Xenical has a greater success of weight loss when accompanied by a reduced
calorie diet plan with no more than 30% of calories from fat. By not reducing your fat intake while taking Xenical, a greater chance of unwanted insulin pumps side effects such as oily discharge may occur.
Testosterone occurs naturally insulin pumps in both the male and female body, as insofar as drug testing for it, typical tests insulin pumps don´t work (i.e. testing for metabolites). Testosterone can be tested for on a testosterone/epitestosterone insulin pumps ratio, a failing result usually being anything over 6 to 1, but there are other more effective tests currently in use as well as being developed by the usual
party-poopers in the IOC and FDA. Noteworthy is that if you are using low doses of this drug and stop taking it 36-48 hours before insulin pumps a Test/EpiTest analysis, you can still pass!
If you miss a dose, take it as soon as you can. If it is almost time for your next insulin pumps dose, take only that dose. Do not take double or extra doses.
It is easy on the liver and promotes good size insulin pumps and strength gains while reducing body fat. Deca can be used by almost all athletes, with positive results and very few side effects, deca has gained a reputation as being somewhat of an alleviator
of sore joints and tendons. Athletes report that sore shoulders, knees and/or elbows are somehow without pain on the Deca cycle.
is more resistant to estrogen conversion (the most active site of nandrolone aromatization seems insulin pumps to be the liver). The antiestrogenic effect of all of these compounds is presumably caused by their ability to compete with other substrates for binding insulin pumps to the aromatase enzyme. With the aromatase enzyme bound to the steroid, yet being unable to alter it, and inhibiting effect is achieved insulin pumps as it is temporarily blocked from interacting with other hormones.
TRI-TRENBOLA 150 is a combination of three esters of trenbolone (Trenabolone Acetate, Trenbolone Hexahydrobenzylcarbonate,
While most will tell you it's a waste to not use testosterone, as insulin pumps it will take ages longer to build proper mass, these are all points to take into consideration. Testosterone is a product that is heavily used insulin pumps by beginners and veterans alike and justly so. Those who fear they may never understand the proper insulin pumps use of ancillary drugs, may want to suck it up and invest in some propionate or suspension testosterones instead. These are much shorter acting and easier to control, but they do need to be injected once every two days, whereas this type of ester
will impart great gains with a single weekly injection. Something to keep in mind.
Primobol-100 (Methenolone Enanthate) insulin pumps may be taken by both Men and Women. Dosages for men are 100-300 mg/week, Women 1/2 dosage. Primobol-100 (Methenolone Enanthate) insulin pumps is the only steroid that works well on a low calorie diet. Effective for bulking, insulin pumps but tends to harden and add muscle tone more that build big muscles.
Bonalone,brand name for supstance insulin pumps oxymetholone,produced by Body research,Thailand is a very potent oral steroid.Some studies says 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 which leads to medical indication insulin pumps to heal a few kinds of anemia. Erythropoietin change it in a medical sphere because of side effects typical for a oral androgen. insulin pumps
The ability of IGF-I to stimulate protein synthesis resembles the action of GH, which was shown insulin pumps in separate studies on volunteers to stimulate protein synthesis without affecting protein degradation. insulin pumps Although it is often believed that the effects of GH are mediated through IGF-1, this cannot be
the case entirely. First, the effects of the two hormones are different, in that GH does insulin pumps not change protein degradation. Second, the effect of GH is observed with little or no change in systemic IGF-1 concentrations. Age related muscle insulin pumps loss has been prevented with GH injections, however it is believed that this is accomplished through IGF-1.
