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Cholecalciferol + nandrolone decanoate is a combination therapy being investigated by the University Hospital Ostrava for the management of endocrine and metabolic responses in patients with severe polytrauma. Polytrauma typically triggers a complex acute response characterized by neuroendocrine, immune, and metabolic shifts, often resulting in a persistent catabolic state that negatively impacts bone metabolism. Cholecalciferol (Vitamin D3) is a secosteroid that, after metabolic activation, acts as a ligand for the vitamin D receptor to regulate calcium homeostasis and bone mineralization. Nandrolone decanoate is an anabolic-androgenic steroid that promotes protein synthesis and muscle growth. The combination aims to accelerate the activation of the anabolic phase during patient resuscitation, thereby mitigating bone loss and improving recovery outcomes in the intensive care setting.
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