(yet) use Parabolan. The same is true for women; however, there are enough female athletes who do not care since the female organism reacts to insulin pumps the androgenic charge and the strong anabolic effect of Parabolan with distinct gains in muscles and insulin pumps strength, especially from a female point of view. Thus the entire body has a harder and more athletic look. Parabolan without a doubt is an enticing insulin pumps product for ambitious female athletes. In the end everything depends on your personal willingness to take risks, ladies. The insulin pumps fact is that the standards on the national and international competition scenes 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 Parabolan/week, 20 mg Winstrol tablets/day, insulin pumps and 100 mcg Clenbuterol/day Women who do not in-ject more than one ampule of Parabolan per week and who limit the period of intake insulin pumps to 4-5 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 insulin pumps after several weeks of use: acne, androgenically 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 insulin pumps side effects are mostly irreversible changes.
Xenical, possible side effects
The disadvantage of Restandol (Andriol) insulin pumps is that it becomes effective if taken in high doses. Even if a dose of 200 mg of Restandol (Andriol)/day insulin pumps 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 insulin pumps dosage can be explained by its extremely short half-life time since the substance testosterone undecanoate is excreted very quickly by the body through the urine.
For men the usual dosage
is 25-50 mg per day for the tablets, for women 5-10 mg tablets per day, length of use should be kept to 5 -8 weeks.
Steroid insulin pumps novices should not (yet) use Danabolan. The same is true for women; however, there are enough female athletes who insulin pumps do not care since the female organism reacts to the androgenic charge and the strong anabolic effect of Danabolan with insulin pumps 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. Danabolan without a doubt is an enticing product for ambitious female insulin pumps athletes. In the end everything depends on your personal willingness to take risks, ladies. The fact is that
the standards on the national and international competition scenes in female bodybuilding insulin pumps have achieved levels which cannot be reached without the administration of strongly insulin pumps androgenic steroid compounds. A combination well liked by female bodybuilders consists of 76 mg Danabolan/week, 20 insulin pumps mg Winstrol tablets/day, and 100 mcg Clenbuterol/day Women who do not in-ject more insulin pumps than one ampule of Danabolan per week and who limit the period of intake to 4-5 weeks can mostly avoid or minimize insulin pumps virilization symptoms. Female athletes who are overdoing it or who are sensitive to the androgenic part of trenbolone hexahydrobencylcarbonate can be confronted with some unpleas-ant surprises after
several weeks of use: acne, androgenically caused hair loss on the scalp, irregular menstrual insulin pumps cycles, missed periods, much higher libido, aggressiveness, deep voice, chtorial hypertrophy, insulin pumps and increased hair growth on face and on the legs. The last three side effects are mostly irreversible changes.
- You insulin pumps must not start the treatment if you could get pregnant during treatment or during insulin pumps the month after treatment.
All of these great benefits are to be had with the use of test enth alone, but realistically, it will be insulin pumps part of a cycle containing one or more other drugs. People who are bulking will probably choose Deca or Eq (possibly with Dbol as well)
and those who are cutting will probably steer towards Eq and perhaps Trenbolone. Very often users will shoot this insulin pumps drug once or twice a week, but blood levels are still above baseline with this drug at around day eight (10).Common wisdom holds that the testosterone insulin pumps portion of any such cycle should be equal to or greater than any other injectable drug(s) portion (on a mg basis)& insulin pumps I believe that you can get away with less, but in general, this is a good guideline.
In females, dosages above 15 insulin pumps mg./day can cause facial hair, deepening of the voice, clitoral hypertrophy, and acne.
Discontinue use of Xenical beyond 3 months only if weight loss is greater than 5%
from the start of treatment.
Ironically, even though Tren is an excellent contest prep drug, insulin pumps it lowers your thyroid level, and this raises prolactin. I recommend taking T3 (25mcgs/day) along with your Tren to avoid insulin pumps elevating your prolactin too high via this route.
What does this tell us?
Drug interactions can result in unwanted side insulin pumps effects or prevent a medicine from doing its job. Some medicines or medical conditions may interact with this medicine. Inform insulin pumps your doctor or pharmacist of all prescription and over-the-counter medicine that you are taking.
Manufacturer: Cattle implants, British Dragon, Various
of the acetate ester allows TRI-TRENBOLA 150 to display a rapid initial physiological response. The other two esters, hexahydrobenzylcarbonate and enanthate, insulin pumps which release at slower rates, prolong the physiological response with a relatively flat absorption curve over the duation of insulin pumps the injection life-cycle. Trenbolone has a great effect on promoting protein synthesis, as well as creating insulin pumps a positive nitrogen balance. It is an appetite stimulant and improves the conversion of proteins. In insulin pumps laboratory tests, it has been demonstrated that trenbolone increases protein and decreases fat deposition. It has proven to be an excellent product for promoting size and strength in the presence
of adequate protein and calories, promotes body tissue building processes, and can reverse catabolism.
