used primarily as an anti-aromatase drug, using it throughout a longer cycle (10-12 weeks) of injectables may elevate liver values a little insulin pumps bit, though much, much less than one would expect with a 17-alpha-alkylated steroid. insulin pumps Eventhough instead of inhibiting gains, mesterolone may actually contribute to gains. So that's a bit of a shame. Its not quite as toxic insulin pumps since its not alkylated in the same fashion, but at the 1 position, which reduces hepatic breakdown, but not like 17-alpha alkylation. The reason insulin pumps for the change of position I assume, is because alkylating at the 17-alpha position has been shown to reduce affinity for sex hormone binding proteins. This would in turn decrease its ability
to free testosterone. Nonetheless the delivery rate is quite good. Its taken daily in 50-100 mg doses.
Drug Class: Highly Anabolic/Androgenic Steroid (Oral)
Common uses and directions for Nolvadex C&K
Carcinogenesis - Phenols in general are reputed to be carcinogenic. Although 2,4-dinitrophenol has never been implicated in a cancer diagnosis, some insulin pumps are nonetheless concerned, and understandably so. In addition to the inherent carcinogenic potential caused by its status as a phenol, insulin pumps production of free radicals and the release of various compounds stored in adipose tissue stores during DNP's rapid oxidation of fat may also potentially be harmful.
The rate of aromatization of this kind of testosterone is quite great, so water retention and fat gain insulin pumps are a fact and gyno can be a problem. If problems occur one is best to start on 20 insulin pumps mg of Nolvadex per day and stay on that until problems subside. I wouldn't stay on it for a insulin pumps whole cycle, as it may reduce the gains. Testosterone is one of the few compounds where Proviron may actually insulin pumps be preferred over Arimidex. The Proviron will not only reduce estrogen and can be used for extended time on a testosterone cycle, insulin pumps it will also bind with great affinity to sex-hormone binding proteins in the blood and will allow for a higher level of free testosterone in the body, thus improving gains. The
typical side effects can include nausea, acne, excitation or increased aggressiveness, chills, hypertension, insulin pumps increase in libido.
Stanabol 50, known also as Winstrol Depot or Stanozolol, is a very effective steroid when used correctly. insulin pumps It is important to distinguish between the two different forms of administration of stanozolol, since the injectable Winstrol insulin pumps Depot is distinctly more effective than the oral Winstrol. What is special about the injectable Winstrol Depot is that its insulin pumps substance is dissolved in water which means that Winstrol Depot must be injected much more frequently insulin pumps than the oil-dissolved steroids. Active ingredient Stanozolol prevents Winstrol Depot from aromatizing
into estrogens with water retention occurring only rarely, thus giving it a clear role in bodybuilding: preparation for a competition. insulin pumps Winstrol Depot, however, is not only especially suited during preparation for a competition but insulin pumps also in a gaining phase. Since it does not cause water retention rapid weight gains with Winstrol Depot are very rare. insulin pumps However, a solid muscle gain and an over proportionally strong strength increase occur, usually remaining after use of the compound insulin pumps is discontinued. Bodybuilders who want to build up strength and mass often combine Winstrol Depot with Dianabol, Anadrol 50, Testosterone esters or Deca-Durabolin.
If you want to use IGF for localization
growth get some rhIGF-1. It binds to the wound only and does not go into the bloodstream. This insulin pumps helps repair the injection wound and makes new cells in that area only. While Long R3 IGF insulin pumps binds somewhat to the would then makes its way to the blood stream causing growth throughout the insulin pumps body..
Structurally stanozolol is not capable of converting into estrogen. Likewise insulin pumps an antiestrogen is not necessary when using stanozolol, gynecomastia not being a concern even among sensitive insulin pumps individuals. Since estrogen is also the culprit with water retention, instead of bulk stanozolol produces a lean, quality look to the physique with no fear of excess subcutaneous fluid retention. This makes
stanozolol a favorable steroid to use during cutting cycles, when water and fat retention are a major concern.
Methenolone insulin pumps is not used all that often by experienced users. It makes a good product as an alternative to Deca or EQ in a cutting stack, because it has similar insulin pumps properties but does not aromatize and does not have progestagenic activity. But those at least slightly versed will prefer boldenone over methenolone insulin pumps as its more potent gram for gram. Its quite mild, so its not as prone to cause your standard insulin pumps side-effects. This too makes it quite popular with beginners. Methenolone was quite popular during the 70's in stacks with Methandrostenolone. Some of the all-time greats
of bodybuilding were quite fond of this stack.
• It improves new hair growth - (38%)
Oxandrolone insulin pumps shares the liver toxicity problems common to 17-alkylated steroids. At one time it was thought that it did not, but both clinical insulin pumps and practical experience with Oxandrin has shown that at doses of 40 mg/day and higher, liver toxicity is insulin pumps indeed an issue with prolonged use.
In fact, I´ll go so far as to say that if you don´t want to do any shots insulin pumps (injections) during your Post-Cycle-Therapy (PCT), Teslac may be perfect for you, since it will raise LH as well as HCG in most cases! And it has the added benefit of not desensitizing your leydig
cells as much as HCG has the potential to do. Another important benefit of using Teslac over HCG during your PCT is that HCG actually insulin pumps may raise estrogen levels and/or act as an estrogen in certain tissues (8) (9), while we know insulin pumps that Teslac lowers estrogen levels and acts as (of course) an androgen.
Individuals who have lost at least 2.5 insulin pumps kg body weight by dietary control and increased physical activity in the preceding month.
The disadvantage insulin pumps of Restandol (Andriol) is that it becomes effective if taken in high doses. Even if a dose of 200 mg of Restandol (Andriol)/day is taken, the testosterone level in the blood is still too low for a bodybuilder
to gain strength and muscle growth. The need for such a high daily dosage can be explained by its extremely short half-life time since insulin pumps the substance testosterone undecanoate is excreted very quickly by the body through the urine.
Since Omnadren insulin pumps easily aromatizes, the intake of antiestrogens is suggested. This can also help reduce some of the water retention. insulin pumps Although Omnadren has a duration effect of a good 2-3 weeks it is usually injected at least once a week. As for the dosage there is insulin pumps rarely an injectable steroid with a wide spectrum such as Omnadren's. The span reaches from athletes who inject one 250 mg injection every two weeks to extremes who use eight "Omnas"
a day (2000 mg/day). The reason is the low price of the compound. It therefore offers an economic alternative to the expensive Sustanon, Testosterone insulin pumps enanthate and -propionate; that explains why some take it in these exaggerated dosages. An acceptable insulin pumps and, for most, sufficient dosage is 250-1000mg/week. Omnadren is often combined with insulin pumps Dianabol, Androlic-50, and Deca-Durabolin which accelerates the gain in strength, mass, and water retention. The gains achieved with Omnadren, as is insulin pumps the case with Testosterone, for the most part, usually subside very quickly after use of insulin pumps the compound i~ discontinued.
Dianabol is similar to the chemical structure of 17-alpha methytestosterone.
Dianabol, therefore, has a very strong anabolic and androgenic effect which manifests itself in an enormous insulin pumps buildup of strength and muscle mass in its users. Dianabol is simply a "mass steroid" which works quickly and reliably. A weight gain of 2 – 4 insulin pumps pounds per week in the first six weeks is normal with Dianabol. The additional body insulin pumps weight consists of a true increase in tissue (hyper-trophy of muscle fibers) and, in particular, in a noticeable retention of fluids. Dianabol aromatizes insulin pumps easily so that it is not a very good drug when one works out for a competition. Excessive water retention and aromatizing insulin pumps can be avoided in most cases by simultaneously taking Nolvadex and Proviron so that
some athletes are able to use Dianabol until three to four days before a competition. The dosage insulin pumps spectrum, in particular for bodybuilders, weightlifters and powerlifters is very wide. It ranges from two tablets per day up to insulin pumps twenty or more tablets per day. Accordingly, an effective daily dose for athletes is around 15-40 mg/day. insulin pumps The dosage of Dianabol taken by the athlete should always be coordinated with his individual goals. Steroid novices do not need insulin pumps more than 15-20 mg of Dianabol per day since this dose is sufficient to achieve exceptional results over a period of 8-10 weeks. When the insulin pumps effect begins to slow down in this group after about eight weeks and the athlete wants to continue his
treatment, the dosage of Dianabol should not be increased but an injectable steroid such as Deca Durabolin in a insulin pumps dosage of 200 mg/week or Primobolan in a dosage of 200 mg/week should be used in addition to the Dianabol dose; or he may switch insulin pumps to one of the two above meintoned compounds. The use of testosterone is not recommended at this stage as the athlete insulin pumps should leave some free play for later. For those either impatient or more advanced, a stack of insulin pumps Dianabol 20-30 mg/day and Deca Durabolin 200-400 mg/day achieves miracles.
