June 25, 2026
Created by Daniel Cross

NPP (Nandrolone Phenylpropionate): Short-Ester Nandrolone, Progestogenic Activity, and Bloodwork Guide

COMPOUND PROFILES · 19-NOR INJECTABLES

NPP (NANDROLONE PHENYLPROPIONATE): 7 PROVEN FACTS, SIDE EFFECTS

NPP is nandrolone phenylpropionate, the short ester of nandrolone, the same hormone that Deca-Durabolin delivers as a decanoate. The ester is the only thing that differs, and the one trial that compared the two esters head to head in men found exactly that: higher and earlier nandrolone peaks with the phenylpropionate, and the most rapid but briefest suppression of testosterone (PMID 9103484). Everything else the npp steroid does is what nandrolone does, and nandrolone has more randomised trials than any injectable on this site apart from testosterone.

This profile separates the ester from the hormone: what nandrolone phenylpropionate vs deca actually changes, what nandrolone did to lean mass in 20 randomised trials (PMID 41936385), what it did to HDL, the heart, the axis and sexual function in men, and which nandrolone phenylpropionate side effects are measured against which are assumed. No dose or protocol is given. The compound is a prescription drug, and its effects follow the nandrolone record it shares.

D
Daniel Cross
Hormones & PED Education Editor · Updated November 2026

Nandrolone phenylpropionate in brief

Three numbers frame nandrolone phenylpropionate: what the ester comparison measured, what the hormone did to lean mass across every randomised trial, and what it did to the axis in the men who took it.

7vs 6 men
The only human head-to-head of nandrolone phenylpropionate vs deca

In 23 healthy men randomised to a single injection of nandrolone phenylpropionate or nandrolone decanoate, the phenylpropionate gave higher and earlier nandrolone peaks and the most rapid but briefest testosterone suppression; injection site and volume changed the curve as much as the ester did (PMID 9103484).

+1.59kg lean tissue
Nandrolone decanoate vs placebo, 11 randomised trials pooled

Across 20 randomised trials in adults, nandrolone decanoate raised lean soft tissue by a mean 1.59 kg with no heterogeneity, and did not change fat mass, handgrip strength or knee extension strength (PMID 41936385). The largest single result was 3.1 kg in 12 weeks in dialysis patients (PMID 16825332).

4days
Time to significant LH and FSH suppression after one nandrolone injection

In 11 healthy men given a single injection of nandrolone decanoate, luteinising and follicle-stimulating hormone were significantly suppressed by day 4, and total cholesterol and apolipoprotein B had risen by day 14 (PMID 26370185). In gym users, suppression lasted months after the last injection (PMID 21884791).

Every figure is taken from the abstracts of the twenty-one papers at the end. NPP, nandrolone phenylpropionate and nandrolone decanoate are named because the papers name them; no dose, schedule or cycle is given here.

What this nandrolone phenylpropionate profile covers

Covered

What nandrolone phenylpropionate is: nandrolone phenylpropionate, the 19-nor structure, the ester, and what the one human ester comparison actually measured.

What has actually been measured on nandrolone in randomised trials of dialysis, HIV wasting, burns and healthy men, and in the cell work on its progestogenic and aromatase activity.

Nandrolone phenylpropionate side effects by the evidence behind each: HDL, the heart, the axis and its recovery, sexual function, the progesterone receptor, and the estrogen question.

The bloodwork that tests the npp steroid in one person, and the five mistakes the ester talk leads to.

Not covered

Doses, cycle lengths, stacks or a protocol. The trials dosed patients for wasting and anemia; nothing here is an instruction.

The long ester in depth. Deca-Durabolin has its own page; this one covers what the phenylpropionate ester changes and what it does not.

Buying, sourcing or legality. Not on this site.

What is NPP? Nandrolone phenylpropionate, the ester and the 19-nor structure

What is the npp steroid, chemically: nandrolone, which is testosterone without the carbon-19 methyl group, attached to a phenylpropionate ester so that it can be injected in oil and released over days rather than hours. The hormone that reaches the blood is nandrolone, identical to what Deca-Durabolin releases; the ester decides how fast it arrives and how long it stays. That is the whole of the nandrolone phenylpropionate vs deca difference, and it was measured once in men (PMID 9103484).

The 19-nor structure is what makes nandrolone different from testosterone at the receptors. In the classic binding study, nandrolone bound the androgen receptor in skeletal muscle more strongly than testosterone, second only to the reference ligand (PMID 6539197). In human cell bioassays it also activated the progesterone receptor at nanomolar to picomolar concentrations, an effect abolished by antiprogestins and not by antiandrogens, where testosterone needed a thousand-fold higher concentration to do the same (PMID 9228646). Nandrolone phenylpropionate delivers a hormone that is both a strong androgen and a progestogen.

