do you aspirate? low t patients...

[Keep_It_Moving]

curious what your take is on aspirating when injecting test? is it worth it or just a hassle?

[Mr.BB]

Its not really a hassle, no need to pull the plunge a lot, its just a mild pull, if you are in a blood vessel a small pull will immediatelly show signs of blood. Think many ppl pull with too much force...

[joebailey1271]

I never do. Sometimes I hit a nerve and that stings, but I just pull out.

[hammerheart]

No, never. Guidelines recommend aspirating only for dorsogluteal IM injection.

[Chauffeur]

Most of the time, yes.

[Charlie6]

my Urologist's nurse tells me to inject in leg and aspirate . I usually don't aspirate.

[Youthful55guy]

I have never aspirated in the 4+ years I've been doing TRT. My former doc (one of the big names in the industry) said not to do it because it takes way more air than our syringes hold to have a detrimental effect on humans. I did some research to corroborate what he said and I found that the lethal dose of IV air in humans to cause an air embolism is about 200-300 mL. So even if you accidentally injected an entire syringe full of air directly into a vein during normal TRT, it's not going to make any difference. Aspiration just increases the chance of local needle tissue damage (bruising).

[Mr.BB]

I have never aspirated in the 4+ years I've been doing TRT. My former doc (one of the big names in the industry) said not to do it because it takes way more air than our syringes hold to have a detrimental effect on humans. I did some research to corroborate what he said and I found that the lethal dose of IV air in humans to cause an air embolism is about 200-300 mL. So even if you accidentally injected an entire syringe full of air directly into a vein during normal TRT, it's not going to make any difference. Aspiration just increases the chance of local needle tissue damage (bruising).

Problem is not with air, is the oil going in blood and ending up in lungs which will leave you gasping for air a few minutes.

[Youthful55guy]

Good point!

Since I use a 28G 1/2 inch needle, I'm still not concerned enough to aspirate . I inject into the upper middle thigh and there are not major veins in the area and have never had an issue. Perhaps if one goes deeper with a longer needle, it might be something to consider.

[Simon1972]

IM, yes it's good practise- and it is a hassle
SUBQ, not needed, no veins in adipose tissue.

[xLoganx]

I do too.. except when I shoot in the glute!! I still can't figure out how the hell anyone does that without being a goddamn contortionist!! LOL

[Mr.BB]

I do too.. except when I shoot in the glute!! I still can't figure out how the hell anyone does that without being a goddamn contortionist!! LOL

You hardly need to be a contortionist to pin on the green area of the pic, the syringe is almost sideways.

Do you actually pin on the cheek?

Attachment 163759

[xLoganx]

You hardly need to be a contortionist to pin on the green area of the pic, the syringe is almost sideways.

Do you actually pin on the cheek?

Attachment 163759

Being a jokster more than anything. Nope.. divide the butt cheek into four pieces... I always inject in the top most outer part. I guess for me.. I don't go directly from the side where my problem probably lies. It's easier for me on that week to just get my wife to do it! But I like the "almost sideways" tip... I'll try it tomorrow ironically ;P

[GSXRvi6]

Yes. Shot oil into a vein once from a quad injection (I was in 1" deep) thought I was going to fucking die.

[InternalFire]

I dont, its early to judge how sorry will I feel when I hit vein in the future if I ever will.I just feel like trying luck and half inch 30G pin just seems waste of efforts aspirating, yes pining just glutes. Next time when I get bad experience I think I will just go subq

[Simon1972]

Its like not wearing a seat belt.
If you don't chances are you will be fine, get involved in an accident and take your chances.

Wear your seatbelt.

[InternalFire]

Its like not wearing a seat belt.
If you don't chances are you will be fine, get involved in an accident and take your chances.

Wear your seatbelt.

To me its like having intercourse with my woman using no protection, I dont wear seatbelt while sleeping in my car

[GSXRvi6]

I dont, its early to judge how sorry will I feel when I hit vein in the future if I ever will.I just feel like trying luck and half inch 30G pin just seems waste of efforts aspirating, yes pining just glutes. Next time when I get bad experience I think I will just go subq

Your safer going deeper.

[IncreaseMyT]

Personally no I do not.

~ Todd

[InternalFire]

Your safer going deeper.

I've just measured my glutes pinched skin using calliper @ ~8% BF, cant see any veins nor am I a vascular type in general in legs department, so I feel I am going sufficient deep, also when I stab with this mosquito 30g 1/2" pin I go all in and even ram in little so I just make sure it sticks deep. if my ass BF% was fatter I would not be doing so or using such small pin, instead would be doing subq or bigger needle.
I literally lost about 7% BF from my legs/glutes in last two months before I started TRT.

