いつもお世話になっているお客様よりご紹介いただきました
2011年07月23日
車輌保険修理でお預かりの300C/SRT
ホイール・タイヤ交換・フェンダーライナー交換・アライメント調整を行いました。
高速でバーストしてしまったそうで・・・
大事にならなくて何よりです。
明日、ガラスコーティング作業を行い納車させて頂きます。
セーフティーチェックでお預かりの日産 オッティ
作業が終了したので洗車・室内清掃を済ませ納車させて頂きました。
BMW R50ミニ クイックエンジンオイル交換作業を行いました。
洗車・室内清掃を済ませ納車させて頂きました。
こちらは車検点検整備でお預かりしていたBMW E91
全ての作業が終了したので納車させて頂きました。
今回、オイル漏れなどかなり濃い内容の整備を行いました。
こちらは車検点検でお預かりのBMW E46
週明けに点検を行い、車検を取得してお戻しさせて頂く予定です。
レストガレージ 阿部
この記事へのコメント
(Deanne)
Anavar For Women And Weight Loss Cycle, Dosage For Female Bodybuilders, Before And After Results
# How to Effectively Use Anavar (Oxandrolone) for Women
*A comprehensive, evidence?based guide that covers everything from the basics to advanced tips.*
> **Disclaimer**: This guide is intended for educational purposes only and does NOT constitute medical
advice. Always consult a qualified healthcare professional before starting
any new medication or supplement.
---
## 1. What Is Anavar?
| Feature | Details |
|---------|---------|
| **Generic name** | Oxandrolone |
| **Class** | Anabolic?androgenic steroid (AAS) |
| **Legal status** | Prescription?only in most countries;
illegal to possess or distribute without a prescription |
| **Common uses** | Weight loss, muscle preservation during calorie
restriction, treatment of osteoporosis, delayed puberty, and other medical conditions |
---
## 2. How Does It Work?
- **Androgen receptor activation:** Oxandrolone binds to androgen receptors in target tissues (muscle, bone),
stimulating protein synthesis.
- **Reduced cortisol effect:** Enhances nitrogen retention by reducing catabolic effects of
cortisol on muscle.
- **Increased lean body mass:** Encourages growth of skeletal muscle fibers while sparing
fat tissue.
---
## 3. Typical Dosage and Regimen
> **Note:** The following is for informational purposes only; do not
self?prescribe or use oxandrolone without medical supervision.
| Indication | Approximate Dose | Duration |
|------------|------------------|----------|
| **Anabolic steroid (muscle building)** | 5?10?mg/day | 6?12?weeks
|
| **Bone growth in children** | 0.05?0.1?mg/kg/day | Until growth
plate closure |
| **Post?operative muscle loss** | 2.5?5?mg/day
| 4?8?weeks |
- **Sexual dimorphism:** Male patients often tolerate higher doses than females;
dosing is adjusted for weight or body surface area.
- **Pregnancy:** Contraindicated due to teratogenic potential.
---
## 3. Comparison with the "Standard" Steroid ? Methylprednisolone
| Feature | Methylprednisolone (Standard) | Anabolic Steroid (e.g., Oxandrolone) |
|---------|------------------------------|-------------------------------------|
| **Primary Mechanism** | Glucocorticoid receptor activation → anti?inflammatory gene transcription, immune suppression. | Androgen/thyroid hormone receptors →
protein synthesis upregulation, anabolic effects.
|
| **Metabolism** | Hepatic esterases & CYP3A4; glucuronidation. | Hepatic hydroxylation (CYP3A4), conjugation with glucuronic acid or sulfate.
|
| **Excretion** | Urine (glucuronides). | Urine (conjugates).
|
| **Half?life** | ~1?2?h; active metabolites may persist longer.
| ~12?24?h; depends on formulation. |
| **Side Effects** | Fluid retention, hypertension, insomnia, mood changes, GI upset.
| Gynecomastia, acne, increased libido, testicular atrophy, mood swings.
|
| **Drug Interactions** | CYP3A4 inhibitors ↑ levels → more fluid retention; CYP3A4 inducers
↓ levels → less effect. | CYP3A4 interactions similar to anabolic steroids.
|
---
## 6. Practical Take?aways
| Topic | Key Points |
|-------|------------|
| **Effect of testosterone on blood pressure** | ? Acute increases via vasoconstriction & fluid retention.
