well for some bodybuilders they can take drugs like Anadrol right up to a contest as long insulin pumps as they stack it with Nolvadex. It would seem wise to take this drug in conjunction with any steroid cycle.
Andriol Testocaps are capsules of Testosterone Undeconoate, an orally active testosterone preperation that helps users insulin pumps gain muscle mass.
Dosages are normally between 20-120 mcg for bodybuilders that use this.This drug becomes ineffective for its anabolic properties after 18 successive days of use. Brown fat-burning
and weight-loss, will continue past the 18 day period. After 12 weeks, the drug should be discontinued for a couple of months. Although there is quite insulin pumps a bit of medical literature showing clenbuterol's potential as a bodybuilding drug, most of these studies have been done on animals; very insulin pumps little human data on this issue is available. Therefore, in assessing its effects in humans, you have to rely primarily on empirical and anecdotal insulin pumps evidence. And until recently, there has been little of that available. However, with the recent wide scale use of clenbuterol by
athletes, we can now gather quite a bit of evidence on what the real world effects of Clenbuterol insulin pumps are in weight trainers.
For competitive bodybuilders Cytomel is an almost insulin pumps unmissable aid in contest preparation, along with clenbuterol and non-aromatizing steroids such as stanazolol, trenbolone, insulin pumps methenolone and so forth...
Package: 10amps of 2 ml, 100mg per 1ml.
Women should not use Dianabol because, due to its distinet androgenic component, considerable virilization symptoms can occur. Thereare, however, several female bodybuilders
and, in particular female powerlifters who use Dianabol and obtain enormous progress with 10-20 mg/day. Women insulin pumps who do not show a sensitive reaction to the additional intake of androgens or who are insulin pumps not afraid of possible masculinization symptoms get on well with 2-4 tablets over a period not to exceed insulin pumps 4-6 weeks. Higher dosages and a longer time of intake bring better results; however the androgens begin to be noticeable in the female organism. insulin pumps No woman who continues to care about her femininity should take more than 10 mg/day and 50-100 mg of Deca Durabolin/week
over 4-6 weeks.
Nolvadex tablets. Each Nolvadex tablet contains 20 mg tamoxifen. Nolvadex comes in packs of 30 tablets and is manufactured insulin pumps by Astra Zeneca.
Nolvadex comes as a tablet, containing 30 mg tamoxifen, to take by mouth. Nolvadex tablets are usually taken insulin pumps 1-2 times daily, swallowed whole without chewing, with some liquid during meals.
Restandol insulin pumps (Andriol) is one of the few new steroids developed during the last few years. Unlike most anabolic steroids which were found on the market during the 1950's and 1960's (and which
in part, have disappeared) Restandol (Andriol) has only been available since the early 1980's. This fact probably explains why Restandol insulin pumps (Andriol) holds a special place among the steroids.
Recreational users might also be interested in Masteron. insulin pumps Although dihydrotestosterone is not highly active in muscle tissue, the 2 alkylation present on drostanoione considerably intensifies insulin pumps its anabolic effect. It can therefore be used somewhat effectively as bulking agent, providing a consistent gain of high quality muscle mass. It can also be successfully combined
with other steroids for an enhanced effect. Mixing drostanoione with an injectable anabolic such as Deca-Durabolin® (nandroione insulin pumps decanoate) or Equipoise® (boldenone undecylenate) can prove quite useful for example, insulin pumps the two providing notably enhanced muscle gain without excessive water retention. For greater mass gains, one can alternately addition a insulin pumps stronger androgen such as Dianabol or an injectable testosterone. The result here can be an extreme muscle gain, with a lower level of water retention & other estrogenic side effects than if these steroids were
used alone (usually in higher doses). Masteron could of course be used during cutting phases of training as well. A cycle insulin pumps of this drug combined with Winstrol®, Primobolan® or Cxandrolone should provide great muscle retention and insulin pumps fat loss, during a period which can be very catabolic without steroids. It is an added benefit that none of these steroids aromatize, and therefore insulin pumps there is no additional worry of unwanted water/fat retention.
