Anticoagulants: Patients on anticoagulants such as warfarin should be carefully monitored during anabolic steroid therapy as anabolic steroids may increase sensitivity to oral anticoagulants which may require a concomitant reduction in anticoagulant dosage to achieve a desirable prothrombin time (PT). Anticoagulant patients should be monitored regularly during anabolic steroid therapy, particularly during initiation and termination of therapy. Warfarin patients should have INR and PT monitored throughout androgen therapy and warfarin dosages titrated to achieve the desired INR and PT. Such patients should be monitored for occult bleeding.
Online pharmacies do not require the shelf space, and overhead costs that a brick-and-mortar store does. The lower cost of storing and selling their merchandise allows them to charge less. Shipping and handling costs are typically negligible as well. Typically the overall cost of purchasing this steroid supplement online will be half the cost of buying it offline. The testosterone cypionate may be shipped next day delivery allowing the buyer to receive it the next day after purchase. While this takes longer than walking into a pharmacy to buy it, the lower cost and privacy factor are considered to be worth waiting one or two days.