Tell your doctor if you are pregnant or if you intend to become pregnant. Tamoxifen insulin pumps should not be used to reduce the risk of breast cancer if you are pregnant of if you intend to become pregnant. Tamoxifen use in women has been shown insulin pumps to cause miscarriages, birth defects, death of the fetus, and vaginal bleeding.
If the person loses insulin pumps 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.
"Over time, the drug causes the estrogen insulin pumps receptor on cells to change and form a pocketlike structure that allows other proteins insulin pumps to bind there. The proteins action somehow changes the cell's reaction to Tamoxifen. Theres more to the article insulin pumps but this is the essence of it. Probably you will find something in your papers as it from the Associated Press Newswire. But just in case - thought insulin pumps you should be made aware."
Testex (o.c.) 50, 100 mg/ml; Pasadena U.S.
The drug is moderately effective at doses of 400 mg/week. The long half-life of Deca-Durabolin makes it unsuited to short alternating
cycles, but suitable for more traditional cycles, with a built-in self-tapering effect in the weeks following insulin pumps the last injection.
The usual dosage would be in the range of 250mg-750mg. insulin pumps
Diazepam is classified as pregnancy category D because it can cause harm to insulin pumps the fetus when administered to pregnant women. Positive evidence of human fetal risk exists based on investigational, insulin pumps marketing, or human studies, but the potential benefit to the mother may outweigh the potential risks to the fetus. Diazepam is distributed into insulin pumps breast milk and can cause sedation, feeding difficulties, and weight loss in the nursing infant. The use of diazepam
during breast-feeding is generally not recommended.
How to take Reductil
The recommended dosage of Propecia is 1 mg once a day, insulin pumps to be taken with or without meals.
Stanabol 50, known also as Winstrol Depot or Stanozolol, is a insulin pumps very effective steroid when used correctly. It is important to distinguish between the two different insulin pumps forms of administration of stanozolol, since the injectable Winstrol Depot is distinctly more effective than the oral Winstrol. What is special insulin pumps about the injectable Winstrol Depot is that its substance is dissolved in water which means that Winstrol Depot must be injected much more frequently than the oil-dissolved steroids.
Active ingredient Stanozolol prevents Winstrol Depot from aromatizing into estrogens with water retention occurring only rarely, thus giving it insulin pumps a clear role in bodybuilding: preparation for a competition. Winstrol Depot, however, is not only especially insulin pumps suited during preparation for a competition but also in a gaining phase. Since it does not cause water retention rapid weight insulin pumps gains with Winstrol Depot are very rare. However, a solid muscle gain and an over proportionally strong insulin pumps strength increase occur, usually remaining after use of the compound is discontinued. Bodybuilders who want to build up strength and mass often combine Winstrol Depot with Dianabol, Anadrol 50, Testosterone
esters or Deca-Durabolin.
Diazepam should be administered cautiously to patients with severe hepatic disease because its elimination half-life insulin pumps can be prolonged, possibly resulting in toxicity. Diazepam is metabolized to an active metabolite, insulin pumps and patients with hepatic disease are more likely to experience adverse CNS reactions and should receive reduced initial dosages.
Check with your doctor as soon as possible if any of the following side effects occur:
Anavar was the old U.S. brand name for the oral steroid oxandrolone, that was first produced in 1964 by the drug manufacturer Searle. It was designed as an extremely mild anabolic,
that could even be safely used as a growth stimulant in children. One immediately thinks of the standard worry, "steroids including oxandrolone insulin pumps will stunt growth". But it is actually the excess estrogen produced by most steroids that is the culprit, just as insulin pumps it is the reason why women stop growing Anavar sooner and have a shorter average stature than insulin pumps men. Anavar will not aromatize, and therefore the anabolic effect of the Anavar compound can actually promote linear growth. Women usually tolerate insulin pumps this drug well at low doses, and at one time Anavar was prescribed for the treatment of osteoporosis. But the atmosphere surrounding steroids began to change rapidly in the 1980's, and
prescriptions for Oxandrolone began to drop. Lagging sales probably led Searle to discontinue manufacture in 1989, and it had vanished from U.S. pharmacies insulin pumps until recently. Oxandrolone tablets are again available inside the U.S. by BTG, bearing the new insulin pumps brand name Oxandrin. BTG purchased rights to Anavar from Searle and is now manufactured for the new purpose of treating HIV/AIDS related wasting insulin pumps syndrome. Many welcomed this announcement, as Anavar had gained a very favorable reputation among athletes insulin pumps over the years.