Higher energy levels
SEROSTIM BASICS: (Somatotropin / HGH)
Bonalone,brand name for supstance
oxymetholone,produced by Body research,Thailand is a very potent oral steroid.Some studies says insulin pumps that is a strongest oral steroid. The first made was available in 1960, by firm Syntex. Oxymetholone have ability to increase red blood cell production insulin pumps which leads to medical indication to heal a few kinds of anemia. Erythropoietin change it insulin pumps in a medical sphere because of side effects typical for a oral androgen.
In striving to become bigger, stronger, more competitive
or more physically attractive you should also remember that no matter what you do, your genetic insulin pumps make-up will have an influence on what you are able to achieve. It is important to realize that you cannot look exactly like insulin pumps the role model you admire because you have inherited a different set of genes.
Apply Androgel / Cernos Gel once per day at approximately insulin pumps the same time each day, preferably in the morning. Using it at the same time each day helps maintain a steady level of testosterone in the blood. It will also help you remember when to apply
Note that 0.01 ml is the volume contained in the space between the smallest graduated markings insulin pumps on a 1.0 ml Terumo diabetic syringe;
As we age, our HGH levels decline to a fraction of the insulin pumps levels of our youth. Many in modern medicine believe that supplementing our diets with HGH is an effective way to avoid the diseases and conditions insulin pumps associated with aging and improve vitality and appearance. HGH supplements increase the body's natural production of Human Growth Hormone to maximize health and fitness without
the use of prescription drugs.
Side Effects: Nandrolone Decanoate can induce acne issues in higher insulin pumps dosages in sensitive individuals. It will retent water but far less than testosterone, blood pressure is dosage insulin pumps dependant. Aromatization is low. It Decreases HTPA function. It doesn't convert DTH (converts to NOR-DHT with low activity).
What is Kamagra?
Winstrol 2 mg tab.; Winthrop Pharm. U.S., Upjohn U.S., Zambon ES, Much of what has been said about the injectable Winstrol is more or less also valid for the oral Winstrol.
However, in addition to the various forms of administration there are some other differences so that a separate description-as insulin pumps with Primobolan-seems to make sense. For a majority of its users Winstrol tablets are noticeably less insulin pumps effective than the injections. We are, however, unable to give you a logical explanation or scientific insulin pumps evidence for this fact. Since the tablets are I 7-alpha alkylated it is extremely unlikely that during the first pass in the liver a part of the substance insulin pumps will be deactivated, so we can exclude this possibility. One of the reasons for
the lowered effectiveness of the tablets, in our opinion, is that most athletes do not take a high enough quantity of Winstrol insulin pumps tablets. Considering the fact that the injectable Winstrol Depot is usually taken in a dosage of 50 insulin pumps mg/day or at least 50 mg every second day and when comparing this with the actual daily quantity of tablets taken by many athletes, our insulin pumps thesis is confirmed. Since, in the meantime, most athletes only get the 2 mg Winstrol tablets by Zambon one would have to take at least 12-25 tablets daily to obtain the quantity of the substance one receives
when injecting. For two reasons, most athletes, however, cannot realize this. On the one hand, at a price of approximately $0.70 - insulin pumps $1 for one 2 mg tablet on the black market the cost for this compound is extremely high. On the other insulin pumps hand, after a longer intake such a high quantity of tablets can lead to gastrointestinal pain and an undesired increase in the liver insulin pumps values since the tablets as already mentioned are. 1 7-alpha alkylated and thus are a considerable stress on the liver. Male athletes who have access to the injectable Winstrol Depot should therefore
prefer this form of administration to the tablets. Women, however, often prefer the oral insulin pumps Winstrol This, by all means, makes sense since female athletes have a distinctly lower daily insulin pumps requirement of stanozolol, usually 10-16 mg/day. Thus the daily quantity of tablets is reduced to 5-8 so that gastrointestinal pain and increased insulin pumps liver valuesoccur very rarely. Another reason for the oral intake in women is that the dosage to be taken can be divided into equal doses. This has the advantage that unlike the 50 mg injections-it does not lead to a significant increase
in the androgens and thus the androgenic-caused side effects (virilization symptoms) can be reduced. Athletes who have opted for the oral insulin pumps administration of Winstrol usually take their daily dose in two equal amounts mornings and evenings with some liquid during their insulin pumps meals. This assures a good absorption of the substance and, at the same time, minimizes possible insulin pumps gastrointestinal pain.
