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Research Chemical SciencesUGFREAKeudomestic
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please help! need advice on gaining, steroids (1st post)

erin

New member
Hi!
I’m trying very desperately to increase my weight, but particularly my muscle. Due to HIV, I underwent a period of severe wasting (went from being almost 130 lbs to 93 lbs – I may also post something on the HIV and anabolics forum, but as far as I could tell, all of the HIV+ people posting there were men, and from what I’ve heard, they have an easier time gaining muscle than we do and anabolic steroids affect us differently, so I thought I’d ask you ladies for advice first) – my doctors + I have gotten my HIV better managed, and I’ve been able to gain back a large amount of the weight (I’m currently 116lbs), but it came back as all fat, no muscle at all. While, to a certain extent, weight is weight (better to be 116 lbs than 93, even if it is just flab), lean body mass is the best thing to have in order to prevent future wasting/illness. I started lifting weights (not actually for the first time – I lifted as a teenager after my kids were born) and have gotten a lot stronger (for example, i could never do a pullup before in my life and now I can do 5) but not any bigger. I’ve gotten “firmer” (less of the “skinny-fat” thing – I was, like, the ultimate skinny-fat following my muscle wasting + subsequent weight gain), which I’ll take to mean I’ve gained a tiny amount of muscle (really not very much), but I’m lifting weights that are heavy (that is, heavy for me – certainly not for some of you gals, judging by your pictures!), in rep ranges 4-10, and not getting bigger. My doctor has offered to prescribe me anadrol. Here’s info about me and what I’m doing:
Stats: 5’7, 116lbs, BF unknown (only had it tested once + it was 14% [14-point-something – I forget exactly] but this was at a lower weight and before I started lifting). Oh, I’m 26 – if that matters.
Goals: gain muscle! I want to get up to 130-135 lbs and have a significant part of the weight gain be muscle. Or maybe I should say, I’d like to gain at least 15 lbs of muscle and I don’t really care that much if I gain some fat on top of it. Aesthetics aren’t really my number one priority, but still, I don’t really want to be virilized.
Current Training:
For the last couple weeks I’ve been doing legs/back/bis and chest/shoulder/tris – I’ll do l/b/b, day off, c/s/t, day off, and so on. this is mostly b/c I’m short on time – before that I was doing one body part per day and really working it as hard as I could.
Someone recommended to me that I switch to a more basic lifting schedule – 3x/wk basic full-body workout, only do 1 set each exercise (!) of squat, deadlift, chest press, military press, bent over rows, pull-ups (you get the point – large, compound lifts; no bicep curls!) b/c right now I’m getting very fatigued between sets + seem to have to wait several minutes between one set and the next to not still be feeling the failure from the last set (if I only wait a minute or two, either I have to drop the weight, or I can only get off a couple reps). Also, during my workouts I get famished – eating up to 3000-3500 cals during a workout only lasting a couple hours (they’re long b/c I take longer breaks b/w sets), which made someone suggest that I might be pushing my body into a catabolic state unintentionally – does this make sense to you guys? It really is the only time I’m hungry. All other times of day, I have to force feed (cachexia).
cardio = 40 minutes/week (one 15-minute session, one 25-minute session, both on the stairstepper, alternating between a high level and a lower level – probably not quite HIIT but something kind of like it, I’ve made real gains here in my aerobic capacity which is my only real goal. I do it on the stairstepper b/c of all the cardio, it seems to be the best for building up the leg muscles).
Current Meal Plan (Note: on lifting days i’ll sometimes eat about 1500 cals more because I get famished during my workout but later won’t force myself to eat as much b/c I figure ‘I already ate so much!’ – it’s basically the same type of food though). Here’s a sample, non-lifting, day:
Breakfast:
3 russian pancakes + raspberry topping
deep fried potatoes + onions, ketchup + ranch dressing
2 or 3 bites of scrambled eggs (don’t like most eggs, but make them for my kids, eat what I can)