1,000xAt least how much lower the concentration was at which nandrolone stimulated the progesterone receptor in human T47D cells: nanomolar to picomolar, against micromolar for testosterone and dihydrotestosterone; the effect was blocked by antiprogestins including RU-486 and not by an antiandrogen (PMID 9228646). The progestogenic activity of NPP is measured, not folklore.

The estrogen side is more complicated than the forum version. Nandrolone is described in the cardiac trial as a non-aromatisable pure androgen (PMID 17223994), but in human breast cancer cells both nandrolone and stanozolol induced aromatase expression and estradiol production in a dose-dependent way, more so with IGF-I (PMID 22906881). Whether that happens in a man on nandrolone phenylpropionate has not been measured; what has been measured is what the hormone does to LH, testosterone and sexual function, in the hormones section below. How injectables differ from orals as a class is on injectable vs oral steroids.

NPP: small amber oil vial and an insulin syringe on a dark table, unbranded
Illustration. The phenylpropionate ester peaked higher and earlier than the decanoate and suppressed testosterone fastest and briefest (PMID 9103484).

What is measured on nandrolone, and in whom

The npp steroid itself has two human studies on nandrolone phenylpropionate. Nandrolone as a hormone has dozens, because the decanoate was a licensed drug for anemia and wasting. The table keeps the ester data, the hormone data, the cell data and the class data apart.

Evidence on nandrolone phenylpropionate and nandrolone by design. Randomised, controlled   Uncontrolled human data   Animal or cell experiment   Class data, mixed steroids
FindingDesignWeight
Phenylpropionate ester: higher, earlier nandrolone peaks and the most rapid but briefest testosterone suppression vs decanoate; injection site and volume also changed the curve (PMID 9103484)23 healthy men, randomised, single injectionRandomised, NPP
One preoperative injection of nandrolone phenylpropionate reduced 24-hour postoperative symptom scores after prostatectomy, 6.2 vs 9.8; no complication attributed to the drug (PMID 18821287)54 men aged 70, randomised pilotRandomised, NPP
Lean soft tissue plus 1.59 kg, no change in fat mass, handgrip or knee extension strength; bone density inconsistent (PMID 41936385)20 randomised trials, meta-analysisRandomised, nandrolone
Chronic kidney disease: lean mass plus 2.63 kg in four trials; hemoglobin plus 0.81 g/dl and hematocrit plus 3.12 points with very low certainty (PMID 42714768)15 randomised trials, meta-analysisRandomised, nandrolone
Dialysis: lean body mass plus 3.1 kg in 12 weeks on nandrolone, none from exercise alone; quadriceps area rose with both, additively (PMID 16825332)79 patients, 2 by 2 factorialRandomised, nandrolone
HIV wasting: fat-free mass plus 1.34 kg and weight plus 1.48 kg vs placebo; weight plus 1.00 kg vs testosterone (PMID 16494628)303 men, three armsRandomised, nandrolone
HIV weight loss: lean body mass plus 1.6 vs plus 0.4 kg on placebo, not different from growth hormone; sexual function improved vs placebo (PMID 15914526)Randomised, 12 weeksRandomised, nandrolone
HDL fell by 8.7 and 10.6 milligrams per decilitre in 12 weeks; triglycerides and lipoprotein(a) fell; insulin sensitivity unchanged (PMID 12388173)30 men with HIV, randomisedRandomised, nandrolone
Eight weeks of nandrolone decanoate did not change cholesterol, HDL or apolipoproteins in bodybuilders; self-administered stacks cut HDL from 1.08 to 0.43 mmol/l (PMID 15155420)16 bodybuilders, double-blind; 19 users observedRandomised, nandrolone
Cardiac function unchanged after four weeks of nandrolone; minor changes only in the testosterone arm (PMID 17223994)30 healthy men, three armsRandomised, nandrolone
Single injection: LH and FSH suppressed by day 4; total cholesterol and ApoB up by day 14; HMGCR mRNA up in 80 percent (PMID 26370185)11 healthy menUncontrolled
Gym users after stopping: LH and FSH suppressed for months, up to a year in some; nandrolone metabolite detectable for months (PMID 21884791)56 users, followed one yearUncontrolled
Dialysis patients on anabolic steroids: testosterone 205 vs 450 ng/dl; prolactin not different (PMID 2805460)76 patientsUncontrolled
Burns: preserved lean mass and near-normal nitrogen balance on nandrolone decanoate (PMID 34172326)40 patients, randomisedRandomised, nandrolone
Progesterone receptor activation at nanomolar concentrations (PMID 9228646); aromatase induction in breast cancer cells (PMID 22906881); AR binding in muscle above testosterone (PMID 6539197)Cells and tissueCell
Trained rats on nandrolone phenylpropionate ran 41 percent longer in a submaximal endurance test; no gain in sedentary rats (PMID 8531609)40 ratsAnimal, NPP
Long-term users: hematocrit 0.50 vs 0.44, HDL 0.69 vs 1.25 mmol/l, coronary disease 17 percent (PMID 35460300); fluid retention 56 percent, gynecomastia 19 percent on cycles (PMID 33038020)CohortsClass

