The 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. Testosterone proprionate has a duration of effect of 1 to 2 days. A noticable difference is that the athlete get a lot less water retention with propionate. 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 appetite, and a slight strength gain. As an initial dose most athletes prefer a 50-100 mg injection.

This offers two options: First, because of the rapid initial effect of the propionate ester one can initiate a several week long steroid treatment with Testosterone Enanthate. Those who cannot wait until the depot steroids become effective inject 250 mg of Testosterone Enanthate and 50 mg of Testosterone propionate at the beginning of the treatment. After two days, when the effect of the propionates decreases, another 50 mg is injected. Two days after that, the elevated testosterone level caused by the propionate begins to decrease. By that time, the effect of the enanthates in the body would be present; no further propionate
injections would be necessary. Thus the athlete rapidly reaches and maintains a high testosterone level for a long time due to the depot testo. This, for example, is important for athletes who with Anadrol 50 over the six week treatment have gained several pounds and would now like to switch to testosterone. Since Anadrol 50 begins its "breakdown" shortly after use of the compound is discontinued, a fast and elevated testosterone level is desirable.

IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other

healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug. SIDE EFFECTS: Fatty / oily stool, oily spoting, intestinal gas with discharge, bowel movement urgency, poor bowel control or headaches may occur. If these efects persist or worsen, notify your doctor promptly. Intestinal side effects {e. g. oily stool} may increase in intensity if you exceed your daily dietary fat allowance. If you notice other effects not listed above contact your doctor or pharmacist.

Intra-muscular water based

injectable.

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.

The substance testosterone undecanoate contained in Restandol (Andriol), however, is reabsorbed from the intestine through the lymphatic system, thus bypassing the liver and becoming effective. The liver function is not affected by this. Testosterone undecanoate is a fatty acid ester of the natural androgen, testosterone, and in the body is for the most part transformed into dihydrotestosterone, a metabolite of testosterone. For this reason Restandol (Andriol) aromatizes only minimally, meaning that only a very small part of the substance can be converted into estrogen, since the dihydrotestosterone does not

aromatize. The users of Restandol (Andriol) therefore do not experience feminization symptoms such as gynecomastia or increased body fat.

Day 5: 100 mcg

Oxandrolone causes very light virilization symptoms, if at all. This characteristic makes Anavar a favored remedy for female athletes since, at a daily dose of 10-15 mg., masculinizing symptoms are observed only rarely.

Although the side effects with Deca-Durabolin are relatively low with dosages of 400 mg/week, androgenic-caused side effects can occur. Most problems manifest themselves in high blood pressure and a prolonged time for blood clotting,

which can cause frequent nasal bleeding and prolonged bleeding of cuts, as well as increased production of the sebaceous gland and occasional acne. Some athletes also report headaches and sexual overstimulation. When very high dosages are taken over a prolonged period, spermatogencsis can be inhibited in men, i.e the testes produce less testosterone. The reason is that Deca, like almost all steroids, inhibits the release of gonadotropin from the hypophysis.

In 1998, ICOS Corporation, and Eli Lilly and Company, commercialized the drug for erectile dysfunction, and two years later they filed a new drug application with

the U.S. Food and Drug Administration for IC351; the only difference was that this time they decided to call the drug Cialis. In May of 2002, Icos and Eli Lilly and Company reported to the American Urological Association that the phase 3 tests show that Cialis works for up to 36 hours, and one year later Icos and Eli Lilly and Company received the U.S. FDA's approval for Cialis. One advantage that Cialis has over Viagra is that tadalafil has a half-life of 17.5 hours (and thus Cialis is advertised to work for up to 36 hours, even if by that time there is still about one quarter of the absorbed dose in the body) as compared to
4 hours half-life for sildenafil (Viagra).

It is also not clear that trenbolone results in any greater degree of increased aggression for a given amount of anabolic effect than testosterone itself does. However, on a per milligram basis, it undoubtedly does. The substance does not cause uncontrollable "roid rage" despite the hype to that effect often seen.

