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Anavar (Oxanabol, Oxandrolone)Anavar (Oxanabol, Oxandrolone)
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Sustamed (Sustanon) is an oil-based injectable containing four different testosterone compounds.

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Brand name: Sustamed.
Generic name: Sustanon.
Active ingredient: testosterone propionate, testosterone phenylpropionate, testosterone isocaproate, testosterone decanoate.

Sustamed (Sustanon) is an oil-based injectable drug holding 4 different testosterone compounds: testosterone propionate, 30 mg; testosterone phenylpropionate, 60 mg; testosterone isocaproate, 60mg; also testosterone decanoate, 100 mg.

Sustamed (Sustanon) Indications:
This remedy is a combination of 4 testosterone esters: testosterone propionate, testosterone phenylpropionate, testosterone isocaproate and testosterone decanoate. These esters make Sustamed (Sustanon) one of the longest-lasting steroid compounds available now. Sustamed (Sustanon) is an supreme compound for adding on bulk as well growing muscle strength. Therefore, athletes frequently use it to put on power also size while growing strength.
Testosterone will grow both power adding and fat loss. It sends a message to muscle cells to maintain much contractile protein (called actin and myosin), thus forcing your muscles grow. It as well protects your power from catabolic (muscle wasting) glucocorticoid hormones.

Sustamed (Sustanon) Different Indications:
Testosterone replacement treatment in male hypo-gonadal disorders, for example:
- after castration;
- eunuchoidism;
- hypopituitarism;
- endocrine impotence;
- man climacteric symptoms like low libido;
- certain forms of infertility due to illneses of spermatogenesis.

Testosterone therapy can also be suggested for the avoidance also management of osteoporosis in hypo-gonadal men.
Testosterone administration may as well be priscribed as supportive management for female-to-male transsexuals.

Sustamed (Sustanon) Dosing:
In general, dosing must be adjusted according to the reaction of the every patient.
Usually, one injection of 1 mL every four weeks is suitable.
Sustamed (Sustanon) is as well effective when relatively low doses are advised to well advanced sportsmen. It is important to note that when this medicine is adviced to bodybuilders who have already taken this drug in the same or lower dosages, it leads to equal high reply as during the previous intake. Sustamed (Sustanon) is generally injected at least once in a week, which can be stretched up to 10 days. The dosage in bodybuilding as well powerlifting ranges from 250 mg each 14 days up to 1000 mg or more each day. Since such high dosages are not indicated and fortunately are also not used in most of cases; the rule is 250-1000 mg week by week. A dose of 500 mg/week is completely satisfactory for most, as well can often be reduced to 250 mg/week by combining Sustamed (Sustanon) with an oral steroid. Sustamed (Sustanon) is well tolerated as a basic steroid during treatment which activates the regeneration, gives the athlete a enough ”kick” for strong training units, as well next to the already mentioned advantage of quick strength adding and solid bulk advance distinguishes itself also by its compatibility. In order to increase mass fast this medication is frequently united with Deca Durabolin, Dianabol or Anadrol while sportsmen who are more into quality prefer mixing this medication with Parabolan, Winstrol, Oxandrolone or Primobolan.

Measure for other usage of Sustamed (Sustanon):
In common, dosage should be adjusted to the singular reply of the patient.
Adults:
Usually, one injection of 1ml per three weeks is sufficient.
Geriatric:
It has to be notified that smaller and less repeated measures may show the identical reaction.
Female-to-man transsexuals:
Different specialist centers have taken doses changing from 1 injection of 1ml each 2 weeks to one injection of 1ml per four weeks.

How must Sustamed be administrated?
Sustamed (Sustanon) should be injected by deep intramuscular injection.

Contraindications:
Known or suspected prostatic or mammary carcinoma;
Pregnancy
Breast-feeding
Hypersensitivity to the active substance or to any of the excipients of this drug.

Advice:
Middle-aged as well as aged men with angina pectoris or other severe circulatory illness has to receive androgen management just under very careful control.
People with latent or overt cardiac diorder, renal difficulty, hypertension, epilepsy or migraine (or a history of these conditions) should be observed, since androgens can rarely make salt as well as liquid maintenance, skeletal metastases, since androgens may induce hypercalcaemia or hypercalciuria in these people.
Androgens should be injected carefully in pre-pubertal boys to avoid premature epiphyseal closure or precocious sexual progress. A decrease in protein bound iodine (PBI) can be observed, but this hasn’t clinical importance.
Long term watching must include measurement of hemoglobin.
Sustamed (Sustanon) contains Arachis oil (peanut oil) also has to not be taken by people known to be allergic to peanut. As there is a possible relationship between allergy to peanut also allergy to Soya, patients with Soya allergy should also avoid Sustamed (Sustanon).
Female-to-male transsexual supportive cure:
Before beginning this medicine for female-to-male transsexuals, physician assessment should be started, including psychiatric valuation. A complete private also health history has to be analyzed. During treatment, periodic check-ups are recommended of a frequency as well nature adapted to the individual. The following should be monitored:
- signs of osteoporosis,
- changes in lipid profile.

In people with a individual or family history of breast cancer and with a personal history of endometrial disease, careful observation should be started.
Subject to professional guidance, hysterectomy and bilateral oophorectomy should be considered after 18-24 months of testosterone therapy, to cut the possible increased risk of endometrial and ovarian oncology.

Sustamed (Sustanon) Adverse reactions:
Sustamed (Sustanon), like all extra testosterones, is highly anabolic also as a effect, the negative reactions of quite increased compared to its androgenic equals. Androgenic side results such as:
- hair loss,
- prostate hypertrophy,
- deepening of the voice are possible with the use of this medicine, as well as connected estrogenic unwanted responses such as gynecomastia and liquid retention.

The following unwanted reactions have been connected with androgen therapy in general:
- In pre-pubertal boys, mature sexual development, an amplified frequency of erections, phallic enlargement and premature epiphyseal closure;
- Priapism as well as extra signs of extreme sexual stimulation;
- Water also sodium maintenance;
- Oligospermia and a low ejaculatory volume.

Management should be interrupted until these consequnces have disappeared, after which therapy has to be followed at a minim dosage.
Hoarseness of the voice may be the first symptom of vocal change which can lead to irreversible lowering of the voice. If signs of virilisation develop, particularly lowering of the voice, management has to be stopped unless the results are wanted treatment outcomes.
The following side responses have also been appeared:
- spots
- difficulties of liver function
- polycythemia
- hypertension
- weight add (in female-to-male transsexuals)

Sustamed (Sustanon) Overdose:
The serious intramuscular toxicity of Sustamed (Sustanon) is very low. Priapism in males is a effect of chronic overquantity. In case this observes, this medicine management has to be interrupted and, after vanishing of the consequnce, be recommended at a minim dose.

Keeping:
- It isn’t allowed to keep above 25 gr C
- Do not ice (or freeze)
- Keep the ampoules in the outer carton.

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