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Common Risks Include: Estrogenic Effects Water retention, mood swings, gynecomastia (male breast tissue development) Suppression of Natural Testosterone Even though you're supplementing with testosterone, your body stops producing its ownleading to HPTA shutdown Acne and Oily Skin Resulting from increased sebaceous gland activity Increased Hematocrit Elevated red blood cell count may thicken blood and raise blood pressure Hair Loss (in genetically predisposed men) Accelerated if you are prone to male pattern baldness Aromatization of testosterone to estradiol is a major cause of gynecomastia and water retention, which can be mitigated with aromatase inhibitors. Bhasin et al., The Journal of Clinical Endocrinology & Metabolism Management Tip: Use of an aromatase inhibitor (AI) like Arimidex can help control estrogen levels during cycle