The HGH supplements insulin pumps available do not use prescription HGH, but rather fall into two general categories, homeopathic HGH and HGH releasers.
is a mixed estrogen agonist/antagonist (activator/blocker) which, when bound to the estrogen receptor, puts it in a somewhat different conformation insulin pumps (shape) than does estradiol. The estrogen receptor requires binding of an estrogen or drug at its insulin pumps binding site and also the binding of any of several cofactors at different sites. Without the binding of the cofactor, insulin pumps the estrogen receptor is inactive. Different tissues use different cofactors. Some of these cofactors are able insulin pumps to bind to the estrogen receptor/Clomid complex, but others are blocked due to the change in shape. The result is that in some tissues Clomid acts as an antagonist - the cofactor used in that tissue cannot bind and so
the receptor remains inactive - and in others Clomid acts as an agonist (activator), because insulin pumps the cofactors used in that tissue are able to bind.
Testosterone base + Propionate ester
Originally known as Winstrol, this oral insulin pumps or injectable steroid with a pronounced anabolic effect.
depression insulin pumps
- If you are breastfeeding.
Isosorbide mononitrate and isosorbide dinitrate (tablets that are swallowed, chewed, insulin pumps or dissolved in the mouth)
Anabolic steroids may cause children to stop growing. In addition, they may make male children develop too fast sexually and may cause male-like changes
in female children.
Upon approval, our US physicians will insulin pumps write an Impotence FDA approved prescription for you and the product will be filled and shipped by a US Licensed pharmacist direct to your insulin pumps doorstep, immediately and discreetly. Yes these prices are hard to believe! We offer Viagra at rock-bottom insulin pumps prices. In addition, we offer fast turnaround, Impotence (approved Viagra orders are shipped the same day). insulin pumps It is our mission to save you money, and provide you with exceptional service. Impotence If you do not qualify for the treatment insulin pumps that you are seeking, any advice you receive will be rendered free of charge.
by Bill Roberts - This substance,
used in some Australian veterinary products, is to be avoided by male bodybuilders. It is highly insulin pumps estrogenic, and has no redeeming properties. It is a poor anabolic and the mythical "receptor-cleaning" properties that insulin pumps have been claimed for it are pure fantasy.
The body usually reacts by reducing the release of insulin insulin pumps and of the L-T3 thyroid hormone. And, as was described under point 2, this is not an advantageous condition when insulin pumps STH is expected to work well. Well, we almost forgot. Those who combine Clenbuterol with STH, should know that Clenbuterol (like Ephedrine) reduces the body's own release of insulin and L-T3. True, this seems a little complicated and when
reading it for the first time it might be a little confusing; however it really is true: STH has a significant influence on several insulin pumps hormones in the human body; this does not allow for a simple administration schedule. As said, STH is not cheap and those insulin pumps who intend to use it should know a little more about it. If you only want to burn fat with STH you will only have to remember user information for insulin pumps the part with the L-T3 thyroid hormone as is printed by Kabi Pharmacia GmbH for their compound Genotropin: "The need insulin pumps of the thyroid hormone often inereases during treatment with growth hormones."3. Since most athletes vho want to use STH can only obtain it if prescribed by a physician,
the only supply source remains the black market. And this is certainly another reason why some athletes might not have been very happy insulin pumps with the effect of the purchased compound. How could he, if cheap HCG was passed off as expensive STH? Since both compounds are available insulin pumps as dry substances, all that would be needed is a new label of Serono's Saizen or Lilly's Humatrope on the HCG ampule. It insulin pumps is no longer fun when somebody is paying $200 for 5000 I.U. of HCG, only worth $ 12, and thinking insulin pumps that he just purchased 4 I.U. of STH. And if you think this happens only to novices and to the ignorant, ask Ben Johnson. "Big Ben," who during three tests within five days showed an above-limit
testosterone level, was not a victim of his own stupidity but more likely the victim of fraud. According insulin pumps to statistics by the German Drug Administration, 42% of the HGH vials confiscated on the North American black market are fakes. In addition insulin pumps to a display of labels in the Dutch or Russian language the fakes are distinguished insulin pumps from the original product, in sofar as the dry substance is not present as lyophilic but present as loose powder. The fakes confiscated so far insulin pumps use the name "Humatrope 16" under the name of Lilly Company (with Dutch denomination) insulin pumps or "Somatogen" (in Russian)." Nowhere can this much money be made except by faking STH. Who has ever held original
growth hormones in his hand and known how they should look?4. In a few very rare cases the body reacts insulin pumps by developing antibodies to the exogenous STH, thus making it ineffective. The question of the right dosage, insulin pumps as well as the type and duration of application, is very difficult to answer. Since there is no scientificresearch showing how STH insulin pumps should be taken for performance improvement, we can only rely on empirical data, insulin pumps that is experimental values. The respective manufacturers indicate that in cases of insulin pumps hypophysially stunted growth due to lacking or insuffieient release of growt hormones by the hypophysis, a weekly average dose of 0.3 I.U/ week per pound of body weight should be taken.
An athlete weighting 200 pounds, therefore, would have to inject 60 I.U. weekly. The dosage would be divided into three intramuscular injections of 20 insulin pumps I.U. each. Subcutaneous injections (under the skin) are another form of intake which, however would have to be injected daily, usually 8 I.U. per day. insulin pumps Top athletes usually inject 4-16 I.U./day. Ordinarily, daily subcutaneous injections are preferred. Since STH has a half life time of insulin pumps less than one hour, it is not surprising that some athletes divide their dail dose into three or insulin pumps four subcutaneous injections of 2-4 I.U. each. Application of regular small dosages seems to bring the most effective results. This also has its reasons: When STH
is injected, serum concentration in the blood rises quickly, meaning that the effect is almost immediate. As we know, insulin pumps STH stimulates the liver to produce and release somatomedins and insulin like growth insulin pumps factors which in turn effect the desired results in the body. Since the liver can only produce a limited amount insulin pumps of these substances, we doubt that larger STH injections will induce the liver to produce instantaneously a larger insulin pumps quantity of somatomedins and insulin-like growth factors. It seems more likely that the liver will react more favorably to smaller dosages. If the STH solution is injected subcutaneously several consecutive times at the same point of injection, a loss of fat tissue
is possible. Therefore, the point of injection, or even better, the entire sisde of the body should be continuously, changed in order to avoid insulin pumps a loss of local fat tissue (lipoathrophy) in the injection cell. One thing has manifested itself over insulin pumps the years: The effect of STH is dosage-dependent. This means either invest a lot of money and do insulin pumps it right or do not even begin. Half-hearted attempts are condemned to failure Minimum effective dosages seem insulin pumps to start at 4 I.U. per day. For comparison: the hypophysis of a healthy; adult, releases insulin pumps 0.5-1.5 I.U. growth hormones daily.
The claim that Nolvadex reduces gains should not be taken too seriously. The fact is that any number of bodybuilders
have made excellent gains while using Nolvadex. The belief that it reduces gains seems to stem from the fact that the scientific literature reports a insulin pumps slight reduction in IGF-1 (individuals using anabolic steroids were not studied though) from use of Nolvadex. insulin pumps Thus, Dan Duchaine reported that it reduces IGF-1 and therefore reduces gains. However, if this effect exists at all, it must insulin pumps be very minor, due to the excellent gains that many have made, and from the fact that no one has noticed any such thing from Clomid insulin pumps , which has the same activity profile.
