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Physiology

174 entries, grouped by type. Each links to its own page with the full set of relationships it takes part in.

Apolipoprotein B

ApoB

Counts the actual number of artery-clogging particles rather than the cholesterol inside them. A better read on risk than LDL-C when the two disagree.

Bone Mineral Density

BMD

How much mineral is packed into bone. In men it is maintained mostly by ESTRADIOL rather than testosterone, which is why crushing oestrogen has a skeletal cost that takes years to show up.

Erythropoietin

EPO

The kidney's signal telling marrow to build red cells. Androgens raise it, and it is the upstream cause of the haematocrit rise rather than a separate effect.

Haematocrit

Hct

The share of blood volume made of red cells. Thicker blood carries more oxygen and clots more easily, and this is the single most reliably moved number on cycle.

Haemoglobin

Hb

Oxygen-carrying protein in red cells. Moves with haematocrit and is the second half of the same reading.

HDL Cholesterol

HDL-C

The protective lipid fraction. Oral 17-alpha-alkylated steroids can cut it by half or more within weeks, and it is the fastest-moving marker of cardiovascular cost.

LDL Cholesterol

LDL-C

The fraction that deposits into vessel walls. Rises on most androgens and sharply on orals.

Prostate-Specific Antigen

PSA

Tracks prostate activity and size. Useful mostly as a trend in men over forty rather than a single reading.

Resting Heart Rate

RHR

Beats per minute at rest. A cheap daily read on sympathetic tone, and usually the first number to move when something is pushing the nervous system.

Systolic Blood Pressure

SBP

Peak arterial pressure. Rises through water retention, thicker blood and vessel stiffening, and it is cheap to check at home weekly.

Thyroid-Binding Globulin

TBG

The carrier protein for thyroid hormone. When it falls, TOTAL T4 and T3 read low while the free, active hormone is unchanged, so the thyroid looks broken on paper when it is not.

Triglycerides

TG

Circulating fat. Moves with diet and insulin sensitivity as much as with any compound, which is why it needs reading alongside the rest of the panel.

Outcome

52 entries

Acne

Oil production plus blocked follicles, worst on back and shoulders. Tracks androgenic strength more than dose.

Aggression

Hostility and short fuse. Reported consistently by users and in case series, and produced in blinded trials mainly at supraphysiological doses and mainly in a minority of people.

Anxiety

Restlessness, racing thoughts, a wired feeling. Multiple routes reach it: neurosteroid changes at GABA-A, glucocorticoid signalling, sleep loss and thicker blood.

Appetite

Hunger drive. Some compounds raise it sharply and others kill it, and either can decide whether a diet phase works.

Atherosclerosis

Plaque building in artery walls. The slow, silent, cumulative cost, driven by years of shifted lipids and pressure rather than by any single cycle.

Cholestasis

Bile flow stalling in the liver. Itching, dark urine and jaundice, and a reason to stop rather than push through.

Clot Risk

Blood clotting where it should not. Rises with haematocrit, and this is the reason a red cell count is worth watching rather than admiring.

Cognitive Function

Memory, focus and processing speed. It is the endpoint the nootropic peptides claim, and the one that is hardest to measure honestly outside a controlled trial.

Dependence and Withdrawal

Difficulty stopping despite harm, with low mood, lost drive and fatigue on withdrawal. Recognised as a genuine dependence syndrome in around a third of long-term users, not a character failure.

Depressed Mood

Low mood, flat drive and anhedonia. Concentrated in the withdrawal window after a cycle, when natural testosterone has not yet restarted.

Drive and Motivation

Willingness to start things and to keep going. Reported separately from mood and separately from libido, and it moves separately: compounds exist that lift mood and flatten drive, and the reverse.

Emotional Blunting

A narrowed range in both directions: less low, but also less warmth, less connection and less feeling for other people. Distinct from loss of pleasure, which is about reward specifically. Worth separating because the person experiencing it often rates it as an improvement while the people around them do not.

