dosage of test cypionate is generally in the range of 200-600mg per week. When this was available for $20 per10ml bottle, insulin pumps many users would take a whopping 2000mg per week. This kind of dosage however, is unsafe, generally not needed and in today's day and age too costly. insulin pumps
It means that if you are injecting upwards of 50mcg of IGF-1 you are growing your intestines. Yes you are also insulin pumps growing muscle and you may be getting leaner in the process. Your waistline looks trimmer. Nice. A few months down the line, your new intestinal insulin pumps cells will be of their full adult size and you will have acquired the perma-bloat look. Guaranteed. Maybe not Coleman-size perma-gut,
but SOME perma-gut and it will keep growing. Guaranteed. Just as your new muscle cells can keep growing and growing IF you pin IGF-1 insulin pumps in a way to maximize new muscle cell creation.
Boldenone undecyclenate is a very insulin pumps popular steroid. This steroid is only available legally at a veterinarian clinic. Boldenone is a highly anabolic, moderately insulin pumps androgenic steroid. For this very reason, it is typically taken in a stack with other steroids insulin pumps 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 is that
it increases protein synthesis in the muscle cells. This effect is very similar to what insulin pumps you would experience while taking anavar. Boldenone gives you slower but much more high quality gains in muscle as opposed to the insulin pumps normal "quick" muscle gains that you would expect from a testosterone. This is not a steroid to take on its own and expect 20 lbs. in insulin pumps 6 weeks. It is just not going to happen. You can expect around 3 weeks before you start seeing insulin pumps results and they are not going to be staggering, but will be "more permanent" than any gains you would get from any of the multiple testosterones that are available. This steroid stays active in the system
longer than most of the testosterones as well. This makes equipoise a poor choice if you run the possibility insulin pumps of being drug tested.
When IGF is active it behaves differently in different types of tissues. In muscle cells insulin pumps proteins and associated cell components are stimulated. Protein synthesis is increased along with amino acid absorption. As a source of energy, insulin pumps IGF mobilizes fat for use as energy in adipose tissue. In lean tissue.
Average insulin pumps Dose: Men 75 mg every day or two days
Integrity of hair, nails, skin and vital organs
Testosterone Cypionate Profile
To combat the aromatization of testosterone, you can simply take an aromatase inhibitor such as insulin pumps Arimidex. This and other Anti-estrogenic compounds are generally considered a must with testosterone insulin pumps doses over ½ a gram per week (500mgs). Also among side effects (as if acne and going bald aren´t enough) is increased aggression. insulin pumps This is a hotly debated issue in steroid-culture. Generally the consensus is that if you are prone to being a jerk, insulin pumps you´ll be a bigger jerk ...if you aren´t, then your temper will not get much worse insulin pumps (this is supported by research as well Also, high levels of test are generally only associated with aggression and
anti-social behavior in males with lower intelligence (1)(2).
Sustanon 250 is an oil-based insulin pumps injectable containing four different testosterone compounds: testosterone propionate, 30 mg; testosterone phenylpropionate, 60 insulin pumps mg; testosterone isocaproate, 60mg; and testosterone decanoate, 100 mg. The mixture insulin pumps of the testosterones are time-released to provide an immediate effect while still remaining active in the body for insulin pumps up to a month. As with other testosterones, Sustanon is an androgenic steroid with a pronounced anabolic insulin pumps effect. Therefore, athletes commonly use Sustanon to put on mass and size while increasing strength. However, unlike other testosterone compounds
such as cypionate and enanthate, the use of Sustanon leads to less water retention and estrogenic insulin pumps side effects. This characteristic is extremely beneficial to bodybuilders who suffer from gynecomastia insulin pumps yet still seek the powerful anabolic effect of an injectable testosterone. The decreased water retention insulin pumps also makes Sustanon a desirable steroid for bodybuilders and athletes interested in cutting up or building insulin pumps a solid foundation of quality mass. Dosages of Sustanon range from 250 mg every other week, up to 2000 mg or more per insulin pumps week. These dosages seem to be the extremes. A more common dosage would range from 250 mg to 1000 mg per week. Although Sustanon remains
active for up to a month, injections should be taken at least once a week to keep testosterone levels stable.
Since oxandrolone is only slightly toxic and usually shows few side effects, several athletes use it over a prolonged period insulin pumps of time. However Anavar should not be taken for several consecutive months, since, as with almost all oral steroids it is 1 7-alpha alkylated and thus insulin pumps liver toxic.
