While none of the possible side-effects of Deca will ever be desired by any man, fortunately each one can be avoided, and all it takes is easily within your grasp. In-order to combat such issues, the first line of defense will be an aromatase inhibitor (AI) such as Arimidex or Letrozole; an AI will protect against Gynecomastia produced by aromatase or progestin. Further, an AI will also protect against water retention and can even have a positive impact on blood pressure and cholesterol, but your diet will also play a massive role. Many men who hold water due to Deca use often do even with AI use, and in most cases, it's not the steroid's fault; they're simply eating too much, and it's more than likely too many carbohydrates. By controlling your diet and supplementing with an AI, excess water retention won't be a large concern; further, by controlling your diet, eating a blood pressure and cholesterol friendly diet these issues will be protected; assuming your blood pressure and cholesterol levels were healthy to begin with.
Cardiovascular disease: This medication often affects blood pressure and can contribute to symptoms of heart disease. If you have high blood pressure, heart disease such as heart failure, angina, or a previous heart attack, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. If you are taking blood pressure pills to control blood pressure, it is important to continue taking them regularly while you are on epoetin alfa. Your doctor will monitor your hemoglobin (the protein in red blood cells that carry oxygen) until an appropriate dose of epoetin alfa has been determined.