FAQs continued:
Q: What's this 'tren cough' I hear so much about? What can I do to stop/prevent it?
Tren cough is the result of nicking a vein in the injection site and getting some of the oil in the vein. Now, you'll get the cough from ANY compound when that happens - not just tren. However, tren causes a far worse cough than any others when this happens. Some theories postulated about what causes the cough are:
- The solvents (Benzyl Alcohol and Benzyl Benzoate) in the solution. This to me does not make sense, as every other injectable compound contains these solvents, and the coughing fits that may occur from other injectables are nowhere near as bad as the cough that results from trenbolone.
- It has been suggested that the binders in the trenbolone solution are a cause of the cough once the oil enters a vein. For those of you who do not know, in the chemistry world a binder is a material used to bind separate particles together, to give an appropriate consistency, or facilitate adhesion. This theory doesn't hold very much weight to me considering nearly all drugs in solutions contain binders as well - not just trenbolone.
- It has been postulated that the cough is the result of the prostaglandin increasing effects of tren, but it is also largely a mystery. I am, however, more likely to believe that this is the more fitting theory. BUT, though the prostaglandin increase from trenbolone is a known fact, this mechanism is highly unlikely to occur immediately upon injection, as that is too fast a time scale for the proposed mechanism. Prostaglandin increases do not and can not occur within minutes to produce an acute severe cough. The prostaglandin increases from trenbolone result in the diminished cardiovascular ability i've already discussed, and this is a result of prostaglandin increases over days and weeks - it is not possible for this to cause tren-cough upon the very first injection of someone's cycle. Thus, it must be the result of something unique to trenbolone compounds entering the blood stream and traveling to the lungs for the cough to be manifested that quickly and that harshly compared to when this happens with other compounds.
- My own personal theory? Personally, I believe it is the trenbolone molecule itself that when injected into a vein, causes the irritation in the lungs to a far greater degree than other compounds. Why is this and what is the attribute in the tren molecule that would give it this characteristic? I don't know. This is just my own speculation based on deductive reasoning after looking at all of the other theories out there.
To date, the tren-cough and why it is worse with tren compared to any other compound is still largely a mystery in the world. We still do not know with 100% certainty what the ultimate culprit is. Perhaps at some time in the future it will be discovered. All we know so far is that it is generally the result of the oil getting into a vein when injecting.
The cough, depending on how much oil has seeped into a vein (i.e. nicked a vein, passed through a vein on the way into the muscle, or literally injected right into it), should last anywhere from a minute to 5 minutes. The severity of the cough can range from a mild little irritating dry-throat esque type of cough to a major coughing fit. I have had both. The cough typically feels like there is something itching in your throat/chest/lung area, and mich akin to a dry throat feeling and something in your lungs that must be expelled, you have the need to cough. This is your body (your lungs specifically) attempting to expel the substance out (because veins carry blood to the lungs; arteries to the heart). This is very much similar to a situation in which you inhale a toxic gas, as anyone can recall if they have ever been exposed to something such as CS gas or tear gas, etc.)
What can you do about it? Not much. I can only reccomend injecting very slowly, as it seems like the cough and the severity of it is directly correlated to the speed by which the oil is being injected if there is a vein nearby that has been hit where the oil is seeping into. Some users claim it is possible to surpress the cough by immmidiately starting to inhale-exhale small amounts of air very rapidly through the mouth, much like you are hyperventilating or how pregnant women do it to surpress the contractions during labour.
Q: I GOT THE TREN COUGH!!!! HELP ME! AM I GOING TO DIE!? WILL I BE OKAY!?
No, you are not going to die. Yes, you will be okay. The cough clears within a matter of minutes. The severity of the cough is dependant on two factors: how quickly you injected the oil, and how much of it entered your bloodstream and travelled to the lungs to be expelled. It can manifest as the notorious hard and uncontrolable cough that starts right after or during injection, or a milder controllable one that is just irritating.
Q: Prolactin antagonists like Prami and Caber help prevent gyno and tren-dick? How do I use them?
Cabergoline can be used at 1mg per week, as it has a very long half life, approximately 7-14 days. Pramiprexole should be dosed at 0.5mg per day for the first few days, and then increase to 1mg thereafter. Nausea has been reported when increasing the dose too fast or too much. If you experience nausea, bring it down a notch. I think everyone will be different with the nausea effect. With that being said, 1-2mg per day is even considered a low dosage. Patients who are perscribed Prami are commonly perscribed 3 or 4mg per day too! Take prami before bed, as it apparently gives you excellent deep sleep and can make you drowsy and sleepy if taken during the day. Apparently it can knock you out cold. Prami is a very new compound, there is still data being collected on it. It seems to carry a couple side effects that Caber does not have. Nausea and drowsiness. I have personally not yet used Prami.
Q: Is tren liver toxic?
Tren doesn't put a high amount stress on the liver - it is not C17AA and as an injectable it avoids the first pass. However, it is known that tren is ever so slightly liver toxic due it its ability to resist hepatic breakdown greater than many other anabolic steroids. I have had my liver values checked with bloodwork many times after my tren cycles and have had ZERO problems. All of my enzyme levels were pefectly healthy, which would signify that likely the liver-stressing effect of tren is extremely minimal at best. For safety, one could run a good liver protectant such as Liv 52 or TUDCA/UDCA while on tren if one is extremely concerned. But I do not feel it is essential. Once again, proper bloodwork will tell you everything that is going on with yourself.
Q: I've heard that tren is harsh on the kidneys and people report urinating very dark unrine when on tren? Is this a bad sign?
Kidney damage has been a commonly touted effect of tren. I can say that tren is no harsher on the kidneys than most AAS. The origin of this rumor comes from the fact that often while on a tren cycle, you will find your urine becomes a very dark rusty color (this does certainly happen with me). It is not because your kidneys are being damaged. That dark rusty color are the metabolites of tren being excreted out of your body in your urine. Trenbolone seems to oxidize to a dark rust color very easily, even under refrigeration. The discolored urine tends to happen often, with no signs of renal toxicity. Also, trenbolone acetate is still widely used in animals for carcass weight increase. There seems to be no mention of kidney toxicity in animals, or with the few historical human trenbolone preparations. So basically, what some think is blood in the urine is actually just the metabolite of tren coloring the urine much darker. Tren itself before it is metabolized has a very amber color, hence why it is always amber in the vials it is contained in.
Q: If tren lowers T3 output in the body, is it necessary to always run T3 while on a tren cycle?
Not likely. If the goal is fat loss, it might be a bonus. I have run tren both with and without T3 before. 95% of my tren cycles are run without T3, and the cycles of tren without T3 were just fine. I didn't notice any diminished fat loss or metabolic issues. It would be interesting to see bloodwork while on a tren cycle and look at TSH and T3 levels, though... But, my bloodwork post-tren cycle has always shown normal healthy levels of TSH. SO, either the tren did not shut down thyroid output or my output bounced back to normal almost instantly after the cycle ended.