Read the weight column first. The ester has one kinetic trial and one surgical pilot. The hormone has a real randomised record: it builds lean mass in people who are losing it, it lowers HDL in some populations and not others, it leaves the heart alone over four weeks, and it shuts the axis fast and reopens it slowly. That is the evidence base for the npp steroid, and the rest of this page stays inside it.

Nandrolone phenylpropionate vs deca: what the ester comparison found

The nandrolone phenylpropionate vs deca question has exactly one human answer, and it is a good one. Twenty-three healthy men were randomised to a single intramuscular injection of nandrolone phenylpropionate or nandrolone decanoate in four millilitres of arachis oil into the gluteal muscle, or to nandrolone decanoate in one millilitre into the gluteal or deltoid muscle, and were sampled for 32 days. Plasma nandrolone was influenced by the ester and the injection site, with higher and earlier peaks after the phenylpropionate; testosterone suppression was most rapid but briefest after the phenylpropionate and most sustained after the small-volume gluteal decanoate; and inhibin followed volume and site (PMID 9103484).

What changed the nandrolone phenylpropionate curve in the ester trial, 23 men, 32 days (PMID 9103484). Bars show which factors the authors found significant, not magnitudes.

Ester: phenylpropionate peaks higher and earlier than decanoateSignificant
Injection site: gluteal gives more exposure than deltoidSignificant
Injection volume: one millilitre gives more exposure than fourSignificant
Testosterone suppression on the phenylpropionateFastest, briefest

The authors concluded that side-chain ester, injection site and injection volume all influence the kinetics and effects of a nandrolone ester in oil. The ester is one variable of three.

Three things follow for anyone weighing nandrolone phenylpropionate vs deca. First, the hormone is the same, so the receptor effects, the progestogenic activity and the lipid and axis effects below belong to both esters. Second, the short ester means a faster rise, a faster fall, and a faster return of the axis after the last injection, which is the one real advantage of nandrolone phenylpropionate and the reason the trial found its suppression briefest. Third, where and how much you inject changed the curve as much as which ester you chose, which no forum comparison mentions.

The long ester in its own trials is on deca-durabolin; the half-life logic for testosterone esters, which is the same logic, is on testosterone cypionate.

Lean mass on nandrolone: what twenty randomised trials found

Nandrolone phenylpropionate has no lean-mass trial of its own, so the muscle data come from the decanoate, which delivers the same hormone more slowly. The 2026 meta-analysis pooled 20 randomised placebo-controlled trials in adults: nandrolone decanoate raised lean soft tissue by a mean 1.59 kg across 11 trials with zero heterogeneity, did not change fat mass across 11 trials, did not change handgrip strength across 12, and had inconsistent effects on bone; the authors rated the certainty low and noted that the gain in tissue was not matched by function (PMID 41936385).

Lean mass on nandrolone, by trialKilograms gained over placebo, nandrolone decanoate, 12 week trials.Dialysis, 79 patients3.1 kgKidney disease4 trials pooled2.63 kgHIV weight lossvs 0.4 placebo1.6 kg11 trials pooled, 20261.59 kgHIV wasting, 303 men1.34 kgPMID 16825332, 42714768, 15914526, 41936385, 16494628.
Lean mass onnandrolone, by trialKg over placebo,nandrolone decanoate.Dialysis, 79 patients3.1 kgKidney disease, 4 trials pooled2.63 kgHIV weight loss, vs 0.4 placebo1.6 kg11 trials pooled, 20261.59 kgHIV wasting, 303 men1.34 kgPMID 16825332, 42714768,15914526, 41936385, 16494628.

The single trials show where the number comes from. In 79 dialysis patients randomised in a two-by-two design, 12 weeks of weekly nandrolone decanoate raised lean body mass by 3.1 kg, resistance exercise alone did not raise it, and quadriceps cross-sectional area rose with both in an additive way; exercise, not the drug, improved self-reported physical function (PMID 16825332). In chronic kidney disease overall, four trials pooled gave 2.63 kg (PMID 42714768).