snack:
rest of potatoes + onions, ketchup
oatmeal cookie

lunch:
raviolis in vodka sauce
12 vegetarian meatballs (lots of soy protein)
oatmeal cookie

snack:
breyers natural vanilla ice cream w/ 3 scoops whey protein powder (nasty, but only way to get that protein)

dinner:
pad thai with wheat gluten, tofu, potatoes, onions, small amounts of green beans + broccoli
small amount of spicy shredded carrot salad
lava cake

snack:
bit of pad thai
½ lava cake
30 slices yves vegetarian pepperoni (major protein)

before bed:
oatmeal cookie

my diet varies day-to-day, but it’s generally high-carb, high cal (around 5000 per day, much higher on lifting days), fat’s pretty high, and because calories are so high, protein is probably pretty low as a percentage of total calories (like, under 10% on a lot of days), but I do manage to get well over 1 gram per pound of bodyweight. If it wasn’t obvious, I don’t eat meat, which makes protein a bit tougher, don’t really like eggs, and don’t really like the whey supplements much, though I’ll force them down. I do like the fake meat supplements, tofu, etc. I eat a ton of white carbs/sugar with fat, which I was told was the easiest way to put on fat, and it’s just the easiest way to eat period (cost-wise, taste-wise, etc.)! though my diet certainly isn’t “clean” by any standards, I do cook 99% of what I eat myself (all of the deserts, entrees, breads, toppings, salad dressings, pasta sauces, sometimes the pastas like raviolis – the only things I don’t really make myself are the processed ‘fake meats’, mostly because when I’ve tried to make my own fake meats, the protein content has come out WAY lower, and of course things like ice cream, cheese, etc. I don’t make), so I’m not getting a lot of the processed junk/preservatives/artificial flavors, etc. that comes in packaged foods – tastes better, too! I’m one of the lucky people on saquinavir/ritonavir who doesn’t have elevated triglycerides + bad cholesterol (not sure if being a woman helps, or if it’s just luck, but my MD says not everyone gets it, but that I’m still very lucky not to), so I’m not that worried about the fat/cholesterol content of my diet.
Medical Concerns:
Meds: Fuzeon, Kaletra, Invirase, Trizivir (HIV), Oxycontin 180 mg 2x day, Lyrica 225 mg 2x/day, Synthroid 300 mcg every morning (hashimoto’s thyroiditis), Topamax 200 mg 2x/day, Zofran 8mg 3x/day (sometimes I bite them in half so they’re 4mg); Lomotil every 4-6 hours as needed (not THAT much b/c of the Oxycontin), Cymbalta 30 mg 2x/day, clonazapam 2 mg 3x/day, dextroamphetamine 10 mg every 4 hours as needed (not very often), hydromorphone or Actiq 1600mcg fentanyl lollypops as needed, ketorolac 30 mg injections as needed, Halcion .25 mg as needed for sleep (take 2) – i know i’m forgetting something here, but i think i got the important ones. I can edit later if I remember.
Also: creatine monohydrate 3600 mg/day (1200 mg capsule 3x/day), one-a-day women’s multivitamin, omega-3 fatty acid supplement
Alcohol: never
Cigarettes: approx 2.5 packs/day