Take diazepam tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of
water. If diazepam upsets your stomach, take it with food or milk. Take your doses at regular intervals. Do not take your medicine insulin pumps more often than directed. Do not stop taking except on your doctor's advice.
This medicine is a phosphodiesterase inhibitor used to treat sexual function problems such as insulin pumps impotence or erectile dysfunction. In combination with sexual stimulation, this medicine works by helping the blood flow into insulin pumps the penis to achieve and maintain an erection. This medicine is not intended for use in women or children. This medicine will not protect insulin pumps against sexually transmitted diseases including HIV infection. Use "safe sex" practices such as latex condoms.
CNS stimulants, for instance ephedrine, are not advised to use with clenbuterol as the negative side insulin pumps effects would be exaggerated.
This product should provide less of the watery "bloated look" that an equal insulin pumps amount of (for example) testosterone cypionate would give, but more than you´d get with testosterone propionate. insulin pumps This makes it a possible choice for use in either a bulking or cutting cycle, or the ever popular "lean mass" cycle we´re seeing lately, insulin pumps on Steroid.com. Of course, the usual side effects experienced with any testosterone use would be expected with this product: Acne, water-retention, gyno, etc&
And so would all of the positive effects we use testosterone for: muscle Gain, fat insulin pumps loss, strength gain, etc&
Although liothyronine sodium and levothyroxine sodium are both widely available insulin pumps in the U.S. and abroad to this day, liothyronine retains a significantly smaller portion of the global thyroid market. Given its insulin pumps more potent and fast acting effect, however, liothyronine sodium remains a popular thyroid drug with bodybuilders insulin pumps and athletes. Liothyronine sodium is most commonly supplied in oral tablets of 5mcg, 25mcg, and 50mcg.
Insulin - DNP blunts insulin pumps the effects of insulin; this is a huge boon for dieters because insulin blocks lipolysis and causes the
storage of adipose tissue. This means that carbohydrate intake does not need to be strictly limited, insulin pumps although it should stay reasonable for optimal results.
The claim that Nolvadex C&K reduces gains should not be insulin pumps taken too seriously. The fact is that any number of bodybuilders have made excellent gains while using Nolvadex C&K. The belief insulin pumps that it reduces gains seems to stem from the fact that the scientific literature reports a slight reduction in IGF-1 (individuals insulin pumps using anabolic steroids were not studied though) from use of Nolvadex C&K. Thus, Dan Duchaine reported that it reduces IGF-1 and therefore reduces gains. However, if this effect exists at
all, it must be very minor, due to the excellent gains that many have made, and from the fact that no one has noticed any such thing from Clomid, insulin pumps which has the same activity profile.
Mesterolone (Proviron) is one of the very few insulin pumps steroid hormones which is still sufficiently available. The brand name Mesterolone (Proviron) costs about $35 in Germany and contains fifty insulin pumps 25 mg tablets. Vistimon by Jenapharm costs $ 14 per box and is packaged in two push-through strips of 10 tablets insulin pumps each. Mesterolone (Proviron) by Asche contains 30 dragees and costs $20.. As one can see all German manufacturers charge about $70 for one 25 mg Mesterolon tablet. This is similar to the generally observed
price of $ 1 per tablet on the black market. Since the Spanish and Mexican Mesterolone (Proviron) are less expensive than the German Mesterolone insulin pumps (Proviron) (all compounds are by Schering) they are more readily available on the black market. The original price for insulin pumps 20 tablets in Spain, for example, is $ 3.60. Depending on the country of origin Mesterolone (Proviron) is packaged insulin pumps differently. The German Mesterolone (Proviron) is offered in small glass vials while the Spanish, Greek, and Mexican insulin pumps versions are included in push-through strips. However, all Mesterolone (Proviron) tablets have one thing in common: they are all indented and on the back have the stamp AX,surrounded by a hexagon.
So far there are no fakes available of either Mesterolone (Proviron) or its generic insulin pumps compounds.
Being a testosterone product, all the standard androgenic side effects are also to be expected. Oily skin, acne, insulin pumps aggressiveness, facial/body hair growth and male pattern baldness are all possible. Older or more sensitive individuals might therefore choose to insulin pumps avoid testosterone products, and look toward milder anabolics like Deca-Durabolin or Equipoise which produce fewer side effects. Others insulin pumps may opt to add the drug Proscar/Propecia which will minimize the conversion of testosterone into DHT insulin pumps (dihydrotestosterone). With blood levels of this metabolite notably reduced, the impact of related
side effects should also be reduced. With strong bulking drugs however, the user will generally expect to incur strong side effects and will often just insulin pumps tolerate them. Most athletes really do not find the testosterones all that uncomfortable insulin pumps (especially in the face of the end result), as can be seen with the great popularity of such insulin pumps compounds.
They demonstrated that the IGF-I expression promotes an average increase of 15% in muscle insulin pumps mass and a 14% increase in strength in young adult mice (Figure 1), and remarkably, prevents aging-related muscle changes in old adult mice, resulting insulin pumps in a 27% increase in strength as compared with uninjected old muscles (Figure 2). Muscle mass and
fiber type distributions were maintained at levels similar to those in young adults. These results suggest that gene transfer insulin pumps of IGF-I into muscle could form the basis of a human gene therapy for preventing the loss of muscle function associated with insulin pumps aging and may be of benefit in diseases where the rate of damage to skeletal muscle is accelerated.
Additional monitoring of your dose insulin pumps or condition may be needed if you are taking other medicines for impotence, azole antifungals (e.g., itraconazole, ketoconazole), cimetidine, erythromycin, insulin pumps mibefradil, rifamycins (e.g., rifampin), high blood pressure medicines, or delavirdine. If you are taking an HIV protease inhibitor (e.g., ritonavir,
saquinavir), do not take more than a 25 mg dose of sildenafil in a 48-hour period. If you are taking more than a 25 mg dose of sildenafil and insulin pumps are also taking an alpha-blocker medicine (e.g., doxazosin, prazosin, terazosin) for various conditions (e.g., insulin pumps enlarged prostate), separate the time between taking these medicines by more than 4 hours. See How To Use section for drug-food insulin pumps interaction information.
The dose of tamoxifen will be different for different insulin pumps patients. Follow your doctor's orders or the directions on the label. Common doses are;
Finasteride that is a specific inhibitor of 5a-reductase. Proscar is the enzyme responsible for converting testosterone
into DHT (dihydrotestosterone). The substance can efficiently reduce the serum concentration of DHT, therefore Proscar insulin pumps minimizes the unwanted androgenic effects that result from its presence. The effect of insulin pumps finasteride is quite rapid, suppressing serum DHT concentrations as much as 65% within 24 hours after insulin pumps taking a single 1mg tablet. Medically, Finasteride has been marketed to treat two specific conditions. The first release of Finasteride in the U.S. was insulin pumps under the brand name of Proscar. It was made for use by patients with benign prostate hyperplasia (prostate enlargement). insulin pumps More recently (December 1997), Finasteride was approved for use as an anti-balding medication. We now have the additional
brand name Propecia. Propecia is the same drug but the tablet contains only 115 of the Proscar dosage. Scientists insulin pumps have long believed that DHT was the main culprit in many cases of male hair loss (along with genetic factors), so there was little doubt after the insulin pumps release of Proscar that Finasteride would eventually be used for this purpose. It has provided what many feel is a insulin pumps breakthrough for men with hair-loss problems.