Virormone (Testosterone propionate) is used on so few occasions in weightlifting, powerlifting, and bodybuilding not because it is ineffective. On the contrary, most do not know about propionate and its application potential. One
acts according to the mottos "what you don't know won't hurt you" and "If others don't use, it can't be any good." We do not insulin pumps want to go this far and call propionate the most effective testosterone ester-, however, in certain applications insulin pumps it is superior to enanthate, cypionate, and also undecanoate because it has characteristics which the common test-osterones do not have. The insulin pumps main difference between propionate, cypionate, and enanthate is the respective duration of effect. In contrast to the long-acting enanthate and cypionate depot steroids, propionate has a distinctly
lower duration of effect. The reader learns how long this time is from the package insert of the German Jenapharm GmbH insulin pumps for their compound "Testosteron Jenapharm" (see list with trade 'names): insulin pumps "Testosterone proprionate has a duration of effect of I to 2 days." An eye-catching difference, insulin pumps however, is that the athlete "draws" distinctly less water with propionate and visibly insulin pumps lower water retention occurs. Since propionate is quickly effective, often after only one or two days, the athlete experiences an increase of his training energy, a better pump,
an increased appe-tite, and a slight strength gain. As an initial dose most athletes pre-fer a 50-100 mg injection. This offers two options: insulin pumps First, because of the rapid initial effect of the propionate-ester one can initiate a sev-eral-weeklong steroid treatment insulin pumps with Testosterone enanthate. Those who cannot wait until the depot steroids become effective inject 250 insulin pumps mg of Testosterone enanthate and 50 mg of Virormone (Testosterone propionate) at the beginning of the treatment. After two days, when the effect of the propionates decreases, another 50 mg ampule is injected. Two days after
that, the elevated testosterone level caused by the propi-onate begins to decrease. By that time, the effect of the enanthates in the insulin pumps body would be present; no further propionate injections would be necessary. Thus the athlete rapidly reaches and maintains a high testosterone insulin pumps level for a long time due to the depot testo. This, for example, is important for insulin pumps athletes who with Anadrol 50 over the six-week treatment have gained several pounds and would now like insulin pumps to switch to testosterone. Since Anadrol 50 begins its "breakdown" shortly after use of the compound is discontinued,
a fast and el-evated testosterone level is desirable. The second option is to take propionate during the entire period of intake. This, however, requires insulin pumps a periodic injection every second day.
American athletes have a long a fond relationship with Testosterone insulin pumps cypionate. While testosterone enanthate is manufactured widely throughout the world, cypionate seems to be almost exclusively an American insulin pumps item. It is therefore not surprising that American athletes particularly favor this testosterone ester. But many claim this is not just a matter of simple pride, often swearing
cypionate to be a superior product, providing a bit more of a "kick" than enanthate. At the same time it is said that Testosterone insulin pumps cypionate produces a slightly higher level of water retention, but not enough for it to be easily discerned. Of course when we look at the situation objectively, insulin pumps we see these two steroids are really interchangeable, and cypionate is not at all superior. Both are long insulin pumps acting oil-based injectables, which will keep tesosterone levels sufficiently elevated for approximately two weeks. Enanthate may be slightly better in terms of testosterone release,
as this ester is one carbon atom lighter than cypionate (remember the ester is calculated insulin pumps in the steroids total milligram weight). The difference is so insignificant however that no insulin pumps one can rightly claim it to be noticeable (we are maybe talking a few milligrams per shot).
Do not let anyone else take your medicines.
Xenical contains the active ingredient insulin pumps orlistat, for oral administration. Each Xenical capsule contains 120 mg. orlistat.
Thirdly, mesterolone is added in pre-contest phases to increase a distinct hardness and muscle density. Probably
due to its reduction in circulating estrogen, perhaps due to the downregulating of the insulin pumps estrogen receptor in muscle tissue, it decreases the total water build-up of the body giving its user a much leaner look, and a visual effect insulin pumps of possessing "harder" muscles with more cuts and striations. Proviron is often used as insulin pumps a last-minute secret by a lot of bodybuilders and both actors and models have used it time and again to deliver insulin pumps top shape day in day out, when needed. Like the other methylated DHT compound, drostanolone, mesterolone is particularly potent in achieving this feat.
Pregnancy — too much use of a benzodiazepine during pregnancy may cause the baby insulin pumps to become dependent on the medicine. This may lead to withdrawal side effects after birth. Also, use of benzodiazepines during pregnancy, insulin pumps especially during the last weeks, may cause body temperature problems, breathing problems, difficulty in feeding, drowsiness, or muscle weakness in insulin pumps the newborn infant.
Pregnyl by Organon.1,500 to 5,000 (International Units) per 1ml amps. insulin pumps This drug is not a steroid but it is widely used in athletics today. HCG is a natural protein hormone
secreted by the human placenta and purified form the urine of pregnant women. This hormone is not a insulin pumps natural male hormone but mimics the natural hormone LH (Luetinising Hormone) almost identically. This LH stimulates the production of testosterone insulin pumps by the testis in males. Thus HCG sends the same message and results in increased testosterone production insulin pumps by the testis due to HCG’s effect on the leydig cells of the testis. Normally this HCG is used to treat women with certain ovarian disorders and it is used to stimulate the testis of men who may be hypogonadal. Athletes use HCG to increase
the body’s own natural production of testosterone which is often depressed by long term steroid use. Also when steroids are used insulin pumps in high dosages they can cause false signals to the hypothalamus that results in a depressed signal to the testicles. Over insulin pumps a period of weeks of this depressed signal the testicles ability to respond to any signal from the pituitary becomes very weak, which results in insulin pumps testicular atrophy. To avoid this athletes will use HCG to keep an artificial signal going to the testis and preventing testicular atrophy.
