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The people on the website inspire to me to stick with the plan until I reach my goal. Customers can benefit from an online health tracking platform and individualized counseling from dieticians and weight loss coaches. If you're thinking about joining Nutrisystem, see if you can get your hands on one of their chocolate puddings. So many things affect our weight loss, exercise, age, etc. As well as others such as 1-dehydrogenation e.
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These sports include bodybuilding , weightlifting , shot put and other track and field , cycling , baseball , wrestling , mixed martial arts , boxing , football , and cricket. Such use is prohibited by the rules of the governing bodies of most sports. AAS use occurs among adolescents, especially by those participating in competitive sports. It has been suggested that the prevalence of use among high-school students in the U.
The AAS that have been used most commonly in medicine are testosterone and its many esters but most typically testosterone undecanoate , testosterone enanthate , testosterone cypionate , and testosterone propionate ,  nandrolone esters typically nandrolone decanoate and nandrolone phenylpropionate , stanozolol , and metandienone methandrostenolone. Designer steroids are AAS that have not been approved and marketed for medical use but have been distributed through the black market.
There are four common forms in which AAS are administered: Oral administration is the most convenient. Testosterone administered by mouth is rapidly absorbed, but it is largely converted to inactive metabolites, and only about one-sixth is available in active form. This modification reduces the liver's ability to break down these compounds before they reach the systemic circulation.
Testosterone can be administered parenterally , but it has more irregular prolonged absorption time and greater activity in muscle in enanthate , undecanoate , or cypionate ester form. These derivatives are hydrolyzed to release free testosterone at the site of injection; absorption rate and thus injection schedule varies among different esters, but medical injections are normally done anywhere between semi-weekly to once every 12 weeks.
A more frequent schedule may be desirable in order to maintain a more constant level of hormone in the system. In addition, because estered testosterone is dissolved in oil, intravenous injection has the potential to cause a dangerous embolism clot in the bloodstream.
Transdermal patches adhesive patches placed on the skin may also be used to deliver a steady dose through the skin and into the bloodstream. There is also the risk that an intimate partner or child may come in contact with the application site and inadvertently dose himself or herself; children and women are highly sensitive to testosterone and can suffer unintended masculinization and health effects, even from small doses.
Injection is the most common method used by individuals administering AAS for non-medical purposes. The traditional routes of administration do not have differential effects on the efficacy of the drug. Studies indicate that the anabolic properties of AAS are relatively similar despite the differences in pharmacokinetic principles such as first-pass metabolism. However, the orally available forms of AAS may cause liver damage in high doses.
Known possible side effects of AAS include: Depending on the length of drug abuse, there is a chance that the immune system can be damaged. Most of these side-effects are dose-dependent, the most common being elevated blood pressure , especially in those with pre-existing hypertension.
AAS have been shown to alter fasting blood sugar and glucose tolerance tests. A number of severe side effects can occur if adolescents use AAS. For example, AAS may prematurely stop the lengthening of bones premature epiphyseal fusion through increased levels of estrogen metabolites , resulting in stunted growth.
Other effects include, but are not limited to, accelerated bone maturation , increased frequency and duration of erections, and premature sexual development. AAS use in adolescence is also correlated with poorer attitudes related to health. Probably carcinogenic to humans. Other side-effects can include alterations in the structure of the heart , such as enlargement and thickening of the left ventricle , which impairs its contraction and relaxation , and therefore reducing ejected blood volume.
AAS use can cause harmful changes in cholesterol levels: AAS use in adolescents quickens bone maturation and may reduce adult height in high doses. There are also sex-specific side effects of AAS. Development of breast tissue in males, a condition called gynecomastia which is usually caused by high levels of circulating estradiol , may arise because of increased conversion of testosterone to estradiol by the enzyme aromatase.
This side-effect is temporary; the size of the testicles usually returns to normal within a few weeks of discontinuing AAS use as normal production of sperm resumes. Female-specific side effects include increases in body hair , permanent deepening of the voice, enlarged clitoris , and temporary decreases in menstrual cycles.
Alteration of fertility and ovarian cysts can also occur in females. Kidney tests revealed that nine of the ten steroid users developed a condition called focal segmental glomerulosclerosis , a type of scarring within the kidneys. The kidney damage in the bodybuilders has similarities to that seen in morbidly obese patients, but appears to be even more severe. High doses of oral AAS compounds can cause liver damage. A review in CNS Drugs determined that "significant psychiatric symptoms including aggression and violence, mania , and less frequently psychosis and suicide have been associated with steroid abuse.