Day 4: 80 mcg

Molecular Weight: 312.4078

The blend of testosterones allows it to be recognized by the receptors for longer periods of time than other testosterones. As with all testosterone products it has a strong anabolic activity, with

a pronounced androgenic component. Thus it can provide significant gains in strength and muscle mass, as well a noticeable increase in libido. An added benefit of testosterone is relief from joint and tendon pain also athletes are able to maintain physical out put much longer due to the oxygen rich blood along wih the increase in red blood cells. Although when taken at low at dosages this product will not aromatize excessively some patient may wish to use an anti-estrogen as insurance. In this case a low dosage of Tamoxifen Citrate or Mesterolone would be appropriate.

Andriol testocaps are the oral form of Testosterone

Undecanoato. While not considered to be as good as the injectable form of the compound, as they do more damage to your liver than the injectable form (as do all steroids), Andriol Testocaps do removew the need for regular (or any) injections.

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.

Serious side effects with diazepam include:

The recommended dosage of Propecia is 1 mg once a day, to be taken with or without meals.

Testosterone Heptylate Theramex leads to a strong protein synthesis in the muscle cell and promotes recovery to a high degree. Athletes report an enormous pump effect during the workout and a noticeable appetite increase after only days of intake. The gains usually consist of solid muscle since the water retention that occurs during intake is usually lower than with enantathe and cypionate. Competing

bodybuilders and athletes normally become puffy be-cause of the testosterone injections should give Testosterone Heptylate Theramex a try.

A typical daily dosage of Tamoxifen for men is in the range of 10 to 30mg, the chosen amount obviously dependent on the level of effect desired. It is advisable to begin with a low dosage and work up, so as to avoid taking an unnecessary amount. The time in which Tamoxifen is started also relies on individual needs of the user. If an athlete with a known sensitivity to estrogen is starting a strong steroid cycle, Tamoxifen should probably be added soon after the cycle had been

initiated. If estrogen is probably not going to be a major problem during the cycle (but will likely be after), this substance is administered around the time exogenous steroid levels will drop.

T propionicurn 10, 25 mg/ml; Polfa PL

Presentation

HCG package insert states clearly that HCG has no known effect of fat mobilization, appetite or sense of hunger, or body fat distribution. It further states, "HCG has not been demonstrated to be effective adjunctive therapy in the treatment of obesity, it does not increase fat losses beyond that resulting from caloric restriction. At a dosage of 1500IU the

pharmatestosterone level increases by 250-300% (2.5-3fold) com-pared to the initial value. The athlete should inject about 1500-2000IU of HCG every 5 days. Since the testosterone level remains considerably elevated for several days, it is unnecessary to inject HCG more than once every 5 days. The effective dosage for athletes is usually 1500IU per injection and should as already mentioned be injected every 5 days. HCG should only be taken for a few weeks. If HCG is taken by male athletes over many weeks and in high dosages, it is possible that the testes will respond poorly to a later HCG intake and a release of the body's own

LH. This could result in a permanent inadequate gonadal function. HCG can in part cause side effects similar to those of injectable testosterone. A higher testosterone production also goes hand in hand with an elevated estrogen level which could result in gynecomastia. This could manifest itself in a temporary growth of breasts or reinforce already existing breast growth in men. Farsighted athletes thus combine HCG with an antiestrogen. Male athletes also report more frequent erections and an increased sexual desire. In high doses it can cause acne vulgaris and the storing of minerals and water. The last point must especially be
observed since the water retention which is possible through the use of HCG could give the muscle system a puffy and watery appearance. Athletes who have already increased their endogenous testosterone level by taking Clomid and intend subsequently to take HCG could experience considerable water retention and distinct feminization symptoms (gynecomastia, tendency toward fat de-posits on the hips). This is due to the fact that high testosterone leads to a high conversion rate to estrogens. In very young athletes HCG, like anabolic steroids, can cause an early stunting of growth since it prematurely closes the epiphysial growth

plates. Mood swings and high blood pressure can also be attributed to the intake of.