So my MD has suggested prescribing me anadrol, but it’s my choice of course. I really feel like he and the other HIV doctors have very little experience with giving this drug to women (and with giving anabolic steroids to women in general). And even though you ladies may not be doctors, and may not know all that much about my medical conditions or meds (or, at least I don’t expect you to; if you did, I would be very impressed!), you actually are women, you actually have built muscle, and judging from what I’ve read already on these boards, at least some of you have personal experience with taking steroids. But even for those of you who have never taken them, I’m not just going to listen to my doctor, who looks like he’s never even seen the inside of gym, without checking first with women who’ve actually been there and know what it takes for women to build muscles.
I would be very interested in hearing about your experiences with anadrol (yours personally or those you’ve seen other women have). I don’t quite understand why anadrol is so preferred – all of the studies I could find on giving anabolics to HIV+ women who were wasting used nandrolone, but apparently (according to my MD), they now prefer to use anadrol. There are no studies comparing the two, or as far as I can tell, any studies done on anadrol at all. Do any of you see any benefits to using anadrol over nandrolone? Or is there some other steroid that is more effective/less virilizing than either of them? I feel like the doctors are making this choice entirely based on one or two anecdotes (a patient here or a patient there might have liked anadrol or not like nandrolone – why aren’t there any freaking studies?). I’m not sure if the doses you guys would use are the same as the “therapeutic dose” that my MD would be giving me. I’ll be seeing him on wed. and I can ask exactly what dose I’d be taking, but I know that in one nandrolone study, the HIV+ women were given 100mg of nandrolone decoanate (IM injections) every other week, if that gives you any idea of what sort of dose I might be getting (of course, my MD might think that that’s too little or too much for me, and that’s not even the one he’s suggesting that I take, but just so you can compare it to the doses that bodybuilders use). The side effect I really would not like to happen to me is body/facial hair. A slightly lower voice I could deal with (my voice is so damn high, if it were lower i’d probably be less annoying to those around me!), sexual enhancement – bring it on!, and as far as menstrual irregularities/infertility go, i’m not really concerned b/c i already have 2 kids and don’t want more, and i haven’t menstruated in at least a few years anyways (docs aren’t sure exactly why: opiates suppress menstruation and i’m on a good dose of oxycontin, but about a quarter of HIV+ women have unexplained amenorrhea and that number shoots up to 40% once their weights drop under 90% - although at that point, it’s just chocked up to ‘low body weight’, so it could really be anything, but i could really care less).
I’m a bit worried because I read somewhere in one of the stickys or the links off of one of them in this forum that anabolic steroids DO cause fat loss. I don’t have the medication-induced lipoatrophy, but because of just regular wasting/weight loss, my face already looks hollowed out (I have very high cheekbones so even a little bit of fat loss in the face looks terrible) – is the fat loss from anabolics likely to be in the face? Or in the chest? It’s weird, but when I lose weight, it seems like it goes so easily from my face and my chest (I used to be a 34-36C, now I’m a 32B, although I’m embarrassed to admit it + will still wear an old 34C bra sometimes even though it’s now huge) but when I gain weight, it doesn’t really come back! And those are the places where I want it most! Is fat loss from anabolics inevitable, or can it be prevented by eating more calories?
How much weight would you expect me to gain of fat and muscle from taking anadrol (or another steroid)? Would you expect it to stay on or fall off immediately after the course? That is, would I be endlessly gaining a few lbs of muscle just to lose and then gain it again on the next course – that wouldn’t be worth it to me. Looking at my exercise + diet, is there something better I should be doing than resorting to steroids?
I’ve been taking synthroid (T4) for autoimmune hypothyroidism for almost a decade, even though I’ve never had overt symptoms of hypothyroidism other than the lab results and depression (which I don’t believe is related) – I know that bodybuilders sometimes take T4 or T3 in order to lose fat. When you stop taking it, do you gain fat? That is, if I stopped taking my T4 and went back into my naturally hypothyroid state (this is against medical advice, but just theoretically), how much fat would you expect me to gain? Do you gain any muscle too?
Do those of you who are bodybuilding eat so clean because it takes really clean food in order to build muscles, or just because you want to stay lean? I’m not really that concerned with staying lean (from an aesthetic standpoint, I’d probably like a couple more lbs of fat on me, as long as they went to the right places) – as long as I’m getting sufficient protein, taking my vitamins + creatine, does it really matter that much for purposes of building muscles if most of my carbs/fats come from less than clean sources?
I would really appreciate any advice that any of you can give me. I know I’ve sort of written a lot here. Also, if any of you ladies happen to be HIV+, i’d be particularly interested in hearing from you in how you’ve managed to build muscle/keep weight on – I understand though if you don’t want to reveal your status in an open forum, but please do contact me through a private message – I won’t reveal your status.
Thanks so much! -Erin
 
Hi Erin -

Wow! You've been on quite a trip. First congrats on setting the goals of building some lean mass with all those challenges you have. I'm not EVEN going to attempt to comment on your meds protocol.