Long-term steroid abusers may develop symptoms of dependence and withdrawal on discontinuation of AAS". Recreational AAS use appears to be associated with a range of potentially prolonged psychiatric effects, including dependence syndromes, mood disorders , and progression to other forms of substance abuse, but the prevalence and severity of these various effects remains poorly understood.
Large-scale long-term studies of psychiatric effects on AAS users are not currently available. DSM-IV lists General diagnostic criteria for a personality disorder guideline that "The pattern must not be better accounted for as a manifestation of another mental disorder, or to the direct physiological effects of a substance e.
As a result, AAS users may get misdiagnosed by a psychiatrist not told about their habit. Affective disorders have long been recognised as a complication of AAS use. From the mids onward, the media reported "roid rage" as a side effect of AAS. A review determined that some, but not all, randomized controlled studies have found that AAS use correlates with hypomania and increased aggressiveness, but pointed out that attempts to determine whether AAS use triggers violent behavior have failed, primarily because of high rates of non-participation.
Compared with individuals that did not use steroids, young adult males that used AAS reported greater involvement in violent behaviors even after controlling for the effects of key demographic variables, previous violent behavior, and polydrug use. The drug response was highly variable. The mechanism of these variable reactions could not be explained by demographic, psychological, laboratory, or physiological measures.
A study of two pairs of identical twins, in which one twin used AAS and the other did not, found that in both cases the steroid-using twin exhibited high levels of aggressiveness, hostility, anxiety, and paranoid ideation not found in the "control" twin.
The relationship between AAS use and depression is inconclusive. There have been anecdotal reports of depression and suicide in teenage steroid users,  but little systematic evidence. A review found that AAS may both relieve and cause depression, and that cessation or diminished use of AAS may also result in depression, but called for additional studies due to disparate data. Androgens such as testosterone , androstenedione and dihydrotestosterone are required for the development of organs in the male reproductive system , including the seminal vesicles , epididymis , vas deferens , penis and prostate.
The pharmacodynamics of AAS are unlike peptide hormones. However, as fat-soluble hormones, AAS are membrane-permeable and influence the nucleus of cells by direct action. The pharmacodynamic action of AAS begin when the exogenous hormone penetrates the membrane of the target cell and binds to an androgen receptor AR located in the cytoplasm of that cell. From there, the compound hormone-receptor diffuses into the nucleus, where it either alters the expression of genes  or activates processes that send signals to other parts of the cell.
The effect of AAS on muscle mass is caused in at least two ways: It has been hypothesized that this reduction in muscle breakdown may occur through AAS inhibiting the action of other steroid hormones called glucocorticoids that promote the breakdown of muscles. As their name suggests, AAS have two different, but overlapping, types of effects: Some examples of the anabolic effects of these hormones are increased protein synthesis from amino acids , increased appetite, increased bone remodeling and growth, and stimulation of bone marrow , which increases the production of red blood cells.
Through a number of mechanisms AAS stimulate the formation of muscle cells and hence cause an increase in the size of skeletal muscles , leading to increased strength. The androgenic effects of AAS are numerous. Depending on the length of use, the side effects of the steroid can be irreversible. Processes affected include pubertal growth, sebaceous gland oil production, and sexuality especially in fetal development. Some examples of virilizing effects are growth of the clitoris in females and the penis in male children the adult penis size does not change due to steroids [ medical citation needed ] , increased vocal cord size, increased libido , suppression of natural sex hormones , and impaired production of sperm.
Men may develop an enlargement of breast tissue, known as gynecomastia, testicular atrophy, and a reduced sperm count. Compounds with a high ratio of androgenic to an anabolic effects are the drug of choice in androgen-replacement therapy e. This disassociation is less marked in humans, where all AAS have significant androgenic effects.
A commonly used protocol for determining the androgenic: The VP weight is an indicator of the androgenic effect, while the LA weight is an indicator of the anabolic effect. Two or more batches of rats are castrated and given no treatment and respectively some AAS of interest. Animal studies also found that fat mass was reduced, but most studies in humans failed to elucidate significant fat mass decrements. The effects on lean body mass have been shown to be dose-dependent.
Both muscle hypertrophy and the formation of new muscle fibers have been observed. The hydration of lean mass remains unaffected by AAS use, although small increments of blood volume cannot be ruled out. The upper region of the body thorax, neck, shoulders, and upper arm seems to be more susceptible for AAS than other body regions because of predominance of ARs in the upper body.
After drug withdrawal, the effects fade away slowly, but may persist for more than 6—12 weeks after cessation of AAS use. Overall, the exercise where the most significant improvements were observed is the bench press. The measurement of the dissociation between anabolic and androgenic effects among AAS is based largely on a simple although arguably unsophisticated and outdated model involving rat tissue bioassays.
