panel (HDL and LDL), liver enzymes and bilirubin, blood pressure, total testosterone and a complete blood count before starting and within a few weeks.

Stanozolol is a Schedule IV substance under the Controlled Drugs and Substances Act. Possession for personal use is not an offence under the Act; trafficking, importing and exporting without authorisation are. It is banned in sport.

See Zionova Winstrol and Genetix Pharma Winstrol for tablet strengths and the full risk section.

Products in this guide

Each product page carries the chemistry, label strength, risks and references.

Questions

Why does Winstrol make joints hurt?

The mechanism is not fully established. Users widely report dry, achy joints, and low estrogen and changes in connective tissue are the usual explanations.

Is injectable Winstrol safer for the liver?

Injectable stanozolol is still 17-alpha-alkylated and still passes through the liver. The difference is smaller than people assume.

Does Winstrol cause hair loss?

It can, in men prone to male-pattern baldness, because of its DHT-like activity.

What happened to Winstrol as a medicine?

Tablets for hereditary angioedema were discontinued in North America as newer treatments arrived.

Sources

  1. PubMed: stanozolol hereditary angioedema
  2. PubMed: stanozolol HDL cholesterol
  3. Controlled Drugs and Substances Act (Schedule IV)
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