What Causes Abdominal Distension in Anabolic Steroid and HGH Users? "Palumboism"

MuscleFreak

Well-known Member
It is quite common the repulsive look of the late IFBB pros, showing protrusion of their abdominal area.

There are several mechanisms that cause this phenomenon and its multifactorial.

1) It is known that HGH via somatomedin (IGF-1) causes hypertrophy/hyperplasia of skeletal muscles and rest of the tissues (lips, ears, tongue, gums).This actually takes place under high doses of somatropin (>8IU/day). Viscera (stomach, heart,lungs,liver,small and large intestines, kidneys) have a large number of receptors IGF-1, which will lead to them inflating. This effect is not immediate, it depends on the dose and time. Therefore the abuse ofr-HGH for an extended period of time creates the extrusion of the abdomen. In other words, organomegaly occur, the enlargement of each organ as a whole.

2) Accumulation of visceral fat occurs between the organs of the abdomen and the omentum. Greater and lesser omentumare layers of peritoneum surrounding the viscera and their vessels, nerves. Omentum creates bends and sinuses between the abdominal organs (peritoneal cavity).

HGH-gut-2.jpg


The accumulation of fat happens mainly because of the lipogenesis (fat storage) induced by the use of insulin that is administrated synergistically with the HGH. Both act synergistically and the regulate glucose metabolism. Since somatropin raises serum glucose (through gluconeogenesis in liver) and insulin lowers serum glucose (and activate glycogen synthase enzyme in liver), they apparently have opposite effects on the metabolism of carbohydrates. Therefore, HGH causes hyperglycemia and the release of hepatic glycogen in blood.

On the other hand, insulin leads to hypoglycemia and enhances formation of liver and muscle glycogen. Insulin resistance is the decrease in body’s ability to respond properly to the metabolism of insulin and glucose, leading to a vicious circle of hyperglycemia, hyperinsulinemia and eventually the establishment of DM2 (non-insulin dependent).

As it is known, the chronic use of r-HGH decreases insulin sensitivity, resulting in a growing need of insulin that eventually will exceed the body’s ability to properly regulate it. On that case, drugs reducing insulin resistance are required (metformin). Alternatively berberine, Chromium picolinate, alpha lipoic acid and vanadyl sulphate are among the supplements that improve insulin sensitivity. While the lipolytic action of growth hormone is generally strong enough to counteract the negative effects of insulin resistance in the fatty subcutaneous cells, it does not have the same positive effect on the visceral fat depots.

The extent, to which the combination of HGH and insulin will lead to abdominal distension, differs from person to person. Factors such as the type of diet (trans fat, refined sugars create insulin spikes), cardiovascular exercise, the frequency of weight lifting, the type of insulin used and the supplements can affect the sensitivity and therefore the likelihood of developing visceral fat.

3) Exogenous insulin interferes with the electrolyte balance increasing the retention of water and sodium, therefore leading to edema and swelling of tissues. This water retention occurs not only in the subcutaneous, but on the whole body as well, which is why many people hold water in the abdomen after the injection, especially with the regular use of insulin.

4) The consumption of large portions of food is another factor of stomach distention. Therefore, the larger amounts of food consumed, the more difficult the digestion is, resulting in the distention of the intestine.

5) The chronic use of anabolic steroids (AAS) in tablet form (17 alkylated) lowers and modifies the operation of the normal intestinal flora. This change disrupts the normal bowel function and causes constipation, overproduction of gas and distension of the intestine. The use of lactobacillus acidophilus probiotic bacteria as a supplement, or the consumption of kefir and organic yogurt could be of great value. Moreover candida albicans is useful as well .

6) Digestive disorders such gluten sensitivity and lactose intolerance thatlead to the overproduction of gas in the intestine. Therefore dairy products and wheat should be avoided.

7) The excessive intake of red meat and the inadequate fiber intake burdens the colon, which inflames because of the toxins. Gus based on nitrogen is produced, giving the feeling of bloated bowel. In order to facilitate the digestion and assimilation of the gastrointestinal tract, it is necessary to consume vegetables and fruits that are rich in fiber , in order to facilitate intestinal peristalsis, thus preventing constipation and bowel distension.

