How to inject steroids? Steroid Guide | GOGEAR
How to inject steroids? Guide For Beginners
The very first time you inject steroids is a daunting task for almost any person who hasn't done it before. Even the most seasoned pros can probably remember their first injection.
There are far too many people who make mistakes that can put them off injecting forever. Once you get it right from your first try, you'll be well on your way to becoming a confident steroid injector, and this opens a host of new options for the steroid compounds you can use in the future. Before injecting, there are several things you need to know and consider.
While you may have already injected a few times, you should make sure you're doing it correctly every time so you get the best results and maintain your health. Our comprehensive guide to injecting steroids will help you get it right, every time.
You will learn in this guide:
- Considerations and preparations before proceeding
- Various types of steroid injections
- Different types of syringes, pins, and supplies
- How to Inject Intramuscularly (IM)
- How to inject subcutaneously (SQ)
- Intramuscular and subcutaneous injection sites
- Steroid Injections with Back-Filling Insulin Syringes
- Possible Injection Complications
- FAQ Related to Steroid Injections
Considerations and preparations before proceeding
A steroid injection isn't the same as taking a pill. There's a lot to consider and prepare for, especially if this is your first time or if you're still learning how to inject correctly.
Injecting will become second nature after some time, but you must first familiarize yourself with supplies, safety, and sterility, as well as preparation and technique. When you're new to injections, making mistakes can seriously undermine your confidence. It can also cause mild to very serious health problems, ranging from inflammation, scarring, and muscle and nerve damage to bacterial infections or septic shock.
By learning the most fundamental principles and preparation, all of this can be avoided.
- Make sure your supplies are ready before you begin a cycle
- Prepare all supplies before you begin injecting
- Never share needles and dispose of them properly
- All items should be brand new and sealed. Never use items that are opened
- Fill the syringe only when you are ready to inject and do not breathe on it or have it touch any surfaces. Do not preload injections to save time.
If you take these basic, yet important precautions, you'll ensure that your steroid injections are not putting your health at risk, and you'll be able to focus on getting the best results from your compounds.
Various types of steroid injections
From a medical perspective, injections can be administered in three ways. However, we shouldn't just assume that any of the methods can be used for steroids. As you will see, one method, in particular, should never be used and carries a high mortality risk.
We'll take a closer look at the three established injecting methods: intravenous, intramuscular, and subcutaneous.
Intravenous Injections (IV)
Intravenous Injections (IV) are used in medical situations, under conditions of strict hygiene, and by licensed medical professionals. Some illicit recreational drug users also use this type of injection. Steroids should never be injected intravenously. Injectable steroids are placed in an oil base solution, and this oil is what makes intravenous injections of steroids impossible.
Injecting steroids with the IV method can bring about extreme risks and even death. In one study ( link for study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3205107/ ), a bodybuilder who had injected oil-based steroids intravenously suffered from acute respiratory distress. In this case, the IV injection was not intended. Instead, it accidentally hit a vein when injected into the buttock muscle. It makes us aware of the importance of injecting carefully, making sure blood vessels or arteries are not impacted.
The study showed that the blood was aspirated, indicating the needle sliced through a vein and pierced it. Despite this happening the user continued to inject. After just one minute, oil in the bloodstream caused shortness of breath. Even death is possible in worst-case scenarios. Steroid users must be very careful not to aspirate blood when inserting the needle, and in the event that this happens, the syringe should be removed from that area, and the injection attempted elsewhere.
Intramuscular (IM) injections
Injecting anabolic steroids into the muscle is the usual way of administering them. The intramuscular injections ensure that the solution is entered deep into the muscle, so that it can travel into the blood through smaller veins safely and steadily, rather than being directly injected into the bloodstream. Because steroids are quickly absorbed, fast acting steroids are able to begin working right away as you would expect.
A benefit of IM injections is that you can inject more than you could with any other method, but 2ml is considered the safest maximum dosage injection.
