aka. naposim has a very strong androgenic and anabolic affect which manifests itself insulin pumps in an enormous build up of strength and muscle mass. Dianabol is simply a mass building steroid that works insulin pumps quickly and reliably. A weight gain of 2-4 pounds per week in the first six weeks is normal with dianabol.
The insulin pumps highly androgenic effect of anadrol stimulates the regeneration of the body so that the often insulin pumps feared "over training" is unlikely to occur.
Keep oxandrolone in a tightly closed insulin pumps container and out of reach of children. Store oxandrolone at room temperature and away from excess heat and moisture (not
in the bathroom).
Because of its high price, very few bodybuilders have taken insulin pumps large doses of oxandrolone. There is a single case in the medical literature (Forbes et al.) where it is reported that a competitive insulin pumps athlete self-administered 150 mg oxandrolone per day with remarkable gains. This is of uncertain credibility because insulin pumps unless urinalysis was done to verify that no other steroids were taken, there is no way to be certain that the athlete did not actually insulin pumps take more drugs than he reported. In any case, at current prices, only the quite wealthy could afford such a dose. I personally have tried 150 mg/day
and considered it somewhat effective, but not dramatically so, and not a preferred regimen.
Now that the properties of trenbolone insulin pumps acetate have been explained we can better understand how to use it in order to maximize its insulin pumps advantages. Evidence suggests that trenbolone when stacked with estrogen promotes more weight gain that trenbolone alone, now insulin pumps I´m not telling you to go pop some birth control with your trenbolone but the insulin pumps addition of aromatizing orals such as dianabol and a long estered testosterone such as cypionate or enanthate would produce great gains in a bulking cycle. For a cutting cycle
trenbolone is the best choice you have; trenbolones powerful effect on nutrient shuttling insulin pumps allows a user to restrict calories and remain in a state of positive nitrogen balance (remember what that means?). The cortisol reducing insulin pumps effect and binding to the glucocorticoid receptor will greatly reduce the catabolic insulin pumps effects of harsh dieting and excessive amounts of cardio& not to mention that trenbolone itself may burn fat (due to it´s strong AR-binding). insulin pumps A good choice to stack with tren in a cutting cycle is Winstrol. Winstrol has a low binding affinity to the AR and thus will act in your body in vastly different
ways than the Tren (i.e. in non-receptor mediated action). In addition, Winstrol is a DHT-based insulin pumps drug and Tren is a 19-nor& throw in some Testosterone (prop), and you´ll have insulin pumps a cutting cycle which takes advantage of all 3 major families of Anabolic Steroids (Testosterone, insulin pumps 19-nor, and DHT), as well as vastly different AR-binding affinities and mechanisms insulin pumps of action.
Common uses and directions for Nolvadex
If overdose of tamoxifene is insulin pumps suspected, contact your local poison control center or emergency room immediately.
In general, daily use for three months or more is necessary before
benefit is observed. Continued use is recommended to sustain benefit. If Propecia has not insulin pumps worked in 12 months, it is unlikely to be of benefit.
Testosterone is the most powerful insulin pumps compound there is, so obviously its perfectly fine to use it by itself. With a long-acting insulin pumps ester like Cypionate doses of 500-1000 mg per week are used with very clear results over a 10 week period. If you've ever seen a man swell up with sheer insulin pumps size, then testosterone was the cause of it. But testosterone is nonetheless often stacked. Due to the high occurrence of side-effects, people will usually split up a stack in testosterone
and a milder component in order to obtain a less risky cycle, but without having to give up as much of the gains. Primobolan, Equipoise and Deca-Durabolin insulin pumps are the weapons of choice in this matter. Deca seems to be the most popular, probably because of its extremely mild androgenic insulin pumps nature. But Deca being one of the highest risks for just about every other side-effects, insulin pumps I probably wouldn't advise it. If Deca is used, generally a dose of 200-400 mg is added to 500-750 mg of testosterone per week.