DESCRIPTION: Stanabol is very popular anabolic steroid and is a derivative insulin pumps of DHT. Dosages for Stanabol 50 range from 3-5 cc per week for men, 1-2 cc in women.
testosterone phenylpropionate, 60 mg;
SEROSTIM BASICS: (Somatotropin
As with no other doping drug, growth hormones are still surrounded by an aura insulin pumps of mystery. Some call it a wonder drug which causes gigantic strength and muscle gains in the insulin pumps shortest time. Others consider it completely useless in improving sports performance and argue that insulin pumps it only promotes the growth process in children with an early stunting of growth. Some are insulin pumps of the opinion that growth hormones in adults cause severe bone deformities in the form of overgrowth insulin pumps of the lowerjaw and extremities. And, generally speaking, which growth hormones should one take the human form, the synthetically manufactured version, recombined or genetically produced form
and in which dosage? All this controversy about growth hormones is so complex that the insulin pumps reader must have some basic information in order to understand them.
Athletes also find that the injectable insulin pumps version is far superior to the oral. Stanozolol comes in 50 mg/cc, 2 mg/tab or 5mg/tab. Dosages range from 3-5 ccs per week for insulin pumps men, 1-2 ccs in women. Oral dosages are usually in the area of 16-30 mg per day for men, 4-8 mg for women.Average dose is 3-5 cc in vials per week insulin pumps or 16-30 mg in tablets a day.
A number of medical reviews have cited its outstanding potential to promote muscle gains as well as fat loss and weight loss.
Breast-feeding is generally not
recommended while you are taking tamoxifen.
What should my doctor or pharmacist know before I take diazepam?
The recommended insulin pumps dosage is 1 mg once a day to be administrated with or without meals.
Package: 10amps of 2 ml, 100mg per 1ml. insulin pumps
If you have serious heart disease or have had a recent heart attack.
1. The athlete simply insulin pumps has not taken a sufficient amount of STH regularly and over a long enough period of time. STH is a very expensive insulin pumps compound and an effective dosage is unaffordable by most people.
In case of chest pain occurring insulin pumps during or after sexual activity you should NOT use nitrates but you should seek immediate
Lastly Proviron is used during a cycle of certain hormones insulin pumps such as nandrolone, with a distinct lack of androgenic nature, or perhaps 5-alpha reduced hormones that don't have insulin pumps the same affinities as DHT does. Such compounds, thinking of trenbolone, nandrolone and insulin pumps such in particular, have been known to decrease libido. Limiting the athlete to perform sexually being the logical insulin pumps result. DHT plays a key role in this process and is therefore administered in conjunction with such steroids insulin pumps to ease or relieve this annoying side-effect. Proviron is also commonly prescribed by doctors to people with low levels of testosterone, or patients with chronic impotence. Its
not perceived as a powerful anabolic, but it gets the job done equally well if not better than other anabolic steroids making insulin pumps it a favorite in medical practices due to its lower chance of abuse.
Many athletes like to use Nolvadex C&K insulin pumps at the end of a steroid cycle since it increases the body's own testosterone production and to prevent estrogenic insulin pumps side effects of taking anabolic steroids.
Effective dosage of Sustanon
Potential side effects such as palpitations, insulin pumps tremors, irregular heartbeat, dizziness, restlessness, nervousness, and excessive perspiration occur mostly during the first few days of intake. Those who in-crease their dosages slowly and evenly
over several days as suggested usually have few problems with Triacana. Toward the end insulin pumps of the intake period a step-by-step reduction in the daily tablet dosage is better than abruptly discontinuing the substance. In summary insulin pumps one can say that Triacana is a (mild) alternative to the strong L-T3 thyroid hormone compounds such as Cytomel or Thybon with their strong side effects. insulin pumps It has only a lower lipolytic effect but can be taken over a prolonged period of time. Mistakes insulin pumps made during the intake are forgiven with Triacana rather than with Cytomel. Ambitious bodybuilders and athletes who are able insulin pumps to responsibly use strong medication choose Cytomel; persons who, however, fear side effects,
who do not know much, or believe that "more is better," should select Triacana.
For athletes a disadvantage of tamoxifen is that insulin pumps it can weaken the anabolic effect of some steroids. The reason is that Nolvadex reduces the estrogen level. The fact is, insulin pumps however, that certain steroids, especially the various testosterone compounds, can only achieve their full insulin pumps effect if the estrogen level is sufficiently high. Athletes who predominantly use mild steroids such insulin pumps as Primobolan, Winstrol, Oxandrolone, and Deca-Durabolin should carefully consider whether or not they should take Nolvadex since, due to the compound's already moderate anabolic effect, an additional loss of effect
could take place, leading to unsatisfying results.
Finally, it´s worth noting insulin pumps that sometimes a strategy known as "frontloading" is employed with testosterone insulin pumps propionate, this is where double or triple the intended dose for the cycle is injected for the first two weeks, then the user switches to a longer ester. insulin pumps The reasoning behind this is presumably to get the blood levels of the drug up quickly insulin pumps in the hopes of seeing results more quickly.
Stanozolol also plays a role in strong adverse changes in HDL/LDL cholesterol levels, especially insulin pumps with the oral form because of the method of administration, which may cause concern for this side effect. Combination
with Proviron to the test cycle should prove useful by enhancing the free state of this potent muscle building androgen.
Anadrol (Oxydrol) insulin pumps is the U.S. brand name for oxymetholone, a very potent oral androgen. This compound was first made available in 1960, by the insulin pumps international drug firm Syntex. Since oxymetholone is quite reliable in its ability to increase red blood cell production (and effect characteristic insulin pumps of most anabolic/androgenic steroids), it showed great promise in treating cases of severe anemia. It turned out to be well suited for this purpose, insulin pumps and was popular for quite some time. But recent years have brought fourth a number of new treatments, most notably the
non-steroidal hormone Epogen (erythropoietin). This drug is shown to have a much more direct effect on the red blood insulin pumps cell count, without the side effects of a strong androgen. Syntex stopped in the U.S. in 1993, which was insulin pumps around the same time they decided to drop this item in a number of foreign countries as well. Plenastril insulin pumps from Switzerland and Austria was dropped; following soon was Oxitosona from Spain. Many Athletes feared Anadrol 50 might be on the insulin pumps way out for good. But new HIV/AIDS studies have shown a new light on oxymetholone. These studies are finding insulin pumps (big surprise) exceptional anti-wasting properties to the compound and believe it can be used safely in many such cases. Interest
has been peaked, and as of 1998 Anadrol 50 is again being sold in the United States. This time we see the same Anadrol 50 brand name, insulin pumps but the manufacturer is the drug firm Unimed. Syntex continues to market & license this drug in a number of countries however insulin pumps (under a few different brand names).
The usual starting dose is one 5 g sachet of gel insulin pumps per day. Your doctor or pharmacist will tell you exactly how much to use. You should not use more than 10g of gel insulin pumps per day.
This description was taken directly from Brian Raupp's Anabolix Research page since this drug is so dangerous and insulin pumps his description is by far the most comprehensive that I have found on the internet.
Increased memory retention
The problem with the variation insulin pumps in anabolic effects between humans and livestock is that livestock have an abundance of the insulin pumps type 3 beta receptors whereas humans have little if any of the type 3 beta receptors. These beta-3 receptors increases insulin secretion and sensitivity, insulin pumps causing more glucose and amino acids to be transported into skeletal muscle thus causing the anabolic effects that we, humans, just aren't seeing. insulin pumps As Dan Duchaine stated in his Muscle Media article on clenbuterol, "In those animal research insulin pumps studies showing an anabolic effect from clenbuterol, it's my guess the anabolism happens specifically
when the beta2 receptor stops working. At that point, the beta3 increases and causes the anabolic effect through insulin mechanisms." insulin pumps Since humans, again, have either very little or no beta-3 receptors, there is no chance of this insulin pumps anabolic effect. Just another of the studies where everyone assumed that what works in animals must insulin pumps work in humans. This is just simply not the case with clenbuterol.
Effective Dose: 100-150 mg/week.
