Steroids: Harm Minimisation Strategies
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Quick Summary
- Anabolic-Androgenic Steroids (AAS) are synthetic derivatives of testosterone used to increase muscle mass and strength.
- While they can have medical uses, non-medical use of steroids for performance and image enhancement carries significant risks, including hormonal imbalances, liver damage, and cardiovascular issues.
- This guide provides harm minimisation strategies to enhance safety for individuals using anabolic steroids.
General Safety Tips for Steroid Use
Understand Your Substance:
- Know the Effects and Risks: Steroids can cause various side effects, such as liver damage, high blood pressure, and changes in cholesterol levels. They can also lead to psychological effects like aggression and mood swings.
- Follow Prescriptions: Use a ROID test kit to check for the presence of steroids and ensure quality. Be cautious of counterfeit products which can contain harmful substances.
Set and Setting:
- Mindset: Ensure you are in a stable mental state before using steroids. Avoid use if you are feeling overly stressed or depressed.
- Environment: Use in a safe, clean, and familiar setting, ideally with access to medical assistance if needed.
Mixing and Masking Effects:
- Avoid Mixing with Other Drugs: Combining steroids with other drugs can lead to unpredictable effects and increase the risk of complications. Avoid especially mixing with alcohol, opioids, and stimulants.
Measure Your Doses Accurately:
- Dosage Guidelines: Follow recommended dosages and avoid "stacking" multiple steroids to reduce harmful side effects. A typical beginner cycle might include 250 mg of testosterone enanthate per week for 12 weeks, followed by a post-cycle therapy with Nolvadex.
Stay Hydrated and Nourished:
- Hydrate: Drink plenty of water to stay hydrated.
- Eat Healthy: Maintain a balanced diet with adequate carbohydrates and avoid excessive protein intake. Proper nutrition supports overall health and recovery.
Substance-Specific Tips
Injecting Steroids
- Injection Sites: Inject into large muscle areas (e.g., buttocks, thighs) to avoid nerve damage. Rotate injection sites to prevent tissue damage. Injection technique: Use clean, sterile needles and equipment. Avoid injecting into the same site more than twice a week. Only insert the needle ¾ of the way into the muscle to prevent breakage.
Oral Steroids
- Use as Directed: Follow dosage instructions carefully. Oral steroids should be taken with food to reduce stomach irritation.
Monitoring Health
- Regular Check-ups: Consult a doctor for regular medical examinations, including liver function tests, cholesterol levels, and blood pressure monitoring. Discuss any side effects or concerns with your healthcare provider.
Recognising and Responding to Overdose
Signs of Overdose
- Severe pain or swelling at injection site
- Jaundice (yellowing of the skin or eyes)
- Severe mood swings or depression
Responding to Overdose
- Call Emergency Services (000): Provide clear information about what was taken and the symptoms.
- Seek Medical Help: Visit a doctor immediately for any severe reactions or persistent symptoms.
Safe Management of Withdrawal
Managing Withdrawal
- Medical Supervision: Seek medical advice before stopping steroid use to manage withdrawal symptoms safely.
- Supportive Care: Stay hydrated, eat well, and seek support from friends, family, or professional services.
High-Risk Combinations to Avoid
- Steroids and Alcohol: Increases risk of liver damage.
- Steroids and Stimulants: Can lead to severe cardiovascular stress.
- Steroids and Opioids: Increased risk of respiratory depression and overdose