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The Chi-square test was performed to compare the number of websites found after carrying out the searches of the three products evaluated in the different countries, considering their characteristics and the countries they shipped to. Secondarily we will estimate the offer of these compounds when buying from different countries, which would mean that there is greater tolerance to its sale depending on the State and its regulations. Androstenedione is a steroid hormone intermediate in the production of estrogen and testosterone. Due to its relevance in the intrinsic synthetic pathways of androgens, it is used among athletes to achieve a change in body composition, whether it is a decrease in fat mass or an increase in muscle mass (Tokish et al., 2004). On the other hand, the favorable anabolic effects of androstenedione are inconclusive (Rasmussen et al., 2000; Brown et al., 2006), but the adverse effects such as reduced sperm count, impotence, and gynecomastia are conclusive (Badawy et al., 2021). In the case of DHEA, it is an androgen precursor, commonly used in premenopausal and postmenopausal women as hormone therapy (Rabijewski et al., 2020).

Different harm reduction strategies could be employed to limit this user community from either getting in contact with fake AAS from the black market or to promote safer use and informed decision making. One strategy could entail the controlled use and availability of these substances through proper health channels. This strategy has already been employed in other fields of addiction medicine already. In the opioid field, one of the most effective harm reduction measures is the medical prescription of opioids (opioid agonist therapy), together with psychosocial, interdisciplinary care 62.

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Nevertheless, there is a big black market for steroids as performance-enhancing drugs, with athletes and bodybuilders making up a considerable number of users. There are both federal and state criminal penalties for the illicit use or sale of steroids. When you order from our online shop, you always get the highest quality at the lowest price! We partner exclusively with brands that deliver the best value for money.

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Some of the most well-known and commonly used oil-based steroids include Boldenone (Equipoise), Drostanolone (Masteron), Nandrolone (Deca & NPP) and Testosterone esters like Enanthate, Cypionate, Propionate and Sustanon. If you have been accused or arrested for the sale or possession of steroids, it may be helpful to consult the advice of a drug lawyer. As penalties and fines may vary between jurisdictions, an attorney’s expertise may be necessary to understand the complex nature of this area of law. The intent to distribute steroids has an average prison sentence of one to 10 years plus a $15,000 fine.

• If you decide to purchase steroids online, Dragon Pharma Store gives you the opportunity to buy it from «US Domestic UP to 7 Days» category.
• On one hand we have unrealistic masculine body image standards for gay men, which promote and even demand the use of anabolic drugs to reach that goal.
• What’s the most extreme you’ve ever taken, and how long have you been taking it?
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• The availability of acquiring doping substances in the same country or in other countries; 2.
• It resulted in the federal conviction in 2011 of a supplement company for introducing and selling an unapproved drug.

However, all pharmaceuticals are undoubtedly coupled with unique side effect profiles, and steroids are no exception. In the case presented, the assessment and management of a 36-year-old male who inappropriately self-administered high-dose steroids for prolonged periods of time is reviewed. In doing so, attention is drawn to both the impact of glucocorticoid-induced osteoporosis and the greater risk of online availability of these powerful medications. A factor that may have contributed to this case is that recreational steroid users often take much higher doses than what is prescribed for medical patients.

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Although these methods may be useful for some suspected samples, this must be further supported by analytical techniques. There is a broad availability of different analytical tools used to identify counterfeit AAS on the black market, as included in this systematic review. Although approaches using gas and liquid chromatography coupled to mass spectrometry as well as spectroscopic techniques were most frequently used for this systematic review, novel techniques have been developed in the recent past. Analytical methods can vary considerably in terms of instrumentation cost, analysis time, and identification and quantification software. Most analytical approaches require sophisticated instruments that need considerable budget and skilled personnel to operate them, which might limit their use in certain settings.

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Diuretics also may help athletes pass drug tests that check for signs of drugs in the urine. Learn more about the effects that performance-enhancing drugs can have on health. Learn how these drugs work and how they can have effects on your health. Avoid impulsive buys, unsecure payment methods, vague shipping policies, and ignoring customer reviews when buying Anavar 25mg.

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The first being that, unlike oral steroids, they are not considered to be hepatotoxic (not toxic to the liver), this is due to the way the compound is administered, entering the blood stream and avoiding the liver. This more direct passage also means that buy injectable steroids can be taken for longer periods of time than orals without causing damage to the liver. Injectable steroids are undoubtedly the most popular form of steroid use in the USA and elsewhere around the world.

