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   €75 

Should a significant overdose

insulin receptor

of Xenical occur, it is recommended that the individual be observed for 24 hours. Systemic effects insulin receptor attributable to the lipase-inhibiting properties of orlistat should be rapidly reversible.

Male athletes insulin receptor who have access to the injectable Winstrol Depot usually prefer that to the tablet due to dosage issues. Women often prefer insulin receptor oral Winstrol. This makes sense since female athletes have a distinctly lower daily requirement of stanozolol, usually 10-16 insulin receptor mg/day. Another reason for the oral intake in women is that the dosage to be taken can be divided into equal doses. This has the advantage that unlike the 50 mg injections, it does not lead to a significant

insulin receptor
increase in the androgens and virilization symptoms are reduced. Athletes who have opted for the oral administration of Winstrol usually take their insulin receptor daily dose in two equal amounts mornings and evenings with some liquid during their meals. This assures a good absorption of insulin receptor the substance and, at the same time, minimizes possible gastrointestinal pain.

Each 10 ml multidose insulin receptor vial contains 250 mg per ml.

Ttokkyo: Testosterone Cypionate 200 LA (MX) insulin receptor - 100 or 200 mg/ml

Similar to testosterone and Anadrol 50R, Anabol is a potent steroid, but also one which brings about noticeable side effects. For starters methandrostenolone

insulin receptor
is quite estrogenic. Gynecomastia is likewise often a concern during treatment, and may present itself insulin receptor quite early into a cycle (particularly when higher doses are used). At the same time water retention can become a pronounced problem, causing a notable insulin receptor loss of muscle definition as both subcutaneous water and fat build. Sensitive individuals insulin receptor may therefore want to keep the estrogen under control with the addition of an antiestrogen such as NolvadexR and/or ProvironR. The stronger drug ArimidexR insulin receptor (antiaromatase) would be a better choice, but can also be quite expensive in comparison to standard estrogen maintenance therapies.

Although dianabol

insulin receptor
has many potential side effects, they are rare with a dosage of up to 20 mg./day. Danabol / Dianabol causes a considerable insulin receptor strain on the liver. In high dosages and over a longer period of time, Danabol / Dianabol is liver-toxic. Even a dosage of only 10 mg./day can increase insulin receptor the liver values, after discontinuation of dianabol, however, the values return to normal. insulin receptor

High Blood Pressure: Yes

History

Aromatization: Yes

Androlic / Anadrol tablets. Each insulin receptor anadrol tablet contains 50mg oxymetholone. Androlic / Anadrol, brand name Androlic, comes in packs of 20 tablets and is manufactured by The British Dispensary

insulin receptor

(L.P.) Co.Ltd.

Heart attack, stroke and irregular heartbeats have been reported rarely in men taking Cialis ®. Most, insulin receptor but not all of these men had known heart problems before taking this medicine. It is not possible to determine whether these events were directly related insulin receptor to Cialis ®.

Effective Dose: 80-140 mcgs/day in split doses throughout the day. insulin receptor Anything over 140mcg a day is overkill since the beta receptors can only take so much of a product insulin receptor and then more is just wasteful.

This is the most popular use for clenbuterol. It promotes muscle hardness vascularity and strength when on a calories deficit diet.

insulin receptor

Thirdly, mesterolone is added in pre-contest phases to increase a distinct hardness and muscle density. Probably due insulin receptor to its reduction in circulating estrogen, perhaps due to the downregulating of the estrogen receptor in muscle tissue, it decreases insulin receptor the total water build-up of the body giving its user a much leaner look, and a visual effect insulin receptor of possessing "harder" muscles with more cuts and striations. Proviron is often used as a last-minute secret by a lot of bodybuilders insulin receptor and both actors and models have used it time and again to deliver top shape day in day out, when needed. Like the other methylated DHT compound, drostanolone, mesterolone is particularly

insulin receptor
potent in achieving this feat.