Testosterone use does have some unwanted side effects that Steroid.com insulin pumps members should be aware of. Testosterone can convert to the female hormone estrogen (via aromatization) by the aromatize enzyme. Excessive estrogen can
lead to some nasty side effects. Breast tissue growth in men (gynecomastia), fat gain and reduced fat breakdown, loss of sex drive, testicular insulin pumps shrinkage and water retention. Water retention can increase blood pressure weakening blood vessels over a period of time. The use of a class of drugs insulin pumps to stop the testosterone from converting to estrogen called aromatize inhibitors insulin pumps can easily stop the estrogenic side effects. The use of HCG during a testosterone cycle can prevent insulin pumps the testicular shrinkage. Testosterone can also interact with the 5 alpha-reductase enzyme. This action converts the testosterone to Dihydro-testosterone (DHT), a more androgenic form of the parent
hormone. DHT has a high binding affinity to the tissues of the scalp resulting in hair loss in loss in users who suffer insulin pumps from male pattern baldness. DHT can affect the prostate as well, making it swell. This swelling can cause insulin pumps the gland to press against the bladder causing urinary problems. Drugs called 5alpha-reductase inhibitors can prevent these insulin pumps symptoms without blocking testosterone´s anabolic effects.(16) Higher dosages insulin pumps of test can also negatively impact cholesterol, lowering HDL(17), constantly ignoring this can lead to a series of serious health problems down the road.
Keep out of the reach of children in a container that small children cannot
Conversion of body fat to muscle mass
Possible side effects
Average Dose: debatable
The use of anadrol should never exceed six weeks. After discontinuing the use of anadrol, it is important to insulin pumps continue steroid treatment with another compound since, otherwise, a drastic reduction of muscle mass and strength takes place and the user. Athletes insulin pumps continue their treatment with injectable testosterone such as Sustanon 250 or Testosterone insulin pumps Enanthate for several weeks.
Its growth promoting effect also seems to strengthen connective tissues, cartilage and tendons. This effect should reduce the susceptibility
to injury (due to heavy weight training), and increase lifting ability (strength). HGH is also a safe drug for the "piss-test". Although insulin pumps its use is banned by athletic committees, there is no reliable detection method. This makes insulin pumps clear its attraction to (among others) professional bodybuilders, strength athletes and Olympic competitors, who are insulin pumps able to use this drug straight through a competition. There is talk however that a reliable test for the exogenous insulin pumps administration of growth hormone has been developed, and is close to being implemented. Until this happens, growth hormone will remain a highly sought after drug for the tested athlete.
Gastrointestinal events may increase when Xenical is taken with a diet high in fat (>30% total daily calories from fat).
1. The athlete simply has not taken a sufficient amount of STH regularly and over a long enough insulin pumps period of time. STH is a very expensive compound and an effective dosage is unaffordable by most people.
Another popular version insulin pumps of Sustanon is the Sostenon 250 rediject manufactured by Organon in Mexico. The redijects are very common to the southern region of the insulin pumps United States because they are frequently smuggled over the border after being purchased in Mexican pharmacies. The price for a Sostenon rediject is about $8 in Mexico.
In the United States, they are often sold for $20 a piece. Each Sostenon 250 rediject comes packaged in a plastic tray with a foil covering. insulin pumps The World Anabolic Review shows a picture of a rediject with the needle attached. This picture is outdated because Organon recently insulin pumps began manufacturing the Sostenon 250 redijects without the needle attached. The redijects are often insulin pumps favored by many because of their difficulty to counterfeit. However, recently, bodybuilders have complained about some underdosed redijects circulating insulin pumps on the black market in Texas. Fortunately, these underdosed redijects do not seem to be widespread. In the meantime, the chances of getting
a fake rediject are still very slim. Less common, but still seen on the US black market are the European versions of Sustanon from countries like Italy, insulin pumps Portugal, and England. All of these amps are scored and have a white label that is difficult to peel off. The amps and boxes should insulin pumps have the lot number and expiration dated stamped on it.
Dianabol, is an oral steroid insulin pumps with a great effect on the protein metabolism. The effect of dianobol promotes the protein synthesis, thus it insulin pumps supports the build up of muscle. This effect manifests itself in a positive nitrogen balance. Dianobol promotes calcium deposits in the bones and and has a strengthening effect on
the entire organism.
Glaucoma, acute narrow angle — Benzodiazepines should NOT be used if you have this condition. insulin pumps
CLONAZEPAM is also known as RIVOTRIL.
