Estradiol Cypionate
Long-acting estradiol injection for menopause and perimenopause symptoms and for gender-affirming hormone therapy, given every one to two weeks. Prescribed and dosed by a licensed physician.
Injection
from $139/mo
Applied to the skin · Once a day
Anabolic steroidTopicalMedical use
Nandrolone cream (topical, decanoate or phenylpropionate): anabolic steroid for specific medical muscle wasting. Medical indication ONLY. Controlled; liver and lipid monitoring required.
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
(nan-DROL-one KREEM)
Nandrolone is an anabolic steroid available as a topical cream (usually nandrolone decanoate or phenylpropionate base). Applied to skin daily, it provides steady anabolic effects for medical muscle-wasting conditions. It is less hepatotoxic than oxandrolone or stanozolol but still carries liver and lipid risks. Medical indication ONLY; videovisit confirmation required.
Controlled substance
topical anabolic; medical-only; hepatotoxicity lower than oral anabolics
Nandrolone cream is less hepatotoxic than oral anabolic steroids but still requires baseline and regular liver function tests and lipid panels. Medical indication (muscle-wasting disease) must be documented via videovisit.
Men under a physician's care for joint pain or muscle loss who prefer a cream.
Nandrolone through the skin instead of by injection. Absorption varies a lot from person to person.
Cover the area and wash your hands: it transfers to partners and children by contact.
prescribed for severe muscle wasting from burns, trauma, disease
liver damage can progress to cirrhosis even at low doses
cholesterol and triglycerides rise significantly
liver, lipids, hematocrit tracked every 4 weeks
Day 1
Videovisit with US-licensed physician: MEDICAL INDICATION ONLY. If indication is present (severe burns, trauma, disease-related muscle wasting), baseline labs ordered (AST, ALT, GGT, lipids, hematocrit, PSA).
1Week 1
Baseline labs reviewed. If liver or lipids are abnormal, anabolic steroid use is contraindicated. If normal, prescription issued with monthly monitoring schedule.
2Month 1
First follow-up: liver function tests (AST, ALT, GGT), lipids, hematocrit. If any are elevated or worsening, steroid use is stopped.
3Month 2–3
Continued monthly labs. Muscle recovery monitored clinically. If recovery is sufficient, steroid use is tapered and stopped.
4Beyond
Anabolic steroids are tapered over weeks, not stopped abruptly (withdrawal risk). Post-cycle labs at 4–6 weeks confirm liver recovery.
5Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
A sample week
Once a day
Nandrolone is an anabolic steroid that promotes lean muscle and strength. Topical delivery bypasses first-pass liver metabolism initially, but systemic effects still include liver and lipid changes.
Nandrolone is less hepatotoxic than 17-alpha-alkylated steroids (oxandrolone, stanozolol) because it is metabolized more efficiently by the liver.
Learn moreAnabolic steroids (oxandrolone, stanozolol, nandrolone) are controlled substances (Schedule III) with NO cosmetic approval. They are prescribed ONLY for severe medical muscle wasting (burns, trauma, specific diseases). Off-label or cosmetic use is illegal and carries severe health risks: hepatotoxicity (liver damage), lipid dysfunction (elevated cholesterol/triglycerides), hypertension, mood changes, fertility loss, and increased clotting risk. Liver damage can progress to cirrhosis. Baseline liver function tests and lipid panels are mandatory before any use; monthly monitoring is required. Any physician-patient encounter for anabolic steroids must include videovisit confirmation of medical indication and documented labs. Tell your physician about liver disease, high cholesterol, clotting disorders, or cardiac risk. Stop immediately and seek care for jaundice, dark urine, severe abdominal pain, chest pain, leg swelling, or signs of stroke.

1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.

2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.

3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.

Nandrolone cream educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Applied to the skin, once a day. The starting prescription is 1 mL (4 clicks, 200 mg) each time. Your physician sets your own dose and it is printed on your label.
1 tube at the starting strength, shipped to your door from a licensed US pharmacy.
Yes. The law requires a live video visit with the physician before it can be prescribed.
Nandrolone carries lower hepatotoxicity than oxandrolone or stanozolol, but it is not 'safe', it is a controlled anabolic steroid with proven liver, lipid, and cardiovascular risks. It is prescribed only for severe medical muscle wasting.
No. Anabolic steroids are controlled (Schedule III) with NO FDA approval for cosmetic muscle. Any cosmetic use is illegal and carries legal penalties and severe health risks (liver damage, lipid dysfunction, fertility loss). Medical indication must be documented via videovisit.
Anabolic steroids damage the liver and lipid metabolism within weeks. Monthly liver function tests (AST, ALT, GGT) and lipids detect damage early. If liver enzymes rise significantly or lipids worsen, the steroid is stopped immediately to prevent cirrhosis.
Duration depends on medical indication. Typically, 4–12 weeks for acute muscle wasting (burns, trauma), with dose tapering and cessation over 2–4 weeks. Long-term use increases liver damage and cirrhosis risk. Always under physician supervision with monthly monitoring.
Muscle and strength gains may be retained, but liver enzymes and lipids can take weeks to months to normalize. Post-cycle labs at 4–6 weeks confirm recovery. Fertility recovery takes 3–12 months. Some liver damage may be permanent if use was prolonged or high-dose.
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The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Anabolic steroid use and hepatotoxicity: a systematic review and clinical assessment.
Clin Gastroenterol Hepatol, 2019Lipid and cardiovascular effects of anabolic-androgenic steroids in athletes.
Sports Med, 2018Nandrolone Creamfrom $149/mo