8) The weakening of the transverse abdominal muscle plays also an essential role. Transverse abdominal muscle forms a tube like cavity,that ori ginates from the lumbar fascia, the last six ribs, the iliac crest, the inguinal ligament ;while it ends in linea alba with its denervation. It is located beneath the external oblique and rectus abdominis muscles. The action of the transverse abdominis helps to control the body’s stability, the cornering and bending of the trunk, the support of the abdominal wall and the production of intra-abdominal pressure. The transverse abdominal muscle twitches before the other muscles of the body do, and creates the base of the body movement. Its contraction creates a rigid cylinder because of its location and its crown shape mobilizes the thoracolumbar fascia; thus creating the conditions for the increase of the intra-abdominal pressure. It acts basically like a belt around your waist, holding the truck. Relaxation of the transverse abdominis could be the result of the technique of many exercises with a large increase of intra-abdominal pressure (squats, deadlifts, leg press, and lunges), leading to abdominal distension.

It seems necessary and obligatory to drop on weight in order for the tissues to diminish. This is something accomplished by fasting and caloric deficit, following smaller meals and minimizing insulin spikes. There are top athletes who managed to reverse this and have a more aesthetic appearance on stage. Bubble gut can ruin the V taper of the physique and particularly the front three poses (relax,lats spread,double biceps) that reveal it.

Performing respiratory exercises of vacuum, by sucking the air through diaphragmatic breathing, can control the midsection during relaxing condition. It would be wiser to perform abdominal exercises focusing on the rectus abdominis, rather than hitting the external obliques. In this way we minimize distention of waist circumference.

Mr.Olympians known for their excellent V taper were Sergio Oliva and Lee Haney.

References:

  1. Multiple Effects of Growth Hormone in the Body: Is it Really the Hormone for Growth? Jesús Devesa, Cristina Almengló, and Pablo Devesa. Clin Med Insights Endocrinol Diabetes. 2016; 9: 47–71.
  2. Body Fat Distribution and Insulin Resistance. Pavankumar Patel*and Nicola Abate. Nutrients. 2013 Jun; 5(6): 2019–2027.
  3. The effect of 30 months of low-dose replacement therapy with recombinant human growth hormone (rhGH) on insulin and C-peptide kinetics, insulin secretion, insulin sensitivity, glucose effectiveness, and body composition in GH-deficient adults. Rosenfalck AM, Maghsoudi S, Fisker S, Jørgensen JO, Christiansen JS, Hilsted J, Vølund AA, Madsbad S.J ClinEndocrinolMetab.2000 Nov;85(11):4173-81.
  4. The treatment of functional abdominal bloating and distension. Schmulson, L. Chang. Aliment PharmacolTher2011; 33: 1071–1086
  5. Impacts of Gut Bacteria on Human Health and Diseases. Yu-Jie Zhang,Sha Li ,Ren-You Gan ,Tong Zhou ,Dong-Ping Xu andHua-Bin Li . J. Mol. Sci. 2015, 16(4), 7493-7519
  6. Effect of craniocervical posture on abdominal muscle activities Jung Gil Su, Shin Ji Won, and HwangboGak.J Phys Ther Sci. 2016 Feb; 28(2): 654–657.
 
It is quite common the repulsive look of the late IFBB pros, showing protrusion of their abdominal area.

There are several mechanisms that cause this phenomenon and its multifactorial.

1) It is known that HGH via somatomedin (IGF-1) causes hypertrophy/hyperplasia of skeletal muscles and rest of the tissues (lips, ears, tongue, gums).This actually takes place under high doses of somatropin (>8IU/day). Viscera (stomach, heart,lungs,liver,small and large intestines, kidneys) have a large number of receptors IGF-1, which will lead to them inflating. This effect is not immediate, it depends on the dose and time. Therefore the abuse ofr-HGH for an extended period of time creates the extrusion of the abdomen. In other words, organomegaly occur, the enlargement of each organ as a whole.

2) Accumulation of visceral fat occurs between the organs of the abdomen and the omentum. Greater and lesser omentumare layers of peritoneum surrounding the viscera and their vessels, nerves. Omentum creates bends and sinuses between the abdominal organs (peritoneal cavity).