Restandol (Andriol) has only a
low inhibitive effect on the hypothalamus so that the release of LHRH (luteinizing hormone releasing hormone) is rarely influenced. insulin pumps This is very important since-as we know-LHRH stimulates the hypophysis to release gonadotropine insulin pumps which causes the Ledig's cells in the testes to produce testosterone. Consequently, Restandol (Andriol) should be the perfect steroid; insulin pumps however, this is not the case.
Roaccutane is generally used in the treatments of acne by reducing the natural oil (sebum) that the skin produces. The active ingredient of the capsules is Isotretinoin. Isotretinoin
is a derivate of vitamin A and member of a medicine group called as retinoids.
Common uses and directions for insulin pumps Anavar, oxandrolone.
Finasteride that is a specific inhibitor of 5a-reductase. insulin pumps Harifin is the enzyme responsible for converting testosterone into DHT (dihydrotestosterone). insulin pumps Harifin can efficiently reduce the serum concentration of DHT, therefore Harifin minimizes the unwanted androgenic insulin pumps effects that result from its presence. Propecia is the same drug but the tablet contains only 115 of the Harifin dosage. Scientists have long believed that DHT was the
main culprit in many cases of male hair loss (along with genetic factors), so there was little doubt after the release of Harifin that Finasteride insulin pumps would eventually be used for this purpose.
HOW TO TAKE CIALIS
Although Bonavar is insulin pumps an oral steroid, and has been alpha-alkylated to survive oral ingestion and the first pass through the liver, insulin pumps it´s still relatively mild in that respect too..., the unique chemical configuration of oxandrolone both confers insulin pumps a resistance to liver metabolism as well as noticable anabolic activity. It would also appear that Bonavar
appears not to exhibit the serious hepatotoxic effects (jaundice, cholestatic hepatitis, peliosis hepatis, insulin pumps hyperplasias and neoplasms) typically attributed to the C17alpha-alkylated AASs. Bonavar has even been used successfully in some studies to heal cutaneous insulin pumps wounds, or to improve respiratory function. Both of these novel properties could make it a insulin pumps good choice for in-season use for boxers, Mixed Martial Arts competitors, and other such athletes.
Bodybuilders have a strong appreciation for non-aromatizing androgens, and find Masteron very useful as a cutting agent.
It is likewise generally used a number of weeks prior to a competition, in an effort to bring out an improved look insulin pumps of density and hardness to the muscles. For this purpose Masteron should work exceptionally well so insulin pumps long as the body fat percentage is low enough. Provided everything fits as if should, the insulin pumps user can achieve that "ripped" look so popular to professional bodybuilding. The androgenic effect can also be insulin pumps crucial during this period, a time when caloric intake is drastically lowered. The user is provided added "kick" or "drive" to push through the grueling training sessions
leading up to the show. Drostanoione was once also popular with athletes subject to drug testing, as for a period of time this insulin pumps compound was not screened for during competition. The urinary metabolites of drostanoione were recognized by the early 90's however, insulin pumps and this drug now adjoins a long list of anabolic/androgenic steroids identifiable during urinalysis testing. Although insulin pumps some bodybuilders claim they can safely use Masteron if discontinued three to four weeks before a test, there are always uncertainties with the use of esterified injectable steroids. This perhaps makes the oral
DHT Proviron® (1-ethyldihydrotestosterone) a slightly better choice, as orals offer much better control.
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.
