The Cunningham Technique

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Young male with history of psychiatric illness and seizures presents with left arm pain after a fall. Patient thinks he slipped on ice, but is unsure. He reports no LOC, no head pain, no neck pain. Does not believe he had a seizure. No urinary incontinence, no tongue biting. Has severe pain in left shoulder. Physical exam shows small forehead abrasion, no c-spine tenderness, and decreased ROM to left shoulder.  He holds his arm internally rotated and adducted. There is an obvious deformity to the left shoulder with a defected palpated anterior.

3 view x rays ordered in triage read as negative for fracture or dislocation, but limited by poor patient positioning.

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I was pretty sure that it was dislocated, so I went ahead and ordered the definitive axillary view.

As I was charting on another patient, the x-ray tech came over, looking slightly embarrassed, and said that she was pretty sure she had just reduced my patient’s shoulder as she was trying to get him in the proper position for the axillary view.  She said, “It was amazing, he couldn’t move it, then pop, and he has full ROM now.”

Nice.

Two minutes later, got a phone call from radiology…Might have missed a posterior dislocation…Looks great in the axillary view now…Would recommend getting repeat normal films to be sure that there was no fracture missed while it was not in proper position.

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Ordered the repeat 3 view x-rays and went to make sure he was still reduced.  Found my patient still internally rotated, in pain, not able to move, and still with the hollow anteriorly.  Gently held his hand and arm and before he realized what I had done, pulled slightly and externally rotated and put it back in place.  As I called for the sling, he went to take his gown off and it slid back out as he extended his arm and moved it anteriorly.  Tried again to gently externally rotate it, but he was now on to me and and was tense and pulling against me.  Asked for suggestions other than sedation and got one from the one and only Dr. Martin Huecker: Try the Cunningham technique.

I went back in his room. He was looking a little wary.  I told him it’s not going to hurt; I was just going to massage his arm a little bit to see if it will go back in.  I held his left forearm in my left hand at the elbow and, using my right hand, massaged first his trapezius, then his deltoid, then his biceps, then his deltoid, then his trapezius, then his deltoid ….annnnnnnnnnnnd….. it slid back in place.  Patient looked as surprised as I did.  Immediately put him in a sling and swathe.  Got repeat x-rays in the sling.

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He was in the department for about 30 minutes after that while awaiting x-ray reads and his arm stayed reduced while in the splint.  No fractures on x-ray.  He was discharged with orthopedic follow up in the sling.

One can find is a formal description of The Cunningham technique from the blog “Life in the Fast Lane.” http://lifeinthefastlane.com/cunninghams-shoulder-relocation/

  • Inform the patient of the procedure and the fact that it will be painless. It is important to relax the patient and confident reassurance is the first step towards this.
  • Sit the patient up with the back vertical. This can be done on a bed, chair or trolley, but preferably seated on a non-wheeled chair without arm rests.
  • Carefully support the arm while it is moved into the correct position, allowing the patient to help with the other arm. The correct position is with the arm adducted (next to the body) and pointing vertically down, the elbow is flexed at 90 degrees so that the forearm points horizontally and anteriorly.
  • The operator then squats/kneels to the side of the patient and facing the opposite direction to the patient. The operator then slips the hand between the patients forearm and body so that the patient’s wrist/hand is resting on the operator’s upper arm. Do not make pulling movements at any time as this will elicit pain and result in spasm.
  • Apply steady, very gentle traction (the weight of the operators forearm is quite enough) directly downwards once the patient is settled and pain free. Keep this gentle weight on the arm throughout, stop if any spasm or pain. Usually resting with the patients arm in this position will start to reduce the pain of spasm.
  • With the other hand, the operator then massages the trapezius, deltoid and biceps muscle sequentially, repeating this process and concentrating on the biceps brachii until the muscles are fully relaxed. A strong kneading of the biceps with the thumb anterior and the four fingers of the operator posterior to the arm is recommended. At this point the humeral head will relocate usually without any clear indication that the shoulder has reduced (no sound or ‘clunk’ feeling). This means that the shoulder must be observed/checked regularly to confirm when relocation has occurred (with shoulder exposed movement can be seen as the ‘step’ disappears.)

And a link to the blog with the description. It has a nice video.

344 thoughts on “The Cunningham Technique”

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    effect is also likely to increase vascularity and muscle striations while contributing to a leaner look.
    Anavar has a significant influence on energy, despite being a slicing steroid and not
    inflicting dramatic weight gain. Hardly Ever, this drug has caused severe, sometimes deadly liver issues including liver
    failure, liver cysts, and liver tumors.
    However, its mild nature is not going to yield as a lot anabolic exercise as its structural nature
    would suggest. As of 2005, Anavar is out there as a dietary
    complement so lengthy as it doesn’t include oxandrolone. Long-term use of steroids can also result in withdrawal signs upon abrupt cessation, which can embrace mood changes, fatigue, restlessness,
    loss of urge for food, insomnia, and a decrease in libido. While it is not
    fairly clear if steroids, like Anavar, are addictive, a user ought to take a peek at how steroids can harm the physique.
    Steroids, though not considered narcotics, are nonetheless categorized as managed medication due to their potential
    to be abused and result in dependence. By beginning with a decrease
    dosage of each steroid, you probably can reduce the danger of
    unwanted effects. If you would possibly be stacking Anavar with different steroids,
    you will need to begin with a decrease dosage of Anavar and
    enhance it steadily.
    Nonetheless, it is very important remember that stacking a quantity of steroids can improve the chance of side effects.
    This steroid may cause a rise in blood stress, which may enhance your danger of heart illness and
    stroke. To help prevent hypertension, it’s important to maintain a nutritious diet and exercise frequently.
    Anavar’s half life is eight hours, which is relatively short compared to other steroids.
    Due to the quick 8-hour half life of oxandrolone, many customers break up their
    daily dosage into 2-3 occasions throughout the day
    to keep the drug working robust in their
    bloodstream. Anavar dosage must be based
    mostly on one’s expertise with the drug and their sex.
    Ladies who are just starting out with the drug often begin at 5-10mg per day;
    then, supplied they do not experience any harsh virilization,
    they’re going to gradually enhance dosage to between 10mg
    and 20mg.
    Today, Anavar remains to be widely used within the
    fitness and bodybuilding communities. Nevertheless, its use
    is highly regulated and controlled as a outcome of its potential for abuse and harmful unwanted side
    effects. Oxandrolone, often known as Anavar, is an anabolic steroid that capabilities by
    interacting with the body’s androgen receptors. Androgen receptors are present
    in various tissues, together with muscle, bone,
    liver, and the central nervous system. They are
    involved in a quantity of physiological processes, together with muscle progress,
    bone density, and sexual improvement. When Anavar binds to
    androgen receptors in muscle tissue, it triggers cellular
    reactions, leading to increased protein synthesis or the production of new proteins inside muscle cells.

    Seasoned female athletes in search of intensified outcomes may
    contemplate growing the dosage to 15-20mg per day.
    Nevertheless, warning is advised, and beginning at the decrease finish
    of the spectrum is really helpful. This gradual development helps assess
    tolerance and response, making certain a managed approach for optimal outcomes while prioritizing security.
    With so many suppliers out there claiming to promote top-quality Oxandrolone, it might be difficult
    to distinguish which ones are respectable. Regardless of the anabolic
    steroid you use, PCT must be a necessity. And when it comes to Anavar all of it relies
    upon in case you are doing an Anavar solely
    cycle, or are you stacking with another steroids.
    When it comes to dosage men usually take from
    10mg-100mg, and girls vary from 2.5mg-20mg.
    Some girls may wish to go further and add one other two weeks to
    the cycle while increasing the dosage for these final two
    weeks up to 20mg day by day, but monitor for any potential
    side effects. Lean muscle features will vary substantially among ladies, however over a 6-week cycle, some
    females can see glorious gains of up to 5-10lbs,
    even whereas dropping some physique fats.
    Diet and current physique weight will determine how far your fats loss can go, but a 5lbs loss
    of fats over a cycle when you’re already lean will improve the physique.
    Anavar excels at providing you with important improvements
    in aesthetics – leanness, hardness, dryness, and, in short,
    getting ripped and shredded. Anavar will assist preserve your efficiency and
    power capacity even on the most restricted of calorie-deficit diets.

    Anavar is extremely efficient in fats burning, particularly
    in cussed areas of the physique, such as the hips, thighs, and lower
    abdomen. To shed pounds, this steroid will increase T3 ranges, a thyroid hormone recognized for its highly effective fats loss properties.

    Anavar is commonly used by athletes and bodybuilders to boost performance and promote muscle growth.
    The timing of Anavar consumption in relation to your train routine can influence its
    effectiveness. Numerous websites specialize in the sale of performance-enhancing substances, together with anabolic steroids.
    It is crucial to research and choose reputable online shops that
    present high-quality products. Look for websites that supply safe
    fee strategies, discrete packaging, and have constructive customer critiques and feedback.

    If you notice different effects not listed above, contact your physician or pharmacist.