? Chronic use may elevate BP, especially in older men or those with pre?existing hypertension.
? Monitor BP if prescribing T therapy. |
| **Cardiovascular risk of anabolic steroids** | ? Higher
doses and non?therapeutic regimens increase risk of MI,
stroke, arrhythmia.
? Risk is dose?dependent; lower therapeutic levels (<400?ng/mL) show less effect but still not negligible.
? Lifestyle factors (smoking, diet, exercise) modify risk. |
| **Effect on lipid profile** | ? ↑LDL, ↓HDL, ↑total cholesterol and triglycerides → atherogenic changes.
? These changes are dose?dependent and may reverse when steroids discontinued. |
---
## 6. Practical Recommendations for the Patient
| Issue | Suggested Course of Action |
|-------|---------------------------|
| **Current drug use** | Discuss with prescribing clinician about possibility of switching to an ARB (e.g., losartan) or a low?dose ACE inhibitor; if not feasible, ensure that any additional antihypertensives are started only after confirming the effect on BP. |
| **Monitoring** | Home BP monitoring twice daily for at least 2?4 weeks; keep a log. Check kidney function and electrolytes (Na?, K?) each time medication is added or dose changed. |
| **Lifestyle** | Maintain low?salt diet (<5?g salt/day), regular aerobic exercise, limit alcohol to ?1 drink/day for women, quit smoking if applicable. |
| **Drug interactions** | Avoid non?steroidal anti?inflammatory drugs (NSAIDs) with ACE inhibitors/ARBs as they can impair renal function. |
| **Follow?up** | Re?evaluate at 4?6 weeks; adjust dose or add diuretic if needed. |
---
## Key Take?away Points
1. **ACE?Inhibitor + ARB → No extra benefit, ↑ adverse events.**
Use either one alone.
2. **Combining a β?blocker with an ACE?inhibitor is beneficial for heart failure and post?MI patients; monitor for hypotension/bradycardia.**
3. **Add a diuretic when fluid overload occurs; avoid excessive diuresis that can trigger electrolyte imbalance.**
4. **Watch renal function and potassium levels, especially in older adults or those on diuretics.**
5. **Always tailor therapy to the patient’s comorbidities, renal status, and tolerance of side effects.**
---
### Bottom?Line for Practice
- **Start with a single ACE?inhibitor (or ARB) + beta?blocker combination** for most post?MI/heart?failure patients.
- **Add diuretic only if clinically indicated** by signs of congestion.
- **Avoid adding another RAAS blocker** unless there is a compelling indication.
- **Monitor labs and adjust dose promptly**, especially in older patients.
Use these points to guide quick decision?making in the ED or inpatient setting.
# How to Effectively Use Anavar (Oxandrolone) for Women
*A comprehensive, evidence?based guide that covers everything from the basics to advanced tips.*
> **Disclaimer**: This guide is intended for educational purposes only and does NOT constitute medical
advice. Always consult a qualified healthcare professional before starting
any new medication or supplement.
---
## 1. What Is Anavar?
| Feature | Details |
|---------|---------|
| **Generic name** | Oxandrolone |
| **Class** | Anabolic?androgenic steroid (AAS) |
| **Legal status** | Prescription?only in most countries;
illegal to possess or distribute without a prescription |
| **Common uses** | Weight loss, muscle preservation during calorie
restriction, treatment of osteoporosis, delayed puberty, and other medical conditions |
---
## 2. How Does It Work?
- **Androgen receptor activation:** Oxandrolone binds to androgen receptors in target tissues (muscle, bone),
stimulating protein synthesis.
- **Reduced cortisol effect:** Enhances nitrogen retention by reducing catabolic effects of
cortisol on muscle.
- **Increased lean body mass:** Encourages growth of skeletal muscle fibers while sparing
fat tissue.
---
## 3. Typical Dosage and Regimen
> **Note:** The following is for informational purposes only; do not
self?prescribe or use oxandrolone without medical supervision.
| Indication | Approximate Dose | Duration |
|------------|------------------|----------|
| **Anabolic steroid (muscle building)** | 5?10?mg/day | 6?12?weeks
|
| **Bone growth in children** | 0.05?0.1?mg/kg/day | Until growth
plate closure |
| **Post?operative muscle loss** | 2.5?5?mg/day
| 4?8?weeks |
- **Sexual dimorphism:** Male patients often tolerate higher doses than females;
dosing is adjusted for weight or body surface area.
