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Structurally nandrolone differs from testosterone by the absence of a carbon atom in the 19th position (hence 19-nortestosterone) and this makes it more similar to progestins. Long term use can shrivel up the balls and kill off the cells that are produce testosterone. But while increased strength is related to increased muscle cross sectional area (CSA), there are multiple adaptations that can boost strength without increasing muscle hypertrophy. Oxymetholone is C-17 methylated and, thus, is an oral agent.

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