    Anavar might help restore muscle harm via coaching and allow these kind of athletes to coach harder, and more frequently.
    It can help restore muscle injury after a participant receives and influence damage i.e.
    from a body verify, fall or fast paced collision. For males who’re new
    to Anavar it’s advised to take 30mg a day for
    the primary week. Relying on your results and the way you are feeling you possibly
    can then begin to improve the dosage for the next couple of weeks.
    If you lift weights or you’re on the bodybuilding
    scene, you’ve almost certainly heard of Anavar.
    This is among the most-talked about steroids and is whispered about in numerous gyms
    all over the world. Nevertheless, it is necessary to observe, people
    ought to adhere to the really helpful dosage and use the complement responsibly
    to expect these kinds of transformations.

    References:

    2Ahukewipubipvmvnahuy7P4Khwr8Cqaq4Lyoanoecaeqfw|The Best Steroids For Muscle Growth

    Reply ↓

  17. Anavar’s testosterone-suppressing effects, however, can linger for several months.
    Clenbuterol’s fat-burning results may be attributed to its highly effective effects on the central nervous system (CNS).

    Testosterone undecanoate is the exception to this rule, where dietary fat improves absorption. As beforehand talked about, Anavar is an expensive steroid because of BTG
    monopolizing the market and driving the price up, costing sufferers $3.75–$30 per day, relying
    on the dose required. Bodybuilders generally buy testing kits,
    enabling them to ascertain if their Anavar product is genuine.

    Only customers who’ve cycled Dianabol and tolerated it ought to take this stack.

    Deca Durabolin will improve power and size gains whereas simultaneously suppressing testosterone
    levels and contributing to further water retention. Ladies might cycle Anadrol alone or along side Anavar for additional
    muscle features (and fats loss). Anavar is another female-friendly steroid that minimizes the risk of virilization when taken in modest doses and
    quick cycles. We have discovered incidents of pimples vulgaris to be more prevalent on trenbolone due to extreme
    stimulation of the sebaceous glands.
    The danger of developing arteriosclerosis and heart
    disease is high with this cycle, so if users have a historical past of such in their household, it might be sensible to
    keep away from this cycle. Thus, users will burn more subcutaneous fat with this cycle and experience additional lean mass in comparability with running Sustanon 250 by itself.
    While results range from person to person and depend on various other variables, customers can count
    on testosterone to cause vital will increase in muscle dimension and strength.

    Therefore, when it comes to muscle features, it doesn’t
    matter what form of testosterone you use,
    as it’s the identical compound and thus will produce an similar finish result.

    Conservative dosages have been used in this sample cycle, with the chance of liver pressure (and other side effects) in thoughts.

    Our patients find common cardiovascular train helps
    to reduce giant increases in blood stress. Blood strain ought to be monitored frequently all through this
    cycle, as excessive quantities of water retention and cholesterol shifts
    are inevitable.
    Anavar, as with many anabolic steroids, isn’t authorized
    for recreational use in lots of countries.
    In the Usa, for example, it’s categorized as a Schedule III
    managed substance, meaning that it is unlawful
    to buy, sell, or possess without a valid prescription. In locations like the UK,
    it’s a Class C drug, which also requires a prescription to be used.
    Whereas Anavar is extensively identified for its use in sports
    activities and health, it also has medical functions.

    It’s crucial to regulate the dosage gradually based on individual response.

    Anavar cycles for men should include breaks to facilitate body recovery.
    Anavar can contribute to weight loss by selling fats loss
    while preserving lean muscle mass. It helps to boost
    metabolism and boost lipolysis, which is the method of breaking down and using stored fats for energy.
    Hold in mind that Anavar alone just isn’t a weight loss resolution; combining it
    with a nutritious diet and common train program is essential
    for optimal outcomes.
    Clenbuterol’s dosage will progressively enhance and reduce, as is the standard use.

    Start at 20mcg/day, then gradually enhance the dose each day until you reach your required peak of
    around 120mcg/day. Winstrol is generally not recommended for girls due to its androgenic unwanted aspect effects.

    If girls still wish to use Winstrol in a cycle like this,
    taking a dosage of 5mg could maintain virilization in verify.

    Clenbuterol must be utilized in a way that maintains its most results for
    the full size of your cycle. This means you need to adjust
    the dose as the weeks go on, starting at quite a low
    dose initially of your cycle. The body adapts to Clenbuterol’s effects, making it necessary to progressively improve your dosage until you reach your maximum desired dose.

    As A Outcome Of testosterone levels are maintained at a low
    stage throughout this cycle, Anavar must function the
    primary anabolic agent. This allows lean will increase in addition to the
    distinctive fat loss and muscle toning that happens all through the cycle.
    Using Anavar throughout a steroid cycle is a extremely effective means of developing lean muscle mass.
    This strong anabolic steroid may aid in fat loss, muscle acquire, and efficiency enhancement.
    Anavar is commonly applied in cutting cycles
    to help within the reduction of physique fats, while sustaining and even slightly increasing lean muscle mass.

    There is a method to avoid a lot of the side effects with a
    tapering dose on the end of the cycle. This is very good
    and profitable in relation to lengthy cycles, and excessive doses of steroids.
    The greatest method to use Anavar is to begin out with lower dosages, and to increase over the course
    of 8 weeks, where males should be starting with 20mg per day,
    and ladies from 2.5mg per day. Most feminine Anavar customers won’t require or wish to take dosages at such a excessive range, as an alternative sticking
    to a range of 5mg to 15mg daily. This might be enough for most ladies to ship exceptional fat-burning and body composition improvements.
    Wait 14 days post cycle to start restoration and use 50mg/day Clomid for 20 days and zero.5mg/day Arimidex alongside it.
    Even though Anavar is what we consider to be a milder steroid compared to most others, it’s nonetheless an anabolic steroid.

    Most Clen users will discover these side effects come on soon after beginning Clenbuterol, and as your
    physique will get more accustomed to the drug, they’ll cut back and even stop
    altogether. These short-term unwanted side effects might be tough to
    tolerate in other users, so you may choose to not use Clenbuterol.
    Those affected by current anxiety ought to keep in mind the potential effects on psychological health in addition to bodily.
    This quick one-month cycle may also introduce you to the incremental method of increasing Clenbuterol’s dosage because the cycle progresses.
    This is a vital way of using Clen as a outcome of your physique quickly adjusts
    to its effects. You can and may regulate the dosage according to your consolation stage, and women will usually wish to lean towards a maximum dose of between 80mcg and 100mcg daily.

    Clenbuterol may be mixed with Anavar to spice up fats
    loss and muscle definition. Winstrol and Primobolan are sometimes stacked with Anavar to bolster power and lean muscle gains.
    While Anavar has the potential to ship spectacular outcomes by method of lean muscle mass and energy positive aspects,
    it’s essential to have realistic expectations.
    Results could differ from individual to individual, and
    not everybody will expertise the identical degree
    of success. In addition to particular person responses, components such as genetics,
    metabolism, and total fitness stage can also play a task in determining outcomes.
    Therefore, it’s very important to strategy Anavar use with
    a patient and constant mindset, focusing on gradual improvements rather than expecting
    overnight transformation.
    This will assist maximize the benefits and keep your well being throughout.
    With a regulated dosage and the right quantity of workout, it won’t be
    long earlier than you’re within the physique you always
    wanted. A higher consumption can result in the event of
    cumbersome muscular tissues, could affect their menstrual cycle, and even result
    in pores and skin problems and hair loss.

    References:

    Side Effects Of Illegal Steroids

    Reply ↓

  18. Elevated pink blood cell depend will provide greater oxygen-carrying
    capability to the muscles, thus enhancing endurance. Experienced bodybuilders and beginners eager
    to be taught will quickly find that Turinabol has some distinctive advantages.
    Still, it’s going to take some planning along with your steroid cycle to realize essentially the most out of
    this interesting and potentially very helpful steroid.
    With Out a doubt, though, this may be a steroid that directly benefits
    athletes, together with sporting and endurance athletes.

    For that reason, it was used illegally by elite Olympic athletes in the past,
    after which official manufacture of this steroid was halted and stays so to today.

    There is not any water retention, there are not
    any progestogenic unwanted effects, all you get is pure muscle
    progress and proportionally greater quantities of power features relative to Testosterone Derivatives and 19-Nors.

    CrossFit ladies on steroids generally use Anavar along with
    their coaching. Due to its delicate nature,
    Anavar can also be stacked with a range of other steroids, together with in an Equipoise stack, in a
    Proviron cycle and Human Progress Hormone bodybuilding cycles.
    Anavar is a popular steroid for chopping cycles because of its capability
    to assist burn fat while preserving lean muscle mass.
    It’s also recognized for its gentle unwanted effects compared to other steroids.
    Anavar is efficient for slicing as a result of it helps increase
    your metabolic rate, which allows you to burn extra calories and shed
    pounds. It additionally helps to scale back water retention, providing you with a more outlined and ripped look.

    Due to a sudden loss in water your muscle tissue could look rather less pumped than ordinary.
    Nevertheless, you might not notice this effect too much as winny
    may also help you build muscle; helping you may look larger, despite
    this lack of glycogen. Preferably, you’ll have the ability
    to select to make use of a a lot safer, more healthy, and legal alternative to
    both steroids so that you don’t have to fret about any of those unwanted aspect effects.