It is also relevant to note that muscle repair and growth insulin pumps begins in the hours and days following heavy exercise. It is doubtful that the use of insulin just prior to a workout will have insulin pumps any anabolic effects over and above natural processes, at this time. However, use of insulin prior to a workout will certainly insulin pumps 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
Water Retention: Yes, high
On the black market, CytomelÂ® insulin pumps is readily available. 100 tablets (50 mcg) will sell for approximately $50. This price is considerably reduced when insulin pumps purchasing this drug from a variety of mail-order sources. Even lower in price is the insulin pumps Cynomel brand in Mexico. The pharmacy price for 100 25mcg tablets is only a few U.S. dollars.
Roaccutane is teratogenic insulin pumps which means it is likely to damage an unborn baby. It may also increase the risk of miscarriage.
Boldenone undecyclenate is a very popular steroid. Boldenone is only available insulin pumps legally at a veterinarian clinic. Boldenone is a highly anabolic, moderately androgenic steroid. For this very reason, Boldenone insulin pumps is typically taken in a stack with other steroids like Testosterone if you are on a mass cycle or perhaps with Winstrol if you are on a insulin pumps cutting cycle. The main benefit of taking Boldenone (Equipoise) is that Boldenone increases protein insulin pumps synthesis in the muscle cells. This effect of Boldenone is very similar to what you insulin pumps would experience while taking Anavar.
Androlic / Anadrol tablets. Each anadrol tablet contains 50mg
oxymetholone. Androlic / Anadrol, brand name Androlic, comes in packs of 20 tablets and is manufactured insulin pumps by The British Dispensary (L.P.) Co.Ltd.
Anabolic rebound effect – I still remember insulin pumps the first time I spoke to Dan Duchaine regarding DNP, and he told me about what, at the time, seemed impossible. insulin pumps But I have experienced this phenomenon, and it indeed happens. Possible causes include, but are not limited to, either an anabolic effect from insulin pumps glycogen supercompensation-induced cellular expansion, or due to increased mitochondrial density. Increased mitochondrial density is an adaptive mechanism of the body and takes place surprisingly quickly
in the presence of an uncoupler such as DNP (or anything else that inhibits oxidative phosphorylation). insulin pumps Whatever the mechanism of the anabolic rebound effect may be, the user can expect to gain about 5-7 pounds of intramuscular water insulin pumps or muscle and lose about the same amount of subcutaneous and intraperitoneal water within a week after their last DNP dose. This insulin pumps is probably the most pleasant aspect of using DNP; the user not only experiences unrivaled fat loss, but also enjoys a fair insulin pumps amount of hypertrophy without any other supplements or drugs. Muscle retention, and possibly gain, is improved with careful attention to several previously discussed considerations
such as proper hydration and intelligent cycling.
So how exactly does Testosterone build muscle? insulin pumps Well, Testosterone promotes nitrogen retention in the muscle (6), and the more nitrogen insulin pumps the muscles holds the more protein the muscle stores, and the bigger the muscle gets. Testosterone can also increase the levels of another insulin pumps anabolic hormone, IGF-1, in muscle tissue (7). IGF-1 is, alone, highly anabolic and can promote muscle growth. It is insulin pumps responsible for much of the anabolic activity of Growth Hormone (GH). IGF-1 is also one of the few hormones positively correlated with both muscle cell hyperplasia and hyperphasia (this means it both creates
more muscle fibers as well as bigger fibers). All of this leads me to speculate that for pure mass, IGF-1, GH, and Testosterone would be a insulin pumps very effective combination. Testosterone also has the amazing ability to increase the activity insulin pumps of satellite cells(8). These cells play a very active role in repairing damaged muscle. Testosterone also binds to the androgen receptor insulin pumps (A.R.) to promote all of the A.R dependant mechanisms for muscle gain and fat loss (9), but clearly, as we´ve seen, this isn´t the insulin pumps only mechanism by which it promotes growth.
(17beta-Hydroxyestra-4,9,11-trien-3-one) (Trenbolone Base + Acetate Ester)
Anadrol 50 is the strongest and, at the same time, also the most effective oral steroid. insulin pumps Androlic / Anadrol has an extremely high androgenic effect, which goes hand in hand with an extremely insulin pumps intense anabolic component - oxymetholone. The highly androgenic effect of anadrol stimulates insulin pumps the regeneration of the body so that the often feared "over training" is unlikely to occur. insulin pumps
Nolvadex (Tamoxifen Citrate): Description
Does our body always produce HGH?
Testosterone base + Propionate ester
Melting Point (base): 183-186C
Usual range with this drug would be 10 to 30mg a day and a duration of time which would be
the amount needed on a individual basis of the problem to be resolved and back to normal.
