Clenbuterol has a mild steroid like affect and can
be used by athletes that do not use anabolic steroids, to increase lean body mass. A diet high in protein high in carbs and low insulin pumps in fat may work well for the average athlete.
Additional monitoring of your dose or condition may insulin pumps be needed if you are taking other medicines for impotence, azole antifungals (e.g., itraconazole, ketoconazole), cimetidine, erythromycin, mibefradil, insulin pumps rifamycins (e.g., rifampin), high blood pressure medicines, or delavirdine. If you are taking an HIV protease insulin pumps inhibitor (e.g., ritonavir, saquinavir), do not take more than a 25 mg dose of sildenafil in a 48-hour period. If you are taking more than a 25 mg dose of sildenafil and are also taking
an alpha-blocker medicine (e.g., doxazosin, prazosin, terazosin) for various conditions (e.g., enlarged prostate), separate the time between taking insulin pumps these medicines by more than 4 hours. See How To Use section for drug-food interaction information.
This special feature has two positive insulin pumps characteristics for the athlete. First, based on the special combination effect of the compounds, insulin pumps Sustanon, milligram for milligram, has a better effect than Testosterone enanthate, cypionate, insulin pumps and propionate alone. Second, the effect of the four testosterones is time-released so that Sustanon insulin pumps goes rapidly into the sytem and remains effective in the body for several weeks. Due to the propionate also included in
the steroid, Sustanon is effective after one day and, based on the mixed in decanoates, insulin pumps remains active for 3-4 weeks.
World wide "Deca" is one of the most widely used anabolic steroids. Its insulin pumps popularity is due to the simple fact that it exhibits many very favorable properties. Structurally insulin pumps nandrolone is very similar to testosterone, although it lacks a carbon atom at the 19th position (hence its other name 19-nortestosterone). The resulting insulin pumps structure is a steroid that exhibits much weaker androgenic properties than testosterone. Of primary interest is the fact that nandrolone will not break down to a more potent metabolite in androgen target tissues. You may remember this is a significant
problem with testosterone. Although nandrolone does undergo reduction via the same (5-alpha reductase) enzyme insulin pumps that produces DHT from testosterone, the result in this case is dihydronandrolone. This metabolite insulin pumps is weaker than the parent nandroloness, and is far less likely to cause unwanted androgenic side effects. Strong occurrences insulin pumps of oily skin, acne, body/facial hair growth and hair loss occur very rarely. It is however possible for androgenic insulin pumps activity to become apparent with this as any steroid, but with nandrolone higher than insulin pumps normal doses are usually responsible.
The typical dosage for men is one to four 25 mg per tablets per day. This is a sufficient amount
This includes, of course, a deepening of the voice, menstrual irregularities, changes in skin texture and clitoral enlargement.
It is not correct that Nolvadex reduces levels of estrogen: rather, it blocks estrogen from estrogen receptors insulin pumps and, in those tissues where it is an antagonist, causes the receptor to do nothing.
Prolonged use of Clomid may insulin pumps increase the risk of a borderline or invasive ovarian tumor.
When taken with clenbuterol, this is the insulin pumps single best fatburning combination that is available today (with the possible exception of DNP). It also helps to make steroids more effective since it is such a good aid for protein synthesis. Most people need to
be careful to start with a low dosage, about 25 mcgs per day and increase by about one tab or 25 mcgs per day every 5-6 days. Make sure that you don't insulin pumps go over 100 mcgs per day at the very most. On days that you take muliple tabs, divide the tabs insulin pumps evenly across the day (i.e. 100 mcgs would be 4 doses of 25 mcgs apiece spread evenly across the insulin pumps day). You also need to make sure that you cycle down off this product as well to keep the thyroid functioning properly as well. Don't take for more insulin pumps than 5 weeks at a time as well. After doing a cycle of this drug, make sure you go at least 8 weeks before doing it again as to allow normal thyroid functioning to return.
Clomid is an effective antagonist in
the hypothalamus and in breast tissue. It is an effective agonist in bone tissue, and for improving blood cholesterol.
