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Steroids may be administered into the body by two primary methods: orally in tablet form, or by intramuscular injection with a needle. Some common examples of orals include oxymetholone (Anadrol), oxandrolone (Anavar), methandrostenolone (Dianabol), and stanozolol (Winstrol). Some of the more popular injectables include nandrolone decanoate (Deca-Durabolin), nandrolone phenpropionate (Durabolin), testosterone cypionate (Depo-Testosterone), and boldenone undecylenate (Equipoise).
Many bodybuilders don’t just use one steroid but typically combine both oral and injectable drugs in what’s called a cycle, generally lasting 6- to 12-weeks. Injectable steroids are more popular because they are less toxic to the liver than oral steroids (orals have been chemically modified to survive passage through the digestive system). On the other hand athletes in drug-tested sports prefer orals as these drugs tend to clear more rapidly from the athletes’ systems and allow them to stand a better chance of passing a drug test.
The practice of using more than one steroid at once is called "stacking," and the pattern of increasing the dosage during the cycle is referred to as "pyramiding." Some users take dosages of 50 to 100 times greater than the recommended medical dosages. The purpose of stacking and pyramiding is to maximize the muscle-building effects and minimize side effects. The fact that this practice has not been proven scientifically has not stopped bodybuilders from following such dosing patterns.
Steroid side effects – the contentious issue!
No drug is free from producing side effects, and steroids are no exception. Still, most of the ghastly side effects frequently reported by the media are greatly exaggerated either for political reasons or out of ignorance. While it’s true that a few steroid users may suffer serious side effects, the fact is, most do not. Put another way, millions of people have used these drugs for muscle building since the late 1950’s. If they were the cancer-causing, terminal illness-producing drugs, as commonly reported by the media, we’d expect an epidemic of dead and dying bodybuilders and other athletes. The fact that this is not happening should indicate just how much misinformation has been circulating on this issue over the past number of years.
Most of the side effects produced can be divided into wanted and unwanted. For bodybuilders and other athletes such “side effects” as increased muscle size and strength, decreased body fat, and increased aggression levels, are the primary reasons why they turn to steroids in the first place. These are the wanted and desired side effects and the more pronounced these effects are the more bodybuilders like it.
The unwanted side effects are those that get heavy coverage in the media and by anti-steroid groups. Most of the following side effects can be termed cosmetic and are not life-threatening. They’ll usually disappear with termination of steroid usage. A few, such as gynecomastia, are more serious and should be brought to the attention of a physician. In most cases serious side effects are caused by steroid abuse - megadosing and stacking the drugs for years.
1) Acne
2) Hair loss
3) Gynecomastia (feminizing of the male nipple region)
4) Water retention
5) Deepening of voice in females
6) Clitoral enlargement in females
7) Liver enzyme abnormalities
8) Decreased production of sperm in males
9) Decreased natural production of testosterone in males
10) Increased blood pressure
11) Reduction in HDL the "good" cholesterol
Types of Steroids
Since their first synthesis in the late 1950’s there have been hundreds of different varieties of anabolic steroids produced. The following shows a few of the more popular steroids used by bodybuilders for muscle building. Keep in mind that since the Anabolic Control Act of 1990, most of these drugs are now only available on the blackmarket and as such, the prices will fluctuate on an almost weekly basis.
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Over 20 million Americans are currently diagnosed with some form of thyroid disease, a health problem that impacts every cell in the body and can cause severe weight gain or weight loss, mood disturbances and even infertility in both men and women. While thyroid problems are most common in women, affecting approximately 1 in 8 women between the ages of 35 and 65, men are not immune to thyroid disorders. Common symptoms in men, such as reduced libido, difficulty achieving erection and breast tenderness or enlargement, may be too embarrassing for men to seek medical help and could contribute to the lower instances of thyroid disease recorded in men.