Erectile Function

Depends on nitric oxide signalling, which needs DHT and adequate estradiol. Compounds that suppress natural testosterone without providing strong androgenic signal are the classic cause of failure here.

Euphoria

A lifted, expansive, everything-is-working feeling, arriving within days on some compounds. Recorded because it is real, because it is a large part of why people continue, and because it is the strongest single predictor of the dependence pattern further down. Not marked as good or bad: it is the reward that makes the rest of the list acceptable to the person having it.

Executive Function

Planning, switching between tasks, and holding back a response you are about to make. The last of those is the one that matters here: reported aggression on these compounds is often better described as a failure of the brake than as an increase in anger.

Fat Mass

Total body fat. It is the endpoint the whole fat-loss class is measured on, and the one place where the incretin drugs have hard trial data rather than mechanism.

Gut Comfort

Freedom from pain, urgency and bloating. It is the outcome the gut-repair peptides are actually taken for, ahead of any measurable change to the lining.

Gynecomastia

Glandular breast tissue growth in men. Two separate routes reach it, estrogen and prolactin, and treating the wrong one does nothing.

Hypomania

Elevated mood, high energy, low sleep need, impaired judgement. The best-documented psychiatric effect of high-dose androgens, seen in a minority under blinded conditions.

Infertility

Sperm count falling to subfertile or zero. Common on cycle, usually recovers over months to years, and occasionally does not.

Insomnia

Difficulty falling or staying asleep, often with night sweats. Its own problem, and an amplifier for every mood effect above it.

Irritability

A lower threshold for annoyance, distinct from outright aggression and far more commonly reported.

Joint Comfort

How joints feel under load. Improved by fluid and collagen support, worsened by compounds that dry tissue out.

Lean Mass

Muscle actually gained. The reason any of this is being taken.

Lean Mass Loss

Muscle lost alongside fat during rapid weight loss. Roughly a quarter to a third of the weight lost on a GLP-1 agonist without resistance training is lean tissue, which is why the newer dual agonists are engineered to spare it.

Left Ventricular Hypertrophy

LVH

Thickened heart wall with reduced filling and relaxation. Documented in long-term users on imaging, and it does not fully reverse in everyone who stops.

Libido

Sexual desire. Needs androgen, a workable estradiol level and prolactin that is not elevated, so it fails from several directions at once.

Liver Tumour

Benign or malignant liver growths reported after prolonged high-dose oral steroid use. Rare, serious, and tied to years rather than weeks.

Loss of Pleasure

Things that used to be enjoyable stop landing. Distinct from low mood: a person can have normal mood and still get nothing out of food, sex, music or company. Reported most on the progestogenic and prolactin-raising compounds, and it is the effect people most often fail to name because it does not feel like sadness.

Male Pattern Hair Loss

Permanent thinning at the crown and hairline in those genetically predisposed. Androgens accelerate a process that was already going to happen, and the loss does not come back.

Mood and Wellbeing

Day-to-day mood and sense of wellbeing, as distinct from a diagnosable mood disorder. It moves in both directions on these compounds, and the direction is not predictable from how strong the compound is.

Mood Swings

Fast shifts between states rather than a sustained one. A different claim from either raised or lowered mood, and it is the one most often reported by partners rather than by the person taking the compound.

Nausea

The dose-limiting side effect of every incretin drug. It comes from the same delayed gastric emptying that produces the appetite drop, so it is not separable from the mechanism, only titratable.

Nightmares and Vivid Dreams

Intense, unpleasant, memorable dreams, usually alongside broken sleep and night sweats. Named separately from insomnia because people report it even when total sleep time is normal, and because it is one of the few effects that reliably resolves within days of stopping.

Panic Attacks

Discrete episodes of overwhelming fear with a physical surge: pounding heart, breathlessness, a conviction that something is badly wrong. Different from sustained anxiety and worth its own entry because the plausible route is different too, running through sympathetic tone and a raised resting heart rate rather than through mood.

