Methenolone is available as an injection 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. insulin pumps Because it by-passes hepatic breakdown on the first pass, it also has a higher survival rate. The orals are a insulin pumps lot less handy, but often preferred by bodybuilders who are afraid of needles or who are already taking one or more injectable compounds. insulin pumps The tabs are in a short-lived acetate form, meaning that doses of 100-150 mg per day are needed, split over 2 or 3 doses, making insulin pumps the tabs quite inconvenient for use. The reason doses need to be split up, unlike most oral steroids, is because Methenolone is not 17-alpha-alkylated, but 1-methylated
for oral bio-availability. This reduces the liver stress, but also the availability, hence insulin pumps the multiple and high doses needed daily.
Close attention insulin pumps to diet is extremely important in people using insulin, whether this is for legitimate insulin pumps medical purposes or for other reasons. You can reduce your risk by consuming an adequate amount and mixture insulin pumps of high and low G.I. carbohydrate foods and drinks immediately after using insulin and at regular intervals insulin pumps (every 2-3 hours) throughout the day.
Third, and often overlooked, is the fact that STH strengthens the connective tissue, tendons, and cartilages which could be one of the main reasons for
the significant increase in strength experienced by many athletes. Several bodybuilders and powerlifters insulin pumps report that through the simultaneous intake with steroids STH protects the athlete from injuries while inereasing his strength.
The side effects of Sustanon are similar to those of Testosterone insulin pumps enanthate (see also Testosterone enanthate) only that they are usually less frequent and insulin pumps less severe.
One of the more common versions is the Russian Sustanon 250 manufactured in India. Thousands insulin pumps of these amps are smuggled into the East Coast of the United States where they are then made readily available to bodybuilders.
Average price is around $15-$20 an amp, but prices as low as $5 an amp are available to some individuals who can purchase insulin pumps the amps as soon as they come ashore. The Russian Sustanon comes in plastic strips of five covered with a white paper and imprinted with blue ink. insulin pumps More recent lots of Russia Sustanon have the expiration date printed numerous times in insulin pumps purple ink going lengthwise in a line across the strip of five ampules. The ampules have a white paper label imprinted insulin pumps with blue ink. Don't be surprised if the labels are crooked or peel off easily. The insulin pumps labels on Russian Sustanon are commonly glued on crooked, and should peel off, but not in one piece. Also, don't be alarmed if the
amps come loose without the plastic strip. The plastic strip is often thrown away to make it easier to smuggle insulin pumps the amps into the country. There is little need to worry about the legitimacy of Russian Sustanon. The World Anabolic insulin pumps Review mentions a counterfeit with rounded corners on the label, but this fake is rarely seen on the US black market.
Package: 10amps of 2 insulin pumps ml, 100mg per 1ml.
T Berco Suppositorien 40 mg/S; Funke G
Tadalafil is also currently undergoing Phase III clinical trials insulin pumps for the treatment of pulmonary hypertension.
The above information is intended to supplement, not substitute for, the expertise and judgment of your physician,
or other healthcare professional. It should not be construed to indicate that use of Xenical is insulin pumps safe, appropriate, or effective for you. Consult your healthcare professional before using Xenical.
Since estrogen offers us no trouble, insulin pumps side effects are generally mild with this steroid. As discussed earlier, gynecomastia insulin pumps and water retention go unseen. So are problems controlling blood pressure, again usually insulin pumps associated with estrogen. Masteron is also not liver toxic, so there is little concern stress insulin pumps will be placed on this organ, even during longer cycles. The only prominent side effects stem from the basic androgenic properties of dihydrotestosterone. This includes
oily skin, acne, body/facial hair growth, aggression and accelerated hair loss. Since this compound is already a synthetic insulin pumps DHT, ProscarÂ® would have no impact on the level of androgenic effects. Men with a receding insulin pumps hairline (or those with a known familial predisposition for baldness) may therefore wish to stay away from Masteron completely, as the insulin pumps potent androgenic effect of this steroid can easily exacerbate such a condition.
