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Injection Pain! What To Know And What To Do!

dr jim

dr jim

MuscleHead
Apr 7, 2014
785
168
Copying this from Meso as well, there was a good post a few years ago. Posted by Fraggle:



5) Histamine reaction

This doesn't occur as often, but is still a potential possibility. For a compound to become biologically active the ester must be cleaved from the parent molecule. This results in the formation of a carboxylic acid. Some people find that they are sensitive to one of these. This results in swelling, warmth, redness and possibly a rash at the injection site. In the worst instance the individual may have an existing allergy to the carrier oil (sessame, etc...) that can result in anaphylaxis (swelling and occlusion of the airway) in addition to localised inflammation. If any histamine reaction results, immediately discontinue use and switch to an alternate carrier oil and/or alternate ester. If anaphylaxis results, immediately seek medical attention.
 
dr jim

dr jim

MuscleHead
Apr 7, 2014
785
168
LK that is ONE FINE explanation about PIP . Hot damn fella you are ON spot about many labs using excessive amounts of BA to aid the solubility of lower MW esters rather than use a MORE EXPENSIVE OIL or many of the commercially available "Benzoate" preservatives. (For those inquiring minds look up the SOLUBILITY COEFFICIENT or LOG-D of oils and esters) Pretty neat stuff IMO

(Hey I don't wear wire rim glasses, yet I do enjoy FB games, can communicate with average Joe's, like GSD moms apple pie and enjoy Dalmore Scotch and a cigars or two on the weekends, God forbid, lol)

However the "histamine reaction" you mentioned is NOT a allergic reaction AS YOU HAVE DESCRIBED IT. Why? Because decarboxylation is a natural catabolic process of FAT metabolism, which occurs thru the action of the ubiquitous serum enzyme called; yep you guessed it, ESTERASE.

People are NOT allergic to fats per say (well at least documenting that type of "allergy" is difficult at best) BUT the protein contaminants many of them contain. The same can be said for UGL products, since contamination should be assumed. So it's MUCH more likely what most people are experiencing is a GENERALIZED INFLAMMATORY response to any number of contaminants, rather than an allergic reaction (which again is individualized AND requires prior sensitization) to a specific proteinaceous substance.

Why mention it then?

Because allergic reactions are specific physiologic over-reactions to a particular compound, which is almost always protein based, AND responds to specific therapy (including prevention). More importantly re-exposure can be LIFE THREATENING. In that regard I'm NOT aware of any literature or case report in which an AAS, was proven to be the sole causation of an anaphylactic reaction.

So that early 12-24 hour redness some acquire post pinning is a NONSPECIFIC INFLAMMATORY RESPONSE to some junk in your gear! That does not mean it's unsafe but it certainly SUGGESTS more attention to detail is in oder on behalf of that LAB!

ONE FINAL POINT THAT LK has already made but I WILL EMPHASIZE, PIP IS A LAB DEPENDENT ADVERSE EFFECT OF AAS USE, PERIOD. YOU DON'T WANT PIP, LOCATE A QUALITY LAB!!!!!!

GTG LK

Best
jim
 
Last edited:
pege

pege

New Member
Apr 17, 2013
9
2
Good post , my experience has been , first I had to find what solvents my body will tolorate , meaning eo, cant use knots me up , ba I keep it at 2% and bb I can go as high as 20% but I generally go 15% I can honestly it took me years to figure this out but I very rarely ever get pip , now im running some nice prop and the next day I feel it but , I wouldnt call it pip but like maybe your boy gave you a shot in the arm. For me this dont have to be painful its not supposed to be . Good post bro
 
Bionixx

Bionixx

MuscleHead
Dec 6, 2011
326
9
Never had a problem with site injection soreness unless it was 100mg test prop in a all oil soln with 20% BB 2% BA. switch to 50:50 oil:
EO and problems solved. I once made a 550mg test long chain esters/ml and it made you sore but never a problem under 100 mg test prop, tren ace., or anything else.
 
T

Team21

New Member
Apr 16, 2018
5
2
Injection Pain! What To Know And What To Do!
INJECTION PAIN: Diagnosing a problem and what to do!

Here is a scenario that I read all too often on the boards:

A user has injected and a day later is having lots of pain and swelling to his injection site.

There are normally 3 reasons why this would occur.

The first reason is that the injectable used contained too much preservative such as benzyl alcohol which will cause tissue damage, and stimulate a local inflammatory response. The pain from this can be moderate and go away in a few days, or it can be severe and take almost a week to subside. It really depends on how much BA was in the solution injected and how much volume was injected. Normally the pain and inflammation can be controlled with Ice and anti-inflammatory such as Advil and after about the 3rd day, the user should notice a gradual subsiding of the symptoms.

The site should be swollen, and slightly red, but that swelling should be inside the muscle, and should begin to dissipate on the third day along with the pain. This is a slow progression though and could take as long as a week to ten days to fully go away, the key is it will slowly get better, not worse or stay the same.

The 2nd scenario is if you hit the lymphatic system with one of your injections.