There are no adequate and well-controlled studies of Xenical in pregnant women. Xenical is not recommended for use during pregnancy.

Higher energy levels

Phentermine diet pills are used for a short-term to help you quickly lose weight and fight obesity. You need to develop better eating habits and exercise while taking Phentermine or any other weight loss medication. Diet pills are not a substitute for proper eating or exercise if you want the best results combine Phentermine with your diet plan. Do not share this

medication with friends or family.

Some possible side effects

The most common complaint with Trenbolone is that it can reduce aerobic capacity possibly due to bronchial dilation from increased prostaglandin formation. However at least in most users, since the blood levels of Trenbolone Enanthate won¡¯t spike as rapidly or peak to as high of a level as quickly as we see with the Acetate version- this effect is not as pronounced with the Enanthate version. Thus the infamous ¡°Tren Cough¡± many users complain about with the Acetate version isn¡¯t as common with the Enanthate

ester.

Parabolan: Description

The claim that Nolvadex C&K reduces gains should not be taken too seriously. The fact is that any number of bodybuilders have made excellent gains while using Nolvadex C&K. The belief that it reduces gains seems to stem from the fact that the scientific literature reports a slight reduction in IGF-1 (individuals using anabolic steroids were not studied though) from use of Nolvadex C&K. Thus, Dan Duchaine reported that it reduces IGF-1 and therefore reduces gains. However, if this effect exists at all, it must be very minor, due to the excellent gains that many

have made, and from the fact that no one has noticed any such thing from Clomid, which has the same activity profile.

Testosterone enanthate is currently the most popular ester of testosterone available to athletes. Unlike cypionate, enanthate is manufactured by various companies all over the world. Ampules of Testoviron from Schering are probably the most popular although many others exist. Enanthate is a long acting testosterone similar to cypionate. Injections are taken once weekly. It remains the number one product for serious growth, every serious bodybuilder took it at least once usualy it is stacked with deca

durabolin and dianabol.Testosterone Enanthate has very strong anabolic effects as well as strong androgenic side effects. Being an injectable testosterone, liver values are generally not elevated much by this product.

No. With KAMAGRA, you must be sexually aroused to get an erection. If you take KAMAGRA and are not sexually stimulated, nothing will happen–you won't get an erection just by taking 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 problems.

The athlete can therefore use Masteron (Masteron

100) to about ten days before a drug test. The average dosage is 100 mg injected every other day. It is best to inject it every 2-3 days because it has a short duration of effect.

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.

Reductil works like other appetite suppressants on the market by increasing the amount of serotonin and catecholamine in the brain. Serotonin

and catecholamine are two important chemicals that control mood and appetite. When levels of serotonin and catecholamine are raised, your appetite decreases.

Esiclene (Caverject) is a steroid that is somewhat different from the others. The substance formebolone is available in various forms of administration. For athletes only the injectable version is of interest.

Anadrol (Oxydrol) is considered by many to be the most powerful steroid available, with results of this compound being extremely dramatic. A steroid novice experimenting with oxymetholone is likely to gain 20 to 30 pounds of massive bulk, and it

can often be accomplished in less than 6 weeks, with only 50-100mg a day. This steroid produces a lot of trouble with water retention, so let there be little doubt that much of this gain is simply bloat. But for the user this is often little consequence, feeling bigger and stronger on Anadrol 50 than any steroid they are likely to cross. Although the smooth look that results from water retention is often not attractive, it can aid quite a bit to the level of size and strength gained. The muscle is fuller, will contract better and is provided a level of protection in the form of "lubrication" to the joints as some of this extra

water is held into and around connective tissues. This will allow for more elasticity, and will hopefully decrease the chance for injury when lifting heavy. It should be noted however, that on the other hand the very rapid gain in mass might place too much stress on your connective tissues for this to compensate. The tearing of pectoral and biceps tissue is commonly associated with heavy lifting while massing up on heavy androgens. There is such a thing as gaining too fast. Pronounced estrogen trouble also puts the user at risk for developing gynecomastia. Individuals sensitive to the effects of estrogen, or looking to retain
a more quality look, will therefore often add Nolvadex to each cycle.

