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
Taken by mouth · Once a day
Anabolic steroidControlledHigh hepatotoxicity
Stanozolol (Winstrol, controlled substance): potent anabolic steroid, highly hepatotoxic even at low doses. No cosmetic approval. Medical indication ONLY; videovisit and baseline/regular labs mandatory.
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.
(stan-OZ-oh-lol)
Stanozolol is an anabolic steroid with potent muscle-building effects, used medically for specific disease-related muscle wasting (very rare). It is a controlled substance (Schedule III). It is HIGHLY hepatotoxic, liver damage can occur even at low doses and short durations. Typical dose if prescribed: 2–6 mg daily. Off-label use outside medical indication carries significant legal and health risks.
Controlled substance
Schedule III; HIGHLY hepatotoxic; no cosmetic approval
Stanozolol has one of the highest hepatotoxicity profiles of all anabolic steroids. Liver damage (elevated transaminases, cirrhosis risk with long use) can appear at doses as low as 2–6 mg daily. Medical indication required; videovisit confirmation mandatory. Baseline and monthly liver function tests are non-negotiable.
Adults under a physician's care, most often for hereditary angioedema or as a short course.
An oral anabolic that is hard on the liver and on cholesterol.
Dark urine, yellow eyes or pain under the right ribs: stop and call your physician.
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
Stanozolol is a synthetic anabolic steroid that promotes protein synthesis more potently than testosterone but carries severe hepatotoxicity through direct liver cell damage.
Stanozolol's hepatotoxicity is among the highest of all anabolic steroids due to its 17-alpha-alkylation, which makes it resistant to liver metabolism but damages liver cells in the process.
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.

Stanozolol 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.
Taken by mouth, once a day. The starting prescription is 1 capsule (25 mg) each time. Your physician sets your own dose and it is printed on your label.
The pharmacy carries 2: 25 mg, 50 mg. Your physician chooses which one you get.
30 capsules 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.
Stanozolol is a 17-alpha-alkylated steroid, a chemical modification that prevents liver metabolism but causes direct liver cell damage. The same chemical feature that keeps it active long enough to work also poisons the liver. Even low doses carry risk.
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.
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
A copy of the brain's own GnRH signal that keeps the testes producing testosterone and sperm, used alongside testosterone therapy and in fertility care. Prescribed and dosed by a licensed physician.
Injection
from $159/mo
7-Keto DHEA, a metabolite of DHEA that does not convert to testosterone or estrogen. Supports energy and metabolism without hormonal side effects.
Capsule
from $79/mo
A low-dose aromatase inhibitor for men on testosterone therapy whose blood work shows high estradiol, easing breast tenderness and water retention. Slow-release capsule, prescribed and dosed by a licensed physician.
Capsule
from $54/mo
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, 2018Stanozolol Capsulesfrom $179/mo