    Whereas liver toxicity is a big concern with Winstrol,
    a fair greater space of concern can be associated to your
    cardiovascular well being. Extra particularly, what Winstrol can probably do to your levels of cholesterol is
    to not be ignored. There’s no method around the
    reality that Winstrol is going to suppress your pure testosterone manufacturing.

    Both Anavar and Winstrol are among the finest chopping steroids you
    can see out there today. But as you are conscious, cutting primarily drills right down to
    fats burning while preserving the muscle mass.
    When bodybuilders are in offseason, they attempt to extend their energy and prepare utilizing heavy weights in order that they will get as a lot muscle mass because the presumably can. They thus find yourself with increased size and mass of their frames,
    and they may also find yourself accumulating some physique fats in the course of the course of.
    This is as a result of of Anavar being 5α-reduced; thus, it does not aromatize,
    which means estrogen levels stay secure. This is useful for bodybuilders looking for a lean and outlined physique.

    Although overall physique weight might not drop or change a lot, this
    is due to muscle acquire – fat is still being lost.

    On a correct diet, girls can anticipate to lose 5-10lbs of fats on an Anavar cycle unless they’re lean. The mixture of fats loss and lack of subcutaneous
    water provides you with that lean look. Holding on to it after the cycle presents a larger
    challenge than achieving your shredded physique during the
    cycle, and this is something you want to plan for. There’s rather more to know in regards to
    the unwanted effects of Anavar and all anabolic steroids, so visit my
    primary side effects information right here.
    For example, I cut back the day by day dose by half each two weeks until
    I’m again all the means down to the starting dosages of 20mg of Anavar and 25mg of Winstrol per
    day. This helps my body readjust and prevents potential unwanted effects from the abrupt cessation of the steroids.
    However, if you’re considering utilizing Anavar, you might be questioning if
    it’s going to present up in a blood take a look at. Did you know Anavar was first created in 1964
    by pharmaceutical agency Searle Laboratories?
    Winstrol is a really effective steroid, and nobody must be dissatisfied within the
    outcomes, offered you perceive its benefits and the place it could sit in a steroid stack.
    Disappointing will are out there in if you expect massive
    muscle gains; that’s not what Winstrol is
    about. But it’s not that simple as a result of
    injectable Winstrol can be a C17-aa steroid, which is unusual for an injectable steroid.

    We have seen some patients drink small to reasonable amounts of alcohol without liver harm when taking anabolic steroids.
    Nonetheless, long-term, this is not optimal, with
    this duo notably growing the probabilities of cholestasis
    and peliosis hepatis. Alcohol is not to be consumed when taking Winstrol as a precaution for the liver.
    When someone takes hepatotoxic oral anabolic steroids like Winstrol, AST and ALT enzymes will rise
    significantly, indicating hepatic irritation. If customers tolerate this cycle well, they might extend the length to eight weeks for further features.
    If an individual isn’t cutting and uses this stack,
    mass and power gains shall be significant, given the powerful nature of Anadrol.
    The above cycle could be seen as a bulking or cutting one,
    as vital amounts of muscle shall be gained in combination with notable fat loss.

    As all the time, flexibility in adjusting your dose in the
    course of the cycle is needed. Since Anavar starts working quickly, you’ll have
    a good idea of whether or not you’re responding to this
    low dose early. At the most primary stage, you’ll have
    the ability to count on to see some good fats loss and some moderate muscle features whenever you use Anavar.

    Oxandrolone was no doubt decided to be a mild anabolic steroid way again then, which made it possible to be tolerated by female and baby patients10.

    References:

    steroids vs testosterone boosters

    Reply ↓

  19. However, there are times when the production of
    testosterone isstill too slow. You can purchase powerful anabolic steroids in UK which are appropriate for attaining any sort of objective
    you set your mind to in our on-line anabolics store.
    These steroids might help you achieve your aims extra quickly.There is a steroid out there that is ideal
    on your needs, whether you want tobulk up or reduce down. Coupling Anavar with this Winstrol can result in more profound chopping effects.

    Maintain Clenbuterol to 50mcg day by day and run it in 2 weeks on/2 weeks off sample.
    Here is a strong Anavar slicing stack that includes Clenbuterol and HGH.
    Suitable health protocols must be followed after the cycle to support liver, cardiovascular, and
    hormonal health. Nonetheless, there is no want to interact in any post-cycle therapy like men do.
    Women can anticipate glorious outcomes from an Anavar cycle, including pretty energy gains.
    You’ll be lifting heavier weights and should discover your lifting motion improves with that power increase.
    80mg to 100mg daily for eight weeks is a complicated Oxandrolone cycle, but more so for the superior user would be the addition of multiple other steroids in a robust stack.

    “I’ve been utilizing roidrx for years now and by no means had a difficulty. Quick, skilled and discrete and high quality pharmaceutical grade merchandise. Mad love for you all.” “This was my first order to Roidrx and I’m completely stoked on the high quality of the merchandise and the promptness of the shipping. I definitely will be placing my second order in a few weeks.” All of
    the manufacturers mentioned below have a strong track document,
    not simply amongst professionals, but in addition amongst people venturing into
    the world of steroids for the first time. They push the narrative of
    a “secure various,” scaring potential customers with
    the risks of Anavar and the fact that it is unobtainable from common pharmacies without a prescription.
    If you want to know where to buy Anavar, you’ll be able to buying Anavar online in our
    retailer where we’ve a selection of many brands and prices to go nicely with
    any of your needs. When dealing with drugs, it’s common to pay an additional $10-$20 to make sure you’re receiving a product that is been put through
    its paces by lots of of thousands of users over a quantity of decades.
    1.2 The product would possibly include a decrease dose of the active substance than advertised, leading to lowered effectiveness.
    Nevertheless, this route is improbable unless you may have a medical situation treatable with Oxandrolone, as misprescription risks the doctor’s license.
    A prerequisite for the secure and effective use of Anavar is its
    correct software.
    Anavar, in accordance with evaluations, is also nicely combined with medication for muscle mass acquire and enhances their effectiveness.
    But such cycles are appropriate only for
    experienced athletes and make them preferably after a medical session.
    Some of one of the best websites to purchase steroids are additionally
    nice bodybuilding useful resource web sites.
    Sites like stero.is and upsteroid.to areal very popular amongst both newbie and skilled bodybuilders.
    These are some of the finest websites to purchase steroids, so next time
    you intend buying AAS, you’ll have the ability to take these websites into consideration.
    Online platforms usually offer quite a lot of Anavar merchandise, encompassing completely different brands and types.
    By following the following tips, you can enhance your probabilities of acquiring a dependable and protected Anavar product.
    Please notice that individual experiences might vary, and it could be very important
    exercise warning and seek the assistance of with professionals
    when making buying choices. Compared to Dbol, Anavar provides you steadier positive aspects that won’t disappear like
    they typically do with Dbol. Certain, your energy gains shall be slightly slower with Anavar, but you’re
    unlikely to have the extreme impression on appetite that the
    majority guys get with Dbol. In short, Dbol is like a big shock to
    the system, whereas Anavar is the slow and regular compound that
    rewards these extra patiently. Nevertheless, most girls are more doubtless to discover that
    Anavar is the one that provides them the best balance of minimal unwanted facet effects and
    distinctive outcomes.
    It can aid in preserving lean muscle mass, selling weight acquire, and enhancing bone density.
    Nonetheless, the usage of Oxandrolone for medical functions should always be underneath the
    supervision and steerage of a healthcare professional.
    Newbies on an Anavar journey, specifically focusing on a cutting phase, are advised to
    start with a lower dosage of approximately 20-30mg per
    day. Sustaining this measured consumption over 8-10 weeks strategically initiates the cutting process, reducing body fat while
    preserving lean muscle mass for a sculpted physique. Anavar’s
    formulation stimulates muscle protein synthesis and improves nitrogen retention, creating an optimal anabolic
    environment.
    By understanding and respecting the legal standing of Anavar, users can make informed choices while avoiding potential legal or health issues.
    If a person’s body fat share seems to have elevated on Anavar
    and so they have not been overeating, then the energetic substance could also be Dianabol.
    Anavar’s testosterone-suppressing results, nonetheless, can linger for several
    months. We have found clenbuterol to trigger cardiovascular strain in some users, probably causing myocardial harm (33).

    Because we’re utilizing steroids for efficiency enhancement and bodybuilding, the
    compounds are being taken at doses much larger than in the event that they were
    used for medical functions. The higher your dosage, the larger
    your danger of opposed well being results. For their feminine counterparts venturing into Anavar for the first
    time, a really helpful cycle duration sometimes hovers around
    four to six weeks, that includes a modest day by day intake of 5mg to
    10mg. The rationale behind this cautious initiation lies
    within the inherent sensitivity of women to anabolic steroids.
    Initiating with a lower dosage not solely aligns with prudent security measures but additionally facilitates a harmonious integration of Anavar into their fitness routine.
    Women are strongly suggested to maintain a vigilant eye on their
    body’s response, able to make nuanced dosage changes to
    ensure a seamless and optimum experience.
    Nonetheless, extra advanced users will go further
    than this, using one or more other compounds at performance-enhancing doses alongside Anavar.

