โครงการก่อสร้างถนนคอนกรีตเสริมเหล็ก สายแยกทางหลวงชนบท หนองเรือ-ไร่สีสุก-ชุมชนนาวัด หมู่ 8 ชุมชนนาวัด ตำบลนาวัง อำเภอเมืองอำนาจเจริญ จังหวัดอำนาจเจริญ
วันศุกร์, 31 มกราคม 2568 11:10โครงการก่อสร้างถนนคอนกรีตเสริมเหล็ก สายแยกทางหลวงชนบท หนองเรือ-ไร่สีสุก-ชุมชนนาวัด หมู่ 8 ชุมชนนาวัด ตำบลนาวัง อำเภอเมืองอำนาจเจริญ จังหวัดอำนาจเจริญ เพื่อให้ประชาชนสามารถใช้รถใช้ถนนได้สะดวกรวดเร็วมากยิ่งขึ้น
https://www.nawang.go.th/news/activity-news/item/1580-activity-2#sigProGalleria091151238a
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Hypogonadotropic hypogonadism is a medical condition characterised by inadequate manufacturing of
วันเสาร์, 01 พฤศจิกายน 2568 13:04 โดย : Anabolic steroid case studies
sex hormones as a result of an issue with the hypothalamus
or the pituitary gland. In the context of anabolic steroid use, this condition is
commonly induced when the body’s natural hormone manufacturing is disrupted by the introduction of synthetic hormones.
This lower, in turn, lowers the degrees of luteinizing hormone (LH) and follicle-stimulating
hormone (FSH), each of which are crucial for stimulating the testes to provide sperm.
This indicates that steroid use can dramatically reduce sperm count,
a key fertility parameter. In the short time period,
stopping steroids could produce rapid hormonal changes within a few weeks.
"Effects in male reproductive tissue embody low epididymis weight, and low sperm motility and morphology," says Mossman. "Men who buy anabolic steroids at the fitness center or on-line will not know precisely what they're taking and for a proportion of these males, long-term usage may find yourself in permanent impairment of fertility.
Availability, entry, and high quality of interventions to address infertility stay a challenge in most international locations. Diagnosis and remedy of infertility is often not prioritized in nationwide inhabitants and development policies and reproductive well being methods and are hardly ever lined via public health financing. Furthermore, a scarcity of skilled personnel and the mandatory tools and infrastructure, and the at present high costs of therapy medicines, are main barriers even for international locations that are actively addressing the needs of people with infertility.
Despite its effectiveness, isotretinoin therapy is mostly reserved for extreme nodulocystic scarring acne or acne proof against different therapies (68). The traditional remedy in medical practice, similar to benzoylperoxide or topical retinoids, is far much less usually utilized by AAS users, probably as a end result of they favor an oral agent that is often very efficient and simple to acquire on the black market. Isotretinoin, nevertheless, can lead to dermatologic, ophthalmologic and psychiatric/psychosomatic adverse events (69), commonly together with dry skin, chapped lips, and nose bleeds (70). It can be a potent teratogen in ladies and subsequently carries a excessive threat of birth defects when used throughout being pregnant or within the few weeks before conception.
Sports-related spinal twine injuries (SCIs) are unusual outcomes of bodily activity, though their fee is remarkably greater in some sorts of sports activities, similar to rugby, diving and horseback driving [92]. The incidence of SCIs has dramatically reduced within the last decades; nevertheless, the devastating effect on the concerned athletes’ quality of life has typically rekindled media attention in these regards. Spinal trauma could end in different clinical syndromes primarily based on the situation of the lesion and on subsequent secondary occasions, similar to hemorrhage and edema [93]. SCIs most regularly occur in young, male athletes as compared to feminine athletes [94] and impair the flexibility to acquire erection and to achieve ejaculation. Parasympathetic fibers originating from S2-S4 and coming into the corpora cavernosa are needed for erectile function; sufferers with SCIs typically lose psychogenic erections however may keep reflexogenic erections, though this not often allows for intercourse [94].
The best approach to stop infertility caused by steroids is to keep away from utilizing them altogether. If you take steroids for a medical condition, observe your doctor’s steering fastidiously to minimize the danger of unwanted aspect effects. So while steroids could supply temporary features in muscle mass or athletic capability, the potential penalties usually are not well price the threat.
