How to Inject Steroids (2022)


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How to Inject Steroids (1)
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How to Inject Steroids (3)
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You’ve seen it in movies and on TV shows a million times; the “bad guy” taking steroids is portrayed as a lowlife degenerate, and when he injects his steroids he’ll jam the needle right into his butt cheek without a care in the world. If you know anything about anabolic steroids, then you know how utterly ridiculous this is; of course, you know how utterly ridiculous everything you see on TV or in the movies is when it comes to anabolic steroids. Even so, if you’ve never supplemented before you have no idea how to inject steroids; in-fact, you might think our idiot friend described above is dead on the money. Luckily for you, you’ve come to the right place as we’re going to explain to you how to inject steroids, and every step you need to take. Before we dive in, understand this simple bit of truth; this is a straightforward process, so simple the simplest of us of all can do it, but if you don’t know how you don’t know, and as with all things you have to learn first. After you read this, you’ll know exactly how to inject steroids, and from there you’ll be able to concern yourself with more important matters.

How NOT to Inject Steroids

Go to any message board, and at some point in time you’ll find threads where people are asking how to inject steroids in some of the most ridiculous ways imaginable. You’ll find those asking how to inject steroids intravenously andif you search long enough you can probably find threads where people ask how to inject steroids into their scrotum. Let’s be clear, very clear; you do not inject anabolic steroids intravenously. Anabolic androgenic steroids are meant to be injected into the muscle tissue, but some steroids can also be injected subcutaneously. ( All the answers to your questions on this subject can be answered by watching the videos above )

how to inject steroids – Preparations

If you want to know how to inject steroids, the first thing you need to know is how to prepare for the injection. You know you need to stick it into the muscle tissue, and we’ll go into the specifics of that later on, but there’s more to it than that. There are eight specific steps you need to follow when injecting anabolic steroids, and while that may sound like a lot the whole process shouldn’t take but a minute. Failure to follow these eight remarkably simple steps can result in complications such as infections or simply very uncomfortable injections, and an unnecessarily sore injected area.

  • Step 1: Choosing a Needle – There are numerous needle sizes at our disposal, and you need the right one to get the job done. There’s no reason to choose a massive needle, but you don’t want one that’s so small the oil will barely push through. In most all cases, a 23g-25g needle will serve your needs. As for the needle length, 1” is plenty long enough for most anyone, but 1.5” is also suitable. Some will find ½” needles to be sufficient, but only if they are injecting into a very low body-fat area. Regardless of the needle size you choose, you will always use a clean never before used needle each and every time.
  • Step 2: Drawing Air – Before you draw your steroids into the syringe, the first step is to draw at a minimum the same amount of air into the syringe that matches the amount of oil you’ll be drawing into the syringe. This is not absolutely necessary, but it will make step four a lot easier. Further, most will find drawing a little more air than needed to be quite beneficial and make things even easier.
  • Step 3: Empty the Air – Place the needle into the oil (the steroids you’re using) and push all the air in. This will allow you to draw the oil with ease; again, you don’t have to do this but there’s no point in skipping it.
  • Step 4: Draw the Oil – Simply pull the plunger of the syringe back until the desired amount is obtained; most will find drawing in slightly more (a miniscule amount) to be useful. A side note; many choose to use a “Draw Needle” for this purpose; this refers to using a larger needle. In this instance, you will use a 20g-21g needle to draw your oil into the syringe as it is much easier and faster. If you choose this method, you will follow steps 2 and 3 with your draw needle, and then replace the needle with the needle you chose in step 1.
  • Step 5: Remove Air Bubbles – Now that the oil is in the syringe, you will push the plunger forward while tapping your finger against the side of the syringe to remove all air bubbles. This will cause a little bit of oil to shoot out of the needle, but that’s why you drew up a little extra.
  • Step 6: Disinfecting – Determine which muscle you’re going to inject and the specific location, and disinfect with alcohol. Putting alcohol on a cotton ball will work, but alcohol swabs are perfect for this purpose.
  • Step 7: Plunge the Needle & Aspirate – Once the area is disinfected, plunge the needle into the desired location, but do not inject yet. Once the needle is firmly in place, pull the syringe back; this is what is known as Aspirating. When you aspirate, if blood fills into the syringe remove the needle and pick a new location. If blood has entered into the syringe, you have hit a vein or blood vessel, and if you inject there’s a chance you’ll fall prey to what is known as “Tren Cough.” Trenbolone is the most notorious anabolic steroid for causing this, but it can happen with even Testosterone. When you hit a vein or blood vessel, some of the steroid gets into the lungs, and causes a violent cough that can be quite frightening and painful. Your mouth will taste like metal, and some say their teeth even hurt, and you will cough more violently than you ever have before. Don’t let this scare you; if you aspirate and follow our recommendations you’ll be fine. If you aspirate and no blood enters the syringe, you’re ready to inject.
  • Step 8: If you have followed steps 1-7 and no blood entered the syringe during step 7, you are ready to inject your steroid(s). Simply push the plunger until all the oil has entered the desired location.