In fact, athletes who are not ambitious to compete will make highly satisfying progress insulin pumps with Dianabol. Competing athletes, more advanced athletes, and athletes weighing more than 220 pounds do not need more than 40 mg/day and in very rare cases
50 mg/day. It does not make sense to increase the number of Dianabol tablets immeasurably since fifteen tablets do not double the effect insulin pumps of seven or eight. Daily dosages of 60 mg+ usually are the result of the athletes ignorance or his plain despair, since insulin pumps in some athletes, due to the continued improper intake of steroids, nothing seems to be effective any longer. The simultaneous insulin pumps intake of Dianabol and Anadrol is not a good idea since these two compounds have similar effects. The situation can be compared to the intake of ten or more tablets of one of these drugs per day. Those
who are more interested in Strength and less in body mass can combine Dianabol with either Anavar insulin pumps or Winstrol tabs. The additional intake of an injectable steroid does, however, clearly show the best results. To insulin pumps build up mass and strength, Sustanon or Testoviron Depot at 250 mg+/week and/or Deca Durabolin 200 at mg+/week insulin pumps are suitable. To prepare for a competition, Dianabol has only limited use since it causes distinct water retention in many athletes insulin pumps and due to its high conversion rate into estrogen it complicates the athletes fat breakdown. Those of you without this problem or who
are able to control it by taking Nolvadex or Proviron, in this phase should use Dianabol insulin pumps together with the proven Parabolan, Winstrol Depot, Masteron, Anavar, etc.
Efficacy in bitemporal recession insulin pumps has not been established.
No. With KAMAGRA, you must be sexually aroused to get an erection. If insulin pumps you take KAMAGRA and are not sexually stimulated, nothing will happen–you won't get an erection just by taking insulin pumps the pill. KAMAGRA is not a hormone. It is not an aphrodisiac. It's a prescription medication that can improve the erectile function of most men with erection
Any variation of that is definitely counterfeit. A running dosage insulin pumps of test cypionate is generally in the range of 200-600mg per week. When this was available for $20 per10ml bottle, many users would take insulin pumps a whopping 2000mg per week. This kind of dosage however, is unsafe, generally not needed and in today's day and insulin pumps age too costly.
The above information is intended to supplement, not substitute for, the expertise insulin pumps and judgment of your physician, or other healthcare professional. It should not be construed to indicate that use of Viagra is safe, appropriate,
or effective for you. Consult your healthcare professional before using Viagra.
Glaucoma, acute narrow angle — insulin pumps Benzodiazepines should NOT be used if you have this condition.
So how exactly does insulin pumps Testosterone build muscle? Well, Testosterone promotes nitrogen retention in the muscle (6), and the more nitrogen the muscles insulin pumps holds the more protein the muscle stores, and the bigger the muscle gets. Testosterone can also increase the levels of another anabolic hormone, IGF-1, in muscle tissue (7). IGF-1 is, alone, highly anabolic
and can promote muscle growth. It is responsible for much of the anabolic activity of Growth Hormone (GH). IGF-1 is also one of the insulin pumps few hormones positively correlated with both muscle cell hyperplasia and hyperphasia (this means it both creates insulin pumps more muscle fibers as well as bigger fibers). All of this leads me to speculate that for pure mass, IGF-1, GH, insulin pumps and Testosterone would be a very effective combination. Testosterone also has the amazing ability to increase insulin pumps the activity of satellite cells(8). These cells play a very active role in repairing damaged muscle. Testosterone also
binds to the androgen receptor (A.R.) to promote all of the A.R dependant mechanisms for muscle gain and insulin pumps fat loss (9), but clearly, as we´ve seen, this isn´t the only mechanism by which it promotes growth.
Energy level insulin pumps
Deca is not known as a very "fast" builder. The muscle building effect of this drug is quite insulin pumps noticeable, but not dramatic. The slow onset and mild properties of this steroid therefore insulin pumps make it more suited for cycles with a longer duration. In general one can expect to gain muscle weight at about half the rate of that with
an equal amount of testosterone. A cycle lasting eight to twelve weeks seems to make the most sense, expecting to elicit insulin pumps a slow, even gain of quality mass. Although active in the body for much longer, Deca is usually injected once or twice per week. The dosage for insulin pumps men is usually in the range of 300-600mg/week. If looking to be specific, it is believed that Deca will exhibit its optimal effect (best gain/side effect insulin pumps ratio) at around 2mg per pound of lean bodyweight/weekly. Deca is also a popular steroid among female bodybuilders. They take a much lower dosage on average than men of
course, usually around 50mg weekly.
High HGH levels are what makes you feel young again.
