In a study of 1,685 patients treated with CPA, elevated liver enzymes were seen in 10% of patients at a dosage of 50 mg/day and in 20% of patients at a dosage of greater than 100 mg/day.  A study of 2,506 patients given 18–136 mg/day for less than 48 months per patient reported a rate of %.   In a trial of 89 prostate cancer patients who received high-dose CPA for 4 years, there were elevated liver enzymes in % of the patients.  Yet another study of 105 patients found a hepatotoxicity rate of %, with serious hepatic injury occurring in %.  In 2002, it was reported that there were 18 case reports of CPA-associated hepatitis in the medical literature, with 6 of the cases resulting in death.  In addition, a review article cited a report of 96 instances of hepatotoxicity that were attributed to CPA, and 33 of these instances resulted in death.  Moreover, a 2014 review found that 15 cases specifically of CPA-induced fulminant (sudden-onset and severe) liver failure had been reported to date, with only one of these cases not resulting in death.  As such, the prognosis of CPA-induced liver failure is death. 
The truth is simple; there is no steroid like Trenbolone and while it may carry some potential adverse effects many men will supplement with no problem at all. You will find no steroid to pack such a punch on its own; in-fact, there are very few combinations and stacks that can be as potent as the Trenbolone hormone is on its own. For bulking and cutting this steroid has no equal and when combined with testosterone as it should be, if for no other reason than your health it is a hormone that cannot be beat safely making Trenbolonethe greatest anabolic androgenic steroid of all time.
Tren- great medication, which gives excellent results on the path of "solo" to increase muscle mass without the need to be combined with other medications. However, it is a very powerful steroid, and therefore do not exceed the recommended dosage of certain: for acetate - is 50mg per day for enthatate: 300-350mg per week. To test the tolerance of Tren is better to start with a minimum dosage. If the entire rate is not more than six weeks, the need for additional formulations appears; when 6 to 8 weeks, with the need to enter the second week Gonadotropin (500 / 1000ME every 7 days) and stop taking it two weeks after administration cycle. Next, we have to be post-cycle therapy: start 14 days after the last injection or after 3days (if used Tren Acetate). To restore testosterone production take testosterone boosters (4 weeks after the course).