Post Injection Protocol

How to Inject Steroids (11)You now know how to inject steroids, but you now need to know what to do immediately following the injection. This is a part of the procedure so many ignore, and it’s something that shouldn’t be ignored at all. To begin, it only takes a moment, and more importantly, it will simply make everything smoother. It’s an easy three step process as follows:

  • Step 1: All the oil has been injected, but at this point, you are not ready to remove the needle. Leave the needle in for approximately 20-30 seconds to ensure all the oil has settled deep into the muscle. If you skip this step, there’s a decent chance some of the oil may leak out, or worse settle under the skin; this can lead to a sterile abscess and it’s intensely painful.
  • Step 2: After step 1, you’re ready to remove the needle, and as you do, you’ll place a clean, never before used cotton ball directly over the injected area. Applying pressure, hold the cotton ball in place for approximately 20-30 seconds. There’s a decent chance a little blood will be on the cotton ball (which is why you’re doing this), but this is no reason for concern; remember, you just pierced your skin.
  • Step 3: After step 3, remove the cotton ball and firmly massage the area for a few seconds to ensure all the oil is dispersed deep into the muscle; after step 3 you’re done.

how to inject steroids – Specific Locations

You know how to inject steroids, you understand the pre and post-injection procedure, but now you need to know the most crucial part; the specific muscles to inject. There are 9 specific muscle groups on the body that can be used for anabolic steroid injections, and within most groups, there are numerous locations. In the chart below, we have listed each muscle group, each location, and a brief description on how to inject steroids into that specific location; we have further provided additional notes where they apply:

Muscle Group

(Video) How to Give Yourself an Intramuscular Injection

Location

Procedure

Notes

Biceps

Center of Each Head

Dead center of either head – 2 spots per bicep

Normally suitable for only small injections – can only hold small amounts of oil – painful for some, not for others

Calves

Center of Muscle Head

Dead center of either head – 2 spots per calf

This is the most painful area to inject and will be extremely sore almost every time – there is no reason to inject calves for 99% of all people

(Video) How to inject steroids!!!

Deltoids

Center of each Head

Dead center of all three heads – 3 spots per deltoid

The lateral head is the easiest head to inject and the most convenient spot to inject other than glutes – most no one will need the front or rear head, but it is possible

Glutes

Upper Outer Edge

2 inches below the lower back and move towards the hip approximately 2-3 inches – 1 spot per glute

This will be the easiest and most convenient area to inject for anyone

Lats

Center of Muscle

Direct center of head – 1 spot per lat

(Video) Steroid Injections for the Knee and Shoulder Highlights - Brian Feeley, MD

Can hold a lot of oil – very hard to do on your own due to reaching around to the area – beneficial if more areas are needed and you have a helpful hand

Pectorals

Upper, Middle & Lower

Upper Inside – middle inside – lower outside – 3 spots per pectoral

The lower outside area can be extremely painful – most will find the upper inside to the most tolerable – should only be used if injections are so frequent new areas are needed