In 303 HIV-positive men with wasting, nandrolone added 1.34 kg of fat-free mass and 1.48 kg of weight against placebo and 1.00 kg of weight against testosterone (PMID 16494628); in a second HIV trial it added 1.6 kg of lean mass against 0.4 on placebo and matched growth hormone with fewer adverse effects (PMID 15914526). In burns it preserved lean mass and nitrogen balance (PMID 34172326).

0.39Standardised mean difference in handgrip strength across 12 randomised trials of nandrolone decanoate, not significant, alongside a 1.59 kg gain in lean soft tissue (PMID 41936385). The hormone behind nandrolone phenylpropionate adds tissue measurably and strength inconsistently, in the people it has been tested in.

What a lifter should take from this is limited and specific. The only nandrolone phenylpropionate performance data are in rats: trained animals given nandrolone phenylpropionate ran 41 percent longer in a submaximal endurance test than trained animals on saline, with no gain in sedentary animals and no further gain in sprint speed (PMID 8531609). Every human lean-mass number above came from a patient losing muscle, over 12 weeks, on the long ester. The one human nandrolone phenylpropionate trial in a non-wasting setting, 54 men before prostatectomy, measured postoperative symptom scores, not muscle (PMID 18821287). The class benchmark for a healthy trained man remains the testosterone ester dose-response on testosterone cypionate.

NPP: empty treatment chair and an IV stand in a quiet clinic room in soft light, unbranded
Illustration. Every human lean mass number for nandrolone comes from patients losing muscle, over 12 weeks, on the long ester (PMID 41936385).

Lipids, cholesterol synthesis and the heart on nandrolone

The lipid data behind nandrolone phenylpropionate disagree with each other in an instructive way. In 30 HIV-infected men randomised to a high weekly dose of nandrolone decanoate with or without resistance training for 12 weeks, HDL cholesterol fell by 8.7 and 10.6 milligrams per decilitre in the two groups, with the large HDL2 subfractions falling and the small HDL3 rising, while triglycerides and lipoprotein(a) fell and insulin sensitivity did not worsen (PMID 12388173). In 16 bodybuilders randomised double-blind to eight weeks of nandrolone decanoate, cholesterol, HDL, HDL2, HDL3 and apolipoproteins did not change at four or eight weeks or six weeks after withdrawal, while lipoprotein(a) fell (PMID 15155420).

HDL cholesterol on nandrolone decanoate alone vs self-administered stacks, from the same lipid programme (PMID 15155420) and the HIV trial (PMID 12388173).

Self-administered mixed stacks, 8 to 14 weeks: HDL 1.08 to 0.43 mmol/l−60 %
Nandrolone decanoate, high weekly dose, HIV, 12 weeks: minus 8.7 to 10.6 milligrams per decilitreFell
Nandrolone decanoate, bodybuilders, 8 weeks, double-blindNo change

Apolipoprotein A1 halved and apolipoprotein B rose a third on the stacks, and none of it had recovered six weeks after stopping. Nandrolone alone was the mild arm in the same laboratory.

The mechanism is measurable within days. In 11 healthy men given a single injection of nandrolone decanoate, the mRNA of HMG-CoA reductase, the rate-limiting enzyme of cholesterol synthesis, was raised in 80 percent of them by day 4, and total cholesterol and apolipoprotein B were significantly higher by day 14 (PMID 26370185). In 56 gym users followed for a year after stopping, HDL was significantly higher and LDL lower for six months after cessation, and the profile normalised within six months while the axis in some men did not (PMID 21884791). Nandrolone moves cholesterol in the wrong direction quickly and back in the right direction within months; what a stack does is another matter, on do steroids raise cholesterol.

The heart was measured directly. In 30 healthy young men randomised double-blind to weekly testosterone, weekly nandrolone decanoate or placebo for four weeks, left and right ventricular function, cardiac output and vascular resistance stayed within reference ranges and were not altered by either androgen; the minor changes that did appear, a larger end-systolic diameter and a higher filling pressure, were in the testosterone arm only (PMID 17223994). Four weeks is the caveat: the cohort of long-term users of the class had a lower ejection fraction, 50 against 54 percent, and coronary disease in 17 percent (PMID 35460300).

Hormones, libido and recovery: the axis on nandrolone

Nandrolone phenylpropionate suppresses the axis fast. In the ester trial, testosterone suppression after nandrolone phenylpropionate was the most rapid of the four regimens and also the briefest (PMID 9103484). In 11 healthy men, LH and FSH were significantly suppressed four days after one injection of the decanoate, with a small transient fall in SHBG (PMID 26370185). In 76 dialysis patients, those on anabolic steroids including nandrolone decanoate had testosterone of 205 against 450 ng/dl in those without, with no difference in gonadotropins or prolactin (PMID 2805460).