Paranoid Thinking

Suspicion of other people's motives that does not respond to evidence. Reported on the strongest compounds and named directly in the older user-facing notes on trenbolone. The evidence is case reports and self-report, and the self-report is unreliable in exactly the way the symptom predicts.

Peliosis Hepatis

Blood-filled cavities in liver tissue. Rare, associated with long-term 17-alpha-alkylated use, and can bleed without warning.

Processing Speed

How fast simple mental operations run. Included because it is the measure that moves with sleep debt, so it separates a genuine cognitive effect from an effect of being tired.

Prostate Enlargement

A larger prostate with weaker urine flow and night waking. Driven by DHT more than by testosterone itself.

Skin Pigmentation

Darkening of the skin, including existing moles. It is the intended effect of the melanotans and the reason dermatological review before and during use is not optional.

Sleep Apnoea

Breathing interruptions during sleep. Worsened by weight gain, fluid retention and neck mass, and it drives daytime blood pressure up further.

Sleep Quality

How restorative sleep is, as opposed to how much of it there is. Deep and REM sleep are where growth hormone is released and where memory is consolidated, so this is the measure that connects a sleep effect to a memory effect. A person can sleep eight hours and get almost none of this.

Spatial Ability

Mental rotation and navigation. The cognitive domain with the clearest sex difference and therefore the one most often tested in androgen studies. Effects reported are small and inconsistent.

Strength

Force produced. Rises faster than tendon and ligament can adapt, which is the risk built into the benefit.

Suicidal Thoughts

Thoughts of ending your life, most often reported in the weeks after stopping rather than during use, when natural testosterone has not restarted and mood has not recovered. It is documented in case series and in withdrawal cohorts. It is listed here because leaving out the most serious outcome in the group would make everything above it read as the full picture.

Tendon Rupture

A tendon tearing under load it should have handled. The classic pattern is a fast strength gain on a dry compound with connective tissue that has not caught up.

Testicular Atrophy

Shrinkage from lost LH signalling. Usually reversible, and the visible sign that the axis is switched off.

Verbal Memory

Recall of words, names and conversation. Studied in testosterone trials in older men with mixed and generally small results, which is worth stating plainly: this is one of the few cognitive measures here with any controlled human data at all, and the data does not show a large effect.

Virilization

Male traits appearing in a female user: deeper voice, facial and body hair, clitoral growth. Voice change and clitoral growth are usually permanent, which makes this the one side effect that cannot be managed after the fact.

Water Retention

Fluid held under the skin and in tissue. Cosmetically a smoother look, clinically a blood pressure and a strain on the heart.

Withdrawal Syndrome

The cluster that arrives after stopping, while the natural axis is still shut down: flat mood, no drive, no libido, disturbed sleep, and in some cases suicidal thoughts. Separated from dependence because dependence is about the pull to continue and this is about what happens when you do not. It is the window in which almost all of the serious psychiatric events in the literature occur.

Working Memory

Holding and manipulating information over seconds. The cognitive measure most sensitive to lost sleep and to raised cortisol, which makes it the one most likely to move on these compounds and the one least likely to be noticed as a cognitive effect rather than as tiredness.

Process

41 entries

Androgen Receptor Density

How many androgen receptors a tissue actually has. It is not fixed: training raises it, and sustained high-dose exposure lowers it in some tissues, which is part of why results flatten and doses creep upward.

Angiogenesis

Growing new blood vessels. It is the rate limit on healing: tissue cannot repair faster than it can be supplied, which is why so many healing peptides are described as pro-angiogenic.

BDNF Signalling

Brain-derived neurotrophic factor acting at TrkB. The growth signal behind new synapses and behind the kind of memory that needs sleep to form. It is suppressed by sustained cortisol and by lost deep sleep, which is how a compound with no direct action in the brain still reaches memory.