Quads

Outer & Inner Heads

Direct center of either head – 2 spots per quad

The lower head (tear drop) can be extremely painful and while it can be used is not recommended

Traps

Center of Muscle

(Video) How to do a testosterone or estrogen injection – LGBTQ Clinic

Direct center of the head – 1 spot per trap

Absolutely no reason to inject this area – can be dangerous and is only mentioned for informative purposes as it is possible

Triceps

Center of Each Head

Dead center of all three heads – 3 spots per triceps

Most will find the long head, the part on the very back of the arm to be the easiest to inject – The lateral head can also be used, the front most portion of the triceps muscle – the medial head can be extremely difficult to inject and painful for most

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FAQs

How do you inject steroid? ›

The steroid is injected with a syringe and small needle into the targeted area. There is generally some form of anesthesia beforehand with lidocaine or a spray. Some brief and typically minor pain with the procedure is common. The degree of pain will vary on the location of the shot and the individual patient.

Where is the best place to inject a steroid shot? ›

The best places to inject are your glutes, quads and delts. It's easier to inject into these bigger muscles but you still need to be careful to avoid blood vessels or nerves. Glutes – your glutes are the safest place to inject.

How painful is injecting steroids? ›

Most people have steroid injections without any side effects. They can be a little uncomfortable at the time of injection, but many people feel that this is not as bad as they feared. Occasionally people notice a flare-up in their joint pain within the first 24 hours after an injection.

Does it matter what muscle you inject steroids into? ›

Steroids work by traveling in your bloodstream and working with all the muscle cells in your body to grow. Injecting a steroid into the muscle you want to be bigger will not work and could lead to injury or nerve damage. Middle outer muscle of each thigh. Safer area because there are no major nerves or blood vessels.

How deep should you inject testosterone? ›

Your injecting needle should be long enough to reach through the subcutaneous fat layer into the muscle (usually 1.25 or 1.5 inch), and a guage between 22g - 25g.

How much testosterone should I inject? ›

Adults—At first, 75 milligrams (mg) injected under the skin once a week. Your doctor may adjust your dose as needed. Children—Use and dose must be determined by your doctor.

How long does it take for steroids to work? ›

How long will it take to work? Prednisone generally works very quickly — usually within one to four days — if the prescribed dose is adequate to reduce your particular level of inflammation. Some people notice the effects of prednisone hours after taking the first dose.

Why are steroid shots given in the buttocks? ›

The steroid medication injected will help reduce the inflammation and /or swelling around the nerves that pass near or through the piriformis muscle. This in turn may reduce your pain, numbness, tingling or other symptoms that may contribute to nerve inflammation, irritation or swelling.

What happens if you hit a blood vessel while injecting? ›

Hitting an artery can be painful and dangerous. Arterial blood travels away from the heart so whatever is injected goes straight to body limbs and extremities. Injection particles get stuck in blood capillaries and cut off circulation. This can result in a lack of blood flow, eventually causing the tissue to die.

How long does a shot of steroids last? ›

The effects of the injection usually last up to 2 months, but sometimes longer. Cortisone can reduce inflammation that damages joints.

What happens if you inject steroids into a nerve? ›

In conclusion, it was shown that the intrafascicular injection of commonly used steroid agents had a direct toxic effect on peripheral nerve-fibers and caused a disruption of the blood-nerve barrier. Use of the more toxic agents in the vicinity of peripheral nerves should probably be avoided.

How many steroid shots are safe? ›

In general, you shouldn't get cortisone injections more often than every six weeks and usually not more than three or four times a year.

Where do you inject testosterone? ›

Some medicines—such as the hormone testosterone or fertility medicines—need to be injected into a muscle to work. This type of shot is usually given in the thigh or hip. If it's easier, you may want to have someone else give you the shot in your hip. At first, you may be nervous about giving yourself a shot.

Will my testosterone levels return to normal after steroids? ›

It can take up to 4 months to restore natural testosterone levels after being on anabolic steroids for a long time. Withdrawal symptoms from steroids can include: fatigue. weight loss due to lowered appetite.

