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lot of new members around!! here is injections 101

hurricane

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If you are new to steroids, this FAQ should answer your injection questions. We will start with a few definitions.......

1) 1cc = 1ml , 100units = 1cc (insulin syringe, but 1iu DOES NOT EQUAL 1unit!!!

2) Gauge: The thickness of the needle. The smaller the gauge, the thicker the needle. An 18g is much thicker than a 22g. You will typically use a 25g or a 23g for injecting, and a 22g or larger for drawing.

3) Drawing: the act of sucking up the steroid from the bottle into the syringe. A "drawing needle" is a needle tip that is used to draw the oil up faster, but you will take off and replace with a smaller guage needle for the actual injecting.

4) Length: Generally 1.5" or 1" for our purposes. 5/8" is sometimes used for intramuscular "spot shots". Spot shots are designed to bring up lagging body parts by injecting into smaller muscles. Growth hormone, IGF-1, and other things injected subcutaneously are done with insulin syringes that have a 1/2 inch length.

5) YES, you can mix water and oil-based steroids in the same syringe.

6) intramuscular (IM) injection: A technique to deliver a medication into muscle tissue for it's eventual absorption into the systemic circulation. Steroids, both oil and water-based, are administered this way.

7) subcutaneous (sub-q) injection: A technique to deliver a medication into the soft tissue (fat) immediately underlying the skin. Insulin, HCG, and HGH are typically administered this way.

8) aspiration: To aspirate is to withdraw fluid with a syringe. More specifically, after inserting the needle, pulling back on the plunger of the syringe for a few seconds to see if the needle is in a blood vessel. Rarely, this will be the case and a bit of blood will fill the syringe. If this happens the needle should be removed, replaced with a new one, and another injection site should be used. And yes, if there is a little blood in your syringe, it is ok to inject it along with your steroid once you have found a different spot..........it's your own blood isn't it?


Q&A Section:

1) Do I really need to aspirate?
Those who inject without aspirating are taking unnecessary chances. Sweating, nausea, dizziness, severe coughing, breathing difficulties, anaphylactic shock, coma or death can all result from not aspirating. Most of the time, steroid users experience dizziness and coughing fits when they inject into a blood vessel. But you need to be aware of the dangers of neglecting this simple technique that should take about 3-5 seconds of your time.


2) What exactly is an abscess?
Abscesses occur when an area of tissue becomes infected and the body is able to "wall off" the infection and keep it from spreading. White blood cells migrate through the walls of the blood vessels into the area of the infection and collect within the damaged tissue. During this process, pus forms (an accumulation of fluid, living and dead white blood cells, dead tissue, and bacteria or other foreign invaders or materials). Abscesses can form in almost every part of the body and may be caused by bacteria, parasites, or foreign materials. Most of the time, it is caused by unsanitary injection techniques. On very rare occasions, it can be caused by foreign particles your gear (a greater chance of this occurs when using/making a homebrew). The abscesses that we are concerned about are usually reddish, raised, and painful.


3) How do they treat an abscess?
Antibiotics are often given to aid the cure of an abscess but the real cure is generally surgical. A doctor would open the thing up and allow the pus to drain, then the body would take care of the infection. Some have even gone so far as to "drain" their own abscesses by inserting a needle/syringe into the abscessed area and drawing out the accumulated pus, although this is not recommended.


4) Can I reuse the same needle?
Yes, but only if you are an idiot or cannot obtain anymore needles. There really is no need to explain why you shouldn't re-use a needle. Common sense should kick in here, but the bottom line of re-using needles is an INCREASED CHANCE OF INFECTION. If you have trouble obtaining needles in your area, try finding a different way of getting them. The hassle of finding a source is negligible compared to the hassle of the abscess in your ass that would most-likely require a doctor and a scalpel. There are methods to "sterilize" a needle for re-use, but I will not delve into them. If you are still considering re-using a needle, re-read the above two questions.


5) Can I inject with the same needle I draw with?
Yes, but it is preferable to switch the needle out with a new one. The needle dulls significantly when pushed into the rubber stopper of your vial or scraped along the bottom of your amp. You may not notice the difference if you inject into your glute, but try injecting into an area that has more nerve endings such as a delt or bicep and you will notice immediately.