Since testosterone is the primary male androgen, we should also expect to see pronounced insulin receptor androgenic side effects with this drug. Much intensity is related to the rate in which the body converts testosterone into dihydrotestosterone (DHT). insulin receptor This, as you know, is the devious metabolite responsible for the high prominence of androgenic side effects insulin receptor associated with testosterone use. This includes the development of oily skin, acne, body/facial hair growth and male pattern balding. insulin receptor Those worried that they may have a genetic predisposition toward male pattern baldness may wish to avoid testosterone altogether. Others

insulin receptor
opt to add the ancillary drug Propecia? which is a relatively new compound that prevents the conversion of testosterone to dihydrotestosterone. This insulin receptor can greatly reduce the chance for running into a hair loss problem, and will probably insulin receptor lower the intensity of other androgenic side effects.

Effective Dose: 150-250mg per week

Dianabol insulin receptor aromatizes easily so that it is not a very good steroid when working out for a competition but, for those wishing to acquire raw size, it is a insulin receptor star among oral steroids.

Liver Toxic: Very

Phentermine Storage

For bodybuilding, Deca-Durabolin can effectively be incorporated

insulin receptor

in both mass and cutting cycles it stacks good with sustanon, dianabol, anadrol... One major drawback to Deca is that it can be detected in insulin receptor a drug screen for as long as a year after use. Unfortunately for many competitive athletes, this makes Deca and other nandrolone insulin receptor products off limits. Deca is also a comparatively expensive anabolic. Black market, 200mg of Deca will cost insulin receptor upwards of $20 in most instances. Deca produces very few side effects.

Hair insulin receptor regrowth

Clomid is a mixed estrogen agonist/antagonist (activator/blocker) which, when bound to the estrogen receptor, puts it in a somewhat different conformation (shape) than does estradiol.

insulin receptor
The estrogen receptor requires binding of an estrogen or drug at its binding site and also the binding of any of several cofactors at different insulin receptor sites. Without the binding of the cofactor, the estrogen receptor is inactive. Different tissues use different cofactors. Some of these cofactors insulin receptor are able to bind to the estrogen receptor/Clomid complex, but others are blocked due to the change in shape. insulin receptor The result is that in some tissues Clomid acts as an antagonist - the cofactor used in insulin receptor that tissue cannot bind and so the receptor remains inactive - and in others Clomid acts as an agonist (activator), because the cofactors used in that tissue are able

insulin receptor

to bind.

The trick of using Clenbuterol successfully seems to be avoiding receptor insulin receptor downgrade which occurs rapidly with the use of this beta agonist. In fact, one clinical insulin receptor study showed downgrade at receptor as much as 50% experienced after using Clenbuterol for as little as 18 insulin receptor days consecutively. The same study showed that attenuation can be avoided if Clenbuterol insulin receptor is taken in a '2 day on' then '2 day off' pattern. Athletes using Clenbuterol in this manner have reported much greater results than those who use the insulin receptor product continualy which seems to support the theory that attenuation can be at least partially avoided by staggering the dosage.

insulin receptor

Athletes have also made a habit of cycling Clenbuterol in an effort to minimize side effects as well as prevent insulin receptor receptor downgrade. Average cycle length on Clenbuterol is 8-10 weeks with a 4-6 week off period.

Many athletes will get sleepy insulin receptor after injecting insulin. This may be a symptom of hypoglycemia, and an athlete should probably consume more carbohydrates. insulin receptor Avoid the temptation to go to bed since the insulin may take its peak effect during insulin receptor 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

insulin receptor

it. Humulin R usually remains active for only 4 hours with a peak at about two hours after injecting. An athlete insulin receptor would be wise to stay up for the 4 hours after injecting.

DESCRIPTION: Stanabol is very popular anabolic steroid insulin receptor and is a derivative of DHT. Dosages for Stanabol 50 range from 3-5 cc per week for men, 1-2 cc in women.