While Rohypnol has become widely known for its use as a date-rape drug, it is abused more frequently for other reasons. It is insulin pumps abused by high school students, college students, street gang members, rave party attendees, and heroin and cocaine insulin pumps abusers to produce profound intoxication, boost the high of heroin, and modulate the effects of cocaine. Rohypnol is usually consumed orally, insulin pumps is often combined with alcohol, and is abused by crushing tablets and snorting the powder. Rohypnol abuse causes a number of adverse effects in the abuser, including drowsiness, dizziness, loss of motor control, lack
of coordination, slurred speech, confusion, and gastrointestinal disturbances, lasting 12 or more hours. Higher insulin pumps doses produce respiratory depression.
Individuals with a body mass index (BMI) of 30 kg/m2 or more.
One insulin pumps obvious difference between Winstrol Depot and other injectables is that it is not esterified, being insulin pumps sold as aqueous stanozolol suspension. (It should not be called water-soluble: virtually none of it is dissolved in the water.) This means insulin pumps that it does not have a classical half-life, where at time x the level is ?… the starting level, at time 2 x the level is ??, at time 3 x the
level is 1/8, etc. Instead, the microcrystals slowly dissolve, and when they have all insulin pumps dissolved levels of the drug then fall very rapidly.
Melting Point (ester): 21C insulin pumps
The Glycemic Index Factor:
The empirical formula for tadalafil is C22H19N insulin pumps3O 4, and its official organic name is (6R,12aR)-6-(1,3-benzodioxol-5-yl)-2,3,6,7,12,12a- hexahydro-2-methyl-pyrazino[1 insulin pumps ,2 :1,6]pyrido[3,4-b]indole-1,4-dione. The molecular weight is 389.41. Tadalafil tablets are yellow, film-coated, and almond-shaped, and are produced in 5, 10, or 20 mg doses.
Anapolon (ANADROL) is the strongest and at the same time also the most effective insulin pumps oral steroid. The compound has an extremely high androgenic effect which goes hand in hand insulin pumps with an extremely intense anabolic component. For this reason, dramatic gains in strength and muscle mass can insulin pumps be achieved in a very short time. An increase in body weight of 10-15 pounds or more in only 14 days is not unusual. Water retention is considerable, so that the muscle diameter quickly
increases and the user gets a massive appearance within record time. Since the muscle insulin pumps cell draws a lot of water, the entire muscle system of most athletes looks smooth, in part even puffy. Anapolon insulin pumps does not cause a qualitative muscle gain but rather a quantitative one which in the off-season is quite welcome. Anapolon "lubricates" insulin pumps the joints since water is stored there as well. On the one hand this is a factor insulin pumps in the enormous increase of strength and on the other hand, it allows athletes with joint problems a painless workout. Powerlifters in the higher weight classes are sold on Anapolon. A strict
diet together with the simultaneous intake of Nolvadex and Proviron, can significantly reduce water retention so that a distinct increase in the solid insulin pumps muscles is possible. By taking Anapolon the athlete experiences an enormous "pump effect" insulin pumps during the workout in the exercised muscles. The blood volume in the body is significantly elevated causing a higher blood supply to the muscles insulin pumps during workout. Anapolon increases the number of red blood cells, allowing the muscle to absorb more oxygen. The muscle thus has a higher endurance and performance level. Consequently, the athlete can rely on great power and high
strength even after several sets. Some bodybuilders report such an enormous and in part insulin pumps painful "pump" that they end their workout after only a few sets or work on insulin pumps another muscle. The often-mentioned "steroid pump" manifests itself to an extreme by the intake of Anapolon and during workout it gives the insulin pumps athlete a fantastic and satisfying sensation. The highly androgenic effect of Anapolon stimulates the regeneration of the insulin pumps body so that the often-feared "over training" is unlikely. The athlete often feels that only hours after a strenuous workout he is ready for more. Even if he works
out six days a week he makes continued progress. Although Anapolon is not a steroid insulin pumps used in preparation for a competition, it does help more than any other steroid during dieting to maintain insulin pumps the muscle mass and to allow an intense workout. Many bodybuilders therefore use it insulin pumps up to about one week before.". competition, solving the problem of water retention by taking insulin pumps anti estrogens and diuretics so that they will appear bulky and hard when in the limelight. insulin pumps As for the dosage, opinions differ. The manufacturer of the former Spanish Oxitosona 50 tablets, Syntex Latino, recommends a daily dosage of 0,5 - 2,5 mg per
