insulin receptor

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insulin receptor

insulin receptor

 Name  Manufacturer  Volume   Price $   Price €   Quantity / Order 
   Humulin (Insulin Lispro) (100iu Insulin Lispro per 1ml / 3ml Vial) x 5 Vials per box   Eli Lilly / Australia 5 vials $100   €90 

Homeopathic HGH supplements use small amounts of actual synthetic human

insulin receptor

growth hormone to spur the body's natural production of its own human growth hormone. insulin receptor These products tend to have the best results of the non-prescription products. The Food and Drug Administration closely insulin receptor regulates the amount of homeopathic human growth hormone that can be included without a prescription. Any company claiming to have comparable insulin receptor levels of HGH as found in a prescription injection are either misleading the consumer or violating federal law.

insulin receptor He 1980's brought about the first prepared drugs containing Human Growth Hormone. The content was taken from a biological origin, the hormone being extracted from the pituitary glands of human corpses then

insulin receptor

prepared as a medical injection. This production method was short lived however, since it was linked to the insulin receptor spread of a rare and fatal brain disease. Today virtually all forms of HGH are synthetically manufactured. insulin receptor The recombinant DNA process is very intricate; using transformed e-coli bacterial or mouse cell lines insulin receptor to genetically produce the hormone structure. It is highly unlikely you will ever cross the old biologically active item on the black market (such insulin receptor as Grorm), as all such products should now be discontinued. Here in the United States two distinctly structured compounds are being manufactured for the pharmaceutical market. The item Humatrope by Eli Lilly Labs
insulin receptor
has the correct 191 amino acid sequence while Genentech's Protropin has 192. This extra amino acid slightly increases the chance for developing an insulin receptor antibody reaction to the growth hormone. The 191 amino acid configuration is therefore considered more reliable, although the difference is not great. insulin receptor Protropin is still Anabolics 2002 considered an effective product and is prescribed regularly. Outside of the U.S., the vast majority of HGH in circulation insulin receptor will be the correct 191 amino acid sequence so this distinction is not a great a concern.

"In a study to be published today in the journal Science. scientists at Duke University Medical Center said they have

insulin receptor

found that the reaction of breast cells to tanoxifen changes over time until the drug starts to behave like the insulin receptor hormone it is supposed to block."

Virormone (Testosterone propionate) is used on so few occasions in weightlifting, insulin receptor powerlifting, and bodybuilding not because it is ineffective. On the contrary, most do not know about propionate and its application potential. insulin receptor One acts according to the mottos "what you don't know won't hurt you" and "If insulin receptor others don't use, it can't be any good." We do not want to go this far and call propionate the most effective testosterone ester-, however, in certain applications it is superior to enanthate,

insulin receptor

cypionate, and also undecanoate because it has characteristics which the common test-osterones do not have. insulin receptor The main difference between propionate, cypionate, and enanthate is the respective duration of effect. In contrast to the long-acting insulin receptor enanthate and cypionate depot steroids, propionate has a distinctly lower duration of effect. The reader learns how insulin receptor long this time is from the package insert of the German Jenapharm GmbH for their compound "Testosteron Jenapharm" (see insulin receptor list with trade 'names): "Testosterone proprionate has a duration of effect of I to 2 days." An eye-catching difference, however, is that the athlete "draws" distinctly less
insulin receptor
water with propionate and visibly lower water retention occurs. Since propionate is quickly effective, often after only one or insulin receptor two days, the athlete experiences an increase of his training energy, a better pump, an increased appe-tite, and a slight strength gain. As an initial insulin receptor dose most athletes pre-fer a 50-100 mg injection. This offers two options: First, because of the rapid initial effect of insulin receptor the propionate-ester one can initiate a sev-eral-weeklong steroid treatment with Testosterone enanthate. Those insulin receptor who cannot wait until the depot steroids become effective inject 250 mg of Testosterone enanthate and 50 mg of Virormone (Testosterone propionate) at the beginning
insulin receptor
of the treatment. After two days, when the effect of the propionates decreases, another insulin receptor 50 mg ampule is injected. Two days after that, the elevated testosterone level caused by the propi-onate insulin receptor begins to decrease. By that time, the effect of the enanthates in the body would be present; no further propionate injections insulin receptor would be necessary. Thus the athlete rapidly reaches and maintains a high testosterone level for a long time due to the depot insulin receptor 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

insulin receptor

after use of the compound is discontinued, a fast and el-evated testosterone level is desirable. The second insulin receptor option is to take propionate during the entire period of intake. This, however, requires a periodic injection every second day. insulin receptor

