Anabolic steroids can cause many adverse effects . Most of these side effects are dose dependent, the most common being elevated blood pressure , especially in those with hypertension ,  and harmful cholesterol levels: some steroids cause an increase in bad cholesterol and a decrease in good cholesterol .  Anabolic steroids such as testosterone also increase the risk of cardiovascular disease ,  or coronary artery disease   in men with high risk of bad cholesterol . Acne is fairly common among anabolic steroid users, mostly due to increases in testosterone stimulating the sebaceous glands .   Conversion of testosterone to dihydrotestosterone (DHT) can accelerate the rate of premature baldness for those who are genetically predisposed.
Side effects of metenolone enanthate include symptoms of masculinization like acne , increased hair growth , voice changes , and increased sexual desire .  The drug is a synthetic androgen and anabolic steroid and hence is an agonist of the androgen receptor (AR), the biological target of androgens like testosterone and dihydrotestosterone (DHT).   It has moderate anabolic effects and weak androgenic effects, as well as no estrogenic effects or risk of liver damage .   Metenolone enanthate is a metenolone ester and a long-lasting prodrug of metenolone in the body.