The intracellular metabolism theory explains how and why remarkable dissociation between anabolic and androgenic effects can occur despite the fact that these effects are mediated through the same signaling receptor, and of course why dissociation is invariably incomplete. An animal study found that two different kinds of androgen response elements could differentially respond to testosterone and DHT upon activation of the AR.
Changes in endogenous testosterone levels may also contribute to differences in myotrophic—androgenic ratio between testosterone and synthetic AAS. Testosterone can be metabolized by aromatase into estradiol , and many other AAS can be metabolized into their corresponding estrogenic metabolites as well.
The major effect of estrogenicity is gynecomastia woman-like breasts. AAS are androstane or estrane steroids. As well as others such as 1-dehydrogenation e.
The most commonly employed human physiological specimen for detecting AAS usage is urine, although both blood and hair have been investigated for this purpose.
The AAS, whether of endogenous or exogenous origin, are subject to extensive hepatic biotransformation by a variety of enzymatic pathways. The primary urinary metabolites may be detectable for up to 30 days after the last use, depending on the specific agent, dose and route of administration. A number of the drugs have common metabolic pathways, and their excretion profiles may overlap those of the endogenous steroids, making interpretation of testing results a very significant challenge to the analytical chemist.
Methods for detection of the substances or their excretion products in urine specimens usually involve gas chromatography—mass spectrometry or liquid chromatography-mass spectrometry. The use of gonadal steroids pre-dates their identification and isolation.
Thank you for the kind words and keep up the awesome work! Canadian turkey bacon egg and cheese muffin missing cheese - Thank you for the response. I did not to think to take a picture of the back with the information. If this occurs on the next I will.
The cheese was missing on two of the sandwiches out of four on this order. I was trying to explain to the last counselor that I spoke to what was happening to me with eating the food and that it was making me sick. This is not in regards to Kim in returns. Kim was helpful and very nice to me. Anyway, the last counselor I spoke to was so rude and talked over me and would not let me finish my sentence.
It's really upsetting that I did not write her name down. It would be the counselor that I spoke to before I spoke to Kim. We are so sorry that you had such a poor experience.
We will definitely be looking into this and reaching out soon. I had a question about my food. Chat with your counselor. Very helpful but our chat was interrupted.
I need to know how to continue after the first week. I am still confused on how to continue after the first week. Thank you for reaching out. We will be assigning this to a member of the Consumer Experience team to reach out and assist you.
The quality of food was pretty good with several options to choose from. Unfortunately when they were out of stock they substituted other food! Changing your plan such as delivery frequency was very difficult and why I left. Thank you for the feedback. We are sorry that you left for those reason.
We will be reaching out to get further information. Have a good one! Over the last several months, I have tried over and over to resolve an ongoing problem with order fulfillment. Customer service refused to help and refused my repeated requests to escalate the issue and finally Nutrisystem decided to dump me. Even in my last e-mail communication with Nutrisystem where I yet again outlined the problem, the reply back from Nutrisystem completely ignored the majority of what I wrote. It looks like if Nutrisystem doesn't say anything about the problem, then it magically doesn't exist somehow.
This shows that Nutrisystem has drastically fallen in terms of focusing on customer needs and flat out refuses to deal ethically with the customer. We sincerely apologize for your experience.
We certainly do not want a long-time member to feel such a way. We will be investigating this and reaching out soon. I have had a couple questions for your people there and I emailed them for a answer. First reply was very fast, second was a bit slower but they explained to me the reason why. I have been very satisfied with everything from Nutrisystem!!! Thank you for your patience and understanding. We are happy to hear you got the answers you needed. We wish you the best of luck on the program!
This is the 2nd time I've been on the NutriSystem plan. First time was a hit. Lost almost all my weight and kept it off for over a year. Just a little more weight to lose so I ordered again for 2 months.
First shipment arrived on time and the food was terrific. Second shipment has the frozen food arrive a couple days late. The 2nd shipment of non frozen food is still not here after being over a week, now almost a week and a half late.
How am I to stay on the regiment with half the menu missing for over a week? My assistant called NS as she ordered for me and asked for help—reimbursement— compensation of some sort. The reply from Nutri system? I even referred you to my sister and brother in law— who both signed up. We apologize that your 2nd order took longer than expected to get to you. We completely understand how this can throw someone off. We will be looking into this and reaching out. I sincerely appreciate all the help that Sheila offered.