"Extra typically, AAS abuse is a growing public health concern and ongoing analysis
is concentrated on both the short-term and the long-term physiological
and psychological adverse side effects." The drug finasteride contained in medicine to stop male sample baldness has also been shown to impact male fertility. "Ranges in the testicles should be
many, many times higher than the blood level for sperm to be produced normally and you
solely get this by natural production," says fertility specialist Mr Kevin McEleny, a advisor urologist at Newcastle Hospitals. Quite A Few other research utilizing data from males who had been taking testosterone for prescribed reasons have confirmed that the mechanism is due to negative suggestions, blocking LH release and stopping the testicles from making testosterone. You ought to have regular appointments together with your healthcare supplier when taking an anabolic steroid to evaluate how well it’s working. For athletes, rising muscle mass can also promote power, which may enhance strength-based sports activities performance. Basic steroids, called corticosteroids, are medicines that reduce irritation and the activity of your immune system.
Due To This Fact, it should not be assumed that an AAS-induced decrease in Lp(a) might negate the other results which might be detrimental to cardiovascular health. Therefore, regardless of the gaps within the literature, present information permits the conclusion that AAS abusers are more prone to infertility and sexual dysfunction. Though these opposed results could also be transitory in some people, it's unclear who is extra weak to everlasting dangerous results, nor is it identified if the existing therapy can fully resolve these conditions in the long term. In this context, efforts to forestall the abusive use of these substances should be applied from clinical to public well being levels. Based Mostly on these prior reports of suppression of the HPG axis with testosterone, one would count on decrease rates of being pregnant in AS users. The relatively excessive price of preservation is likely secondary to the widespread apply of AS users to incorporate adjunctive therapies along with testosterone or to incorporate washout periods between intervals of AS use (cycling). Often, the primary objective just isn't maintenance of fertility, however to stop adverse results of AS withdrawal including muscle loss, loss of libido, erectile dysfunction, and impaired mood (18).
Equally, it was later described that males born with 5α-reductase (the enzyme responsible for conversion of testosterone into DHT) deficiency by no means developed male-pattern hair loss either (73). Pharmaceutical treatment of male-pattern hair loss exploits this observation via inhibition of 5α-reductase sort 2 with finasteride (74). Men over 40 years of age with baseline prostate-specific antigen (PSA) of greater than 0.6 ng/mL should have their PSA levels measured and a prostate examination at three to six months. Treatment should be withheld in men with a palpable prostate nodule or prostate-specific antigen of more than four ng/mL and in patients at high risk of prostate malignancy with prostate-specific antigen of greater than three ng/mL. The main consequence measures included adjustments in sperm parameters, predominantly sperm focus, and subsequent pregnancy outcomes. -
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Sermorelin, CJC-1295, and Ipamorelin are three of the most widely
วันพฤหัสบดี, 30 ตุลาคม 2568 02:59 โดย : dianabol before and after skinny
used growth hormone peptides in both clinical practice
and fitness circles. Each of them stimulates the pituitary gland to release endogenous human growth hormone (GH), but they differ in structure, half-life, potency, side-effect profile, and optimal dosing protocols.
Understanding these distinctions helps practitioners tailor therapy to
individual needs, whether the goal is anti-aging, muscle building, fat loss, or recovery from injury.
Sermorelin vs. CJC-1295 vs. Ipamorelin: Comparing Popular Growth
Hormone Peptides
---------------------------------------------------------------------
Sermorelin is a synthetic analogue of growth hormone-releasing hormone (GHRH).
It mimics the natural pituitary trigger that signals GH release, but its action is short-acting.
A typical dose is 0.2 mg administered subcutaneously once daily, often in the evening to align with circadian GH peaks.
Sermorelin’s pharmacokinetics allow a clear separation between stimulation and suppression of growth hormone-binding protein (GHBP), which can be
advantageous for patients concerned about long-term GH exposure.
CJC-1295 is part of the same GHRH family but contains a C-terminal amide that extends its half-life dramatically,
often to 8–12 hours. This permits dosing once or twice daily and delivers more sustained GH secretion. The longer action can be particularly useful for patients who prefer fewer injections or for those whose lifestyle limits
strict timing around bedtime. However, the extended
release may also increase the risk of side effects such
as edema or carpal tunnel syndrome if not carefully titrated.
Ipamorelin is a selective growth hormone-releasing peptide (GHRP).
It binds to ghrelin receptors on the pituitary
but does so with high specificity for GH release, sparing prolactin and cortisol.
Because of its minimal effect on appetite, patients often report fewer gastrointestinal disturbances compared to other GHRPs like GHRP-2 or GHRP-6.
Typical dosing is 0.5 mg subcutaneously three
times a day; the short half-life requires more frequent injections but allows for rapid adjustment of dose.