Are you vegan by choice or by necessity? Seriously, you are starting at a massive deficit if you don't consume any quality protein sources & you want to gain muscle mass - you aren't giving your body anything to build muscle with.

You bet lots of "white" sugars & carbs will put fat on you - they are shitty sources of energy at best. Your whole diet honestly makes me cringe because it all looks like such a pile of wasted calories - I mean for the most part it seems all your body would be able to do is either pass it or deposit it as bodyfat. I also didn't notice if you are getting any quality fats? Not processed shit or part of fatty food, but real quality fats like fish oils / EFAs, nuts, natural peanut butter, etc.

Have you talked w/ a nutritionist or perhaps even a sports-oriented person w/ background dealing w/ wasting diseases? I hesitate to make real comments on your diet because you've gotten some input about how to eat with regard to just gettign weight back on, but from a "fitness & bodybuilding" standpoint, your diet is my worst nightmare - I woudlnt' touch that diet even if I had a raging metabolism and could eat anything.

First I want to suggest that you put yoru diet into a food counts program to look at the ratios - protein / fats / carbs & total cals if you haven't already. The thing is that all the shit you are eating - sure its calories, but I'd almost venture to say that your body is nutritionally starved because there's nothign in there that is basic stuff your body needs to run.

I personally think soy protein is a crappy source of protein because it is so estrogenic, as can be things like wheat gluten.

I don't really understand why you are having such a problem eating things like eggs & protein mix -- there are a thousand ways to eat these such that they don't gag you.

For ex, for breakfast I regularly eat 1/2 c Old Fashioned oatmeal, 1 whole egg, 2 egg whites & 1.5 scoop of low cal / low carb / low fat protein mix (I use VPX Zerocarb - generally stick w/ vanilla because it is a fairly inert flavor that I can kick up w/ some fat free /sugar free jello pudding mix, flavored liquid Stevia or other stuff). But get this - if you don't like the eggs scrambled, make the whole thing into protein pancakes, i.e.

- make the oatmeal like u normally do - nuke for 1 min 30 sec w/ water.
- mix in 1.5 - 2 scoop protein mix
- I add 2 packets of splenda - its just enough to give the results a good flavor
- mix all that together
- mix in 1 whole egg & 2 egg whites to make a batter
- throw it all in a pan w/ PAM or some non-stick spray.
- Let it cook until you can cut it into quarters & flip it - (i.e the bottom side is toasty brown, not burnt) -- just like making a big pancake (but quartering it makes easier to flip) and finish cooking the other side.

These are really good w/ jelly, etc. - tastes like some of those cakey breads. And absolutely healthy - about 30 g carbs, around 35 g protein and a little bit of good fat.

Other ways to make the protein mix not so gaggable - I dont' like shakes so much anymore so put in just enough water to make 1-2 scoops of protein mix into mush. Its really good if you add 1-2 tbls of natural peanut butter - another good fat source.

And the usual - mix it in a blender w/ natty PB, milk, yogurt, etc.

Your carb sources - again - eeek all the white processed junk. This is stuff that more bogs your system down than providing clean sources of quick carb-based energy. I'd replace the pasta and all that w/ potatos, sweet potatos, brown rice, wild rice, oatmeal / steel cut oats, etc.

Also looks like your veggies are very limited.

If you are burning through upwards of 5000 calories are you still experiencing wasting challenges from HIV?