It is of note however that nandrolone is believed to have some activity as a progestin in the body. Although progesterone is a c-19 steroid, removal of this group as in 19-norprogesterone creates a hormone with greater binding affinity for its corresponding receptor. Sharing this trait, many 19-nor anabolic steroids are shown to have some affinity for the progesterone receptor as well. This can lead to some progestin-like activity in the body, and may intensify related side effects. The side effects associated with progesterone are actually quite

similar to those of estrogen, including negative feedback inhibition of testosterone production, enhanced rate of fat storage and possibly gynecomastia. Many believe the progestin activity of Deca notably contributes to suppression of testosterone synthesis, which can be marked despite a low tendency for estrogen conversion.

Greater cardiac output

Is available in 10-20mcg tablets or in the .016 mg/gram Ventapulmin Vet variety. Clenbuterol is known as a sympathomimetic. These hormones are taken to mimic adrenaline and noradrenaline in the human body. Clenbuterol is a selective beta-2 agonist that is used to stimulate

the beta-receptors in fat and muscle tissue in the body. Clenbuterol exhibits most of its effects on the stimulation of both type 2 and 3 beta-receptors. Clenbuterol is really one of bodybuilding's most misunderstood performance enhancement drugs. It is true that it is effective in helping to burn bodyfat but it is often been stated that clenbuterol is effective in causing anabolic gains and has in times even been compared to some of the weaker anabolic steroids. Books such as the World Anabolic Review, 1996, by P. Grunding and M. Bachmann state incorrectly that, "its effects, however, can by all means be compared

to those of steroids. Similar to a combination of Winstrol Depot and Oxandrolone...." These statements are inaccurate and misleading to say the least. A lot of these claims as to the anabolic effects of clenbuterol are derived from studying the effects of clenbuterol on livestock. Clenbuterol is effective in increasing muscle mass and decreasing fat loss in animals.

How long to use it:

Andriol / Testosterone Undecanoate

Day 5: 100 mcg

Decrease HPTA function: Yes, dose and cycle length dependant

Water Retention: Yes, but less than testosterone

Viagra comes as a tablet containing

100 mg. sildenafil citrate, to take by mouth.

The anti-estrogenic properties of ProvironŠ are not unique to this compound. A number of steroids have in fact demonstrated similar activity. Dihydrotestosterone and Masteron (2methyl-dihydrotestosterone) for example have been successfully used as therapies for gynecomastia and breast cancer due to their strong anti-estrogenic effect. It has been suggested that nandrolone may even lower aromatase activity in peripheral tissues where it is more resistant to estrogen conversion (the most active site of nandrolone aromatization seems 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 to the aromatase enzyme. With the aromatase enzyme bound to the steroid, yet being unable to alter it, and inhibiting effect is achieved as it is temporarily blocked from interacting with other hormones.

    Manufacturer: BTG, SPA, Originally Searle (1964)

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 retention, etc...while DHT is

often blamed for hair loss and prostate enlargement. Naturally there are ways to combat this, such as using an anti-estrogenic compound along with testosterone, or even an estrogen blocker. DHT can be combated (on the scalp, to prevent hair loss) with compounds such as Ketoconazole shampoo (sold under the trade name Nizoral) 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 to hair loss, they may be wholly unnecessary. Male Pattern Baldness (MPB) is carried by the X chromosome, so if your mother´s family boasts men with full heads of hair, then you are probably safe (unless those full heads of hair are all mullets). Naturally, as with most other steroids, your lipid profile is going to suffer a bit while on testosterone as is your blood pressure. This, of course is nothing that can´t be controlled by watching 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 your blood pressure and lipid profile (10), and if you aren´t exercising, then why are you taking steroids?