There are also multiple injection sites that you can rotate so that you avoid pain and irritation.
Muscle injections are most often administered to the larger, stronger muscles such as the thigh and buttock. In time, you might develop a preference for which muscles you inject depending on what compounds you're using and how much pain you're experiencing.
While injecting steroids into the muscle, it is not normal for blood to appear. If you notice blood during the needle insertion, it indicates that the needle has been inserted into a vein or artery rather than muscle tissue. You should then remove the needle and inject no solution. Instead, find a new spot on the muscles and insert the needle again, if there is no blood start injecting the solution.
A second issue that can arise is if the needle is not inserted deeply enough into the muscle tissue, in which case an abscess could form.
Subcutaneous (SQ) injections
In subcutaneous injections, the needles are inserted into the skin layers. This is a very shallow injection that is rarely used for anabolic steroids. Again, this type of injection may lead to an abscess if not properly done.
These types of injections are used most commonly by steroid users when they use other types of compounds such as HGH, peptides, HCG, and insulin. Subcut injections are not suitable for oil-based solutions, but they work well with water-based compounds.
You can inject a smaller amount of liquid using this method, unlike intramuscular injections, which allow you to inject larger amounts of steroids. Despite the fact that most steroid users do not decide to inject their steroids by SQ, studies have shown that when done correctly and carefully, this method of injection is just as effective at achieving desired blood levels of steroids as IM injections.
Almost all users of anabolic steroids stick to injecting their gear through the muscle while subcutaneous injections are reserved for those additional compounds that can sometimes be used.
Different types of syringes, pins, and supplies
In case you plan on using injectables for the duration of the cycle as well as for future cycles, you should be prepared with all the basic supplies: syringes, pins, compasses, etc. If you are new to steroid use, you may not even be familiar with some of these items unless you have worked in a medical field.
Steroids are administered with medical supplies after all. Understanding the necessary supplies as well as the terminology and how to use them will give you the confidence to proceed.
First, there is the syringe. This is the main container for the steroid liquid. Syringes are not always sold with needles. The most common syringe sizes or capacities are 3ml or 3cc, and 5ml or 5cc. In general, syringes are inexpensive and easy to stock up on, so you have enough on hand for quite a while.
NOTE: 1ml = 1CC. A CC (cubic centimeter) is the same thing as a ml (milliliter), both terms meaning the same thing.
Then there is the needle, the part inserted into the muscle. Needles have different sizes, known as gauges.This is the needle's thickness. Their length can also vary. In terms of needle gauge, there are two factors to consider: what you need to take out from the vial, and what gauge you need to inject yourself with the steroid solution.
The smaller 1ml insulin syringes are also a popular type of syringe among steroid users. This type of syringes with needles attached are not suitable for injecting into muscle, but rather are used for subcutaneous injections. Advanced users who administer peptides, HCG, insulin and other non-steroid compounds will commonly use insulin syringes for this purpose.
You should always have alcohol swabs on hand for hygiene and sterility before injecting, and adhesive bandages like band-aids for covering the injection site afterward.
Since you need to be using new sterile equipment for each injection, you can end up going through a lot of items in a long cycle. Buying in bulk will not only save you money but also ensure you will not have to worry about running out and being tempted to re-use items; putting your health at risk.
How to Inject Intramuscularly (IM)
Intramuscular injections will make up the bulk of your injectable steroid procedures; subcutaneous injections are only necessary if the additional compounds are being used. This means you need to know exactly how to inject intramuscularly and feel confident about how you're doing it.
Always keep your injection syringes separate from your needles when doing an IM injection.Whenever possible, each of these products should be sealed in its own package. Besides ensuring maximum hygiene, it also simplifies the whole process. In case you have syringes that already have needles, you can still use them. You just need to add a couple of things to the procedure that isn’t required when these two things are separate.