Recovery is where the long ester and the short ester part, and where the record is worst. In 56 gym users followed after stopping intramuscular steroids, LH and FSH stayed suppressed for several months and in some men for a full year; the nandrolone metabolite 19-norandrosterone remained detectable for months and its level tracked the gonadotropins, while testosterone abuse was detectable for only weeks (PMID 21884791). The kinetic argument for nandrolone phenylpropionate is that a short ester clears sooner and the axis restarts sooner, which the ester trial supports over 32 days (PMID 9103484); no study has measured recovery after a course of nandrolone phenylpropionate.

1 yearUp to how long LH and FSH stayed suppressed in some gym users after their last intramuscular steroid injection, with the nandrolone metabolite still detectable for months and correlated with the suppression (PMID 21884791). The ester sets the start of recovery; the hormone sets how long it takes.

The nandrolone phenylpropionate libido question, the one the forums call by a nickname, has a measurement that points the other way. In the randomised HIV trial, nandrolone was associated with greater improvement in sexual function than placebo over 12 weeks, alongside better perceived health than growth hormone (PMID 15914526). Prolactin, the usual explanation offered, was not different in dialysis patients on nandrolone from those off it (PMID 2805460).

What is measured on the progestogenic side is the receptor: nandrolone activates the progesterone receptor at nanomolar concentrations in human cells (PMID 9228646). What that does to a man with low testosterone from suppression is the plausible mechanism, and the bloodwork below tests it in one person. The class data on desire and function are on libido on steroids; recovery is on when to start PCT.

Testosterone on nandrolone, dialysisTotal testosterone, ng per dL, 76 dialysis patients.Not on anabolic steroids, 53450On anabolic steroids, 23205Gonadotropins and prolactin did not differ. PMID 2805460.
Testosterone onnandrolone, dialysisTotal testosterone, ng/dL,76 dialysis patients.Not on anabolic steroids, 53450On anabolic steroids, 23205LH, FSH, prolactin: nodifference. PMID 2805460.

Nandrolone phenylpropionate side effects by the evidence

Nandrolone phenylpropionate side effects are the side effects of nandrolone arriving faster. The table gives each with the strongest source that exists and says which kind of source it is.

Nandrolone phenylpropionate side effects and the evidence behind each. Randomised human data   Uncontrolled human, animal or cell data   Repeated, not measured
EffectStrongest evidenceRead as
Axis suppressionLH and FSH down by day 4 (PMID 26370185); fastest and briefest on the phenylpropionate (PMID 9103484); months to a year in users (PMID 21884791)Certain
Slow recoverySuppression up to one year, metabolite detectable for months (PMID 21884791); testosterone 205 vs 450 ng/dl in patients (PMID 2805460)Measured, long ester
HDL fall, cholesterol synthesis upHMGCR mRNA up by day 4, ApoB up by day 14 (PMID 26370185); HDL down in HIV men (PMID 12388173); unchanged in bodybuilders over 8 weeks (PMID 15155420)Dose and population dependent
Fluid retention56 percent on cycles of the class (PMID 33038020); no nandrolone-specific measurementClass
Gynecomastia, estrogenAromatase induced in breast cancer cells (PMID 22906881); 19 percent on mixed cycles (PMID 33038020); not measured on nandrolone alone in menCell, plus class
Progestogenic activityProgesterone receptor activation at nanomolar concentrations, blocked by antiprogestins (PMID 9228646)Cell, measured
Sexual functionImproved vs placebo in 12 weeks in HIV men (PMID 15914526); prolactin not raised in patients (PMID 2805460)Not worsened where measured
HeartNo change in ventricular function over 4 weeks (PMID 17223994); class users ejection fraction 50 vs 54 percent (PMID 35460300)Short term clear
HematocritPlus 3.12 points pooled in kidney disease, low certainty (PMID 42714768); users 0.50 vs 0.44 (PMID 35460300)Rises
StrengthNo change in handgrip across 12 trials (PMID 41936385); endurance up 41 percent in trained rats on nandrolone phenylpropionate (PMID 8531609)Not shown in people
Detection19-norandrosterone detectable for months after the last injection (PMID 21884791)Measured, long ester

The honest summary of nandrolone phenylpropionate side effects is that the npp steroid shuts the axis within days, moves cholesterol synthesis within days, activates the progesterone receptor at concentrations a person reaches, and, in the one trial that asked, did not worsen sexual function. The short ester changes when these start and stop, not whether they happen.

Nandrolone phenylpropionate bloodwork: eight markers

Because the single-injection data show the axis and cholesterol synthesis moving within four days (PMID 26370185), the first panel on the npp steroid should be early, and the last should be late, since recovery is measured in months (PMID 21884791).