Detection Time: 3 months

This section refers to the oral Primobolan preparation, which contains the drug methenolone acetate. It is very similar in action to the injectable Primobolan Depot (methenolone enanthate), but obviously here the drug is designed for oral administration. Methenolone regardless of the ester is a very mild anabolic steroid. The androgenic activity of this compound is considerably low, as are its anabolic

properties. One should not expect to achieve great gains in muscle mass with this drug. Instead, Primobol is utilized when the athlete has a specific need for a mild anabolic agent, most notably in cutting phases of training. It is also a drug of choice when side effects are a concern. Primobol will also not aromatize, so estrogen related side effects are of no concern. And of course without excess estrogen there is little chance of the athlete developing gynecomastia. Likewise there should never be a need for antiestrogen use with this steroid.

Users find the metabolic boosting effects of tiratricol exceptional for

burning off excess body fat. Even without extreme dieting it can lower subcutaneous fat stores, bringing about a harder, more defined look as muscle features become more visible. Without the use of thyroid hormones, the user may need to diet much more to achieve this result. This is often done at the expense of muscle tissue, as it is difficult to retain this while the proper nutrients are being restricted.

Keep in mind this is all without any Post-Cycle-Therapy, and without any change in diet or training! And although many of the studies done on oxandrolone use elderly men or young boys as the test subjects, some

evidence suggests that many of the effects of oxandrolone are not age dependant. If you are following the typical "time on = time off" protocol, this means you can lose a bunch of fat during your time on, then keep most (if not all) of it off until your next cycle. That makes it a great drug for athletes who are drug tested and need to be clean for their season, yet need to keep the fat/weight they lost on their cycle off& I´m thinking about wrestlers and other weight-class athletes. Bonavar is also the clear choice for a "spring-cutting" cycle, to look great at the beach and you can use it up until the
summer starts, and then keep the fat off during the entire beach season!

Bodybuilders and powerlifters, in particutar, like Oxandrolone for three reasons. First, Oxandrolone causes a strong strength gain by stimulating the phosphocreatine synthesis in the muscle cell without depositing liquid (water) in the joints and the muscles. Powerlifters and weightlifters who do not want to end up in a higher weight class take advantage of this since it allows them to get stronger without gaining body weight at the same time. The combination of Oxandrolone and 20-30 mg Holotestin daily has proven to be very effective since the

muscles also look harder. Similarly good results can be achieved by a simultaneous intake of Oxandrolone and 120-140 mcg Clenbuterol per day. Although Oxandrolone itself does not cause a noticeable muscle growth it can clearly improve the muscle-developing effect of many steroids. Deca Durabolin, Dianabol (D-bol), and the various testosterone compounds, in particular, combine well with Oxandrolone to achieve a "mass buildup" because the strength gain caused by the intake of these highly tissue-developing and liquid-retaining substances results in an additional muscle mass. A stack of 200 mg Deca Durabolin/week, 500 mg Testoviron
Depot (e.g. Testoviron Ethanate 250)/week, and 25 mg Oxandrolone/day leads to a good gain in strength and mass in most athletes. Deca Durabolin has a distinct anabolic effect and stimulates the synthesis of protein; Oxandrolone improves the strength by a higher phosphocreatine synthesis; and Testoviron Depot inereases the aggressiveness for the workout and accelerates regeneration.

Dianabol aromatises easily so that it is not a very good steroid when working out for a competition but for those wishing to aquire raw size, it is a star among oral steroids. Dianabol has a half-life time of only 3.2-4.5 hours, meaning

that you should take Dianabol twice a day to enjoy a rich content in the blood stream. Many bodybuilders ask if dianabol can be taken alone, the answer is yes, but, truly great and fast results are best achieved when stacked with Nandrolone Decanoate (Deca) or Testosterone Compund (Sustanon). Take 5 x 10mg tabs of dianabol a day and 4-6 amps of deca a week and watch for some amazing results in strength and size

Novaquimaca: Deposteron (Brazil) - 100 mg/ml

by Bill Roberts - Clenbuterol works the same way as ephedrine. However, unlike ephedrine, which is out of the body in a few hours, clenbuterol lasts for days.