The thyroid gland is located at the base of the neck directly below the Adam’s apple. This tiny little gland shaped like a butterfly is responsible for regulating the body’s metabolism which is the rate at which the body uses energy by releasing the thyroid hormone T4 (tetraiodide) into the bloodstream. T4 makes its way to every cell in the body where it is converted to T3 (triiodothyronine), a hormone that controls the rate of cellular metabolism activity. The pituitary gland works in concert with the thyroid by regulating the levels of T3 in the body. When more T3 is needed the pituitary gland sends Thyroid Stimulating Hormone (TSH) to the thyroid gland to stimulate the release of T4 into the bloodstream. When too much thyroid hormone is present the pituitary gland stops sending out TSH and the thyroid stops the production of T4. The process is a delicate balance and if either the pituitary or the thyroid gland is failing to function properly the result will be a body that is not functioning properly.
When the thyroid gland becomes overactive, releasing more hormones than are necessary, the result is hyperthyroidism or Graves Disease which is an autoimmune disease that causes over-activity of the thyroid gland. Hyperthyroidism is most common between the ages of 20 and 40 and affects roughly 1 million Americans today. With hyperthyroid, everything in the body speeds up. When the rate of cellular activity increases, more calories must be consumed to maintain normal energy levels. If the incoming calories fail to be enough then weight loss will occur. Generally, the more severe the hyperthyroid, the more weight loss will result. It is not uncommon, however, for a person with hyperthyroid to gain weight if more calories than necessary are being consumed.
Patients with hyperthyroidism may also experience fatigue, trouble sleeping, increased appetite, trembling hands, irregular heartbeat, irritability and reduced libido. In severe cases, muscle weakness, shortness of breath and chest pain may result. Often however, the symptoms of hyperthyroidism are mild and may occur gradually over a long period of time. Foods that naturally suppress thyroid hormone production are cruciferous vegetables, soybeans, peaches and pears. Have two servings of these foods daily. Carrots, celery, onion and almonds are also beneficial.
Hypothyroidism is a far more common problem, affecting approximately 11 million Americans. The disease can affect both men and women but it is mostly diagnosed in middle-aged women. Hypothyroid is the complete opposite of hyperthyroid. In a patient with hypothyroid the entire metabolism moves at a slower speed and requires less calories than usual to maintain normal energy levels. As a result, the excess calories consumed become stored as fat and weight gain ensues.
Weight gain, while the most common problem associated with hypothyroid, is not the only symptom of an underactive thyroid gland. Other symptoms include low energy levels, depression, irritability, intolerance to heat or cold, decreased heart rate, dry skin and frequent infections, along with decreased sex drive, infertility, hair loss, dry hair and shortness of breath. As with hyperthyroid, it is not uncommon to experience few to no symptoms of this disease.
To combat hypothyroidism, consume foods that contain iodine such as kelp, radish, parsley, potatoes, fish, oatmeal and bananas or look for a supplement that has 150 mg of Iodine. Iodine is needed by the body to form thyroid hormone. Also, copper, iron, selenium and zinc are essential in the production of T3 and T4. Exercise 15-20 minutes per day—enough to raise the heartbeat.
Diseases of the thyroid can be diagnosed with a simple blood test which evaluates levels of free T3 and free AT4 (TSH) in the bloodstream. Another way to measure is by taking and recording the basal body temperature under the arm as soon as you wake up for ten minutes, five mornings in a row. The normal axillary temperature is 97.8 – 98.2 degrees F. If the temperature averages 97.4 or less see your physician.
Once a diagnosis of either hypothyroidism or hyperthyroidism has been ascertained, treatment is aimed at restoring proper levels of the thyroid hormones. With hyperthyroidism this might require surgery or the use of medication. Hypothyroid is usually treated with hormone replacement therapy. In my practice I have found that natural thyroid hormone can be a safe and very successful means of restoring the appropriate levels. For both diseases, restoring proper levels of the thyroid hormone can result in a reversal of symptoms, including a return to pre-thyroid disease weight.
If you suspect that you might be suffering from a thyroid disorder, see your doctor immediately for an evaluation. Thyroid disease is a serious health problem and one that can be easily treated if properly diagnosed. Call your health care provider today and regain control over your metabolism once and for all!
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What could possibly be worse than struggling with a painful condition and feeling ashamed to discuss the problem because of its intimate nature? Such is the case for many suffering with pudendal neuralgia, a little known disease that affects one of the most sensitive areas of the body. This area is innervated by the pudendal nerve, named after the Latin word for shame. Due to the location of the discomfort combined with inadequate knowledge, some physicians make reference to the pain as psychological. But nothing could be further from the truth. Unfortunately, discussing the condition with gynecologists, urologists and neurologists often proves fruitless since most know nothing about the condition and therefore cannot diagnose it.