The choice among these agents hinges on several factors: desired
duration of action, injection frequency tolerance, risk profile, and whether the patient has
any underlying endocrine disorders that might be exacerbated by prolonged GH exposure.
For example, a patient with insulin resistance may benefit
from Ipamorelin’s lower impact on glucose metabolism,
whereas an elderly individual seeking smoother night-time hormone peaks might prefer Sermorelin.
What Are GH Peptides and How Do They Work?
-----------------------------------------
Growth hormone peptides are short chains of amino acids designed to influence the secretion or
action of endogenous growth hormone. The pituitary
gland normally releases GH in a pulsatile manner, triggered by two
key stimuli: growth hormone-releasing hormone (GHRH) from the hypothalamus and ghrelin from the stomach.
Both signals converge on somatotroph cells in the anterior pituitary, causing them to secrete GH into circulation.
GH peptides mimic or enhance these natural triggers.
GHRH analogues such as Sermorelin and CJC-1295 bind directly
to GHRH receptors, stimulating cyclic AMP production and downstream signaling
that leads to GH release. Because they are structurally similar to the native hormone but lack
certain metabolic liabilities, they can achieve high potency with
lower doses.
GHRPs like Ipamorelin act on the ghrelin receptor (also known as the growth hormone secretagogue receptor).
These peptides activate a distinct intracellular cascade that
also culminates in GH secretion. A key advantage of
GHRPs is their ability to stimulate GH release even when endogenous GHRH levels are low, such as during aging or chronic illness.
Once released, GH travels through the bloodstream and binds to receptors
on target tissues. It promotes protein synthesis, lipolysis, glycogen synthesis, and overall anabolic activity.
The peptide’s influence on GH secretion is temporary; after each injection, hormone levels rise
sharply then fall back toward baseline within hours.
This transient surge allows for fine-tuning of therapeutic
regimens.
Clinical Applications
--------------------
Anti-aging: By boosting endogenous GH, these peptides can improve skin elasticity, bone density, and energy metabolism.
The choice between Sermorelin and CJC-1295 often depends on whether the patient prefers fewer daily injections (CJC-1295) or a more natural
circadian rhythm (Sermorelin).
Muscle hypertrophy: Fitness enthusiasts use Ipamorelin for its
rapid, potent GH release without significant appetite stimulation. When combined with resistance
training, it can enhance lean muscle gains while minimizing fat accumulation.
Recovery and injury repair: GH’s role in collagen synthesis and tissue regeneration makes these peptides useful for post-operative care or chronic joint conditions.
Short-acting agents like Sermorelin may be preferred when precise timing around
surgery is needed.
Safety and Side-Effect Profile
-----------------------------
All three peptides are generally well tolerated, but they share
some common side effects: water retention, joint pain, numbness in extremities, and
mild headaches. Because they increase GH levels, patients with a history of hormone-sensitive cancers should avoid them unless
closely monitored. Ipamorelin’s minimal effect on prolactin reduces the risk of gynecomastia or sexual dysfunction compared to older GHRPs.
Monitoring
----------
Endocrine panels measuring fasting insulin, glucose, IGF-1, and
cortisol are recommended before starting therapy and
periodically thereafter. IGF-1 is a reliable surrogate marker for
GH activity; values should remain within age-appropriate ranges to
avoid overstimulation. Additionally, periodic lipid panels
can detect changes in cholesterol profiles that sometimes accompany GH excess.
Dosing Strategies
-----------------
Sermorelin: 0.2 mg subcutaneously at bedtime, with potential titration up to 0.3–0.4 mg if IGF-1
remains low after several weeks.
CJC-1295: 0.2 mg once daily or 0.1 mg twice daily; doses can be increased incrementally depending on response and tolerability.
Ipamorelin: 0.3–0.5 mg three times a day, spaced evenly
(e.g., morning, midday, evening). A "bolus" dose may be used for athletes needing rapid GH spikes before training.
Conclusion
----------
Sermorelin, CJC-1295, and Ipamorelin each offer distinct advantages in stimulating endogenous growth hormone.
Sermorelin provides a natural, circadian-aligned release with minimal side effects;
CJC-1295 offers prolonged action suitable for patients seeking
fewer injections; and Ipamorelin delivers potent, selective GH stimulation with a lower appetite impact.
By understanding the mechanistic nuances of each peptide—how they interact with pituitary receptors, their pharmacokinetics, and
their clinical implications—practitioners can craft individualized protocols that maximize benefit while minimizing risk for patients across diverse therapeutic goals. -
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pros and cons of performance enhancing drugs
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