So you are on it 24 hours a day. No one chooses to be on ephedrine 24 hours per day, because it interferes with sleep, and so clenbuterol is more effective.

Chemical Structure: tri-iodio-thyronine (T3)

Nitrates are also found in recreational drugs such as amyl nitrate or nitrite ("poppers"). If you are not sure if any of your medications contain nitrates, or if you do not understand what nitrates are, ask your healthcare provider or pharmacist.

Because of the risk of birth defects, there are strict rules for the females who could get pregnant to use Roaccutane.

There are many

possible side effects that are very different depending on how long time Nolvadex C&K is used as well as depending on the sex of the user.

Oxandrolone shares the liver toxicity problems common to 17-alkylated steroids. At one time it was thought that it did not, but both clinical and practical experience with Oxandrin has shown that at doses of 40 mg/day and higher, liver toxicity is indeed an issue with prolonged use.

Glaucoma, open angle — Benzodiazepines can be used but your doctor should be monitoring your condition carefully.

CONTRAINDICATIONS/PRECAUTIONS:

Women use

Testogan

25 mg/ml, 50 ml; Laguinsa Costa. Rica, Nicaragua, Panama, Guatemala

Oxandrolone

Testolactone:

Benzodiazepines belong to the group of medicines called central nervous system (CNS) depressants (medicines that slow down the nervous system). Some benzodiazepines are used to relieve anxiety. However, benzodiazepines should not be used to relieve nervousness or tension caused by the stress of everyday life. Some benzodiazepines are used to treat insomnia (trouble in sleeping). However, if used regularly (for example, every day) for insomnia, they usually are not effective for more than a few weeks.

All oil based and water based anabolic steroids should be taken intramuscularly. This means the shot must penetrate the skin and subcutaneous tissue to enter the muscle itself. Intramuscular injections are used when prompt absorption is desired, when larger doses are needed than can be given cutaneously or when a drug is too irritating to be given subcutaneously. The common sites for in tramuscular injectons include the buttock, lateral side of the thigh, and the deltoid region of the arm. Muscles in these areas, especially the gluteal muscles in the buttock, are fairly thick. Because of the large number of muscle fibers and extensive fascia, (fascia is a type of connective tissue that surrounds and separates muscles) the drug has a large surface area for absorption. Absorption is further promoted by the extensive blood supply to muscles. Ideally, intramuscular injections should be given deep within the muscle and away from major nerves and blood vessels.

The best site for steroid injections is in the gluteus medius muscle which is located in the upper outer quadrant of the buttock. The iliac crest serves as a landmark for this quadrant. The spot for an injection in an adult is usually to 7 1/2 centimeters (2 to 3 inches) below the iliac crest. The iliac crest is the top of the pelvic girdle on the posterior (back) side. You can find the iliac crest by feeling the uppermost bony area above each gluteal muscle. The upper outer quadrant is chosen because the muscle in this area is quite thick and has few nerves. The probability of injecting the drug into a blood vessel is remote in this area. Injecting here reduces the chance of injury to the sciatic nerve which runs through the lower and middle area of the buttock. It controls the posterior of each thigh and the entire leg from the knee down. If an injection is too close to this nerve or actually hits it, extreme pain and temporary paralysis can be felt in these areas. This is especially undesirable and warrants staying as far away from this area as possible.

THREE ACCEPTABLE SITES FOR INTRAMUSCULAR INJECTIONS ARE SHOWN BELOW

A) BUTTOCK

Picture of injecting steroids

B) LATERAL SURFACE OF TIGH

Pictures Of Injecting Steroids

C) DELTOID REGION

Injecting Steroids Safely

If the gluteal region cannot be injected for some reason, the second choice would be the lateral portion of the thigh. Usually, intramuscular injections in the thigh are only indicated for infants and children. The vastus lateralis muscle is the only area of the thigh that should be injected intramuscularly. This site is determined by using the knee and the greater trochanter of the femur as landmarks. The greater trochanter is the bony area that you can feel where the femur joins the pelvic girdle. The mid portion of the muscle is located by measuring the handbreadth above the knee and the handbreadth below the greater trochanter. Injecting into the front of the thigh or inside of the thigh is extremely unwise. These areas contain nerves as well as a number of blood vessels.

