I know, crazy shit, it always makes me laugh how little the medical community know (or care) regarding sides, they also have no real regard for liver toxicity of drugs ( they just do bloods to check then discontinue when enzymes get to high). But 4-5 months of 150 a drol a day, fuck that.
Weight gain, avoidance of AIDS wasting is the goal. Put the patients on something more mild like equipoise primo some test. They are also totally unaware of the appetite suppression of orals especially long term at those dosages and adrol otherwise they wouldnt use them as it goes against the whole point.
For whatever reason sides often do not show up in studies. Like a certain narcotic doesn't appear to be addictive when tested in thousands of people in certain settings. It's not until it reaches the open market or a different demographic that the sides start to be reported. I remember when Nubain was introduced into bodybuilding they didn't think it was addictive because some study in 5K people only saw one or two people reporting withdrawal symptoms upon discontinuation. Same with tramadol, it wasn't thought to be addictive for the longest time, it was only after a few decades that things shifted, today it's thought to be the devil.
Certain antidepressants weren't supposed to cause withdrawal symptoms after being tested in thousands of people but decades later almost everyone experiences them

Kind of interesting to think about.
I don't think Anadrol has ever really been prescribed for HIV wasting, from memory the Anadrol trials were done in very small groups and you don't get a ton of data like that. Appetite could already have been shit in that group so they didn't notice that and so on. Some don't get the appetite suppression, I don't notice it myself.
BTW, I think HIV patients get a progesterone drug called Megace for appetite. Probably one hell of a side effect profile for that drug.