A long-acting testosterone ester may be the best for all your mass-building needs, but its not an easy product insulin receptor to use. Because of the extreme length of action (3-4 weeks) one cannot easily solve occurring problems by simply discontinuing insulin receptor the product, as it will continue to act and aggravate side-effects over extended periods of time. In regards to damage control and post-cycle therapy, some familiarity with the use of ancillary

insulin receptor

drugs is required prior to using a long-acting testosterone product. Nolvadex and Proviron will come in insulin receptor very handy in such cases and post-cycle HCG and clomid or Nolvadex will be required as well to help restore natural testosterone. insulin receptor Frequency of side-effects is probably highest with this type of product.

Jurox: Testo LA (Australia) - 100 mg/ml

Description: insulin receptor

Testosterone Undecanoate comes in capusles 40 mg capsules 60/bottle. This product comes under the names Androxon, Undestor, Restandol insulin receptor and Restinsol in Europe and South America. This agent is a revolutionary oral steroid. It is presented in little, oval- shaped, red capsules. Andriol

insulin receptor
is a unique steroid in that it is not an alpha alkylayted 17 steroid. This all but eliminates its hepatotoxicity.

Conclusion

insulin receptor

1. Usage of Roaccutane

Side effects:

Anadrol 50 is also a very potent androgen. This trait tends insulin receptor to produce many pronounced, unwanted androgenic side effects. Oily skin, acne and body/facial hair insulin receptor growth can be seen very quickly with this drug. Many individuals respond with severe acne, often requiring medication to keep it under insulin receptor control. Some of these individuals find that Accutaine works well, which is a strong prescription drug that acts on the sebaceous glands to reduce the release of oils.

insulin receptor
Those with a predisposition for male pattern baldness may want to stay away from Anadrol 50 completely, as this insulin receptor is certainly a possible side effect during therapy. And while some very adventurous female insulin receptor athletes do experiment with this compound, it is much too androgenic to recommend. Irreversible virilization symptoms insulin receptor can be the result and may occur very quickly, possibly before you have a chance to take action.

Can I take KAMAGRA after eating?

insulin receptor

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

insulin receptor
can lead to a rapid rise in blood insulin level and a sudden hypoglycemic episode;

Also, for the same effect insulin receptor on fat cells, clenbuterol accelerates heart rate less, so one can use effectively a higher dose. (Not a greater quantity, insulin receptor but a dose giving a greater effect on fat cells for the same effect on tachycardia.)

The most insulin receptor frequently observed side effects of Viagra includes headache, flushing, dyspepsia and nasal congestion.

Check with insulin receptor your doctor as soon as possible if any of the following side effects occur:

Testosterone Prop. (o.c.) 50 mg/ml; Quad U.S., Lilly U.S.

Proscar side effects

Your

insulin receptor

dose is based on your medical condition, response to therapy, and the other medicines you are taking. Do not exceed insulin receptor the recommended dose without checking with your doctor. Caution is advised when using this insulin receptor medicine in the elderly because they may be more sensitive to the side effects of this medicine. This insulin receptor medicine should not be used in women or children.

Testosterone cypionate is a long acting ester of testosterone which insulin receptor is increasingly difficult to find.Before the scheduling of anabolics in the U.S., this was insulin receptor the most common form of testosterone available to athletes. Cyp had gained a reputation as being slightly stronger than enanthate and became the testosterone

insulin receptor
of choice for many. Now that anabolics are controlled, this is an almost impossible find. In general, the only versions you'll find insulin receptor on the black market are Sten from Mexico, which contains 75mg cyp with 25 mg propionate along with some DHEA, and Testex from Leo in Spain which insulin receptor contains 250mg cypionate is a light resistant ampule.

