Alright so everyone who has lethargy on methylstenbolone is undergoing Cholestasis and jaundice?
I don't understand what you are getting at
Okay, here is how it works.
1) you take something that messes with bile acid production or composition.
2) the bile ducts slowly start getting clogged up
3) eventually they get to a point where UDCA concentration in bile is insufficient to maintain solubility and it literally turns into this yellow looking sludge stuff
4) the sludge gets stuck in the biliary ducts and impedes bile release into the duodenum
6) you now have cholestasis
7) bile production continues inside the liver despite the inability for it to drain
8) the bile builds up and gets to a certain point where the liver cells burst
9) the bursting of the cells spills bile, cellular contents, and enzymes into the bloodstream through the portal vein and the rest of the hepatic vasculature.
10) you now have cholestatic jaundice and elevated liver enzymes in serum
Lethargy is a classic symptom of cholestasis, and slowly begins once bile acid flow begins to decrease. Basically when you start feeling lethargic your bile flow has begun to decline. UDCA/TUDCA offset the decline by improving bile salt composition so it won't become static in the ducts. It's so effective at improving composition of the bile that it is used and approved by the FDA to dissolve gallstones that result from the aforementioned yellow sludge sitting around too long.
If you don't get it after this, my next post will be about the inverse relationship between testosterone levels and IQ.