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Var is actually broken down in the kidneys as it is actually used medically to treat involuntary weight loss caused by acute or chronic injury, illness and infection. So your kidneys are barely affected. First, 17a-methylated androgens/anabolics are
all hepatotoxic. Liver injury due to oral AAS use typically occurs as cholestasis (blockage of bile ducts to your doudenum). Liver toxicity caused by oral AAS tends to be from the reduction, or stoppage of bile flow and increased serum levels of AST, ALT and GGT (elevated liver enzymes). When bile stops it tends to salt and this is highly cytotoxic (toxic to living cells) and leads to cellular level injury, apoptosis (cell death), then necrosis (rot and decay). This is followed by acute inflammatory reaction and tissue fibrosis (thickening and scarring of) the bile ducts. This damage can destroy your livers bile ducts, worsen and ultimately lead to sepsis and death. Remember,
all oral steroids are hepatotoxic, this is why recommended dosages shouldn't be exceeded especially for an extended period of time.
TUDCA, Silymarin and Silybin are strong antioxidants and free-radical scavengers in liver tissue and should be taken with oral AAS along with copious amounts of water.
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