How many ml of testosterone should I take a week? ›

Answer. 1 ml per week is 200 mg per week of testosterone. This is a replacement dose not shown to increase lean mass significantly in the short term. However, using higher doses may also increase red blood cell production and blood viscosity, so your doctor needs to monitor your hematocrit blood levels.

Does testosterone need to be refrigerated? ›

What should I know about storage and disposal of this medication? Keep testosterone enanthate injection (Xyosted) in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from light, excess heat and moisture (not in the bathroom). Do not refrigerate or freeze.

Do you feel testosterone shots right away? ›

Men can feel the effects of testosterone replacement therapy (TRT) in as little as 2-4 weeks. In most men effects of TRT are felt within 3 months.

How much testosterone do bodybuilders take? ›

Significant anabolic effects occur at supraphysiologic testosterone levels (>1000 ng/dl), which generally requires weekly doses of 300 mg or more.

Should I inject testosterone once or twice a week? ›

Twice per week is preferred for the balance of testosterone delivery.

How quickly does testosterone build up? ›

It can be concluded that the effects of testosterone on muscle strength are demonstrable after 12–20 weeks and that depending on the achieved testosterone levels, the maximum effects are attained after 6 or 12 months.

What drugs should not be taken with steroids? ›

You should tell any doctor or dentist treating you that you are taking steroids. Some key drugs that interact with steroids include anticoagulants (such as warfarin), drugs for blood pressure, antiepileptics, antidiabetic drugs, antifungal drugs, bronchodilators (such as salbutamol) and diuretics.

Do steroids make you tired? ›

Official answer. Prednisone does not usually cause sleepiness but may make you feel dizzy, irritable with mood swings, or cause you to have trouble sleeping (insomnia). If your dose is stopped too quickly or if you take prednisone for a long period of time you may feel severely fatigued.

What are the side effects of steroids? ›

What are the possible side effects of steroids?
  • Increased appetite.
  • Weight gain.
  • Changes in mood.
  • Muscle weakness.
  • Blurred vision.
  • Increased growth of body hair.
  • Easy bruising.
  • Lower resistance to infection.
20 Jan 2020

Should I rest after steroid injection? ›

It helps to rest the joint for 24 hours after the injection and avoid heavy exercise. It's safe to take everyday painkillers such as paracetamol or ibuprofen.

Do steroid injections weaken your immune system? ›

Based on previous reports, patients on high dose of systemic steroids have reduced immune response after vaccination, but this has not been demonstrated in all patients. The timing of vaccination and steroid use may also affect the vaccine response.

What do steroids do for gym? ›

Anabolic steroids can be used as performance-enhancing drugs that increase muscle mass and decrease fat, as well as causing many undesirable effects. Some athletes, weightlifters and bodybuilders take them regularly to improve their physical performance and build up their bodies.

What happens if you inject air bubbles? ›

Injecting a small air bubble into the skin or a muscle is usually harmless. But it might mean you aren't getting the full dose of medicine, because the air takes up space in the syringe.

How do you give a testosterone shot? ›

How to do a testosterone or estrogen injection – LGBTQ Clinic - YouTube

What happens if you inject too close to belly button? ›

People love injecting insulin in their stomachs – there's lots of space and usually a good amount of fat, which is excellent for insulin absorption. However, injecting too close to your belly button will cause bruising and pain. Aim to avoid any insulin injections within an inch or two of your belly button.

How many steroid injections can you have in a lifetime? ›

You can only have three cortisone injections in a lifetime

Generally, if the first injection doesn't work, the second and third probably won't either. Moreover, you should limit yourself to 2-3 injections in one area over 3-6 months. However, the rule that you can only have three in a lifetime is invalid.

Can a steroid shot make your heart race? ›

Prednisone may cause what is known as tachycardia, or a rapid heart rate over 100 beats per minute.

How long does steroid weight gain last? ›

The good news is, once the steroids are stopped and your body readjusts, the weight generally comes off. This usually happens within 6 months to a year.