The lymphatic system is a network of vessels that flow through your body. It is as extensive as your vascular system, and contains nodes at different parts are like storage depots or garrisons where White cells can accumulate for action.
The important thing to note is that the odds of coming into contact with the lymphatic system, as long as you stick to the conventionally recommended sites of IM injection are very small.
(The recommended sites are deltoids, ventogluteal (side of hip/ buttocks) , dorsal gluteus (back of buttocks top outer corner), vastus lateralis ( abductor lateral (outer side) of quadriceps).

But if you start doing ?site? injections, such as pectorals, biceps, inner quads etc. then you run much higher risk of hitting lymphatic tissue and disruption of ducts.

Lymphatic disruption is caused when you puncture into the area. Since it is fluid, but not blood, it has no means of initial clotting so the fluid will continue to flow into surrounding areas causing extreme localized swelling and pain. The swelling will then track up wards along the lymphatic system. The edema that is caused will also include surface edema ? i.e. if you indent the area with your finger, the finger mark will remain. That is called ?pitting edema?.

This edema comes on strong and fast, by the following day it is at its worst. There is normally no redness or ?heat? at the site, just swelling and pain. Ice and Advil can be helpful, but it usually takes a week for the swelling to dissipate, and for up to 10 days before you can resume training that body part, as the swelling can be so bad, it will limit your range of motion and flexibility in the muscle injected.

The Keys to note are that this usually occurs in an unconventional injection site, and there the swelling comes on quickly, and then doesn?t get worse. There is very little redness, and heat at the site. The site will have pitting edema, where as injection caused by too much BA has no pitting edema.

The third scenario is an injection site infection.

An infection can be caused by a few different factors but key is that you have introduced a bacterium into your muscle that doesn?t belong there, and is now invading your body.

This can be because what you injected was contaminated, because the needle you used was contaminated, or simply you just didn?t swab well enough either on the vial or your injection site.

The first thing that happens when you inject some gear is that the bacterium will cause a localized inflammatory response. That includes swelling, and redness, and heat to the area, very similar to if you had injected gear with a high BA content. What follows is that the infection will progress, and your body?s immune system will put in steps to defend itself.

Ice and Advil may help the pain, and temporarily blunt the swelling, but if you withdraw the therapy, the swelling continues to get worse. By the third day you will notice pitting edema to the area, unlike the lymphatic caused edema that occurs earlier then the third day.

Inside, the body will be attempting to contain the infection by forming a barrier around the infected area which is called a cyst. If the body is successful the infection can remained contained in that pocket and the body will slowly fight it. However the cyst can continue to grow in size taking up more and more of the muscle belly as cyst formation is not a guarantee that the body is able to kill the infection; it is just a way of slowing its spread.

Without cyst formation, the infection will reach the blood stream and that is when systemic symptoms will start occurring such as high fever, and limb swelling ? and a gradual progression to systemic septic shock. We won?t get into this here other than to say, if you felt a fever coming on, then the only place you should be worrying about getting to is the closets Emergency department, as your life could literally be in peril. Once septic shock begins, if it is not caught soon enough it becomes impossible to stop the process regardless of how young and healthy you are; you will die.

So, back to the beginning, if it is the 3rd day, and you are beginning to develop the symptoms I discussed ? the pitting edema, and the swelling and pain along with HEAT at the site of injection that is not subsiding, then you pretty much can surmise that you have yourself an abscess.

By finding the original spot that you injected and pressing down with a finger tip, it should be soft and boggy, there should be a finger indentation left in the skin, and there may also be a slight discolouration to the area.

So what is needed to fix this, and reverse this as soon as possible so that the least amount of damage is done to your muscle?

You need to get the infection out as soon as possible. Treating this with straight antibiotics may not quickly kill off the infection as the area will have been sealed off by the body so that the bacteria cannot utilize the vascular system to spread. In that same token, the antibiotics may not be effectively delivered in a fast enough time period to quickly kill off the infection, putting a halt to the infection?s progression.

Aspiration is a necessity and should be done as soon as you have confirmed that it is indeed an infection.

By inserting an needle syringe combo directly into the site in the exact path that your original injection took, and using a large gauge needle ? 18 or even larger 16 gauge needle, (make sure to swab really well before hand, and have sterile gauze to cover the site following) insert the needle with the syringe empty, and once you have inserted it an 1/8 inch or so begin to aspirate as you slowly sink the needle in depth. You will know when you hit the abscess, as you will quickly suck up a small quantity of fluid that will resemble bloody, but purulent (yellow tinge to it) puss and some remnants of the injection fluid, whether it was suspension or oil. Expect to aspirate at least as much as you injected and possible ? mL more, however sometimes you won?t find anything, and it usually is because you either aspirated too early ? i.e. you didn?t wait until the third or 4th day, or it isn?t an infection, or you just plain missed the site which really is hard to do.

If you don?t aspirate, you could end up with an ugly hole in your muscle.
Physicians are reluctant to aspirate thinking that they will give the antibiotics a chance to do the trick rather than spending the extra time to pull out the infection. Many times they leave it up to the patient to decide this matter, and will order a course or oral antibiotics.

