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The health care provider should instruct patients to report any of the following effects of androgens. Adult or Adolescent Males: Too Methandienone or persistent erections of the penis, appearance or aggravation of acne. Women: Hoarseness, acne, changes in menstrual periods or Dianabol tablets hair on the face. All Patients: Any nausea, vomiting, changes in skin color or ankle swelling. Women with disseminated breast carcinoma should have frequent determination of urine and serum calcium levels during the course of androgenic anabolic steroid therapy see WARNINGS. Because of the hepatotoxicity associated with the use of alpha-alkylated androgens, Methandienone, liver function tests should be obtained periodically.

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