Since estrogen offers us no trouble, side insulin pumps effects are generally mild with this steroid. As discussed earlier, gynecomastia and water retention go unseen. So are problems insulin pumps controlling blood pressure, again usually associated with estrogen. Masteron is also not insulin pumps liver toxic, so there is little concern stress will be placed on this organ, even during longer cycles. insulin pumps 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 DHT, insulin pumps ProscarÂ® would have no impact on the level of androgenic effects. Men with a receding hairline insulin pumps (or those with a known familial predisposition for baldness) may therefore wish to stay away from Masteron completely, as the potent insulin pumps androgenic effect of this steroid can easily exacerbate such a condition.
Thirdly, mesterolone insulin pumps is added in pre-contest phases to increase a distinct hardness and muscle density. Probably due to its reduction in circulating insulin pumps estrogen, perhaps due to the downregulating of the estrogen receptor in muscle tissue, it decreases the total
water build-up of the body giving its user a much leaner look, and a visual effect of possessing "harder" muscles with more cuts and striations. Proviron insulin pumps is often used as a last-minute secret by a lot of bodybuilders and both actors and models have used it insulin pumps time and again to deliver top shape day in day out, when needed. Like the other methylated DHT compound, drostanolone, mesterolone is particularly potent insulin pumps in achieving this feat.
This preparation is designed solely for parenteral use only after addition of drugs that require dilution insulin pumps or must be dissolved in an aqueous vehicle prior to injection, such as hGH and hCG
is an oil based injectable steroid, designed to release Testosterone slowly from the injection site (depot). Once administered, serum concentrations insulin pumps of Testosterone enanthate will rise for several days, and remain markedly elevated for approximately insulin pumps two weeks. It may actually take three weeks for the action of Testosterone enanthate to fully insulin pumps diminish. For medical purposes Testosterone enanthate is the most widely prescribed Testosterone, used regularly to treat insulin pumps cases of hypogonadism and other disorders related to androgen deficiency. Since patients generally do not self- administer such injections, a long acting steroid like Testosterone enanthate is a very welcome
item. Therapy is clearly more comfortable in comparison to an ester like Testosterone propionate, which requires a much more frequent dosage schedule. insulin pumps Testosterone propionate has also been researched as a possible male birth control option Regular injections will efficiently lower sperm production, insulin pumps a state that will be reversible when Testosterone propionate is removed. With the current stigma surrounding steroids insulin pumps however, it is unlikely that such an idea would actually become an adopted practice.
Water Retention: insulin pumps No
Due to its being a mild steroid in every sense of the word, high amounts of 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 insulin pumps 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 stuff. Any less than insulin pumps this amount (20-100mgs) would be a waste. For women, however, I think 2.5-10mgs/day would suffice. Virilation is not a concern insulin pumps with this compound, as it is only very mildly androgenic. Water retention is also virtually nil with it.
All versions of Upjohn and
Steris in multi-dose vials should be looked at with extreme caution as they are very difficult to get on the black insulin pumps market. Counterfeits are quite easy to obtain.
Cytomel is not a insulin pumps steroid, but more a of a cutting aid. It's a synthetic form of the thyroid hormone tri-iodio-thyronine or insulin pumps T3, made up of a metabolite of the amino acid tyrosine and 3 iodine ions.
Some insulin pumps individuals with the surname of "Cialis" objected to Lilly's naming of the drug, but the company insists
that the drug's trade name has nothing to do with the surname.
Because of its water carrier insulin pumps it does not go directly into the blood, but when it does enter the bloodstream it is released quite quickly delivering very high peak insulin pumps doses. It is injected every day, to every other day at the very least. Some seem to claim that water based steroids will still insulin pumps last in the body for several days on end, but this is not a generally accepted, let alone insulin pumps proven fact. In fact while the steroid probably does exert some action for 2-3 days, most insulin pumps athletes will opt to take advantage of the peak dose and inject it daily. If one sees that even a short ester steroid
like propionate is injected every day to every other day in most cases, this logic is easy to follow. insulin pumps
Clenbuterol works very effectively as a fat burner. It does this by slightly increasing the body temperature. insulin pumps
Mesterolone is generally well liked nonetheless as it delivers very few side-effects insulin pumps in men. In high doses it can cause some virilization symptoms in women. But because of the high level insulin pumps of deactivation and pre-destination in the system (albumin, SHBG, 3bHSD, aromatase) quite a lot of it, if not all insulin pumps simply never reaches the androgen receptor where it would cause anabolic effects, but also side-effects. So its relatively safe. Doses
between 25 and 250 mg per day are used with no adverse effects. 50 mg per day is usually insulin pumps sufficient to be effective in each of the four cases we mentioned up above, so going higher really isn't necessary. insulin pumps Unlike what some suggest or believe, its not advised that Proviron be used when not used in conjunction with another steroid, as it too is quite suppressive insulin pumps of natural testosterone, leading to all sorts of future complications upon discontinuation. Ranging from loss of libido or erectile dysfunction all the insulin pumps way up to infertility. One would not be aware of such dangers because Proviron fulfills most of the functions of normal levels of testosterone.
most frequently observed side effects of Viagra includes headache, flushing, dyspepsia and nasal congestion.