pounds of body weight. A bodybuilder weighing 200 pounds could therefore take up to 500 mg insulin pumps per day which corresponds to 10 tablets. These indications, however, are completely insulin pumps unrealistic, much too high, and could cause severe side effects. A dosage sufficient insulin pumps for any athlete would be 0,5 - 0,8 mg per pound of body weight/day. This corresponds to 1-4 tablets; i.e. 50-200 mg/day. Under insulin pumps no circumstances should an athlete take more than four tablets in any given day. We are of the insulin pumps opinion that a daily intake of three tablets should not be exceeded. Those of you who would like to try Anapolon for the first time should
begin with an intake of only one 50 mg tablet. After a few days or even better, after one week, insulin pumps the daily dosage can be increased to two tablets, one tablet each in the morning and evening, insulin pumps taken with meals. Athletes who are more advanced or weigh more than 220 pounds can increase the dosage to 150 mg/day in the third insulin pumps week. This dosage, however, should not be taken for periods longer than two to three weeks. Following, the dose should be reduced insulin pumps by one tablet every week. Since Androlic-50 quickly saturates the receptors, its intake should not exceed six weeks. The dramatic mass build up which often occurs shortly after
administration rapidly decreases, so that either the dosage must be increased (which the athlete should avoid due to the considerable side effects) insulin pumps or, even better, another product should be used. Those who take Anapolon for more than 5-6 weeks should be able to gain 20 - 25 pounds. These should insulin pumps be satisfying results and thus encourage the athlete to discontinue using the compound. After discontinuing insulin pumps Androlic-50, it is important to continue steroid treatment with another compound since, otherwise, insulin pumps a drastic reduction takes place and the user, as is often observed, within a short period looks the same as before
the treatment. No other anabolic/androgenic steroid causes such a fast and drastic loss in strength and mass as does Anapolon. Athletes should insulin pumps continue their treatment with injectable testosterone such as Sustanon 250 or Testosterone enanthate for several weeks. Bodybuilders insulin pumps often combine Anapolon with Deca-Durabolin or Testosterone to build up strength and mass. A very effective stack which is also favored insulin pumps by professionals consists of Anapolon 100 mg+/day, Parabolon 228 mg+/week, and Sustanon 500 mg+/week. This stack quickly improves strength and mass but it is not suitable for and steroid novices. Anapolon is not
a steroid for novices and should only be used after the athlete has achieved a certain development or has insulin pumps had experience with various "weaker" compounds. Stories that the elite bodybuilder uses insulin pumps 8-10 or more Anapolon tablets daily belongs to the realm of fairy tales. It is rare that any ambitous competing bodybuilder insulin pumps can do without the support of 50 mg Oxymetholon tablets; however, taking 8, 10 or 12 tablets daily is insulin pumps more than the organism can handle. Androlic-50 is to be taken seriously and the prevailing bodybuilder mentality "more is better" is out of place. Androlic-50 is unfortunately also
the most harmful oral steroid. Its intake can cause many considerable side effects. Since it is 17-alpha alkylated it is very liver-toxic. Most users insulin pumps can expect certain pathological changes in their liver values after approximately few week. The compound oxymetholone easily converts into estrogen. insulin pumps This causes signs of feminization (e.g. gynecomastia) and water retention which in turn requires insulin pumps the intake of anti estrogens (e.g. Tamoxifen and Proviron) and an increased use of diuretics (e.g. Lasix) before a competition. Bodybuilders who experience a severe steroid acne caused by Androlic-50 can get this problem under
control by using the prescription drug Accutane. Other possible side effects may include headaches, insulin pumps nausea, vomiting, stomach aches, lack of appetite, insomnia, and diarrhea. The athlete can expect a feeling of "general indisposition" insulin pumps with the intake of Androlic-50 which is completely in contrast to Dianabol which conveys a "sense of well-being". insulin pumps This often creates a paradoxical situation since the athlete continues to become stronger and bulkier while, at the same time, he does insulin pumps not feel well. The increased aggressiveness is caused by the resulting high level of androgen and occurs mostly when