6) Does it matter if I push the needle in fast or slow?
I would recommend slowly, but this is personal preference. A lot of people will tell you to jab the needle in quickly. These people usually stop that practice after the first time they hit a nerve going in at full speed (usually quad shots). By going in slowly, you'll have more time to react if you hit a nerve.


7) How many ccs can I shoot in one place?
It depends on how big you are. A general guideline is 1cc for delts, 2cc for quads, and up to 3ccs for glutes. Some do more, some do less......it all depends. After a cycle or two, you will know what your body can handle. If you are injecting into other muscles such as biceps, triceps, or calves, it's best to start off with a small volume and work your way up.


8) Can I pre-load my syringes?
If at all possible, leave it in the vial or amp. If you need to pre-load, just keep in mind that the syringe must be stored safely. Preloading a syringe a long time before you will shoot it gives the chance for bacteria to get in the syringe and sometimes the solvents in the steroid will eat away at the plastic in the syringe, causing the plunger to "stick". I would not preload a syringe unless I was going to use it within the same day, or within the next 12 hours.


9) Which is the best brand of needle?
Terumo, B-D, and Monoject are the primary manufacturers of needles/syringes. Both Terumo and B-D have an ultra-thin wall design (the wall of the needle is thinner, so more fluid can pass through the same gauge of needle). From personal experience as well as opinions from many other steroid users, BD seems to be the highest quality. I've found Terumo plungers to "stick" from time to time.
 
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Common "FREAK OUTS"

I can't get all the tiny air bubbles out of my syringe....
As long as you tap it and get most of the air out, you will be fine. A little air intramuscular won't hurt you. According to the USH2 by Dan Ducaine, it supposedly takes about 10ccs of air injected into a blood vessel to kill you. I wonder how the hell they figured that one out.

I saw blood in the syringe after I pulled out....
You passed through a blood vessel and a little bit of blood entered the syringe on the way out. No biggie.

I pulled the needle out and blood dripped/squirted out....
You passed through a blood vessel. Apply a little pressure with your alcohol swab. You'll live.

I pulled the needle out and oil was dribbling out....
You injected too much in one place or you didn't inject deep enough. No biggie. Try injecting slower or leaving the needle in you for 30 seconds after you have injected it all. This should give the oil some time to dissipate so very little, if any, should dribble out.

I injected into my quad, and my leg was twitching....
You grazed a nerve. Usually it's a good idea to pull out and try another spot.

I don't think I injected deep enough....
If you think you injected into a layer of fat, don't worry. It will just take longer for the steroid to dissipate than it would if you had injected into the muscle. Eventually it will be absorbed. Don't let anyone tell you that you wasted it because that is not true.

I want to mix two different steroids and combine them into one syringe. How do I do this?
Let's say you want 1cc of deca and 1cc of test. First, draw 1cc of air and inject into your vial of deca. Withdraw 1cc of deca and pull the needle out. With the needle pointing up, draw 1cc of air into your syringe (your plunger will be at the 2cc mark - 1cc of deca in it and 1cc of air you just drew into it). With the needle pointing up, inject that 1cc of air into your vial of test. Withdraw 1cc of test. You now have 1cc of deca and 1cc of test in the same syringe. Don't forget to change the needle before you inject.

Instructions for first-timers.....

Step 1
Wash your hands.
Step 2
Wipe the top of the vial of medication for injection with an alcohol swab.
Step 3
Remove the needle guard from the needle and syringe, saving the needle guard. Be sure you are using a proper syringe for intramuscular injections. Pull back on the syringe plunger to draw up an amount of air equal to the amount of medication that your doctor has prescribed for injection. For example, if you want to inject 2ccs of oil, then pull back 2ccs of air.
Step 4
Holding the vial of medication in an upright position, insert the needle straight through the center of the rubber stopper in the vial. Then push the plunger to discharge all the air into the vial.
Step 5
With the needle in the vial, turn the vial upside down and hold it in one hand. The tip of the needle should be in the solution. Using your free hand, pull the plunger back in a slow, continuous motion until you have drawn into the syringe the amount of medication that your doctor has prescribed.
Step 6
If air bubbles have formed in the syringe, dislodge them by gently tapping the syringe with your free hand while continuing to hold the syringe and vial in the inverted position. Bubbles should rise to the top of the syringe, and then you can push them back into the vial by moving the plunger. Double check to make sure you have the correct amount of medication in the syringe. If necessary, draw more solution into the syringe.
Step 7
Remove the needle from the vial. With the needle pointing upwards, pull back on the plunger until all oil from the needle has been pulled back into the syringe. Unscrew needle from syringe and replace with a brand new, preferrably smaller needle. Replace needle guard.
Step 8
Prepare the injection site by cleaning the area with an alcohol swab. To do this start at the center, apply pressure, and cleanse in a circular motion working outward. Do not retrace your steps.

