glaucoma, gallstones, epilepsy (or any other seizure disorder), history of stroke, heart problems, or high blood pressure talk to your insulin pumps doctor. You may not be able to take Reductil or you may require a dosage adjustment. Also, DO NOT take Reductil without first insulin pumps consulting with your doctor if you are pregnant or nursing.
This effect is obviously beneficial insulin pumps to the athlete, especially at the conclusion of a steroid cycle when endogenous testosterone levels insulin pumps are subnormal. When an athlete discontinues the use of steroids, his testosterone levels will most likely be suppressed. If endogenous testosterone levels are not brought to normal, a dramatic loss in size and strength
may occur. Clomid plays a crucial role in preventing this crash in athletic performance.
A number of athletes insulin pumps claim that GH is not that effective on its own, but in a stack with steroids it can do remarkable things. Perhaps there is some type of actual synergism insulin pumps created by the concomitant use of these two agents. Empirical data suggests that the efficacy insulin pumps of GH is dose related and that the majority of users may not have been taking enough of it to get positive results. Despite insulin pumps speculation concerning its efficacy, synthetic GH is being used by thousands of elite athletes. These include men and women bodybuilders, strength athletes, as well as a multitude of Olympic competitors.
Although Growth Hormone is banned by athletic committees, there is no method for the detection of it which allows drug tested insulin pumps competitors to use this product freely without any ramifications. Adverse reactions to GH use are rare insulin pumps but technically could involve acromegaly (elongation of the feet, forehead and hands). Other possible side effects involve overgrowth insulin pumps of the elbows or jaw, thickening of the skin and a type of diabetes. There are numerous counterfeit versions of this product which are merely insulin pumps cashing in on the drug's mystique and high price tag. The legitimate versions must be refrigerated at all times, before and after they are reconstituted. Effective dosages
seem to be in the area of 2 I.U., 2-4 times a week. Cycle length is usually determined by how long the athlete can afford it. Some take the product insulin pumps for 6 week cycles, others use it year round.
Effective dosage of Sustanon
High Blood insulin pumps Pressure: Rare
Xenical (Orlistat) additional information:
Incidentally, insulin pumps this progestogenic activity also inhibits LH production, and contrary to common belief, even insulin pumps small amounts of Deca are quite inhibitory, approximately as much so as the same amount of testosterone.
In addition, androgenic side effects are common with this substance, and may include bouts of oily skin, acne and body/facial
hair growth. Aggression may also be increased with a potent steroid such as this, so it would be wise not to let your disposition change insulin pumps for the worse during a cycle. With Anabol there is also the possibility of aggravating insulin pumps a male pattern baldness condition. Sensitive individuals may therefore wish to avoid this drug and opt for a insulin pumps milder anabolic such as Deca-DurabolinR. While Anabol does convert to a more potent steroid via interaction with the 5-alpha reductase insulin pumps anzyme (the same enzyme responsible for converting testosterone to dihydrotestosterone), it has extremely insulin pumps little affinity to do so in the human body's. The androgenic metabolite 5alpha dihydromethandrostenolone is therefore
produced only in trace amounts at best. The benefit received from ProscarR/PropeciaR would therefore be insignificant, insulin pumps the drug serving no real purpose.
KEEP THIS PRODUCT out of the reach of children.
Although dianabol has many potential insulin pumps side effects, they are rare with a dosage of up to 20 mg./day. Danabol / Dianabol causes a considerable strain insulin pumps on the liver. In high dosages and over a longer period of time, Danabol / Dianabol is liver-toxic. Even a insulin pumps dosage of only 10 mg./day can increase the liver values, after discontinuation of dianabol, however, the values return to normal.
In fact, athletes who are not ambitious to compete will
make highly satisfying progress with Dianabol. Competing athletes, more advanced athletes, and insulin pumps athletes weighing more than 220 pounds do not need more than 40 mg/day and in very rare cases 50 mg/day. insulin pumps It does not make sense to increase the number of Dianabol tablets immeasurably since fifteen tablets do not insulin pumps double the effect of seven or eight. Daily dosages of 60 mg+ usually are the result of the athletes ignorance or his plain despair, since in some insulin pumps 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 insulin pumps body mass can combine Dianabol with either Anavar or Winstrol tabs. The additional intake of an injectable steroid does, however, clearly show the insulin pumps best results. To build up mass and strength, Sustanon or Testoviron Depot at 250 mg+/week and/or insulin pumps Deca Durabolin 200 at mg+/week are suitable. To prepare for a competition, Dianabol has only limited use since it causes distinct water retention insulin pumps in many athletes 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 together with the proven Parabolan, insulin pumps Winstrol Depot, Masteron, Anavar, etc.