WHAT TO USE FOR INJECTIONS

It is important to choose the proper syringe for the administration of injectable anabolic steroids. The principle components of a syringe include a cylindrical barrel to one end of which a hollow needle is attached, and a close fitting plunger. The most acceptable syringe for injecting anabolic steroids is a 22 gauge 1 1/2" or 23 gauge 1" apparatus with a 3 cc case. This length allows for penetration to reach deep inside the muscle tissue. Shorter needles, 5/8" or 1/2" are usually not sufficient for intramuscular injections and occasionally leave a portion of the Injection in a subcutaneous area which will cause a swell between the skin and muscle as well as impaired absorption. The gauge size of a syringe represents the needle\rquote s diameter. The lower the gauge number, the wider it is. A 27 gauge needle is very thin. An 18 gauge is quite wide; it is often referred to as a cannon. The 22 and 23 gauge needles are not so large that they are difficult to insert, yet are large enough for solutions to easily be propelled through them. The use of insulin needles is not acceptable; they are simply too small. Usually, insulin pins are 25 to 27 gauge and only a 1/2" long with a 1 cc case.

INJECTION PROCEDURES

There are a number of steps that should be understood in order to complete a safe and proper intramuscular injection. First off, before handling any needles or vials, the user should take a thorough shower. Next, an alcohol swab should be used to clean the injection site and another alcohol swab should be used to clean the rubber stopper on top of the vial which will be drawn from. Then, take a brand new syringe out of its wrapper, remove its plastic top, draw about 2 ccs of air into it and insert it into the vial. Inject this air into the vial; this creates pressure within the vial and makes it easier to draw out oil based preparations. Then, turn the vial upside-down and slowly draw out the oil until you\rquote ve overdrawn at least 1/4 cc. For example, if someone was going to take a shot of 1 cc, they should pull out approximately 1 1/4 to 1 1/2 ccs of liquid, then tap the side of the case to help get the air bubbles that were drawn into the syringe to come to the top. At that point, the excess 1/4 to 1/2 cc could be injected back into the vial and the needle removed. Then, hold the syringe needle-side-up and continue to tap it to encourage all the air bubbles to come to the top of the syringe. Now, take another clean syringe, remove it from its sterile package and unscrew the needle from the syringe. Exchange the brand new needle for the one that has just been injected into the stopper. By using two needles for every injection, you can take advantage of using the full sharpness of the pin. The needle does suffer some dulling when it is pushed through the firm rubber stopper on a vial. It is important not to touch this needle before the injection. It should not come into contact with a counter top, your fingers, nor should it be cleaned with alcohol. This needle is sterile and should not be touched. At this point, once again swab the injection site with alcohol, then press the stopper of the syringe holding it needle-side-up, until the slight air bubbles that are at the top are pressed out. Once a bead of oil has appeared at the top of the needle, allow it run down the surface of the needle which provides lubrication.

At this time, take the syringe and hold it like a dart. Use the other hand to stretch the skin at the injection site and simply push the sharp clean needle in. After inserting it deep into the muscle, pull back on the stopper for a few seconds to make sure it does not fill up with blood which would indicate that the needle had been injected into a blood vessel. Providing there is no blood present in the syringe, slowly press the stopper down until all the oil is injected. Then, quickly pull the needle out and take another alcohol swab and press firmly on the injection site. This will minimize bleeding, if there is any, and by firmly pressing on the injection site and slightly massaging it, some of the soreness may be eliminated. It is important that the liquid is not injected too quickly as this causes more pain at the site during the injection and in the proceeding days.

After this procedure has been completed, return the plastic caps to shield the needles and make sure they are discarded properly.

To avoid discomfort and excessive scar tissue at the injection site, it is not wise to inject more than 2 ccs of solution per shot. It is also not prudent to use the same injection site more than twice a week (once a week is preferred) .