large quantities of testosterone are "shot" simultaneously with the Anapolon. Anapolon is not insulin pumps a steroid for older athletes since they react more sensitively to possible side effects, and the risk of liver damage insulin pumps and prostate cancer increases. Since the drug is usually taken with a diet rich in calories and fat needed to build insulin pumps up mass, the cholesterol level and the LDL values might increase while the HDL values decrease. insulin pumps The body's own production of testosterone is considerably reduced since Anapolon has an inhibiting effect on the hypothalamus, which in turn completely reduces or stops the release of GnRH
(gonadotropin releasing hormone). For this reason the intake of testosterone-stimulating insulin pumps compounds such as HCG and Clomid (see relative characteristics) is absolutely necessary to maintain the hormone production in the testes. Androlic-50 insulin pumps is not recommended for women since it causes many and, in part, irreversible virilizing symptoms such as acne, clitorial hypertrophy, insulin pumps deep voice, increased hair growth on the legs, beard growth, missed periods, increased -libido, and hair loss. Androlic-50 insulin pumps is simply too strong for the female organism and accordingly, it is poorly tolerated. Some national and international competing
female athletes, however, do take Anapolon during their "mass building phase" and achieve enormous progress. insulin pumps Women who do not want to give up the distinct performance-enhancing effect of Anapolon but, at the same time, would like to insulin pumps reduce possible side effects caused by androgen, could consider taking half a tablet (25 mg) every two days, combined with a insulin pumps "mild" injectable anabolic steroid such as Primobolan Depot or Durabolin. Ultimately, the use of Anapolon and insulin pumps its dosage are an expression of the female athlete's personal willingness to take risks. In schools of medicine Anapolon is used in the
treatment of bone marrow disorders and anemia with abnormal blood formation
The above information is intended to supplement, not substitute insulin pumps for, the expertise and judgment of your physician, or other healthcare professional. It should not be construed to indicate that use of Viagra insulin pumps is safe, appropriate, or effective for you. Consult your healthcare professional before using Viagra.
Diazepam is metabolized by oxidative metabolism and is susceptible to drugn interactions with drugs that inhibit this hepatic enzyme system. Cimetidine, disulfiram, erythromycin, or fluvoxamine can decrease the
hepatic metabolism of diazepam if administered concomitantly. Patients should be monitored for signs of altered benzodiazepine response when cimetidine, insulin pumps disulfiram, erythromycin, or fluvoxamine are initiated or discontinued.
The mixture of the testosterones (30mg propionate, 60mg phenylpropionate, 60mg isocaproate, 100mg decanoate) insulin pumps are time-released to provide an immediate effect while still remaining active in the body for up to a month. insulin pumps As with other testosterones, Sustanon is an androgenic steroid with a pronounced anabolic effect. Therefore, athletes commonly use Sustanon to put on mass and size
while increasing strength. However, unlike other testosterone compounds such as Cypionate and Enanthate, the use of Sustanon insulin pumps leads to less water retention and estrogenic side effects. This characteristic is extremely beneficial to bodybuilders who suffer from gynecomastia yet insulin pumps still seek the powerful anabolic effect of an injectable testosterone. The decreased water insulin pumps retention also makes Sustanon a desirable steroid for bodybuilders and athletes interested in cutting insulin pumps up or building a solid foundation of quality mass. Dosages of Sustanon range from 250 mg every other week, up to 2000 mg or more per week. These dosages
seem to be the extremes. A more common dosage would range from 250 mg to 1000 mg per week. Although Sustanon remains active for up to insulin pumps a month, injections should be taken at least once a week to keep testosterone levels stable. A steroid novice can expect to gain insulin pumps about 20 pounds within a couple of months by using only 250-500 mg of Sustanon a week. Sustanon is a fairly safe steroid, but in high dosages, some athletes insulin pumps may experience side effects due to an elevated estrogen level. With dosages exceeding 1000 mg a week, it is probably wise to use an anti-estrogen such as Nolvadex or Proviron. The use of Sustanon will
suppress natural testosterone production, so the use of HCG or Clomid may be appropriate at the end of a insulin pumps cycle. Sustanon 250 is a good base steroid to use in a stack. Athletes interested in insulin pumps rapid size and strength gains find that Sustanon stacks extremely well with orals such as Anadrol and insulin pumps Dianabol. On the other hand, Sustanon also stacks well with Parabolan, Masteron, and Winstrol for athletes seeking the hard, ripped look.