For what you are trying to accomplish I would really recommend seeing if you could get referred to someone who is sports-oriented and can build you a diet that meets your body's challenges and also builds muscle. I'd seriusly revamp what you are eating because it is just a pile of calories of which I think your body just cant' use them. And the excess of processed crap just bogs down your body's ability to use the nutrients efficiently and it doesn't seem like there's much there that is really usable anyway.
 
Hi Sassy,
thanks for the reply! so it really all comes down to diet, huh? i guess i was sort of under the impression (wrong as it would turn out) that bodybuilders ate clean in order to stay lean, but that if someone was just trying to build muscle, all that really mattered was getting enough protein and calories + that it didn't really matter all that much where it came from. that my diet needs to change is not what i wanted to hear (b/c it's probably the hardest thing to change), but i'll give it a try before i go the steroid route.
i plugged my foods for today into the calorie counter + got 33.9% fat (197 grams), 17.3% protein (227 grams), 48.8% carbs (638 grams), 6960 mgs sodium, 41 mgs fiber, 599 mgs cholesterol. of course, almost half of that protein is from soy-meat or tofu (well, no tofu today, but lots of soymeat) - are estrogenic proteins harder to use for muscle-building, or do you just not want the extra estrogens in your system in general? my estrogen/progesterone levels are tanked anyways (which would be easy to fix w/ replacement therapy, but i'm not having any neg symptoms); i know that one reason not to eat a ton of soy is that it can lower thyroid function, but i'm already on thyroid meds + my endocrinologist says we can just raise my dose if the soy has any effect.
i'll definitely try the pancake recipe. sometimes i'll throw tiny bits of protein powder into regular recipes, but i've never tried putting a LOT in. i also put extra egg whites into recipes (one of the reasons i make lava cakes so often is b/c i can put so many egg whites in; it may be 'higher protein' than other cakey-type deserts, but in the scheme of things, it's still pretty awful for me!)
i'm totally a vegetarian by choice (i've never even heard of anyone being a vegetarian by medical necessity), but i've been one for as long as i can remember. i do eat eggs in their non-slimy forms (mostly egg salad), a lot of dairy (tons of cheese - grilled cheese sandwiches, lots of cheese in italian foods like raviolis, cannolis, lasagna, calzones, pizza, etc., i drink milk but usually prefer soy milk over regular milk, cottage cheese)
i've never eaten (or even tried) artificial sweeteners like splenda - are they really better for you than sugar?
i get a few healthy fats - i take an omega 3 supplement + i put a lot of nuts (usually walnuts) in the deserts i bake (stuff like oatmeal + choc chip cookies, banana bread, pumpkin and apple spice cakes, etc.), but other than that, not really - peanut butter is one of my least fave foods (i'd rather eat nuts straight). i get a lot of oil in my diet, but probably not the right kinds.
i guess i'm a bit worried about a cleaner diet meeting caloric needs. when the really big male bodybuilders are in bulking up phases, they must eat even more than i do - how the hell do they manage to eat over 5000 cals a day in clean foods without spending all of their waking hours either cooking or eating? i still have some problems with having an appetite (my MDs + i have tried various pharmacological interventions for this, but the only thing that actually makes me want to eat is lifting weights! the effect is short-lived but during and for a while after i lift, i can actually feel hunger and desire for food, whereas at other times, i'm at best apathetic and at worst repulsed by thought of eating and have to force it. this makes me REALLY like lifting - i don't get the same effect from doing cardio), so my strategy has basically been to get my calories as easily + painlessly as possible. that usually turns out to be high carb, high sugar, high fat. eating clean would, i assume, mean a LOT more volume. and the lean proteins have so few calories!
i can definitely do the potatoes and rice. maybe make some kind of potato curry with coconut milk to add calories + serve over rice. can't do too much oatmeal (i try to avoid really high fiber foods b/c diarrhea), but i can do some. is cream of wheat ok? it's a lot lower fiber.
did you like clean food when you first started eating it? i've only had sugar-free or fat-free food a couple times (long, long time ago) and it always tasted funky - is that something you get used to or actually start to appreciate after eating it a while?
how long do you think i have to start eating clean to see results in terms of gaining muscle?
also, to see results, do i have to cut ALL the crap out of my diet, or just cut enough out that i can get enough quality stuff in? that is, is the problem that i'm totally nutritionally deprived because everything i eat is crap + i'm not getting anything decent and that if i can get some decent stuff in i'll be ok, or will i still have a problem because all the crap is clogging up my system and preventing the decent stuff from being put to use? or, to put it a better way - for a person to build muscles, what %age of white carbs/sugars can they still eat?
thanks so much for all your help! -erin
 