I won't hesitate to contact your Team Rep should I have other questions. See three emails I've previously sent. You don't honor your own company's policies. Food was extremely poorly packed, melted and opened packaging. We are sorry that you had such a poor experience with us. We will be taking a look at your account and reaching out shortly. Customers can benefit from an online health tracking platform and individualized counseling from dieticians and weight loss coaches.
Nutrisystem offers separate plans for men and women, with different options and price points customized to your weight loss goals.
With meals containing 12 grams or less of sugar, Nutrisystem takes the guesswork out of choosing optimal low-glycemic foods to stabilize blood sugar -- which could be good for people with any degree of insulin resistance. Any busy person who does not have time to prepare their own meals would benefit from having frozen and other pre-packaged meals and snacks delivered to their home.
Nutrisystem will ship all the food you need to your doorstep, with free shipping included. You can also find their products on QVC, at Costco and at several major grocers and mass retailers like Kroger and Walmart. Transition and maintenance plan: This program provides long-term fat loss success rather than just focusing on initial weight loss, which is important for those who need to establish lifelong healthy habits. While all of the meals offered by Nutrisystem are designed to comply with the USDA's recommendations for a nutritious diet, those who want to stick to a vegetarian diet can especially benefit from Nutrisystem.
You can avoid all animal products and still lose weight with Nutrisystem, with over 90 vegetarian options. Many people fail at diets because their bodies crave snacks to maintain their blood sugar levels throughout the day.
Because Nutrisystem allows 6 meals a day, you can avoid a dip in your blood sugar that could lead to cravings. By eating smaller portions, you can eat more frequently and still reach your weight loss goals.
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This review is featured by Nutrisystem. March 11, An active athlete 21 years a collegiate soccer referee , 13 years ago I contacted Parkinson's Disease. March 12, Nutrisystem response.
Hello Willis, Thank you so much for your review and sharing your story. March 9, Tomorrow is my last day on turbo take off. March 11, Nutrisystem response. Hello Lori, Thank you so much for your review.
We will be sure to let his supervisor know what a great job he did on your phone call. Hi Karen, Thanks so much for sharing your review with us today. Hope you have a great day! The Nutrisystem Consumer Experience Team. Page 1 Reviews 1 - Not sure how to choose?
Thank you, you have successfully subscribed to our newsletter! Enjoy reading our tips and recommendations. Let us know if you need any help! Hi Kari, We are sorry to hear that you are unable to eat our food and we apologize for the poor service you've received. We will be looking into this and reaching out soon -the Nutrisystem Consumer Experience Team. How do I know I can trust these reviews about Nutrisystem?
We require contact information to ensure our reviewers are real. We use intelligent software that helps us maintain the integrity of reviews. Our moderators read all reviews to verify quality and helpfulness. Hi JoAnn, We are happy to hear that your water bottle issue has been handled but are sad to hear that your husband is still having issues. Hi Mary, We are sorry that the foods upset your stomach and that you were unaware of the auto-delivery nature of the program.
Hi Darrylynn, Thank you for writing this review. Hi Mary, We are so sorry to hear about your poor experience with the delivery of your foods, the food itself, and the representative you dealt with. Hi Ginny, We are sorry to hear about the spoiled and stale items you received.
Hi Debra, We are sorry to hear that it took you so long to receive the information you needed for the program. Hi Tammy, We are sad to hear about the way you were treated when calling. Hi Nancy, We are sorry to hear the NuMi promotion fell off after placing the order. Hi Dennis, No cheese?! This is not okay! Every individual is different, but there are certain things that are expected with weight-loss programs. Usually the process involves changing lifestyle and diet.
This might mean stopping bad eating habits in favor for well-balanced diets that offer fuel to the body. Usually it includes some kind of exercise program because physical activity is essential to shedding pounds and maintaining a good weight. This process of losing weight can be quite demanding, which is why it is recommended that people have a team of supporters.
Because the company is not available through other centers or clinics, there is not face-to-face support offered. Still, individuals should build their own support system that consists of family and friends. They can also utilize the self-monitoring tools, counseling, behavior modification guide, peer support and other resources offered through this company site.
This can be of great benefit to those who are feeling overwhelmed by the process. The website for the company has everything a person might need to carry out this program. This site is where people can also look at what all is offered, including the details of women, men and diabetes plans. Nutrisystem makes it possible for customers to customize their plans to better match their personal metabolism as well. Success stories can be found directly on the website.
These might offer inspiration to people during times of relapse or discouragement. The frequently asked questions page has plenty of information on it, as well as the other areas of the website that include details on the company itself and the program it offers. These are good resources for people with concerns or questions related to the process.
Overall, the program starts by selecting a plan.