Viagra is used to treat erection difficulties, such as erectile dysfunction (ED).
Averbol 25 / Dianabol (D-BOL) / Methandrostenlone
depot is a registered trademark of Schering A/G avaiable in 50 mg/cc from Mexico insulin pumps and 100 mg/cc from Europe. It is is the \"Cleanest and Gentles\" anabolic insulin pumps steroid, will not aromatize, non-toxic, low in androgens.
Trenbolone is derived insulin pumps from 19-nor Testosterone, but with three additional bonds- making it unable to aromatize (convert) to insulin pumps estrogen, as well as making it not subject to 5a-reduction (conversion to a Dihydro form). Speaking from a structural standpoint, Trenbolone is actually very similar to Deca-Durabolin
(Nandrolone Decanoate), except for a c-9 and c-11 double bond. These two double bonds are very important, however, and provide Trenbolone with several insulin pumps important differences. Firstly, the c9 bond serves to prevent aromatization (conversion) to estrogen, while the c11 double bond seems to increase Androgen insulin pumps Receptor binding quite profoundly (although this may also have something to do with the c9 bond as well). Thus, as compared insulin pumps with Deca, Trenbolone¡¯s lack of estrogenic activity and potent ability to bind to the androgen receptor allow it to be a much
stronger anabolic/androgenic agent than Deca. So what we see in Trenbolone is a drug that¡¯s insulin pumps roughly 4x as anabolic as Deca, and roughly 10x as androgenic (according to the Vida Reference scale). insulin pumps With Trenbolone, the majority of weight gained on this drug is lean and quality muscle. (1)
Andriol testocaps are the oral form insulin pumps of Testosterone Undecanoato. While not considered to be as good as the injectable form of the compound, as they 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.
Tell your doctor or pharmacist: about all other medicines you are taking, including insulin pumps non-prescription medicines; if you are a frequent user of drinks with caffeine or alcohol; if you smoke; or if you use illegal drugs. These insulin pumps may affect the way your medicine works. Check before stopping or starting any of your medicines.
Nolvadex C&K is used to treat breast insulin pumps cancer in women or men. Tamoxifen may also be used to treat other kinds of cancer, as determined by your doctor.
High Blood Pressure:
The following table describes the condition most users will find themselves in during a typical DNP cycle; it insulin pumps is by no means complete and mainly intended to drive home that users typically look at their insulin pumps best 3-5 days following cessation of DNP use.
due to their strong anti-estrogenic effect. It has been suggested that nandrolone insulin pumps may even lower aromatase activity in peripheral tissues where it is more resistant to estrogen conversion (the most active site of nandrolone aromatization insulin pumps seems to be the liver). The antiestrogenic effect of all of these compounds is presumably insulin pumps caused by their ability to compete with other substrates for binding to the aromatase enzyme. With the aromatase enzyme bound to the steroid, yet being unable to alter it, and inhibiting effect is achieved as it is temporarily blocked
from interacting with other hormones.
Release Date: 1970
Beginner: Up to 2 x 40mg Capsules Per Day.
CIALIS is not for everyone. If you take nitrates, often used for insulin pumps chest pain (also known as angina), or alpha-blockers (other than Flomax 0.4 mg once daily), prescribed for prostate problems or high blood pressure, insulin pumps do not take CIALIS. Such combinations could cause a sudden, unsafe drop in blood pressure. Don't drink alcohol in excess (to a level of intoxication) with CIALIS. This combination
may increase your chances of getting dizzy or lowering your blood pressure. CIALIS does insulin pumps not protect a man or his partner from sexually transmitted diseases, including HIV.
