Sarmguide is reader-supported. We may earn a commission from partner links. How we earn

SARMs Stack Checker: Where the Risks Overlap

Pick two or more compounds to see where the side effects reported in studies overlap: testosterone suppression, cholesterol, liver and blood sugar.

Key takeaways

  • The checker shows, area by area, which compounds have a reported concern: suppression, cholesterol and blood fats, liver, blood sugar and cancer in rodent studies.
  • Each finding keeps its direction (a concern, or a change that was an improvement) and its evidence type (trial, case report, animal).
  • A shared area means each compound has a reported concern there; it is not a measured interaction.
  • No controlled human trial has tested a SARM stack. It summarizes research and is not advice to combine compounds.

Pick two or more compounds to see, area by area, which of them have a reported concern in studies: testosterone suppression, cholesterol and blood fats, liver, blood sugar and cancer in rodent studies. Each finding keeps its direction and its evidence type. It shows research findings, not advice to combine anything.

Compounds (two or more)

Pick two or more compounds to see, area by area, which of them have a reported concern in studies.

What the checker looks at

Area What counts as a reported concern
Testosterone suppression The compound’s suppression score (mild, moderate or marked) from the cited studies, marked “human data” or “animal data”. “Not measured” means there are no data.
Cholesterol and blood fats An adverse change in the compound’s record, such as lower HDL or raised cholesterol. Changes that were improvements in trials (for example higher HDL and lower triglycerides with cardarine) are shown as “reported change, not counted as a concern”.
Liver Raised liver enzymes or bilirubin, or liver injury, in people (trials or case reports) or in animal studies, each with its label.
Blood sugar Higher glucose, insulin or HbA1c, lower insulin sensitivity, or low blood sugar. Lower fasting insulin in a trial counts as a change, not a concern.
Cancer in rodent studies Tumors in long-term rat or mouse studies, kept apart from liver findings in people. Cardarine’s development stopped over these findings.

The last column shows whether more than one of your compounds has a reported concern in the same area. That means each has a concern there from separate studies of that compound. It is not a measured interaction, and it does not show that the risks add up or by how much. “None found in our records” means the studies we hold did not report one; “No human data” means the compound has not been studied in people. Each finding keeps its evidence label, so a single case report or an animal study is not shown as if it were a trial result. Below the table, the checker lists the blood markers the studies tracked.

What no checker can tell you

The checker adds up findings from separate studies of single compounds. We found no controlled human trial of any SARM stack. What exists are case reports, and they are worrying:

  • A 25-year-old man took LGD-4033 (10 mg) with MK-677 (15 mg) daily for 5 weeks. Total testosterone fell 62% and free testosterone 86%, HDL fell 36%, LDL rose 40% and the liver enzyme ALT rose 205% (Cardaci 2022).
  • A 43-year-old man who used ostarine with cardarine developed liver injury (ALT up to 922 U/L) and severe muscle breakdown (CPK up to 86,435 U/L); he recovered over about 6 weeks (Kintz 2021).
  • A 47-year-old bodybuilder who used RAD-140, andarine and MK-677 for 3 months developed blood sugar of 558 mg/dL and needed insulin (Sotorník 2022).
  • A young active-duty Marine developed cholestatic liver injury with jaundice after about 3 months of LGD-4033, RAD-140 and YK-11 (Lee 2023).
  • Stacking is common: in Swedish healthcare urine samples that tested positive for SARMs, more than half contained two or more (Bohlin 2024).
  • A product may hold more than its label says: in a 2017 analysis, 25% of products sold as SARMs contained substances not listed on the label (Van Wagoner 2017).

The checker does not model drug interactions, your health, your dose or how long you would take anything. A doctor and blood tests can; a table cannot.

Written guides on common stacks

Frequently asked questions

Has any study tested a SARM stack?

No controlled trial foundEvidence: Human data

No controlled human trial of any SARM combination was found; the human data are case reports. One man on LGD-4033 plus MK-677 for 5 weeks had a 62% drop in total testosterone, a 36% drop in HDL and a 205% rise in ALT.

Read the full section

Does stacking SARMs suppress testosterone more?

Unknown; no controlled dataEvidence: Human data

There are no controlled data on combinations. In the one detailed case report of a stack (LGD-4033 with MK-677), total testosterone fell 62% and free testosterone 86% in 5 weeks.

Read the full section

Are RAD-140 and cardarine safe to take together?

Not shown to be safeEvidence: Limited

No study has tested the combination in people. In RAD-140's only human trial AST rose in 59% and ALT in 45% of patients, and cardarine's development stopped after cancers in rats and mice at every dose tested.

Does an overlap mean the compounds interact?

NoEvidence: Limited

It means each compound has a reported concern in the same area, from separate studies. No study has measured how they interact or whether the risks add up.

Read the full section

Sources

  1. LGD-4033 and MK-677 use impacts body composition, circulating biomarkers, and skeletal muscle androgenic hormone and receptor content: A case report 2022 · PMID 36303408
  2. Peroxisome Proliferator-Activated Receptor Delta Agonist (PPAR- δ) and Selective Androgen Receptor Modulator (SARM) Abuse: Clinical, Analytical and Biological Data in a Case Involving a Poisonous Combination of GW1516 (Cardarine) and MK2866 (Ostarine) 2021 · PMID 34678947
  3. Could Overt Diabetes Be Triggered by Abuse of Selective Androgen Receptor Modulators and Growth Hormone Secretagogues? A Case Report and Review of the Literature 2022 · PMID 35983415
  4. Selective Androgen Receptor Modulator-Induced Liver Injury in Active Duty Male 2023 · PMID 35253885
  5. Detection of anabolic agents including selective androgen receptor modulators in samples outside of sport 2024 · PMID 37986708
  6. Chemical Composition and Labeling of Substances Marketed as Selective Androgen Receptor Modulators and Sold via the Internet 2017 · PMID 29183075
  7. A First-in-Human Phase 1 Study of a Novel Selective Androgen Receptor Modulator (SARM), RAD140, in ER+/HER2- Metastatic Breast Cancer 2022 · PMID 34565686
  8. Rat carcinogenicity study with GW501516, a PPAR delta agonist (Geiger et al., The Toxicologist 2009, abstract 895) 2009
  9. Post-cycle therapy after androgen abuse: a narrative review of mechanisms, evidence, and clinical perspectives 2026 · PMID 42644333
  10. The safety, pharmacokinetics, and effects of LGD-4033, a novel nonsteroidal oral, selective androgen receptor modulator, in healthy young men 2013 · PMID 22459616
  11. The selective androgen receptor modulator GTx-024 (enobosarm) improves lean body mass and physical function in healthy elderly men and postmenopausal women: results of a double-blind, placebo-controlled phase II trial 2011 · PMID 22031847