Mesterolone is an oral alkylated steroid. If used insulin receptor primarily as an anti-aromatase drug, using it throughout a longer cycle (10-12 weeks) of injectables may elevate liver values insulin receptor a little bit, though much, much less than one would expect with a 17-alpha-alkylated steroid. Eventhough instead of inhibiting gains, mesterolone

insulin receptor
may actually contribute to gains. So that's a bit of a shame. Its not quite as toxic since its insulin receptor not alkylated in the same fashion, but at the 1 position, which reduces hepatic breakdown, but not like 17-alpha insulin receptor alkylation. The reason for the change of position I assume, is because alkylating at the 17-alpha position has been shown to reduce affinity for sex insulin receptor hormone binding proteins. This would in turn decrease its ability to free testosterone. insulin receptor Nonetheless the delivery rate is quite good. Its taken daily in 50-100 mg doses.

insulin receptor Improved sleep

Delivery: price for a one ampule, 250 mg.

 - Your must have discussed the risk of birth defects

insulin receptor

with your dermatologist.

 - You must inform your doctor if you have ever had any mental illnesses like depression, suicidal behaviour insulin receptor or psychosis, or if you are using any medicine for these conditions.

Benzodiazepines insulin receptor act at the level of the limbic, thalamic, and hypothalamic regions of the CNS, and can produce any level of CNS depression required including sedation, insulin receptor hypnosis, skeletal muscle relaxation, anticonvulsant activity, and coma. The action of these drugs is mediated through the inhibitory neurotransmitter insulin receptor gamma-aminobutyric acid (GABA). Central benzodiazepine receptors interact allosterically with GABA receptors, potentiating

insulin receptor

the effects of GABA and increasing the inhibition of the ascending reticular activating system.

The clearance and/or elimination insulin receptor of many drugs are reduced in the elderly. Delayed elimination can either intensify or prolong insulin receptor the actions of adverse reactions of the drug. Benzodiazepines have been associated with falls in the insulin receptor elderly and the consumer advocate group, Public Citizen, has recommended these drugs not be used in the elderly.

    Anabolic/Androgenic insulin receptor Ratio (Range): 322-630:24

• It improves on wrinkle disappearance (51%)

The most common complaint with Trenbolone is that it can reduce aerobic

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

Clenbuterol is usually taken over a period of 6-10 weeks but there are many theories of what type of cycle is most efficient and appropriate.

An anti-estrogen

insulin receptor
such as Nolvadex is best kept on hand, as there is little doubt that estrogenic problems insulin receptor will occur. Using 30-40 mg/day until well after problems have subsided is advised. Cautious individuals insulin receptor will opt to run proviron or arimidex, aromatase blockers, alongside testosterone suspension to prevent any estrogen from building up. While this will insulin receptor strongly reduce gains, testosterone suspension is still a very adequate compound. Proviron is to be given preference as an aromatase blocker insulin receptor with all forms of testosterone, but those prone to androgenic side-effects such as male pattern hair loss would do wise to invest in the stronger and more expensive arimidex, since proviron
insulin receptor
can increase androgen-related side-effects.

All this controversy about growth hormones is so complex that the insulin receptor reader must have some basic information in order to understand them. The growth hormones is a polypeptide hormone consisting of 191 insulin receptor amino acids. In humans it is produced in the hypophysis and released if there are the right stimuli (e.g. training, sleep, stress, low blood sugar insulin receptor level). It is now important to understand that the freed HGH (human growth hormones) insulin receptor itself has no direct effect but only stimulates the liver to produce and release insulin-like growth factors and somatomedins. These growth factors are then the ones that cause various

insulin receptor

effects on the body. The problem, however, is that the liver is only capable of producing a limited amount of these insulin receptor substances so that the effect is limited. If growth hormones are injected they only stimulate the insulin receptor liver to produce and release these substances and thus, as already mentioned, have insulin receptor no direct effect. The use of these STH somatotropic hormone compounds offers the athlete insulin receptor three performance-enhancing effects. STH (somatotropic hormone) has a strong anabolic effect and causes an increased insulin receptor protein synthesis which manifests itself in a muscular hypertrophy (enlargement of muscle cells) and in a muscular hyperplasia (increase of muscle cells.) The latter is very

insulin receptor

interesting since this increase cannot be obtained by the intake of steroids. This is probably also the reason why STH is called the strongest anabolic insulin receptor hormone. The second effect of STH is its pronounced influence on the burning of fat. It turns more body fat into energy leading to a insulin receptor drastic reduction in fat or allowing the athlete to increase his caloric intake. Third, and often overlooked, insulin receptor is the fact that STH strengthens the connective tissue, tendons, and cartilages which could be one of the main reasons for the significant insulin receptor increase in strength experienced by many athletes. Several bodybuilders and powerlifters report that through the simultaneous intake with

insulin receptor

steroids STH protects the athlete from injuries while inereasing his strength.