In addition to insulin pumps this, there is evidence that suggests that Viagra may work to amplify the "pump" response during training. The pump is thought to happen insulin pumps when contracting muscle fibers signal local vascular relaxation (increasing the blood flow to the working muscles). According to KS Lau and coworkers, NO generated by neuronal NO synthase in contracting skeletal muscle fibers may regulate
vascular relaxation via a cGMP-mediated pathway. Since the mechanism of action for Viagra insulin pumps is amplification of the cGMP pathway, there is ample reason to believe that the drug may indeed affect the blood flow and pump to insulin pumps the muscle, and therefore indirectly aid in the hypertrophy response.
Clomid 50 mg tablets. Each clomid tablet contains 50 mg clomiphene citrate. Clomid comes in insulin pumps packs of 30 tablets and is manufactured by Effik.
Liver Toxic: Yes, very high
Androlic / Anadrol is the most harmful oral steroid and its intake
can cause many considerable side effects. Most users can expect certain pathological changes in their liver insulin pumps values after approximately one week. An increase in liver values of both the enzymes GOT and GPT also called transaminases, often cannot be insulin pumps avoided, which are indications of hepatitis, i.e. a liver infection. Those who discontinue oxymetholone will usually show insulin pumps normal values within two months.
DHT Conversion: No, converts to NOR-DHT with low insulin pumps activity
Effective Dose (Men): 350-2000mg+ week.
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.
Although Sustanon remains active in the body for approximately three weeks, injections insulin pumps are taken at least every 10 days. An effective dosage ranges from 250mg (one ampule) every insulin pumps 10 days, to 1000mg (four ampules) weekly. Some athletes do use more extreme dosages, but insulin pumps this is really not a recommended practice. When the dosage rises above 750-1000mg per week, increased of Sustanon side effects will no doubt be outweighing
additional An benefits. Basically you will receive a poor return on your investment, which with Sustanon can be substantial. Instead insulin pumps of taking unnecessarily large amounts, athletes interested in rapid size and strength will usually opt to addition insulin pumps another compound. For this purpose we find that stacks extremely well with the potent orals Anadrol 50 (oxymetholone) and Dianabol insulin pumps (methandrostenolone). On the other hand, Sustanon may work better with trenbolone or Winstrol (stanozolol) if the athlete were seeking to maintain a harder, more defined look to his physique.
The real advantage to this product, in my opinion, over Sustanon is in its practicality. As insulin pumps you know, I´m not a huge fan of multi-estered products, because it seems that this insulin pumps gives the manufacturer carte blanche to charge whatever they want. Well, this product costs roughly $150, for a 20ml, multi insulin pumps use vial. When compared to buying Sustanon by the amp, you could be paying up to $50 more for the same amount insulin pumps of testosterone. If you are looking for a product of this nature, this is one that I would actually recommend.
So you see, the
longer the ester on the testosterone is, the longer the steroid is active in your body, and insulin pumps the less actual test you get. This is because, for every 100mgs of testosterone cypionate you inject, only insulin pumps 69.90mgs of it is actually testosterone, the rest is the cypionate ester, which must be removed. insulin pumps On the other hand, with the propionate ester you´ll get 83.72mgs of Testosterone! The advantage insulin pumps to longer esters is that they need to be injected less frequently (test prop needs to be injected every other day while you can shoot test cyp once a week). The disadvantage
to long estered steroids is that they contain less actual steroid. Anecdotally, however, most people from Steroid.com and other discussion boards insulin pumps who have tried differing esters on their various cycles agree: Testosterone Propionate causes the least side effects and the least bloating. For this insulin pumps reason, it´s often the testosterone of choice in cutting cycles. On a personal note, it´s the only form of insulin pumps testosterone I ever use, and it´s the only one most women will use, due to the previously mentioned factors (as well as it´s ability
to clear your body quickly upon cessation in the case of side effects). Testosterone levels when you´re using injectable testosterone insulin pumps propionate begin to decline sharply after the second day of use(5). Obviously this is not the drug of choice for those insulin pumps who are squeamish about injections, you´ll be shooting this stuff every other day at least.