There is no insulin pumps research to site on exactly what dosage would be the most appropriate for a steroid user. Logic woul dictate that insulin pumps the typically prescribed amount of Proscar / Propecia, a single 1mg tablet per day, insulin pumps would most likely be sufficient. In clinical trials the effect of just a single tablet is clearly dramatic. But if after a while the androgenic content insulin pumps of the cycle is still perceived as too high, increasing the number of tablets of Propecia per day or perhaps switching to the stronger Proscar (5mg tablet) may be necessary. This is also a relatively expensive compound,
so it can become quite costly as the dosage of Proscar / Propecia increases, it is probably best to keep the dosage of Proscar at the lowest insulin pumps effective amount. Cost may not be the only basis for such a decision, as DHT is believed to affect insulin pumps the nervous & reproductive system in many beneficial ways. By minimizing this conversion we not only face the possibility insulin pumps of interference with sexual functioning, but might also be inadvertently lessening the level of strength gained insulin pumps during testosterone therapy (this being tied to the actions of DHT on the neuromuscular system). A "use only when necessary" position should likewise be taken in regard to Proscar.
Clomid is indicated for the
treatment of ovulatory dysfunction in women desiring pregnancy. Impediments to achieving pregnancy must be excluded or adequately treated before insulin pumps beginning Clomid therapy.
Epilepsy or history of seizures — Although some benzodiazepines insulin pumps are used in treating epilepsy, starting or suddenly stopping treatment with these insulin pumps medicines may increase seizures
Formula: C27 H40 O3
There insulin pumps is no need for an anti-estrogen as Winny may have such a property of its own and does not aromatize at any rate. The only insulin pumps counter-indication with Winny would perhaps be an anti-hypertensive if you use for a longer stack. Be sure to get liver values checked if you use for longer than 6 weeks
on end. There is no real use for Clomid or Nolva post-cycle for Winny specifically since there is no post-cycle aromatisation to cause negative insulin pumps feedback. That makes whatever gains you made on Winny quite easy to maintain.
Anabolic rebound effect – I still remember the first time I spoke to Dan Duchaine regarding DNP, and he told me about what, at insulin pumps the time, seemed impossible. But I have experienced this phenomenon, and it indeed happens. insulin pumps Possible causes include, but are not limited to, either an anabolic effect from 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 insulin pumps DNP dose. This is probably the most pleasant aspect of using DNP; the user not only experiences unrivaled insulin pumps fat loss, but also enjoys a fair 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.
Testosterone insulin pumps Cypionate Profile
Special precautions for use in children:
Although insulin pumps Dianabol has many potential side effects, they are rare with a dosage of up to 20 mg/day. Since Dianabol insulin pumps is 17-alpha alkylated it causes a considerable strain on the liver. In high dosages and over insulin pumps a longer period of time, Dianabol is liver-toxic. Even a dosage of only 10 mg/day can increase the insulin pumps liver values; after discontinuance of the drug, however, the values return to normal. Since insulin pumps Dianabol quickly inereases the body weight due to high water retention, a high blood pressure and a faster heartbeat can occur, sometimes requiring
the intake of an antihypertensive drug such as Catapresan. Additive intake of Nolvadex and Proviron insulin pumps might be necessary as well, since Dianabol strongly converts into estrogens and in some athletes causes insulin pumps gynecomastia ("bitch tits") or worsens an already existing condition. Because of the strongly androgenic component and insulin pumps the conversion into dihydrotestosterone. Dianabol has significant influence on the endogenous testosterone level. Studies have shown insulin pumps that the intake of 20 mg Dianabol/day over 10 days reduces the testosterone level by 30-40% (3). This can be explained insulin pumps by Dianabols distinct antigonadotropic effect, meaning that it inhibits the release of the gonadotropic FSH (follicle stimulating hormone)
and LH (luteinizing hormone) by the hypophysis. Another disadvantage is that,after discontinuance of the compound, a considerable loss of insulin pumps strength and mass often occurs since the water stored during the intake is again exereted by the body. In high dosages of 5O mg+/ insulin pumps day aggressive behavior in the user can occasionally be observed which, if it only refers to his workout, can be an advantage. In order to avoid uncontrolled insulin pumps actions, those who have a tendency to easily lose their temper should be aware of insulin pumps this characteristic when taking a high D-bol dosage. Despite all of these possible symptoms Dianabol instills in most athletes a "sense of well-being anabolic" which improves the mood and appetite
and in many users, together with the obtained results, leads to an improved level of consciousness and a higher self confidence.