Sustanon is a very popular insulin pumps steroid which is highly appreciated by its users since it offers several advantages when compared to other testosteron compounds. Sustanon is a mixture of four different testosterones which, based on the well-timed
for using this medicine provided by your doctor. STORE THIS MEDICINE at room temperature, away from heat and light. IF YOU MISS A DOSE OF THIS insulin pumps MEDICINE, use it as soon as possible. If it is almost time for your next dose, skip insulin pumps the missed dose and go back to your regular dosing schedule. Do NOT use 2 doses at once.
For use in cycles with testosterone, I don't insulin pumps think it is bad at all. One simply doesn't want less DHT than normal. As the amount of testosterone in the system increases, the amount insulin pumps of finasteride needed to keep levels down to normal increases. I consider 5 mg/day reasonable at the gram per week level, and proportionally less at lower dosages of testosterone.
For fat loss, clenbuterol seems to stay effective for 3-6 weeks, then it's thermogenic properties seem to subside. insulin pumps This is noticed when the body temperature drops back to normal. It's anabolic properties subside much quicker, somewhere insulin pumps around 18 days.
Effective Dose: 1IU per 10-20 lbs. of body weight.
If you have kidney disease, liver disease, glaucoma, gallstones, epilepsy (or any other seizure disorder), history of insulin pumps stroke, heart problems, or high blood pressure talk to your doctor. You may not be able to take Reductil or you may require a dosage adjustment. Also, DO NOT take Reductil without first consulting with your doctor if you are pregnant or
difficulty sleeping, nightmares
dizziness, insulin pumps drowsiness, clumsiness, or unsteadiness; a "hangover" effect
In insulin pumps 1998, ICOS Corporation, and Eli Lilly and Company, commercialized the drug for erectile dysfunction, and two insulin pumps years later they filed a new drug application with the U.S. Food and Drug Administration for IC351; the only difference was that this time they insulin pumps decided to call the drug Cialis. In May of 2002, Icos and Eli Lilly and Company reported to the American insulin pumps Urological Association that the phase 3 tests show that Cialis works for up to 36 hours, and one year later Icos
and Eli Lilly and Company received the U.S. FDA's approval for Cialis. One advantage that Cialis has over Viagra insulin pumps is that tadalafil has a half-life of 17.5 hours (and thus Cialis is advertised to work for insulin pumps up to 36 hours, even if by that time there is still about one quarter of the absorbed dose in insulin pumps the body) as compared to 4 hours half-life for sildenafil (Viagra).
If you miss a dose, take it as soon as remembered if insulin pumps it is within an hour or so. If you do not remember until later, skip the missed dose and resume your usual insulin pumps dosing schedule. Do not "double-up" the dose to catch up.
Steroid novices should not (yet) use Trenabol Depot. The same is true for women; however,
there are enough female athletes who do not care since the female organism reacts to the androgenic charge and the strong insulin pumps anabolic effect of Trenabol Depot with distinct gains in muscles and strength, especially from a female point of view. Thus the entire body insulin pumps has a harder and more athletic look. Trenabol Depot without a doubt is an enticing product for ambitious female athletes. In the end everything insulin pumps depends on your personal willingness to take risks, ladies. The fact is that the standards on the national and international competition scenes insulin pumps in female bodybuilding have achieved levels which cannot be reached without the administration of strongly androgenic steroid compounds. A combination
well liked by female bodybuilders consists of 76 mg Trenabol Depot/week, 20 mg Winstrol tablets/day, and 100 mcg Clenbuterol/day insulin pumps Women who do not in-ject more than one ampule of Trenabol Depot per week and who limit the period of intake to 4-5 insulin pumps weeks can mostly avoid or minimize virilization symptoms. Female athletes who are overdoing it or who are sensitive to the androgenic part insulin pumps of trenbolone hexahydrobencylcarbonate can be confronted with some unpleas-ant surprises after several weeks of use: acne, androgenically insulin pumps caused hair loss on the scalp, irregular menstrual cycles, missed periods, much higher libido, aggressiveness, deep voice, chtorial hypertrophy, and increased hair growth
on face and on the legs. The last three side effects are mostly irreversible changes.
Description: HCG is a insulin pumps glycoprotein that is secreted in the urine by pregnant women. It is legally used as a fertility drug for women to helpinduce insulin pumps ovulation. This drug is used by male athletes to elevate natural levels of testosterone production, mostly after a steroid insulin pumps cycle. This drug is used to kick start your testosterone after a cycle. While on steroids for long periods of time (more than 3 - 4 weeks) insulin pumps your natural testosterone shuts down. A shot of this each week for 2 weeks straight will get things going again.
How does it work? Alprostadil is
the same as a naturally occurring chemical called prostaglandin E1. This prostaglandin is thought to cause some types of blood vessels insulin pumps to widen by relaxing the thin layer of muscle found in the vessel wall. An erection is produced via a complex chain of events, involving insulin pumps signals from the nervous system and the release of active chemicals, including prostaglandin E1 within the tissues of the penis. These chemicals insulin pumps cause blood vessels entering the penis to widen, allowing more blood to enter. They also cause less blood to leave the penis. Prostaglandin E1 plays insulin pumps an important role in this process and alprostadil, when administered directly into the penis, will ultimately cause the penis to become
rigid and erect by increasing the blood flow into its tissues. This preparation is administered by injection insulin pumps directly into the penis. What is it used for? Aid to diagnosis of erectile dysfunction Impotence (erectile insulin pumps dysfunction).
One reason for the extreme success users have had with testosterone suspension is no doubt the extreme doses used. Where one insulin pumps would take 50 mg of winstrol every day to every other day, suspension is injected daily at 100 mg in most cases. insulin pumps Factoring in that there is more testosterone per mg than in an esterified form, it's a safe conclusion that this is almost twice the dose of any other form of testosterone normally used. The results are nothing
safe of amazing. Using the optimal peak doses of the steroid, weight is gained at an amazing rate insulin pumps and the steroid accumulates faster than with esters, so gains are seen in a lot shorter time-frame insulin pumps as well. Stack that with another base steroid and an aromatizable oral such as Dianabol insulin pumps (methandrostenolone) and one should not be amazed at weight increases of up to 30 pounds in 8 weeks.
Type of insulin: insulin pumps short acting insulin preparations are considerably safer than long acting preparations because with short acting types, it is much easier to avoid insulin pumps hypoglycemia with adequate food intake. With the non-medical use of longer acting insulin preparations, a person is at real risk of experiencing
hypoglycemia late in the day, particularly in between meals, during or after exercise insulin pumps and when asleep. Regardless of this advice, some people are in reality using a mixture of short and long insulin pumps acting insulin preparations and exposing themselves to unnecessary increased risk.
Excess conversion to estrogen is also undesirable since it contributes to inhibition of the hypothalamic/pituitary/testicular insulin pumps axis (HPTA), can cause or aggravate gynecomastia, can cause bloating, and can give unfavorable fat pattern distribution. insulin pumps This conversion can be somewhat reduced by use of aromatase inhibitors such as Cytadren, and/or the effects of the estradiol produced may be blocked in
many tissues, including the hypothalamus and breast tissue, by Clomid.
click on miniatures to see large photos
3ml Vial, 100IU Insulin Lispro/1ml
Eli Lilly, Australia
This description was taken directly from Brian Raupp's
Anabolix Research page since this drug is so dangerous and his description is by far
the most comprehensive that I have found on the internet.
Insulin is a hormone produced in the pancreas which helps to regulate glucose
levels in the body. Medically, it is typically used in the treatment of diabetes.
Recently insulin has become quite popular among bodybuilders due to the anabolic effect
it can offer. With well-timed injections, insulin will help to bring glycogen and
other nutrients to the muscles.
In America, regular human insulin is available without a prescription by the name
of Humulin R by Eli Lilly and Company. It costs about $20 for a 10 ml vial with a
strength of 100 IU per ml. Eli Lilly and Company also produces 5 other insulin formulations,
but none of these should be used by bodybuilders. Humulin R is the safest because
it takes effect quickly and has the shortest duration of activity. The other insulin
formulations remain active for a longer time period and can put the user in an unexpected
state of hypoglycemia.