Harifin side effects
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, insulin pumps the blood insulin concentration tends to decrease during exercise, allowing the blood glucose to be maintained at or above resting levels and to provide insulin pumps increased energy supplies (fuel) to muscle cells. Following a meal, the blood glucose and insulin pumps amino acid levels rise (the absorptive state) and this triggers an increase in insulin release from the pancreas, driving insulin pumps glucose and amino acids from the blood into cells and maintaining the blood glucose level within a insulin pumps certain physiological (operating) range.
Package: 10ml (2000mg/bottle)
Thus, Bonavar may even be ideal for
use in bridges between cycles (at very low doses under 10mgs perhaps), or as previously mentioned, insulin pumps for cutting/strength cycles at 50-100mgs.
Usage: Average dose is 200mg per week.
Nandrolone Decanoate is unique in that insulin pumps 5a -reductase, the enzyme which converts testosterone to the more-potent DHT, actually insulin pumps converts nandrolone to a less-potent compound. Therefore this AAS is somewhat deactivated in the skin, scalp, insulin pumps and prostate, and these tissues experience an effectively-lower androgen level than the rest of the body. Therefore, for the same insulin pumps amount of activity as another drug at the androgen receptors (ARs) in muscle tissue, Deca gives less activity in the
scalp, skin, and prostate. Thus, it is the best choice for those particularly concerned with these things.
Unlike most oral steroids, insulin pumps which are Class II steroids giving most of their anabolic effect by means other than the androgen receptor insulin pumps (AR), it seems that oxandrolone probably does have good binding to the AR, and is therefore a Class I steroid, while having insulin pumps little other effect. By itself it is considered to be a weak anabolic.
What insulin pumps is more interesting to me is the role of NO on muscles during resistance training. JE Anderson found that NO appears to be a vital signal in the activation of muscle satellite cells in response to damage. Satellite cell
activation is the key first step in the repair and hypertrophy of muscle cells after heavy training. Viagra may therefore enhance the hypertrophy response insulin pumps to exercise, working at the most basic and primary level of the process.
Danabol / Dianabol insulin pumps can be combined with, for instance Oxandrolone or Winstrol tablets as well as with injectable steroids such as Sustanon insulin pumps or Testosterone enanthate.
Restandol (Andriol) is a revolutionary steroid because, besides methyltestosterone, it is the insulin pumps only effective oral testosterone compound. Testosterone itself, if taken orally, is ineffective since it is reabsorbed through the portal vein and immediately deactivated by the
Older adults — Most of the side effects of these medicines are more likely to occur in the elderly, who insulin pumps are usually more sensitive to the effects of benzodiazepines.
Many athletes who use Clenbuterol claim that it promotes dramatic strength insulin pumps increases and a very noticeable reduction in body fat and weight loss.
Testosterone Cypionate is a single-ester, long-acting insulin pumps form of testosterone. Due to the length of its ester (8 carbons) it is stored mostly in the adipose tissue upon intra-musuclar insulin pumps injection, and then slowly but very steadily released over a certain period of time. A peak is noted after 24-48 hours of injection and then a
slow decline, reaching a steady point after 12 days and staying there for over 3 weeks time. Of course most users of anabolics will not insulin pumps find adequate benefit in the use of this steady-point dose, so this product is normally injected once a week, making insulin pumps the very lowest dose higher than half the peak dose at any given time. This is roughly insulin pumps the starting blood level as well. A long-acting testosterone ester is a must-have in any mass-building insulin pumps cycle. As such this is a very decent product.
Hanil Pharm: Miro Depo (Korea) - 125 mg/ml
Primobolan insulin pumps is a well-known and popular steroid as well. Like nandrolone it's most often used as a base compound for stacking with
other steroids. Methenolone however, is a DHT-based steroid (actually, DHB or dihydroboldenone, insulin pumps the 5-alpha reduced of the milder boldenon). Meaning when it interacts with the aromatase enzyme it does not form estrogens insulin pumps at all. That makes it ideal for use when cutting when excess estrogen is best avoided because of its retentive effects on water and fat. Methenolone insulin pumps is mostly only used in such instances, or by people who are very succeptible to estrogenic side-effects, insulin pumps because the anabolic activity of methenolone is slightly lower than that of nandrolone, quite likely BECAUSE it is non-estrogenic.