insulin receptor

Do not apply a double dose to make up for a forgotten individual dose. If you use too much (overdose) Immediately telephone your doctor, or the insulin receptor Poisons Information Centre if you think you or anyone else may have used too much Androgel / Cernos Gel. insulin receptor

Reductil (Sibutramine)

The writer would like to emphasize once more that this paper should in no insulin receptor 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

insulin receptor
people who choose to take the risk of using insulin in this way, despite their knowledge of those risks.

insulin receptor

In fact, athletes who are not ambitious to compete will make highly satisfying progress insulin receptor with Dianabol. Competing athletes, more advanced athletes, and athletes weighing more than 220 pounds do not need more than 40 mg/day insulin receptor and in very rare cases 50 mg/day. It does not make sense to increase the number of Dianabol tablets immeasurably since fifteen tablets insulin receptor do not 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 athletes, due to the continued improper intake

insulin receptor

of steroids, nothing seems to be effective any longer. The simultaneous intake of Dianabol and Anadrol is not a good idea since these insulin receptor two compounds have similar effects. The situation can be compared to the intake of ten or more tablets of one of these drugs per insulin receptor day. Those who are more interested in Strength and less in body mass can combine Dianabol with insulin receptor either Anavar or Winstrol tabs. The additional intake of an injectable steroid does, however, clearly show the best results. To build up mass and strength, insulin receptor Sustanon or Testoviron Depot at 250 mg+/week and/or Deca Durabolin 200 at mg+/week are suitable. To prepare for a competition, Dianabol has only limited use since

insulin receptor

it causes distinct water retention in many athletes and due to its high conversion rate into insulin receptor 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 insulin receptor this phase should use Dianabol together with the proven Parabolan, Winstrol Depot, Masteron, Anavar, etc.

insulin receptor Boldenone undecyclenate is a very popular steroid. This steroid is only available legally at a veterinarian insulin receptor clinic. Boldenone is a highly anabolic, moderately androgenic steroid. For this very reason, it is typically taken in a stack with other steroids like testosterone if you are on a mass cycle or perhaps with

insulin receptor
winstrol if you are on a cutting cycle. The main benefit of taking equipoise is that it increases protein insulin receptor synthesis in the muscle cells. This effect is very similar to what you would experience while taking anavar. Boldenone gives you slower insulin receptor but much more high quality gains in muscle as opposed to the normal "quick" insulin receptor muscle gains that you would expect from a testosterone. This is not a steroid to take on its own and expect 20 lbs. in 6 weeks. It is just not insulin receptor going to happen. You can expect around 3 weeks before you start seeing results and they are not going to be staggering, but will be "more permanent" than any gains you would get from any of

insulin receptor

the multiple testosterones that are available. This steroid stays active in the system longer than most of the testosterones insulin receptor as well. This makes equipoise a poor choice if you run the possibility of being drug tested.

• It improves memory- 62%

insulin receptor

VIAGRA must never be used by men who are taking any medicines that contain nitrates. Nitrates are insulin receptor found in many prescription medicines that are used to treat angina (chest pain due to heart disease) such as: nitroglycerin insulin receptor (sprays, ointments, skin patches or pastes, and tablets that are swallowed or dissolved in the mouth) isosorbide mononitrate and isosorbide dinitrate (tablets that are swallowed,

insulin receptor

chewed, or dissolved in the mouth).