Bile Flow

Bile moving out of the liver and into the gut. The 17-alpha-alkyl group that lets an oral survive first pass is also what slows this, and the stall is what is felt as itching and jaundice.

Breast Duct Growth

Growth of the duct tissue behind the nipple, driven by oestrogen and progesterone signalling. Once it has laid down glandular tissue it does not reliably regress.

Cell Migration

Cells moving to where the damage is. Wound closure depends on it, and it is how the actin-binding healing peptides are described as working.

Collagen Synthesis

Building the protein that tendon, ligament, joint surface and skin are made of. It moves slower than muscle does, and not every androgen supports it equally.

Dopamine Signalling

How strongly dopamine is signalling, mostly in the reward and motivation circuits. This is the route by which a compound that raises prolactin ends up flattening drive: dopamine holds prolactin down, so a sustained prolactin rise is read backwards as reduced dopaminergic tone.

Fat Breakdown

Releasing stored fat for fuel. Androgen receptor density on fat cells is part of why some compounds visibly change body composition beyond their muscle effect.

Follicular Miniaturisation

The shortening of each hair’s growth phase until the follicle produces a thinner, shorter shaft. This is the actual mechanism of pattern hair loss, and it is gradual rather than sudden.

Gastric Emptying

How fast the stomach passes food on. Incretin drugs slow it, which is what makes a smaller meal feel like enough, and also what causes the nausea and the fullness that will not clear.

Gene Transcription

Genes being read into protein. The androgen receptor is a transcription factor, so this is the actual first step after binding: everything else downstream is a consequence of which genes get switched on and in which tissue.

Glucose Uptake

Moving glucose out of the blood and into muscle. It can happen through insulin or, independently of it, through the AMPK pathway that exercise uses.

Heat Production

Burning fuel as heat rather than storing it. Raising it increases energy expenditure without requiring more activity, which is the appeal of the glucagon component in the dual and triple agonists.

HPA Axis Activity

The stress axis: hypothalamus to pituitary to adrenal cortex, ending in cortisol. Relevant to mood twice over. A compound that blocks the glucocorticoid receptor removes the brake the axis runs on, and a compound that shuts down the gonadal axis leaves this one carrying more of the load.

Insulin Sensitivity

How well tissue responds to insulin. Falling sensitivity means higher fasting insulin for the same blood sugar, and it is one of the quieter costs of long steroid use.

Intestinal Permeability

How much passes between gut cells rather than through them. Raised permeability lets partly digested material reach the immune system, which is the mechanism behind the leaky gut claim.

Melanin Production

Pigment production in the skin. Driving it produces a tan without sun exposure, and it is the only proven effect of the melanotans.

Memory Consolidation

Turning the day's experience into durable memory, which happens during deep and REM sleep rather than during the day. This is the step that breaks first when sleep breaks, and it is why memory complaints on these compounds usually trace back to sleep rather than to anything the compound does in the brain.

Mitochondrial Function

How efficiently cells turn fuel into usable energy. When it degrades the leak shows up as oxidative stress rather than as tiredness alone.

Muscle Protein Synthesis

MPS

The rate at which muscle is built. Androgen receptor activation raises it and holds it raised, which is the entire point of the exercise.

Myonuclei

The nuclei inside a muscle fibre, each running a patch of it. Androgens add them, and animal work shows the added ones persist for a long time after the drug is gone. This is the cell-level reason a past cycle is never entirely undone.

Myostatin Signalling

The body's own brake on muscle growth. Lowering it removes a ceiling rather than adding a push, which is a different kind of effect from raising protein synthesis.

Neurosteroid Production

Steroids made or converted inside the brain that act on ion channels rather than on nuclear receptors. The route by which an androgen changes anxiety and sleep without touching the androgen receptor.

Neurotransmitter Release

Vesicles fusing with the nerve terminal to release their signal. The SNARE proteins do the fusing, and the cosmetic peptides that soften expression lines work by interfering with them.