Danabolan is a strong, androgenic steroid which also has a high anabolic
effect. Whether a novice, hard gainer, power lifter, or pro bodybuilder, everyone who uses Danabolan is enthusiastic about the results: a fast gain insulin pumps in solid, high-quality muscle mass accompanied by a considerable strength increase in the basic exercises. in addition, the regular application insulin pumps over a number of weeks results in a well visible increased muscle hardness over the entire body without dieting at insulin pumps the same time. Frequently the following scenario takes place: bodybuilders who use steroids insulin pumps and for some time have been stagnate in their development suddenly make new progress with Danabolan. Another characteristic is that Danabolan, unlike most highly-androgenic steroids, does
not aromatize. The substance trenbolone does not convert into estrogens so that the athlete does not insulin pumps have to fight a higher estrogen level or feminization symptoms. Those who use Danabolan will also notice that there is no water retention in the tissue. insulin pumps To say it very clearly: Parbolan is the number one competition steroid. When a low fat content has been achieved by a low calorie diet, Danabolan insulin pumps gives a dramatic increase in muscle hardness. In combination with a protein rich diet it becomes espe-cially insulin pumps effective in this phase since Danabolan speeds up the metabolism and accelerates the burning of fat. The high androgenic effect prevents a possible overtraining syndrome, accelerates
the regeneration, and gives the muscles a full, vascular appearance but, at the same time, a ripped and shredded look.
Trenbolone insulin pumps increases nitrogen retention in muscle tissue (5). This is of note because nitrogen retention is a strong indicator of how anabolic insulin pumps a substance is. However, trenbolone´s incredible mass building effects do not end there. Trenbolone has insulin pumps the ability to bind with the receptors of the anti-anabolic (muscle destroying) glucocorticoid hormones (6). This may also has the effect of inhibiting insulin pumps the catabolic (muscle destroying) hormone cortisol (7).
Post Cycle Therapy:
Cialis is a prescription medicine taken
by mouth for the treatment of erectile dysfunction (ED) in men. ED is a condition where the penis does not harden insulin pumps and expand when a man is sexually excited, or when he cannot keep an erection. A man insulin pumps who has trouble getting or keeping an erection should see his doctor for help if the condition bothers him. Cialis may help a insulin pumps man with ED get and keep an erection when he is sexually excited.
Higher energy insulin pumps levels
The Russian Dianabol is packaged in push-through strips of ten tablets each. Ten push-through insulin pumps strips are contained in a green box or are held together by a black rubber band and a rag similar to toilet paper. The imprint on the push-through strips is
either blue or black. The tablets are not indented and it is of note that the substance amount is given in grams (0.005 g/tablet) Since the insulin pumps price is low the Russian Dianabol is often taken in two-digit quantities. Although the tablets cost only 2-4 cents in Russia, a price of $0.50 insulin pumps is quite acceptable on the black market. The situation with the Russian compound is a little different insulin pumps since, in the meantime, numerous athletes have experienced unusual side erfects with these tablets. They range from nausea, vomiting, and elevated liver insulin pumps values to real cases of illness which have forced one or more athletes to stay in bed for several days. These tablets, however, have one thing in common:
there is no doubt that they work powerfully. Due to the unusual number of side effects and simultaneously the positive effect, there is speculation insulin pumps that the Russian Dianabol is a simple 17-alpha methyltestosterone. Since Dianabol as already mentioned, insulin pumps a derivative of it, the two substances have similar effects. The fine difference, insulin pumps however is that oral 17-alpha methyltestosterone is clearly more androgenic and therefore causes more strain on the liver. Our opinion is that processing insulin pumps of the 17-alpha methyltestosterone in methandrostenolone was probably not carried out completely in the Russian Dianabol; consequently, several tablets contain a mix. It is also possible that during
manufacturing of the Russian Dianabol old, expired, tablets were mixed with the produced substance and insulin pumps made into new tablets. We want to explicitly emphasize, however, that these are only speculations. Unfortunately, there are Already fakes of the insulin pumps Russian tablets available. They are only recognized as such after 1-2 weeks of their intake when "nothing happens". insulin pumps Dianabol, d-bol As said before, in our experience the best results can be obtained with the Thailandian Anabol tablets insulin pumps and the Indian Pronabol.
As with almost every effective steroid, Drive can produce a noticeable set of side effects. While the boldenone only mildly androgenic, methandriol shows slightly
more pronounced activity. Androgenic side effects like oily skin acne and increased aggression are all possible with this product. insulin pumps Women may want to stay away from Drive fearing the androgen content will produce virilization symptoms. insulin pumps Estrogen can sometimes become troublesorm with this drug, presumably from the aromatization of boldenone which is slight. Methylandrostenediol insulin pumps itself can directly aromatize, however it has been shown to display some low affinity for the insulin pumps estrogen receptor (possibly enhancing estrogenic activity as well). Sensitive individuals may therefore opt for the addition of an antiestrogei such as Nolvadex® and/or Proviron®, in an effort to avoid any chance
of developing gynecomastia and minimize any slight smoothness due to subcutaneous water retention. In comparison insulin pumps to stronger stacks however water bloat is usually not a major problem with Drive. This combination insulin pumps is in fact often noted for producing a ver hard, quality physique.