Can you get a blood clot from a steroid injection? ›

Large study of glucocorticoid drugs did not find higher risk for former users, however. (HealthDay)—People who use drugs called glucocorticoids—a class of steroids—are at increased risk for blood clots in their veins, according to a new study.

How long does it take for a steroid injection to work? ›

How long will it take for the steroid injection to work? A corticosteroid injection will usually take 3 to 7 days to begin to have a positive effect. It may take up to two weeks for the medicine to decrease the inflammation to a point where pain is improved.

How big can you get on Tren? ›

Trenbolone results typical

You can expect to gain 10-15lbs of lean mass if you use trenbolone in bulk. This is a 4-week cycle. You could gain 25-30lbs in an 8-week cycle.

How often can you take steroids? ›

Because of the risk of side effects, steroid injections are often only given at intervals of at least 6 weeks and a maximum of 3 injections into one area is usually recommended.

How many steroid injections can you get in a year? ›

Because the overuse of cortisone can damage cartilage and bone, orthopedic surgeons try to give no more than three shots per year to any body part. Exceptions can be made on a case-by-case basis if there is a serious condition in which the benefits outweigh the risks.

How much is a steroid injection? ›

According to CostHelper, a site that tracks national health care prices, a cortisone injection used to treat deep acne can range in cost from $25-$100. In contrast, an epidural steroid injection (used for the treatment of lower back pain) can cost between $100-$300.

How fast can you build muscle on steroids? ›

The most impressive amount of muscle growth was nearly 16 pounds of lean mass gained in just six weeks of weightlifting with steroids—more than what natural guys will gain in their first six months of weightlifting.

What is the strongest steroid? ›

The mightiest of all steroids is Trenbolone. It is considered as the world's strongest steroid due to its effectiveness.

What is the strongest testosterone steroid? ›

Testosterone Suspension. This type of testosterone contains no ester and is known among bodybuilders as a “potent mass agent.” This water-based testosterone is said to be the most powerful injectable steroid available, producing very quick muscle mass and strength.

Where do you inject steroids at? ›

The best places to inject are your glutes, quads and delts. It's easier to inject into these bigger muscles but you still need to be careful to avoid blood vessels or nerves. Glutes – your glutes are the safest place to inject.

How long does a testosterone shot last? ›

Injections of Testosterone will last approximately 15-17 days and after that there will be a dramatic drop. The 14 day treatment schedule keeps that dramatic drop from occurring. How long will it take to see improvements?

Do you pinch skin for IM injection? ›

Insert needle at an 45o angle to the skin. Pinch up on SQ tissue to prevent injecting into muscle. Aspiration before injection is not required.

How can you tell if a guy is taking steroids? ›

Steroids cause hormonal imbalances in the body that can lead to physical changes. Men can develop breasts and shrunken testicles.
...
Other common side effects and signs of anabolic steroid abuse include:
  1. Acne.
  2. Rapid muscle/weight gain.
  3. Enlarged breasts (in men)
  4. Paranoia.
  5. Hyperactivity.
  6. Facial hair growth (in women)
15 Oct 2015

Will steroids cause erectile dysfunction? ›

Erectile dysfunction (ED) is a common side effect of steroid use. Steroids can also weaken a man's sex drive and cause the testicles to shrink as the body no longer relies on its own production of testosterone. Thankfully, there are treatments available for ED, and ways to prevent it from occurring.

What steroids do bodybuilders use? ›

Oral Steroids
  • Anadrol (oxymetholone)
  • Anavar (oxandrolone)
  • Dianabol (methandienone )
  • Winstrol (stanozolol)
  • Restandol (testosterone undecanoate)
21 Feb 2018

What are the 3 types of steroids? ›

Types of steroids

inhalers – such as beclometasone and fluticasone. nasal sprays – such as beclometasone and fluticasone. injections (given into joints, muscles or blood vessels) – such as methylprednisolone. creams, lotions and gels – such as hydrocortisone skin cream.