Example of a first cycle:
Propecia is for men only. Women who are or may potentially be pregnant must not use Propecia because of
the risk that the finasteride may cause a specific kind of birth defect. Likewise, women should avoid insulin pumps handling tablets that are crushed or broken. Propecia tablets are coated to prevent contact with the active ingredient insulin pumps during normal handling.
Before the use of clenbuterol, consult a physician insulin pumps if you have heart or thyroid diseases, high blood pressure, diabetes, glaucoma, difficulty in urination due to insulin pumps an enlargement of the prostate gland or if you are taking any prescription drugs. Do not use clenbuterol if you are currently taking or have recently taken MAO inhibitor drugs.
an industrial chemical with various applications, has gained steady popularity as a fat loss tool. insulin pumps Boasting an astounding 50% increase in metabolic rate, it is able to contribute to reported fat losses insulin pumps of 10-12 pounds in 8 days of use. Classified as an "uncoupler of oxidative phosphorylation" medically, it is quite dangerous insulin pumps as there is no negative feedback system that may deal with overdoses. Specifically, there is no upper limit to the increase in body insulin pumps temperature that may be obtained with its use.
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 insulin pumps serum concentration of DHT, therefore Proscar minimizes the unwanted androgenic effects insulin pumps that result from its presence. The effect of finasteride is quite rapid, suppressing serum DHT concentrations insulin pumps as much as 65% within 24 hours after taking a single 1mg tablet. Medically, Finasteride has been marketed to treat two specific conditions. insulin pumps The first release of Finasteride in the U.S. was under the brand name of Proscar. It was made for use by patients with benign prostate hyperplasia (prostate enlargement).
More recently (December 1997), Finasteride was approved for use as an anti-balding medication. insulin pumps We now have the additional brand name Propecia. Propecia is the same drug but the tablet contains insulin pumps only 115 of the Proscar dosage. Scientists have long believed that DHT was the main culprit in many insulin pumps cases of male hair loss (along with genetic factors), so there was little doubt after the release of Proscar insulin pumps that Finasteride would eventually be used for this purpose. It has provided what many feel is a breakthrough for men with hair-loss problems.
Each 10ml multidose vial contains 50mg per ml. Vials have yellow
coloured flip-off caps with have Stanabol stamped on them.
Proviron cycle. Most athletes actually prefer to use insulin pumps both Proviron and Nolvadex, especially during strongly estrogenic cycles. Proviron and Nolvadex attack estrogen at a different insulin pumps angle, side effects are often greatly minimized.
Now that anabolics are controlled, this is an insulin pumps almost impossible find. In general, the only versions you'll find on the black market are Sten from Mexico, which contains insulin pumps 75mg cyp with 25 mg propionate along with some DHEA, and Testex from Leo in Spain which contains 250mg cypionate is
a light resistant ampule.
Testosterone Propionate 50mg made by Brovel is a common oil based injectable Testosterone. insulin pumps The added Propionate extends the activity of the Testosterone but it is still comparatively insulin pumps much faster acting than other Testosterone esters such as Cypionate and Enanthate. While Cypionate and Enanthate are injected insulin pumps weekly, Propionate is most commonly injected at least every third day to keep blood levels steady. For strength and muscle mass gains, this drug is quite effective. With Test Propionate, Androgenic side effects are less pronounced than with the other Testosterones, probably
due to the fact that blood levels do not build up as high. Users often report less gyno trouble, lower water retention and commonly claim insulin pumps to be harder on Propionate than with the others.
- Unless your dermatologist insulin pumps decides otherwise, you must use birth control methods even if you are not sexually active or you do not have periods.