- **Pregnancy:** Contraindicated due to teratogenic potential.
---
## 3. Comparison with the "Standard" Steroid ? Methylprednisolone
| Feature | Methylprednisolone (Standard) | Anabolic Steroid (e.g., Oxandrolone) |
|---------|------------------------------|-------------------------------------|
| **Primary Mechanism** | Glucocorticoid receptor activation → anti?inflammatory gene transcription, immune suppression. | Androgen/thyroid hormone receptors →
protein synthesis upregulation, anabolic effects.
|
| **Metabolism** | Hepatic esterases & CYP3A4; glucuronidation. | Hepatic hydroxylation (CYP3A4), conjugation with glucuronic acid or sulfate.
|
| **Excretion** | Urine (glucuronides). | Urine (conjugates).
|
| **Half?life** | ~1?2?h; active metabolites may persist longer.
| ~12?24?h; depends on formulation. |
| **Side Effects** | Fluid retention, hypertension, insomnia, mood changes, GI upset.
| Gynecomastia, acne, increased libido, testicular atrophy, mood swings.
|
| **Drug Interactions** | CYP3A4 inhibitors ↑ levels → more fluid retention; CYP3A4 inducers
↓ levels → less effect. | CYP3A4 interactions similar to anabolic steroids.
|
---
## 6. Practical Take?aways
| Topic | Key Points |
|-------|------------|
| **Effect of testosterone on blood pressure** | ? Acute increases via vasoconstriction & fluid retention.
? Chronic use may elevate BP, especially in older men or those with pre?existing hypertension.
? Monitor BP if prescribing T therapy. |
| **Cardiovascular risk of anabolic steroids** | ? Higher
doses and non?therapeutic regimens increase risk of MI,
stroke, arrhythmia.
? Risk is dose?dependent; lower therapeutic levels (<400?ng/mL) show less effect but still not negligible.
? Lifestyle factors (smoking, diet, exercise) modify risk. |
| **Effect on lipid profile** | ? ↑LDL, ↓HDL, ↑total cholesterol and triglycerides → atherogenic changes.
? These changes are dose?dependent and may reverse when steroids discontinued. |
---
## 6. Practical Recommendations for the Patient
| Issue | Suggested Course of Action |
|-------|---------------------------|
| **Current drug use** | Discuss with prescribing clinician about possibility of switching to an ARB (e.g., losartan) or a low?dose ACE inhibitor; if not feasible, ensure that any additional antihypertensives are started only after confirming the effect on BP. |
| **Monitoring** | Home BP monitoring twice daily for at least 2?4 weeks; keep a log. Check kidney function and electrolytes (Na?, K?) each time medication is added or dose changed. |
| **Lifestyle** | Maintain low?salt diet (<5?g salt/day), regular aerobic exercise, limit alcohol to ?1 drink/day for women, quit smoking if applicable. |
| **Drug interactions** | Avoid non?steroidal anti?inflammatory drugs (NSAIDs) with ACE inhibitors/ARBs as they can impair renal function. |
| **Follow?up** | Re?evaluate at 4?6 weeks; adjust dose or add diuretic if needed. |
---
## Key Take?away Points
1. **ACE?Inhibitor + ARB → No extra benefit, ↑ adverse events.**
Use either one alone.
2. **Combining a β?blocker with an ACE?inhibitor is beneficial for heart failure and post?MI patients; monitor for hypotension/bradycardia.**
3. **Add a diuretic when fluid overload occurs; avoid excessive diuresis that can trigger electrolyte imbalance.**
4. **Watch renal function and potassium levels, especially in older adults or those on diuretics.**
5. **Always tailor therapy to the patient’s comorbidities, renal status, and tolerance of side effects.**
---
### Bottom?Line for Practice
- **Start with a single ACE?inhibitor (or ARB) + beta?blocker combination** for most post?MI/heart?failure patients.
- **Add diuretic only if clinically indicated** by signs of congestion.
- **Avoid adding another RAAS blocker** unless there is a compelling indication.
- **Monitor labs and adjust dose promptly**, especially in older patients.
Use these points to guide quick decision?making in the ED or inpatient setting.
[2025-10-01 18:26:11.043502]
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