HCG:Human Chorionic Gonadotropin is a drug used to insulin pumps jump start the body's production of testosterone after the end of a steroid cycle. It act in the body by imitating the action of LH (a hormone that regulated testosterone production).
Deca is not known as a very "fast" builder. The muscle building effect of this drug is quite insulin pumps noticeable, but not dramatic. The slow onset and mild properties of this steroid therefore insulin pumps make it more suited for cycles with a longer duration. In general one can expect to gain muscle weight at about half the rate of that insulin pumps with an equal amount of testosterone. A cycle lasting eight to twelve weeks seems to make the most sense, expecting to elicit a slow, even insulin pumps gain of quality mass. Although active in the body for much longer, Deca is usually injected once or twice per week. The dosage for men is usually in the range of 300-600mg/week. If looking to be specific, it is believed
that Deca will exhibit its optimal effect (best gain/side effect ratio) at around 2mg per pound of lean bodyweight/weekly. Deca is also insulin pumps a popular steroid among female bodybuilders. They take a much lower dosage on average than men of course, insulin pumps usually around 50mg weekly.
As with almost every effective steroid, Drive can produce a noticeable insulin pumps set of side effects. While the boldenone only mildly androgenic, methandriol shows slightly insulin pumps more pronounced activity. Androgenic side effects like oily skin acne and increased aggression are all insulin pumps possible with this product. Women may want to stay away from Drive fearing the androgen content will produce virilization symptoms. 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 insulin pumps the estrogen receptor (possibly enhancing estrogenic activity as well). Sensitive individuals may therefore opt for the addition of insulin pumps an antiestrogei such as NolvadexÂ® and/or ProvironÂ®, in an effort to avoid any chance of developing gynecomastia insulin pumps and minimize any slight smoothness due to subcutaneous water retention. In comparison to stronger stacks however water bloat is usually not a major problem with Drive. This combination is in fact often noted for producing
a ver hard, quality physique.
The recommended dosage of Propecia is 1 mg once a day, to insulin pumps be taken with or without meals.
Because Phentermine may cause drowsiness, it is recommended that you take your dose early in the insulin pumps day. The best time is 30-60 minutes before breakfast, while your stomach is empty. Take the tablet in one insulin pumps piece, or, at most, it may be broken in two. Do not chew the tablet or crush it into a powder.
Alternate your injection sites in order insulin pumps to minimize tissue damage ("lipoatrophy" or "lipohypertrophy";
If the person who has used insulin states that they are beginning to feel any of the following
By minimizing the production of DHT, we should greatly reduce many of these harsh side effects and insulin pumps make our testosterone cycles more comfortable. In many instances, Proscar/Propecia can allow the athlete the use of steroid insulin pumps compounds (testosterone esters such as cypionate, enanthate, Sustanon etc.), Halotestin and methyltestosterone with much insulin pumps less androgenic side activity.
Clomid is in fact useful throughout a cycle if aromatizable drugs insulin pumps are being used. I do think however that to be conservative, one should use it no more than 2/3 of the time throughout the year or a little less.
Ironically, even though Tren is an excellent contest prep drug, it lowers your thyroid level (23), and this raises prolactin. insulin pumps I recommend taking T3 (25mcgs/day) along with your Tren to avoid elevating your prolactin too high via this route. insulin pumps
Rather than waiting to the end of a workout, many athletes prefer to inject insulin pumps their insulin dosage 30 minutes before their training session is over and then consume a carbohydrate drink immediately insulin pumps 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. insulin pumps Finally, some athletes like to inject insulin upon waking in the morning. After the injection, they will consume a carbohydrate drink insulin pumps and then have breakfast within the next hour. Some athletes find this application insulin pumps of insulin very beneficial for putting on mass, while others will tend to put on excess fat insulin pumps using insulin in this way.
Headache, Flushing, Upset Stomach, Stuffy Nose, Urinary Tract Infection, Visual insulin pumps changes such as mild and temporary changes in blue/green colors or increased sensitivity to light, and Diarrhea.