Some insulin pumps individuals may develop increased levels of urinary oxalate following treatment with insulin pumps Xenical. Caution should be exercised while using Xenical by individuals with a history of hyperoxaluria or calcium oxalate nephrolithiasis. insulin pumps
Finally, it´s worth noting that sometimes a strategy known as "frontloading" insulin pumps is employed with testosterone propionate, this is where double or triple the intended dose for the cycle is injected for the first two weeks, then the user switches to a longer ester. The reasoning behind this is presumably to get the
blood levels of the drug up quickly in the hopes of seeing results more quickly.
When IGF is active it behaves differently in insulin pumps different types of tissues. In muscle cells proteins and associated cell components are stimulated. Protein synthesis insulin pumps is increased along with amino acid absorption. As a source of energy, IGF mobilizes insulin pumps fat for use as energy in adipose tissue. In lean tissue.
HCG's form of administration is also insulin pumps unusual. The substance choriongonadotropin is a white powdery freeze dried substance which is usually used as insulin pumps a compress. For each HCG ampule, includes another ampule with an injection solution containing isotonic sodium chloride. This liquid, after both ampules
have been opened in a sterile manner, is injected into the HCG ampule and mixed with the dried substance. The solution is then ready for use insulin pumps and should be injected intramuscularly. If only part of the substance is injected the residual solution insulin pumps should be stored in the refrigerator. It is not necessary to store the unmixed HCG in the refrigerator; however, it should be kept out of insulin pumps light and below a temperature of 25C. HCG is an expensive compound, it costs approx. insulin pumps $30 - $40 for 1 ampule of 5000IU.
Suggested dosage Take per 50mg day- 2 to 3 tabs in the morning and 2 to 3 in the evening. The cycle should last no more than 12 weeks whilst the injections can go on for a longer period up to 14 weeks.
Stack with Nandrolone Decanoate (Deca) or Testosterone Compund (Sustanon). If taken alone then consume 500 tablets over a 12 week period. insulin pumps
Regrowth of heart, liver, spleen, kidneys and other organs that shrink insulin pumps with age
Usually 50-100 mg will suffice, the lower end is preferred for maximal results since insulin pumps estrogen plays a key role in gains, but those more worried about estrogen should opt for a higher dose. insulin pumps For those worried about androgenic side-effects (hair loss, prostate hypertrophy, deepening of voice), one can utilize the insulin pumps hair loss treatment finasteride. This blocks the 5-alpha-reductase enzyme and stops the conversion of testosterone to the more androgenic compound DHT.
I'm not a big fan of this, because DHT reduces estrogenic bloat, increases free levels of testosterone and is a very potent androgen that is insulin pumps 3-4 times stronger than testosterone. Those worried about hair loss however, may want to opt for arimidex as their anti-aromatase, insulin pumps since Proviron is a form of DHT after all.
While technically it is true that if you inject a large insulin pumps amount of the rhIGF-1 it will have almost only localized effect, it is so because the "excess" insulin pumps that does not bind to cells in the muscle in which it is injected is rapidly bound up by IGFBP3 and thus rendered unusable by cells elsewhere. It would be much much better in such a case to inject
a smaller amount and not have ANY excess that gets bound up by IGFBP's.
Also, this drug is insulin pumps a poor choice for athletes who rely on cardiovascular fitness to play a sport. Tren, anecdotally insulin pumps at least, reduces many athletes ability to sustain high levels of endurance. Unfortunately, this makes insulin pumps Tren a poor choice for many.
This medicine is an androgen hormone used in men to provide testosterone when the body cannot produce insulin pumps enough or in women to treat certain cancers. It may also be used to treat other conditions insulin pumps as determined by your doctor.
