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Fluid and electrolyte disturbances: Retention of sodium, chloride, water, potassium, calcium, and inorganic phosphates.
Gastrointestinal: Nausea, cholestatic jaundice, alterations in liver function tests, rarely hepatocellular neoplasms and peliosis hepatis (see WARNINGS ).
Hematologic: Suppression of clotting factors II, V, VII, and X, bleeding in patients on concomitant anticoagulant therapy, and polycythemia.
Nervous system: Increased or decreased libido, headache, anxiety, depression, and generalized paresthesia.
Allergic: Hypersensitivity, including skin manifestations and anaphylactoid reactions.
Vascular Disorders: venous thromboembolism
Miscellaneous: Inflammation and pain at the site of intramuscular injection.
Tribulus works by stimulating the anterior pituitary to produce Leutinizing Hormone. Tribulus is a first choice addition to many testosterone boosting formulas because it could keep natural levels testosterone not having any negative effects on its long term production. It is a well-documented risk to introduce exogenous hormonal substances (like steroids) that shut down the endogenous production of testosterone. As the use of these products tapers down, it is essential that the endogenous production kicks back in as soon as possible because normal levels of these hormones are needed to maintain much of the gains made while taking them., therefore tribulus becomes a valuable addition to any hormone boosting stack.