Catlin says it doesn’t bode well for the control and regulation of steroids if one of the most recognized retailers can’t keep them off its marketplace. You don’t have to work too hard if you want to buy steroids or other performance enhancing drugs. You don’t need to be a professional athlete like Ryan Braun or Alex Rodriguez, and you don’t need to find the next esoteric PED vendor like BALCO or Biogenesis.

• In the realm of bodybuilding and fitness, steroids have long been a double-edged sword, promising unparalleled gains yet shrouded in controversy.
• Learn more about the effects that performance-enhancing drugs can have on health.
• Unusually low prices often indicate counterfeit steroids, signaling potential health risks.
• Several studies have highlighted the need for better communication on health risks of purchasing substances online, as well as the need to establish sales control procedures (Ventola, 2014; Long et al., 2022; Qutob et al., 2023).
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• When buying Anavar 25mg online, these details safeguard health risks and ensure your fitness goals remain uninterrupted by logistical nightmares.
• Also, in the case of professional athletes, 28% of them had consulted a physiotherapist about their use, but 18% acknowledged that they used supplements without seeking professional support (Judge et al., 2016).
• Be cautious of limited payment methods; secure transactions with reputable platforms ensure safety.

Buying Anavar 25mg from unverified sellers risks encountering counterfeit steroids that jeopardize your health and fitness goals. Unclear listings often hide ingredient uncertainties or improper dosages, increasing anabolic steroid risks. Selecting reputable sources guarantees quality Anavar, ensuring ingredient verification and product authenticity. Prioritize safe online shopping by researching customer reviews and understanding shipping policies, delivery options, and payment methods to avoid falling prey to illegal steroids or compromised bodybuilding products. Never trust Anavar 25mg from sellers who hide ingredient details or lack third-party verification.

After some simple searches for steroids, researchers from Digital Citizens Alliance were quickly linked to numerous suggested YouTube videos that showed either who to call to buy steroids, complete with a WhatsApp contact number, or how to use them. The websites described were located at a point in time, so these data should be updated on a regular basis as online offer is constantly changing. This study serves as a backbone for future research related to the proposed topic, including more prohibited substances from the same category. Oxandrolone, dehydroepiandrosterone (DHEA) and androstenedione are considered by WADA as doping substances in sports. Specifically, these substances are on the list of prohibitions that came into force in January 2023. They are included in the section of prohibited substances and methods at all times (in- and out-of-competition), in category S1 anabolic agents (World Anti-Doping Agency, 2022b).

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Drug testing services can be an effective harm reduction service that may strengthen surveillance of the black-market drugs that are used and can accurately inform users about the quality and quantity of black market AAS prior to use 65. AAS are administered in different ways, including oral, injectables (water or oil-based), transdermal (cream or gel), buccal and sublingual 1. The most common route of administration is per intramuscular injection 10 and we demonstrate that proportions of counterfeit and substandard substances for injectables compared to oral formulations may be considerably higher. Different forms of formulations and administrations additionally come with specific adverse events.

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Before I was taking steroids, I had to start taking a pill twice a day as I took around six in a day. You have mentioned a few times that you are an athlete and the use of steroids isn’t always necessary in that position, top 10 steroids for cutting. But as you get older do you think your body will no longer function at the same level, or does it depend on other things to continue to function at the highest level that you previously knew? I don’t think there is any question about my body’s ability to continue to function, top 10 steroid suppliers. As long as I don’t take any medication, I can be sure if I take a drug which I know isn’t going to change the process I can still do a full range of activities.

• Its use is approved for the preservation of lean tissue in catabolic conditions, such as sarcopenia (Mavros et al., 2015).
• The attorneys at Collins Gann McCloskey & Barry PLLC maintain another website, steroidlaw.com, which provides extensive information regarding anabolic steroids and the laws related to them.
• For example, one study noted a small association with social media use and body dissatisfaction, eating disorder symptoms and thoughts about using anabolic steroids.
• Analytical methods can vary considerably in terms of instrumentation cost, analysis time, and identification and quantification software.
• The possession and sale of anabolic steroids without a prescription is illegal.
• In the case presented, the assessment and management of a 36-year-old male who inappropriately self-administered high-dose steroids for prolonged periods of time is reviewed.
• Anabolic-androgenic steroids (AAS) use is 11% among gym athletes, 39% among bodybuilders and 67% among weightlifters (Birzniece, 2015).