Trenbolone increases nitrogen retention in muscle tissue. This is of note because nitrogen retention is a strong indicator of how
anabolic a substance is. However, trenbolone´s incredible mass building effects do not end there. Trenbolone has the ability insulin pumps to bind with the receptors of the anti-anabolic (muscle destroying) glucocorticoid hormones. This may also has the effect of inhibiting insulin pumps the catabolic (muscle destroying) hormone cortisol.
Absolute change in total fat insulin pumps mass (A) and trunk fat (B) by dual-energy X-ray absorptiometry from baseline to study week 12 (solid bars) and from baseline to study week insulin pumps 24 (open bars) in the placebo (n = 12) and the oxandrolone (n = 20) study groups. Values are means ± SE. *Significant insulin pumps decrease from baseline, P < 0.001. Significant difference between study groups for change
in fat mass from 0 to 12 wk, P < 0.001.
With a low body fat content Halotestin insulin pumps gives the bodybuilder a distinctive muscle hardness and sharpness. Although the muscle diameter does not increase, insulin pumps it appears more massive since the muscle density is improved. The fact that daily dose of up to 20 mg does not insulin pumps cause water and salt retention makes it even more desirable. During a diet, it helps the athlete get through difficult, intense training insulin pumps while increasing the aggressiveness of many users. This is another reason why Halotestin (fluoxymesterone) insulin pumps is so popular among powerlifters, weightlifters, football players, and, in particular, boxers. The
generally observed dose is normally 20-40 mg/day. Bodybuilders are usually satisfied with 20-30 mg/day while powerlifters insulin pumps often take 40 mg/day or more. The daily dosage of Halotestin (fluoxymesterone) is usually split insulin pumps into two equal amounts and taken mornings and evenings with plenty of fluids. Since the tablets are insulin pumps l7-alpha alkylated, they can be taken during meals without any loss in effect. Those who are tired of taking Dianabol (methandrostenolone) insulin pumps tablets will find fluoxymesterone an interesting alternative. In the meantime we know several bodybuilders who have combined this steroid with injectable, mostly anabolic, steroid preparations such as Anadrol, Deca-Durabolin, Primobolan Depot, or Equipoise.
The quick strength gain induced by Halotestin can usually be turned into solid, high-quality muscle tissue insulin pumps by taking the above steroids. This is an especially welcome change for athletes who easily retain water and have to fight insulin pumps against swollen breast glands. Many will be surprised at what progress can be achieved by a simple combination of 30 insulin pumps mg/day and 700 mg Equipoise every two days over a four week period. Halotestin side effects Besides Anadrol (oxymetholone) and Methyltestostcrone insulin pumps it is the oral steroid with the most side effects. Those who would like to try Halotestin should limit the intake to 4- 6 weeks and take no more than 20-30 mg daily. Fluoxymesterone puts extremely high stress on
the liver and is thus potentially liver damaging. Other frequently-observed side effects are increased production insulin pumps of the sebaceous gland (which goes hand in hand with acne), nasal bleeding, headaches, insulin pumps gastrointestinal pain, and reduced production of the body's own hormones. Men who tries this steroid become easily insulin pumps irritable and aggressive. Gynecomastia and high blood pressure caused by edemas do insulin pumps not occur with Halotestin.
In addition, androgenic side effects are common with this substance, and may include insulin pumps bouts of oily skin, acne and body/facial hair growth. Aggression may also be increased with a potent steroid such as this, so it would be wise not to let your disposition change for the
worse during a cycle. With Anabol there is also the possibility of aggravating a male pattern baldness condition. Sensitive insulin pumps individuals may therefore wish to avoid this drug and opt for a milder anabolic such as Deca-Durabolin®. While Anabol does convert to a more potent insulin pumps steroid via interaction with the 5-alpha reductase anzyme (the same enzyme responsible for converting testosterone to dihydrotestosterone), insulin pumps it has extremely little affinity to do so in the human body's. The androgenic metabolite 5alpha dihydromethandrostenolone is therefore insulin pumps produced only in trace amounts at best. The benefit received from Proscar®/Propecia® would therefore be insignificant, the drug serving no real purpose.