Additional information: Testolic (Testosterone
Here, we´re comparing Testosterone with no ester (suspension) with Test Propionate and Cypionate (basically insulin pumps the longest vs. shortest esters available with testosterone).
The drug trenbolone acetate is, insulin pumps without a doubt, the most powerful injectable anabolic steroid used by Steriod.com members to gain muscle. However insulin pumps the full properties of the drug are not always fully understood. This profile will separate fact from fiction and help steroid.com members decide if insulin pumps trenbolone is right for them.
Primobolan 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, the 5-alpha insulin pumps reduced of the milder boldenon). Meaning when it interacts with the aromatase enzyme it does not form insulin pumps estrogens at all. That makes it ideal for use when cutting when excess estrogen is best avoided because of insulin pumps its retentive effects on water and fat. Methenolone is mostly only used in such instances, or by people insulin pumps who are very succeptible to estrogenic side-effects, because the anabolic activity of methenolone is slightly lower than that of nandrolone, quite likely BECAUSE it is non-estrogenic.
The clearance and/or elimination of many
drugs are reduced in the elderly. Delayed elimination can either intensify or prolong the actions of insulin pumps adverse reactions of the drug. Benzodiazepines have been associated with falls in insulin pumps the elderly and the consumer advocate group, Public Citizen, has recommended these drugs not be used in the elderly.
Testosterone Cypionate is a single-ester, long-acting form of testosterone. Due to the length of insulin pumps its ester (8 carbons) it is stored mostly in the adipose tissue upon intra-muscular injection, and then slowly insulin pumps 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 over 3 weeks time. A long-acting testosterone ester may be the best for all your mass-building needs, but it's not an easy product insulin pumps to use. Nolvadex and Proviron will come in very handy in such cases and post-cycle. HCG and Clomid or Nolvadex will be required as well to help restore insulin pumps natural testosterone.Frequency of side effects is probably highest with this type of product.
Nandrolone decanoate is a favorite to thousands of steroid users. In our recent survey, it was revealed that Deca is the most insulin pumps widely used anabolic steroid. It is easy on the liver and promotes good size and strength gains while reducing body fat. Although nandrolone
decanoate is still contained in many generic compounds, almost every athlete connects this substance with nandrolone decanoate. Organon insulin pumps introduced Deca-Durabolin during the early 1960's as an injectable steroid available in various strengths. Most common are 100 mg/ml. Nandrolone insulin pumps decanoate is the most widespread and most commonly used injectable steroid. Deca's large popularity can be attributed to its numerous insulin pumps possible applications and, for its mostly positive results. The distinct anabolic effect of nandrolone decanoate is mirrorred in the positive nitrogen balance". Nitrogen, in bonded form. is part of protein. Deca causes the muscle cell to store more nitrogen than it
releases so that a positive nitrogen balance is achieved. A positive nitrogen balance is synonymous with insulin pumps muscle growth since the muscle cell, in this phase, assimilates (accumulates) a larger amount of protein than usual. The same manufacturer, however, insulin pumps points out on the package insert that a positive nitrogen balance and the protein building effect that insulin pumps accompany it will occur only if enough calories and proteins are supplied. One should know this since, insulin pumps otherwise, satisfying results with Deca cannot be obtained. The highly anabolic effect insulin pumps of Deca is linked to a moderately androgenic component, so that a good gain in muscle mass and strength is obtained. At the same time, most
athletes notice considerable water retention which, no doubt, is not as distinct as that with injectable testosterones insulin pumps but which in high doses can also cause a smooth and watery appearance. Since nandrolone decanoate also stores insulin pumps more water in the connective tissues, it can temporarily ease or even cure existing pain in insulin pumps joints. This is especially good for those athletes who complain about pain in the shoulder, insulin pumps elbow, and knee; they can often enjoy pain-free workouts during treatment while using Deca. Another reason for this is that it blocks the cortisone receptors thus allowing less cortisone to reach the muscle cells and the connective tissue cells. Athletes use Deca, depending on
their needs, for muscle buildup and in preparation for a competition. Deca is suitable, even above insulin pumps average, to develop muscle mass since it promotes the protein synthesis and simultaneously leads to water retention.
