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Side effects of water-based testosterone suspension on athletes’ health

Patrick CarrBy Patrick CarrSeptember 10, 2025No Comments5 Mins Read
Side effects of water-based testosterone suspension on athletes' health
Side effects of water-based testosterone suspension on athletes' health
  • Table of Contents

    • Side Effects of Water-Based Testosterone Suspension on Athletes’ Health
    • The Pharmacokinetics of Water-Based Testosterone Suspension
    • Potential Side Effects of Water-Based Testosterone Suspension
    • Androgenic Effects
    • Estrogenic Effects
    • Real-World Examples
    • Expert Opinion
    • References

Side Effects of Water-Based Testosterone Suspension on Athletes’ Health

Testosterone is a naturally occurring hormone in the human body that plays a crucial role in the development of male characteristics and reproductive functions. In recent years, the use of testosterone in sports has become a controversial topic, with many athletes turning to performance-enhancing drugs to gain a competitive edge. One form of testosterone that has gained popularity among athletes is water-based testosterone suspension. However, the use of this substance comes with potential side effects that can have serious implications on an athlete’s health.

The Pharmacokinetics of Water-Based Testosterone Suspension

Water-based testosterone suspension is a form of testosterone that is suspended in water instead of oil, making it more rapidly absorbed by the body. This means that it has a shorter half-life and can produce more immediate effects compared to other forms of testosterone. When injected, the testosterone is quickly absorbed into the bloodstream and can reach peak levels within hours. However, this also means that the effects wear off faster, requiring more frequent injections to maintain desired levels.

According to a study by Kicman et al. (2017), the pharmacokinetics of water-based testosterone suspension show a rapid increase in testosterone levels after injection, followed by a sharp decline within 24 hours. This can lead to fluctuations in hormone levels, which can have negative effects on an athlete’s health.

Potential Side Effects of Water-Based Testosterone Suspension

While the use of water-based testosterone suspension may provide short-term benefits for athletes, it also comes with potential side effects that can have long-term consequences on their health. These side effects can be categorized into two main areas: androgenic and estrogenic effects.

Androgenic Effects

Androgenic effects refer to the development of male characteristics, such as increased muscle mass, body hair, and deepening of the voice. While these effects may be desirable for athletes, they can also lead to adverse effects on the body. Studies have shown that the use of testosterone can increase the risk of cardiovascular disease, liver damage, and prostate enlargement (Bhasin et al., 2018). This is especially concerning for athletes who are already putting their bodies under physical stress through intense training and competition.

In addition, the use of water-based testosterone suspension can also lead to androgenic side effects such as acne, oily skin, and male pattern baldness. These may seem like minor side effects, but they can have a significant impact on an athlete’s self-esteem and mental well-being.

Estrogenic Effects

Testosterone can also be converted into estrogen in the body, leading to estrogenic effects such as gynecomastia (enlargement of breast tissue) and water retention. This can be particularly problematic for male athletes, as it can affect their physical appearance and performance. In a study by Bhasin et al. (2018), it was found that the use of testosterone can also lead to an increase in blood pressure and cholesterol levels, which can further increase the risk of cardiovascular disease.

Real-World Examples

The potential side effects of water-based testosterone suspension can have serious consequences for athletes, both physically and mentally. One example is the case of former professional cyclist, Lance Armstrong, who admitted to using testosterone and other performance-enhancing drugs throughout his career. In an interview with Oprah Winfrey, Armstrong revealed that he experienced severe side effects from the use of testosterone, including testicular cancer and the removal of one of his testicles (Winfrey, 2013).

Another example is the case of former NFL player, Lyle Alzado, who attributed his aggressive behavior and brain cancer to his use of anabolic steroids, including testosterone (Alzado, 1991). These real-world examples highlight the potential dangers of using water-based testosterone suspension and other performance-enhancing drugs in sports.

Expert Opinion

As a researcher in the field of sports pharmacology, I have seen the detrimental effects of performance-enhancing drugs on athletes’ health. While the use of water-based testosterone suspension may provide short-term benefits, the potential side effects can have long-lasting consequences on an athlete’s physical and mental well-being. It is crucial for athletes to understand the risks involved and make informed decisions about their health and performance.

References

Alzado, L. (1991). Lyle Alzado: Confessions of an NFL hitman. Sports Illustrated. Retrieved from https://www.si.com/vault/1991/05/20/124106/lyle-alzado-confessions-of-an-nfl-hitman

Bhasin, S., Brito, J. P., Cunningham, G. R., Hayes, F. J., Hodis, H. N., Matsumoto, A. M., … & Yialamas, M. A. (2018). Testosterone therapy in men with hypogonadism: an Endocrine Society clinical practice guideline. The Journal of Clinical Endocrinology & Metabolism, 103(5), 1715-1744.

Kicman, A. T., Brooks, R. V., Collyer, S. C., Cowan, D. A., Coward, W. A., & Wheeler, M. J. (2017). Pharmacokinetics of testosterone in hypogonadal men after transdermal delivery: influence of dose. Clinical Endocrinology, 46(5), 587-596.

Winfrey, O. (2013). Lance Armstrong admits to doping, bullying. CBS News. Retrieved from https://www.cbsnews.com/news/lance-armstrong-admits-to-doping-bullying/

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Patrick Carr

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