Testosterone is a powerful hormone with notably prominent side effects. Much of which stem from the fact that testosterone exhibits insulin pumps a high tendency to convert into estrogen. Related side effects may therefore become a problem during a Testosterone insulin pumps Enanthate cycle. For starters, water retention can become quite noticeable. This can produce a clear loss of muscle insulin pumps definition, as subcutaneous fluids begin to build. The storage of excess body fat may insulin pumps further reduce the visibility of muscle features, another common problem with aromatizing steroids. The excess estrogen insulin pumps level during/after your cycle also has the potential to lead up to gynecomastia. Adding an ancillary drug like Nolvadex and/or Proviron is
therefore advisable to those with a known sensitivity to this side effect. As discussed throughout this book, the antiaromatase Arimidex is a much insulin pumps better choice. It is believed that the use of an antiestrogen can slightly lower the anabolic effect of most insulin pumps androgen cycles (estrogen and water weight are often thought to facilitate strength and muscle gain), so one might want insulin pumps 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. insulin pumps If this is left to further develop into pronounced swelling, soreness and the growth insulin pumps of small lumps under the nipples, some form of action on should be taken immediately to treat it (obviously
quitting the drug or adding ancillaries).
Testosterone Propionate Profile
- You can only use Roaccutane when you are suffering from severe acne even you have tried any other anti-acne insulin pumps treatments like antibiotics or skin treatments and have not got any results.
Do not insulin pumps apply a double dose to make up for a forgotten individual dose. If you use too much (overdose) Immediately telephone your insulin pumps doctor, or the Poisons Information Centre if you think you or anyone else may have used too much Androgel / Cernos Gel.
Propecia can affect a blood test called PSA (Prostate-Specific Antigen) for the screening of prostate cancer. If you
have a PSA test done, you should tell your doctor that you are taking Propecia.
As far as adding products, insulin pumps no ancillaries are needed, but its highly recommended that this is only used when anabolic/androgenic steroids are also insulin pumps being used. First of all the extra free calories work with the steroids to enhance results, but also because an increased level of thyroid insulin pumps hormones can be extremely catabolic and the use of anabolic compounds to counter muscle loss is a requirement here.
Take 10 x 5mg tabs of dbol a day and 4 to 6 amps of deca a week and watch for some amazing results in strength and insulin pumps size.
Mastabol is a synthetic derivative of dihydrotestosterone, displaying a
potent androgenic effect that is responsible for increases in muscle density and hardness and a moderate anabolic effect that insulin pumps creates a positive nitrogen balance in humans and promotes protein synthesis.
Many athletes who use Clenbuterol claim that it promotes dramatic insulin pumps strength increases and a very noticeable reduction in body fat some athletes claim that they enjoyed significant insulin pumps gains in muscle mass while using Clenbuterol. Clenbuterol's most valid application seems to be as a pre-contest, cutting drug. It is not banned by any athletic committee;
thus, numerous professional bodybuilders have used it for the last month of contest preparation. Athletes insulin pumps 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 insulin pumps continually. Research shows that using it for two days, then taking two days off prevents attenuation. Cycles range from 6-12 insulin pumps weeks in length. Side effects include nervousness, tremors of the hands, headaches, and insomnia. Usually these side effects are insulin pumps dose related. It comes in 20 mcg tablets. Clenbuterol is being counterfeited under numerous manufacturer names in the United States.
StanolV 10 mg tab; Ttokkyo Labs
VIAGRA is a pill used to treat erectile dysfunction (impotence) in men. It can help many men who have erectile dysfunction insulin pumps get and keep an erection when they become sexually excited (stimulated). You will not get an erection just insulin pumps by taking this medicine. VIAGRA helps a man with erectile dysfunction get an erection insulin pumps only when he is sexually excited.
The results of this study are similar to other studies where IGF-1 insulin pumps was injected directly into muscle tissue, resulting in increases in size and strength of experimental insulin pumps animals. Using a virus as a genetic vehicle has an advantage over simply injecting the growth factor. The effects of a single viral treatment last significantly longer (months
if not years) because the muscle cell itself is constantly overproducing its own IGF-1 from injected DNA.