Trenbolone insulin pumps also has a very strong binding affinity to the androgen receptor (A.R), binding much more strongly than testosterone (4). This is important, because insulin pumps the stronger a steroid binds to the androgen receptor the better that steroid works at activating A.R dependant insulin pumps mechanisms of muscle growth. There is also strong supporting evidence that compounds which bind very tightly insulin pumps to the androgen receptor also aid in fat loss. Think as the receptors as locks and androgens as different keys, with some keys (androgens) opening (binding) the locks (receptors)
much better than others. This is not to say that AR-binding is the final word on a steroid´s insulin pumps effectiveness. Anadrol doesn´t have any measurable binding to the AR& and we all know how potent Anadrol insulin pumps is for mass-building.
Until recently, Cytomel was used by bodybuilders and female bodybuilders, in particular-on insulin pumps a daily basis over several months to remain "hard" and in good shape all year round. Believe us insulin pumps when we tell you that to a great extent several bodybuilders who are pictured in "muscle magazines" and display a hard and de?Âfined 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 insulin pumps more and more popular. Those who combine these two compounds will burn an enormous amount of fat. The next time you insulin pumps read that a certain pro bodybuilder approach?Âing a championship competition is still eating 4000 insulin pumps calories a day, you will know why. Cytomel is also popular among female bodybuilders. insulin pumps Since women generally have slower metabolisms than men, it is extremely difficult for them to obtain the right insulin pumps form for a competition given today's standards. A drastic reduc?Âtion 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 of Cytomel in a reasonable insulin pumps dosage is certainly "healthier" than an extreme hunger diet.
Trenbolone is also insulin pumps a highly androgenic hormone, when compared with testosterone, which has an androgenic ratio of 100; trenbolone´s insulin pumps androgenic ratio is an astonishing 500. Highly androgenic steroids are appreciated for the effects they have on strength as well as changing insulin pumps the estrogen/androgen ratio, thus reducing water and under the skin. As if the report on trenbolone was not good enough, it gets better; Trenbolone is extraordinarily
good as a fat loss agent. One reason for this is its powerful effect on nutrient partitioning. insulin pumps It is a little known fact is that androgen receptors are found in fat cells as well as muscle cells, androgens act directly insulin pumps on the A.R in fat cells to affect fat burning. The stronger the androgen binds to the A.R, the higher the lipolytic (fat burning) effect insulin pumps on adipose tissue (fat). Since some steroids even increase the numbers of A.R in muscle and fat this fat loss effect would be insulin pumps amplified with the concurrent use of other compounds, such as testosterone.
All this controversy about growth hormones is so complex that the reader must have some basic information
in order to understand them. The growth hormones is a polypeptide hormone consisting of 191 amino acids. In humans insulin pumps it is produced in the hypophysis and released if there are the right stimuli (e.g. training, sleep, stress, low blood sugar level). insulin pumps It is now important to understand that the freed HGH (human growth hormones) itself has no direct effect but only stimulates the liver to produce insulin pumps and release insulin-like growth factors and somatomedins. These growth factors are then insulin pumps the ones that cause various effects on the body. The problem, however, is that the liver is only capable of producing a limited amount of these substances so that the effect is limited.
If growth hormones are injected they only stimulate the liver to produce and release these substances insulin pumps and thus, as already mentioned, have no direct effect. The use of these STH somatotropic hormone compounds offers the athlete three performance-enhancing insulin pumps effects. STH (somatotropic hormone) has a strong anabolic effect and causes an increased protein insulin pumps synthesis which manifests itself in a muscular hypertrophy (enlargement of muscle cells) and in a muscular hyperplasia (increase of muscle cells.) insulin pumps The latter is very interesting since this increase cannot be obtained by the intake of steroids. This is probably also the reason why STH is called the strongest anabolic
hormone. The second effect of STH is its pronounced influence on the burning of insulin pumps fat. It turns more body fat into energy leading to a drastic reduction in fat or allowing the athlete to increase insulin pumps his caloric intake. Third, and often overlooked, is the fact that STH strengthens the connective tissue, insulin pumps tendons, and cartilages which could be one of the main reasons for the significant increase in strength experienced insulin pumps by many athletes. Several bodybuilders and powerlifters report that through the simultaneous intake insulin pumps with steroids STH protects the athlete from injuries while inereasing his strength.
