Is it safe to use testosterone enanthate (testosterone) 250mg/week and oxandrolone (anavar) 30mg/day for cutting?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 20, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Safety Concerns with Testosterone Enanthate and Oxandrolone Use for Cutting

Using testosterone enanthate 250mg/week and oxandrolone 30mg/day for cutting purposes is not safe and poses significant health risks that outweigh any potential benefits.

Testosterone Enanthate Usage Concerns

  • The FDA-approved dosage for testosterone enanthate in male hypogonadism is 50-200mg every 2 weeks or 50mg weekly, making 250mg/week significantly higher than therapeutic doses 1
  • Testosterone enanthate injections are associated with greater risk of cardiovascular events, hospitalizations, and deaths compared to other testosterone formulations due to fluctuating serum testosterone levels with peaks and valleys 2
  • The FDA required labeling changes in 2015 to warn about possible increased risk of heart attack and stroke with testosterone preparations 2
  • Supraphysiologic testosterone levels are associated with erythrocytosis (elevated red blood cell count), which increases risk of thrombotic events 2

Oxandrolone Usage Concerns

  • Oxandrolone (Oxandrin) is typically prescribed at 2.5-20mg/day for medical conditions, making 30mg/day higher than standard therapeutic doses 2
  • As a 17α-alkylated androgen, oxandrolone can cause adverse effects including weight gain, virilization, acne, altered libido, muscle pains, headaches, depression, fatigue, hypertension, and alterations in lipid profile 2
  • Oxandrolone can significantly decrease HDL-C (good cholesterol) and increase LDL-C (bad cholesterol), increasing cardiovascular risk 3

Combined Use Risks

  • The combination of high-dose testosterone and oxandrolone amplifies risks of:
    • Cardiovascular complications due to unfavorable lipid profile changes 2, 3
    • Liver function abnormalities with elevated transaminases 4
    • Hormonal disruption with suppression of natural testosterone production 5
    • Psychological effects including aggression, hostility, and mood disturbances 6

Monitoring Recommendations (if use continues despite risks)

  • Regular blood tests every 2-3 months to monitor:
    • Hemoglobin/hematocrit (target below 54%, withdraw if higher) 2
    • Liver function tests 1
    • Lipid profile 1
    • Testosterone levels (should be measured midway between injections, targeting 500-600 ng/dL) 2

Alternative Approaches for Cutting

  • Focus on lifestyle modifications including caloric deficit through diet and increased physical activity 2
  • Consider that weight loss through proper diet and exercise can naturally improve testosterone levels by 1-2 nmol/L 2
  • If testosterone therapy is medically indicated, use standard therapeutic doses under medical supervision 1

Important Caveats

  • Non-prescribed use of testosterone and anabolic steroids is illegal in many jurisdictions 7
  • Discontinuation of these substances may lead to withdrawal effects including depression and hypogonadism 6
  • Long-term use increases risk of dependence and more severe health complications 6, 7

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Oral anabolic steroid treatment, but not parenteral androgen treatment, decreases abdominal fat in obese, older men.

International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 1995

Research

Treatment of male hypogonadism with testosterone enanthate.

The Journal of clinical endocrinology and metabolism, 1980

Research

Effects of androgenic-anabolic steroids in athletes.

Sports medicine (Auckland, N.Z.), 2004

Research

Testosterone: use, misuse and abuse.

The Medical journal of Australia, 2006

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.