For athletes who wish to maintain a "natural" status in competition, insulin pumps the tablets are quite well-suited as detection chances for the acetate-form are quite slim. insulin pumps However tests have improved and quite a number of metabolites1 of methenolone can be detected with a simple urine sample. But an English study documented that there is a liability in eating methenolone contaminated meats2, which could provide
a possible defense if found out. One could always claim they ate the meat of a chicken or cow injected with methenolone since the test concluded insulin pumps eating such meat does not improve performance, but can deliver positive tests for several methenolone metabolites almost 24 hours insulin pumps after ingestion. That's for those of you seeking a viable defense against a possible methenolone-positive. insulin pumps
When discontinuing Anadrol 50, the crash can be equally powerful. To begin with, the level of water retention will quickly diminish, insulin pumps dropping the user's body weight dramatically. This should be expected, and not of much concern. What is of great concern is restoring endogenous testosterone
production. Anadrol 50 will quickly and effectively lower natural levels during a cycle, so HCG and Clomid/Nolvadex are a must when discontinuing insulin pumps a cycle.
This section refers to the oral Primobolan preparation, which contains insulin pumps the drug methenolone acetate. It is very similar in action to the injectable Primobolan Depot (methenolone enanthate), but obviously here insulin pumps the drug is designed for oral administration. Methenolone regardless of the ester is a very mild anabolic steroid. The androgenic activity insulin pumps of this compound is considerably low, as are its anabolic properties. One should not expect to achieve great gains in muscle mass with this drug. Instead, Primobol is utilized
when the athlete has a specific need for a mild anabolic agent, most notably in cutting phases insulin pumps of training. It is also a drug of choice when side effects are a concern. Primobol will also not aromatize, so estrogen related side effects insulin pumps are of no concern. And of course without excess estrogen there is little chance of the athlete developing gynecomastia. insulin pumps Likewise there should never be a need for antiestrogen use with this steroid.
Methenolone is available as an injection insulin pumps or as an oral. The injection is naturally regarded as better. Its an enanthate ester which is quite long-acting and only needs to be injected once a week in doses of 300-600 mg. Because it by-passes
hepatic breakdown on the first pass, it also has a higher survival rate. The orals are a lot less handy, but often insulin pumps preferred by bodybuilders who are afraid of needles or who are already taking one or more injectable compounds. The tabs are in a short-lived insulin pumps acetate form, meaning that doses of 100-150 mg per day are needed, split over 2 or 3 doses, making the insulin pumps tabs quite inconvenient for use. The reason doses need to be split up, unlike most oral steroids, is because Methenolone is insulin pumps not 17-alpha-alkylated, but 1-methylated for oral bio-availability. This reduces the liver stress, but also the availability, hence the multiple and high doses needed daily.
IGF-1 also acts
as an endocrine growth factor having an anabolic effect on distant tissues once released into the blood stream insulin pumps by the liver. IGF-1 possesses the insulin-like property of inhibiting degradation, but in addition insulin pumps can stimulate protein synthesis. The insulin-like effects are probably due to the similarity insulin pumps of the signaling pathways between insulin and IGF-1 following ligand binding at the receptors.
Proviron is an anti-aromatase, insulin pumps so obviously anti-estrogens would be futile and redundant. Blood pressure medication for those prone to hypertension may be wise, as this DHT can increase the blood pressure.
beneficial blood levels to be achieved, although the overall bioavailability of these compounds is still much insulin pumps lower than methylated oral steroids.
Is available in 10-20mcg tablets or in the .016 mg/gram Ventapulmin Vet variety. Clenbuterol is known insulin pumps as a sympathomimetic. These hormones are taken to mimic adrenaline and noradrenaline in the human body. Clenbuterol insulin pumps is a selective beta-2 agonist that is used to stimulate the beta-receptors in fat and muscle tissue in the body. Clenbuterol exhibits insulin pumps most of its effects on the stimulation of both type 2 and 3 beta-receptors. Clenbuterol is really one of bodybuilding's most misunderstood performance enhancement
drugs. It is true that it is effective in helping to burn bodyfat but it is often been stated that clenbuterol is effective insulin pumps in causing anabolic gains and has in times even been compared to some of the weaker anabolic steroids. Books such as the World Anabolic Review, insulin pumps 1996, by P. Grunding and M. Bachmann state incorrectly that, "its effects, however, can by all means be compared to those insulin pumps of steroids. Similar to a combination of Winstrol Depot and Oxandrolone...." These statements insulin pumps are inaccurate and misleading to say the least. A lot of these claims as to the anabolic effects of clenbuterol are derived from studying the effects of clenbuterol on livestock. Clenbuterol is
effective in increasing muscle mass and decreasing fat loss in animals.