During a typical insulin pumps Testosterone Propionate cycle one will see action that is consistent with a testosterone. Users sensitive to gynecomastia may insulin pumps therefore need to addition an antiestrogen. Those particularly troubled may find that a combination of Nolvadex and Proviron insulin pumps works especially well at preventing/halting this occurrence. Also unavoidable with a testosterone are androgenic side effects like oily skin, acne, increased aggression and body/facial hair growth.
Those who may have a predisposition for male pattern baldness may also find that propionate will aggravate insulin pumps this condition. To help combat this we also have the option of adding Proscar, which will reduce the buildup of DHT in many insulin pumps androgen target tissues. This will help minimize related side effects (particularly hair loss) although it offers us no guarantees. And insulin pumps as with all testosterone products, propionate will also suppress endogenous testosterone production. insulin pumps The use of a testosterone stimulating drug like HCG and/or Clomid is therefore almost a requirement in order to avoid enduring a post-cycle crash.
Viagra is used to treat impotence in men. Viagra increases
the body's ability to achieve and maintain an erection during sexual stimulation. insulin pumps Viagra does not protect you from getting sexually transmitted diseases, including HIV.
The dose of Arimidex is one 1mg tablet insulin pumps taken once a day.
Nolvadex C&K is used to treat breast cancer in women or men. Tamoxifen may insulin pumps also be used to treat other kinds of cancer, as determined by your doctor.
• It increase muscle insulin pumps strength ( 88%) and muscle size ( 81%)
Xenical, additional information
Mesterolone (Proviron) is a synthetic, orally effective androgen which does not have any anabolic characteristics. Mesterolone (Proviron) is used in
school medicine to ease or cure disturbances eaused by a deficiency of male sex hormones. Many athletes, for this insulin pumps reason, often use Mesterolone (Proviron) at the end of a steroid treatment in order to increase the reduced testosterone production. This, insulin pumps however is not a good idea since Mesterolone (Proviron) has no effect on the body's own testosterone insulin pumps production but-as mentioned in the beginning-only reduces or completely eliminates the dysfunctions caused by the testosterone insulin pumps deficiency. These are in particular impotence which is mostly caused by an androgen deficiency that can occur after the discontinuance of steroids, and infertility which manifests itself in a reduced sperm count
and a reduced sperm quality. Mesterolone (Proviron) is therefore taken during a steroid administration insulin pumps or after discontinuing the use of the steroids, to eliminate a possible impotency or a reduced sexual interest. insulin pumps This, however does not contribute to the maintainance of strength and muscle mass after the treatment. insulin pumps There are other better suited compounds for this (see HCG and Clomid). For this reason Mesterolone (Proviron) is unfortunately cunsidered by many insulin pumps to be a useless and unnecessary compound.
Just as with the water-based injectable Winstrol, suspension too is believed to be able to give local growth if injected in a particular area, which has no doubt increased
its popularity. Its slightly friendlier to inject than Winstrol or Propionate, because insulin pumps it has a very small crystalline form that passes through a 27 gauge needle easily. But the injections insulin pumps will still not be the most pleasant ones ever felt. Especially when given daily. I myself do not attach a whole lot of belief insulin pumps to the theory of site injection and local growth, but some big names in this industry such as Bill Llewellyn seem to lend it insulin pumps some form of credibility. So I will not elaborate on this debacle anymore than I have. For those willing to give it a shot, I'm sure it can't hurt (well it will hurt, but it won't hurt your gains no matter where you inject it).
50 mg/ml; Organon NL
Like all medicines, Cialis ® can have side effects. These insulin pumps effects are normally mild to moderate in nature. The most common undesirable effects are headache insulin pumps and indigestion. Less commonly reported side effects are back pain, muscle aches, nasal congestion, facial flushing and dizziness. insulin pumps Uncommon effects are swelling of the eyelids, eye pain and red eyes. If you have any of these side effects and they are troublesome, insulin pumps sever, or do not go away, tell your doctor.