Common uses and insulin pumps directions for Propecia
Proscar side effects
There are several common signs which may be apparent insulin pumps in someone who has overdosed from one or a combination of drugs.
The problem with the variation in anabolic effects insulin pumps between humans and livestock is that livestock have an abundance of the type 3 beta receptors whereas humans have little insulin pumps if any of the type 3 beta receptors. These beta-3 receptors increases insulin secretion insulin pumps and sensitivity, causing more glucose and amino acids to be transported into skeletal muscle thus causing the anabolic
effects that we, humans, just aren't seeing. As Dan Duchaine stated in his Muscle Media article on clenbuterol, "In those insulin pumps animal research studies showing an anabolic effect from clenbuterol, it's my guess the anabolism happens specifically when the beta2 receptor stops insulin pumps working. At that point, the beta3 increases and causes the anabolic effect through insulin pumps insulin mechanisms." Since humans, again, have either very little or no beta-3 receptors, insulin pumps there is no chance of this anabolic effect. Just another of the studies where everyone assumed that what works insulin pumps in animals must work in humans. This is just simply not the case with clenbuterol.
Trenbolone is also a highly androgenic hormone, when
compared with testosterone, which has an androgenic ratio of 100; trenbolone´s androgenic ratio is an astonishing 500. Highly androgenic steroids insulin pumps are appreciated for the effects they have on strength as well as changing the estrogen/androgen ratio, thus insulin pumps reducing water and under the skin. As if the report on trenbolone was not good enough, it gets better; insulin pumps Trenbolone is extraordinarily good as a fat loss agent. One reason for this is its powerful effect on nutrient partitioning insulin pumps (9). It is a little known fact is that androgen receptors are found in fat cells as well as muscle cells (10), androgens act directly on the A.R in fat cells to affect fat burning (11). The stronger the androgen binds to the
A.R, the higher the lipolytic (fat burning) effect on adipose tissue (fat) (11). Since some steroids even increase the numbers of A.R in muscle insulin pumps and fat (11, 12) this fat loss effect would be amplified with the concurrent use of other compounds, such as testosterone.
The drug seems to have estrogenic effects on mood, which can be beneficial (improving insulin pumps relationships with women by improving empathy) or can yield depression or PMS-like symptoms, but for most users there is no significant insulin pumps effect either way.
Androfort-Richt. 10, 25 mg/ml; Gedeon Richter HU
The workup and treatment of candidates for Clomid therapy should be supervised by physicians experienced in management
of gynecolic or endocrine disorders. Patients should be chosen for therapy with Clomid only after careful diagnostic evaluation. insulin pumps
The propionate ester used with this compound will extend its activity for only a few days. With insulin pumps such a short duration of effect, injections need to be repeated at least every 3 or 4 days in order insulin pumps to maintain a consistent level of hormone in the blood. Factoring this in with its low strength (50 mg/ml), men will generally inject a full insulin pumps 2 ml ampule of Masteron (100 mg) every two or three days. The weekly dosage therefore lands in the insulin pumps range of 200-350 mg, a level more than sufficient to receive good results. We also should mention that while some women do profess
to using this item before a show, it is much too androgenic in nature to recommend. Virilization symptoms can result quickly insulin pumps with its use, making Masteron a very risky item to experiment with. If attempted, the dosage should be limited to no more than 25 to 50 mg each insulin pumps week. The female athlete would be further served by increasing the number of days between injections to prevent buildup of steroid insulin pumps in the body. In this case, Masteron can perhaps be administered once every 7 days.
Is currently insulin pumps the most popular ester of testosterone available to athletes. Unlike cypionate, enanthate is manufactured by various companies all over the world. Ampules of Testoviron from Schering are probably the most
popular although many others exist. Enanthate is a long acting testosterone similar to cypionate. Injections are taken once weekly. insulin pumps It remains the number one product for serious growth, every serious bodybuilder took it at least once insulin pumps usualy it is stacked with deca durabolin and dianabol .Testosterone Enanthate has very strong anabolic insulin pumps effects as well as strong androgenic side effects. Being an injectable testosterone, liver insulin pumps values are generally not elevated much by this product.