The risk insulin pumps of potential water retention and aromatizing to estrogen can be successfully prevented by combining the use of Proviron with Nolvadex. insulin pumps A preparatory stack often observed in competing athletes includes 400 mg/week Deca-Durabolin, 50 mg/day insulin pumps Winstrol, 228 mg/week Parabolan, and 25 mg/day Anavar.
If you notice other effects not listed insulin pumps above, contact your doctor.
by Bill Roberts - Unlike most oral steroids, which are Class II steroids insulin pumps giving most of their anabolic effect by means other than the androgen receptor (AR), it seems that oxandrolone probably does have good
binding to the AR, and is therefore a Class I steroid, while having little other effect. By itself it is considered to be a weak anabolic.
Also known as: Finaject, Finajet, Finaplix, Revalor, Trenbol, Trenabol.
Kamagra is a discreet pill for the treatment of male erectile dysfunction, often called impotence. it is a real breakthrough insulin pumps treatment that can help many man who have erectile dysfunction to get and keep an erection when they are sexually aroused.
Stanol, brand insulin pumps name for stanozolol is one of the most popular steroids. It is a derivative of dihydrotestosterone, much milder in effect except for the androgenic side effects associated with
it. It is shown to exhibit a great tendency to produce muscle growth with a milder effect than Dianabol, insulin pumps however as said before the water retention and the androgenic effects are not a concern. It is not insulin pumps capable of converting into estrogen so any sensitive individuals this drug is a great way to go since gyno is no problem. The insulin pumps typical side effects can include nausea, acne, excitation or increased aggressiveness, chills, hypertension, increase in libido. Since estrogen insulin pumps is the culprit of producing water retention this steroid is capable of producing lean, quality look to the physique with no fear of excess poundage except for muscle growth. This is why it makes this a favorable
drug for precontest or to gain a ripped look especially if stacked with a non-aromatizing or milder aromatizing insulin pumps drugs such as Halotestin, Primobolan, Deca or Equipose.
Caution is advised when using this medicine in the eldery because insulin pumps they may be more sensitive to the side effects of this medicine. This medicine should insulin pumps not be used in women or children.
- If you have very high blood fats (cholesterol or triglycerides). insulin pumps
Masteron (Drostanolone Propionate)
Clenbuterol insulin pumps can cause a solid, highly qualitative muscle growth which goes hand in hand with a significant strength gain. Clenbuterol also has a
strong anti-catabolic effect, which means it decreases the rate at which protein is reduced in the muscle cell, consequently insulin pumps causing an enlargement of muscle cells. For this reason, numerous athletes use clenbuterol after steroid treatment to balance insulin pumps the resulting catabolic phase and thus obtain maximum strength and muscle mass. Please note, though, insulin pumps there are no scientific evidence these effects, that are proven in animals, also occurs in humans during the use of clenbuterol.
Propecia is indicated for the treatment of male pattern hair loss (androgenetic alopecia) in adult men only.
Its anabolic properties subside much quicker, somewhere around 18 days.
Testosterone cypionate is a long acting ester of testosterone which is increasingly insulin pumps difficult to find. Before the scheduling of anabolics in the U.S., this was the most common form of testosterone available to athletes. Cyp had gained insulin pumps a reputation as being slightly stronger than Enanthate and became the testosterone of choice for many.
HCG Pregnyl information and description
Due to its being a mild steroid in every sense of the word, high amounts of insulin pumps Bonavar dosage are needed. It binds reasonably well to the AR, but pretty high doses are still needed and I would never suggest doing less than 20mgs/day. In fact, 20-80mgs are needed to start halting
AIDS related wasting and recovering weight for burn victims so that´s the range I´d recommend insulin pumps keeping your dosages in concerning this compound. Personally, I´d use 100mgs/day if I were ever going to try this insulin pumps stuff. Any less than this amount (20-100mgs) would be a waste. For women, however, I think 2.5-10mgs/day would suffice. Virilation is not insulin pumps a concern with this compound, as it is only very mildly androgenic. Water retention is also virtually nil with it.
CKD's - These are extremely impractical while on a cyclical ketogenic diet (CKD), and are especially dangerous. This brings up blood glucose
considerations; it is important to try to maintain relatively stable, or at least not insulin pumps severely depressed, blood glucose levels. If this guideline is not followed, the user insulin pumps may experience blurred vision and/or extreme fatigue possibly augmented by fainting or lightheadedness.