Hypoglycemia occurs when blood glucose levels are too low. It is a commonand potentially
fatal reaction experienced by insulin users. Before an athlete begins taking insulin,
it is critical that he understands the warning signs and symptoms of hypoglycemia.
The following is a list of symptoms which may indicate a mild to moderate hypoglycemia:
hunger, drowsiness, blurred vision, depressive mood, dizziness, sweating, palpitation,
tremor, restlessness, tingling in the hands, feet, lips, or tongue, lightheadedness,
inability to concentrate, headache, sleep disturbances, anxiety, slurred speech, irritability,
abnormal behavior, unsteady movement, and personality changes. If any of these warning
signs should occur, an athlete should immediately consume a food or drink containing
sugar such as a candy bar or carbohydrate drink. This will treat a mild to moderate
hypoglycemia and prevent a severe state of hypoglycemia. Severe hypoglycemia is a
serious condition that may require medical attention. Symptoms include disorientation,
seizure, unconsciousness, and death.
Insulin is used in a wide variety of ways. Most athletes choose to use it immediately
after a workout. Dosages used are usually 1 IU per 10-20 pounds of lean bodyweight.
First-time users should start at a low dosage and gradually work up. For example,
first begin with 2 IU and then increase the dosage by 1 IU every consecutive workout.
This will allow the athlete to safely determine a dosage. Insulin dosages can vary
significantly among athletes and are dependent upon insulin sensitivity and the use
of other drugs. Athletes using growth hormone and thyroid will have higher insulin
requirements, and therefore, will be able to handle higher dosages.
Humilin R should be injected subcutaneously only with a U-100 insulin syringe.
Insulin syringes are available without a prescription in many states. If the athlete
can not purchase the syringes at a pharmacy, he can mail order them or buy them on
the black market. Using a syringe other than a U-100 is dangerous since it will be
difficult to measure out the correct dosage. Subcutaneous insulin injections are usually
given by pinching a fold of skin in the abdomen area. To speed up the effect of the
insulin, many athletes will inject their dose into the thigh or triceps.
Most athletes will bring their insulin with them to the gym. Insulin should be
refrigerated, but it is all right to keep it in a gym bag as long as it is kept away
from excessive heat. Immediately after a workout, the athlete will inject his dosage
of insulin. Within the next fifteen minutes, he should have a carbohydrate drink such
as Ultra Fuel by Twinlab. The athlete should consume at least 10 grams of carbohydrates
for every 1 IU of insulin injected. Most athletes will also take creatine monohydrate
with their carbohydrate drink since the insulin will help to force the creatine into
the muscles. An hour or so after injecting insulin, most athletes will eat a meal
or consume a protein shake. The carbohydrate drink and meal/protein shake are necessary.
Without them, blood sugar levels will drop dangerously low and the athlete will most
likely go into a state of hypoglycemia.
Many athletes will get sleepy after injecting insulin. This may be a symptom of
hypoglycemia, and an athlete should probably consume more carbohydrates. Avoid the
temptation to go to bed since the insulin may take its peak effect during sleep and
significantly drop glucose levels. Being unaware of the warning signs during his slumber,
the athlete is at a high risk of going into a state of severe hypoglycemia without
anyone realizing it. Humulin R usually remains active for only 4 hours with a peak
at about two hours after injecting. An athlete would be wise to stay up for the 4
hours after injecting.
Rather than waiting to the end of a workout, many athletes prefer to inject their
insulin dosage 30 minutes before their training session is over and then consume a
carbohydrate drink immediately following the workout. This will make the insulin more
efficient at bringing glycogen to the muscles, but it will also increase the danger
of hypoglycemia. Some athletes will even inject a few IUs before lifting to improve
their pump. This practice is extremely risky and best left to athletes with experience
using insulin. Finally, some athletes like to inject insulin upon waking in the morning.
After the injection, they will consume a carbohydrate drink and then have breakfast
within the next hour. Some athletes find this application of insulin very beneficial
for putting on mass, while others will tend to put on excess fat using insulin in
Insulin use can not be detected during a drug test. For this reason, along with
the fact that it is cheap and readily available, insulin has become a popular drug
among the competitive athlete. However, before an athlete attempts to use insulin,
he should educate himself and make himself aware of the consequences. One mistake
in dosage or diet can be potentially fatal.
Effective Dose: 1IU per 10-20 lbs. of body weight.
The Physiological Role of Insulin in the Body:
Insulin is a hormone which is manufactured in the pancreas and which has a number
of important physiological actions in the body. It is an essential hormone in maintaining
the body's blood glucose level so that the brain, muscles, heart and other tissues
are adequately supplied with the fuel they require for normal cellular metabolism
and normal function. Insulin also plays an essential role in fat and protein metabolism.
For example, it promotes transport of amino acids from the bloodstream into muscle
and other cells. Within these cells, insulin increases the rate of incorporation of
amino acids into protein (amino acids are the building blocks of protein) and reduces
protein break down in the body ("catabolism"). These physiological actions
probably form the basis of speculation regarding the additional anabolic gains which
might be made through the use of exogenously administered insulin.
Normally, blood glucose and blood insulin levels are not both elevated for any
extended period of time as these two chemicals influence each other through a feedback
system in the body. In the post-absorptive state, the blood insulin concentration
tends to decrease during exercise, allowing the blood glucose to be maintained at
or above resting levels and to provide increased energy supplies (fuel) to muscle
cells. Following a meal, the blood glucose and amino acid levels rise (the absorptive
state) and this triggers an increase in insulin release from the pancreas, driving
glucose and amino acids from the blood into cells and maintaining the blood glucose
level within a certain physiological (operating) range.
Intending users should also be aware that insulin stimulates lipid (fat) synthesis
from carbohydrate ("lipogenesis"), decreases fatty acid release from tissues
("lipolysis") and leads to a net increase in total body lipid stores. The
development of such increased body fat stores runs counter to the training goals of
most body builders, athletes and those seeking to improve their physical appearance.
In striving to become bigger, stronger, more competitive or more physically attractive
you should also remember that no matter what you do, your genetic make-up will have
an influence on what you are able to achieve. It is important to realize that you
cannot look exactly like the role model you admire because you have inherited a different
set of genes.
The Glycemic Index Factor:
Scientists have discovered that carbohydrate containing foods can be measured
and ranked on the basis of the rate and level of blood glucose increase they cause
when eaten. This measurement is called the "Glycemic Index" or "G.I.
factor". The rate at which glucose enters the bloodstream affects the insulin
response to that food and ultimately affects the rate at which this glucose (fuel)
is made available to exercising muscles.
Low G.I. foods are those measuring less than 50 on a scale of 1-100. Moderate
G.I. foods are those with a reading of 50-70 and high G.I. foods are those measuring
71 or greater on this scale. Pure glucose has a G.I. of 100.
Foods which have a high G.I. produce a rapid increase in blood glucose and blood
insulin levels. Examples of such high G.I. foods are potatoes, ice cream, many cereals
particularly those with a high sugar content, some varieties of rice (e.g. Calrose)
Foods with an moderate G.I. include some brands of muesli, some varieties of rice,
white or brown bread, honey and some cereals.
Foods with a low G.I. produce a slower, smaller but more sustained increase in
blood glucose levels. Examples of such low G.I. foods are pasta, varieties of high
amylose rice, barley, instant noodles, oats, heavy grain breads, lentils, and many
fruits such as apples and dried apricots. Low G.I foods are advantageous if consumed
at least two hours before an event. This gives time for this food to be emptied from
the stomach into the small intestine. Since these foods are digested and absorbed
slowly from the gastro-intestinal tract, they continue to provide glucose to muscle
cells for a longer period of time than moderate or high G.I. foods, particularly towards
the end of an event when muscle glycogen stores may be running low. In this way, low
G.I. foods can increase a person's exercise endurance and prolong the time before
exhaustion sets in.