Studies using low dosages insulin pumps of this compound note minimal interferences with natural testosterone production. Likewise when it is used alone in small insulin pumps amounts there is typically no need for ancillary drugs like Clomid/Nolvadex or HCG. insulin pumps This has a lot to do with the fact that it does not convert to estrogen, which we know has insulin pumps an extremely profound effect on endogenous hormone production. Without estrogen to trigger negative feedback, we seem to note a higher threshold before
inhibition is noted. But at higher dosages of course, a suppression of natural testosterone insulin pumps levels will still occur with this drug as with any anabolic/androgenic steroid and therefore require post cycle therapy to restore insulin pumps the HPTA.
Diazepam is occasionally beneficial for patients with major depression or psychosis. insulin pumps It can, however, induce paradoxical effects in these patients and in those with suicidal insulin pumps ideation. The drug should be administered to such patients with careful monitoring.
So you see, the longer the ester on the testosterone is, the longer the
steroid is active in your body, and the less actual test you get. This is because, for every 100mgs of testosterone cypionate insulin pumps you inject, only 69.90mgs of it is actually testosterone, the rest is the cypionate ester, which insulin pumps must be removed. On the other hand, with the propionate ester you´ll get 83.72mgs of Testosterone! insulin pumps The advantage to longer esters is that they need to be injected less frequently (test prop needs insulin pumps 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 who have tried differing esters on their various cycles agree: Testosterone Propionate insulin pumps causes the least side effects and the least bloating. For this reason, it´s often the testosterone of choice in cutting cycles. On a personal insulin pumps note, it´s the only form of testosterone I ever use, and it´s the only one most women will use, due insulin pumps 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 propionate begin to decline sharply after the second day of use(5). Obviously insulin pumps this is not the drug of choice for those who are squeamish about injections, you´ll be shooting this stuff every other day at least.
Best results can be obtained with 50-100 mg per day or every sec-ond day. The athlete, as already insulin pumps mentioned, will experience visibly lower water retention than with the depot testosterones so that propionate is well-liked by bodybuilders who easily draw water with enanthate. A good stack for gaining muscle mass would
be, for example, 100 mg Virormone (Testosterone propionate) every 2 days, 5p mg Winstrol Depot every 2 days, and insulin pumps 30 mg Dianabol/day. Propionate is mainly used in the preparation for a competition and used by female insulin pumps athletes. And in this phase, dieting is often combined with, testosterone to maintain muscle insulin pumps mass and muscle density at their maximum. Propionate has always proven effective in this regard since it fulfills these insulin pumps requirements while lowering possible water retention. This water retention can be tempered by using Nolvadex and Proviron.
has a strong influence on the hypothalamohypophysial testicular axis. The hypophysis is inhibited by a positive feedback. This leads to a negative influence insulin pumps on the endogenic testosterone production. Possible effects are described by the German Jenapharm GmbH in their package insert for the compound insulin pumps Testosteron Depot: "In a high-dosed treatment with testosterone compounds an often reversible interruption or reduction insulin pumps of the spermatogenesis in the testes is to be expected and consequently also a reduction of the testes size". Sobering AG, the manufacturer of Testoviron Depot-250, also
suggests the same idea in its package insert: "A long-term and high-dosed application of Testoviron insulin pumps Depot-250 will lead to a reversible interruption or reduction of the sperm count in the testes, thus insulin pumps a reduction of the testes size must be expected". Consequently, after reading these statements, additional intake of HCG insulin pumps should be considered. Those who take Testosterone enanthate should consider the intake of HCG every 6-8 weeks. An injection of 5000 I.U. every fifth day over a period of 10 days (a total of 3 injections) helps to reduce this problem. At the end of the testosterone treatment
the administration of HCG, Clomid, Nolvadex and Clenbuterol is now quite common. To some extent the use of these compounds insulin pumps helps absorb the catabolic phase and helps elevate the endogenic testosterone level. By this method the strength and mass loss which occur in any event insulin pumps can be reduced. Those who go off Testosterone enanthate call turkey after several weeks of use will insulin pumps wonder how rapidly their body weights and former voluminous muscles will decrease. Even a slow tapering-off phase, that is reducing the dosage step by step, will not prevent a noticeable reduction. The only
options available to the athlete consist of taking testosterone-stimulating compounds (HCG, Clomid, Cyclofenil), insulin pumps anti-catabolic substances (Clenbuterol, Ephedrine), or the very expensive growth hormones, or of switching to milder steroids insulin pumps (Deca-Durabolin, Winstrol, Primobolan). Most can get massive and strong with Testosterone enanthate. However, only few are able to retain their size insulin pumps after discontinuing the compound. This is also one of the reasons why really good bodybuilders, insulin pumps powerlifters, weightlighters, and others take the "stuff" all year long.