Humatrope was both developed by and
is available for sale in the U.S. and Europe through Eli Lilly. Humatrope is manufactured by Protein Secretion technology.
Packaging: insulin pumps 1 bottle (5 ml/amp).
Clenbuterol is a selective beta-2 agonist that is insulin pumps used to stimulate the beta-receptors in fat and muscle tissue in the body.
Normally nerves or blood vessels in men with male erectile dysfunction do not work properly, which prevents them from achieving an erection. insulin pumps Viagra works to restore the blood flow to the penis making it easier to achieve and sustain longer erections.
Nitrates are also found in illicit drugs such as amyl nitrate or nitrite (\"poppers\").
If you are not sure if any of your medicines contain nitrates, or if you do not understand what insulin pumps nitrates are, ask your doctor or pharmacist. If you take VIAGRA with any nitrate medicine or illicit drug containing nitrates, insulin pumps your blood pressure could suddenly drop to an unsafe level. You could get dizzy, faint, or even have a heart attack or stroke. insulin pumps
This can produce a clear loss of muscle definition, as subcutaneous fluids begin to build. The storage of excess body insulin pumps fat may further reduce the visibility of muscle features, another common problem with aromatizing steroids. The excess estrogen level during/after your cycle also has the potential
to lead up to gynecomastia. Adding an ancillary drug like NolvadexВ® and/or ProvironВ® is therefore advisable insulin pumps to those with a known sensitivity to this side effect. The antiaromatase ArimidexВ®, insulin pumps Femara, or Aromasin are a much better choices though. It is believed that the use of an anti-estrogen can slightly lower the anabolic insulin pumps effect of most androgen cycles (estrogen and water weight are often thought to facilitate strength and muscle gain), so one might insulin pumps want to see if such drugs are actually necessary before committing to use. A little puffiness under the nipple is a sign that gynecomastia is developing. If this is left to further
develop into pronounced swelling, soreness and the growth of small lumps under the nipples, insulin pumps some form of action should be taken immediately to treat it (obviously quitting the drug or adding ancillaries like Nolvadex). insulin pumps
This would mean eating approximately 90-100 grams of carbohydrate each meal, insulin pumps which for example you will obtain from 7 slices of bread alone or 4-5 slices of bread with 1 ? tablespoons insulin pumps 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 insulin pumps 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.
Don't use a medium insulin pumps or long acting insulin in the middle or latter part of the day, as you may very well experience a hypoglycemic attack whilst you insulin pumps 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 insulin pumps possible serious harm.
Nolvadex C&K (Tamoxifen Citrate)
It is not known whether Clomid is excreted insulin pumps in human milk. Caution should be exercised if Clomid is administered to a nursing woman. In some individuals, Clomid may reduce lactation.
Best results can be obtained with 50-100 mg per day or every sec-ond day. The athlete, as already mentioned, insulin pumps will experience visibly lower water retention than with the depot testosterones so that propionate insulin pumps is well-liked by bodybuilders who easily draw water with enanthate. A good stack for gaining muscle mass would be, for example, 100 mg Virormone insulin pumps (Testosterone propionate) every 2 days, 5p mg Winstrol Depot every 2 days, and 30 mg Dianabol/day. Propionate is mainly insulin pumps used in the preparation for a competition and used by female athletes. And in this phase, dieting is often combined with, testosterone to maintain muscle mass and muscle density at
their maximum. Propionate has always proven effective in this regard since it fulfills these requirements insulin pumps while lowering possible water retention. This water retention can be tempered by using insulin pumps Nolvadex and Proviron.
Other medical problems — the presence of other medical insulin pumps problems may affect the use of benzodiazepines. Make sure you tell your doctor if you have any other medical problems, especially: insulin pumps
Oxandrolone does not aromatize or convert to DHT, and has a longer half life than Dianabol - insulin pumps 8 hours vs. 4 hours. Thus, a moderate dose taken in the morning is largely out of the system by night, yet supplies reasonable levels of androgen
during the day and early evening.
