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.
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Taken by mouth · Once a day
Anabolic steroidControlledMedical use only
Oxandrolone Capsules
Oxandrolone (Anavar, controlled substance): anabolic steroid for muscle recovery and strength. NOT approved for cosmetic muscle gain. Hepatotoxic at high doses; lipid and liver monitoring mandatory. Video visit and labs required.
- Promotes lean muscle and recovery (approved medical use only)
- Mild virilization compared to other anabolics
- Oral capsule, twice daily
- Monthly$229/mo
- Every 3 monthsBest value$597 billed up front$199/mo
- Free, discreet shipping
- Licensed U.S. pharmacy
- Board-certified physicians
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.
- How
- Taken by mouth
- How often
- Once a day
- Each shipment
- 30 capsules
- Strengths
- 3 options · 5–25 mg
What is oxandrolone?
(ox-AN-dro-lone)
Oxandrolone is an anabolic steroid (synthetic testosterone derivative) used medically for severe burns, trauma recovery, and some muscle-wasting diseases. It is a controlled substance (Schedule III). Off-label, it is prescribed for muscle recovery in clinical settings or under strict supervision. Typical dose: 10–20 mg daily in divided doses. It carries significant hepatotoxicity (liver damage), especially at doses >20 mg daily.
What's in it
- OxandroloneAnabolic: muscle and recovery (controlled)
Controlled substance
Schedule III; hepatotoxic; no cosmetic indication approved
Oxandrolone is NOT approved for cosmetic muscle gain. It is prescribed only for specific medical conditions (trauma, burns, muscle wasting). Any off-label use requires a videovisit with physician confirmation of medical indication, baseline liver function tests, and lipid panel. Mandatory 4-week follow-up labs.
Is it right for you?
Who it's for
Adults under a physician's care regaining weight after illness, surgery or injury.
What sets it apart
An oral anabolic with a medical history in burns and weight loss from illness. It lowers good cholesterol.
Worth knowing before you start
Liver and cholesterol tests are part of the treatment. It is used in courses, not continuously.
Medical recovery only
Medical use only
prescribed for severe muscle wasting from burns, trauma, disease
Hepatotoxicity risk
liver damage can progress to cirrhosis even at low doses
Lipid dysfunction
cholesterol and triglycerides rise significantly
Monthly monitoring non-negotiable
liver, lipids, hematocrit tracked every 4 weeks
Anabolic steroids: medical use ONLY
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.
5
Individual 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.
How you use it
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
- How
- Taken by mouth
- Dose
- 1 capsule (5 mg)
- How often
- Once a day
- Each shipment
- 30 capsules
- Pharmacy label
- Take 1 capsule (5 mg) by mouth once daily for 30 days.
A sample week
- M
- T
- W
- T
- F
- S
- S
Once a day
Strengths the pharmacy carries
- 10 mg
- 5 mg
- 25 mg
Anabolic steroids and hepatotoxicity
Oxandrolone binds to androgen receptors, promoting protein synthesis and lean muscle growth. It is less virilizing than testosterone but more anabolic (muscle-building).
Oxandrolone is hepatotoxic: it can damage liver cells and raise liver enzymes (ALT, AST), especially at doses >20 mg daily or with long-term use >12 weeks. Lipid profile (cholesterol, triglycerides) also deteriorates.
Learn moreImportant safety information and common side effects
Anabolic 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.
Every plan includes
- Personalized, physician-guided plan
- Monthly and 3-month plans
- Dispensed by a US-licensed compounding pharmacy
- Unlimited protocol adjustments and messaging
- Ongoing support and check-ins
- Pause or cancel anytime
- Reviewed by our in-house physicians
How it works
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.
Oxandrolone 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.
Frequently asked questions
How do I take Oxandrolone Capsules?
Taken by mouth, once a day. The starting prescription is 1 capsule (5 mg) each time. Your physician sets your own dose and it is printed on your label.
What strengths does Oxandrolone Capsules come in?
The pharmacy carries 3: 5 mg, 10 mg, 25 mg. Your physician chooses which one you get.
How much arrives in each shipment?
30 capsules at the starting strength, shipped to your door from a licensed US pharmacy.
Is it a controlled substance?
Yes. The law requires a live video visit with the physician before it can be prescribed.
Can I use oxandrolone for cosmetic muscle gain?
No. Oxandrolone is a controlled anabolic steroid with no FDA approval for cosmetic muscle building. It is prescribed only for severe medical conditions (burns, trauma, muscle-wasting disease). Any use must have a documented medical indication, confirmed by videovisit, with mandatory liver and lipid monitoring. Cosmetic-only use carries legal risk and serious health risks.
Can I use anabolic steroids for cosmetic muscle gain?
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.
Why are monthly labs mandatory?
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.
How long can I use anabolic steroids?
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.
Anabolic steroids: medical indication required; severe health risks.
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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.
Sources
- 1
Anabolic steroid use and hepatotoxicity: a systematic review and clinical assessment.
Clin Gastroenterol Hepatol, 2019 - 2
Lipid and cardiovascular effects of anabolic-androgenic steroids in athletes.
Sports Med, 2018
Oxandrolone Capsulesfrom $199/mo