Clenbuterol is a selective beta-2 agonist that is used to insulin pumps stimulate the beta-receptors in fat and muscle tissue in the body.
An anti-estrogen such as Nolvadex is best kept on hand, as there insulin pumps is little doubt that estrogenic problems will occur. Using 30-40 mg/day until well after problems have subsided is insulin pumps advised. Cautious individuals will opt to run proviron or arimidex, aromatase blockers, alongside testosterone suspension to prevent any estrogen from building up. While this will strongly reduce
gains, testosterone suspension is still a very adequate compound. Proviron is to be given preference as an aromatase blocker with all forms of testosterone, insulin pumps but those prone to androgenic side-effects such as male pattern hair loss would do wise to invest insulin pumps in the stronger and more expensive arimidex, since proviron can increase androgen-related side-effects.
In case of chest pain occurring during or after sexual activity you should NOT use nitrates insulin pumps but you should seek immediate medical assistance.
It means that if you are injecting upwards of 50mcg of IGF-1 you are growing your intestines. Yes you
are also growing muscle and you may be getting leaner in the process. Your waistline looks trimmer. Nice. A few months down the line, your new intestinal insulin pumps cells will be of their full adult size and you will have acquired the perma-bloat look. Guaranteed. Maybe not insulin pumps Coleman-size perma-gut, but SOME perma-gut and it will keep growing. Guaranteed. insulin pumps Just as your new muscle cells can keep growing and growing IF you pin IGF-1 in a way to maximize new muscle insulin pumps cell creation.
Timing of insulin administration in relation to food intake and exercise;
50mg tablets are pink hexagon shaped tablets, with "50" imprinted on one side and a score on the reverse, sealed in bags
of 100 tabs.
The best thing to stack it with is testosterone of course. Its insulin pumps most easily bound to SHBG and albumin, and deactivated for up to 98%. Since the DHT can compete for these insulin pumps structures with higher affinity it would naturally lead to a higher yield of whatever insulin pumps testosterone product you stacked it with. Since DHT levels are notably higher now there is also more insulin pumps stimulation of the androgen receptor causing more strength gains, and because of its affinity insulin pumps for aromatase the overall estrogen level decreases as well. This has as a result that gains are leaner, and once again the overall testosterone yield is increased as less I converted at the aromatase enzyme.
DNP accomplishes the astounding boost in metabolic rate via inhibition of the F0F1 insulin pumps ATP synthase molecule, located in the inner wall of each mitochondrion. While the insulin pumps electron transport chain still functions to pump hydrogen ions into the intermembrane insulin pumps space, the coupling of the proton gradient to ATP production is rendered impossible by DNP. As a result, ATP production is dramatically insulin pumps reduced, and the energy is instead thrown off as heat. This results in an astounding production of heat; when using dinitrophenol, the athlete will insulin pumps radiate so much heat that it is uncomfortable to be within any proximity of them. Luckily, this heat does not fully contribute to body temperature
increases, and is instead thrown off from the entire body surface, particularly the head. As a result, adequate doses of DNP will usually insulin pumps only elevate body temperature by about 1-1.5?C. This is a good thing for your central nervous system and other delicate tissues; insulin pumps if the heat produced by ATP contributed in a more direct matter to body temperature, effective doses for fat loss would cause supraphysiological body insulin pumps temperature increases on a level unwitnessed at this time. Nonetheless, overheating is a very insulin pumps real danger; this and other side effects shall now be addressed.
When first introduced in 1960, dianabol acquired a winning reputation among top atheletes.
It was nick named "The Breakfast of Champions" and dianabol soon became the most favored and most used anabolic steroid insulin pumps by atheletes of all disciplines.
Keep all appointment with your doctor.
Store at room temperature between 15 and 30C (59 and 86F). Protect from light. Keep container tightly closed. Throw away any unused medicine insulin pumps after the expiration date.
Rifampin is a potent hepatic enzyme inducer and can accelerate the hepatic metabolism of diazepam. Patients should be monitored closely for signs of reduced diazepam
effects if given rifampin concomitantly.
If you are going to use insulin, it is essential that you have a friend insulin pumps or peer observer remain with you in case you experience problems. This person really needs insulin pumps to be with you for the whole time while the insulin preparation used is working.
by Bill insulin pumps Roberts - Nolvadex is very comparable to Clomid, behaves in the same manner in all tissues, and is insulin pumps a mixed estrogen agonist/antagonist of the same type as Clomid. The two molecules are also very similar in structure.
If overdose of tamoxifene is suspected, contact your local poison control center or emergency room immediately.