A dosage sufficient
for any athlete would be 0.5 - 0.8 mg per pound of body weight/day. This corresponds to 1-4 tablets; i.e. 50-200 mg/day. Under insulin pumps no circumstances should an athlete take more than four tablets in any given day, preferrably never more than three. insulin pumps
Trenbolone insulin pumps is also a highly androgenic hormone, when compared with testosterone, which has an androgenic insulin pumps ratio of 100; trenbolone´s androgenic ratio is an astonishing 500. Highly androgenic steroids are appreciated for the effects they
have on strength as well as changing the estrogen/androgen ratio, thus reducing water and under the skin. As if insulin pumps the report on trenbolone was not good enough, it gets better; Trenbolone is extraordinarily good as a fat loss agent. One reason for this insulin pumps is its powerful effect on nutrient partitioning (9). It is a little known fact is insulin pumps that androgen receptors are found in fat cells as well as muscle cells (10), androgens act directly on the A.R insulin pumps 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 and fat insulin pumps (11, 12) this fat loss effect would be amplified with the concurrent use of other compounds, such as testosterone.
The optimal dose for this insulin pumps purpose lies between 200 and 600 mg/week. Scientific research has shown that best results can be obtained by the insulin pumps intake of 2 mg/pound body weight. Those who take a dose of less than 200 mg/week will usually insulin pumps feel only a very light anabolic effect which, however, increases with a higher dosage. The anabolic and consequent buildup effect of
deca, up to a certain degree, depends on the dosage. In the range of approx. 200 to 600 mg/week, insulin pumps the anabolic effect increases almost proportionately to the dosage increase. If more than 600 mg/week are insulin pumps administered, the relationship of the positive to the negative effects shifts in favor of the latter. In insulin pumps addition, at a dosage level above 600 mg/week, the anabolic effect no longer increases proportionately to the dosage insulin pumps increase, so that 1000 mg/week do not guarantee significantly better results than 600 mg/week. Most male athletes experience good results by taking 400 mg/week.
Steroid novices usually need only 200 mg/week. Deca Durabolin works very well for muscle buildup when combined with insulin pumps Dianabol (D-bol) and Testoviron Depot. The famous Dianabol (D-bol)/Deca stack results in a a fast and strong gain in muscle insulin pumps mass. Most athletes usually take 15-40 mg Dianabol (D-bol)/day and 200-400 mg Deca/week. Even faster results can be achieved insulin pumps with 400 mg Deca/week and 500 mg Sustanon/week. Athletes report an enormous gain in strength and muscle mass when taking 400 mg Deca/week, 500 mg Sustanon/week, and 30 mg Dianabol (D-bol)/day.
Day 13: 80 mcg (Tapering
is not necessary, but it helps some users get back to normal gradually)
Day 13: 100 mcg
Neo-Hombreol 50 mg/ml; Organon NL
Melting Point (ester): 16.6C
Drug Class: Highly Anabolic/Androgenic Steroid.
If you take cytotoxic medicines with insulin pumps Tamoxifen, you may have an increased risk of blood clots.
