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Tilly Roten
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    https://tinijob.com/companies/synergistic-treatment-combining-sermorelin-and-ipamorelin/

Tilly Roten, 19

Algeria

Over jou

Test, Deca, Dbol Or Anadrol Cycle Advice! Pharma TRT

Anabolic steroids (often called "performance‑enhancing" or "bodybuilding" steroids) are synthetic derivatives of the male sex hormone testosterone. They’re used medically for conditions such as delayed puberty, certain anemias, and some muscle‑wasting diseases, but many athletes and bodybuilders take them off‑label to try to increase muscle mass, strength, and recovery.

**Key points to understand:**

| Topic | What you need to know |
|-------|-----------------------|
| **How they work** | They bind to androgen receptors in cells, stimulating protein synthesis and nitrogen retention, which promotes muscle growth. Because of their potency, they can cause dramatic changes even at relatively low doses. |
| **Common forms taken by athletes** | Oral anabolic steroids (e.g., testosterone derivatives), injectable esters (like testosterone enanthate or nandrolone decanoate), and newer compounds marketed as "designer steroids." Many are sold in unregulated online shops, so potency and purity vary widely. |
| **Side‑effects** | *Acute:* gynecomastia, acne, fluid retention, mood swings, increased blood pressure, lipid changes, liver enzyme elevations (especially oral forms).
*Chronic:* testicular atrophy, infertility, cardiovascular disease, androgenic alopecia, severe hair loss, virilization in women. |
| **Monitoring** | Baseline labs: CBC, CMP, fasting lipids, fasting glucose/HbA1c, liver enzymes, testosterone/FSH/LH.
Follow‑up every 3–6 months (or sooner if symptoms).
Track weight, BP, cholesterol, and liver function. |
| **Lifestyle** | Emphasize exercise, balanced diet, limit alcohol, avoid smoking; stress management. |
| **Alternative therapies** | Discuss supplements only after confirming no interactions; consider herbal or natural options with proven efficacy (e.g., certain teas) if desired, but advise against unverified claims. |

---

## 5. Quick‑Reference Table for the Clinician

| Parameter | Normal Range | What to Look For |
|-----------|--------------|-----------------|
| **Weight/BMI** | 30 → high risk of insulin resistance |
| **Waist circumference** | 90 min. | • After race, rehydrate with 1500–2000 ml of water or electrolyte solution within first hour. |
| **Short-duration (≤30 min) activity** | • Water alone is usually sufficient.
• If sweat loss >100 g/min, add electrolytes: ~3–4 mmol Na⁺ per 100 mL. | • Use a drink with 1–2 g carbs/250 ml for endurance events 60 min, include a carbohydrate source: 6–8 g carbs/100 ml. | • After HIIT: 500–750 ml of electrolyte drink; if training >90 min, add 10–15 g carbohydrates for recovery. |
| **Endurance sports (marathon, triathlon)** | • Pre-exercise: consume 500–800 mL water or isotonic fluid 2–3 h before.
• During: ingest 400–600 mL every 20–30 min; add electrolytes at 40–60 mEq/L Na⁺, 10–15 mEq/L K⁺. | • Use sports drinks containing 0.3–1.2% carbohydrate (~18–36 g per liter). | • Post-race: replace fluid loss with 1.5× the deficit volume; aim for 200–300 mL per pound lost, using fluids containing 0.9–1.4% Na⁺ and 0.1–0.3% K⁺. |
| **Specific hydration protocols** | • **Pre‑exercise (≥2 h)**: Drink 500–700 mL of water or a sports drink with 0.5–1 g·kg^−1 body mass.
• **During exercise (90 min, increase to 250–350 mL every 15 min.
• **Post‑exercise**: Rehydrate with a volume equal to the weight lost plus an additi

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