Today, HGH is made in the laboratory by genetic engineering methods, generating insulin pumps an identical protein to the one made naturally in the human body. For this reason, allergic reactions to the drug are rare, and it insulin pumps is extremely safe for human use. For instance, a daily injection of this GH leads to an overall insulin pumps increase of growth hormone in the body. The injections are similar to that of insulin-very small needles deliver HGH subcutaneously (under insulin pumps the skin). Most people find it easy to do and even less painful than a pinprick.
Day 2: 80 mcg
Testosterone propionate is a common oil-based injectable testosterone. The added propionate extends
the activity of the testosterone but it is still comparatively much faster acting than other testosterone esters insulin pumps such as Cypionate and Enanthate. While cypionate and enanthate are injected weekly, propionate is most commonly injected insulin pumps at least every third day to keep blood levels steady. For strength and muscle mass gains, this drug is quite insulin pumps effective. With propionate, androgenic side effects seem somewhat less pronounced than with the other testosterones, probably due to insulin pumps the fact that blood levels do not build up as high. Users often report less gyno trouble, lower water retention and commonly claim to be harder on prop than with the others. This however is still a testosterone
and, as with all testosterone products, androgenic side effects are unavoidable. It should also insulin pumps be noted that propionate is often a very painful injection. Users very regularly report swelling and noticeable pain for insulin pumps days after a shot.
If you miss a dose, take it as soon as remembered if it is within an hour insulin pumps or so. If you do not remember until later, skip the missed dose and resume your usual dosing schedule. Do not "double-up" insulin pumps the dose to catch up.
And last but not least...
Androlic / Anadrol is the most harmful oral steroid and insulin pumps its intake can cause many considerable side effects. Most users can expect certain pathological changes in their
liver values after approximately one week. Those who discontinue the use of oxymetholone insulin pumps will usually show normal values within two months. Oxymetholone is the only anabolic/androgenic steroid, which is linked with insulin pumps liver cancer.
Danabolan is a strong, androgenic steroid which also has a high anabolic effect. Whether a novice, hard insulin pumps gainer, power lifter, or pro bodybuilder, everyone who uses Danabolan is enthusiastic about the results: a fast gain in solid, high-quality insulin pumps muscle mass accompanied by a considerable strength increase in the basic exercises. in addition, the regular application over a number of weeks results in a well visible increased
muscle hardness over the entire body without dieting at the same time. Frequently the following scenario insulin pumps takes place: bodybuilders who use steroids and for some time have been stagnate in their development suddenly make new progress with Danabolan. insulin pumps Another characteristic is that Danabolan, unlike most highly-androgenic steroids, does not aromatize. insulin pumps The substance trenbolone does not convert into estrogens so that the athlete does not have to fight a higher estrogen level or insulin pumps feminization symptoms. Those who use Danabolan will also notice that there is no water retention in the tissue. To say it very clearly: Parbolan is the number one competition steroid. When a low fat content
has been achieved by a low calorie diet, Danabolan gives a dramatic increase in muscle hardness. In combination with a protein insulin pumps rich diet it becomes espe-cially effective in this phase since Danabolan speeds up the metabolism and accelerates the burning insulin pumps of fat. The high androgenic effect prevents a possible overtraining syndrome, accelerates the regeneration, and gives the muscles insulin pumps a full, vascular appearance but, at the same time, a ripped and shredded look.
Average Dose: insulin pumps debatable
Clenbuterol is used post cycle to aid in recovery. It allows people to keep eating large amounts of foot without adding excess adipose tissue (fat).
reaction to this medicine is unlikely, but seek immediate medical attention if it occurs. Symptoms of insulin pumps an allergic reaction include rash, itching, unusual swelling, severe dizziness, or trouble breathing.
Trenbolone also has a very strong binding affinity to the androgen receptor (A.R), binding much insulin pumps more strongly than testosterone. This is important, because the stronger a steroid binds insulin pumps to the androgen receptor the better that steroid works at activating A.R dependant mechanisms of muscle growth. There is also strong supporting evidence
that compounds which bind very tightly to the androgen receptor also aid in fat loss. Think as the receptors as locks and androgens insulin pumps as different keys, with some keys (androgens) opening (binding) the locks (receptors) much insulin pumps better than others. This is not to say that AR-binding is the final word on a steroid´s effectiveness. insulin pumps Anadrol doesn´t have any measurable binding to the AR& and we all know how potent Anadrol is for mass-building. insulin pumps
Discontinue use of Xenical if weight loss is less than 5% after the first 12 weeks.
Diazepam can insulin pumps cause physical and psychological dependence, and should be used with extreme caution in patients with known,
suspected, or a history of substance abuse.