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• To further determine the proportions of fake AAS found on the black market, we conducted a systematic literature review and meta-analysis of analytical test results for those substances within the published literature.
• Counterfeit means that the active ingredient does not match the label, whereas substandard means that the active ingredient matches the label, but the concentration is not as labeled.
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• «When developing our policies we work alongside experts — psychologists, pediatricians, emergency room doctors, and more — to make sure we are drawing the line in the right place,» the spokesperson said via email.
• Prioritize safe online shopping by researching customer reviews and understanding shipping policies, delivery options, and payment methods to avoid falling prey to illegal steroids or compromised bodybuilding products.
• Steroids have side effects on heart health, blood pressure, liver disease, and more.
• With domestic shipping, you can get your order within a week, usually even in a few days.

U.S. Customs or postal authorities can intercept any steroid delivered by mail. Many people have been arrested as a result of such activities, and many more have had their shipments seized. When purchasing Anavar 25mg online, Ultima-IGF-1 LR3 1mg US be wary of sellers who offer unrealistic promises or lack transparency. Avoid those that don’t provide clear dosage recommendations or health disclaimers. In addition, be cautious of products with vague ingredient lists or unverified health claims.

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The availability of acquiring doping substances in the same country or in other countries; 2. The information with which these substances are marketed, e.g., administration forms and recommendations for their use. There are still those who try and acquire these substances due to their androgenic effects, being unaware or disregarding their harmful effects.

In the United States, you need a prescription to get any anabolic steroid. Illegal anabolic steroids are those that people get without a doctor’s prescription. Remember, while these may not pack the punch of anabolic steroids, they’re generally safer and more accessible. Navigating the murky waters of online steroid marketplaces can be a daunting task. However, with a keen eye and a healthy dose of caution, you can find legitimate sources where you can buy steroids discreetly and legally.

Under-concentration can also lead to possible risks, as results on performance and image do not occur and that may lead to a much higher intake of amounts by the user. We demonstrate that on some occasions completely different pharmaceuticals were identified during the analysis, such as quinine (antimalarial drug), instead of AAS. This can, taken unknowingly, lead to substantial drug-related side effects.

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The broad diversity of different techniques that were applied may also lead to substantial heterogeneity within our analyses. In 17 articles we were able to extract samples that exclusively analyzed anabolic agents (WADA class S1). Some articles also included other classes of substances in their analysis, such as WADA classes S2, S3, S4, S5, dietary supplements, stimulants, and sexual performance enhancers.

Baker says men get information from magazines and online about the drug, which mimics the effects of testosterone and boosts muscle growth, though some are also prescribed it. Drugs are used for reducing side effects of AAS abuse and/or boosting AAS effects. We further show a limited geographical scope of included studies, with all studies being from countries in Europe or Brazil. Surprisingly, we did not identify any studies from the US, Middle East, Oceania, Asia, or Africa. We demonstrate that visual inspection of the package, label, and internal content to identify preliminary signs of counterfeiting of AAS have shown to be mostly ineffective.

Such a measure is also conceivable for the AAS sector and should be further evaluated. Another strategy could entail the introduction of specialized drug checking services for this user community. ‘Drug checking’ allows people who consume illegal and legal drugs acquired from unregulated drug markets to submit samples for chemical analysis and receive feedback on the quantity, quality, and purity of those substances. Commonly this approach is embedded in a wider prevention approach that includes counselling services and other short interventions 63, 64.

Quality Anavar means every milligram matches the label, supporting your fitness supplements and performance enhancement goals. Ingredient verification is your shield against health risks, counterfeit steroids, and wasted money. Only buy steroids online from sources that guarantee product authenticity and transparent ingredient information every time. The dose of illegal anabolic steroids is often 10 to 100 times higher than the dose a doctor prescribes for medical problems. People often use more than one of these illegal drugs at the same time. Or they may take the drugs in a cycle from no drug to a high dose over a period of weeks to months.

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The liquid steroids for sale in our catalog are available in the form of either disposable ampoules or reusable vials all containing high-quality ingredients. We offer all of the most popular injectable steroids online at affordable prices and by various well-respected brands such as Maxtreme, Alpha Pharma, Ultima Pharmaceuticals, Magnum Pharmaceuticals, Phoenix Remedies, BM Pharmaceuticals, and more. There are actually a large number of benefits that injecting steroids provides, rather than taking them orally or topically.