Equipoise® insulin receptor is the popularly referenced brand name for the veterinary injectable steroid boldenone undecylenate. Specifically it is insulin receptor a derivative of testosterone, which exhibits strong anabolic and moderately androgenic properties. The undecylenate ester greatly extends the activity of the drug (the undecylenate

insulin receptor

ester is only one carbon atom longer than decanoate), so that clinically injections would need to be repeated every three or four insulin receptor weeks. In veterinary medicine EquipoiseAc is most commonly used on horses, exhibiting a pronounced effect on lean bodyweight, appetite and general insulin receptor disposition of the animal. This compound is also said to shows a marked ability for increasing red blood cell production, although there should insulin receptor be no confusion that this is an effect characteristic of newly all anabolic/androgenic insulin receptor steroids. The favorable properties of this drug are greatly appreciated by athletes, Equipoise® being a very popular injectable in recent years.
insulin receptor
It is considered by many to be a stronger, slightly more androgenic Deca-Durabolin®. It is generally cheaper, and could replace insulin receptor Deca in most cycles without greatly changing the end result.

Neo-Hombreol 50 mg/ml; Organon NL

Provironum is insulin receptor a synthetic, orally effective androgen which does not have any anabolic characteristics. Provironum is used in school medi-cine to case or insulin receptor cure disturbances caused by a deficiency of male sex hormones. Many athletes, for this reason, often use Provironum at the end of a steroid treatment in order to increase the reduced testoster-one production. This, however, is not a good idea since Provironum

insulin receptor

has no effect on the body's own testosterone production but-as men-tioned in the beginning-only reduces or completely insulin receptor eliminates the dysfunctions caused by the testosterone deficiency. These are, in par-ticular, impotence which is mostly caused insulin receptor by an androgen deficiency that can occur after the discontinuance of steroids, and insulin receptor infertility which manifests itself in a reduced sperm count and a reduced sperm quality. Provironum is therefore insulin receptor taken during a steroid administration or after discontinuing the use of the steroids, to eliminate a possible impotency or a reduced sexual interest. This, however, does not con-tribute to the maintenance of strength

insulin receptor

and muscle mass after the treatment. There are other better suited compounds for this (see HCG, Clomid, and Teslac). For this reason Provironum insulin receptor is unfortunately considered by many to be a useless and unnecessary compound.

• It increase insulin receptor muscle strength ( 88%) and muscle size ( 81%)

Possible side effects such insulin receptor as medication are described in the package insert by the German pharmaceutical group insulin receptor Hoechst AG for their compound Thybon: "Exceeding the individual limits of compatibil­ity insulin receptor for liothyronine or taking an overdose, especially, if the dose is increased too quickly at the beginning of the treatment, can cause the following clinical

insulin receptor

symptoms for a thyroid hyperfunction): heart palpitation, trembling, irregular heartbeat, heart oppression, agita­tion, shortness of breath, excretion insulin receptor of sugar through the urine, ex­cessive perspiration, diarrhea, weight loss, psychic disorders, etc., as well as symptoms insulin receptor of hypersensitivity". Our experience is that most symptoms consist of trembling of hands, nausea, headaches, high insulin receptor perspiration, and increased heartbeat. These negative side effects can often be eliminated by insulin receptor temporarily reducing the daily dosage. Cau­tion, however is advised when taking Cytomel since, especially in the beginning, the effect can be quick and sometimes drastic. Ath­letes
insulin receptor
do not use the injectable version of L-T3, this is normally used as "emergency therapy for thyrotoxic coma." Those insulin receptor who use Cytomel over several weeks will experience a decrease in muscle mass. This can be avoided or delayed by insulin receptor simultaneously taking steroids. For the most part, since Cytomel also metabolizes protein, the athlete must eat a diet rich in protein. insulin receptor

There are several common signs which may be apparent in someone who has overdosed from insulin receptor one or a combination of drugs.

If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include severe dizziness,

insulin receptor
fainting, or prolonged erection.

