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The various myths, rumors, and truths in regards to the subject of steroid injections

December 20, 2017

Proper injection protocol and procedure is extremely important in regards to proper anatomical knowledge of where to inject, how to inject, and proper sterility practice. What must be discussed and clarified first are the various myths, rumors, and truths in regards to the subject of steroid injections. There exist various myths in regards to steroid injections both among the general population as well as among the anabolic steroid using community itself. This article will begin with the most common myths among the general population, and work towards the myths among the anabolic steroid using community.

Myth: Steroid injections are administered intravenously (into the arm).
Truth: Wrong. This is a very common myth among the general populace that is uneducated in regards to anabolic steroid use. Anabolic steroids are, for the most part, oil-based solutions (the hormone is suspended in oil) or water based preparations that contain microcrystals that contain the anabolic steroids (such as injectable Winstrol or Testosterone suspension). If either of these solutions is injected intravenously directly into an artery or vein, it would induce a pulmonary embolism specifically known as a pulmonary oil embolus. Dependent on the amount of oil injected, this can potentially result in myocardial infarction (heart attack). Anabolic steroids are designed to be injected intramuscularly (IM), into muscle tissue, not intravenously.

Myth: If you inject the smallest amount of air into yourself, you will die.
Truth: Wrong. This is a common myth among the general populace as well as among the anabolic steroid using community (although to lesser degrees). This myth originates from fictional movies in which an individual is injected with air bubbles, which travels to the brain and causes an aneurysm, killing the subject. It is a myth that is derived from fiction to the point where it could be said that anyone who expresses concern about this is “someone who watches too many movies”. The truth is that air bubbles in an injection will only be a concern if injected intravenously, and even in such cases, the requirement for a serious aneurysm is several CCs or mLs of air. Although not a regular occurrence and supported in medical practice, many anabolic steroid users leave a small amount of air at the bottom of the syringe (between the plunger and the oil) in order to push every last amount of solution out so as to ensure no amount is left behind that could not be pushed out of the syringe and wasted. In such cases, many have injected varying amounts of air into the muscle tissue of the injection site with no problems.

Myth: Anabolic steroids will cause muscular growth at the specific site of injection.
Truth: Wrong. Steroid injections do not provide localized site-specific growth under any circumstances with the exception of perhaps Testosterone suspension. Nearly all injectable anabolic steroids are esterified, which means there is a carboxylic acid of varying length that is chemically bonded to the anabolic steroid at the 17-beta hydroxyl group. This is known as esterification (or an ester bond), and the ester serves to extend the release rate and half-life of the hormone in the body. This occurs by way of enzymes breaking down the ester that is attached to the anabolic steroid. This occurs primarily in the liver, but also occurs in the bloodstream as well. The body must first break off the ester before the anabolic steroid hormone can be free in the body to do its job. By the time this occurs, the anabolic steroid has left the site of injection and is circulating systemically within the body. The result is that all anabolic steroids operate on a systemic basis according to the body’s needs, and not a localized site-specific basis. Testosterone suspension is an un-esterified form of Testosterone. Claims of injection site specific growth for these reasons should not be taken seriously.

Myth: If you inject anabolic steroids subcutaneously or if you don’t go deep enough into muscle tissue, you will get an abscess.
Truth: Wrong. Anabolic steroids can indeed be injected subcutaneously, although they are designed for intramuscular injection primarily. Steroid injections that utilize subcutaneous fat tissue as the deposit location will only alter the rate of release from the site, and even so it has not been determined to exhibit very much difference from intramuscular injections. Individuals looking to administer steroid injections subcutaneously should take care to ensure that smaller amounts should be utilized, as subcutaneous tissue cannot hold as much volume of oil injected without discomfort as intramuscular injections can. Details in regards to the effectiveness of subcutaneous injections will be covered shortly. In regards to the claims about abscesses, abscesses only occur if the injection site is infected.

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