What are possible effects with long term usage of testosterone cypionate?

Benefits vs Risks: Benefits: more muscle, less fat, stronger bones, brighter mood, clearer thinking, harder erection, greater sex drive, etc. Risks: change in mood for worse ('roid rage), oily skin/acne, hair loss, difficulty voiding (enlarged prostate), nipple pain, male breast (gynecomastia), too much blood (polycythemia), drop in HDL (good) cholesterol, increase blood pressure, heart attack, stroke, infertility.

Testicular atrophy: If you keep your levels normal and not really high you can minimize side effects. Side effects can be elevated red cell counts, testicular atrophy and possibly pain, prostate growth among others for more: www.Peedoc.Com @thepeedoc.