Nitrogen Retention

Whether the body is holding more protein than it loses. A practical readout of net anabolism rather than a mechanism in its own right.

Oxidative Stress

Damage from reactive oxygen outpacing the cell's ability to mop it up. One of the mechanisms behind androgen effects on liver and heart tissue that are not explained by the receptor alone.

Protein Breakdown

Muscle being taken apart, driven largely by cortisol at the glucocorticoid receptor. Blocking it is the anti-catabolic half of how steroids work.

Red Blood Cell Production

Red cell manufacture, driven by erythropoietin from the kidney. Androgens raise both the signal and the marrow's response to it.

Reverse Cholesterol Transport

HDL clearing cholesterol out of vessel walls and back to the liver. Oral steroids induce hepatic lipase, which dismantles this clean-up crew.

Satellite Cells

Dormant stem cells beside each muscle fibre. Androgens push them to divide and fuse into the fibre, which is where new myonuclei come from.

Sebum Production

How much oil the skin’s glands put out. Androgens drive it up, and it is the step between receptor binding in the gland and a visible breakout.

Senescent Cell Clearance

Removing cells that have stopped dividing but refuse to die and keep releasing inflammatory signals. Senolytics are built to force that clearance.

Serotonin Signalling

How strongly serotonin is signalling. The system most often named when 19-nor androgens are linked to impulse control, irritability and sleep. Almost all of the evidence is rodent work; nothing has been measured at these receptors in a human on these compounds.

Sodium and Water Retention

Holding onto salt and the water that follows it. Shows up as a smoother look, a heavier scale reading and a higher blood pressure.

Sperm Production

Needs FSH plus a testosterone concentration inside the testis roughly a hundred times blood level. External steroid raises blood level and shuts the internal one down, which is why fertility goes first.

Sympathetic Tone

How hard the fight-or-flight side of the nervous system is running. Androgens raise tyrosine hydroxylase and change adrenergic receptor density, so a compound can lift this without touching mood directly. It is the shared cause behind a cluster people treat as four separate problems: a higher resting pulse, night sweats, a short fuse, and sleep that will not come.

Synaptic Plasticity

The brain's ability to strengthen and rebuild connections. It is what learning physically is, and it is the endpoint almost every nootropic peptide claims.

T-Cell Maturation

Turning immature precursors into working T-cells in the thymus. It falls off with age, and it is what every thymic peptide claims to restore.

Telomere Maintenance

Preserving the protective caps on chromosome ends that shorten each time a cell divides. Claims of telomerase activation belong here, and human evidence for them is thin.

Ventricular Remodelling

The heart wall thickening and stiffening in response to sustained load and to androgen signalling in cardiac muscle. It is measured on an echocardiogram, not felt.

Receptor

40 entries

Activin Receptor Type IIB

ActRIIB

The receptor myostatin uses to put the brakes on muscle growth. Every myostatin inhibitor works by keeping the ligand off this receptor rather than by acting on it directly.

Amylin Receptor

AMYR

Amylin is released alongside insulin and signals fullness through a different brain pathway than GLP-1. That is the whole argument for cagrilintide: two satiety routes at once rather than a bigger dose of one.

Androgen Receptor

AR

The receptor every anabolic-androgenic steroid is designed to hit. Binding moves it into the nucleus where it switches on genes for muscle protein synthesis, and in other tissues for hair loss, prostate growth and oil production.

Beta-3 Adrenergic Receptor

B3-AR

The fat-cell adrenergic receptor. Activating it releases stored fat and raises heat production without the heart-rate effect of beta-1. It is the claimed target of the GH fragments that are supposed to burn fat without growing anything.

Dopamine D1 Receptor

D1R

The other main dopamine receptor family, tied to reward learning and drive. Altered receptor density is one of the more reproducible findings in animal studies of nandrolone.

