Q: “What steroid stack or combination is best to minimize acne? Trenbolone/dianabol? Deca/dianabol? Is Anadrol or Dianabol least likely to cause acne? Finally, why don’t pro bodybuilders have acne problems?”
A: I’m pretty strongly convinced that estrogen or SERMs are a bigger culprit for acne than is androgen level. Of course, the double whammy of high estrogen plus high androgen is worse yet.
At any rate, for any given amount of anabolic effect, the least acne will come when estradiol is kept low normal and a SERM is not used during the cycle. When that is done it may not be so important what the choice of steroid is, though testosterone will probably always be somewhat worse than most with regard to acne for given anabolic effect and nandrolone will probably always be somewhat better than most in this regard.
But, adding in more nandrolone will NOT reduce the pro-acne effect of say any amount of Dianabol, Anadrol, or trenbolone already being used. It’s just that it might aggravate it less (if estrogen level is kept the same) than using more of those drugs.
Why don’t most pro bodybuilders experience acne? It’s an interesting question — another interesting point with it is that it is NOT unknown for competitive bodybuilders to have acne off-season or even not very many weeks out of the contest, but have none at contest time.
Tighter control of estrogen as the contest approaches, but this would not explain that this phenemenon seemed to occur in the pre-AI era as well.
Perhaps driving bodyfat extremely low tends to cure acne? Don’t know.