Stromba (o.c.) 5 mg tab.; Winthrop CH, DK, NL, G, Sterling- Winthrop S, Ster

insulin receptor

Day 1: 20 mcg

Upjohn: Depo-testosterone (US) - 50, 100 or 200 mg/ml

Drug Class: High androgenic/anabolic insulin receptor steroid (Oral)

Since testosterone is the primary male androgen, we should also expect insulin receptor to see pronounced androgenic side effects with this drug. Much intensity is related to the rate in which the body converts testosterone insulin receptor into dihydrotestosterone (DHT). This, as you know, is the devious metabolite responsible for the high prominence of androgenic side effects associated with testosterone use.

insulin receptor

This includes the development of oily skin, acne, body/facial hair growth and male pattern insulin receptor balding. Those worried that they may have a genetic predisposition toward male pattern baldness may wish to avoid insulin receptor testosterone altogether. Others opt to add the ancillary drug Propecia®, which is a relatively new compound that prevents the insulin receptor conversion of testosterone to dihydrotestosterone (see: Proscar®). This can greatly reduce insulin receptor the chance for running into a hair loss problem, and will probably lower the intensity of other androgenic insulin receptor side effects. Although active in the body for much longer time, cypionate is injected on a weekly basis. This should keep blood levels relatively

insulin receptor

constant, although picky individuals may even prefer to inject this drug twice weekly. At a dosage of 250mg to 800mg insulin receptor per week we should certainly see dramatic results. It is interesting to note that while a large number of other steroidal compounds insulin receptor have been made available since testosterone injectables, they are still considered to be the dominant bulking agents among insulin receptor bodybuilders. There is little argument that these are among the most powerful mass drugs. insulin receptor While large doses are generally unnecessary, some bodybuilders have professed to using excessively insulin receptor high dosages of this drug. This was much more common before the 1990's, when cypionate vials were usually
insulin receptor
very cheap and easy to find in the states. A "more is better" attitude is easy to justify when paying insulin receptor only $20 for a 10cc vial (today the typical price for a single injection). When taking dosages above 800-1000mg per week there is little doubt that insulin receptor water retention will come to be the primary gain, far outweighing the new mass accumulation. The practice of insulin receptor "megadosing" is therefore inefficient, especially when we take into account the typical high cost of steroids today. insulin receptor

Safety for use in pregnancy and lactation has not been established.

The first medication that included T3 was technically a thyroid extract, first given

insulin receptor

to a patient with my edema in 1891. Natural thyroid extracts contained therapeutically viable insulin receptor levels of the thyroid hormones T3 and T4, and were widely used in medical practice for more than 60 years. In the 1950s, however, insulin receptor these drugs slowly start giving way to new synthetic thyroid medications, namely liothyronine sodium and levothyroxine sodium, which were consistent insulin receptor in dosage and effect, and more desirable to consumers than prepared animal extracts. insulin receptor

CNS stimulants, for instance ephedrine, are not advised to use with clenbuterol as the negative side effects would be exaggerated.

A starting dose of 25 mg. should be considered individuals of the

insulin receptor
age 65+ and in individuals with hepatic impairment or severe renal impairment.

Studies insulin receptor using low dosages of this compound note minimal interferences with natural testosterone production. insulin receptor Likewise when it is used alone in small amounts there is typically no need for ancillary drugs like Clomid/Nolvadex insulin receptor or HCG. This has a lot to do with the fact that it does not convert to estrogen, which we know has an extremely profound insulin receptor effect on endogenous hormone production. Without estrogen to trigger negative feedback, we seem to note a higher threshold before inhibition is noted. But at higher dosages of course, a suppression of natural testosterone levels will still

insulin receptor
occur with this drug as with any anabolic/androgenic steroid and therefore require post cycle therapy to restore insulin receptor the HPTA.

How to Buy Bonavar

This is another one of the popular insulin receptor ones. Next to Deca and D-bol the third most abused substance among athletes is stanozolol, as documented by the many positive drug insulin receptor tests. Among them the case sprinter Ben Johnson, who was stripped of his Gold Medal in the insulin receptor 100 meter dash in the 1988 Olympics. But since then the number of positives has grown exponentially. In bodybuilding Shawn Ray's positive in the 1990 Arnold Schwarzenegger Classic (a brief stint the IFBB had with drug testing). Ray was the winner of

insulin receptor
that event, but Canadion pro Nimrod King was also shown to have stanazolol metabolites in his urine.

Description: Equipoise insulin receptor

Be aware that the risk of hypoglycemia occurs not at the time of insulin insulin receptor injection but rather, when the insulin starts to take effect. The risk will be greatest when your insulin blood insulin receptor level nears or reaches its highest level, usually 30-60 minutes afterwards if a short acting insulin preparation is used (by subcutaneous insulin receptor injection) and up to 20 hours later if a long acting insulin is used.