Step 9
Wait a few seconds until the alcohol has dried. This reduces the sting. Remove the needle guard from the needle and syringe. With the needle pointing upwards, tap the syringe to dislodge the air bubbles and push the air out of the needle until you see a tiny drop of oil start to form at the tip. Hold the syringe as you would a pencil.
Step 10
Holding the syringe at a right angle (perpendicular) to the prepared injection site and insert the needle.
Step 11
When the needle is in place, slowly pull back on the plunger to see if any blood flows into the syringe. If some blood does enter the syringe (a rare occurrence), remove the needle, replace the needle with a new one, find another area to inject. Repeat Step 8.
Step 12
If no blood enters the syringe, slowly inject the medication by gently pushing the plunger until the syringe is empty.
Step 13
Remove the needle quickly. Apply pressure to the injection site with your alcohol swab. You're done. Massage the area. Now go do the most important parts - eat and train!
 
Injecting Procedures

All oil based and water based anabolic steroids should be taken intramuscularly. This means the shot must penetrate the skin and subcutaneous tissue to enter the muscle itself. Intramuscular injections are used when prompt absorption is desired, when larger doses are needed than can be given cutaneously or when a drug is too irritating to be given subcutaneously. The common sites for intramuscular injectons include the buttock, lateral side of the thigh, and the deltoid region of the arm. Muscles in these areas, especially the gluteal muscles in the buttock, are fairly thick. Because of the large number of muscle fibers and extensive fascia, (fascia is a type of connective tissue that surrounds and separates muscles) the drug has a large surface area for absorption. Absorption is further promoted by the extensive blood supply to muscles. Ideally, intramuscular injections should be given deep within the muscle and away from major nerves and blood vessels.

The best site for steroid injections is in the gluteus medius muscle which is located in the upper outer quadrant of the buttock. The iliac crest serves as a landmark for this quadrant. The spot for an injection in an adult is usually to 7 1/2 centimeters (2 to 3 inches) below the iliac crest. The iliac crest is the top of the pelvic girdle on the posterior (back) side. You can find the iliac crest by feeling the uppermost bony area above each gluteal muscle. The upper outer quadrant is chosen because the muscle in this area is quite thick and has few nerves. The probability of injecting the drug into a blood vessel is remote in this area. Injecting here reduces the chance of injury to the sciatic nerve which runs through the lower and middle area of the buttock. It controls the posterior of each thigh and the entire leg from the knee down. If an injection is too close to this nerve or actually hits it, extreme pain and temporary paralysis can be felt in these areas. This is especially undesirable and warrants staying as far away from this area as possible.

3 Common Sites for Intramuscular Injections:

1. BUTTOCK
diagram 1

2. LATERAL SURFACE OF THIGH
diagram 2

3. DELTOID REGION
diagram 3

If the gluteal region cannot be injected for some reason, the second choice would be the lateral portion of the thigh. Usually, intramuscular injections in the thigh are only indicated for infants and children. The vastus lateralis muscle is the only area of the thigh that should be injected intramuscularly. This site is determined by using the knee and the greater trochanter of the femur as landmarks. The greater trochanter is the bony area that you can feel where the femur joins the pelvic girdle. The mid portion of the muscle is located by measuring the handbreadth above the knee and the handbreadth below the greater trochanter. Injecting into the front of the thigh or inside of the thigh is extremely unwise. These areas contain nerves as well as a number of blood vessels.