Pudendal neuralgia is a chronic and painful condition that occurs in both men and women, although studies reveal that about two-thirds of those with the disease are women. The primary symptom is pain in the genitals or the anal-rectal area and the immense discomfort is usually worse when sitting. The pain tends to move around in the pelvic area and can occur on one or both sides of the body. Sufferers describe the pain as burning, knife-like or aching, stabbing, pinching, twisting and even numbness. These symptoms are usually accompanied by urinary problems, bowel problems and sexual dysfunction. Because the pudendal nerve is responsible for sexual pleasure and is one of the primary nerves related to orgasm, sexual activity is extremely painful, if not impossible for many pudendalites. When this nerve becomes damaged, irritated, or entrapped, and pudendal neuralgia sets in, life loses most of its pleasure.
So, where exactly is the pudendal nerve? It lies deep in the pelvis and follows a path that comes from the sacral area and later separates into three branches, one going to the anal-rectal area, one to the perineum, and one to the penis or clitoris. Since there are slight anatomic variations with each person, a patient’s symptoms can depend on which of the branches are affected, although often all three branches are involved. The fact that the pudendal nerve carries sensory, motor, and autonomic signals adds to the variety of symptoms that can be exhibited.
Because pudendal neuralgia is uncommon and can be similar to other diseases, it is often misdiagnosed, leading some to have inappropriate and unnecessary surgery. Early in the diagnosis process, it is crucially important to undergo an MRI of the lumbar-sacral and pelvic regions to determine that no tumors or cysts are pressing on the nerve. In addition, the patient should be screened for possible infections or immune diseases, as well as having an evaluation by a pelvic floor physical therapist to determine the health of the pelvic floor muscles and to uncover whether skeletal alignment abnormalities exist. An accurate patient history is needed to assess whether there has been a trauma or an injury to the nerve from surgery, childbirth, or exercise. Tests that offer additional diagnostic clues include sensory testing, the pudendal nerve motor latency test, and electromyography. A nerve block that provides several hours of relief is another tool that helps to determine if the pudendal nerve is the source of pain.
One of the most common symptoms that accompanies pudendal neuralgia is severe depression. Some people with the disease have committed suicide due to the intractable pain. For that reason, it is important to consider antidepressants, as they can help lessen the hypersensitivity of the genital area in addition to relieving bladder problems. Certain anti-seizure drugs reportedly help to alleviate neuropathic pain while anti-anxiety drugs provide substantial relief of muscle spasms and assist with sleeping. Uninformed physicians are reluctant to prescribe opiates for an illness that shows no visible abnormality, yet the desperate nature of genital nerve pain requires that opiates be prescribed for these patients. While medications are not always satisfactory, they do help take the edge off of the pain for many people. Until the correct treatment is determined, it is imperative that patients with pudendal neuralgia receive adequate pain management since the pain associated with this illness can be intense.
Treatment depends on the cause of distress to the nerve. When the cause is not obvious patients are advised to try the least invasive and least risky therapies initially.
Physical therapy that includes myofascial release and trigger point therapy internally through the vagina or rectum assists with relaxing of the pelvic floor, especially if pelvic floor dysfunction is the cause of nerve irritation. If no improvement is found after six to twelve sessions, nerve damage or nerve entrapment might be considered.Botox is now used in medical settings to relax muscles and shows promise when injected into pelvic floor muscles; though finding a physician adept at this treatment is difficult.Pudendal nerve blocks using a long-acting analgesic and a steroid can reduce the nerve inflammation and are usually given in a series of three injections four to six weeks apart. If physical therapy, Botox, and nerve injections fail to provide adequate relief, some patients opt for pudendal nerve decompression surgery. There are three published approaches to pudendal nerve decompression surgery but there is debate among members of the pudendal nerve entrapment community as to which approach is the best. Since there are advantages and disadvantages to each approach, patients face considerable confusion when deciding which type of surgery to choose. Because there are only a handful of surgeons in the world who perform these surgeries, most patients have to travel long distances for help. Moreover, the recovery period is often painful and takes anywhere from six months to several years since nerves heal very slowly. Unfortunately, early statistics indicate that only 60 to 80 percent of surgeries are successful in offering at least a 50 percent improvement. Patients whose surgeries are not successful or who do not wish to pursue surgery have the option of trying an intrathecal pain pump which delivers pain medication locally and helps to avoid some of the side effects of oral medications. Others pursue the option of a neurostimulator either to the sacral area or directly to the pudendal nerves. These are relatively new therapies for pudendal neuralgia so it is difficult to predict success rates. Some pudendalites have devised ingenious contraptions for pain relief ranging from u-shaped cushions cut from garden pads all the way to balloons filled with water, frozen, and inserted into the vagina. Most have a favorite cushion for sitting and many have special computer set-ups for home and office use in order to avoid sitting. Generally speaking, jeans are a no-no, so patients revise their wardrobes to include baggy pants and baggy underwear – if they are able to tolerate wearing underwear.