Before taking Viagra, tell your doctor if you have had a heart insulin receptor attack, stroke, or life-threatening irregular heartbeats within the last six months; have a history of heart failure; have coronary insulin receptor artery disease; have angina; have high or low blood pressure; have liver problems; have kidney problems; have ever had blood problems, insulin receptor including sickle cell anemia or leukemia; have a bleeding disorder; have a stomach ulcer; have retinitis pigmentosa (an inherited condition of the insulin receptor eye); have a physical deformity of the penis such as Peyronie's disease; have a condition that could lead to prolonged and painful erections,

insulin receptor

such as a tumor of the bone marrow, sickle cell anemia, or leukemia; or are taking another medicine to treat insulin receptor impotence. You may not be able to take Viagra, or you may require a dosage adjustment or special monitoring during treatment if insulin receptor you have any of the conditions listed above. Although Viagra is not indicated for use by women, it is in the FDA pregnancy insulin receptor category B. This means that Viagra is not expected to be harmful to an unborn baby. Women should not take Viagra. insulin receptor It is not known whether Viagra passes into breast milk. If you are over 65 years of age, you may be more likely to experience side effects from Viagra. Your doctor may prescribe a lower dose

insulin receptor

of this medication.

The safety and efficacy of Xenical in pediatric patients have not been established.

Oxandrolone insulin receptor 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 insulin receptor experience with Oxandrin has shown that at doses of 40 mg/day and higher, liver toxicity is indeed an issue insulin receptor with prolonged use.

The dose of tamoxifen will be different for different patients. Follow your doctor's orders or the directions insulin receptor on the label. Normally the dose will vary between 20-40 mg/day. Athletes seldom use more than 30 mg/day.

Yes, but taking

insulin receptor

KAMAGRA after a high-fat meal (such as a cheeseburger and french fries) may cause the medication to take a little longer to start insulin receptor working.

Durabolin is very similar to the popular Deca-Durabolin. Durabolin must be injected insulin receptor frequently and in regular intervals. The substance nandrolone-phenylpropionate quickly gets insulin receptor into the blood, where it remains active for two to three days. Athletes who hope for optimal results inject Durabolin every third day, or insulin receptor even every two days. The dosage is around 50-100 mg per injection, or a total of 150-300 mg/week. Those who have access to the 50 mg version should take advantage of it since it is less expensive

insulin receptor
than the 25 mg version, which is normally more easily available. in addition, the 1-2 ml injections are more pleasant than insulin receptor the 2-4 ml. Durabolin has a distinct anabolic effect which assists the protein synthesis and allows the protein insulin receptor to be stored in the muscle cell in large amounts. This is combined with a moderate androgenic component which insulin receptor stimulates the athlete's regeneration and helps maintain the muscle mass during a diet. It shows that Durabolin stores much less water in the body insulin receptor than Deca-Durabolin. For this reason, Durabolin is more suitable for a preparation for a competition while Deca should be given preference for the buildup of strength

insulin receptor

and muscle mass. Durabolin, however, can be used for this purpose as well. The gains are fewer and slower than with Deca but of a higher insulin receptor quality and remain, for the most part, after discontinuing the com-pound. A stack suitable for this purpose would be, e.g. 56 mg Durabolin every insulin receptor 2 days, 50 mg Testosterone Propionate every days, and 20 mg Winstrol tablets every day.

This product should insulin receptor provide less of the watery "bloated look" that an equal amount of (for example) testosterone cypionate insulin receptor would give, but more than you´d get with testosterone propionate. This makes it a possible choice for use in either a bulking or cutting cycle,

insulin receptor

or the ever popular "lean mass" cycle we´re seeing lately, on Steroid.com. Of course, the usual side effects experienced with any insulin receptor testosterone use would be expected with this product: Acne, water-retention, gyno, etc& And so would all of the positive effects we use insulin receptor testosterone for: muscle Gain, fat loss, strength gain, etc&

Equipoise is also highly effective for contest preparation since it aromatizes insulin receptor very poorly. Muslce hardness and density can be greatly improved when Equipoise is insulin receptor combined with Parabolan (Trenbolone Hexahydrobencylcarbonate), Halotestin (Fluoxymesterone), or Winstrol (Stanozolol). Average dosages of Equipoise

insulin receptor

are 200-400 mg per week. Injections are usually taken every other day.

DHT Conversion: insulin receptor It is a derivative of DHT

Active Life: 14-16 days.