HGH-gut-2.jpg


The accumulation of fat happens mainly because of the lipogenesis (fat storage) induced by the use of insulin that is administrated synergistically with the HGH. Both act synergistically and the regulate glucose metabolism. Since somatropin raises serum glucose (through gluconeogenesis in liver) and insulin lowers serum glucose (and activate glycogen synthase enzyme in liver), they apparently have opposite effects on the metabolism of carbohydrates. Therefore, HGH causes hyperglycemia and the release of hepatic glycogen in blood.

On the other hand, insulin leads to hypoglycemia and enhances formation of liver and muscle glycogen. Insulin resistance is the decrease in body’s ability to respond properly to the metabolism of insulin and glucose, leading to a vicious circle of hyperglycemia, hyperinsulinemia and eventually the establishment of DM2 (non-insulin dependent).

As it is known, the chronic use of r-HGH decreases insulin sensitivity, resulting in a growing need of insulin that eventually will exceed the body’s ability to properly regulate it. On that case, drugs reducing insulin resistance are required (metformin). Alternatively berberine, Chromium picolinate, alpha lipoic acid and vanadyl sulphate are among the supplements that improve insulin sensitivity. While the lipolytic action of growth hormone is generally strong enough to counteract the negative effects of insulin resistance in the fatty subcutaneous cells, it does not have the same positive effect on the visceral fat depots.

The extent, to which the combination of HGH and insulin will lead to abdominal distension, differs from person to person. Factors such as the type of diet (trans fat, refined sugars create insulin spikes), cardiovascular exercise, the frequency of weight lifting, the type of insulin used and the supplements can affect the sensitivity and therefore the likelihood of developing visceral fat.

3) Exogenous insulin interferes with the electrolyte balance increasing the retention of water and sodium, therefore leading to edema and swelling of tissues. This water retention occurs not only in the subcutaneous, but on the whole body as well, which is why many people hold water in the abdomen after the injection, especially with the regular use of insulin.

4) The consumption of large portions of food is another factor of stomach distention. Therefore, the larger amounts of food consumed, the more difficult the digestion is, resulting in the distention of the intestine.

5) The chronic use of anabolic steroids (AAS) in tablet form (17 alkylated) lowers and modifies the operation of the normal intestinal flora. This change disrupts the normal bowel function and causes constipation, overproduction of gas and distension of the intestine. The use of lactobacillus acidophilus probiotic bacteria as a supplement, or the consumption of kefir and organic yogurt could be of great value. Moreover candida albicans is useful as well .

6) Digestive disorders such gluten sensitivity and lactose intolerance thatlead to the overproduction of gas in the intestine. Therefore dairy products and wheat should be avoided.

7) The excessive intake of red meat and the inadequate fiber intake burdens the colon, which inflames because of the toxins. Gus based on nitrogen is produced, giving the feeling of bloated bowel. In order to facilitate the digestion and assimilation of the gastrointestinal tract, it is necessary to consume vegetables and fruits that are rich in fiber , in order to facilitate intestinal peristalsis, thus preventing constipation and bowel distension.

8) The weakening of the transverse abdominal muscle plays also an essential role. Transverse abdominal muscle forms a tube like cavity,that ori ginates from the lumbar fascia, the last six ribs, the iliac crest, the inguinal ligament ;while it ends in linea alba with its denervation. It is located beneath the external oblique and rectus abdominis muscles. The action of the transverse abdominis helps to control the body’s stability, the cornering and bending of the trunk, the support of the abdominal wall and the production of intra-abdominal pressure. The transverse abdominal muscle twitches before the other muscles of the body do, and creates the base of the body movement. Its contraction creates a rigid cylinder because of its location and its crown shape mobilizes the thoracolumbar fascia; thus creating the conditions for the increase of the intra-abdominal pressure. It acts basically like a belt around your waist, holding the truck. Relaxation of the transverse abdominis could be the result of the technique of many exercises with a large increase of intra-abdominal pressure (squats, deadlifts, leg press, and lunges), leading to abdominal distension.

It seems necessary and obligatory to drop on weight in order for the tissues to diminish. This is something accomplished by fasting and caloric deficit, following smaller meals and minimizing insulin spikes. There are top athletes who managed to reverse this and have a more aesthetic appearance on stage. Bubble gut can ruin the V taper of the physique and particularly the front three poses (relax,lats spread,double biceps) that reveal it.

Performing respiratory exercises of vacuum, by sucking the air through diaphragmatic breathing, can control the midsection during relaxing condition. It would be wiser to perform abdominal exercises focusing on the rectus abdominis, rather than hitting the external obliques. In this way we minimize distention of waist circumference.

