Since these steroids are meant to improve performance and increase muscle tissue, the heart is going to be affected in one way or the other. Prolonged usage may lead to different cardiovascular problems like increased cholesterol levels, high blood pressure, abnormally high red blood cells count and enlargement of the heart as well as irregular heartbeats. This is owed to the enhanced characteristic of the anabolic androgenic steroid. These problems may lead to heart attacks and failures that may prove to be fatal. However, it should be known that these issues arise with misuse of the steroid.
Having sufficient amounts of chemicals called methyl groups in the liver also helps keep it healthy. Nutrient sources of methyl groups include lecithin, choline, betaine and S-adenosylmethionine (SAMe). Studies show that SAMe is especially useful for promoting increased bile flow in the liver and may help relieve the bile flow obstruction induced by oral anabolic steroids. SAMe, however, is quite expensive. An alternative method is to increase the intake of nutrients that promote SAMe synthesis in the liver, such as vitamins B12, B6 and folic acid.