An individual package with a 76-mg/1.5 insulin receptor ml ampule costs between $25 and $35 on the American black market. Those who would like to purchase insulin receptor Trenabol Depot on the black market should be very careful and skeptical toward the authenticity of insulin receptor the product offered

Testovis 50, 100 mg/ml; SIT I

Anapolon is the U.S. brand name for oxymetholone. insulin receptor Anapolon it is a very potent oral androgen. Anapolon was first made available in 1960, by the international drug firm

insulin receptor

Syntex. Since oxymetholone is quite reliable in its ability to increase red blood cell production (and insulin receptor effect admittedly characteristic of nearly all anabolic/androgenic steroids), showed particular promise insulin receptor in treating cases of severe anemia. For this purpose it turned out to be well suited, and Anapolon was popular for quite some time.

insulin receptor

Delivery: price for a one ampule, 250 mg.

Although this steroid is strongly androgenic, the anabolic insulin receptor effect of it is considered too weak for muscle building purposes. This is due to the fact that Provironum© is rapidly reduced to inactive metabolites in muscle tissue, a trait also characteristic of

insulin receptor

dihydrotestosterone, The belief that the weak anabolic nature of this compound indicated a tendency to block the androgen receptor in muscle insulin receptor tissue, thereby reducing the gains of other more potent muscle building steroids, should likewise not be taken seriously. insulin receptor In fact due to its extremely high affinity for plasma binding proteins such as SHBG, Provironum© may actually work insulin receptor to potentate the activity of other steroids by displacing a higher percentage into a free, unbound state. Among athletes Provironum© is primarily used insulin receptor as an antiestrogen. It is believed to act as an antiaromatase in the body, preventing or slowing the conversion of steroids into estrogen.
insulin receptor
The result is somewhat comparable to Arimidex© (though less profound), the drug acting to prevent the buildup of estrogen in the body. insulin receptor This is in contrast to Nolvadex©, which only blocks the ability of estrogen to bind and activate receptors in certain tissues. The anti-aromatization insulin receptor effect is preferred, as it is a more direct and efficient means of dealing with the problem of estrogenic side insulin receptor effects. A related disadvantage to Nolvadex© is that if discontinued too early, a rebound effect may occur as high serum estrogen levels are again free to take action. This of course could mean a rapid onset of side effects such as gynecomastia and water retention.

insulin receptor

Most athletes actually prefer to use both Provironum© and Nolvadex©, especially during strongly estrogenic cycles. insulin receptor With each item attacking estrogen at a different angle, side effects are often greatly minimized.

The third reason for the popularity of insulin receptor Anavar is that oxandrolone does not influence the body's own testosterone production. This special feature of Anavar can be explained insulin receptor by the fact that the oxandrolone is not converted into estrogen.

By itself, it does not lead to huge muscle gains, insulin receptor but rather lower weight but quality gains. In combination it can be very effective at good solid muscle gains. Users enjoy an increased

insulin receptor

strength without the associated increase in weight.

Bodybuilders love this product insulin receptor for many reasons. This product is an excellent fat burner since your metabolism is insulin receptor greatly increased while being on it. You can afford to be a little sloppier on precontest dieting since it will still burn fat insulin receptor when you are taking in a lot of calories since your metabolism is going haywire. Step over Ripped Fuel, E/C/A stack, Thermodrine. insulin receptor

Men who are currently using medicines that contain nitrates, such as nitroglycerin insulin receptor should not use Viagra because taken together they can lower the blood pressure too much. Viagra should not be used by women or

insulin receptor

children.

Active Life: Around 2 days

This is another one of the popular ones. Next to Deca and D-bol the insulin receptor 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 100 insulin receptor meter dash in the 1988 Olympics. But since then the number of positives has grown exponentially. In bodybuilding Shawn Ray's positive insulin receptor in the 1990 Arnold Schwarzenegger Classic (a brief stint the IFBB had with drug testing). Ray was the winner of that event, but Canadion insulin receptor pro Nimrod King was also shown to have stanazolol metabolites in his urine.

insulin receptor

It is effective in helping to burn bodyfat. Clenbuterol is also effective in increasing muscle mass and decreasing fat insulin receptor loss.