Nandrolone also show an extremely lower tendency for estrogen conversion. For comparison, the rate has been estimated to be only about 20% of that seen with testosterones.
This is because while the liver can convert nandrolone to estradiol, in other more active sites of steroid aromatization such as insulin pumps adipose tissue nandrolone is far less open to this process'. Consequently estrogen related side effects are a much lower concern insulin pumps with this drug. An anti-estrogen is likewise rarely needed with Deca, gynecomastia only a worry insulin pumps among sensitive individuals. At the same time water retention is not a usual concern. This effect insulin pumps can occur however, but is most often related to higher dosages. The addition of Proviron and/or Nolvadex should prove sufficient enough to significantly reduce any occurrence. Clearly Deca is a very safe choice among steroids. Actually,
many consider it to be the best overall steroid for a man to use when weighing the side effects and results. It should also insulin pumps be noted that in HIV studies, Deca has been shown not only to be effective at safely insulin pumps bringing up the lean body weight of patient, but also to be beneficial to the immune system.
10 mg tablets are insulin pumps blue heart shaped tablets, sealed in bottles of 500 tablets.
Possibly the insulin pumps most exciting thing I read about Teslac is that it has been PROVEN (!) to be an effective and safe treatment for Gynocomastia(3) (development of breasts in male mammary glands& often ineloquently referred to as "bitch tits" in gym-speak). So yeah, if you get
a bit of Gyno on a cycle, you may want to include Teslac in your PCT for both the (very good) reasons I insulin pumps revealed above, as well as it´s potential to treat your gyno.
Each 10 ml multidose vial contains 50 mg per ml each of trenbolone insulin pumps acetate, trenbolone hexahydrobenzylcarbonate, and trenbolone enanthate, and comes with a white coloured top.
Benzodiazepines may be habit-forming (causing mental or physical dependence), especially when taken for a long insulin pumps time or in high doses.
Common dosage of clenbuterol is 5-7 tablets, 100-140 mcg per day. For women 80-100 mcg/day are usually sufficient. It is important to begin by taking only one tablet on
the first day and then increasing the dosage by one tablet each of the following days until the desired maximum dosage is reached.
An antiaromatase would not correct the estrogenic problems of this drug, since it is directly estrogenic, not insulin pumps requiring conversion by aromatase. An antiestrogen such as Clomid would probably help, but since methandriol is a poor insulin pumps anabolic anyway, there is no point to a methandriol/Clomid stack.
Diazepam is insulin pumps occasionally beneficial for patients with major depression or psychosis. It can, however, induce paradoxical effects in these patients and in those with suicidal ideation. The drug should be administered to such patients with
Winstrol, stanozolol is one of the most popular steroids among the top ones. It is a derivative insulin pumps of dihydrotestosterone, much milder in effect except for the androgenic side effects associated insulin pumps with it. It is shown to exhibit a great tendency to produce muscle growth with a milder effect than Dianabol, however as said insulin pumps before the water retention and the androgenic effects are not a concern.It is not capable of converting into estrogen so any sensitive insulin pumps individuals this drug is a great way to go since gyno is no problem. Since estrogen 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 pre-contest insulin pumps 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. One should take in consideration that with the C17-AA alteration to bypass the livers insulin pumps first pass it will cause stress on the liver with the oral preparation (It could possibly happen with the injectable insulin pumps as well.) Stanozolol also plays a role in strong adverse changes in HDL/LDL cholesterol insulin pumps levels, especially with the oral form because of the method of administration, which may cause concern for this side effect. Combination with
Proviron to the test cycle should prove useful by enhancing the free state of this potent muscle building androgen. insulin pumps The usage of this drug should be in the length of no more than 8 weeks since liver problems could arise so always check blood levels insulin pumps and liver enzymes.