For many, insulin pumps the increased aggression found from increased testosterone levels is often a bonus in the weight room as well as on the playing field. Let´s not get started on its benefits in the bedroom!
Reductil works like other appetite suppressants on the market by increasing the insulin pumps amount of serotonin and catecholamine in the brain. Serotonin and catecholamine are two important chemicals that control mood and appetite. When levels insulin pumps of serotonin and catecholamine are raised, your appetite decreases.
Allergic Reactions – insulin pumps These are highly individualized but may be summarily discussed. Various reactions are common with DNP use, and approximately 10% of users will be extremely allergic to it. Allergic reactions can include hives, blisters,
and/or inexplicable rashes. If you suffer any of these side effects, and they are extremely bothersome, insulin pumps it is the recommendation of the author to cease usage immediately. If so desired, another insulin pumps trial may be made at a later date with a lower dosage, but do not attempt to continue the drug cycle at that point.
Xenical is indicated for obesity management including weight loss and weight maintenance when used in conjunction with a reduced-calorie diet. Xenical is also indicated to reduce the risk for weight regain after prior weight loss.
The first study I looked at (1) showed that Teslac increases testosterone (by 47%) insulin pumps and it´s precursor androstenedione (70%) levels in the body. In the second study I looked at, it raised testosterone levels in insulin pumps men up to 290ng/dl (almost enough to bring you from 0 test to the lowest end of normal/acceptable range), as well as raising LH (leutenizing insulin pumps hormone) levels, and even FSH (Follicle Stimulating Hormone) levels slightly (2). So as you can see, not only is this stuff not suppressive of your natural hormones, it actually stimulates your body to produce
more testosterone as well as the hormones which produce it.(2) As for it´s ability to halt aromatization, it has been shown to reduce insulin pumps it by 90-95%, with regards to decrease in the overall rate, in some instances (7). In another insulin pumps third study, Aromatase inhibition by testolactone, at a dose of 500 mg twice daily (so a total of 1,000mgs/day) for 4 weeks lowered circulating insulin pumps estradiol (E2) levels by roughly 1/3rd and enhanced the secretion of follicle-stimulating hormone and testosterone by approximately the same amount (1/3rd each)(6). Basically, we´re looking
at pretty decent reductions in both aromatization, as well as reduction in total estrogen floating around insulin pumps your body. So far, we have seen that, in different studies it has been shown to increase LH as well as FSH, respectively, and in addition it insulin pumps raises testosterone levels and lowers estrogen levels in all of the studies we´ve insulin pumps examined. Raising FSH, LH, and testosterone while lowering estrogen is a pretty good deal considering most steroids lower endogenous insulin pumps (natural) production of the first three, and raise estrogen.
Some individuals with
the surname of "Cialis" objected to Lilly's naming of the drug, but the company insists that the drug's trade name insulin pumps has nothing to do with the surname.
Upon approval, our US physicians will write an Impotence FDA approved prescription insulin pumps for you and the product will be filled and shipped by a US Licensed pharmacist direct insulin pumps to your doorstep, immediately and discreetly. Yes these prices are hard to believe! We offer Viagra at rock-bottom prices. In addition, we offer fast turnaround, Impotence (approved Viagra orders are shipped the same day). It is our
mission to save you money, and provide you with exceptional service. Impotence If you do not qualify for the treatment insulin pumps that you are seeking, any advice you receive will be rendered free of charge.
Some athletes claim that they enjoyed significant gains in muscle mass while using Clenbuterol. Clenbuterol's insulin pumps most valid application seems to be as a pre-contest, cutting drug. It is not banned by any athletic committee; thus, numerous insulin pumps professional bodybuilders have used it for the last month of contest preparation. Cycles range from 6-12 weeks in length.