Roche Valium (Diazepam) is an antianxiety agent (benzodiazepine), used primarily for short-term relief insulin pumps of mild to moderate anxiety. It may also be used to treat symptoms of acute alcohol withdrawals, to help control epilepsy, insulin pumps or to relieve muscle spasms.
For athletes using anabolic steroids, Clomid can normalize the testosterone level and the spermatogenesis (sperm development)
within 10-14 days. For this reason Clomid is primarily taken after steroids are discontinued. insulin pumps At this time it is extremely important to bring the testosterone production to a normal level as quickly as possible so that insulin pumps the loss of strength and muscle mass is minimized.
Each 10 ml multidose vial contains 250 mg per ml and comes with insulin pumps a green coloured flip-off top. Some vials currently in circulation have a light blue coloured flip-off top.
• It increase insulin pumps muscle strength ( 88%) and muscle size ( 81%)
Nolvadex C&K / Tamoxifen Nolvadex C&K tablets. Each Nolvadex C&K tablet contains 20mg tamoxifen. Nolvadex C&K comes in
packs of 30 tablets and is manufactured by AstraZeneca.
Trenbolone promotes red blood cell production and increases the rate of insulin pumps glycogen replenishment, significantly improving recovery (13). Like almost all steroids, insulin pumps trenbolones effects are dose dependant with higher dosages having the greatest effects on body composition and strength. Mental insulin pumps changes are a notorious side effect of trenbolone use (15), androgens increase chemicals in the brain that promote insulin pumps aggressive behavior (16), which can be beneficial for some athletes wanting to improve speed and power.
Proviron cycle. Most athletes actually prefer to use both Proviron and Nolvadex,
especially during strongly estrogenic cycles. Proviron and Nolvadex attack estrogen at a different angle, side effects are often greatly minimized. insulin pumps
Trenbolone Acetate Profile
Common uses and directions for Nolvadex
Due to its characteristics Oral Turanabol insulin pumps is also a suitable steroid both for men and women in competitions. A usually very effective stack for male bodybuilders consists of 50 mg insulin pumps Oral Turanabol/day, 228 mg Parabolan/week, and 150 mg Winstrol Depot/week. Those who have brought their body fat content insulin pumps to a low level by dieting and/or by using fatburning substances (e.g. Clenbuterol, Ephedrine, Salbutamol, Cytomel, Triacana), will find
that the above steroid combination will manifest itself in hard, sharply defined but still dense and full muscles. No enlarged insulin pumps breasts, no estrogen surplus, and no watery, puffy looking muscle system. If Oral Turanabol were available on the U.S. black market for steroids, bodybuilders, insulin pumps powerlifters, and weightlifters would go crazy for this East German anabolic.
When elderly males are treated with insulin pumps anabolic steroids, they may have an increased risk of enlarged prostate or cancer of the prostate.
As a general rule, always tell your doctor if you are taking or have recently taken any other medicine, even those not prescribed, because occasionally they might
interact. This is particularly important if you are treated with nitrates as you should not take Cialis ® if you insulin pumps are taking these medicines. Do not take Cialis ® with other medicines if your doctor tells you that you may not. You should insulin pumps not use Cialis ® together with any other treatments for erectile dysfunction. Cialis ® is not intended insulin pumps for use by women or by children under the age of 18.
Being a testosterone product, all the standard androgenic side effects are also to be expected. Oily skin, acne, aggressiveness, facial/body hair growth and male pattern baldness are all
possible. Older or more sensitive individuals might therefore choose to avoid testosterone products, and insulin pumps look toward milder anabolics like Deca-Durabolin or Equipoise which produce fewer side effects. Others may insulin pumps opt to add the drug Proscar/Propecia which will minimize the conversion of testosterone into DHT (dihydrotestosterone). With blood levels of this metabolite insulin pumps notably reduced, the impact of related side effects should also be reduced. With strong bulking drugs insulin pumps 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 (especially in the face of the end
result), as can be seen with the great popularity of such compounds.
Andriol testocaps are capsules of Testosterone Undeconoato, an orally active testosterone preperation insulin pumps that helps users gain muscle mass.