Here's everything you'll need for each intramuscular injection:
- One syringe of 3ml or 5ml (3ml is usually preferred)
- One needle with a length of 1" to 1.5" and a gauge between 22 and 25. You will choose the needle length mostly based on which muscle you will inject. Almost all the muscles that we inject steroids into can be injected with smaller 1" needles, but only the buttock area (dorsogluteal site) needs a 1.5 inch needle. The gauge (or thickness) of the needle is a decision you will make through trial and error as you get a sense of how different gauges affect your pain level.
- Another needle is needed to withdraw the steroid solution from its vial. Needles between 18 and 21 gauge should be used for this purpose. The larger gauge needle makes it easier to remove the steroid compound more quickly from the vial. You can use any length needle for this purpose since all you will be doing is extracting the steroid solution. After that, this needle should never be used for injecting, but should instead be disposed of safely.
- 2 alcohol wipes
- A band-aid or another form of sterile adhesive
Follow this procedure for your intramuscular injection. No matter if it's your first or thousandth time, the process remains the same.
- Wash your hands thoroughly with soap and water.
- Ensure that your equipment is brand new and sealed and that none of the packagings has been damaged or opened. Discard any suspect items.
- Swab the top of the vial from where you will extract the steroid solution with one alcohol swab.
- Remove the syringe from its packaging and make sure the tip is not touched, breathed on, or otherwise contaminated.
- Take out the larger gauge extracting needle from its packaging and attach it tightly to the syringe.
- Keep the cap on the needle and draw in the same amount of air to the amount of solution you’re going to extract.
- Remove the needle's cap and plunge at a 90 degree angle into the rubber stopper while the vial is upside down. Then you push the air into the vial to make extraction easier. After that, pull out the desired amount of solution into the syringe.
- Take the needle from the vial and tap the syringe to remove air bubbles. Bubbles can be pushed out and the cap replaced afterward.
- Swab the area of skin where you are going to inject with an alcohol swab. Wait up to 30 seconds before injecting.
- Take out the injecting needle from the packaging and insert it into the syringe. After that, remove the cap from this needle.
- Make sure you insert a needle into your muscle injection site using a steady hand, pushing it all the way into the muscle at a 90-degree angle. At this point, you must pull the plunger of the aspirate back to ensure you haven't hit a vein. You should stop the injection immediately if you see blood, throw away the needle, and start over with a new needle.
- Inject the steroid solution into the muscle slowly and steadily. Although it can be tempting to get it over with quickly, be patient. Slow is better.
- Take out the syringe and after cover your injection site with the band-aid.
After completing your intramuscular injection procedure in a safe and hygienic way, you are finished.
How to inject subcutaneously (SQ)
A subcutaneous injection is administered just under the skin into fatty tissue. Generally, injections of this type are administered to the abdomen's soft tissue.
For subcutaneous injections, you will need:
- A syringe of insulin
- 2 alcohol pads
- A band-aid or other sterile adhesive
For safe subcutaneous injections, follow these steps:
- After wiping the vial with an alcohol wipe, wait 30 seconds, then insert the needle.
- Plunge the needle into the rubber stopper at a 90 degree angle, then take out the liquid from the vial by holding the vial at a 90 degree angle and pulling out the contents.
- Wipe an alcohol pad over the injection site.At the injection site, pinch the skin between your fingers and insert the needle at an angle to ensure the needle goes directly into the fatty tissue rather than deep into the muscle.
- Inject the solution slowly and steadily under the skin. With SQ injections, you do not have to aspirate like with IM injections.
- Take the needle out of the skin.
- Apply a band-aid to the injection site.
Your subcutaneous injection is now done safely and hygienically.
Intramuscular and subcutaneous injection sites
You will soon develop a preference for where you like to inject, and since you will rotate injection sites, it's important to be familiar with all of the possible muscles that you can use:
Glute intramuscular – This is a buttock muscle; the gluteus maximus is the largest one of the three buttock muscles at the top of the buttock region.
Thigh intramuscular – found in the quadriceps muscle at the outer side of the leg, in the middle of the thigh.