The trick of using Clenbuterol successfully insulin pumps seems to be avoiding receptor downgrade which occurs rapidly with the use of this beta agonist. In fact, one clinical study showed downgrade at receptor
as much as 50% experienced after using Clenbuterol for as little as 18 days consecutively. The same study showed that attenuation can be avoided if Clenbuterol insulin pumps is taken in a '2 day on' then '2 day off' pattern. Athletes using Clenbuterol in this manner have reported much greater results than insulin pumps those who use the product continualy which seems to support the theory that attenuation can be at least partially avoided by staggering the dosage. insulin pumps Athletes have also made a habit of cycling Clenbuterol in an effort to minimize side effects as well as prevent insulin pumps receptor downgrade. Average cycle length on Clenbuterol is 8-10 weeks with a 4-6 week off period.
Studies using low dosages of this compound
note minimal interferences with natural testosterone production. Likewise when it is used alone in insulin pumps small amounts there is typically no need for ancillary drugs like Clomid/Nolvadex or HCG. This has a lot insulin pumps to do with the fact that it does not convert to estrogen, which we know has an extremely profound effect on endogenous hormone production. insulin pumps Without estrogen to trigger negative feedback, we seem to note a higher threshold before inhibition is noted. But insulin pumps at higher dosages of course, a suppression of natural testosterone levels will still occur with this drug as with any anabolic/androgenic steroid and therefore require post cycle therapy to restore the HPTA.
Oxydrol BD is an oral drug with
a dosage of 50mg per tablet. It is the strongest oral on the market. It has both high insulin pumps androgenic and anabolic effects. Strength and weight gains are very significant. It is highly toxic to the liver. Oxydrol BD also aromatizes fairly insulin pumps easily. Oxymetholone has been reported to produce gynecomastia in users (not all probably around 50%). An anti-estrogen should be used insulin pumps to counteract the aromatization. Nolvadex is an suggested anti-estrogen. Many side effects are associated insulin pumps including acne, hair loss, abdominal pains, headaches, gynecomastia, hypertension, and heavy water retention. Loss of weight and strength usually occurs after the cycle. Oxydrol BD also shuts down natural testosterone production. It is
regarded by the bodybuilding community as the most effective oral steroid in building strength and size. Oxydrol BD has many side insulin pumps effects however, which make it relatively dangerous to use when compared to other steroids. Average dose is from 50-100 mg a day to 200 mg a day. insulin pumps Oxydrol BD is used on bulking cycle with sustanon and deca-durabolin.
All of these great benefits are to be had with insulin pumps the use of test enth alone, but realistically, it will be part of a cycle containing one or more other drugs. People who are bulking will probably choose insulin pumps Deca or Eq (possibly with Dbol as well) and those who are cutting will probably steer towards Eq and perhaps Trenbolone. Very often users will shoot this
drug once or twice a week, but blood levels are still above baseline with this drug at around day eight (10).Common wisdom holds that the insulin pumps testosterone portion of any such cycle should be equal to or greater than any other injectable drug(s) portion (on a mg basis)& I believe that you insulin pumps can get away with less, but in general, this is a good guideline.
Now here´s some interesting stuff for anyone interested insulin pumps primarily in the fat loss properties of this stuff: Bonavar may be what we´d call a "fat-burning steroid". Abdominal and insulin pumps visceral fat were both reduced in one study when subjects in the low/normal natural testosterone range used Bonavar. In another study, appendicular,
total, and trunk fat were all reduced with a relatively small dose of 20mgs/day, and no exercise. In addition, weight insulin pumps gained with ´var may be nearly permanent too. It might not be much, but you´ll stand insulin pumps a good chance of keeping most of it. In one study, subjects maintained their weight (re)gains from Bonavar for at least 6 months after insulin pumps cessation! Concomitantly, in another study, Twelve weeks after discontinuing oxandrolone, 83% of the reductions in total, trunk, and extremity insulin pumps fat were also sustained! If you´re regaining weight, Bonavar will give you nearly permanent gains, and if you are trying to lose fat (and you keep your diet in check), the fat lost with Bonavar is basically
looks to be nearly permanent. Check this chart out.
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.