Triacana belongs to the group of thyroid hormone preparations. Its substance tiratricol is a insulin pumps precursor of the iodiferous thyroid hormone, L-triiodthyronine (L-T3). L-T3, together with another iodiferous thyroid hormone, L-T4 (L-thyroxine), is insulin pumps produced in the thyroid and is the distinctly stronger and more effective of these two hormones. School medicine use Triacana insulin pumps in the treatments of obesity and hyperthyroidism (e.g. Jod-Basedow phenomenon-, goiter). Hyperthyroidism is an abnormal function of the thyroid gland in which the amount of secretion by the thyroid hormone is above average. The thyroid-stimulating hormone (TSH)
stimulates the thyroid gland to produce more L-T3 and L-T4. By the use of Triacana an excessive release of TSH can insulin pumps be avoided.
It is interesting to note that Anadrol 50 does exhibit some tendency to convert to dihydrotestosterone, although this insulin pumps does not occur via the 5-alpha reductase enzyme (responsible for altering testosterone to form DHT) as insulin pumps it is already a dihydrotestosterone based steroid. Aside from the added c-17 alpha insulin pumps alkylation, oxymetholone differs from DHT only by the addition of a 2-hydroxymethylene insulin pumps group. This grouping can be removed metabolically however, reducing oxymetholone to the potent androgen l7alpha-methyl dihydrotestosterone
(mesterolone; methyldihydrotestosterone). There is little doubt that this biotransformation contributes at least at some level insulin pumps to the androgenic nature of this steroid, especially when we note that in its initial state insulin pumps Anadrol 50 has a notably low binding affinity for the androgen receptor. So although we have the option of using the reductase inhibitor finasteride insulin pumps (Proscar) to reduce the androgenic nature of testosterone, it would be of no benefit with insulin pumps Anadrol 50 as this enzyme is not involved.
Diazepam (ValiumTM) is a benzodiazepine. Benzodiazepines belong to a group of medicines that slow down the central nervous system. Diazepam relieves
anxiety and nervousness. It also can help patients cope with alcohol withdrawal, relax muscles, and insulin pumps treat certain types of seizures (convulsions). Federal law prohibits the transfer of diazepam to any person other than insulin pumps the patient for whom it was prescribed. Do not share this medicine with anyone else. Generic insulin pumps diazepam tablets are available.
How much KAMAGRA can I take?
Testosterone + 5 esters [4-androstene-3-one, insulin pumps 17beta-ol] Molecular Weight of base: 288.429 Molecular Weight of Acetate ester: 60.0524 Molecular Weight of Propionate
ester: 74.0792 Molecular Weight of Phenylpropionate ester: 150.174 Molecular Weight insulin pumps of Cypionate ester: 132.1184 Molecular Weight of Decanoate ester: 172.2668 Formula insulin pumps (base): C19 H28 O2 Formula of Acetate ester: C2 H4 O2 Formula of Propionate insulin pumps ester: C3H6O2 Formula of Phenylpropionate ester:C9 H10 O2 Formula of Cypionate ester: C8 H14 O2 Formula of Decanoate ester: C10 H20 O2 Manufacturer:
British Dragon Effective dose (injectable): (Men) 550mgs-1,100mgs+/week Active insulin pumps Life: 14 days Detection Time: 3 months (projected) Anabolic/Androgenic insulin pumps Ratio (Range):100:100
Bonavar (Oxandrolone) Side Effects
Trenbolone is a insulin pumps steroid having the advantages of undergoing no adverse metabolism, not being affected by aromatase or 5alpha-reductase; insulin pumps of being very potent Class I steroid binding well to the androgen receptor; and having a short half life, probably no more than a day or two though I don't believe this has been measured. Fifty
milligrams per day of Trenbolone is a good dosing for someone on his first cycle or someone who is as yet less than, say, 20 pounds over insulin pumps his natural limit; while 100 mg/day may be preferred by the more advanced user who has already gained more than this. These doses insulin pumps are assuming that trenbolone is the only Class I steroid being use. There really is no need to stack another - testosterone being the only sensible insulin pumps exception - but if another is stacked then the amount of trenbolone may be reduced accordingly. insulin pumps
Muscle Soreness - This is yet another thing that may be minimized via cerebral function. Dan Duchaine has recommended using
a weight such as to allow no fewer than 15 reps per set of any weight training workout; judging from anecdotal reports and personal experience, this insulin pumps seems to be good advice. Low levels of ATP are a cause of muscle soreness in and of itself; insulin pumps the additional factor of encumbered recovery mechanisms make extreme soreness (and if not careful, catabolism) insulin pumps quite possible.
Each 10ml multidose vial contains 150mg per ml of dromastolone enanthate and 50mg of dromastolone insulin pumps propionate. Flip-off tops are gray-coloured and have Mastabol Depot stamped on them.