The body usually reacts insulin pumps by reducing the release of insulin and of the L-T3 thyroid hormone. And, as was described insulin pumps under point 2, this is not an advantageous condition when 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 insulin pumps 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 insulin pumps is true: STH has a significant influence on several hormones in the human body; this does not allow for a simple administration schedule. insulin pumps As said, STH is not cheap and those who intend to use it should know a little more about it. If you only want to burn fat with insulin pumps STH you will only have to remember user information for the part with the L-T3 thyroid hormone as is printed by Kabi Pharmacia GmbH
for their compound Genotropin: "The need of the thyroid hormone often inereases during treatment with growth hormones."3. Since most athletes insulin pumps 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 insulin pumps another reason why some athletes might not have been very happy with the effect of the purchased compound. How could he, if cheap HCG was passed insulin pumps off as expensive STH? Since both compounds are available 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 is no
longer fun when somebody is paying $200 for 5000 I.U. of HCG, only worth $ 12, and thinking that he just purchased 4 insulin pumps I.U. of STH. And if you think this happens only to novices and to the ignorant, ask Ben Johnson. "Big Ben," who during insulin pumps three tests within five days showed an above-limit testosterone level, was not a victim of his own stupidity but more likely the victim insulin pumps of fraud. According to statistics by the German Drug Administration, 42% of the HGH vials confiscated on the North American black market are fakes. In addition to a display of labels in the Dutch or Russian language the fakes are distinguished
from the original product, in sofar as the dry substance is not present as lyophilic insulin pumps but present as loose powder. The fakes confiscated so far use the name "Humatrope 16" under the name of Lilly insulin pumps Company (with Dutch denomination) or "Somatogen" (in Russian)." Nowhere can this much money be made except by faking insulin pumps STH. Who has ever held original growth hormones in his hand and known how they should look?4. In a few insulin pumps very rare cases the body reacts by developing antibodies to the exogenous STH, thus making insulin pumps it ineffective. The question of the right dosage, as well as the type and duration of application,
is very difficult to answer. Since there is no scientificresearch showing how STH should be taken insulin pumps for performance improvement, we can only rely on empirical data, that is experimental values. The respective manufacturers indicate that in cases insulin pumps of 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 insulin pumps pound of body weight should be taken. An athlete weighting 200 pounds, therefore, would have insulin pumps to inject 60 I.U. weekly. The dosage would be divided into three intramuscular injections of 20 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. insulin pumps Since STH has a half life time of less than one hour, it is not surprising that some athletes divide their dail dose into three or four insulin pumps subcutaneous injections of 2-4 I.U. each. Application of regular small dosages seems to bring the most insulin pumps 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, STH stimulates the liver to produce and release somatomedins and insulin like growth factors which insulin pumps in turn effect the desired results in the body. Since the liver can only produce a limited amount of these substances, insulin pumps we doubt that larger STH injections will induce the liver to produce instantaneously a larger quantity of somatomedins insulin pumps and insulin-like growth factors. It seems more likely that the liver will react more favorably to smaller dosages. insulin pumps 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 a loss of local fat tissue insulin pumps (lipoathrophy) in the injection cell. One thing has manifested itself over the years: The effect insulin pumps of STH is dosage-dependent. This means either invest a lot of money and do it right or do not even insulin pumps begin. Half-hearted attempts are condemned to failure Minimum effective dosages seem to start at insulin pumps 4 I.U. per day. For comparison: the hypophysis of a healthy; adult, releases 0.5-1.5 I.U. growth hormones daily.
Timetable of Effects and Symptoms
been an increasing number of American bodybuilders that are experimenting with this drug.
Since methandriol is a c17 insulin pumps alpha alkylated compound, liver toxicity can be a concern. The injectable dipropionate does offer us insulin pumps less toxicity however, as your liver will not have to process the entire dosage at once during the firs pass. It is therefore the preferred insulin pumps form of administration among bodybuilders, on those rare instances that botl might be available. Of course the possibility insulin pumps of liver damage cannot be excluded with the injectable though. It is also interesting to note that once the esters have been removed,
we see that structurally methandriol is just methylated form of 5-androstenediol. This is clear when we look at the chemical insulin pumps name (methyl-androstenediol) o a methylated form of this hormone (which is of course a popular pro-hormone supplement). insulin pumps
Danabol / Dianabol is an orally applicable steroid with a great effect on the protein metabolism. insulin pumps Danabol / Dianabol has a very strong anabolic and androgenic effect giving a great buildup of insulin pumps strength and muscle mass in its users. The additional body weight consists of a true increase in tissue and, in particular, in a noticeable retention of fluids.