Dopamine D2 Receptor

D2R

The dopamine receptor that holds prolactin down and carries reward and motivation signalling. Losing D2 tone raises prolactin and flattens drive and sexual response.

EGF Receptor

EGFR

Drives epithelial cells to divide and migrate over a wound. It is one of the several targets BPC-157 is credited with, and it is also a well-known oncology target, which is the reason the growth-signal caution exists.

Erythropoietin Receptor

EPO-R

Where EPO tells the bone marrow to make red cells. Separating this from EPO's tissue-protective signalling is the entire design goal of ARA-290: repair without raising haematocrit.

Estrogen Receptor alpha

ER-alpha

The estrogen receptor that dominates breast tissue, liver and the pituitary feedback loop. Gynecomastia and much of the negative feedback on LH run through it.

Estrogen Receptor beta

ER-beta

The second estrogen receptor, common in brain, bone and vascular tissue. Part of why estradiol is needed for mood, libido and bone density rather than being purely a side effect to crush.

FGF Receptor

FGFR

Fibroblast growth factor's receptor. In the brain, NCAM signals through it to grow new neurites, which is the route FGL is designed to take.

Formyl Peptide Receptor 2

FPR2/ALX

The receptor that tells inflammation to stop and start clearing up, rather than blocking it from starting. Humanin and LL-37 both act here.

GABA-A Receptor

GABA-A

The brain's main calming channel. Some androgen metabolites sit on it as neurosteroids and change anxiety and sleep quality without touching the androgen receptor at all.

Ghrelin Receptor

GHSR-1a

What ghrelin binds to make the pituitary release growth hormone, and what every GHRP and MK-677 is built to hit. It also carries the hunger signal, which is why some GH secretagogues make you ravenous and others do not.

GHRH Receptor

GHRH-R

The other half of the GH release switch. GHRH sets how big a growth hormone pulse can be; the ghrelin receptor sets whether one fires. Hitting both at once is why a GHRH analog and a GHRP stack rather than duplicate.

GIP Receptor

GIPR

The second incretin receptor. Adding it to GLP-1 agonism is what separates tirzepatide from semaglutide: more energy expenditure and a direct effect on fat tissue, on top of the appetite drop.

GLP-1 Receptor

GLP-1R

The incretin receptor behind semaglutide and every drug in that class. Three separate effects run through it: appetite suppression in the brain, slower stomach emptying, and glucose-dependent insulin release from the pancreas.

Glucagon Receptor

GCGR

Glucagon's receptor. Agonising it raises energy expenditure and burns liver fat, which is why the triple agonists add it. It also raises blood glucose, which is the tension every dual and triple agonist has to balance.

Glucocorticoid Receptor

GR

The cortisol receptor. Some androgens bind it too, and whether they act as agonist or blocker at a given tissue is a large part of why compounds with similar AR affinity feel so different.

GnRH Receptor

GnRH-R

The pituitary receptor that decides whether LH and FSH are released. It only responds to PULSES. A steady signal desensitises it and shuts the axis down completely, which is why the same drug can restart testicular function or chemically castrate depending on how it is dosed.

gp130 / IL-6 Receptor Complex

gp130

The shared signalling subunit a large family of inflammatory cytokines runs through, IL-6 included. Humanin's cytoprotective effect is described as working through this complex.

Growth Hormone Receptor

GHR

Where growth hormone itself acts. Binding pairs the receptor and fires JAK2/STAT5, which in the liver means IGF-1 output and in fat means lipolysis. Injected GH works here; secretagogues work one step upstream.

HGF Receptor

MET

Hepatocyte growth factor's receptor. In the brain it drives new synapse formation, which is the mechanism claimed for dihexa.

IGF-1 Receptor

IGF-1R

The receptor that carries almost all of growth hormone's anabolic effect, one step downstream of it. It is also the reason the IGF-1 analogs are the peptides with the most serious theoretical cancer question: the same signal that grows muscle grows anything already growing.