Mastabol 200 Depot combines the fast-acting insulin pumps propionate form with the longer acting enanthate form.
EPO is a primary growth product in which insulin pumps it regulates red blood cell formation in the body. This is highly liked by long distance runners and overall endurance insulin pumps athletes. The red blood cell production, which involves removing and storing a quantity of blood to later replace insulin pumps it when in need for the transport of oxygen more efficiently, which gives the athlete a much increased boost.EPO's chemical blood doping procedure insulin pumps can come with its own problems with cell volume can be very dangerous, where cell concentration can
reach life threatening point if the drug is used incorrectly resulting in heart attack, stroke, seizure even death. So insulin pumps one must be very cautious and be overlooked by a doctors assistance.
Serious side effects with diazepam include:
First of all, and this will come as no surprise to many people, Bonavar (oxandrolone) is quite mild on your liver. It´s probably the mildest insulin pumps oral steroid available today. Dosages of up to 80mgs/day are easily tolerated by most men, and most side effects often insulin pumps found with other steroids are not common with ´var. For this reason, Bonavar is frequently the steroid of choice for many top level female bodybuilders and
Synthroid is an excellent fat burner since your metabolism insulin pumps is greatly increased while being on it. You can afford to be a little sloppier on precontest dieting since it will still burn fat when you are insulin pumps taking in a lot of calories since your metabolism is going haywire.
Proscar and Propecia are forms of Finasteride
Phentermine insulin pumps Storage
Stacking and Use:
If you take cytotoxic medicines with Tamoxifen, you may insulin pumps have an increased risk of blood clots.
XENICAL® is a weight loss medication that targets the absorption of fat in your body rather than suppressing your appetite. It is useful for long
term use and has been shown to be effective for 1-2 years. Dietary fats are inhibited from being absorbed and this allows about 30% of the fat eaten insulin pumps in the meal to pass through the gut undigested. This helps you to reduce and maintain your weight, as well as to minimize any weight insulin pumps regain.
50mg tablets are yellow hexagon shaped tablets, with "50" imprinted on one side and a score on the reverse, sealed in bags of 100tabs. insulin pumps
What are the side effects of KAMAGRA?
Average Street-price: $0.50 per 50 mcg tab
Testosterone, once in the body, can be converted to both estrogen (via a process known as aromatization)
as well as DHT. Estrogen is the main culprit for many side effects such as gyno, water insulin pumps retention, etc...while DHT is often blamed for hair loss and prostate enlargement. Naturally there are ways to combat this, such as using insulin pumps an anti-estrogenic compound along with testosterone, or even an estrogen blocker. DHT can be combated insulin pumps (on the scalp, to prevent hair loss) with compounds such as Ketoconazole shampoo (sold under the trade name Nizoral) insulin pumps as well as Finasteride (sold as Proscar in the 5mg version and as Propecia as 1mg tablets). Interestingly, this shampoo can also be used topically to combat acne on the face (or even the back if you´re really flexible). Both of these
methods for preventing hair loss and acne are reasonably effective. However, if you are not prone insulin pumps to hair loss, they may be wholly unnecessary. Male Pattern Baldness (MPB) is carried by insulin pumps the X chromosome, so if your mother´s family boasts men with full heads of hair, then you are probably safe (unless those full insulin pumps heads of hair are all mullets). Naturally, as with most other steroids, your lipid profile is going to suffer a bit while on testosterone insulin pumps as is your blood pressure. This, of course is nothing that can´t be controlled by watching insulin pumps your diet and doing your cardio, at least for the duration of the typical cycle (which for arguments sake, I´ll assume is
+/- 12 weeks). Lets be totally honest, here, even a modest amount of exercise will improve insulin pumps your blood pressure and lipid profile (10), and if you aren´t exercising, then why are you insulin pumps taking steroids?
Tamoxifen may cause unwanted effects that may not occur until insulin pumps months or years after Nolvadex is used. Tamoxifen increases the chance of cancer of the uterus insulin pumps in some women taking it. Tamoxifen may cause blockages to form in a vein, lung, or insulin pumps brain. In addition, tamoxifen has been reported to cause cataracts and other eye problems.
Vial and Cap
Viagra is used to treat erection difficulties, such as erectile dysfunction (ED).
(Methenolone Enanthate) works great when added to a cycle (stacked) with other steroids, it tends to lessen water insulin pumps retention and harshness when stacked with more heavy duty testosterone injectables, insulin pumps like Omnadren / Sustanon, Cypoinate / Propionate, ect. It is an analog immune-stimulating steroid used by people insulin pumps with Aids and others with depressed immune systems to build up the immune system and add lean muscle mass. Primobolan insulin pumps is one of the finest steroids in the world today.