CONTRAINDICATIONS/PRECAUTIONS:

Mesterolone (Proviron) is a synthetic, orally effective androgen which does not

insulin receptor

have any anabolic characteristics. Mesterolone (Proviron) is used in school medicine to ease or cure disturbances insulin receptor eaused by a deficiency of male sex hormones. Many athletes, for this reason, often use Mesterolone (Proviron) at the end of a steroid treatment in order insulin receptor to increase the reduced testosterone production. This, however is not a good idea since Mesterolone insulin receptor (Proviron) has no effect on the body's own testosterone production but-as mentioned in the insulin receptor beginning-only reduces or completely eliminates the dysfunctions caused by the testosterone insulin receptor deficiency. These are in particular impotence which is mostly caused by an androgen deficiency that can occur after the discontinuance
insulin receptor
of steroids, and infertility which manifests itself in a reduced sperm count and a reduced sperm quality. Mesterolone (Proviron) is therefore taken insulin receptor during a steroid administration or after discontinuing the use of the steroids, to eliminate a possible impotency or a reduced insulin receptor sexual interest. This, however does not contribute to the maintainance of strength and muscle mass insulin receptor after the treatment. There are other better suited compounds for this (see HCG and Clomid). For this reason Mesterolone insulin receptor (Proviron) is unfortunately cunsidered by many to be a useless and unnecessary compound.

For veterinary application, Upjohn claims that once-weekly doses supply

insulin receptor

constant levels. I am not sure if that is actually true or not – it might be true in terms of being insulin receptor clinically practical but not literally true. If true, then it may be that the observation of bodybuilders that frequent dosing insulin receptor is required has more to do with a significant dose being required, e.g. 350 mg/week, rather than an insulin receptor actual need for it to be injected daily. Unfortunately bodybuilders often make illogical comparisons, insulin receptor and will conclude that daily injections are needed, since a once a week injection of 50 mg did not do the job! Well, insulin receptor of course it didn’t: the dose was too low. For a future article, some urinalysis testing may be performed to come up with some

insulin receptor

more specific information on this matter, since it is of interest to many.

insulin receptor Acne: Yes, especially in higher dosages

Description 3:

Testosterone + 5 insulin receptor esters
    [4-androstene-3-one, 17beta-ol]
    Molecular Weight of base: 288.429
    Molecular insulin receptor Weight of Acetate ester: 60.0524
    Molecular Weight of Propionate ester: 74.0792
    Molecular insulin receptor Weight of Phenylpropionate ester: 150.174
    Molecular Weight of Cypionate ester: 132.1184
    Molecular Weight of Decanoate ester:

insulin receptor

172.2668
    Formula (base): C19 H28 O2
    Formula of Acetate ester: C2 H4 O2
    Formula insulin receptor of Propionate ester: C3H6O2
    Formula of Phenylpropionate ester:C9 H10 O2
    Formula of Cypionate insulin receptor ester: C8 H14 O2
    Formula of Decanoate ester: C10 H20 O2
    Manufacturer: insulin receptor British Dragon
    Effective dose (injectable): (Men) 550mgs-1,100mgs+/week
    Active Life: 14 days
    Detection Time: 3 months (projected)
    Anabolic/Androgenic
insulin receptor
Ratio (Range):100:100

Testosterone used alone is capable of giving very effective results, particularly with doses over one gram insulin receptor per week, and can give substantial results with only 500 mg/week. If no other drugs are used, however, insulin receptor side effects such as gynecomastia are fairly likely. Prostate enlargement, worsening of acne, insulin receptor and acceleration of male pattern baldness (for those genetically susceptible to it) are particularly severe because of the insulin receptor effectively-higher androgen levels seen in these tissues as a result of local conversion insulin receptor to the more-potent DHT. Synthetics which do not convert to DHT give only the same effective level

insulin receptor
of androgen in these tissues as in the body as a whole, rather than effectively three times the level. insulin receptor This is a significant advantage.

