Dianabol is not an extremely androgenic steroid, its androgenicity has been structurally reduced, but androgenic side effects are still possible. Such side effects of Dianabol use include acne, accelerated hair loss in those predisposed to male pattern baldness and body hair growth. Most men should not have a problem with such effects, response will be the final dictator, but most will remain clear. Although the odds are in your favor, such effects are brought on by Methandrostenolone being metabolized by the 5-alpha reductase enzyme. This is the same enzyme responsible for the reduction of testosterone to dihydrotestosterone, but the overall conversion here will result in very low amounts of dihydromethandrostenolone. This tells us 5-alpha reductase inhibitors like Finasteride that are often used to combat androgenic side effects will have very little if any affect on Dianabol.
Despite its reduced androgenicity, Dianabol can promote virilization symptoms in women. Such symptoms include body hair growth, a deepening of the vocal chords and clitoral enlargement. It is possible for some women to use this steroid without virilization symptoms with extremely low doses, but the odds are not favorable. Most all women should choose anabolic steroids with less translating androgenic activity to meet their needs.
Although the debate rages on (and probably always will) there is a controversial solution for getting the best of both worlds, and that involves using both compounds together in a cycle. Although both of these oral compounds are liver toxic, you can use them safely at moderate doses during short cycles and alongside a liver protectant supplement. The most common Anadrol Dianabol stack involves a 4-6 week cycle during which you take 25mg of Dianabol and 50mg of Anadrol per day. The synergistic effects are quite noticeable at these doses. In short, using the two together counteracts many of the side effects due to the low doses of each, including appetite loss, aches and pains, and even fatigue.