Kisspeptin Receptor

KISS1R

One step above GnRH. Kisspeptin neurons are the master switch that tells the hypothalamus to release GnRH at all, which is why acting here produces a physiologic LH pulse rather than overriding the axis.

Melanocortin 1 Receptor

MC1R

The pigment receptor on melanocytes. Activating it makes the skin produce eumelanin, which is the tanning effect of the melanotans. The same receptor family also damps inflammation, which is what KPV uses it for.

Melanocortin 3 Receptor

MC3R

A central melanocortin receptor involved in energy balance and sexual arousal. It is one of the two receptors PT-141 works through.

Melanocortin 4 Receptor

MC4R

The melanocortin receptor that controls appetite and central sexual arousal. It is why the melanotans suppress hunger and cause spontaneous erections, and why PT-141 works in the brain rather than in the blood vessels the way a PDE5 inhibitor does.

Melanocortin 5 Receptor

MC5R

The melanocortin receptor on sebaceous and other exocrine glands. Pan-melanocortin agonists hit it, which is part of why they can trigger oil production and acne alongside the tan.

Mineralocorticoid Receptor

MR

The aldosterone receptor in the kidney. When a steroid activates it, sodium and water are held onto, which shows up as blood pressure and smooth-over-the-muscle bloat.

Oxytocin Receptor

OXTR

Oxytocin's receptor, and it is not only in the brain. The uterus, heart, gut and T-cells all carry it, which is why an intranasal dose taken for mood also has cardiovascular and gut effects.

Progesterone Receptor

PR

The progesterone receptor. 19-nor steroids are structurally close enough to progesterone to activate it, which is why nandrolone and trenbolone produce progestogenic side effects that an aromatase inhibitor cannot touch.

Prolactin Receptor

PRLR

What prolactin acts through, including in breast tissue. It is the reason a progestogenic compound can produce gyno with a perfectly normal estradiol reading.

Serotonin 5-HT2A Receptor

5-HT2A

A serotonin receptor involved in mood, impulse control and aggression. Androgen exposure shifts serotonergic signalling in animal work, which is the mechanistic case behind steroid irritability.

Toll-like Receptor 2

TLR2

Part of how the immune system recognises a bacterial surface. Thymosin alpha-1 acts through it and TLR9 to push dendritic cells and T-cells toward a coordinated response.

Toll-like Receptor 9

TLR9

Recognises bacterial and viral DNA inside the cell. The second of the two toll-like receptors thymosin alpha-1 is described as working through.

TrkA (NGF Receptor)

TrkA

Nerve growth factor's receptor. It keeps sensory and cholinergic neurons alive and drives neurite outgrowth, which is what the porcine brain-extract peptides are claimed to mimic.

TrkB (BDNF Receptor)

TrkB

What BDNF binds. It is the main receptor behind the claim that a nootropic peptide improves learning or protects neurons: almost all of them are described as raising BDNF, which means acting here.

VEGF Receptor 2

VEGFR2

The main receptor for new blood vessel growth. Healing peptides that speed up tendon and gut repair are described as acting here, because tissue cannot repair faster than it can be supplied.

VPAC Receptors

VPAC1/2

VIP's two receptors. They open airways, widen vessels, move the gut and damp cytokine output, which is why one peptide is studied for conditions as unrelated as pulmonary hypertension and inflammatory bowel disease.

Adipose Tissue

Stores fat and houses most of the body's aromatase, so more fat mass means more conversion of androgen to estrogen.

Adrenal Cortex

Makes cortisol and the adrenal androgens. It answers to ACTH from the pituitary rather than to LH, which is why shutting down the testicular axis leaves it running.

Amygdala

The threat detector. Dense in androgen receptors, and the structure most implicated in the anger, vigilance and fear side of what these compounds do. Splitting it out of the limbic system matters because threat processing and reward processing sit in the same blob otherwise, and compounds pull them in opposite directions.