    This is a useful technique, significantly for slicing and
    shredding (where Anavar excels). However, it isn’t doubtless to be
    used in pure bulking cycles because there’s a restrict to
    only how high your dose of Anavar ought to be earlier than well being dangers kick in. Anavar enhances
    metabolic price and lipolysis15; this makes Anavar a particularly highly effective fat-burning steroid the place
    energy and saved body fat are efficiently utilized as power.

    Your metabolic rate will improve, and you will discover burning fat faster and more
    environment friendly. Naturally, your diet ought to support fat loss, which can always be the
    case on a slicing cycle. Similarly, intermediate feminine users chart their Anavar journey within a 6
    to 8-week cycle length, accompanied by a daily dosage ranging between 10mg and 20mg.

    Right Here, we share success tales of individuals
    who have achieved their health goals with the assistance of Anavar, serving as inspiration and guidance for these contemplating its use.
    Performance enhancement cycles concentrate on bettering athletic efficiency and endurance.
    Males may discover an Anavar dosage of 20 to forty mg per day adequate, whereas ladies usually profit from 5 to 10 mg per day.
    This moderate dosage helps enhance power and endurance without extreme
    muscle acquire. Understanding the nuances of Anavar cycles is paramount
    for attaining desired outcomes while mitigating potential risks.

    Thus, if we state the half-life as 10.four hours,
    a post-cycle therapy protocol should begin fifty seven hours after the ultimate dose.
    With Anavar’s quick half-life of 9.4–10.four hours, we find it increasingly effective to split up doses throughout the day,
    maintaining high concentrations of oxandrolone within the body.
    People that buy underground lab Anavar via the black market may claim doses
    of 15–25 mg per day are modest. This is due to copious scams the place the label states 40 mg of Anavar, however in reality,
    it is only 20 mg. Thus, the above dosage suggestions are primarily based on taking real Anavar.
    Testosterone levels usually recuperate one to 4 months after Anavar cycle cessation.

    References:

    pros and cons Of heroin; bantooplay.com,

    Reply ↓

  20. For this reason, it is important to use Anavar responsibly
    and not exceed the really helpful dosage. Males can also experience a suppression of natural testosterone however often to a lesser diploma than girls.
    Anavar has been proven to improve athletic performance by increasing endurance, strength,
    and velocity. This makes it a well-liked alternative amongst feminine athletes who wish to improve their efficiency in their respective sports
    activities.
    This comparability gives us a broader perspective on Anavar’s muscle-building potential for lean muscle development.
    But attaining optimal results with Anavar entails extra than simply taking the steroid.

    These results make Anavar an efficient software for fats loss during
    slicing cycles. Anvarol by CrazyBulk is a legal different to
    Anavar that can provide related advantages with out
    potential risks. It’s formulated with natural
    ingredients and has been shown to help enhance strength,
    endurance, and muscle retention. These are all derivatives
    of dihydrotestosterone with a relatively low risk of aromatization (conversion to estrogen) in comparison with testosterone-based steroids.
    However, they nonetheless carry risks of side effects like liver toxicity, acne, hair loss
    and cardiovascular strain.
    In addition, this versatile steroid has shown promising results in women and kids dealing with osteoporosis, as it aids in selling bone density.
    Due to its mild nature, Anavar has been a preferred selection for medical
    functions as it poses fewer risks when in comparability with
    stronger steroids. Rest is an equally essential issue, as giving your
    physique time to recover will allow it to adapt and
    respond positively to the progress made in the course
    of the Anavar cycle. Guaranteeing you get ample sleep and integrating rest days into your exercise calendar can significantly support muscle recovery, progress,
    and overall well-being. Beginning an Anavar cycle necessitates a careful examination of usage elements, because the effect of the drug
    can differentially affect individuals based mostly on various parameters.
    A typical cycle for a newbie lady bodybuilder can start
    at a decrease dosage, probably as low as 5mg per day. This “entrance” dosage allows the
    physique to steadily adapt to the presence of the steroid
    with a minimal probability of triggering opposed reactions.

    I suggest testosterone cruising for 4 months following this cycle,
    maintaining in mind there’s no guarantee of T levels returning completely again to normal after
    using Tren. Suitable well being protocols should be adopted after the cycle
    to assist liver, cardiovascular, and hormonal health. Nonetheless,
    there is no need to have interaction in any post-cycle
    remedy like men do. For PCT, use 50mg/day of Clomid for
    three weeks, and you want to recuperate shortly.

    Clenbuterol isn’t a compound to dive into and not utilizing
    a excellent understanding of what it could and can’t do – good and unhealthy.
    Not everyone will have the power to use Clenbuterol because, at
    its core, it is a stimulant, and some of us are too sensitive to the results of stimulants to seek out
    them of any profit. This is why many bodybuilders can seem lean with low physique fat levels but possess a large waist,
    typically referred to as a steroid gut. Anavar (oxandrolone) is an anabolic steroid used by each men and women to
    concurrently construct muscle and burn fat (1).
    Generally you’ll see men or women on stage who appear extremely slender and shredded but have misplaced
    a appreciable quantity of muscle mass in the weeks
    main as a lot as an occasion. Anavar is considered one of the
    finest anabolic steroids to use if you’re trying to set new private information for strength in the gym, because it causes its customers to expertise unimaginable ranges of energy.
    Anabolic steroids are frequently utilized by medical practitioners to treat a spread of hormone imbalances in males, as well as delayed puberty and muscle wastage ensuing from a wide range of sicknesses.

    Others, however, employ anabolic steroids for bodybuilding and
    performance enhancement.
    Primobolan Depot is the injection, which solely needs to be administered
    twice weekly, whereas the tablet is an easy once-daily
    administration. As a steroid, it’s banned by all sporting our bodies as a performance-enhancing drug.

    It can be one of many harder and costly steroids to buy on the black market or from underground labs.

    Females taking very low doses of Primo are maybe the one situation where it is smart
    to make use of orals. The body is subjected to greater ranges
    of toxicity when Anavar is combined with Winstrol, as
    evidenced by our lipid profile and liver perform exams. The inclusion of testosterone in this stack isn’t applicable for ladies, as it’s prone to induce virilization (3).
    What makes Anavar such a light steroids is because
    of the reality that it only accommodates low androgenic and anabolic properties.

    It’s also necessary to note that the length of your cycle
    will depend on your goals and experience stage.
    Moreover, it’s important to take breaks, limit the length of
    every cycle, and avoid pushing oneself to unacceptable limits within the quest for bodily perfection. These steroids are produced from all-natural elements which were confirmed to
    be protected and efficient. Additionally, it’s crucial to carefully monitor
    unwanted side effects during the PCT phase.
    Since Winstrol is understood for its slightly worse side effects on levels of cholesterol compared to Anavar, I advocate staying vigilant about
    any modifications to your well-being.
    Primo is commonly used to manage and balance estrogen levels when utilizing aromatizing steroids.
    Primobolan (Metenolone) is a novel steroid in a number of methods, including that it’s one of many few you
    will get in both oral and injectable types. Nevertheless, as a
    result of its potent fat-burning results, bodybuilders generally
    complement with it as a chopping agent, stacking it with Anavar.
    Testosterone will speed up subcutaneous fats loss and significantly enhance muscle hypertrophy and strength.

    However, stacking Anavar with different anabolic steroids can improve a
    user’s results.

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  27. En algunos hombres, ese ritmo de caída es mayor, haciendo con ellos llegar a los años
    con una relevante deficiencia de testosterona, que es un cuadro análogo a
    lo que ocurre en las mujeres en la menopausia, llamado andropausia o hipogonadismo masculino tardío.

    En los hombres, la producción de testosterona alcanza un pico en tres fases distintas de la vida.
    El primer pico ocurre aún durante el período fetal,
    en el segundo trimestre de gestación, y tiene como
    objetivo desarrollar el feto con características físicas masculinas.
    La producción de testosterona por los testículos es estimulada por el
    LH ​​(hormona luteinizante), que es una hormona producida por la hipófisis, una glándula
    presente en el cerebro.
    Con frecuencia consumen varios esteroides al mismo
    tiempo (una práctica denominada programa de apilamiento) y los toman por diferentes vías (oral, inyectada o a
    través de parches). Los programas de ciclo, apilamiento y piramidal se utilizan para aumentar los
    efectos deseados y minimizar los efectos adversos, pero hay pocos estudios que apoyen estos beneficios.

    Los esteroides anabolizantes se usan en la práctica médica para tratar niveles bajos de testosterona (hipogonadismo) y en ocasiones para prevenir la atrofia
    muscular en personas encamadas o que padecen quemaduras graves, cáncer o
    sida.
    No obstante, la Ley de Control de Esteroides Anabólicos
    de 1990 cambió esto, haciendo que Anavar fuera ilegal para comprar sin una razón médica.
    Tomar Anavar puede aumentar el riesgo de arteriosclerosis (obstrucción de las arterias)
    y es casi seguro que incrementará la presión arterial en cierta medida.
    Sin embargo, a pesar de estas observaciones iniciales,
    los efectos negativos sobre el colesterol LDL han limitado su uso con este
    fin.
    Dado que probablemente utilizará Arimidex u otro inhibidor de la aromatasa durante su
    ciclo de Anadrol para controlar el estrógeno, esto también continuará a través de su PCT.
    Se recomienda un ciclo de 6 semanas como máximo para evitar
    la toxicidad hepática severa. Asimismo, no deben ser empleados en caso de
    enfermedad del corazón, riñones o hígado, antecedentes de enfermedades coronarias, infarto, ACV, diabetes mellitus, EPOC o hipertrofia prostática.
    Estanozolol A menudo aparece en la cobertura de los medios de comunicación por su uso generalizado,
    aunque este ha sido el caso durante décadas desde que el estado subvencionó
    el programa de dopaje de los atletas de Alemania Oriental.

