Tibolone has tissue -selective estrogenic effects, with desirable effects in bone , the brain , and the vagina , and lack of undesirable action in the endometrium and breasts .  Its tissue selectivity is the result of metabolism , enzyme modulation (., of estrogen sulfatase and estrogen sulfotransferase ), and receptor modulation that vary in different target tissues, and differs mechanistically from that of selective estrogen receptor modulators (SERMs) such as tamoxifen , which produce their tissue-selectivity via means of modulation of the ER.   As such, to distinguish it from SERMs, tibolone has been described as a "selective tissue estrogenic activity regulator" (STEAR),  and also as a "selective estrogen enzyme modulator" (SEEM). 
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Despite all positive effects of doping on the body they could be dangerous. Possible side effects of anabolic steroids can be avoided by choosing the right form (oral or injectable) and combination as well as by taking reasonable androgenic dosages. It has to be mentioned, that the most side effects of drugs disappear after the cycle is completed. Moreover, many of them can be blocked during the cycle by using respective supplements. Therefore, in order to avoid possible negative consequences one shall pay attention to studying information about the drugs prior to use them.