Deca Durabolin is one of the most popular injectable steroids. It's popularity is likely due to the fact that Deca exhibits significant anabolic effects with
minimal androgenic side effects. Considered by many the best overall steroid for a man to use (side effects insulin pumps vs. results) Deca is most commonly injected once per week at a dosage of 200-400mg. With this amount, estrogen conversion insulin pumps is slight so gyno is usually not a problem. Also uncommon are problems with liver enzymes, blood pressure or cholesterol levels. At higher insulin pumps dosages, side effects may become increasingly more frequent, but this is still a very well tolerated drug.
Molecular insulin pumps Weight: 412.6112
In summary, the biggest mistake we can make with this drug is to get confused by the price tag. Even a relatively short cycle of this drug (and ancillaries) will
cost in the thousand(s), not hundreds of dollars. We cannot jump to the conclusion that GH is therefore the most unbelievable anabolic. This hormone is insulin pumps simply very complex, and costly to manufacture (though it should be getting cheaper). If you were looking to achieve just a great mass gain insulin pumps the $3,000 would be better spent on steroids. Growth Hormone will not turn you into an overnight "freaky" monster and insulin pumps it is certainly not "the answer". Yes, it is a very effective performance enhancement tool. But it is more a tool insulin pumps for the competitive athlete looking for more than steroids alone can provide. There is little doubt that GH contributes considerably to the physiques
and performance of many top bodybuilders and athletes. In this arena, the money spent on it is well justified, insulin pumps the drug obviously necessary. But outside of competitive sports it is usually not.
This product is also not picked up on steroid tests, insulin pumps so some athletes use it to keep androgen levels high before a contest that has drug testing. HCG must be refergerated after it is mixed insulin pumps together, and it then has a life of about 10 weeks. It is taken intramuscularly only; this drug is often available by order insulin pumps of a physician if you show symptoms of hypogonadism. It is hard to find on the black market.
Testosterone suspension is an injectable preparation containing
unesterfied testosterone in a water base. Among athletes, testosterone suspension has a reputation of being insulin pumps an extremely potent injectable,often ranked highest among the testosterones. Very fast acting, testosterone suspension will sustain insulin pumps elevated testosterone levels for only 2-3 days. Athletes will most commonly inject "suspension" daily, at a dosage of 50-100mg. Although insulin pumps this drug requires frequent injections, it will pass through a needle as fine as a 27gague insulin. insulin pumps This allows users to hit smaller muscles such as delts for injections. Although this drug is very effective for building muscle mass, its side effects are also very extreme. The testosterone
in this compound will convert to estrogen very quickly, and has a reputation of being the worst testosterone to use when wishing to avoid insulin pumps water bloat. Gynocomastia is also seen very quickly with this drug, and quite often cannot be used without an anti-estrogen. insulin pumps Blood pressure and kidney functions should also be looked at during heavy use.
Death - This is self-explanatory and has occurred with several bodybuilders who chose insulin pumps to use this compound.
Harifin side effects
Being a testosterone product, insulin pumps all the standard androgenic side effects are also to be expected. Oily skin, acne, aggressiveness, facial/body hair growth and male pattern baldness
are all possible. Older or more sensitive individuals might therefore choose to avoid testosterone products, insulin pumps and look toward milder anabolics like DecaDurabolinВ® or EquipoiseВ® which produce fewer side insulin pumps effects. Others may opt to add the drug ProscarВ®/PropeciaВ®, which will minimize the conversion of testosterone insulin pumps into DHT (dihydrotestosterone). With blood levels of this metabolite notably reduced, the impact of related side effects should also insulin pumps be reduced. With strong bulking drugs however, the user will generally expect to incur strong side effects and will often just tolerate them. Most athletes really do not find the testosterones
all that uncomfortable (especially in the face of the end result), as can be seen with the great popularity of such compounds. Although this insulin pumps particular ester is active for a much longer duration, most athletes prefer to inject it on a weekly basis in order to insulin pumps keep blood levels more uniform.
Dosages are normally between 20-120 mcg for bodybuilders that use this.This drug becomes insulin pumps ineffective for its anabolic properties after 18 successive days of use. Brown fat-burning and weight-loss, insulin pumps will continue past the 18 day period. After 12 weeks, the drug should be discontinued for a couple of months. Although there is quite a bit of medical literature showing clenbuterol's
potential as a bodybuilding drug, most of these studies have been done on animals; very little human data on this issue is available. Therefore, insulin pumps in assessing its effects in humans, you have to rely primarily on empirical and anecdotal evidence. And until insulin pumps 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 insulin pumps evidence on what the real world effects of Clenbuterol are in weight trainers.
