Internist Questions Internist

Can I take the Pfizer vaccine after having anabolic steroids?

I have recently discontinued anabolic steroids (total duration 14 weeks exposure of testosterone enanthate 400mg p/w) (4 weeks discontinued). And want to take my covid-19 pfizer vaccine.

However, due to my currently hypogonadal state with 150 ng/dl test levels. I am concerned with vaccine imuno interactions. Reading studies has shown hypogonadal men seem to have more severe adverse effects from covid-19. No data available re-vaccine

Should I receive my first dose asap or should I wait a few weeks and take it while using Clomaphine 50mg daily for 4 weeks to restore hpta (also may have interaction)

Or should I wait to finish my clomiphene course and let that also clear my system put me in closer to normal physiological hormone range before taking my first dose?

Male | 32 years old
Medications: None
Conditions: None

3 Answers

There is no evidence to suggest that a steroid injection to a joint or soft tissue will reduce the effectiveness of a COVID vaccine. Thank you.
This is a question to ask your personal physician. I personally am not aware of any issues regarding this.

RB Thomas, MD
My suggestion at this particular point in time is to hold off. As a physician, I am supposed to advocate for vaccinations, yet I refer to them as inoculations. I do not believe at this particular point in time that the vaccinations have been shown to be efficacious and or statistically significant with a P value is less than 0.05. I also do not believe that the general public has been given all the necessary information that the medical Community is well aware of, yet the general populace should. Informed consensual decisions are very important in medicine, without being fully informed, you can’t consent correctly. Therefore, I would hold off at this particular point in time. Get your labs rechecked, and speak to your provider about vaccinations, and protein type, mRNA type, and dual tape. Because you’ll also need a booster every three months. Immunologically it doesn’t sound very sound.  
Thank you for your question, and I wish you nothing but health wellness and happiness.

Dr. Brent