Side effects include nervousness, tremors of the hands, headaches, and insomnia. The reason although it is fairly anabolic, and it promotes insulin pumps the burning of fatty acids through brown fat burning.
For adding mass Testosterone enanthate combines very well with Anadrol 50, insulin pumps Dianabol, Deca-Durabolin, and Parabolan. As an example, a stack of 100 mg Andriol 50/day, 200 mg Deca-Durabolin/week, insulin pumps and 500 mg Testosterone enanthate/week works well. After six weeks of intake the Anadrol 50. For example, could be replaced by 40 mg Dianabol/day. Principally, Testosterone
enanthate can be combined with any steroid in order lo gain mass. Apparently a synergetic insulin pumps effect between the androgen, Testosterone enanthate. And the anabolic steroids occurs which results insulin pumps in their bonding with several receptors. Those who draw too much water with Testosterone enanthate and Dianabol insulin pumps or Anadrol, Or who are more interested in strength without gaining 20 pounds of body weight should take insulin pumps Testosterone enanthate together with Oxandrolone or Winstrol. The generally taken dose-as already mentioned-varies from 250 mg/ week up to 2000 mg/day. In our
opinion the most sensible dosage for most athletes is between 250-1000 mg/week. Normally a higher dosage insulin pumps should not be necessary. When taking up to 500 mg/week the dosage is normally taken all at once, thus 2 ml of solution are injected. insulin pumps A higher dosage should be divided into two injections per week. The quantity of the insulin pumps dose should be determined by the athlete's developmental stage, his goals, and the quantity of his previous steroid intake. insulin pumps The so called beach and disco bodybuilders do not need 1000 mg of Testosterone enanthate/week. Our experience is that
the Testosterone enanthate dosage for many, above all, depends on their financial resources. insulin pumps Since it is not, by any means, the most economic testosterone, most athletes do not take too much. Others switch to the cheaper Omnadren and because insulin pumps of the low price continue "shooting" Omnadren.
If you miss a dose of tamoxifen, do not take the missed dose at all and do insulin pumps not double the next one. Instead, go back to your regular dosing schedule and check with your doctor.
Other possible side effects may include headaches, nausea, vomiting, stomach
aches, lack of appetite, insomnia, and diarrhea. The athlete can expect a feeling of "general indisposition" with the in-take of anadrol which insulin pumps is completely in contrast to Dianabol which conveys a "sense of well-being".
What does this tell us?
Men who insulin pumps are currently using medicines that contain nitrates, such as nitroglycerin should not insulin pumps use Viagra because taken together they can lower the blood pressure too much. Viagra should not be used by women or children.
Molecular Basis for Efficacy
Cytomel is not a steroid, but
more a of a cutting aid. It's a synthetic form of the thyroid hormone tri-iodio-thyronine or T3, made up of a metabolite of the amino acid insulin pumps tyrosine and 3 iodine ions. In the body it in turn is made from another hormone, T4, which insulin pumps is secreted by the thyroid under influence of the pituitary hormone TSH (Thyroid stimulating hormone). If a shortage of insulin pumps either TSH or T4 is noted, usually doctors may opt for a replacement therapy. These days the most common prescription is synthetic T4 (synthroid), but in more severe cases of permanent thyroid dysfunction, the choice
is given to Cytomel. Simply because T4 is mostly active through its conversion to T3 and T3 is 4-5 times stronger than T4 on a mcg for insulin pumps mcg basis.