This drug information is for your information purposes only, it is not intended insulin receptor that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general insulin receptor information, and should not be relied on for any purpose. It should not be construed insulin receptor as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this

insulin receptor

information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either insulin receptor expressed or implied, is made in regards to this information.

The workup and treatment of candidates for Clomid insulin receptor therapy should be supervised by physicians experienced in management of gynecolic or insulin receptor endocrine disorders. Patients should be chosen for therapy with Clomid only after insulin receptor careful diagnostic evaluation.

HCG's form of administration is also unusual. The substance choriongonadotropin is a white powdery freeze dried substance which is usually used as a compress. For each HCG ampule, includes

insulin receptor
another ampule with an injection solution containing isotonic sodium chloride. This liquid, after both ampules insulin receptor have been opened in a sterile manner, is injected into the HCG ampule and mixed with the dried insulin receptor substance. The solution is then ready for use and should be injected intramuscularly. If only part insulin receptor of the substance is injected the residual solution should be stored in the refrigerator. It is not necessary to store the insulin receptor unmixed HCG in the refrigerator; however, it should be kept out of light and below a temperature insulin receptor of 25C. HCG is an expensive compound, it costs approx. $30 - $40 for 1 ampule of 5000IU.

Since Omnadren easily aromatizes,

insulin receptor

the intake of antiestrogens is suggested. This can also help reduce some of the water retention. Although Omnadren has a duration effect of a good 2-3 insulin receptor weeks it is usually injected at least once a week. As for the dosage there is rarely an injectable steroid insulin receptor with a wide spectrum such as Omnadren's. The span reaches from athletes who inject one 250 mg injection every two insulin receptor weeks to extremes who use eight "Omnas" a day (2000 mg/day). The reason is the low price of the compound. insulin receptor It therefore offers an economic alternative to the expensive Sustanon, Testosterone enanthate and -propionate; that explains why some take it in these exaggerated dosages. An acceptable
insulin receptor
and, for most, sufficient dosage is 250-1000mg/week. Omnadren is often combined with Dianabol, Androlic-50, and Deca-Durabolin insulin receptor which accelerates the gain in strength, mass, and water retention. The gains achieved with Omnadren, as insulin receptor is the case with Testosterone, for the most part, usually subside very quickly after use of the compound i~ discontinued. insulin receptor

by Bill Roberts - Contrary to what many would expect, this compound is insulin receptor actually only a weak agonist of the androgen receptor (AR), with poor binding. It follows, insulin receptor then, that its value must mostly come from non-AR-mediated effects. It is therefore a Class II steroid. Since it is not very effective

insulin receptor

in activating ARs, it should be stacked with a Class I steroid that is effective in this regard, such insulin receptor as Primobolan , Deca Durabolin , or trenbolone acetate . There is no point in stacking it with Anadrol®, which insulin receptor has similar activity - one ought to simply use the more appropriate drug. With testosterone or Deca, Danabol / Dianabol is to be preferred; insulin receptor with Primobolan or trenbolone acetate, Anadrol® is to be preferred (though Danabol / Dianabol is still a good choice) because Anadrol® insulin receptor does not aromatize. For an oral-only cycle - something I don't recommend - Anadrol® is the better choice in my opinion for that also, at 150 mg/day (preferably
insulin receptor
divided to 3 or 6 doses).

Tell your doctor if you have ever had any unusual or allergic reaction to Tamoxifen. insulin receptor

HCG is not a steroid but it is widely used in athletics today. HCG Prengyl is a natural protein hormone secreted by the human placenta insulin receptor and purified form the urine of pregnant women. This hormone is not a natural male hormone but mimics the natural hormone LH (Luetinising insulin receptor Hormone) almost identically. This LH stimulates the production of testosterone by the testis in males. Thus HCG insulin receptor sends the same message and results in increased testosterone production by the testis due to its effect on the leydig cells of the testis.

insulin receptor

If you are older than 65 years, have a serious liver or kidney problem, or are taking protease inhibitors, such as for insulin receptor the treatment of HIV, your healthcare provider may start you at the lowest (25 mg) dose of KAMAGRA.