    Ese aroma es originado por una glándula sudorípara
    que al mismo tiempo manda señales al cerebro, estimulando el apetito sexual.
    Alcanzada también esta condición y ya con un cuarto de siglo a cuestas, será
    el momento de preguntarte si vale la pena pasar a un producto de más ganancia pero más riesgoso, o si es preferible
    continuar con un suplemento saludable y seguro como Deca Duro.
    Si prefieres no correr riesgos legales, puedes considerar el uso
    de un esteroide lícito, que puede ser seguro y no requerir la necesidad de obtener un récipe.
    Si lo que te preocupa es la probabilidad de que el Deca Durabolin sea detectado en tu organismo, este
    esteroide no es el mejor para tomar ventajas competitivas, dada su lentitud
    para abandonar el cuerpo hasta un momento en que ya no sea detectable.

    Los principales glucocorticoides producidos en la zona fascicular de la corteza suprarrenal son la corticosterona y
    el cortisol. Ambas sustancias, pero especialmente el cortisol,
    despliegan un amplio espectro de acciones que afectan el metabolismo, la sangre, las
    respuestas de defensa y de curación de heridas, la mineralización ósea, el tracto digestivo, el sistema circulatorio
    y los pulmones. La misma enzima ya mencionada, deshidrogenasa de 3β-hidroxiesteroides, que
    convierte pregnenolona en progesterona, convierte
    también 17-hidroxipregnenolona en 17-hidroxiprogesterona.

    Por acción de la 21β-hidroxilasa, llamada también “P450C21” o “CYP21A2”, la progesterona
    se hidroxila en el carbono 21 y se transforma en 11-desoxicorticosterona,
    que regresa a la mitocondria, y a la cual la enzima 11β-hidroxilasa (“P450C11” o “CYP11B1”) convierte en corticosterona.

    Es positivo para los culturistas que quieren mantener altos
    los niveles de DHT en el cuerpo, ya que la hormona se une a los receptores de andrógenos hasta 5 veces más eficazmente que la
    testosterona. Como Anavar es una forma de testosterona exógena, aumentará drásticamente los niveles de testosterona
    en el cuerpo. Una regla general con los esteroides es que
    cuanto mejores son los resultados, mayores son los efectos secundarios.
    Sin embargo, Anavar se distingue por tener una relación riesgo-recompensa bastante positiva.

    En el caso de este último, la dosis de testosterona es considerablemente más baja y lo suficiente para mantener un nivel saludable de
    esta hormona androgénica masculina crítica durante su ciclo.
    Profundicemos en por qué la inclusión de testosterona en cada ciclo
    de esteroides es tan importante. Asimismo, participa en la síntesis proteica, favoreciendo el aumento
    de la masa muscular y su mantenimiento en óptimas condiciones, además de la hipertrofia
    muscular, proceso de aumento de la fuerza y crecimiento muscular.

    Esto, a su vez, tiene efectos beneficiosos en el rendimiento
    físico y ayuda a la recuperación tras la práctica de ejercicio físico.
    La testosterona es una hormona del grupo de los andrógenos y es
    una de las más importantes en los hombres. La testosterona es una hormona esteroidea sexual del grupo andrógeno y se encuentra
    en mamíferos, reptiles,[1]​ aves[2]​ y otros vertebrados.

    El mecanismo de defensa natural del cuerpo para controlar este gran aumento de la presión arterial provocado por los
    esteroides, es aumentar los niveles de estrógeno (la hormona sexual femenina).
    El estrógeno tiene el efecto contrario sobre la presión arterial al aumentar los niveles de HDL.
    El aumento de la masa muscular es la razón principal por la que las personas usan testosterona en forma de esteroide
    anabólico. Los esteroides de testosterona son derivados sintéticos de la hormona con ligeras modificaciones en la
    composición química unique de la testosterona.
    Muchos culturistas, levantadores de pesas y atletas usan esteroides anabólicos para mejorar su apariencia física
    y mejorar su rendimiento.
    Su ciclo de corte de Winstrol debe seguir un ciclo de seis semanas de activación seguido de seis
    semanas de desactivación. Comience con 20 mg al día durante las dos primeras semanas, y suba a 25 mg al día durante el último mes.
    Su ciclo de corte para Anavar debe ser el mismo que el ciclo para principiantes mencionado en la última sección; comienza con 15 mg al
    día durante three semanas y luego sube a 20 mg durante tres semanas.
    Para el Dianabol, siga un ciclo de seis semanas de activación, seguido
    de un ciclo de seis semanas de desactivación.

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  28. Dirigía una empresa que se dedicaba a la distribución de suplementos alimenticios y otros productos relacionados.

    Según había revelado en una entrevista, entrenaba todos los días (especialmente con máquinas), comía ocho veces diarias y completaba su rutina con suplementos.
    Wealthy Piana, uno de los culturistas más populares en Instagram, falleció en agosto del año 2017 tras dos semanas en coma inducido.

    El estadounidense había ingresado en un hospital después de desmayarse mientras se cortaba el pelo en casa.
    La autopsia, a la que Men’s Health tuvo acceso en exclusiva,
    afirmó que había muerto por una causa desconocida pero que sufría “significativos” problemas de corazón. —Libro Anabolizantes Esteroides,
    Peptidos Y Otras Sustancias, comprar esteroides legales tren acetate.

    Piana tiene más de un millón de seguidores en Instagram,
    donde suele subir fotos de sus duras rutinas de entrenamiento.
    Siempre y cuando ingiera el azúcar necesario para la insulina que
    tome”, mencionaba el culturista en el video. Obsesionado con su musculatura, en julio pasado que “quiero que mis brazos sean más gruesos que mi cabeza”. Wealthy confesó en YouTube ser adicto a los esteroides, que eat desde joven y por los que paga facturas elevadas cada mes. Estoy llorando mientras escribo esto, @1dayumay (Rich) acaba de fallecer… Apenas puedo creerlo… Estoy tan triste, con el corazón destrozado, porque él no lo logró.
    Recibió muchos elogios por ser abierto sobre el uso de esteroides y respaldar las técnicas de culturismo. Influencia de Piana en el Culturismo Comunidad Piana fue una gran influencia en la comunidad del culturismo y tenía más de un millón de seguidores en Instagram. Estos síntomas de enfermedad cardíaca ‘significativos’ plantean la posibilidad de que la enfermedad cardíaca haya contribuido a la muerte de Piana, pero es necesaria una investigación toxicológica para descartar los efectos secundarios relacionados con el medicamento.
    Si bien ya no participa a nivel profesional, continúa forzando su cuerpo al extremo, y trabaja en diferentes eventos comercializando los suplementos de su propia línea. De acuerdo a un artículo publicado por el periódico británico The Every Day Mail, Piana es hijo de una fisicoculturista de Los Angeles, California, y comenzó a interesarse en el tema luego de verla en una competencia. Empezó a entrenar cuando tenía recién 11 años, y a los 15 ya estaba participando en torneos oficiales. “Necesitas estar atento, educado y desear hacer cualquier cosa que te mantenga sano y que conserve
    tu cuerpo saludable. Recuerda que esto va de longevidad.
    Sabemos que queremos seguir haciendo esto con 60, 70, 80 y ninety años.
    Para mí, es importante vivir una larga vida”, reflexionó. El atleta de 46 años en una celebridad en las redes sociales, en las que muestra sus progresos corporales a sus fanáticos a través de imágenes. El ex “Mr.