Wow .. well I guess I"m not going to attempt to prescribe use / non-use of soy products. They are estrogenic which promotes female-pattern fat depositing. In your case maybe its not a big deal. You need the proteins to provide building blocks to build muscle. YOu need good quality carbs to provide energy. All the white processed junk just makes your body work that much harder for less and worse quality nutritients.

As far as % of white carbs / sugars a person can eat & build muscle - I think it has more to do with how much of that can they burn off and afford to store as fat? When you talk about the volume of calories big male BBs eat, remember that the ratios of macronutrients are more like 50+% protein - sure its a lot of crap in there too - but its a lot of protein as well.

Good protein sources -

- sure cream of wheat is fine instead of oatmeal
- brown rice
- rice cakes
- potatos
- sweet potatos

Sources of proteins - again if you choose to be vegetarian it means you need to work harder to get in enough protein sources. You noted that the lean cuts of meat arent' very high calorie - nothign wrong w/ that - not everything you eat has to be loaded w/ crap. I wonder if you eat less food of higher quality than more food of lower quality will you be less hungry & get better results? Also our bodies weren't designed to process heavy processed, sugary, fatty junk - so that stuff doesn't really do much and causes its own side effects that defeat the basic metabolic functions.

A great way to see how to get more calories & better macronutrients in is just spend some time building a meal plan on Fitday.com - try different variations & portions & see what you get -- you might even sit down w/ one of your docs to do this.

YOu also asked did I like clean food when I started - it sometimes takes a while to get used to different things. I've always tended to eat things pretty plain - esp once I moved out of my parents' house & had to cook for myself. Takes too long to do all the fancy sauces & stuff. Nuke & go is my motto. As I went along tho, I noticed I had more energy, felt a LOT better, my skin stayed clearer and eventually I lost a taste for lots of sugary crap - granted I have my moments, but I know I can produce better results in the gym & I have more control over my body if I eat clean instead of giving into the momentary cravings. I feel so much better now when I dont have a pile of sugar in me -- nowadays if I get the craving & I pound a bunch of chocolate or something I actually get heart palpitations from the sugar rush and I feel like garbage for 2 days. Its a different way of looking at things but I felt I'd rather feel better in the long run than continue to throw in junk every day.

There are lots of things that you can eat - I'm not saying you have to stick w/ the strict diet stuff like a bodybuilder on competiton prep does, but look for alternatives to the high fat / high carb / processed desserts because, yes they are calories, but no they aren't usable calories.

RE: sugar free / fat free - dont eat them if you aren't calorie counting. Sugar free stuff like diabetic candies will cause "the runs" as it implies on the labels. Fat free - that usually means they pulled out the fat and stuck in a bunch of sugar or other junk to make it taste like something other than spackle. Much better to eat REAL food.

RE: Splenda - I'm not going to say its "healthier" than sugar - but its good sugar substitute in moderation, and unlike nutrasweet, you can cook w/ it.
 
Erin, I understand you're dealing with a lot in your life/health but you're not doing yourself any favors in the weight gain department by smoking 2.5 packs of cigarettes a day (plus you're really beating the hell out of your lungs and leaving yourself WIDE open for potential bronchitis/pneumonia at the drop of a hat).

Speaking as a former smoker myself, dear, I didn't have a compromised immune system and I had bronchitis at least once a year every year that I smoked.
 
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