Clearly more research is required to find effective methods to better manage the pain and debilitation of pudendal neuralgia. But in the meantime, friends and family close to those who have this devastating illness play a huge role in helping patients cope, thereby maintaining the best quality of life possible. Support, love and understanding are of primary importance for those suffering with this affliction.
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Here are over 100 ideas to help you keep monogamy hot!
1. Find out what music your lover likes, and play it.
2. Sing to each other, especially if you can't sing. Listen to a song that turns you on and write the words out so you will remember them. Then without any music sing that song as a surprise gift to your lover. Watch the tears come to their eyes.
3. Find out what scents your lover likes, e.g., perfumes and especially essential oils. Get an essential oil diffuser.
4. Wear the clothes your lover likes. Try something wild in latex.
5. Serve the food your lover likes.
6. Select locations for lovemaking that your partner likes.
7. Prepare yourself for stimulating conversation. Do some homework if necessary to have something interesting to talk about.
8. Give lots of compliments on a regular basis.
9. Compliment you lover in front of others.
10. Tell each other all the things you like and appreciate about each other. Do this every day.
11. Show your body to your lover. Let them look as long as they like.
12. Take your clothes off while your lover watches.
13. Tease your partner with partial nudity at unexpected times, like when your mother or children are in the other room. Be artful and naughty about it so only your lover sees you.
14. Explore each other's bodies with your eyes, hands and tongues.
15. Hold a mirror for your partner to look at their own genitals.
16. Women, touch your lover's genitals with sighs of desire from time to time, even when out in public (discretely).
17. Men, nibble on your partner's neck with sighs of desire from time to time, even when out in public.
18. Give each other a sensual massage. Try short 5 minute full body massages on a daily basis, as well as longer versions (one hour or longer) when time permits. Use an exotic massage oil. You can mix some yourself with an excellent essential oil in a base of first cold press grapeseed (canola) oil.
19. Create a temple-of-love space in anticipation of your lovemaking. Make your space beautiful. Keep it simple.
20. Create your own rituals & ceremonies. Keep it simple.
21. Tell each other what turns you on. If they don't know they can't give it to you.
22. Read and/or write erotic poetry and stories.
23. Watch erotic, romantic movies and videos.
24. Take a bath or shower together. Even small tubs are great fun. Make a mess.
25. Wash each other's bodies. Be kind and gentle and provocative, or raucous and wild, whatever you're both into.
26. Wash each other's feet. Use a small dishpan and some wonderful natural soap. Rub on an aromatic foot lotion.
27. Suck on your partner's squeaky-clean toes.
28. Feed each other food and drink. Use your fingers. Make a mess.
29. Read stories out loud to each other.
30. Wear costumes and masks as part of your foreplay. Oooh, mystery!
31. Tie each other up. Men especially love to be tied up.
32. Paint each other's bodies. Use washable/edible body paint or chocolate sauce you make yourself or buy.
33. Wash each other's hair.
34. Give each other pedicures.
35. Prepare sensual meals together. Fondle and tease each other as you work/play.
36. Watch the sun come up or go down, or the moon go across the water.
37. Lie out under the stars. Sleep out under the stars.
38. Make flower arrangements together, fresh or dried.
39. Send each other erotic post cards without any special occasion.
40. Write love letters to each other.
41. Say the words "I love you. I need you. I want you."
42. Whisper words of adoration in your lover's ears before, during and after love making.
43. Talk "dirty" in your lover's ears in the heat of passion during your lovemaking.
44. Hold hands in public.
45. Go on picnics.
46. Call each other by "sucky" pet names.
47. Make foreplay go on and on and on and on and....
48. Men, help your woman come to orgasm before intercourse - at least some times!
49. Men, be sure she is wet, before you put your golden rod into her fig pocket!
50. Romance each other for hours, with intercourse on and off the whole time. Men, learn to delay ejaculation!
51. Cuddle after intercourse. Look into each other's eyes. Say words of love and adoration. Thank the God and Goddess for their favors.