What else?

Anavar, insulin receptor brand name Bonavar, as a tablet, containing 2.5 mg. oxandrolone, to take by mouth.

CKD's - These are extremely impractical while insulin receptor on a cyclical ketogenic diet (CKD), and are especially dangerous. This brings up blood insulin receptor glucose considerations; it is important to try to maintain relatively stable, or at least not severely depressed, blood glucose levels. If this guideline
insulin receptor
is not followed, the user may experience blurred vision and/or extreme fatigue possibly augmented by fainting or lightheadedness. insulin receptor

The propionate and phenylpropionate esters in this product are quickly insulin receptor utilized, releasing into circulation within the first four days. The remaining esters are much slower to insulin receptor release, staying active in the body for approximately two and three weeks (respectively). insulin receptor This is an improvement from standard testosterones such as cypionate or enanthate, which provide insulin receptor a much shorter duration of activity, and a more variable blood level. This is one of the most popular injectable testosterones because the

insulin receptor

combination of the four different esters work synergistically together, both fast acting and long lasting.

The use insulin receptor of all drugs carries some risk along with potential or perceived benefits, whether used for legitimate medical reasons or for other purposes. Insulin insulin receptor carries some risk even when used by an insulin dependent diabetic, as demonstrated by the observation that some diabetics run into difficulties insulin receptor with their treatment from time to time and often require assistance to restabilize their medical insulin receptor 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 receptor

insulin sensitivity and in the absence of medical advice and monitoring, the risks may be substantially increased.

insulin receptor

If, given these considerations, you still are ready to take the plunge and use DNP, you will need to learn how to obtain and/or make your own capsules. insulin receptor DNP is shipped industrially in large metal tins holding a glass jar containing the wet DNP, which is wetted insulin receptor with enough water to total 15-35% of total mass to prevent explosion while in transit. Ample cushioning insulin receptor material around the glass jar is included to further prevent ignition of DNP (it is highly flammable) and the obvious possibility of breaking the jar. Chemical sellers

insulin receptor

will not sell this chemical to individuals or any other entity without an account. However, if you are resourceful insulin receptor enough to get some, the following are instructions on how to properly prepare capsules.

Winstrol (Stanozolol) additional information

insulin receptor

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 insulin receptor could cause hypoglycemia and collapse in a person who has not consumed adequate insulin receptor 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

insulin receptor
in 30-60 minutes if injected by subcutaneous route). Foods with a high glycemic index will maintain the blood insulin receptor 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 insulin receptor glucose levels. Risk Reduction Advice:

Flumazenil and benzodiazepines are pharmacological insulin receptor opposites. Flumazenil is specifically used to reverse the actions of benzodiazepines. Clinicians should insulin receptor note that the duration of action for some benzodiazepines may be much longer than that of flumazenil and repeat doses of flumazenil may be necessary.

Qualitatively similar to testosterone and its esters

insulin receptor
in physiologic activity, testosterone enanthate has the advantage of prolonged effect. insulin receptor In hypogonadal males, the effect of a single injection of 250 to 500 mg of testosterone enanthate was observed to be maintained for 2 insulin receptor to 4 weeks, which is 2 to 4 times longer than the effect produced by a comparable dose insulin receptor of testosterone propionate.

• It improves on hot flashes- (58%)

Type of insulin: short insulin receptor acting insulin preparations are considerably safer than long acting preparations because with short insulin receptor acting types, it is much easier to avoid hypoglycemia with adequate food intake. With the non-medical use of longer acting insulin

insulin receptor
preparations, a person is at real risk of experiencing hypoglycemia late in the day, particularly in between meals, insulin receptor during or after exercise and when asleep. Regardless of this advice, some people are in reality using insulin receptor a mixture of short and long acting insulin preparations and exposing themselves to unnecessary increased risk. insulin receptor

Be aware that the risk of hypoglycemia occurs not at the time of insulin injection insulin receptor 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

insulin receptor

injection) and up to 20 hours later if a long acting insulin is used.

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 Ö.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 Ė

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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