Testosteron Enantat causes strength and energy increase and the feeling of well being with a lot shorter recuperation times, it is usually used as a part of bulking cycles and
works especially good in a stack with Deca, Sustanon, Dianabol and Anadrol.
Testosterone + 5 esters [4-androstene-3-one, insulin pumps 17beta-ol] Molecular Weight of base: 288.429 Molecular insulin pumps Weight of Acetate ester: 60.0524 Molecular Weight of Propionate ester: 74.0792 Molecular Weight of Phenylpropionate ester: 150.174 Molecular Weight of Cypionate ester:
132.1184 Molecular Weight of Decanoate ester: 172.2668 Formula (base): C19 H28 insulin pumps O2 Formula of Acetate ester: C2 H4 O2 Formula of Propionate ester: C3H6O2 insulin pumps Formula of Phenylpropionate ester:C9 H10 O2 Formula insulin pumps of Cypionate ester: C8 H14 O2 Formula of Decanoate ester: insulin pumps C10 H20 O2 Manufacturer: British Dragon Effective insulin pumps dose (injectable): (Men) 550mgs-1,100mgs+/week Active Life: 14 days Detection
Time: 3 months (projected) Anabolic/Androgenic Ratio (Range):100:100
Androfort-Richt. 10, 25 mg/ml; Gedeon Richter HU
Consider giving this paper to the person who is going insulin pumps 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 insulin pumps reaction. The following instructions are for a peer observer or other person who may find you experiencing difficulty as a result of insulin pumps overdosing on insulin or any other drug or combination of drugs.
Superior immune function
The hexanoate ester is quite similar to the well known
enanthate ester, but is shorter by one carbon.
Restandol (Andriol) is one of the few new steroids developed during the last few years. insulin pumps Unlike most anabolic steroids which were found on the market during the 1950's and 1960's (and which in part, have disappeared) Restandol insulin pumps (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.
Clomid is a mixed estrogen agonist/antagonist insulin pumps (activator/blocker) which, when bound to the estrogen receptor, puts it in a somewhat different conformation (shape) than does estradiol. The estrogen receptor requires binding of an estrogen
or drug at its binding site and also the binding of any of several cofactors at different sites. insulin pumps Without the binding of the cofactor, the estrogen receptor is inactive. Different tissues use different cofactors. insulin pumps Some of these cofactors are able to bind to the estrogen receptor/Clomid complex, but others are insulin pumps blocked due to the change in shape. The result is that in some tissues Clomid acts as insulin pumps an antagonist - the cofactor used in that tissue cannot bind and so the receptor remains inactive - and in others Clomid acts as an agonist (activator), insulin pumps because the cofactors used in that tissue are able to bind.
by Bill Roberts - Nolvadex C&K is very comparable to Clomid,
behaves in the same manner in all tissues, and is a mixed estrogen agonist/antagonist of the same type as Clomid. The insulin pumps two molecules are also very similar in structure.
Foods which have a high G.I. produce a rapid insulin pumps increase in blood glucose and blood insulin levels. Examples of such high G.I. foods are potatoes, ice cream, many cereals insulin pumps particularly those with a high sugar content, some varieties of rice (e.g. Calrose) and sweets.
The only oral anabolic-androgenic steroid indicated in the treatment of anemias insulin pumps caused by deficient red cell production. Androlic is contraindicated in: male patients
with carcinoma of the prostate or breast; females with hypercalcemia with carcinoma of the breast; women who insulin pumps are or may become pregnant; patients with nephrosis or the nephrotic phase of nephritis; patients with hypersensitivity to the insulin pumps drug or with severe hepatic dysfunction.
One needs to be familiar with a host of other compounds when using insulin pumps long-acting testosterone esters however. First of all, anti-estrogens. The rate of aromatization of testosterone is quite great, so water retention insulin pumps and fat gain are a fact and gyno is never far off. If problems occur one is best to start on 20 mg of Nolvadex per day and stay on that until problems subside. I wouldn't stay
on it for a whole cycle, as it may reduce the gains. In terms of an aromatase blocker, testosterone is one of the few compounds insulin pumps where Proviron may actually be preferred over arimidex. The proviron will not only reduce estrogen and can be used for extended time insulin pumps on a testosterone cycle, it will also bind with great affinity to sex-hormone binding proteins insulin pumps in the blood and will allow for a higher level of free testosterone in the body, thus improving gains. Usually 50-100 insulin pumps mg will suffice, the lower end is preferred for maximal results since estrogen plays a insulin pumps key role in gains, but those more worried about estrogen should opt for a higher dose.