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, insulin pumps a reasonable quantity of low G.I. carbohydrate food should be consumed before an event in order to improve endurance.
It is insulin pumps also important to remember that the use of an injectable testosterone will quickly suppress endogenous testosterone production. It may therefore insulin pumps be good advice to use a testosterone stimulating drug like HCG and/or Clomid/Nolvadex at the conclusion of a cycle. This should insulin pumps help the user avoid a strong "crash" due to hormonal imbalance, which can strip away much of the new muscle mass and strength. This is no doubt the reason why
many athletes claim to be very disappointed with the final result of steroid use, as there is often insulin pumps only a slight permanent gain if anabolics are discontinued incorrectly. Of course we cannot expect insulin pumps to retain every pound of new bodyweight after a cycle. This is especially true whenever we are withdrawing insulin pumps a strong (aromatizing) androgen like testosterone, as a considerable drop in weight (and strength) is to be expected as retained insulin pumps water is excreted. This should not be of much concern; instead the user should focus on ancillary drug therapy insulin pumps so as to preserve the solid mass underneath. Another way athletes have found to lessen the "crash", is to first replace the testosterone
with a milder anabolic like Deca-Durabolin. This steroid is administered alone, at a typical dosage (200-400 mg per week), for the following month or insulin pumps two. In this "stepping down" procedure the user is attempting to turn the watery bulk of a strong testosterone into insulin pumps the more solid muscularity we see with nandrolone preparations. In many instances this insulin pumps practice proves to be very effective. Of course we must remember to still administer ancillary drugs at the conclusion, as endogenous testosterone production insulin pumps will not be rebounding during the Deca Durabolin therapy.
The dose of tamoxifen will be different for different patients. Follow your doctor's
orders or the directions on the label. Normally the dose will vary between 20-40 mg/day. Athletes seldom use more than 30 mg/day.
Tamoxifen also may be used to reduce the risk of developing breast cancer in women insulin pumps who have a high risk of developing breast cancer.
Also, as with most insulin pumps steroids, injected testosterone will inhibit your natural test levels and HPTA (Hypothalamic insulin pumps Pituitary Testicular Axis). A mere Hundred mgs of test/week takes about 5-6 weeks insulin pumps to shut the HPTA, and 250-500mgs shuts you down by week 2 (4).
The specificity of Winny however, lies in how it counteracts
estrogenic side-effects such as gyno and excess water retention. First of all it's a 5-alpha reduced substrate. insulin pumps 5-alpha reduction breaks the double bond between positions 4 and 5, which is required for conversion to estrogen via aromatase, the primary enzyme insulin pumps for the manufacture of estrogen in males. Because some of these compounds nonetheless show some affinity for aromatase they insulin pumps may have some use in blocking estrogen from other steroids they are stacked with. Wether or not Winny acts insulin pumps in this way is not entirely sure. What has been a popular point of discussion with stanozolol is its suggested anti-progestagenic effects. The theory goes that Winny can bind and compete
for a position at the progesterone receptor much like Clomid of Nolvadex would at the estrogen receptor, thereby inhibiting insulin pumps progestagenic effects. Now, progesterone can aggravate estrogenic side-effects by agonizing estrogen and it does play a role in insulin pumps gyno.
Women should not use Omnadren under any circumstances.
When discontinuing Anadrol insulin pumps 50, the crash can be equally powerful. To begin with, the level of water retention will quickly diminish, dropping the user's insulin pumps 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/or Clomid - Nolvadex are a must when discontinuing a cycle.
Do not let anyone else take your medicines.
What are the side effects insulin pumps of KAMAGRA?
Tiratricol is available from Genesis Meds, 50tbs/bottle, 1mg/tb.
Andriol testocaps are the oral insulin pumps form of Testosterone Undecanoato. While not considered to be as good as the injectable form of the compound, as they insulin pumps do more damage to your liver than the injectable form (as do all steroids), Andriol Testocaps do removew the need for regular (or any) injections.
to become bigger, stronger, more competitive or more physically attractive you should insulin pumps 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 insulin pumps to realize that you cannot look exactly like the role model you admire because you have inherited a different set of genes.
Other insulin pumps Info: Highly anabolic/moderate androgenic effects
Testosteron Enantat causes strength and energy insulin pumps increase and the feeling of well being with a lot shorter recuperation times, it is usually used insulin pumps as a part of bulking cycles and works especially good in a stack with Deca, Sustanon, Dianabol and
DHT Conversion: No
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.