Mr.Olympians known for their excellent V taper were Sergio Oliva and Lee Haney.

References:

  1. Multiple Effects of Growth Hormone in the Body: Is it Really the Hormone for Growth? Jesús Devesa, Cristina Almengló, and Pablo Devesa. Clin Med Insights Endocrinol Diabetes. 2016; 9: 47–71.
  2. Body Fat Distribution and Insulin Resistance. Pavankumar Patel*and Nicola Abate. Nutrients. 2013 Jun; 5(6): 2019–2027.
  3. The effect of 30 months of low-dose replacement therapy with recombinant human growth hormone (rhGH) on insulin and C-peptide kinetics, insulin secretion, insulin sensitivity, glucose effectiveness, and body composition in GH-deficient adults. Rosenfalck AM, Maghsoudi S, Fisker S, Jørgensen JO, Christiansen JS, Hilsted J, Vølund AA, Madsbad S.J ClinEndocrinolMetab.2000 Nov;85(11):4173-81.
  4. The treatment of functional abdominal bloating and distension. Schmulson, L. Chang. Aliment PharmacolTher2011; 33: 1071–1086
  5. Impacts of Gut Bacteria on Human Health and Diseases. Yu-Jie Zhang,Sha Li ,Ren-You Gan ,Tong Zhou ,Dong-Ping Xu andHua-Bin Li . J. Mol. Sci. 2015, 16(4), 7493-7519
  6. Effect of craniocervical posture on abdominal muscle activities Jung Gil Su, Shin Ji Won, and HwangboGak.J Phys Ther Sci. 2016 Feb; 28(2): 654–657.

Great post
 
Doesnt berberine and metformin have the same effect on insulin resistance? Your post makes it seem like they are opposites ?
 
It said that the dose of Berberine the studied in vitro exerting function its almost unattainable with oral subministrations, so it suggests to modify its molecule etc.
Does anyone using HGH that used Metformin to fight insulin resistance, used also Berberine with it?
no..my friend is using metformin at the moment,insnulin sensitivity is great
 
no..my friend is using metformin at the moment,insnulin sensitivity is great

500mg at lunch and dinner ED? Or 850mg instead of 500? On pubmed i found a study where they claimed 850mg 2 times daily for like an year or 2. I know Metformin messes up with liver enzymes so i choosed 500mg 2 times daily and the sustained version
 
On the topic of Metformin
I've always been super fucking confused.
The pharmacology states that Metformin is bad for building muscle.
But I hear guys in much better shape than me, using it even PWO
Maybe you guys can help me out.

Apparently it is detrimental to growth.
But for example , @Mac11wildcat uses it... and Mac, your physique is incredible.

Does Metformin help at all... or are you guys just running it purely for insulin sensitivity when on Slin/GH
 
The link to the study.
Code:
https://onlinelibrary.wiley.com/doi/full/10.1111/acel.13039

Synopsis
As it's a pretty long and boring as fuck read.

(2012), who reported that metformin inhibits gains in fat‐free mass in response to concurrent aerobic and resistance training in subjects with prediabetes. Metformin may inhibit muscle hypertrophy via inhibition of mTORC1, leading to decreased muscle protein synthesis or increased autophagy
 
The link to the study.
Code:
https://onlinelibrary.wiley.com/doi/full/10.1111/acel.13039

Synopsis
As it's a pretty long and boring as fuck read.

(2012), who reported that metformin inhibits gains in fat‐free mass in response to concurrent aerobic and resistance training in subjects with prediabetes. Metformin may inhibit muscle hypertrophy via inhibition of mTORC1, leading to decreased muscle protein synthesis or increased autophagy
 
The link to the study.
Code:
https://onlinelibrary.wiley.com/doi/full/10.1111/acel.13039

Synopsis
As it's a pretty long and boring as fuck read.

(2012), who reported that metformin inhibits gains in fat‐free mass in response to concurrent aerobic and resistance training in subjects with prediabetes. Metformin may inhibit muscle hypertrophy via inhibition of mTORC1, leading to decreased muscle protein synthesis or increased autophagy
maybe that video an help ...i don't believe it will slow muscle growth to any significant degree..maybe only for people who dont use any aas
 
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