Anterior Pituitary

The gland that actually releases growth hormone, LH and FSH. Every GH secretagogue and every GnRH drug is aimed here, not at the tissue where the effect is finally felt.

Bone Marrow

Where red cells are built. Androgens push it harder, which is why they were once a treatment for anaemia and why haematocrit climbs on cycle.

Breast Tissue

Responds to both estrogen and prolactin. Once glandular tissue forms it does not go away on its own, which is why this one is worth preventing rather than treating.

Bronchial Lining

The lining of the airways. It is the target of the lung bioregulators and one of the tissues VIP acts on.

Cartilage

Joint surface tissue with almost no blood supply, which is why it repairs so slowly and why it is targeted separately from tendon.

Gut Lining

The single cell layer separating gut contents from the bloodstream. Most peptides sold for gut health are aimed at either repairing it or keeping its tight junctions shut.

Heart Muscle

Carries androgen receptors like skeletal muscle does, and thickens under the same signal. Unlike a bicep, a thicker left ventricle fills less well.

Hippocampus

Where new memory is laid down. Unusually sensitive to sustained cortisol and to lost deep sleep, both of which these compounds can produce, which makes it the structure behind most reported memory complaints.

Hypothalamus

The control room above the pituitary. Appetite, body temperature, the reproductive axis and the GH rhythm are all set here, which is why so many peptides that produce whole-body effects act on one small area.

Kidney

Controls sodium and water balance and produces erythropoietin, so it sits behind both the bloat and the rising red cell count.

Leydig Cell

The testicular cells that actually make testosterone in response to LH. Anything that restarts the axis has to reach these; anything that shuts the axis down starves them.

Limbic System

The emotional core of the brain, and androgen-receptor rich. This is where mood, threat response and aggression are set, and where steroid mental effects are thought to land.

Liver

Processes every oral steroid on first pass. The 17-alpha-alkyl group that lets an oral survive that trip is also what makes it hard on this organ.

Pancreatic Islet

The insulin and glucagon-producing cells. Incretin drugs raise insulin here only when glucose is already high, which is why they do not cause hypoglycaemia on their own the way injected insulin does.

Pineal Gland

The gland that makes melatonin and sets the day-night rhythm. The Russian bioregulator peptides are aimed at it on the theory that restoring that rhythm slows other ageing processes.

Prefrontal Cortex

Planning, judgement and the brake on impulse. Relevant here because the reported behaviour change on these compounds is often better described as a weaker brake than as a stronger drive, and those two have different consequences.

Prostate

Growth here is driven mainly by DHT rather than testosterone, which is why compounds that resist 5-alpha-reductase are gentler on it.

Scalp Hair Follicle

In a genetically susceptible scalp, DHT binding shrinks the follicle a little with each cycle. The predisposition is inherited; the androgen sets the pace.

Sebaceous Gland

Oil glands in the skin. Androgen signalling raises output, and heavier oil plus keratin plugging is how steroid acne starts.

Skeletal Muscle

The intended target. Dense in androgen receptors, and the tissue where the whole risk trade is being made.

Skin

The largest organ, and the target for the melanocortin and copper peptides. Pigment, collagen and wound repair all happen here.

Stomach

Where ghrelin is produced and where GLP-1 agonists slow emptying. That slowing is both the satiety mechanism and the source of the nausea.

Tendon and Ligament

Connective tissue adapts far slower than muscle. A strength jump that outpaces it is the setup for a tear.

Testis

Makes testosterone and sperm, and needs LH and FSH from the pituitary to do either. Cut that signal and it shrinks and goes quiet.

Thymus

Where T-cells mature. It shrinks steadily with age, which is the premise behind every thymic peptide: restore the training ground rather than the cells.

Vascular Endothelium

The single-cell lining of every blood vessel. It sets vessel tone and is where plaque begins when lipids and pressure both move the wrong way.