    California”, posee más de un millón de seguidores, que hoy, rezan por su salud.
    Al principio se pensaba que la muerte de Rich la había causado una sobredosis de esteroides ya que estuvo en coma dos semanas antes del deceso. El famoso fisicoculturista Wealthy Piana falleció el 25 de agosto; desde entonces la causa de su muerte ha permanecido en misterio. Piana de forty six años era muy famoso en las redes sociales en las que exhibía sus progresos corporales a sus fanáticos a través de imágenes. Según relata el mismo medio, su pareja Chanel Jansen llegó a su casa en Florida y le encontró tumbado en el suelo. Llamó a emergencias y la guiaron para realizarle una reanimación cardiopulmonar, pero fue inútil porque no pudo manejar el enorme cuerpo del fisioculturista.
    Los médicos que llegaron al lugar para tenderle encontraron en la mesa un polvo blanco no identificado y una tarjeta de crédito. Suggestions for the prevention and therapy of glucocorticoid-induced osteoporosis. La muerte del hombre de 46 años en agosto generó especulaciones sobre el uso de drogas, incluido el uso de insulina y esteroides anabólicos. Un famoso fisicoculturista estadounidense está en coma por una sobredosis de anabólicos. Se trata de Wealthy Piana, de 46 años, quien ganó el título de Mr.California. El 10 de agosto, Chanel Jansen, actual novia de Piana, lo encontró inconsciente, y con un golpe en la cabeza, sobre el piso de su mansión en Florida. Posteriormente, la policía le incautó hasta 20 botellas de esteroides.
    El culturista estadounidense Rich Piana nunca ha negado lo que los esteroides anabólicos han logrado sobre su cuerpo. Lleva inyectándose esteroides desde los 18 y hoy, a los forty five, sigue combinando esta cuestionable práctica con largas horas en el gimnasio para dar forma a sus descompasados músculos. A sus 1,2 millones de seguidores en Instagram les reiteró que no debían seguir su error. “¿Es el camino que deberías tomar?
    Definitivamente, no. Pero durante 25 años estuve tomando esteroides
    anabolizantes y sé de lo que estoy hablando”, aseguró en el año 2014. Wealthy Piana se había convertido en un rostro in style tras reconocer que durante los 27 años de carrera en el mundo del fisioculturismo habían utilizado los esteroides para mejorar su volumen. Tenía 46 años, pesaba 129 kilogramos y medía 1,85 metros cuando murió.
    Reconoció a los profesionales médicos que con frecuencia tomaba de 20 a 30 pastillas todos los días. Según algunas fuentes, luego de que Piana falleciera repentinamente, las autoridades descubrieron 20 botellas de esteroides en su casa. Aunque es considerado como el ganador con mayor edad (43 años) de la máxima competición del mundo del fisicoculturismo, Rhoden sufrió algunos baches en el camino. Aziz Serguéyevich Shavershian, de origen ruso, fue un referente en el mundo del fitness que murió a la edad de 22 años, pero creó un concepto que hasta la fecha sigue siendo un referente de entrenamiento, Aesthetics. Los daños por el uso de estas sustancias, que en la mayoría de los casos no está avalado por una organización de salud, van desde perdida del cabello, problemas hepáticos y hasta la muerte misma. El uso de esteroides y anabólicos en el mundo del fisicoculturismo puede llegar a ser un tema tabú en muchos gimnasios y entre los más prominentes atletas de este deporte, pero en el bajo mundo se habla mucho de ellos. La esposa del fisiculturista, Sara Piana, anunció la muerte en Facebook el viernes por la mañana, después de una semana de rumores contradictorios sobre su estado de salud.
    En 2016, Rich Piana declaró abiertamente que consumía esteroides porque “solo te dañas a ti
    mismo”y opinó que, si alguien desea convertirse en culturista profesional, “no tendrá otra opción”.
    En un video de YouTube que publicó el año pasado, Piana
    dijo que tomó esteroides durante 27 años y aconsejó a sus
    seguidores que no realicen esta práctica. Me siento
    tan triste y me rompe el corazón que no haya conseguido salir adelante.
    Realmente tocó el corazón de muchas personas y ayudó a tantos” comentó. Pero enfatizó que no hay evidencia de los resultados que sugieran que las drogas jugaron un papel en el fallecimiento de Piana. La mañana de este viernes (25) se confirmó la muerte del famoso fisiculturista Rich Piana.
    Su novia Chanel Jansen avisó inmediatamente a emergencias y una vez hospitalizado los médicos le indujeron en coma. Por el momento no se han revelado las causas de su fallecimiento, pero se habla de una posible sobredosis de esteroides, que Piana consumió durante 27 años. Con 11 años comenzó a pasearse por el gimnasio hasta que a los 15 llegó a competir. La frustración de no poder conseguir los primeros puestos, lo llevó a tomar la decisión de empezar a consumir anabólicos.
    Cuando la ambulancia llegó al domicilio, los sanitarios le atendieron y encontraron más de 20 envases de esteroides, además de “un polvo blanco” sobre la mesa, que estaba junto a una tarjeta de crédito y una pajita. Si tienes la opción de permanecer en lo pure o usar esteroides, permanece en lo natural. No hay ninguna razón para usar esteroides, solo estás dañando tu cuerpo, te estás dañando a ti mismo. Wealthy se había retirado de las competiciones para dedicarse a ser un hombre de negocios, con la venta de suplementos proteicos, además de compartir sus programas de ejercicios a través de Instagram, donde ya tenía más de un millón de seguidores. El endocrinólogo enfatizó que si bien estas personas tienen aumento de su masa muscular, además aumenta el tejido mamario del hombre muchas veces.

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  29. Si bien ya no participa a nivel profesional, continúa forzando su cuerpo al extremo,
    y trabaja en diferentes eventos comercializando los suplementos de su propia línea.
    De acuerdo a un artículo publicado por el periódico británico The Daily Mail, Piana es hijo de una fisicoculturista de L A, California,
    y comenzó a interesarse en el tema luego de verla en una competencia.
    Empezó a entrenar cuando tenía recién eleven años, y a los 15 ya
    estaba participando en torneos oficiales. “Necesitas estar atento, educado y desear hacer cualquier cosa que te mantenga sano y que conserve tu cuerpo saludable. Recuerda que esto va de longevidad. Sabemos que queremos seguir haciendo esto con 60, 70, eighty y ninety años. Para mí, es importante vivir una larga vida”, reflexionó.

    El atleta de 46 años en una celebridad en las redes
    sociales, en las que muestra sus progresos corporales a sus fanáticos a través de imágenes.
    El ex “Mr. California”, posee más de un millón de seguidores, que hoy, rezan por su salud.

    Era tal la obsesión por los músculos que un mes atrás
    Piana deseaba tener “los brazos gruesos como su cabeza”.
    Sus padres, quienes también eran fisicoculturistas, lo introdujeron en el mundo de los levantadores de pesas a la edad de eleven años.
    A los 15, luego de perder una importante competencia, decidió que debía esforzarse más.
    Cuando la novia de Piana, Chanel Jansen, llamó a los servicios de emergencia,
    recibió instrucciones para realizarle una reanimación cardiopulmonar, pero no tuvo
    éxito debido a la gran masa corporal de su pareja, antiguo
    Mr. California en la categoría de ‘bodybuilding’.
    Piana admitió ante la opinión pública que había estado gastando miles de dólares al mes en esteroides
    y anabólicos, lo que le ayudó a mejorar su carrera
    de culturismo y estilo de vida. La net del diario peruano La República indica que Piana fue puesto en coma hace dos semanas luego de que su salud se deteriorara en los últimos
    meses. El fisicoculturista, quien confesó que consumía esteroides, tuvo que
    ser internado de urgencia por un colapso en su casa
    el 10 de agosto de 2017.
    Además de las nueve comidas diarias, el norteamericano
    bebe batidos de proteínas y suplementos para mantener su cuerpo.
    “No hay razón para tomar esteroides, solo hieres tu cuerpo y a ti mismo. Pero si quieres convertirte en culturista profesional, ¿sabes qué?, vas a tener que tomarlos, no vas a tener elección”, aseguró Rich
    Piana en 2016. Su novia Chanel Jansen lo encontró inconsciente y con un golpe en la cabeza en el piso de su casa en Florida.
    Tras intentar socorrerlo, llamó a la policía, la que finalmente detalló que en el lugar había
    al menos 20 botellas del producto en cuestión.
    Cuando la ambulancia llegó al domicilio, los sanitarios le atendieron y encontraron más de 20 envases de esteroides, además de “un polvo blanco”
    sobre la mesa, que estaba junto a una tarjeta de
    crédito y una pajita. Si tienes la opción de permanecer en lo natural o usar esteroides, permanece en lo pure.
    No hay ninguna razón para usar esteroides, solo estás dañando tu cuerpo, te estás dañando a ti mismo.
    Rich se había retirado de las competiciones
    para dedicarse a ser un hombre de negocios, con la venta de suplementos proteicos, además de compartir sus programas de ejercicios a través de Instagram, donde ya tenía más de un millón de seguidores.
    El endocrinólogo enfatizó que si bien estas personas tienen aumento de su masa muscular, además aumenta el tejido mamario del hombre muchas veces.

    Sin embargo, una nueva hipótesis publicada por The New York Submit apunta
    hacia otro lado. El diario aseguró que los investigadores creen que la hormona de la insulina pudo haber provocado que
    el culturista entrara en coma. Su esposa
    Sara Piana, de la que vivía separado, confirmó la triste noticia vía Facebook.

    Sara se siente “muy consternada” y da las gracias a Wealthy “por ser una fuente de inspiración”.
    Y, recuerda, antes de tomar cualquier tipo de compuesto, consulta antes con un médico.