The first study I looked at (1) showed that insulin pumps Teslac increases testosterone (by 47%) and it´s precursor androstenedione (70%) levels in the body. In the second study I looked at, it raised
testosterone levels in men up to 290ng/dl (almost enough to bring you from 0 test to the lowest end of normal/acceptable insulin pumps range), as well as raising LH (leutenizing hormone) levels, and even FSH (Follicle insulin pumps Stimulating Hormone) levels slightly (2). So as you can see, not only is this stuff insulin pumps not suppressive of your natural hormones, it actually stimulates your body to produce more testosterone as well as the hormones insulin pumps which produce it.(2) As for it´s ability to halt aromatization, it has been insulin pumps shown to reduce it by 90-95%, with regards to decrease in the overall rate, in some instances
(7). In another third study, Aromatase inhibition by testolactone, at a dose of 500 mg insulin pumps twice daily (so a total of 1,000mgs/day) for 4 weeks lowered circulating estradiol (E2) levels by insulin pumps roughly 1/3rd and enhanced the secretion of follicle-stimulating hormone and testosterone by approximately the same amount (1/3rd insulin pumps each)(6). Basically, we´re looking at pretty decent reductions in both aromatization, as well insulin pumps as reduction in total estrogen floating around 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 raises testosterone levels and lowers estrogen levels in all of the studies we´ve examined. Raising FSH, LH, and testosterone insulin pumps while lowering estrogen is a pretty good deal considering most steroids lower endogenous (natural) production of the first three, and raise estrogen. insulin pumps
Anabolic steroids are insulin pumps not recommended during pregnancy. They may cause the development of male features in the female fetus and premature growth and development of male features in the male fetus. Be sure you have
The body's own production of testosterone is considerably reduced since anadrol has insulin pumps an inhibiting effect on the hypothalamus, which in turn completely reduces or stops insulin pumps the release of GnRH (gonadotropin releasing hormone). For this reason the intake of testosterone-stimulating compounds such insulin pumps as HCG and Clomid is absolutely necessary to maintain the hormone production in the testes. insulin pumps
Keep Viagra in a tightly closed container and out of reach of children. Store Viagra at room temperature and away from excess heat and moisture (not in the
The down side is that this drug is responsible for a number of side effects. insulin pumps It is an alpha alkylated 17 compound, which is quite toxic to the liver. Average dosages for Danabol / Dianabol have been in the range of 15mg to insulin pumps 30mg a day oral or 50mg to 100mg a week by injection. Regarded by many athletes as being one insulin pumps of the most effective oral steroids ever produced. It was not known as the "Breakfast of Champions" for nothing. Danabol / Dianabol insulin pumps is still one of the most effective strength and size building oral steroids probably second only to Anadrol
50 but it is not as harsh on the system as Anadrol 50 is.
Testosterone cypionate is a long acting ester insulin pumps of testosterone which is increasingly difficult to find. Before the scheduling of anabolics in the U.S., this was the most common form
of testosterone available to athletes. Cyp had gained a reputation as being slightly stronger than Enanthate and became the testosterone of choice insulin pumps for many.
Product Description: Testosterone Heptylate
For use in cycles with testosterone, I don't think insulin pumps it is bad at all. One simply doesn't want less DHT than normal. As the amount of testosterone insulin pumps in the system increases, the amount of finasteride needed to keep levels down to normal increases. insulin pumps I consider 5 mg/day reasonable at the gram per week level, and proportionally less at lower dosages of testosterone.
These rules are:
Clenbuterol is a selective beta-2 agonist that is used to stimulate the beta-receptors in insulin pumps fat and muscle tissue in the body.
Cytomel is not a steroid, but more a of a cutting insulin pumps aid. It's a synthetic form of the thyroid hormone tri-iodio-thyronine or T3, made up of a metabolite of the amino acid tyrosine and 3 iodine ions. In insulin pumps the body it in turn is made from another hormone, T4, which is secreted by the thyroid under influence of the pituitary hormone TSH (Thyroid stimulating hormone). If a shortage of either TSH or T4 is noted, usually
doctors may opt for a replacement therapy. These days the most common prescription is synthetic T4 (synthroid), insulin pumps but in more severe cases of permanent thyroid dysfunction, the choice is given to Cytomel. Simply because T4 is mostly active through insulin pumps its conversion to T3 and T3 is 4-5 times stronger than T4 on a mcg for mcg basis.
Nolvadex C&K insulin pumps is used to treat breast cancer in women or men. Tamoxifen may also be used to treat other kinds of cancer, as determined by your doctor.
Sustanon is a very popular steroid which is highly appreciated by its users
since it offers several advantages when compared to other testosteron compounds. Sustanon is a mixture of four different testosterones insulin pumps which, based on the well-timed composition, have a synergetic effect.These substances insulin pumps are: Testosterone propionate 30 mg, Testosterone phenylpropionate 60mg, Testosterone isocaporate 60 mg, Testosterone decanoate insulin pumps 100 mg.
Nolvadex C&K is also useful during a diet since it helps in insulin pumps the burning of fat. Although tamoxifen has no direct fatburning effect its antiestrogenic effect contributes to keeping the estrogen level as low as possible.
Nolvadex C&K should especially be taken together with the strong androgenic steroids Dianabol and Anadrol , insulin pumps and the various testosterone compounds.
Releaser HGH products are essentially amino acid "multi- vitamins". insulin pumps They typically contain L- group amino acids such as valine and glutamine that are the building blocks for human growth hormone. insulin pumps While these ingredients are essential components of actual human growth hormone, they insulin pumps still need to undergo a chemical change to produce true HGH. Many of the less- expensive pill supplements touted as "HGH" today are simple
amino acid releaser products.
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.