Until recently, Cytomel was used by bodybuilders insulin pumps and female bodybuilders, in particular-on a daily basis over several months to remain "hard" and in good shape all year round. Believe insulin pumps us when we tell you that to a great extent several bodybuilders who are pictured in "muscle magazines" and display a hard and de?fined look in photos, eat fast food and iron this out by taking Cytomel. The over
stimulated thyroid burns calories like a blast furnace. Nowadays, instead of Cytomel, athletes use Clenbuterol which is becoming more and more popular. insulin pumps Those who combine these two compounds will burn an enormous amount of fat. The next time you read that a certain pro bodybuilder approach?ing insulin pumps a championship competition is still eating 4000 calories a day, you will know why. Cytomel is also popular among female insulin pumps bodybuilders. Since women generally have slower metabolisms than men, it is extremely difficult for them to insulin pumps obtain the right form for a competition given today's standards. A drastic reduc?tion of food and calories below the 1000 calorie/day mark can often be avoided by
taking Cytomel. Women, no doubt, are more prone to side effects than men but usually get along well with 50 mcg/day. A short-term intake insulin pumps of Cytomel in a reasonable dosage is certainly "healthier" than an extreme hunger insulin pumps diet.
Like testosterone cypionate, enanthate is a single-ester and long-acting form of the base steroid testosterone. To me, its slightly insulin pumps better value for money than the aforementioned because its ester is only 7 instead of 8 carbons in length. Where that doesn't insulin pumps really change much in terms of release and blood concentration for users who inject on a weekly basis, that does mean that less of the weight is ester and more of it is testosterone. When taking
an amount of an esterified steroid, that amount in terms of weight is a combination of the ester and the steroid. Naturally the longer the ester is, insulin pumps the more of the weight it takes up. So its safe to state that 500 mg of enanthate contains more insulin pumps testosterone than does 500 mg of cypionate. Not that this slight difference will be insulin pumps noted on a weekly pattern really, but its enough for me to give it a slight edge if given insulin pumps the choice. Although, as stated with cypionate, your choice between enanthate and cypionate is best based on availability. These are a much better choice than sustanon 250 or omnadren, which are blends of different testosterone esters, due to their irregular release.
Nonetheless these versions still appear to be more popular with most users for some reason. Before you compare insulin pumps these to shorter esters under the pretense that even more of the weight would be testosterone, for bulking purposes the release insulin pumps pattern and injection pattern of an enanthate or cypionate is more fitting than that of say, a propionate ester. Enanthate and cypionate are very insulin pumps close in those terms, hence the comparison is possible.
The dosages insulin pumps observed are normally 100mg every 4-5 days. Masteron is not hepatoxic so liver damage is quite unlikely. High blood pressure and gynecomastia are not a
problem since neither water nor salt retention occurs and the estrogen level remains low. The main problem are acne and insulin pumps a possible accelerated hair loss since dihydrotestosterone is highly affinitive to the skin's androgen receptors, in particular, insulin pumps to those on the scalp. Since Masteron. in most cases, is not administered in excessively high dosages and the intake, at the same time, is insulin pumps limited to a few weeks, the compatibility for the athlete is usually very good.
Androgel / Cernos Gel helps control the symptoms of your condition, but does not cure it. Therefore you must use Androgel / Cernos Gel every
The following terms have been used as street names or slang names for various forms of Rohypnol: Circles; Date rape drug; insulin pumps Forget me drug; Forget pill; Forget-me pill; Getting roached; La Rocha; Lunch money drug; Mexican valium; Pingus; insulin pumps R2; R-2; Reynolds; Rib; Roach 2; Roach-2; Roaches; Roachies; Roapies; Robutal; Rochas dos; Roche; Roches; Rolpes; Roofie; Roofies; insulin pumps Roopies; Rope; Rophies; Rophy; Ropies; Roples; Ropples; Row-shay; Ruffies; Ruffles; Sedexes; Wolfies. insulin pumps
Anabolic/Androgenic ratio: 500/500
If you are older than 65 years, have a serious liver or kidney problem, or are taking protease inhibitors, such as for the treatment of HIV,
your healthcare provider may start you at the lowest (25 mg) dose of KAMAGRA.
They demonstrated that the IGF-I expression insulin pumps promotes an average increase of 15% in muscle mass and a 14% increase in strength in young adult mice (Figure 1), and remarkably, prevents aging-related insulin pumps muscle changes in old adult mice, resulting in a 27% increase in strength as compared with insulin pumps uninjected old muscles (Figure 2). Muscle mass and fiber type distributions were maintained at levels similar insulin pumps to those in young adults. These results suggest that gene transfer of IGF-I into muscle could form the basis of a human gene therapy for preventing the loss of muscle function associated with aging
and may be of benefit in diseases where the rate of damage to skeletal muscle is accelerated.
These researchers demonstrated insulin pumps 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 insulin pumps at the same time, significantly increase insulin levels for the duration of the workout. This insulin pumps suggests a potentially effective and safe non-drug method for achieving a sustained elevation of blood insulin levels.
Treatment insulin pumps of the selected patient should begin with a low dose, 50 mg. daily for 5 days. The dose should be increased only in those patients who do not ovulate in response to
cyclic 50 mg. Clomid tablets.
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.