High G.I. foods, preferably in the form of liquid foods or glucose drinks of approximately
6% in concentration, can enhance endurance during a very strenuous event lasting more
than 90 minutes. ("strenuous" being defined as an athlete exercising at
more than 65% of their maximum capacity). Some athletes may prefer food rather than
liquid replenishment. Miller suggests glucose enriched honey sandwiches, which
have a G.I. factor of 75 or jelly beans, which have a G.I. factor of 80.
Miller suggests that an athlete who is engaged in a prolonged strenuous event
should consume between 30 and 60 grams of carbohydrate per hour during the event.
High G.I. foods are also desirable after completing an exhausting sporting or
training event when muscle and liver glycogen stores have been depleted, as they provide
a rapidly absorbed source of glucose and stimulate insulin release from the pancreas.
This insulin in turn stimulates the absorption of glucose into liver and muscle cells
and its storage as hepatic and muscle glycogen, optimizing recovery and preparation
for the next training or competitive event.
It has been shown that greatest benefit can be had if an athlete consumes these
high G.I. carbohydrate foods as soon as possible after an event, preferably within
an hour or less. It is further recommended that a high carbohydrate intake be maintained
during the next 24 hours. Miller suggests eating at least one gram of carbohydrate
per kilogram body weight each 2 hours after prolonged heavy exercise and at least
10 grams of high G.I. carbohydrate per kilogram body weight over the 24 hour period
following this exercise.
For these reasons, an athlete who needs to maintain a high level of activity and
performance on consecutive days or more extended periods of time should eat large
amounts of high G.I. foods. However, a reasonable quantity of low G.I. carbohydrate
food should be consumed before an event in order to improve endurance.
A Natural Method of Maintaining an Elevated Blood Insulin Level:
Noting the hypothesis that an elevated blood insulin level may be of some advantage
to bodybuilders, Fahey and his colleagues (1993) undertook an experiment in which
they fed athletes a liquid meal of "Metabolol", which consisted of 13.0g
protein, 31.9g carbohydrate and 2.6g fat per 100ml and provided 825kJ of energy.
These researchers demonstrated that it is possible with such intermittent feeding
during intense weight training to maintain a person's blood glucose at or above resting
levels and at the same time, significantly increase insulin levels for the duration
of the workout. This suggests a potentially effective and safe non-drug method for
achieving a sustained elevation of blood insulin levels.
The authors of this research commented that "theoretically, this could provide
a biochemical environment conducive to accelerating the rate of muscle hypertrophy
and inhibiting protein degradation". However, the writer knows of no scientific
studies which support this theory.
It is also relevant to note that muscle repair and growth begins in the hours
and days following heavy exercise. It is doubtful that the use of insulin just prior
to a workout will have any anabolic effects over and above natural processes, at this
time. However, use of insulin prior to a workout will certainly expose you to much
greater risk of serious harm. If you believe it is beneficial to have a higher insulin
blood level during workouts, use the natural method outlined here.
Level of Risk Associated with Insulin Use:
The use of all drugs carries some risk along with potential or perceived benefits,
whether used for legitimate medical reasons or for other purposes. Insulin carries
some risk even when used by an insulin dependent diabetic, as demonstrated by the
observation that some diabetics run into difficulties with their treatment from time
to time and often require assistance to restabilize their medical condition and insulin
requirements. If used by a healthy non diabetic person in whom there is no natural
deficiency in insulin production or reduced insulin sensitivity and in the absence
of medical advice and monitoring, the risks may be substantially increased.
The major risk associated with insulin is a physical state known as hypoglycemia
or "low blood sugar". This occurs when the level of glucose in the blood
falls below a certain level required for normal body function. If the blood glucose
level is substantially reduced below this normal level and if this is not quickly
corrected, there is a risk of disorientation, collapse, coma, permanent brain damage
and even death. Exercise and reduced food intake decreases the body's need for insulin
and increases the risk of hypoglycemia associated with non-medical use of insulin.
It is difficult to provide a quantitative estimate of risk for any drug but on
a scale of risk in relation to other non-medical and unsanctioned drug use, the use
of insulin in this manner would rank towards the higher end of the scale. If zero
equals "no risk" of harm to a person's health and ten equals "extreme
risk", the use of anabolic steroids in a non-medical context might rate towards
the middle of the scale of risk (particularly in the medium to long term) whilst insulin
would rate higher. This level of risk associated with insulin use will depend on a
number of factors:
Whether the person is a diabetic or not: non-diabetics and lean healthy people
are more sensitive to the blood glucose lowering effects of insulin than diabetics;
Type of insulin: short acting insulin preparations are considerably safer than
long acting preparations because with short acting types, it is much easier to avoid
hypoglycemia with adequate food intake. With the non-medical use of longer acting
insulin preparations, a person is at real risk of experiencing hypoglycemia late in
the day, particularly in between meals, during or after exercise and when asleep.
Regardless of this advice, some people are in reality using a mixture of short and
long acting insulin preparations and exposing themselves to unnecessary increased
Food intake: the type and timing of food consumed, its glycemic index (the glucose
elevating effect) and the amount consumed;
Timing of insulin administration in relation to food intake and exercise;
Individual variation: two different people can respond in a very different way
to a given dose of insulin, even if they are of a similar height, weight and other
personal characteristics. The fact that a certain dose does not seem to cause a problem
for one person does not mean this will be so for another. In addition, the response
to insulin will also vary greatly within any one individual over time, according to
changes in one or more of the above noted factors.
5-10 Units of a short acting preparation may have little or no observable impact
on someone who eats a meal soon before or after but this dose could cause hypoglycemia
and collapse in a person who has not consumed adequate food in close proximity to
the time when the insulin begins to take effect (insulin starts to take effect within
5-10 minutes if injected by intra-muscular route and in 30-60 minutes if injected
by subcutaneous route). Foods with a high glycemic index will maintain the blood glucose
level for a short period of time, perhaps an hour or so whilst those with a low glycemic
index will provide for more sustained glucose levels. Risk Reduction Advice:
Given the risks of using insulin for non medical purposes, the best advice one
can give is not use it in this way. Even the body building magazines such as "Muscle
Media 2000" advise: "If you're thinking about using insulin, think twice
- it's really risky!"(3) However, if you are not persuaded by this advice and
are determined to pursue its use in the hope of achieving some additional anabolic
or other gains, you should take the following precautions:
Consider using the natural method of raising your blood insulin level during workouts
by consuming glucose containing fluids at intervals during exercise. These fluids
may have a protein sparing effect and at the same time, will help maintain keep your
blood glucose and blood insulin levels. However, if you decide to use insulin, you
should consider the following advice:
Always use insulin in the presence of someone else who knows about and understands
the exact risks of using insulin in this manner, so they are able to act quickly and
appropriately should something go wrong;
Always use a sterile needle and syringe every time and a clean injecting technique
(e.g. don't touch the needle or the skin where you are going to inject, with your
fingers and don't breathe on or cough over the injection site before or after injecting).
Be aware that 1.0 ml of insulin contains one hundred International Units (100 IU),
0.1 ml of insulin contains ten (10) IU and 0.01 ml contains one (1.0) IU. So take
care in measuring out your insulin ….it is very concentrated!
Note that 0.01 ml is the volume contained in the space between the smallest graduated
markings on a 1.0 ml Terumo diabetic syringe;
Inject by the subcutaneous route (injecting just under the skin and preferably
in the abdominal area or outer part of the upper thigh), not intramuscularly or intravenously
as using the latter routes can lead to a rapid rise in blood insulin level and a sudden
Alternate your injection sites in order to minimize tissue damage ("lipoatrophy"
Always use a short acting, "regular" insulin (e.g. Actrapid, Insulin
Neutral, Humulin R, Hypurin Neutral) rather than a longer acting insulin preparation
(e.g. Semilente, Lente or Ultralente);
Use a human insulin rather than an animal insulin preparation if possible (there
is little animal insulin available now);
Start with no more than 5 IU (0.05 ml) of this short acting/ regular insulin preparation
and increase the dose gradually over a period of one week, to a dose no higher than
20 IU (0.20 ml) per day. Doses above this will expose you to progressively greater
risk and most body builders who use insulin believe there is no advantage in taking
doses higher than this. Anecdotal evidence amongst bodybuilders suggests increased
doses leads to excess bodyfat accumulation.