However, I would not be
surprised if one were to tell a steroid user that Clomid reduced his gains, he would immediately become afraid that Clomid reduced insulin pumps his gains (please note that no one I have ever heard of has noticed this.) Not having been so misled, however, insulin pumps he would not conclude this from his results. But if an authority publishes that such an effect occurs, whether insulin pumps it does or not it can become self-fulfilling by biasing the user.
It is difficult to provide a quantitative estimate of risk for any drug insulin pumps 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 insulin pumps steroids in a non-medical context might rate towards the middle of the scale of risk (particularly in insulin pumps the medium to long term) whilst insulin would rate higher. This level of risk associated with insulin use insulin pumps will depend on a number of factors:
There is no research to site on exactly what dosage would be the most appropriate for a steroid insulin pumps user. Logic woul dictate that the typically prescribed amount of Harifin / Propecia, a single 1mg tablet per day, would most likely be sufficient. In clinical trials the effect of just a single tablet is clearly dramatic.
If you take any medicines that contain nitrates – insulin pumps either regularly or as needed – you should never take Viagra. If you take Viagra with any nitrate medicine or recreational insulin pumps drug containing nitrates, your blood pressure could suddenly drop to an unsafe level. insulin pumps You could get dizzy, faint, or even have a heart attack or stroke. Nitrates are found in many prescription insulin pumps medicines that are used to treat angina. Viagra is only for patients with erectile dysfunction. Viagra insulin pumps is not for newborns, children, or women. Do not let anyone else take your Viagra. Viagra must be used only under a doctor's supervision.
Package: 1 amp (100 mg/amp)
Use of Clenbuterol
You may know that ampoules insulin pumps are preferred by many because they are almost never counterfeit. You always get the real deal with us! insulin pumps
The highly androgenic effect of anadrol stimulates the regeneration of the body so that the often feared "over insulin pumps training" is unlikely to occur.
By minimizing the production of DHT, we should greatly reduce many of these harsh insulin pumps side effects and make our testosterone cycles more comfortable. In many instances, Proscar/Propecia can allow the athlete the use of steroid compounds (testosterone esters such as cypionate, enanthate, Sustanon etc.), Halotestin and
methyltestosterone with much less androgenic side activity.
Effective Dose: 1000-5000 IU/week.
Its growth promoting effect insulin pumps also seems to strengthen connective tissues, cartilage and tendons. This effect should reduce the susceptibility to injury (due insulin pumps to heavy weight training), and increase lifting ability (strength). HGH is also a safe drug for the "piss-test". Although its use is insulin pumps banned by athletic committees, there is no reliable detection method. This makes clear its insulin pumps attraction to (among others) professional bodybuilders, strength athletes and Olympic competitors, who are able to use this drug straight through a competition. There is talk however
that a reliable test for the exogenous administration of growth hormone has been developed, and is close to being implemented. Until this happens, insulin pumps growth hormone will remain a highly sought after drug for the tested athlete.
It is first important to understand why there insulin pumps the results obtained from this drug seem to vary so much. A logical factor in this regard would seem to be the price insulin pumps of this drug. Due to the elaborate manufacturing techniques used to produce it, it is extremely costly. Even a insulin pumps moderately dosed cycle could cost an athlete between $75-$150 per daily dosage. Most are unable or unwilling to spend so much, and instead tinker around with low dosages
of the drug. Most who have used this item extensively claim it will only be effective at higher doses. Poor results would then insulin pumps be expected if low amounts were used, or the drug not administered daily. If you cannot commit to the full expense of an HGH cycle, you insulin pumps should really not be trying to use the drug. The average male athlete will usually need a dosage in the range insulin pumps of 5 to 10 I.U. per day to elicit the best results. On the low end perhaps 2 to 6 I.U. can be used daily, but this insulin pumps is still a considerable expense. Daily dosing is important, as HGH has a very short life span in the body. Peak blood concentrations are noted quickly (2 to 6 hours) after injection, and the hormone
is cleared from the body with a half-life of only 20-30 minutes. Clearly it does not stick around very long, making stable blood levels difficult to maintain. insulin pumps The effects of this drug are also most pronounced when it is used for longer periods of time, often many months long. insulin pumps Some do use it for shorter periods, but generally only when looking for fat loss. For this purpose a cycle of at least four weeks would be used. insulin pumps This compound can be administered in both an intramuscular and subcutaneous injection. "Sub-Q" insulin pumps injections are particularly noted for producing a localized loss of fat, requiring the user to change injection points regularly to even out the effect.
A general loss of fat seems to be the one characteristic most people agree on. It appears that the fat burning properties of this drug are insulin pumps more quickly apparent, and less dependent on high doses.