The problem is, a lot of times the oral antibiotics will not work, and the patient will have to come back for IV therapy, and at this time aspiration may not be an option ?but rather surgical debridement? because the abscess has formed a large hole.

What will work, and works best with minimal harm is rapid diagnosis of the problem by the user at home, and rapid treatment. That means drawing out the infection, and going to the emergency department. You can bring the syringe with you to show the contents to the Nurse, and physician. It will certainly get you seen quicker. The doctor at that point will likely prescribe an oral antibiotic called Keflex (cephalaxen) This is a relatively side effect free medication that will work well and quickly if you have drawn out the infection. It will work poorly If you do not get the abscess drained.

So if you do not aspirate the area yourself, insist the doctor does it who is prescribing the antibiotics.

If all this is done properly, within a week you will be back to normal, and may not even miss any training time. You can train like normal through the antibiotic course, and you don?t have to stop your cycle. As long as your symptoms continue to lessen there is no need for follow up with your Doctor.

Don?t be afraid to go see your physician about this as there is no judgement they can place against you. They are bound to treat you for whatever illness you have regardless of how it was caused.

Finally, make absolute sure to finish the entire course of antibiotics you are prescribed! We don?t want to be breeding super bugs fuelled by steroids now do we!

CanadaPost
 
T

Team21

New Member
Apr 16, 2018
5
2
I think it's way more simple to solve 90% of injection site pain and knots. Simply inject very very slow. I have been on for 20 years. So much scar tissue in my butt the needle just pops through all the scar tissue. So, I know my stuff one injection for me can take 2 or 3 min. as I push it in very slowly and never go over 2ML then I take a paper towel and rub the injection site to help disperse the oil. This works I went to a TRT Doc a few times and they gave me the shot, of course, they very quickly injected only 1cc and sure enough a knot and pain for days. My way = no pain or lump an I take test, tren, EQ every week, tren every day...... Slow very very slow
 
Titan

Titan

VIP Member
Dec 28, 2010
350
124
However the "histamine reaction" you mentioned is NOT a allergic reaction AS YOU HAVE DESCRIBED IT. Why? Because decarboxylation is a natural catabolic process of FAT metabolism, which occurs thru the action of the ubiquitous serum enzyme called; yep you guessed it, ESTERASE.

People are NOT allergic to fats per say (well at least documenting that type of "allergy" is difficult at best) BUT the protein contaminants many of them contain. The same can be said for UGL products, since contamination should be assumed. So it's MUCH more likely what most people are experiencing is a GENERALIZED INFLAMMATORY response to any number of contaminants, rather than an allergic reaction (which again is individualized AND requires prior sensitization) to a specific proteinaceous substance.

Why mention it then?

Because allergic reactions are specific physiologic over-reactions to a particular compound, which is almost always protein based, AND responds to specific therapy (including prevention). More importantly re-exposure can be LIFE THREATENING. In that regard I'm NOT aware of any literature or case report in which an AAS, was proven to be the sole causation of an anaphylactic reaction.

So that early 12-24 hour redness some acquire post pinning is a NONSPECIFIC INFLAMMATORY RESPONSE to some junk in your gear! That does not mean it's unsafe but it certainly SUGGESTS more attention to detail is in oder on behalf of that LAB!



Best
jim
People can and are Allergic to anything you can imagine, this statement it is mostly protein based is just not true. lipids (Fats), carbohydrates, minerals, gases anything can build an allergic reaction within your body... every person is totally unique in their biological chemistry and what their own immune system has buildt antibodies against.
 
G-Seuss

G-Seuss

Member
May 5, 2018
77
13
I think it's way more simple to solve 90% of injection site pain and knots. Simply inject very very slow. I have been on for 20 years. So much scar tissue in my butt the needle just pops through all the scar tissue. So, I know my stuff one injection for me can take 2 or 3 min. as I push it in very slowly and never go over 2ML then I take a paper towel and rub the injection site to help disperse the oil. This works I went to a TRT Doc a few times and they gave me the shot, of course, they very quickly injected only 1cc and sure enough a knot and pain for days. My way = no pain or lump an I take test, tren, EQ every week, tren every day...... Slow very very slow
I totally agree.. That’s the only way to go, slow and easy and the rub the shit out of it.
 
L

liamsmith2796

New Member
Apr 20, 2019
4
0
So much great info on this thread. Personally if I’m doing a flute injection I’ll roll out my flute before hand. I’ll Inject with the compound slightly warmed (or at least not cold). Then I’ll put firm pressure with my thumb for a minute or two. After that I’ll roll it out again and I have very very low PIP.
 
rosoo

rosoo

Member
Apr 25, 2022
55
24
Great info :) and normally intramuscular injection on buttock is recommended as it is easier to do so at least for me
 
Btcowboy

Btcowboy

MuscleHead
Apr 17, 2022
281
237
Great info :) and normally intramuscular injection on buttock is recommended as it is easier to do so at least for me
Everyone has their favorite go to. I cant hit glutes, cant find ventroglute. I started quads only, then added delts into rotation. This week just opened pecs into the mix. Delts so far would be my favorite, although with 2 pec injections under my belt, they habe been pip free.
 
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