Where is the best place to give yourself a shot of testosterone? ›

Some medicines—such as the hormone testosterone or fertility medicines—need to be injected into a muscle to work. This type of shot is usually given in the thigh or hip. If it's easier, you may want to have someone else give you the shot in your hip.

Why are steroid shots given in the buttocks? ›

The steroid medication injected will help reduce the inflammation and /or swelling around the nerves that pass near or through the piriformis muscle. This in turn may reduce your pain, numbness, tingling or other symptoms that may contribute to nerve inflammation, irritation or swelling.

How long does a steroid shot last? ›

The effects of the injection usually last up to 2 months, but sometimes longer. Cortisone can reduce inflammation that damages joints. Your doctor also may recommend other treatments to address joint pain resulting from another condition such as obesity, tendon or ligament damage, or an autoimmune disorder.

What is the strongest steroid? ›

The mightiest of all steroids is Trenbolone. It is considered as the world's strongest steroid due to its effectiveness.

What are 5 common side effects of steroids? ›

Common side effects of systemic steroids include:
  • Increased appetite.
  • Weight gain.
  • Changes in mood.
  • Muscle weakness.
  • Blurred vision.
  • Increased growth of body hair.
  • Easy bruising.
  • Lower resistance to infection.
20 Jan 2020

How long can you take steroids? ›

Short, occasional courses of steroid tablets taken for no longer than three weeks are very unlikely to cause troublesome side effects. It's sometimes necessary, however, for them to be taken for longer periods. In these cases, you're more likely to develop troublesome side effects, although this is not inevitable.

How far does a needle go in for a shot? ›

Most adolescents and adults will require a 1- to 1.5-inch (25–38 mm) needle to ensure intramuscular administration.

Should I inject testosterone once or twice a week? ›

Twice per week is preferred for the balance of testosterone delivery.

How long does it take for testosterone to kick in? ›

Changes in erections/ejaculations may require up to 6 months. Effects on quality of life manifest within 3–4 weeks, but maximum benefits take longer. Effects on depressive mood become detectable after 3–6 weeks with a maximum after 18–30 weeks. Effects on erythropoiesis are evident at 3 months, peaking at 9–12 months.

What happens if you inject steroids into a nerve? ›

In conclusion, it was shown that the intrafascicular injection of commonly used steroid agents had a direct toxic effect on peripheral nerve-fibers and caused a disruption of the blood-nerve barrier. Use of the more toxic agents in the vicinity of peripheral nerves should probably be avoided.

How long does steroid shot take to work? ›

A corticosteroid injection will usually take 3 to 7 days to begin to have a positive effect. It may take up to two weeks for the medicine to decrease the inflammation to a point where pain is improved. The full benefit of the corticosteroid may not be felt until 6 weeks after injection.

How quickly do steroid injections work? ›

Most research concludes that steroid injections take between 3-5 days to work. However to be on the safe side we would normally encourage patients to have their injection ideally 7-10 days week before their event. This gives the maximum chance that the steroid will achieve maximum benefits.

How many steroid shots are safe? ›

In general, you shouldn't get cortisone injections more often than every six weeks and usually not more than three or four times a year.

What is side effects of steroids? ›

Side effects of steroid tablets
  • indigestion or heartburn.
  • increased appetite, which could lead to weight gain.
  • difficulty sleeping.
  • changes in mood and behaviour, such as feeling irritable or anxious.
  • an increased risk of infections – especially chickenpox, shingles and measles.
  • high blood sugar or diabetes.

How many steroid injections can you have in a lifetime? ›

You can only have three cortisone injections in a lifetime

Generally, if the first injection doesn't work, the second and third probably won't either. Moreover, you should limit yourself to 2-3 injections in one area over 3-6 months. However, the rule that you can only have three in a lifetime is invalid.

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3. CHLA - Intramuscular Self-Injection Instructions - Adolescent Medicine
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4. Buttocks Dorsogluteal Intramuscular Injection Simulator
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5. Testosterone Intramuscular Injection Sites and Klinefelter syndrome
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