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Moreover, emphasis should be placed on ergonutritional education on which supplements are allowed, but also on the proper way to select them, e.g., brands, modes of administration, timing of ingestion (Malek et al., 2014). The risks of their consumption do not only extend to a sanction by WADA, but also to adverse health effects (Badawy et al., 2021). These facts highlight the importance of professional advice before the consumption of these substances.

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• The websites described were located at a point in time, so these data should be updated on a regular basis as online offer is constantly changing.
• Drug testing services can be an effective harm reduction service that may strengthen surveillance of the black-market drugs that are used and can accurately inform users about the quality and quantity of black market AAS prior to use 65.
• Acne is a common side effect of using anabolic-androgenic side effects.
• Many people may wonder why you would go through the trouble of injecting steroids when there are several oral steroids available to buy online, typically at a cheap price too.
• Our pharmaceuticals are synthetically produced and specifically designed to simulate the main men hormone – testosterone or human growth hormone.
• Anabolic steroids are classified as Schedule III Controlled Substances.
• With this systematic review and meta-analysis, we demonstrate that substantial mean proportions of black-market AAS are counterfeit and of substandard quality.

Investigators executed a search warrant at two storage units in Nevada on Nov. 3, 2021, that contained STACKMEUP products. Federal agents seized 2,371,800 units of anabolic steroids with a street value of more than $1.7 million. Misinformation and the easy availability of these substances favor the increase in consumption. In the United States, 3.0% of young people have used doping substances, specifically anabolic-androgenic steroids (Hildebrandt et al., 2012). In addition, a 60% consumption of dietary supplements is reported by athletes (Schröder et al., 2002; Schröder et al., 2004; Barrack et al., 2020), that may lead to inadvertent doping (Helle et al., 2019; Mallick et al., 2023).

For web pages located from Russia and Ukraine this percentage was much higher (80.00% and 95.92%, respectively) and the lowest value corresponded to sites found from the United States (10.26%). Most webs from the United States served worldwide (84.62% of the sites). Only 3 sites in Canada and 5 in the United States asked for a prescription to be able to buy it.

It has been found that, despite regulatory measures, websites are available in the countries evaluated to purchase these substances without a prescription. Most of the web pages offering these compounds only sell them in their own country, but it is possible to purchase them in some sites that send to other countries. The problem underlying this supply and easy access to substances through the Internet is that people, athletes or not, are not always able to distinguish whether this consumption is legal or not. It would be simpler if they were only accessed through regular distribution channels of medicines like the pharmacies. If offered as medicines, these substances should require a prescription, given their steroidal nature, and certainly they should not be offered as supplements.

These doses are much higher than those that health care providers use for medical reasons. These drugs might lower the damage that happens to muscles during a hard workout. Some people also may like how their muscles look when they take these drugs.

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These punishments can increase, depending on the stringency of your case. However, the charges may rise to a felony if you carry a large amount. At that point, you may be suspected of distributing and selling the steroids. For instance, if you’re carrying a small amount of steroids, you likely won’t have severe punishments. These penalties may increase even more if you sell to underage consumers or sell the steroids at a school or college.

As an example, 17α-alkylation of steroids which is used for oral administration is described to result in increased liver toxicity compared to injectable AAS, because of first-pass metabolism and increased duration time in the liver due to slow metabolization 1. Different non-scientific and anecdotal patterns and duration of use are described in literature with the goal of minimizing side effects or maximizing the drug effects of AAS 1, 15. Unknowingly taking the wrong formulation can lead to unexpected side effects, especially when taken over a longer period than intended or in combination with other substances. With this systematic review and meta-analysis, we demonstrate that substantial mean proportions of black-market AAS are counterfeit and of substandard quality. These products pose a considerable individual and public health threat, and the very wide range in proportions of fake black-market AAS puts the user in a situation of unpredictable uncertainty.

A small number of webpages from Puerto Rico and Ukraine sold oxandrolone for parenteral administration and in Canada, United States and Ukraine, in the form of a powdered chemical product. As for oxandrolone indications, most websites (86.85%) recommended its use for sports, stating that it increased muscle mass, strength, endurance and performance in sports. Oxandrolone could hardly purchase in pharmacies (only 5.20% of those webpages selling this compound), and 2.19% required a prescription. All information was collected in a Microsoft Excel 2016 and statistical analysis was carried out using SPSS version 24.