Bloodwork for nandrolone phenylpropionate, from what the trials moved. Moved in randomised trials   Moved in uncontrolled or cell data   Monitored for the class
MarkerWhat the data showPriority
LH, FSH, total testosteroneSuppressed by day 4 (PMID 26370185); months to recover (PMID 21884791). Guide: total vs free testosteroneFirst
HDL, LDL, ApoBApoB and cholesterol up by day 14 (PMID 26370185); HDL down in 12 weeks (PMID 12388173). Guide: lipid panelFirst
EstradiolNot measured on nandrolone alone in men; aromatase induced in cells (PMID 22906881). Guide: estradiol before steroidsSecond
ProlactinNot different in patients on nandrolone (PMID 2805460); monitored because the progesterone receptor is activated (PMID 9228646)Test the claim
Hematocrit and hemoglobinPlus 3.12 points and 0.81 g/dl pooled (PMID 42714768). Guide: high hematocritSecond
Blood pressureCardiac afterload unchanged at 4 weeks (PMID 17223994); fluid retention 56 percent on cycles (PMID 33038020). Guide: blood pressureSecond
SHBGSmall transient fall at day 4 (PMID 26370185)With testosterone
ALT, AST, creatinineNot measured on nandrolone alone; transaminases and creatinine higher in class users (PMID 42312743). Guide: liver markersStandard

Timing follows the ester: nandrolone phenylpropionate peaks and clears faster than the decanoate (PMID 9103484), so a panel drawn in the first two weeks catches the axis and ApoB moving, and a panel two to three months after the last injection tests whether recovery has begun. The baseline set is on blood tests before steroids.

Five mistakes people make with nandrolone phenylpropionate

Each of these comes from treating the ester as the drug.

1. Expecting nandrolone phenylpropionate to behave differently from deca at the receptor. The hormone is the same; the ester trial changed peaks and timing, not what nandrolone does once it arrives (PMID 9103484).

2. Reading the short ester as a short recovery. Suppression starts within four days (PMID 26370185) and in users of the class lasted months to a year after stopping (PMID 21884791). The ester sets the start of recovery, not its length.

3. Blaming libido on prolactin without measuring it. Prolactin was not raised in patients on nandrolone (PMID 2805460), and sexual function improved against placebo in the trial that measured it (PMID 15914526). Suppressed testosterone is the measured variable.

4. Treating eight clean weeks as a lipid pass. Bodybuilders on nandrolone alone showed no HDL change (PMID 15155420), but cholesterol synthesis rises by day 4 (PMID 26370185), HDL fell in HIV men (PMID 12388173), and stacks cut HDL by 60 percent (PMID 15155420).

5. Expecting strength from the lean mass number. Across 12 randomised trials, handgrip did not change while lean tissue rose 1.59 kg (PMID 41936385). Tissue and function are different endpoints, and the trials measured both.

Verdict: a well-measured hormone on a lightly measured ester

Nandrolone phenylpropionate, after the papers rather than the forums, is nandrolone with a short ester: higher and earlier peaks and the fastest, briefest testosterone suppression in the one human ester trial (PMID 9103484), delivering a hormone that binds the muscle androgen receptor above testosterone (PMID 6539197), activates the progesterone receptor at nanomolar concentrations (PMID 9228646), adds 1.59 kg of lean tissue without strength across 20 randomised trials (PMID 41936385), suppresses LH and FSH within four days (PMID 26370185), raises cholesterol synthesis within four days (PMID 26370185), leaves the heart unchanged over four weeks (PMID 17223994), and in gym users kept the axis down for months to a year (PMID 21884791).

1 trialHuman studies comparing nandrolone phenylpropionate with nandrolone decanoate: a single-injection kinetic trial in 23 men, in which injection site and volume mattered as much as the ester (PMID 9103484). Everything else known about nandrolone phenylpropionate is known about nandrolone.

The nandrolone phenylpropionate side effects that matter are the ones a panel catches early and late: LH, FSH and testosterone in the first two weeks and again months after the last injection; HDL and ApoB; estradiol and prolactin to test the claims; hematocrit and blood pressure. Everything upstream of that panel is on the PED side effects hub and on blood tests before steroids; the same hormone on the long ester, with its own trials, is deca-durabolin.

NPP: frequently asked questions

What is NPP?

NPP is nandrolone phenylpropionate, nandrolone attached to a short phenylpropionate ester for injection in oil. The hormone released is the same nandrolone that Deca-Durabolin releases from a decanoate ester. In the only human comparison, 23 men randomised to one injection of either ester, the phenylpropionate gave higher and earlier nandrolone peaks and the fastest but briefest testosterone suppression (PMID 9103484).