Liver Toxic: Yes, very high
Primobolan depot insulin pumps is a registered trademark of Schering A/G avaiable in 50 mg/cc from Mexico and 100 mg/cc from Europe. insulin pumps It is is the \"Cleanest and Gentles\" anabolic steroid, will not aromatize, non-toxic, low in androgens.
The above information is intended to supplement, not substitute for, the expertise and judgment of your physician,
or other healthcare professional. It should not be construed to indicate that use of Xenical is insulin pumps safe, appropriate, or effective for you. Consult your healthcare professional before using Xenical.
The second effect of STH is its pronounced insulin pumps influence on the burning of fat. It turns more body fat into energy leading to a drastic reduction in insulin pumps fat or allowing the athlete to increase his caloric intake.
For men the usual dosage is 25-50 mg per day for the tablets, for women insulin pumps 5-10 mg tablets per day, length of use should be kept to 5 -8 weeks.
Reductil is mild in nature and produces fewer side effects compared to other appetite suppressants
on the market. In clinical studies, the most common side effects were increased blood pressure and/or heart rate, headache, dry mouth, insulin pumps constipation, and sleeplessness.
by Bill Roberts - Topically (on the scalp itself) it is of some effect in insulin pumps minimizing further loss. In combination with Nizoral and spironolactone (which smells awful, by the way) it can actually reverse insulin pumps loss moderately.
Danabol / Dianabol can be combined with, for instance Oxandrolone or Winstrol tablets as well as with injectable insulin pumps steroids such as Sustanon or Testosterone enanthate.
D-bol and deca are a famous and winning combination.
It is also not clear that Trenbolone
Acetate results in any greater degree of increased aggression for a given amount of anabolic effect than testosterone itself does, despite insulin pumps another myth to that effect. The increase in aggressive tendency - which does not mean the act of aggression - is moderate and entirely insulin pumps controllable, if noticeable at all.
Although the side effects of propionate are insulin pumps similar to the ones of enanthate and cypionate these, as already mentioned, occur less frequently. However, if there is a predisposition and very insulin pumps high dosages are taken, the known androgenic-linked side effects such as acne vulgaris, accelerated hair loss, and increased growth of body hair and deep voice can
occur. An increased libido is common both in men and women with the use of propionate. Despite the high conversion rate of propionate into estrogen gynecomastia insulin pumps is less common than with other testosterones. The same is true for possible water retention since the retention of electrolytes and water is less insulin pumps pronounced. The administration of testosterone stimulating compounds such as HCG and Clomid can, however, also be advised insulin pumps with propionate use since it has a strong influence on the hypothalamohypophysial testicular insulin pumps axis, suppressing the endogenous hormone production. The toxic influence on the liver is minimal so that a liver damage is unlikely (see also Testosterone Enanthate).
Trenabol 75 is a fast-acting injectable steroid with a great effect on protein metabolism. Trenbolone is one of the best effective insulin pumps anabolic compounds, promoting protein synthesis, as well as creating a positive nitrogen balance. It is an appetite stimulant and improves the insulin pumps conversion of proteins. In laboratory tests, it has been demonstrated that trenbolone increases protein and decreases fat deposition. It has proven insulin pumps to be an excellent product for promoting size and strength in the presence of adequate protein and calories, promotes body tissue building processes, and can reverse catabolism.
HCG:Human Chorionic Gonadotropin is a drug used to jump
start the body's production of testosterone after the end of a steroid cycle. It act in the body insulin pumps by imitating the action of LH (a hormone that regulated testosterone production).
Day 14: 60 mcg
Day 6 - Day 12: insulin pumps 120 mcg
Dinandrol is to nandrolone what Sustanon is to testosterone, well sort of. This product is an injectable anabolic steroid insulin pumps from the Philippines that contains a blend of one short and one long acting ester of nandrolone. The intent, as with insulin pumps Sustanon, is to provide the user more of a sustained-release effect compared to that obtained with single-ester injectables. Each ml of Dinandrol contains 60mg of nandrolone decanoate and 40mg
of nandrolone phenylpropionate, for a total steroid concentration of 100mg per ml (200mg insulin pumps per 2ml vial). Although this product lacks the propionate and isocaproate esters that insulin pumps would make it a true nandrolone equivalent of Sustanon, I suspect it still provides a release profile very similar to this drug. After insulin pumps all, the difference in steroid release time between propionate and phenylpropionate insulin pumps esters are not that great, and with a good dose of decanoate it is difficult to think the isocaproate will be insulin pumps tremendously missed. It is about as close as we can get to a real "Sustanon", and with a product like this there would seem little added benefit in actually developing
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.