Injection Procedures:

It is important to choose the proper syringe for the administration of injectable anabolic steroids. The principle components of a syringe include a cylindrical barrel to one end of which a hollow needle is attached, and a close fitting plunger. The most acceptable syringe for injecting anabolic steroids is a 22 gauge 1 1/2” or 23 gauge 1” apparatus with a 3 cc case. This length allows for penetration to reach deep inside the muscle tissue. Shorter needles, 5/8” or 1/2” are usually not sufficient for intramuscular injections and occasionally leave a portion of the Injection in a subcutaneous area which will cause a swell between the skin and muscle as well as impaired absorption. The gauge size of a syringe represents the needle\rquote s diameter. The lower the gauge number, the wider it is. A 27 gauge needle is very thin. An 18 gauge is quite wide; it is often referred to as a cannon. The 22 and 23 gauge needles are not so large that they are difficult to insert, yet are large enough for solutions to easily be propelled through them. The use of insulin needles is not acceptable; they are simply too small. Usually, insulin pins are 25 to 27 gauge and only a 1/2” long with a 1 cc case.
 
What to Use for Injections:

There are a number of steps that should be understood in order to complete a safe and proper intramuscular injection. First off, before handling any needles or vials, the user should take a thorough shower. Next, an alcohol swab should be used to clean the injection site and another alcohol swab should be used to clean the rubber stopper on top of the vial which will be drawn from. Then, take a brand new syringe out of its wrapper, remove its plastic top, draw about 2 ccs of air into it and insert it into the vial. Inject this air into the vial; this creates pressure within the vial and makes it easier to draw out oil based preparations. Then, turn the vial upside-down and slowly draw out the oil until you\rquote ve overdrawn at least 1/4 cc. For example, if someone was going to take a shot of 1 cc, they should pull out approximately 1 1/4 to 1 1/2 ccs of liquid, then tap the side of the case to help get the air bubbles that were drawn into the syringe to come to the top. At that point, the excess 1/4 to 1/2 cc could be injected back into the vial and the needle removed. Then, hold the syringe needle-side-up and continue to tap it to encourage all the air bubbles to come to the top of the syringe. Now, take another clean syringe, remove it from its sterile package and unscrew the needle from the syringe. Exchange the brand new needle for the one that has just been injected into the stopper. By using two needles for every injection, you can take advantage of using the full sharpness of the pin. The needle does suffer some dulling when it is pushed through the firm rubber stopper on a vial. It is important not to touch this needle before the injection. It should not come into contact with a counter top, your fingers, nor should it be cleaned with alcohol. This needle is sterile and should not be touched. At this point, once again swab the injection site with alcohol, then press the stopper of the syringe holding it needle-side-up, until the slight air bubbles that are at the top are pressed out. Once a bead of oil has appeared at the top of the needle, allow it run down the surface of the needle which provides lubrication.

At this time, take the syringe and hold it like a dart. Use the other hand to stretch the skin at the injection site and simply push the sharp clean needle in. After inserting it deep into the muscle, pull back on the stopper for a few seconds to make sure it does not fill up with blood which would indicate that the needle had been injected into a blood vessel. Providing there is no blood present in the syringe, slowly press the stopper down until all the oil is injected. Then, quickly pull the needle out and take another alcohol swab and press firmly on the injection site. This will minimize bleeding, if there is any, and by firmly pressing on the injection site and slightly massaging it, some of the soreness may be eliminated. It is important that the liquid is not injected too quickly as this causes more pain at the site during the injection and in the proceeding days.

After this procedure has been completed, return the plastic caps to shield the needles and make sure they are discarded properly.

To avoid discomfort and excessive scar tissue at the injection site, it is not wise to inject more than 2 ccs of solution per shot. It is also not prudent to use the same injection site more than twice a week (once a week is preferred).

A good site for injections below!



SpotInjections.com



( not claming credit for writing all of this)
 
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This an excellent read. I'm putting this into my favorites for reference. Good stuff for everybody.


Holy shit, I just noticed you have Farrah Fawcett as your avatar. I had that same poster on my bedroom wall when I was a kid! Nice nipple-shot, signature and everything!
 
i brought this up from the past for the new guys i see around.Seems alot of people seem to be afraid to inject, this should help a good deal.At the far bottom is a website with injections diagrams for everyone as well
 
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