Nandrolone phenylpropionate vs deca: what is the real difference?

Timing. The hormone, its receptor binding (PMID 6539197), its progestogenic activity (PMID 9228646) and its effects on lipids and the axis are identical. The ester trial found the phenylpropionate peaked higher and earlier and suppressed testosterone faster and more briefly than the decanoate, and that injection site and volume changed exposure as much as the ester (PMID 9103484).

What are the nandrolone phenylpropionate side effects?

The measured ones are the side effects of nandrolone: LH and FSH suppressed within four days of one injection (PMID 26370185), suppression lasting months to a year in users of the class after stopping (PMID 21884791), cholesterol synthesis and ApoB up within two weeks (PMID 26370185), HDL down over 12 weeks in some populations (PMID 12388173), and progesterone receptor activation in human cells (PMID 9228646). Cardiac function was unchanged over four weeks (PMID 17223994).

Does NPP build muscle?

No randomised trial has measured lean mass on nandrolone phenylpropionate. On nandrolone decanoate, 20 randomised trials pooled gave 1.59 kg of lean soft tissue with no change in fat mass or handgrip strength (PMID 41936385); the largest single result was 3.1 kg in 12 weeks in dialysis patients (PMID 16825332). All were patients losing muscle. In trained rats, NPP raised submaximal running endurance 41 percent (PMID 8531609).

Does nandrolone phenylpropionate kill libido?

The one trial that measured sexual function on nandrolone found it improved against placebo over 12 weeks in HIV-infected men (PMID 15914526). Prolactin was not different in dialysis patients on nandrolone from those off it (PMID 2805460). What is measured is testosterone suppression, 205 against 450 ng/dl in patients (PMID 2805460), and progesterone receptor activation in cells (PMID 9228646).

How long does nandrolone phenylpropionate suppress testosterone?

It starts within four days: LH and FSH were significantly suppressed four days after one injection of nandrolone decanoate in healthy men (PMID 26370185). On the phenylpropionate, suppression was the most rapid and the briefest of the regimens tested over 32 days (PMID 9103484). After stopping intramuscular steroids, gym users stayed suppressed for months and some for a year (PMID 21884791).

Does nandrolone phenylpropionate raise cholesterol?

Cholesterol synthesis does rise: HMG-CoA reductase mRNA was up in 80 percent of men by day 4 and total cholesterol and ApoB by day 14 after one injection (PMID 26370185). HDL fell in HIV men over 12 weeks (PMID 12388173) but did not change in bodybuilders over eight weeks of nandrolone alone (PMID 15155420). Stacks of mixed steroids cut HDL by 60 percent in the same laboratory (PMID 15155420).

What bloodwork should be checked on nandrolone phenylpropionate?

LH, FSH and total testosterone in the first two weeks and again two to three months after the last injection (PMID 26370185, PMID 21884791); HDL, LDL and ApoB (PMID 26370185, PMID 12388173); estradiol and prolactin, to test the claims rather than assume them (PMID 2805460); hematocrit and hemoglobin (PMID 42714768); blood pressure; and liver enzymes as standard.

Sources and further reading

Every figure on this page comes from one of the twenty-one papers below, each checked against its PubMed abstract on 30 September 2026. Animal and cell studies are cited as such and never as human results. Reference links are dofollow to support open science.