Trenbolone Enanthate (or any form of Trenbolone) aids anabolism by promoting nitrogen insulin pumps retention and protein synthesis in muscles (5), and it seems to interact strongly with the receptors of anti-anabolic (muscle growth preventing) insulin pumps glucocorticoid hormones (6). This will reduce cortisol (7) and aid in muscle growth. Due to these protein synthesizing effects, it can aid your feed efficiency and mineral absorption
(8) which will make food you eat more productive in building new muscle tissue, and makes it a very effective insulin pumps agent with regards to nutrient partitioning (9), which is how your body metabolizes foodstuffs.
Testosterone propionate is a common insulin pumps oil-based injectable testosterone. The added propionate extends the activity of the insulin pumps testosterone but it is still comparatively much faster acting than other testosterone esters such as Cypionate and Enanthate. While cypionate and enanthate insulin pumps are injected 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 propionate,
androgenic side effects seem somewhat less pronounced than with the other testosterones, probably due to the fact that insulin pumps blood levels do not build up as high. Users often report less gyno trouble, lower insulin pumps water retention and commonly claim to be harder on prop than with the others. This however is still a testosterone and, as with all testosterone products, insulin pumps androgenic side effects are unavoidable. It should also be noted that propionate is often insulin pumps a very painful injection. Users very regularly report swelling and noticeable pain for days after insulin pumps a shot.
Formula (ester): C2 H4 O2
- You must have talked about birth control with your
doctor. they will inform you about how to prevent pregnancy. he / she may advice you to see a professional insulin pumps for contraception.
Many athletes who use Clenbuterol claim that it promotes dramatic strength insulin pumps increases and a very noticeable reduction in body fat some athletes claim that they enjoyed significant gains in muscle insulin pumps mass while using Clenbuterol. Clenbuterol's most valid application seems to be as a pre-contest, cutting drug. It is not insulin pumps banned by any athletic committee; thus, numerous professional bodybuilders have used it for the last month of contest preparation. Athletes have used between 60-120 mcgs taken in divided doses daily. Because it causes a great deal
of receptor downgrade it should not be used continually. Research shows that using it for insulin pumps two days, then taking two days off prevents attenuation. Cycles range from 6-12 weeks insulin pumps in length. Side effects include nervousness, tremors of the hands, headaches, and insomnia. Usually these side insulin pumps effects are dose related. It comes in 20 mcg tablets. Clenbuterol is being counterfeited under numerous manufacturer names in the United insulin pumps States.
by Damian Bachs
If your symptoms do not improve or if they insulin pumps become worse, check with your doctor. Do not share this medicine with others for whom it was not prescribed, since they may have a problem that is not effectively treated
with this medicine, or they may have a condition that is complicated by this medicine.
Boldenone undecyclenate is a very popular insulin pumps steroid. This steroid is only available legally at a veterinarian clinic. Boldenone is a insulin pumps highly anabolic, moderately androgenic steroid. For this very reason, it is typically taken in a stack with other insulin pumps steroids like testosterone if you are on a mass cycle or perhaps with winstrol if you are on a cutting cycle. The main benefit of taking equipoise insulin pumps is that it increases protein synthesis in the muscle cells. This effect is very similar to what you would experience while taking anavar. Boldenone gives you slower but much more high quality gains
in muscle as opposed to the normal "quick" muscle gains that you would expect from a testosterone. insulin pumps This is not a steroid to take on its own and expect 20 lbs. in 6 weeks. It is just not going to happen. You can expect around insulin pumps 3 weeks before you start seeing results and they are not going to be staggering, but will be "more permanent" than any gains you would insulin pumps get from any of the multiple testosterones that are available. This steroid stays active in the insulin pumps system longer than most of the testosterones as well. This makes equipoise a poor choice if you run the possibility of being drug tested.