The potential side effects of Oral Turanabol usually depend on the dosage level and are gender-specific. in women, insulin pumps depending on their predisposition, the usual virilization symptoms occur and increase when dosages of more insulin pumps than 20 mg per day are taken over a prolonged time. In men the already discussed reduced testosterone production can rarely be avoided. Gynecomastia occurs rarely with Oral Turanabol Since
the response of the water and electrolyte household is not overly dis-tinct athletes only rarely report water retention insulin pumps and high blood pressure. Acne, gastrointestinal pain, and uncontrolled aggressive behavior are also the exception rather than the rule with Oral insulin pumps Turanabol An increased libido is reported in most cases by both sexes. Since the substance chlordehydromethyltestosterone insulin pumps is 17-alpha alkylated the manufacturer in its package insert recommends that the insulin pumps liver func-tion be checked regularly since it can be negatively affected by high dosages and the
risk of possible liver damage cannot be excluded. Thus Oral Turanabol is also a steroid that can be taken without interruption for long intervals. insulin pumps Studies of male athletes who over a period of six weeks were given 10 mg Oral Turanabol/day did not show any indications insulin pumps of health-threatening effects.
Should a significant overdose of Xenical occur, insulin pumps it is recommended that the individual be observed for 24 hours. Systemic effects attributable insulin pumps to the lipase-inhibiting properties of orlistat should be rapidly reversible.
Proscar / Finasteride
It is also important that endogenous testosterone production is likely to be suppressed after a cycle of this drug. When this occurs, one insulin pumps runs the risk of losing muscle mass once the steroid is discontinued. HCG and/or Clomid are in most cases considered insulin pumps to be a necessity, used effectively to restore natural testosterone production and avoid a post-cycle "crash". The user should always insulin pumps expect to see some loss of body weight when the steroids is discontinued, as retained water (accounting for considerable weight) will be excreted once hormone levels regulate.
This weight loss is to be ignored, and the athlete should be concerned only with preserving the quality muscle that lies underneath. With the insulin pumps proper administration of ancillary drugs, much of the new muscle mass can be retained for a long insulin pumps time after the steroid cycle has been stopped. Those who rely solely on a fancy tapering-off schedule to accomplish this are likely to be insulin pumps disappointed. Although a common practice, this is really not an effective way to restore the hormonal balance.
CIALIS ® 20mg / TADALAFIL
VIAGRA is a pill used
to treat erectile dysfunction (impotence) in men. It can help many men who have erectile dysfunction get and keep an erection when insulin pumps they become sexually excited (stimulated). You will not get an erection just by taking this medicine. VIAGRA helps a man with erectile insulin pumps dysfunction get an erection only when he is sexually excited.
Greater cardiac output
The usual dosing for men insulin pumps is 25-50 mg/day in divided doses, preferably four or five doses. The drug is 17-alkylated and so use should be limited to no more than 6 weeks, and preferably no more
than four weeks, with at least an equal amount of time off.
** = Of questionable insulin pumps (although possible) importance)
Phentermine diet pills are used for a short-term to help you quickly lose insulin pumps weight and fight obesity. You need to develop better eating habits and exercise while taking Phentermine or insulin pumps any other weight loss medication. Diet pills are not a substitute for proper eating or exercise if you want the best results combine Phentermine with your diet plan. Do not share this medication with friends or family.
then immediately call an ambulance by dialing "911", to get them to a hospital without insulin pumps any delay whatsoever. When the ambulance arrives, you should tell the ambulance officers exactly what the person has taken and what you have insulin pumps observed so the correct treatment can be provided promptly. This is essential as the person's life may be at stake.
Bonavar insulin pumps (Oxandrolone) Side Effects
Trenabol 75 is a fast-acting injectable steroid with a great effect on protein metabolism. Trenbolone is one of the best effective anabolic compounds, promoting
protein synthesis, as well as creating a positive nitrogen balance. It is an appetite stimulant and improves the conversion of proteins. In insulin pumps laboratory tests, it has been demonstrated that trenbolone increases protein and decreases insulin pumps fat deposition. It has proven to be an excellent product for promoting size and strength in insulin pumps the presence of adequate protein and calories, promotes body tissue building processes, and can reverse catabolism.