Effective Dose: 1000-5000 IU/week.
Individuals between the ages of 18 and 75.
It is insulin pumps important to stress that a cycle should last no longer than 6 weeks and it should never be halted insulin pumps abruptly. As slowly as the dosage was built up it should also be lowered, one tablet every 3-4 days. Taking Cytomel® for too long and/or at too high insulin pumps a dosage can result in a permanent thyroid deficiency. After doing such, one might need to be treated with a insulin pumps drug like Cytomel® for life. It is also a good idea to first consult your physician and have your thyroid function tested. An undiagnosed hyperfunction
would not mix well with the added hormone. An athlete should also be sure never to purchase an injectable form of the drug. It is generally insulin pumps an emergency room product, much too powerful for athletic use. Since T-3 is the most powerful thyroid hormone athletes are using, this insulin pumps is generally not the starting point for a beginner. Before using such a powerful item, it is a good idea to become insulin pumps familiar with a weaker substance. The highly popular Triacana is very mild, allowing the user much more latitude (from severe side effects) than Cytomel®. An in-between point is Synthroid (synthetic T-4), still weaker in action than
Cytomel®. Once the user is ready however, the fat burning effect of this hormone can be extremely dramatic.
Detection insulin pumps Time: 4-6 weeks
Testosterone, once in the body, can be converted to both estrogen (via insulin pumps a process known as aromatization) as well as DHT. Estrogen is the main culprit for many side effects such as gyno, water retention, insulin pumps etc...while DHT is often blamed for hair loss and prostate enlargement. Naturally there are ways to combat insulin pumps this, such as using an anti-estrogenic compound along with testosterone, or even an estrogen blocker. DHT can be combated (on the
scalp, to prevent hair loss) with compounds such as Ketoconazole shampoo (sold under the trade name Nizoral) as well insulin pumps as Finasteride (sold as Proscar in the 5mg version and as Propecia as 1mg tablets). Interestingly, this shampoo can also be used insulin pumps topically to combat acne on the face (or even the back if you´re really flexible). Both of these insulin pumps methods for preventing hair loss and acne are reasonably effective. However, if you are not prone to insulin pumps hair loss, they may be wholly unnecessary. Male Pattern Baldness (MPB) is carried by the X chromosome, so if your mother´s family boasts men with full heads of hair,
then you are probably safe (unless those full heads of hair are all mullets). Naturally, as with most other steroids, your lipid profile is going insulin pumps to suffer a bit while on testosterone as is your blood pressure. This, of course is nothing that can´t insulin pumps be controlled by watching your diet and doing your cardio, at least for the duration of the typical cycle (which insulin pumps for arguments sake, I´ll assume is +/- 12 weeks). Lets be totally honest, here, even a modest amount of exercise will insulin pumps improve your blood pressure and lipid profile (10), and if you aren´t exercising, then why are you taking steroids?
to compensate for a lack of the natural male androgen.
Omeprazole can increase the plasma concentrations and the elimination half-life insulin pumps of diazepam, presumably due to inhibition of the hepatic metabolism of diazepam. Although the insulin pumps pharmacodynamics of this interaction are not clear, it is recommended that patients receiving omeprazole and diazepam concomitantly should be monitored insulin pumps for enhanced diazepam response.
Take diazepam tablets by mouth. Follow the directions on the insulin pumps 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 more often than directed. Do not stop taking except insulin pumps on your doctor's advice.