1
Pharmacokinetics and pharmacodynamics of nandrolone esters in oil vehicle: effects of ester, injection site and injection volume
Verified
Minto CF, et al. J Pharmacol Exp Ther. 1997;281(1):93-102. PMID 9103484
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2
Anabolic-androgenic steroid effects on early morbid symptoms after open prostatectomy: a pilot study
Verified
Pourmand G, et al. Aging Male. 2008;11(3):123-7. PMID 18821287
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3
Anabolic-androgenic steroid increases running endurance in rats
Verified
Van Zyl CG, et al. Med Sci Sports Exerc. 1995;27(10):1385-9. PMID 8531609
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4
Effects of Nandrolone Decanoate on Muscle Strength, Body Composition and Bone Density: A Systematic Review and Meta-Analysis
Verified
Prokopidis K, et al. J Cachexia Sarcopenia Muscle. 2026;17(2):e70276. PMID 41936385
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5
Effects of nandrolone decanoate on lean body mass and anemia in adults with chronic kidney disease: a systematic review and meta-analysis
Verified
Câmara LC, et al. Endocrine. 2026;91(1). doi:10.1007/s12020-026-04771-9. PMID 42714768
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6
Effects of resistance exercise training and nandrolone decanoate on body composition and muscle function among patients who receive hemodialysis: A randomized, controlled trial
Verified
Johansen KL, et al. J Am Soc Nephrol. 2006;17(8):2307-14. PMID 16825332
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7
Effects of nandrolone decanoate compared with placebo or testosterone on HIV-associated wasting
Verified
Gold J, et al. HIV Med. 2006;7(3):146-55. PMID 16494628
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8
A randomized, placebo-controlled trial of nandrolone decanoate in human immunodeficiency virus-infected men with mild to moderate weight loss with recombinant human growth hormone as active reference treatment
Verified
Storer TW, et al. J Clin Endocrinol Metab. 2005;90(8):4474-82. PMID 15914526
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9
Metabolic effects of nandrolone decanoate and resistance training in men with HIV
Verified
Sattler FR, et al. Am J Physiol Endocrinol Metab. 2002;283(6):E1214-22. PMID 12388173
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10
Effects of androgenic-anabolic steroids on apolipoproteins and lipoprotein (a)
Verified
Hartgens F, et al. Br J Sports Med. 2004;38(3):253-9. PMID 15155420
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11
Impact of single-dose nandrolone decanoate on gonadotropins, blood lipids and HMG CoA reductase in healthy men
Verified
Gårevik N, et al. Andrologia. 2016;48(5):595-600. PMID 26370185
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12
Long term perturbation of endocrine parameters and cholesterol metabolism after discontinued abuse of anabolic androgenic steroids
Verified
Gårevik N, et al. J Steroid Biochem Mol Biol. 2011;127(3-5):295-300. PMID 21884791
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13
Effects of testosterone and nandrolone on cardiac function: a randomized, placebo-controlled study
Verified
Chung T, et al. Clin Endocrinol (Oxf). 2007;66(2):235-45. PMID 17223994
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14
Nandrolone and stanozolol upregulate aromatase expression and further increase IGF-I-dependent effects on MCF-7 breast cancer cell proliferation
Verified
Sirianni R, et al. Mol Cell Endocrinol. 2012;363(1-2):100-10. PMID 22906881
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15
Estrogenic and progestagenic activities of physiologic and synthetic androgens, as measured by in vitro bioassays
Verified
Markiewicz L, et al. Methods Find Exp Clin Pharmacol. 1997;19(4):215-22. PMID 9228646
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16
Anabolic steroid-associated hypogonadism in male hemodialysis patients
Verified
Maeda Y, et al. Clin Nephrol. 1989;32(4):198-201. PMID 2805460
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17
Nandrolone decanoate safely combats catabolism in burned patients: A new potential indication after recall
Verified
Ali YH, et al. Burns. 2022;48(1):59-68. PMID 34172326
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18
Relative binding affinity of anabolic-androgenic steroids: comparison of the binding to the androgen receptors in skeletal muscle and in prostate, as well as to sex hormone-binding globulin
Verified
Saartok T, et al. Endocrinology. 1984;114(6):2100-6. PMID 6539197
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19
Positive and negative side effects of androgen abuse. The HAARLEM study: A one-year prospective cohort study in 100 men
Verified
Smit DL, et al. Scand J Med Sci Sports. 2021;31(2):427-438. PMID 33038020
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20
Cardiovascular phenotype of long-term anabolic-androgenic steroid abusers compared with strength-trained athletes
Verified
Fyksen TS, et al. Scand J Med Sci Sports. 2022;32(8):1170-1181. PMID 35460300
View on PubMed →
21
Effects of anabolic-androgenic steroids on blood parameters in Turkish male gym participants: a comparison of users and non-users
Verified
Eraslan A, et al. J Ethn Subst Abuse. 2026;25(3):762-776. PMID 42312743
View on PubMed →

Keep reading

Four pages around nandrolone phenylpropionate: the same hormone on the long ester, the testosterone ester whose kinetics follow the same logic, the cholesterol question, and what recovery of the axis involves.

DISCLAIMER

Final Educational Note

This article is educational and is not medical advice. It reports what randomised trials, cohorts, animal and cell studies measured about nandrolone and its esters, prescription androgens with real endocrine and cardiovascular risks. It gives no dose, schedule, cycle or protocol, does not recommend the drug, and is not an encouragement to use anabolic steroids, which carry serious health and legal risks. More guides sit on the PED side effects hub.

A rising blood pressure, swelling, chest pain, breathlessness, breast tissue changes or a sharply changed lipid panel during or after androgen exposure are clinical findings that a physician should assess at once. Read more about how this site works on the about page and in the full disclaimer.

D
Daniel Cross
Hormones and PED Education Editor. Reviews endocrine and sports medicine evidence for Muscle Science and checks every citation against PubMed before publication.