While KAMAGRA is effective in up to 4 of 5 men, it's insulin receptor not effective for everyone. If it doesn't work for you, contact your healthcare provider to discuss other treatment options. insulin receptor

HGH itself does carry with it some of its own risks. The most predominantly discussed side effect would be acromegaly, or insulin receptor a noticeable thickening of the bones (notably the feet, forehead, hands, jaw and elbows). The drug can also insulin receptor enlarge vital organs such as the heart and kidney, and has been linked to hypoglycemia and diabetes (presumably

insulin receptor

due to its ability to induce insulin resistance). Theoretically, overuse of this hormone can bring insulin receptor about a number of conditions, some life threatening. Such problems however are extremely rare. Among the many athletes using growth insulin receptor hormone, we have very few documented cases of a serious problem developing. When used periodically at a moderate dosage, the athlete insulin receptor should have little cause for worry. Of course if there are any noticeable changes in bone structure, skin texture or normal health and well insulin receptor being during use, HGH therapy should be completely halted.

Take Xenical by mouth, generally three times daily during (or up to one hour after) each main

insulin receptor

meal that contains fat. The daily intake of fat, protein and carbohydrate should be evenly spread over three main meals. If a meal is occasionally insulin receptor missed or contains no fat, skip that dose of Xenical. Because Xenical can interfere with absorption of fat-soluble vitamins insulin receptor (e.g., A,D,E,K), a daily multivitamin supplement containing these nutrients is recommended. Take the multivitamin at least insulin receptor 2 hours before or 2 hours after Xenical (e.g., at bedtime). The effects of Xenical may begin as soon as 1-2 days insulin receptor after treatment begins; noticeable weight loss will take longer.

If overdose of tamoxifene is suspected, contact your local poison control center or emergency

insulin receptor
room immediately.

A particularly interesting property of testosterone is its low toxicity, exclusive insulin receptor of the above-mentioned side effects. Doses of two grams or four grams per week are hardly unknown in bodybuilding, and are not particularly hard on the insulin receptor liver. No one seems to want to take doses of any other single steroid at comparably-effective doses, and it seems that if one tried, they might insulin receptor be more toxic. E.g., the hepatotoxicity of Winstrol Depot resulting from its 17a -methyl group is not severe insulin receptor at doses of say 350 mg/week, but might well be problematic at a dose of two grams per week – though that is speculation, since no one I have heard of uses

insulin receptor
such doses of Winstrol. Thus, at the higher dosage regimes testosterone appears to have an advantage in terms of toxicity insulin receptor vs. effectiveness over many of the synthetics. These doses, however, are in the pro bodybuilder range. In the dosage range more appropriate insulin receptor for most individuals, the reverse is often the case.

Can I take KAMAGRA with alcohol?

insulin receptor

If you forget to use it:

Clomid tablets, containing clomiphene citrate, is a non steroidal ovulatory insulin receptor stimulant.

Water Retention: Yes, similar to testosterone

The common use is similar to that of Nandrolone. 300-400 mg a week, in conjunction with other steroids mostly.

insulin receptor
Some attempt to make up for the lack of potency switching from nandrolone or boldenone to methenolone by insulin receptor using higher doses, in the neighbourhood of 600-800 mg a week. At that point I feel it would be cheaper to opt for boldenone at 300-400 mg a week insulin receptor though. Methenolone makes a poor stacking partner in mass stacks as both Deca and EQ provide better results while they are insulin receptor qualitatively similar. There is a slight merit in stacking Methenolone with boldenone, because apart from its 1-methyl group, methenolone is basically insulin receptor DHB, the 5-alpha-reduced form of boldenone. But since boldenone itself has very low affinity for 5-alpha-reduction, it should have a good synergistic

insulin receptor

effect stacking the two at 300 mg/week each.

insulin receptor

PRODUCT NAME: Humulin
SUBSTANCE: Insulin Lispro
CONTENT: 100iu Insulin Lispro per 1ml (3ml Vial) x 5 Vials per box
MANUFACTURER: Australia/Eli Lilly

Insulin

Description: 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 this way.

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: 1 IU 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. (2)

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) and sweets.

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.(2)

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(2) 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 13.0 g protein, 31.9 g carbohydrate and 2.6 g fat per 100 ml and provided 825 kJ 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 risk.

Food intake: the type and timing of food consumed, its glycemic index (the glucose elevating effect) and the amount consumed;

Body weight;

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 hypoglycemic episode;

Alternate your injection sites in order to minimize tissue damage ("lipoatrophy" or "lipohypertrophy";

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.

Dietary Guidelines:
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 jelly beans.

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 safely.

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.


These include:
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
















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