This particular item is an oil based injectable, containing 25mg boldenone undecylenate and 30mg methandric (methylandrostenediol
dipropionate) per ml. Boldenone is familiar to us as the preparation Equipoise®, bu methandriol is very rarely seen insulin pumps on the U.S. black market. It is a strong anabolic with a notable androgenk component. Methandriol insulin pumps can come in one of two forms actually, there is a 17-methylated compound designed fo oral administration, or the methylated insulin pumps & esterified (dipropionate) version commonly seen as an injectable Australian vet compounds. Methandriol produces notable muscle mass and strength gains, usually withou accompanying water retention. In this
mix it works nicely when mixed with the anabolic boldenone. Together th( two compounds insulin pumps produce exceptional gains in strength and muscle mass.
Benzodiazepines may be habit-forming (causing mental insulin pumps or physical dependence), especially when taken for a long time or in high doses.
DHT Conversion: insulin pumps It is a derivative of DHT
barbiturate medicines for inducing sleep or treating seizures insulin pumps (convulsions)
hormones, including contraceptive or birth control pills
medicines insulin pumps for hay fever and other allergies
medicines for mental depression
medicines for mental problems and psychotic disturbances insulin pumps
Novegam, Oxyflux, Prontovent, Spiropent, Ventolase, Ventapulmin... Is available in 10-20 mcg tablets. Clenbuterol is known as a sympathomimetic. insulin pumps These hormones are taken to mimic adrenaline and noradrenaline in the human body. Clenbuterol is a selective beta-2 agonist insulin pumps that is used to stimulate the beta-receptors in fat and muscle tissue in the body.
Anadrol (Oxydrol) insulin pumps is also a very potent androgen. This factor tends to produce many pronounced, unwanted androgenic side effects. Oily skin, acne and body/facial hair growth can be seen very quickly with
this drug. Many individuals respond with severe acne, often requiring medication to keep it under control. Some of these individuals find that Accutaine insulin pumps works well, which is a strong prescription drug that acts on the sebaceous glands to insulin pumps reduce the release of oils. Those with a predisposition for male pattern baldness may want to stay away from Anadrol 50 completely, as this is insulin pumps certainly a possible side effect during therapy. And while some very adventurous female athletes do experiment with this compound, it is much too androgenic to recommend. Irreversible
virilization symptoms can be the result and may occur very quickly, possibly before you have a chance to take action.
Nandrolone is chemically related to the male hormone testosterone. Compared insulin pumps to testosterone, it has an enhanced anabolic and a reduced androgenic activity. This has been demonstrated in animal bioassays and insulin pumps explained by receptor binding studies. The low androgenicity of nandrolone is confirmed in clinical use. In the human, nandrolone has been shown to positively influence calcium metabolism
and to increase bone mass in osteoporosis. In women with disseminated mammary carcinoma, nandrolone has been reported to insulin pumps produce objective regressions for many months. Furthermore, nandrolone has a nitrogen-saving action. This effect on protein metabolism has insulin pumps been established by metabolic studies and is utilised therapeutically in conditions where a protein deficiency exists such as during insulin pumps chronic debilitating diseases and after major surgery and severe trauma. In these insulin pumps conditions, nandrolone phenylpropionate serves as a supportive adjunct to specific therapies
and dietary measures as well as parenteral nutrition, due to it's faster acting nature nandrolone phenylpropionate is preffered in situations insulin pumps where a faster clinical response is required over it's chemical variant nandrolone decaonate.
The growth hormones is a polypeptide insulin pumps hormone consisting of 191 amino acids. In humans it is produced in the hypophysis and released if there are the right stimuli (e.g. training, insulin pumps sleep, stress, low blood sugar level). 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 and release insulin-like growth factors insulin pumps and somatomedins. These growth factors are then the ones that cause various effects on the body.
An effective daily dose for athletes is 15-40 mg/day. The dosage of dianabol insulin pumps taken by the athlete should always be coordinated with his individual goals. Steroid novices do not need more than 15-20 mg of dianabol per day which is sufficient to achieve exceptional results.
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.