Ultima-Tren E 200 is a brand name for an illicit injectable steroid containing 200 mg/mL of trenbolone enanthate. The drug is not produced by a regulated pharmaceutical company. It is sold on the black market for bodybuilding and athletic performance enhancement, which is illegal in many countries.
- Active compound: The active substance is trenbolone enanthate, a powerful synthetic anabolic-androgenic steroid (AAS).
- Source: The product is sourced from unregulated, illicit labs, meaning its quality, purity, and concentration are not guaranteed.
- Potency: Trenbolone is exceptionally potent, with muscle-building and masculinizing effects far stronger than testosterone.
- Illegal status: Because trenbolone is a Schedule III controlled substance in the United States and controlled in many other nations, its purchase, possession, and use are illegal.
- Significantly increases blood pressure and negatively affects cholesterol levels.
- Can lead to heart damage and raise the risk of heart attack, stroke, and heart failure.
- Known to cause severe mood swings, anxiety, depression, and paranoia.
- Often leads to extreme aggression, also known as “roid rage”.
- Users frequently suffer from severe sleep disturbances and insomnia (“trensomnia”).
- Suppresses the body’s natural testosterone production, which can result in testicular shrinkage, infertility, and hormonal imbalances.
- The effects can be so severe that normal function does not return even after the drug is stopped.
- Can cause significant strain and damage to both the liver and kidneys, potentially leading to organ failure.
- “Tren cough”: A unique side effect is a violent, uncontrollable coughing fit that can occur immediately after injection.
- Physical changes: Severe acne, male-pattern hair loss, and excessive body hair growth.
- Gynecomastia: Unlike some other steroids, trenbolone does not convert to estrogen, but its progestogenic activity can still cause the development of male breast tissue.
- Contamination: The product may be contaminated with bacteria, heavy metals, or other dangerous substances.
- Incorrect dosage: The concentration may be inaccurate, increasing the risk of life-threatening complications.
- No medical supervision: With no doctor involved, there is no monitoring of critical health indicators like blood pressure, cholesterol, or organ function.





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