Deltoid intramuscular – is located in the middle of the muscle on the side of the shoulders.
Pec intramuscular – in the chest, pectoral muscles are located behind the breasts. Pectoralis major is the larger muscle situated on the top outer part of the chest.
Triceps intramuscular – large arm muscle that is located on the back of the upper arm.
Biceps intramuscular –the upper arm large muscle located between the shoulder and elbow.
Steroid Injections with Back-Filling Insulin Syringes
When using fast-acting steroid compounds, you will need to inject them more often than when using compounds that have slower release esters. In some cases, you may need to inject daily. For example, Winstrol and Testosterone Suspension are two compounds that must be frequently injected.
Additionally, some of these compounds are known to be particularly painful to inject.
In this scenario, you should aim to simplify the process as much as you can. Backfilling insulin syringes for steroid injections is one of the options we have. Why do so? By using this method, you will find it easier and less painful to administer your injections.
The needles used for steroid injections have a large gauge, so if they're used frequently, you can develop scar tissue, as well as experience more pain or discomfort. If you're only injecting once, twice, or even three times a week, this may be manageable for most guys; anything more than that, and you'll likely want an easier way to do it.
In order to do this back-filling method, you will need both an insulin syringe and a standard-gauge steroid syringe. It is simple: just draw in your steroid solution using a regular syringe. Take the plunger out of the insulin syringe and fill it from the back with 1ml of the solution. If air has become trapped at the front of the insulin syringe, make sure you remove it by pushing on the plunger slightly once the syringe is back in.
You may face some challenges because it's unlikely that you will be able to draw the plunger back before you inject it. Due to the small size of insulin syringes, the solution will probably fill the entire container. If working with the smaller needle size, choose an injection site where the skin is thinner, so the needle won't need to go through as much fat.
With this injection, you should experience a little less pain, and it is a simple and quick procedure to implement in your daily routine. A painful compound is always painful to inject, but backfilling reduces this pain as much as possible.
Possible Injection Complications
With gear injections, there is a lot that can go wrong. Aside from injecting into the wrong spot or too frequently in the same location, which can cause pain, irritation, or infection, there are far more serious issues, such as accidentally injecting into a vein and putting your life at risk.
Complications of steroid injections can be divided into two categories: those occurring at the injection site itself, which can usually be seen easily, and those occurring internally, which are usually hidden but can be much more dangerous.
Among the potential complications of steroid injections are:
Pain at the injection site: some compounds are much more painful than others to inject. Additionally, rotation of the injection sites is important to allow the muscles enough time to recover after the injection.
Hitting a vein or an artery: when injecting, the number one goal is to avoid getting the needle into a vein or artery; that is why you should use larger muscles. If injected into a vein, oil-based steroids can cause a range of effects depending on the amount that went in. Dizziness will be at least one of the effects. Additionally, you may experience shortness of breath, coughing, or chest pain. In case the symptoms last longer than a few minutes or become unmanageable, seek medical help. Some users of steroids have ended up in the emergency room due to poor injection techniques.
Cough and flu symptoms: it's more of a side effect of specific steroids, but can be experienced very quickly after injection. It is known that Trenbolone causes this effect, and some people might also experience this with Winstrol. Importantly, you should know that this isn't a serious problem, but if you aren't familiar with it, you may be very concerned.
Infections: you're at risk of infection if you use equipment that isn't clean and sterile, or that's been contaminated with bacteria before you inject. Infections are characterized by swelling and inflammation, and if they get worse, you may start feeling feverish.
When injecting steroids, these are just a few potential pitfalls.
Over time, most people will experience some sort of issue when using steroids. It's important to learn what's a minor issue, and what's something more serious that requires immediate attention.
If you know how pain feels post-injection compared to how an infection feels, you will know whether you need medical help or whether you can heal naturally. Experience and knowledge are necessary, but knowledge is power. The more you know about what can go wrong and how the less likely you are to see any serious complications.