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Anabolic Discussion Board Where do they get this S**t
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Author | Topic: Where do they get this S**t | ||
Cool Novice Posts: 19 |
The following is an artical from NEMJ. It is info like this that the medical comunitte uses to draw conclusions to make us look bad. Large Hepatic Hematoma and Intraabdominal Hemorrhage Associated with Abuse of Anabolic Steroids -------------------------------------------------------------------------------- To the Editor: Hepatocellular neoplasms, peliosis hepatis, and hepatic necrosis have been reported to be complications of long-term therapy with androgenic anabolic steroids. (1) We report a case of a large subcapsular hepatic hematoma and subsequent intraabdominal hemorrhage associated with the abuse of anabolic steroids by a bodybuilder. A 24-year-old man was admitted to the hospital with right-upper-quadrant pain, mild tachycardia, hypertension, and oliguria. The patient reported a 23-month history of polydrug abuse to enhance the results of his bodybuilding exercises. He had been taking mesterolone (50 mg) daily and nandrolone (400 mg), clomiphene (50 mg), and chorionic gonadotropin (1250 IU) weekly. The patient reported no history of abdominal trauma. The serum aspartate aminotransferase level was 295 U per liter, and the serum alanine aminotransferase level was 927 U per liter, with normal levels of total bilirubin, alkaline phosphatase, and (gamma)-glutamyltransferase. Abdominal computed tomography (Figure 1) showed a large subcapsular hematoma of the right liver lobe measuring 20 by 8 by 19 cm. The patient's condition was stabilized, and he was observed in the intensive care unit. An abdominal sonogram showed more than 1.5 liters of free fluid in the abdominal cavity, and rapid surgical exploration was necessary. The macroscopic appearance of the affected hepatic region and the histologic results of the biopsies showed extensive hepatic necrosis with no atypical or malignant cells. Coronary artery disease, (2) thromboembolic complications, (3) and intraabdominal bleeding caused by benign liver tumors (4) are known complications of long-term abuse of anabolic and contraceptive steroids. This case adds hepatic subcapsular hematoma to the list. A recent survey of commercial health clubs in northern Germany reported that the average dose of nandrolone is 308 mg per week per consumer. (5) The maximal dose for nandrolone should not exceed 50 mg per month, so the patient had taken more than 30 times the upper therapeutic dosage over a period of 23 months.
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