The writer would caution against users falling into the trap of thinking: "If
20 units is good, 40 units will be twice as good" or "Joe says he injected
20 units and it didn't affect him, so it will be safe for me to inject 30 or 40 units".
All drugs have a therapeutic dose range and above this, may be toxic or even lethal.
If you are not diabetic, your body does not require additional insulin and there is
no therapeutic range for you. In addition, people are different and often respond
differently to drugs. An individual may also respond differently to the same drug
in the same dose at different times, depending on a wide range of factors such as
their general health, alcohol or other drugs taken, food eaten, exercise undertaken
before, during or after drug administration and so on.
Don't use a medium or long acting insulin in the middle or latter part of the
day, as you may very well experience a hypoglycemic attack whilst you are asleep.
If this happens, neither you nor anyone else will be aware of or able to respond to
your urgent need for glucose, in order to prevent possible serious harm.
Close attention to diet is extremely important in people using insulin, whether this
is for legitimate medical purposes or for other reasons. You can reduce your risk
by consuming an adequate amount and mixture of high and low G.I. carbohydrate foods
and drinks immediately after using insulin and at regular intervals (every 2-3 hours) throughout the day.
High G.I. carbohydrates (e.g. sweets, soft drinks and ice-cream) will raise your
blood sugar quickly and prevent early hypoglycemia. Low G.I. carbohydrates (e.g. white
pasta, high amylose rice, softened whole grain breads and instant noodles) are metabolized
more slowly and will keep your blood glucose level up over a more extended period
of time, when the medium acting insulin preparations begin to take effect;
55-65% of your total daily energy intake should be in the form of carbohydrates,
15-20% as protein and ~20% as fat. You should seek advice from a dietitian about your
daily requirements but most heavy training athletes need to consume between 3,000
and 5,500 Calories per day (depending on the sport and level of training) and between
450 and 800 grams of carbohydrate each day. If you are a body builder who weighs 100
kg and your total energy requirements are calculated to be 4,000 calories/ day, you
should aim to eat approximately 570 grams of carbohydrate each day. If your total
energy requirements are calculated to be 5,000 calories/ day, you should aim to eat
approximately 720 grams of carbohydrate each day.
Divide up your calculated total daily carbohydrate requirements over the course
of your waking hours and consume frequent carbohydrate meals throughout the day. For
example, if you require 4,000 calories per day, you might eat six meals of 650-700
Calories at 2-3 hour intervals.
This would mean eating approximately 90-100 grams of carbohydrate each meal, which
for example you will obtain from 7 slices of bread alone or 4-5 slices of bread with
1 ? tablespoons of honey or 500 ml of Sustagen or 3 slices of bread eaten with a 450
gram can of baked beans. You can refer to the attached food tables to work out your
own requirements according to your own food preferences. You will need to choose a
mixture foods from this table with a high, medium or low G.I., according to the nature
and level of the training you are doing.
Once again, the writer would strongly recommend that you consult a dietitian who
has an interest and experience in sports nutrition, in order to assist you design
a dietary program which is best suited to your training goals and needs and to your
food preferences. It is equally important that you find a dietitian with whom you
feel comfortable telling about your insulin or other performance enhancing substance
use, as their advice may otherwise be less than useful to you. If your dietitian does
not know about and does not take such substance use into account, their advice may
even add to the dangers associated with this substance use.
Always have a source of glucose or other high G.I. food ready at hand, in case
you should begin to experience the symptoms of hypoglycemia. If this does occur, you
should take this glucose or food without delay. You should eat or drink 15-20 grams
of carbohydrate to begin with, which is contained in ~ 2 slices of white or brown
bread, two glasses of milk, a half glass of soft drink, a tablespoon of honey or six
Other examples of glucose or other high Glycemic index carbohydrate preparations
which you can use include: glucose tablets, glucose powder mixed in a small volume
of water, barley sugar, or other sweets or if these are not immediately available,
a sugar containing cordial, soft drink or plain sugar dissolved in water. This should
be followed by an adequate low Glycemic index carbohydrate meal to prevent further
hypoglycemia since the insulin levels are likely to remain high for some hours after
the high Glycemic index carbohydrates are used up (metabolized) in the body.
The Crucial Role of the Friend or Peer Observer:
If you are going to use insulin, it is essential that you have a friend or peer observer
remain with you in case you experience problems. This person really needs to be with
you for the whole time while the insulin preparation used is working.
Be aware that the risk of hypoglycemia occurs not at the time of insulin injection
but rather, when the insulin starts to take effect. The risk will be greatest when
your insulin blood level nears or reaches its highest level, usually 30-60 minutes
afterwards if a short acting insulin preparation is used (by subcutaneous injection)
and up to 20 hours later if a long acting insulin is used.
Consider giving this paper to the person who is going to be with you when you
use insulin, so they are aware of the things to look out for and what to do if you
should experience a hypoglycemic reaction. The following instructions are for a peer
observer or other person who may find you experiencing difficulty as a result of overdosing
on insulin or any other drug or combination of drugs.
Instructions for the Peer Observer Assisting an Insulin User.
If the person who has used insulin states that they are beginning to feel any of
the following symptoms: faintness, dizziness, thirst, hunger, nausea, weakness, sweating.
Or if you observe that they have become: confused, disorientated, sweaty, drowsy.
You should immediately give them glucose or a sugar containing drink or food as
mentioned above. However, you should not try to give a person food or fluids if they
are so drowsy that they are unable to swallow it, since they will be at risk of accidentally
breathing in (aspirating) this food or fluid. If they cannot readily respond to your
questions or your commands, you should assume they are unable to swallow anything
If the person loses consciousness, you should place them in either a "lateral"
or "coma" position, tilting the head fully back and jaw forward, in order
to ensure an open airway and protect them from possible aspiration. Keep them in this
position while medical assistance is being sought.
You should then immediately call an ambulance by dialing "911", to get
them to a hospital without any delay whatsoever. When the ambulance arrives, you should
tell the ambulance officers exactly what the person has taken and what you have observed
so the correct treatment can be provided promptly. This is essential as the person's
life may be at stake.
Severe hypoglycemia or a combination of alcohol and other drugs, particularly
drugs which suppress the central nervous system, can cause a person to stop breathing
and their heart to stop beating. Remember, it only takes a few minutes for someone
to suffer permanent brain damage or to die, once they stop breathing.
There are several common signs which may be apparent in someone who has overdosed
from one or a combination of drugs.
very slow or shallow breathing or no breathing at all (listen close to the person's
mouth and nose for breath sounds and look for movement of their chest wall) snoring
or gurgling breathing in someone who is asleep blue lips and fingernails (caused by
lack of oxygen) no response to shaking, calling their name or pain (try pinching their
earlobe and pressing down hard on one of their fingernails with a pen) very slow,
faint pulse or no pulse at all.
What To Do in the Event of an Overdose:
stay calm, squeeze earlobe/ press on fingernail of person in an effort to arouse
them if person responds, try to walk them around if no response, check person's breathing
and pulse if unconscious but breathing, place in lateral or coma position call an
ambulance by dialing 911.
They will give you advice on what to do, which might include:
if there is a pulse but the person is not breathing, start artificial respiration,
otherwise known as Expired Airways Resuscitation (EAR), without delay if no pulse,
start cardio-pulmonary resuscitation (CPR) stay with the person, continuing to administer
artificial respiration or CPR until the ambulance arrives. Keep them in the lateral
or coma position if they are breathing on their own. tell the ambulance officers exactly
what they may have taken and what you have observed.
The writer would like to emphasize once more that this paper should in no way
be construed as an encouragement to people to use insulin in an effort to increase
muscle mass, sports performance or appearance. Rather, it represents a pragmatic attempt
at providing harm reduction advice to people who choose to take the risk of using
insulin in this way, despite their knowledge of those risks.