As for individual use of a personal nature, outside therapeutic treatment, this is where we will find the vast majority of anabolic steroids. It is here we will also find the biggest problems, not in terms of ill-effects of a physical or mental nature but of those surrounding legality. In places like the . anabolic steroids are controlled substances, and here we will find the strictest of laws. This has created a new class of criminal; most commonly an adult man with a family who is simply living an every day life like everyone else. These are issues that need to be discussed and you will find very few are willing to touch them unlike .
As a DHT derivative, oxymetholone is not a substrate for aromatase and hence cannot be aromatized into estrogenic metabolites .  However, uniquely among DHT derivatives, oxymetholone is nonetheless associated with relatively high estrogenicity, and is known to have the potential to produce estrogenic side effects such as gynecomastia (rarely) and water retention .     It has been suggested that this may be due to direct binding to and activation of the estrogen receptor by oxymetholone. 
When working in a facility, never skip or make up a number for blood pressure to add to patients chart. This could be deadly. If you are using a electronic cuff and get a reading that is way too high to be possible, or get a reading that is way out of range of the patients usual number, you will have to do it manually. If you are still getting an unusual reading it is time to get the hall nurse and they will do a BP check to see if your findings were correct. This can mean the difference between your patient living or dying. Keep this in mind while doing all your vital checks and be a responsible caregiver!