    Pero tras años tomando esteroides y anabólicos,
    obviamente sé lo que estoy haciendo”, advirtió. Chanel todavía contó que Piana luchó contra el vicio de opio y que creía que estaba limpio, también afirmó que el fisiculturista usaba esteroides hace más de 20 años. En la ocasión, Piana fue llevado al hospital y colocado en coma inducido. El fisicoculturista Shawn Rhoden falleció recientemente a causa de un ataque al corazón, pero fue quien le quitó la corona a Phil Heath después de siete años de ostentarla, en el concurso de Mr. Olimpia.
    Su obsesión con su cuerpo es tan grande, que se ha vuelto un hambriento de los esteroides. Esto ha hecho que sus colegas del fisicoculturismo graben movies para intentar convencerlo de que se detenga. El private médico cuando llegó a la residencia de la víctima encontró 20 envases de esteroides y vio que en una mesa había un polvo blanco, una tarjeta de crédito y una pajita. Según informa TMZ, Piana se desmayó el 10 de agosto en su hogar en Florida mientras su actual pareja, Chanel Jansen, le estaba cortando el pelo. Los intentos por reanimarlo no dieron resultado y fue trasladado de urgencia a un hospital cercano. El fallecimiento de Piana sirve como advertencia de los peligros del uso de esteroides y enfatiza una vez más lo essential que es ser transparente y estar bien informado sobre las prácticas de culturismo.
    El culturista estadounidense Wealthy Piana nunca ha negado lo que los esteroides anabólicos han logrado sobre su cuerpo. Lleva inyectándose esteroides desde los 18 y hoy, a los 45, sigue combinando esta cuestionable práctica con largas horas en el gimnasio para dar forma a sus descompasados músculos. A sus 1,2 millones de seguidores en Instagram les reiteró que no debían seguir su error. “¿Es
    el camino que deberías tomar? Definitivamente, no.
    Pero durante 25 años estuve tomando esteroides anabolizantes y sé de lo
    que estoy hablando”, aseguró en el año 2014. Rich Piana se había convertido en un rostro well-liked tras reconocer que durante los 27 años de carrera en el mundo del fisioculturismo habían utilizado los esteroides para mejorar su volumen. Tenía 46 años, pesaba 129 kilogramos y medía 1,eighty five metros cuando murió.
    Durante las investigaciones, 20 frascos de esteroides fueron encontrados en el establecimiento. Su compañera, Chanel, relató a la autoridad que intentó sostener a su compañero durante el colapso, pero que no consiguió debido al tamaño y peso de él. Rich Piana empezó a tomarle gusto a este deporte desde muy temprana edad, pero a los 18 años, según comentó, él comenzó con el uso de esteroides con el fin de ganar competencias importantes. No se puede hablar del uso de esteroides en el fisicoculturismo sin que se nos venga a la mente el nombre de Rich Piana, un atleta que falleció a los forty six años después de permanecer en coma por casi dos semanas. Desenlace deadly para Wealthy Piana, el famoso culturista de forty six años que tenía una enorme legión de fans en Instagram, y que fue ingresado de urgencia hace 10 días después de que su pareja le encontrase en su casa tras sufrir una sobredosis.

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  30. En Estados Unidos, la legalidad del uso de esteroides está regulada por la Ley de Management de
    Esteroides Anabólicos de 1990, la cual establece que la
    posesión, distribución y venta de ciertos tipos de esteroides sin receta médica es ilegal.
    Sin embargo, es importante tener en cuenta que existen excepciones
    para el uso con propósitos médicos específicos y bajo supervisión profesional.

    Es basic comprender que el uso de esteroides conlleva riesgos legales
    importantes, además de los impactos en la salud. Antes de
    considerar el uso de estos compuestos, es necesario consultar con un profesional de la salud
    y asegurarse de cumplir con todas las regulaciones legales vigentes en el país.

    Se sabe que los esteroides anabólicos tienen efectos secundarios potencialmente mortales, por lo que, para su seguridad, recomendamos alternativas naturales a los esteroides que podrían ofrecer los mismos resultados
    para mejorar los músculos. Las proteínas en polvo son una excelente opción para complementar la
    ingesta diaria de proteínas. Estas fuentes de proteínas de alta calidad pueden ayudar a aumentar
    la masa muscular, mejorar la recuperación muscular y optimizar el rendimiento deportivo.
    Si antes analizábamos la responsabilidad de la persona que eat las
    sustancias dopantes, ahora nos encargaremos de la otra parte del delito de dopaje, la persona que se encarga
    de proporcionar o suministrar la sustancia dopante al consumidor.

    Y si antes llegábamos a la conclusión de que quien eat los anabolizantes
    queda exento de cualquier responsabilidad penal, distinto es para los encargados de
    suministrar o proporcionar las sustancias. Los esteroides anabólicos generalmente requieren una receta médica de un médico en algunos países.

    Recibirá un paquete discreto sin el nombre de esteroides o nuestro sitio web para que
    nadie pueda adivinar su contenido.
    Los esteroides que requieren receta médica suelen ser más potentes y pueden causar efectos
    secundarios más graves si no se utilizan correctamente.

    Es importante recalcar que la información presentada en este análisis es meramente
    orientativa y no constituye asesoramiento authorized. Las leyes y regulaciones pueden cambiar con el
    tiempo, por lo que es elementary consultar fuentes fiables y actualizadas
    antes de realizar cualquier compra o uso de
    esteroides anabólicos. Para obtener resultados óptimos, es necesario utilizar TestoPrime todos los días.
    Dado que el producto sólo contiene ingredientes naturales,
    no hay efectos secundarios como molestias estomacales de las que
    preocuparse.
    Las estrategias de defensa pueden incluir cuestionar la legalidad del registro e incautación, demostrar que los esteroides no eran suyos o demostrar falta de conocimiento
    sobre la presencia de los esteroides. ¿Qué es el atrapamiento y cómo se puede utilizar como
    defensa en casos de posesión de esteroides anabólicos? La trampa ocurre
    cuando las fuerzas del orden inducen a alguien a cometer un delito
    que de otro modo no habría cometido, lo que puede ser una defensa poderosa si
    se demuestra. La ingestión de cierto tipo de esteroides anabólicos orales (C-17 a -alkylated) generalmente causará una disminución del 30% en las lipoproteínas de
    alta densidad en circulación (HDL). Otros esteroides anabólicos tales como los esteres de testosterona y
    nandrolona producen efectos adversos mínimos en los lípidos sanguíneos.
    Entonces, si bien las alternativas de esteroides son costosas y ofrecen casi cero ganancias de culturismo,
    los productos de esteroides reales como los que se encuentran en BBA son asequibles y ofrecen enormes
    ganancias de culturismo a cambio.
    Sin embargo, es importante tener en cuenta que su
    uso debe ser supervisado por un profesional de la salud y siguiendo las indicaciones adecuadas.
    Los esteroides anabólicos, comúnmente conocidos simplemente como esteroides, afectan el
    cuerpo al imitar la testosterona, la hormona sexual masculina.
    La testosterona es un andrógeno potente y es la hormona principal responsable de las características sexuales masculinas.

    La testosterona misma a veces se usa como un esteroide, aunque hay varios correlatos sintéticos o derivados que pueden inyectarse, tragarse o aplicarse tópicamente.
    No tome una sobredosis de estas píldoras legales, incluso si son totalmente naturales.
    La sobredosis puede provocar efectos adversos como acné, náuseas,
    dolor de cabeza, mareos o cambios de humor. Además, tome precauciones
    adicionales y verifique y confirme los ingredientes antes de comprar un esteroide authorized.

    La TRT se administra bajo prescripción médica y puede ayudar a mejorar la masa muscular,
    aumentar la energía y mejorar el estado de ánimo.
    El uso de esteroides en España es un fenómeno en crecimiento, impulsado por la búsqueda de mejoras en el
    rendimiento físico. Sin embargo, es crucial tener en cuenta
    las implicaciones legales y los riesgos para la salud asociados con su uso.
    Optar por alternativas naturales y seguir un enfoque responsable hacia el health puede conducir a resultados sostenibles y saludables, evitando las consecuencias negativas del abuso
    de esteroides.
    Esto significa que su fabricación, comercialización y uso están estrictamente controlados y solo se pueden adquirir con receta médica.
    Cabe señalar que en los últimos años, sobre todo en Estados Unidos, ha empezado a
    tomar forma un movimiento a favor de la despenalización. Su objetivo es que
    se reevalúe la peligrosidad de este tipo de productos,
    con la posibilidad de autorizarlos y ampliar su comercialización.
    La atrofia testicular e infertilidad (generalmente reversible) son efectos secundarios comunes del uso de esteroides anabólicos en hombres.
    La hipertrofia prostática benigna y el cáncer de próstata son asimismo efectos secundarios del uso
    de esteroides anabólicos. Es importante señalar que los efectos de
    los esteroides anabólicos androgénicos sobre la próstata dependen probablemente de la estructura química y androgenicidad de las sustancias.

    Condiciones de competición desleales, en las que
    un atleta supera significativamente a otro en cuanto a sus características físicas.Aumento del estrés sobre el organismo.
    El uso incontrolado de drogas deportivas puede provocar enfermedades crónicas, incluido el cáncer.¿Están prohibidos todos los esteroides?
    En nuestro catálogo siempre podrás comprar esteroides legales cuyo uso no esté prohibido por la normativa.

    Aunque pueda resultar exagerado, aquí podemos incluir vitaminas, enzimas, preparados para aumentar el potencial energético y adaptógenos.

    En algunos casos, los deportistas utilizan sustancias que estimulan la actividad reológica y el funcionamiento del sistema circulatorio.

    Este tipo de esteroides se denominan “esteroides anabolizantes andrógenos”.

    Este efecto es el que hace que las grandes dosis de derivados
    de la testosterona, al metabolizarse, produzcan gran cantidad
    de estradiol y por tanto feminización con ginecomastia y galactorrea.
    Estos efectos son reversibles a corto plazo, pero si la acción del metabolito aromatizado es larga, la ginecomastia
    puede tener que ser operada. Los productos presentados en nuestro sitio net están disponibles solo para
    personas mayores de 18 años. Desde dolor articular a debilidad muscular o
    retencion de liquidos pasando por alteraciones en la regulación de la glucosa y diabetes; cardiopatias,
    colesterol elevado e hipertensión.
    De hecho, hay alternativas legales en el mercado que ofrecen los
    mismos resultados sin los efectos secundarios de Dianabol.
    Estos incluyen D-Bal, una alternativa authorized y segura desarrollada por la firma americana Crazy Bulk.

    Al levantar pesos pesados ​​de forma continua,
    se produce una gran degradación de los músculos.
    El proceso de reparación implicará una sobrecompensación grave para hacer que los
    músculos sean más voluminosos y resistentes. Por lo tanto,
    la fuerza obtenida de los esteroides superiores conduce a
    una fuerza aún mayor.
    Si estás buscando alternativas legales a los esteroides, es importante investigar
    a fondo cada opción antes de tomar cualquier decisión. Consultar con profesionales de la salud
    y expertos en nutrición deportiva puede ayudarte a encontrar la
    alternativa más adecuada para tus objetivos y necesidades
    individuales. Los deportistas que deciden utilizar sustancias dopantes en busca de un rendimiento superior deben ser conscientes de
    las consecuencias legales que esto conlleva. En algunos casos, el uso de esteroides y otras drogas puede llevar a la suspensión de la competición, multas económicas e incluso
    penas de cárcel. Es basic que los deportistas respeten las normativas antidopaje establecidas por las autoridades
    deportivas y legales.

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  31. Los anabolizantes son compuestos químicos capaces de incrementar los procesos anabólicos en el organismo, es decir las reacciones para sintetizar tejidos corporales.
    Ambos ésteres no tienen efectos en la actividad de Masteron,
    por lo que este esteroide tiene efectos completos
    por sí mismo. La versión de enantato es difícil de conseguir en el mercado porque
    son menos populares. Es elementary ser consciente de estos riesgos antes
    de iniciar el uso de esteroides. La Inyección de oximetolona puede marcar una diferencia notable en los resultados
    antes y después de su uso.
    Este proceso puede incluir el uso de fármacos como la gonadotropina coriónica humana (HCG)
    para estimular la producción pure de testosterona y reducir el riesgo de ginecomastia.

    Además, el citrato de clomifeno, a menudo a una dosis de 50 mg diarios durante
    2 a 3 semanas, ayuda a restaurar la función testicular.
    La retención de agua puede ser beneficiosa durante un ciclo de esteroides,
    ya que el líquido intracelular puede ayudar a la producción de ATP y,
    así, aumentar la fuerza muscular y el tamaño.
    Arriba, discutimos el mejor ciclo de pila de Masteron recomendado que puedes realizar en base a tu requerimiento.
    La duración del ciclo de dosis recomendada con precaución da resultados deseables.
    El Enantato de testosterona es un esteroide anabólico que permite una liberación sostenida de testosterona en el organismo.
    Esto significa que, al ser administrado, proporciona un aumento gradual y prolongado de
    los niveles de esta hormona, lo que resulta en un efecto más duradero
    en comparación con otros compuestos de testosterona de acción más corta.

    Sin embargo, hasta la fecha, no hay estudios que
    señalen a alimentos concretos como posibles potenciadores
    de los efectos de los esteroides anabolizantes androgénicos.
    Son derivados artificiales de la hormona sexual masculina, es decir, de la testosterona.
    Algunas mujeres reducen gradualmente la dosis hacia el final del ciclo y la disminuyen; sin embargo, esto no es necesario.
    Será más beneficioso para el corazón salir lo antes
    posible que tomar dosis más bajas.
    Los peores esteroides para las mujeres son en realidad la mayoría de los esteroides anabólicos.
    Las mujeres están muy limitadas en cuanto a los esteroides
    que pueden utilizar (si quieren seguir pareciendo una mujer).
    Esto se debe a que la mayoría de los esteroides no son suaves y presentan fuertes efectos androgénicos.
    Si las mujeres deciden usar Winstrol, se recomienda tomar 2 comprimidos al día en lugar de uno.

    Cada compuesto de esteroides viene con sus propios riesgos y
    complicaciones de efectos secundarios individuales.
    Si bien estos pueden ser similares en ciertas categorías de esteroides, la forma
    en que lo afectan como individuo es completamente impredecible;
    simplemente no sabrá cómo reaccionará su cuerpo
    a un esteroide hasta que lo use por primera vez.
    Esto significa que usar más de un esteroide en un ciclo (es decir, apilar) no le permitirá determinar qué esteroide está causando
    qué efectos secundarios. En 10 semanas o menos, las ganancias de músculo promedio, en personas entrenado con pesas y con esteroides anabólicos, fueron de 4
    a eleven libras (1.80 a 5 kilos). Así es, hay drogas anabólicas que se especializan para ganar masa muscular y otras en reducir el porcentaje de grasa corporal.
    Recordemos, esperar por que los andrógenos further que hemos ingerido dejen nuestro cuerpo no tiene sentido,
    ya que queremos empezar la recuperación tan pronto como podamamos para retener el máximo de ganancias.
    Bien… Necesitamos prar el HCG relativamente pronto por las razones discutidas antes.

    Personalmente empecé a usar esteroides a la edad de 19 años,
    después de aproximadamente un año de entrenamiento,
    y hasta ahora, aunque han pasado más de
    15 años desde entonces, no se arrepiente de esta decisión.
    Sin embargo, cabe señalar que siempre he sido una persona testaruda y, a diferencia de mis compañeros,
    traté de obtener el mayor conocimiento posible antes
    de empezar a doparme. En este artículo trataré de transmitir los conocimientos necesarios
    para el uso seguro de los esteroides. A continuación encontrarás descripciones
    de los medicamentos, consejos sobre cómo deshacerse de la
    ansiedad por las inyecciones, un ejemplo de un ciclo básico de la A a la Z e información sobre dónde comprar los medicamentos necesarios durante el ciclo.
    Este tipo de cambios ponen en riesgo la fertilidad masculina, así como su salud cardiovascular, ya que se encontró una reducción notoria en los niveles de colesterol HDL
    o colesterol bueno en sangre. Dichos individuos comenzaron a
    utilizar fármacos en píldoras o inyectables y después de
    dos años se observaron modificaciones en sus niveles
    de hormonas masculinas, el tamaño testicular y la
    cantidad de espermatozoides. En resumen, la biometría hemática es una
    herramienta importante para evaluar el estado de salud common de
    una persona y detectar una amplia variedad de enfermedades y trastornos sanguíneos.

    Otra desventaja es que puede debilitar el efecto anabólico de
    algunos esteroides. La razón es que Nolvadex, según nosotros sabemos, reduce el nivel de los estrógenos.
    El hecho es, sin embargo, que ciertos esteroides sobre todo los varios compuestos
    de testosterona solo pueden alcanzar su efecto completo si el
    nivel de estrógenos está suficientemente alto.
    Nolvadex debe ser tomado sobre todo cuando se utilizan esteroides
    con fuertes componentes androgénicos como el Dianabol (D-bol)
    y Anadrol, y los compuestos varios de testosterona. Los atletas que tienen una tendencia a
    retener agua y quiénes tienen algún trastorno mamario deben tomar
    Nolvadex como una medida preventiva durante cada tratamiento con esteroides.

    De hecho, esa no será la razón principal por la que deba incluir testosterona
    en cada ciclo (aunque puede ser un gran beneficio si también utiliza el esteroide de esa
    manera). Todos estos son efectos secundarios comunes con el uso de esteroides de testosterona y depende del usuario formular un ciclo que equilibre
    los poderosos efectos positivos de la testosterona contra los
    negativos. Cada individuo reaccionará de manera
    diferente, por lo que lo que funciona para su mejor
    amigo podría no ser necesariamente el método correcto para que usted lo siga.

    Y sí, también podrá averiguar qué efectos secundarios, si los hay, podría ser propenso
    a sufrir.
    Para producir esteroides, se combina un compuesto químico
    con alcohol para formar ésteres. Las propiedades exactas del
    esteroide derivado del éster dependen de cuál se use además
    de él. Los esteroides androgénicos se conocen más comúnmente
    como hormonas “varoniles” o “similares a la testosterona”, mientras que
    los esteroides anabólicos a veces se denominan “anabólicos”.

    Estos factores incluyen los objetivos individuales, la experiencia previa con esteroides, la tolerancia, la edad y el género.
    La ganancia muscular de los esteroides es en su mayoría permanente si el usuario continúa levantando pesas.
    Sin embargo, si la persona deja de entrenar, perderá sus ganancias inducidas
    por los esteroides (así como sus “ganancias de novato” naturales).
    Hemos visto que los esteroides anabólicos cambian la estructura de la cara de una persona, dándole un aspecto
    más masculino, en particular en la línea de la mandíbula.

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