Endogenous testosterone levels can be a concern insulin pumps with Deca-Durabolin, especially after long cycles. It is therefore mandatory to incorporate ancillary drugs at the conclusion of therapy. insulin pumps An estrogen antagonist such as Clomid or Nolvadex is therefore commonly used for a few weeks. These both provide a good level insulin pumps of testosterone stimulation, although they may take a couple of weeks to show the best effect. HCG injections could be added for extra reassurance, acting
to rapidly restore the normal ability of the testes to respond to the resumed release of gonadotropins. For this purpose one could administer insulin pumps three injections of 2500-50001.U., spaced five days apart. After which point the antagonist is continued alone for a few more weeks in an effort to stabilize insulin pumps the production of testosterone. Remember not to begin post cycle therapy (PCT) until after Deca has been withdrawn for around three weeks. insulin pumps Deca stays active for quite some time so the ancillary drugs will not be able to exhibit their optimal effect when the steroid is still being released into the bloodstream. The major
drawback for competitive purposes is that in many cases nandrolone metabolites will be detectable in a drug screen for up to a insulin pumps year (or more) after use. This is clearly due to the form of administration. Esterified insulin pumps compounds have a high affinity to stay stored in fatty tissues. While we can accurately estimate the time frame it will take for a given dose insulin pumps to enter circulation from an injection site, we cannot know for sure that 100% of the steroid will have been metabolized at any given point. Small amounts insulin pumps may indeed be stubborn in leaving fatty tissue, particularly after heavy, longer-term use. Some quantity of
nandrolone decanoate may therefore be left to sporadically enter into the blood stream many months after use. This process may be further aggravated insulin pumps when dieting for a show, a time when body fat stores are being actively depleted (possibly insulin pumps freeing more steroid). This has no doubt been the cause for many unexpected positives on a drug screen. The fact insulin pumps that nandrolone has been isolated as the "hands-off" injectable for the drug tested athlete insulin pumps is most likely due to its popularity (and therefore common appearance on drug screens). The same risk would of course hold true for other long chain esterified injectables
such as Equipoise, and Primobolan.
2. Before starting Roaccutane Treatment
Before taking Viagra, tell your doctor insulin pumps if you have had a heart attack, stroke, or life-threatening irregular heartbeats within the insulin pumps last six months; have a history of heart failure; have coronary artery disease; have angina; have high insulin pumps or low blood pressure; have liver problems; have kidney problems; have ever had blood problems, insulin pumps including sickle cell anemia or leukemia; have a bleeding disorder; have a stomach ulcer; have retinitis pigmentosa (an inherited condition of the eye); have a physical deformity of the
penis such as Peyronie's disease; have a condition that could lead to prolonged and painful erections, such as a tumor insulin pumps of the bone marrow, sickle cell anemia, or leukemia; or are taking another medicine to treat impotence. You may not be able to take Viagra, or you may insulin pumps require a dosage adjustment or special monitoring during treatment if you have any of the conditions insulin pumps listed above. Although Viagra is not indicated for use by women, it is in the FDA pregnancy insulin pumps category B. This means that Viagra is not expected to be harmful to an unborn baby. Women should not take Viagra. It is not known whether Viagra passes into
breast milk. If you are over 65 years of age, you may be more likely to experience side effects from Viagra. Your doctor insulin pumps may prescribe a lower dose of this medication.
Clomid is a mixed estrogen agonist/antagonist (activator/blocker) insulin pumps 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 binding site and also the binding insulin pumps of any of several cofactors at different sites. Without the binding of the cofactor, the estrogen receptor is inactive. Different tissues use different cofactors.
Some of these cofactors are able to bind to the estrogen receptor/Clomid complex, but others are blocked due to the change in shape. insulin pumps 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 insulin pumps inactive - and in others Clomid acts as an agonist (activator), because the cofactors used in that tissue are able to bind.
Luckily, the synthetic recombinant versions were approved by the FDA a short time afterwards. These versions were developed after years of experiments with amino
acid chains. The first of these versions was patented and produced by Genentech Labs with the brand name Protropin. A short time insulin pumps later, another form of synthetic Growth Hormone gained FDA approval. It was produced by Eli Lilly Labs and brand named insulin pumps Humatrope.
Its effectiveness at the androgen receptor of muscle tissue is superior to that of testosterone: it binds better. Yet, it insulin pumps gives only about half the muscle-building results per milligram. This I think is a result of its being insulin pumps less effective or entirely ineffective in non-AR-mediated mechanisms for muscle growth.
Although Sustanon remains
active for up to a month, injections should be taken at least once a week to keep testosterone levels stable. A steroid novice can expect to insulin pumps gain about 20 pounds within a couple of months by using only 500 mg of Sustanon a week. More advanced athletes will obviously insulin pumps need higher dosages to obtain the desired effect.
In many men with erectile dysfunction, VIAGRA helps the body's natural erection process. When a man is sexually excited, the penis will fill with enough blood to cause
an erection. After sex is over, the erection goes away.
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.