52. Cry in front of each other.
53. Share what you are feeling. Risk being vulnerable.
54. Try different lovemaking positions. Experiment.
55. Try different lovemaking locations. Experiment.
56. Use love toys. Experiment.
57. Laugh during intercourse. Laugh before intercourse. Laugh after intercourse.
58. Offer unexpected gifts. Keep it simple, but thoughtful. Pick the right thing, not the biggest or most expensive thing.
59. Remember special occasions. Special occasions should be special!
60. Say please and thank you for sexual favors and for many small things each day. “Whether the pretty woman grants or withholds her favors, she always likes to be asked for them.” Ovid
61. Surprise your lover with the unexpected. Experiment.
62. Try something new. Experiment.
63. Try something dangerous. Experiment.
64. Try something outrageous. Experiment.
65. Try something kinky. Experiment.
66. Try something you are afraid of. Experiment.
67. Try something forbidden. Experiment.
68. Share your fantasies. Act them out with each other. Don't ever share fantasies about someone else with your lover!
69. Masturbate each other.
70. Masturbate in front of each other.
71. Dress up for a romantic dinner.
72. Eat dinner by candlelight.
73. Make love by candlelight.
74. Put on little skits (acts) for each other. Experiment.
75. Be foolish and playful. Experiment.
76. Drop something that is really important for you to do, and make love instead.
77. Call when you are away and say "I miss you terribly. I can't wait to get home to hold you."
78. Talk "dirty" over the phone to each other.
79. Shop for sex toys and lingerie together.
80. Ladies, wear garter belt and stockings instead of pantyhose.
81. Put blindfolds on each other during foreplay and intercourse, sometimes.
82. Role play: innocent high school student, slut, nurse, stripper, master, slave, bad boy or girl, etc.
83. Look into each other's eyes, if possible until tears follow the opening of your heart in love.
84. Match the rhythm of your breathing during lovemaking.
85. Take rapid breaths to heat up your excitement.
86. Take long, deep, slow breaths to maintain a high level of excitement without going over into orgasm. Prolonging the orgasmic excitement leads to ecstasy.
87. Just hold each other.
88. Talk where one only listens. The one who listens does not try to take any responsibility, does not try to intervene or "fix" anything. Just listen. This is harder to do than it sounds.
89. Give each other a 10-second kiss when coming and going.
90. Make out like high school kids, without intercourse.
91. Practice Tantra Sacred Sex muscle control, breathing and visualization together. If you don't know how, take a workshop together.
92. Give each other flowers regularly. Men love to receive flowers too!
93. Have fresh flowers around as often as possible.
94. Have lots of green healthy plants in the house.
95. Notice all the little things you do for each other, that you regularly take for granted, and let each other know how important they are to you. Show your appreciation.
96. Spend time remembering wondrous past experiences together when you were happy and joyous.
97. Take turns leading when dancing slow.
98. In conversation always use loving names when referring to your genitals, e.g., jade stalk, wand of light, mystery cave, succulent flower, etc.
99. Make plans for the future.
100. Talk about spending the rest of your life together.
101. Write out your vision for the kind of relationship you want to create together.
102. Display your relationship vision/dream where you will see it often.
103. Serve each other breakfast in bed.
104. Sleep together NAKED! Curl around each other like spoons. Roll over together to change positions in the night.
105. In the morning when you wake up lying naked together, the man goes between the woman’s legs. If he is not aroused, he will use the soft entry by wetting his penis with saliva (or any suitable lubricant such as water based or silicone lubricants, or any cooking oil) and inserting it into her vagina. Lie still with your eyes open and match your breathing for 2-5 minutes.
