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In men, the dosage of nandrolone is kept at less than half that of testosterone so as to not interfere with erectile performanceand, indeed, to reduce pain associated with erectile dysfunction and/or hypopigmentation in men. As has already been mentioned, nandrolone should never be combined with other nandrolone derivatives or with other PEGs (e.g. propoxyphene, oxandrolone) as they can affect each other's ability to bind and block the specific effects of nandrolone.Nandrolone is also not recommended for men with a history of premature ejaculation where this could result in the erection going temporarily, and it should not be used as a substitute or in addition to male erectile dysfunction medicines, in particular those that reduce or block the effects of prostaglandins, or other anti-androgens, including those that target testosterone or other steroid hormones and the brain.How it worksThe synthesis of endogenous nandrolone from testosterone takes place in the cytoplasm in the prostate gland. Nandrolone blocks the action of the testosterone which is transported to the pituitary and from there binds and activates another enzyme called 5-hydroxytryptophan hydrolase, which then releases 5-HT into the blood via the blood-brain barrier. The conversion of nandrolone to testosterone takes place elsewhere, in a process which will take about 16 days.If you take high doses of nandrolone, you might have the following symptoms:Permanent erectionsNauseaDepressionFatigueDecreased libido and erectile dysfunctionHematuria, where blood flow from the brain to the penis is abnormally reducedIt is important to remember that you have not started taking nandrolone. You will take it at exactly the levels that you've been taking your prescribed testosterone replacement medication and your daily cycle, although it can take a week or more before you experience normal results.Other common side effects of the nandrolone include:GustinessHeadachesVomitingParesthesias (swelling)Urethral dischargeThese symptoms of side effects are caused by the conversion of testosterone into dihydrotestosterone (DHT), which the body's own enzymes cannot break down and which can be a cause of low libido, depression, irritability and nausea:When nandrolone is taken as a pill, the body will beSimilar articles: