Objectives: Testosterone has a spectrum of effects on the male organism. This review attempts to determine, from published studies, the time-course of the effects induced by testosterone replacement therapy from their first manifestation until maximum effects are attained. 

Design: Literature data of testosterone replacement

Results: Effects on sexual interest appear after 3 weeks plateauing at 6 weeks, with no further increments expected beyond. Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3-4 weeks, but maximum benefits take longer. Effects on depressive mood become detectable after 3-6 weeks with a maximum after 18-30 weeks. Effects on erythropoiesis are evident at 3 months, peaking at 9-12 months. Prostate specific antigen and volume rise, marginally, plateauing at 12 months; further increase should be related to aging rather than therapy. Effects on lipids appear after 4 weeks, maximal after 6-12 months. Insulin sensitivity may improve within few days, but effects on glycemic control become evident only after 3-12 months. Changes in fat mass, lean body mass and muscle strength occur within 12-16 weeks, stabilize at 6-12 months, but can marginally continue over years. Effects on inflammation occur within 3 to 12 weeks. Effects on bone are detectable already after 6 months while continuing at least for 3 years.

Conclusion: the time-course of the spectrum of effects of testosterone shows considerable variation, probably related to pharmacodynamics of the testosterone preparation. Genomic and non-genomic effects, androgen receptor polymorphism and intracellular steroid metabolism further contribute to such diversity.

Another new supplement hyped by the supplement industry. Everybody that saw the documentary “Bigger - Stronger – Faster” knows that this industry sells dreams. But most guys fall for the nice adds, the science backed “evidence” and the pictures of athletes pumped up by anabolic steroids (…and a lot of other “illegal means” ) that REALLY work wonders on your appearance, telling you this supplement is responsible for their gains.

Does this mean ALL supplements and ergogenic means are worthless? Nope ..we all know by now that Creatine has a (modest) effect. And many athletes use it also while on a juice stack. You also know that most of us use silymarin (Milk thistle) to protect our liver. We use whey proteins, because they are much more comfortable to use then chickenbreasts. It’s just that you should put it in perspective and realize that all those supplement companies want to sell you their products. Most magazines just exist because supplement-companies pay a lot of money for advertisements. In the gym the gym-owner sells you these supplements or a whey shake after you are finished training. And we, writers of articles on bodybuilding, often work for supplement companies, that also run magazines, websites and web-shops. Naps doesn’t. So my unbiased opinion.

Licenses and contracting.

Years ago when the counterfeit and fake steroids started to ruin the industry. We made the buyers aware of that fact and we started to teach the members via  the messageboards to check the available information on the product and the boxes and leaflets.

What is a license, lets take Sustanon from Organon in the Netherlands as an example. Sustanon is a brand name for a combination of four different estrifications of testosterone. It was meant as a medicine for men with low endogenous (made by their own body) testosterone . Thus mostly older men. These men had to come to their doctor for frequent injections. Not really convenient for both. Thats why scientist started to prolong the effect from testosterone by adding an estrification. Because HRT (hormone replacement therapy) aimed on a balanced bloodserum value without to much peaks, they made that mix of different esters. It was a big succes througout the world and many countries wanted to use this drug for its male population. The brandname Sustanon, Sostanon and Sustenon where used in different countries. Contracters made this product cheaper locally. Bodybuilders know the mythical names like Karachi Sustanon (made by Abbot laboratories) and NILE Sustanon from Egypt. They made the exact formulation and quality that the original company(called license holder) used as standard and They where also allowed to use the brandname.

Cabergoline is a drug most often medically prescribed for its ability to inhibit prolactin secretion via its action as a dopamine agonist. Used in the treatment of such diseases as Parkinson's disease (1), acromegaly (2), restless leg syndrome (3), Cushing?s syndrome (4), hyperprolactinemia (5), among others, the drug has been adopted by bodybuilders and strength athletes as a means to combat prolactin related side effects caused by certain anabolic steroids. For this purpose cabergoline is extremely effective while presenting little risk in terms of serious side effects to the health of the user when used for this purpose.

Steroid users should be concerned about excessive prolactin levels because of the side effects associated with them. Prolactin is a naturally occurring hormone primarily produced by the lactotrophs located in the pituitary gland, with a minority amount of the hormone being produced by other tissues/cells of the body. Prolactin plays a major role in lactation in most mammals including humans. It both stimulates milk production as well as inducing lobuloalveolar growth of the mammary gland. Obviously both of these side effects would be of great concern to bodybuilders and strength athletes from both a health and cosmetic standpoint. Decreased sex drive, sperm production and sexual function may also be related to elevated levels of this hormone (6, 7). In fact even in men with regular healthy levels of prolactin cabergoline can help to temporarily reduce the amount of the hormone that is secreted which leads to such advantages as an increase sex drive, improvement in sexual function (quality of erection) as well as reducing the refractory period for users (the amount of time between erections) (8).

Most of the anabolic steroid not only dock to the androgen receptor, but also to the receptors for estradiol and progesterone. Knowledge about that is also relevant to steroids users, because the progestogenic and estrogenic effect of steroids tells us something about their possible side effects. In 2009 some Dutch researchers published a survey which might benefit health conscious steroids users.

The more you know about anabolic steroids, they more complex they seem to be.  If you start to study the chemistry of anabolic steroids you start to understand how various modifications are meant to prevent the conversion of steroids into estradiol-like and DHT-like hormones, while at the same time allowing for an increased anabolic effect. But if you understand that, you'll discover that it all works just a bit more complicated.

When we wrote the Underground Book Thailand had closed his borders for Steroids and Male enhancement pills, mostly counterfeited Viagra. Pfizer makes millions of profit, producing a sildenafil containing tablet costs only cents and they sold it for a hundred fold. Thailand also sold cheap generic tablets and many people where able to buy outside their regional healthsystem. We all know how strong the pharmaceutical lobby is. The uSA protects his taxpayers and the pressure on Thailand became so high that it gave in.

China in fact owns the USA (financially) and this proud country didn’t gave in, the bodybuilding community had acces to China’s big pharma. First they sold reliable Growth hormones (rhGH) the famous Jintropin and ruined the very high prices of the US and European Pharma’s asked for their products. China also sold cheap API’s (raw powders) and all the necessary ancillairies. Soon all kind of Underground Laboratories (UG Labs) some good most of them bad, and home brewers bought their products in China.

Increased T/E ratio in men

 

When testosterone levels are normal, and a man is experiencing signs of andropause, the hormonal culprit is usually estrogen (and chemicals that mimic the actions of estrogen), the female hormone. Both men and women have specific amounts of estrogen in their bodies. Young men may have a ratio of testosterone to estrogen of 50:1. The ratio drops to 20:1 or even as low as 8:1 with normal aging.

When estrogen levels in a man increase, the actions of testosterone are reduced. Even worse. While estrogens in women protect them from heart disease and osteoporosis, the effects are the opposite for men. Too much estrogen will actually increase the risk of heart attacks in men.

Unfortunately, this is exactly the set of problems that we are currently facing. A combina­tion of our lifestyle and dietary choices, stress, use of anabolic androgenic steroids, medications and/or alcohol coupled with the pervasive amounts of estrogenic pollutants found in plastics and our water supply are the reasons why estradiol levels are climbing in men. In fact, we now see men with estrogen levels higher than that of many women.  As estrogen rises in men, testosterone drop and mammary gland tissue begins to grow (creating male breasts). This problem is so common that male breast reduction is now the fastest growing surgery in America!

I get many questions about infections or even abcesses. Mostly people blame the Underground Lab, posting the product was not sterile etc. In reality its better first to check on Google if you can find more cases of infection. Because a batch is in most cases much bigger than 1 vial. Most UG labs manufactur a kilo of API  (raw powder). A batch of 250 mg/ml wil therefore be around 400 pcs.

The culprit in most cases is a lack of knowledge. I’ve seen many times that bodybuilders injected each other or themselves. They clean the injectionspot with alcohol (betadine is much and much better) and immidiatly pierce the skin. After the injection they pull up their pants and boxer. They mostly forget that they have created an open wound, a small one but bacteria are small too.

Once you have desinfected the skin you should wait some time to allow the bacteria to die, before you pierce the skin.

You should also desinfect the top of the vial you keep in the basement or fridge. And use clean needles and syringes. Wash your hands carefully also.

Here you can read how an extremely knowledgeble competing bodybuilder managed to contaminate his vial. When I showed him the analytical reports he realised how lucky he had been for quite some time. He was injecting so much for such a long time that he had become careless about sterility.

//juicedmuscle.com/jmblog/content/bacterial-contamination-10-ml-vial

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You will notice in an infection (usually) within 3 days and it will be red, sensitive to the touch and will seem to spread. Irritiation for the for first days will be very much the same so it can be stressful during that time to determine what is what.

First off its always a good idea to have some antibiotics handy just in case. Even with pharmaceutical gear from compounding pharmacies you can still get infections from a various amount of reasons. You mentioned injecting in the tricep. Thats a great area to site inject but can be tricky. you need to make sure you flex the tricep fully and find the peak. Watch it carefully as you relax the arm (should be bent 90 degrees not straight) and inject in the center of the meaty portion of the peak. It is very easy to be off center or to hit the outside head where there is not much space and the subsequent expansion of the muscle accompanied with the 2 propionate esters in sustanon to cause some pretty uncomfortable irritation. If the site has not been swabbed with alcohol and a frest needle used that can place bacteria in the injection site.

Most of the anabolic steroid not only dock to the androgen receptor, but also to the receptors for estradiol and progesterone. Knowledge about that is also relevant to steroids users, because the progestogenic and estrogenic effect of steroids tells us something about their possible side effects. In 2009 some Dutch researchers published a survey which might benefit health conscious steroids users.

The more you know about anabolic steroids, they more complex they seem to be.  If you start to study the chemistry of anabolic steroids you start to understand how various modifications are meant to prevent the conversion of steroids into estradiol-like and DHT-like hormones, while at the same time allowing for an increased anabolic effect. But if you understand that, you'll discover that it all works just a bit more complicated.

Take nandrolone.  Nandrolone differs from testosterone because nandrolone lacks a 19-methyl group. Thereby the aromatase enzyme converts nandrolone harder than testosterone into estradiol. At the same time  that the omission of 19-methyl group ensures that the anabolic effect of nandrolone is stronger than that of testosterone.
The absence of the 19-methyl group allows nandrolone to attach to the androgen receptor about two times better than testosterone. Because, by the omission of the 19-methyl group of nandrolone it can no longer convert in the androgen testosterone metabolite DHT,  at the same time nandrolone has less androgenic side effects than testosterone. Testosterone converts easily into DHT, DHT is hardly anabolic but strongly androgenic, and DHT can attach to the androgen receptor 3 times better than testosterone.

In the eighties, however, users found that nandrolone still has side effects caused by female hormones. At somewhat higher doses, men can develop breasts (gyno) from  nandrolone,. This is probably because nandrolone can attach itself to the estradiol receptor. By the absence of the 19-methyl group Nandrolone is also a bit of an estrogen.

It also became clear that nandrolone in somewhat higher doses suppressed the body's endogenous production of testosterone to a greater extent than synthetic testosterone. That is because nandrolone by the absence of the 19-methyl group is also suitable for the progesterone receptor. The combined androgen-estrogen-progestational effect of nandrolone, causes the steroid in the hypothalamus to press to all the buttons that reduce the body's own testosterone production. By the same mechanism nandrolone users can become temporarily impotent, and nandrolone was in animal studies more harmful for the heart and blood vessels than testosterone.

The story becomes even more complex. In the 21st century it became clear that steroid receptors in cells - and hence in muscle cells – worked together. The signal that the androgen receptor, after forming a complex with an anabolic steroid, that tells the muscle to become bigger, becomes stronger if the cell at the same time receives stimuli via the estradiol and progesterone receptor. That idea was the starting point of the thesis of Barry Blankvoort. [Development of an endogenous androgen receptor-mediated luciferase expression assay for interactive androgenic action, Wageningen 2003] If you've read it you look differently to cycles and stacks, and take all those messages about endocrine disruptors in our food a lot more serious. Ergo: the same mechanism by which nandrolone exerts so many side effects, also makes nandrolone such effective muscle builder.

Nilevar (Norethandrolone)

This is supposedly one of the first steroids in circulation in bodybuilding circles. Its what Arthur Jones had Bill Pearl on in 1956, and it gave him a gain of 30 pounds to win the Universe that year. Not coincidentally 1956 was the release of Nilevar by Searle in the US. The same company that would later bring us Anavar (oxandrolone) which was a lot milder on the system and notably less toxic. Nilevar is rarely used these days.

One could state, though not technically correct, that the substrate is an oral Deca preparation. It stems from the same base steroid (nortestosterone) and acts in a very similar fashion. It too is a potent stimulator of the androgen receptor, substantiated by its readiness to cause virilization in female users. Its likewise deactivated by the 5-alpha-reductase, which explains why in lower end doses its actually one of the mildest steroids, androgenically, in men. Norethandrolone is also a noted progestin and also aromatizes at some rate. This means, very much like nandrolone, that it can cause estrogenic side-effects with small amounts of circulating estrogen thanks to the estrogen-agonizing properties of the progestagenic activity.