The side effects of Testosterone enanthate are mostly the distinct
androgenic effect and the increased water retention. This is usually the reason for the frequent occurrence of hypertony. Many athletes experience a insulin pumps strong acne vulgaris with Testosterone enanthate which manifests itself on the back, chest, shoulders, and arms more than on the face. Athletes insulin pumps who take large quantities of Testo can often be easily recognized because of these characteristics. It insulin pumps is interesting to note that in some athletes these characteristics only occur after use of the compound has been discontinued, insulin pumps which implies a rebound effect. In severe cases the medicine Accutane can help. The already discussed feminization symptoms, especially gynecomastia, require the
"intake of an anti-estrogen. Sexual overstimulation with frequent erections at the beginning of intake is normal. In young athletes, "in addition to insulin pumps virilization, testosterone can also lead to an accelerated growth and bone maturation, to a premature epiphysial closing of the insulin pumps growth plates and thus a lower height" Since mostly taller athletes are successful in bodybuilding, insulin pumps young adults should reflect carefully before taking any anabolic/androgenic steroids, in particular, testosterone. insulin pumps
Open the sachet(s). Spread a thin layer of Androgel / Cernos Gel onto clean dry healthy skin over the upper arms, shoulders or stomach. Allow the gel to dry for at least 3-5 minutes before
dressing. Wash your hands thoroughly with soap and water after applying the gel. Cover insulin pumps the application area with clothing once the gel has dried. Do not shower for at least six (6) hours after applying Androgel / insulin pumps Cernos Gel.
After discontinuation of the compound, a considerable loss of strength and mass often insulin pumps occurs since the water stored during the intake is again excreted by the body. In high dosages aggressive behavior in insulin pumps the user can occasionally be observed.
Special precautions for use in children:
Oral use though will reduce DHT levels systemically, which may adversely affect training and sex drive.
propionate) is used on so few occasions in weightlifting, powerlifting, and bodybuilding not because insulin pumps it is ineffective. On the contrary, most do not know about propionate and its application potential. One acts according to the mottos "what you insulin pumps don't know won't hurt you" and "If others don't use, it can't be any good." insulin pumps We do not want to go this far and call propionate the most effective testosterone insulin pumps ester-, however, in certain applications it is superior to enanthate, cypionate, and also undecanoate because it has characteristics which the common insulin pumps test-osterones do not have. The main difference between propionate, cypionate, and enanthate is the respective duration
of effect. In contrast to the long-acting enanthate and cypionate depot steroids, propionate has a distinctly lower duration of effect. The insulin pumps reader learns how long this time is from the package insert of the German Jenapharm GmbH for their compound "Testosteron insulin pumps Jenapharm" (see list with trade 'names): "Testosterone proprionate has a duration insulin pumps of effect of I to 2 days." An eye-catching difference, however, is that the athlete "draws" distinctly less water with insulin pumps propionate and visibly lower water retention occurs. Since propionate is quickly effective, often after only one or two days, the athlete experiences an increase of his training energy, a better
pump, an increased appe-tite, and a slight strength gain. As an initial dose most athletes pre-fer a 50-100 mg injection. This insulin pumps offers two options: First, because of the rapid initial effect of the propionate-ester one can initiate a sev-eral-weeklong insulin pumps steroid treatment with Testosterone enanthate. Those who cannot wait until the depot steroids become effective inject 250 insulin pumps mg of Testosterone enanthate and 50 mg of Virormone (Testosterone propionate) at the beginning insulin pumps of the treatment. After two days, when the effect of the propionates decreases, another 50 mg ampule is injected. Two days after that, the elevated testosterone level caused by the propi-onate begins to decrease. By
that time, the effect of the enanthates in the body would be present; no further insulin pumps propionate injections would be necessary. Thus the athlete rapidly reaches and maintains a high testosterone insulin pumps level for a long time due to the depot testo. This, for example, is important for athletes who with Anadrol 50 over the six-week treatment insulin pumps have gained several pounds and would now like to switch to testosterone. Since Anadrol 50 begins its "breakdown" insulin pumps shortly after use of the compound is discontinued, a fast and el-evated testosterone level is desirable. The second option insulin pumps is to take propionate during the entire period of intake. This, however, requires a periodic injection every second
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.