[FONZY007]

curious what your take is on aspirating when injecting test? is it worth it or just a hassle?

I don't, even while injecting on a cycle. Had only hit a vein once in 14 years and it was with Tren lol.. screw me huh lol..

[InternalFire]

^ now thats a mentality

[Mr.BB]

Truth is that injecting enant or cyp in TRT is like half cc or less, volume is too little to make any damage (microembolism).

Now im injecting 4cc of undecanoate (nebido), I have to aspirate lol, still I wouldnt say is a hassle, just a small pull to make sure im not in a vein.

Couple of time, during cycle, my wife wanted to call ambulance for me cause of microembolism, injecting tren together with other compounds (+3ccs)

[InternalFire]

Truth is that injecting enant or cyp in TRT is like half cc or less, volume is too little to make any damage (microembolism).

Now im injecting 4cc of undecanoate (nebido), I have to aspirate lol, still I wouldnt say is a hassle, just a small pull to make sure im not in a vein.

Couple of time, during cycle, my wife wanted to call ambulance for me cause of microembolism, injecting tren together with other compounds (+3ccs)

thats what I call - Knowledge

[FONZY007]

Truth is that injecting enant or cyp in TRT is like half cc or less, volume is too little to make any damage (microembolism).

Now im injecting 4cc of undecanoate (nebido), I have to aspirate lol, still I wouldnt say is a hassle, just a small pull to make sure im not in a vein.

Couple of time, during cycle, my wife wanted to call ambulance for me cause of microembolism, injecting tren together with other compounds (+3ccs)

Yea I've only injected no more than 2cc at any giving time. If doing more, I probably will. Getting older and time to start upping the mg of AAS.

[Proximal]

Have always been subQ, but the last few times just have been burying my 5/8" needle into my upper quads. Yes I did aspirate , it's really nothing in terms of time or an inconvenience.

[Mr.BB]

thats what I call - Knowledge

[Proximal]

Would it be politically incorrect to say I'm a little weirded out right now?

[Mr.BB]

Would it be politically incorrect to say I'm a little weirded out right now?

Dont be jealous, plenty of luv for you too

[Proximal]

Dont be jealous, plenty of luv for you too

Thank you, was feeling left out.

[hammerheart]

Today I somehow managed to pin an empty syringe; the oil was left in the needle cap. Weird.

[InternalFire]

Today I somehow managed to pin an empty syringe; the oil was left in the needle cap. Weird.

were you shooting in a closet in complete darkness again?

[WordToPass]

no... to be honest I personally do not.

PS. Mr. BB, nice avatar

[IncreaseMyT]

Each year around 16 billion injections are given worldwide. A large number of these are given via the intramuscular (IM) route.

Many nurses have been taught to aspirate before giving an IM injection to ensure the medication is not inadvertently delivered into a vein.

Aspiration consists of drawing back on the plunger once the needle has been inserted to see if any blood returns into the syringe. It has been recommended that this negative pressure be sustained for 5–10 seconds.

In a systematic literature review Helen Sisson sought evidence to support best practice when it comes to aspirating before an intramuscular injection.

After completing a literature search, a total of only six papers met the inclusion and relevance criteria. Two were randomised controlled trials (RCT) and four were surveys conducted amongst health professionals.

These were critically appraised and thematically analysed with respect to aspiration technique, pain, and influences on aspiration practice.

Points of interest identified in these papers include:

1. Of many health professionals who do aspirate only a small percentage (3% in one study) do so for the recommended 5–10 seconds.

2. There are inconsistencies in responses to the appearance of a blood-stained aspirate (sometimes all equipment and medication was discarded, other times the blood stained medication was re-injected).

3. Many who did not aspirate felt that aspiration resulted in increased pain.

4. The two RCT’s found that a slower technique that included 5–10 second aspiration were assessed as more painful than a 1–2 second ‘faster’ technique without aspiration (both these studies were in the paediatric setting).


5. One survey of nurses that attended educational sessions advocating NOT to aspirate found many (40%) still chose to do so. Reasons given included: because they had be taught this way, that is what they observed others doing, they were instructed to do it this way, and fear of injecting into blood vessel.

PS it does say ventroglute should aspirate

Take home: aspiration is NOT needed for IM injections if proper technique and location is used EXCEPT for the dorsogluteal site where it should be used.

Intramuscular injections: should you aspirate? | theNursePath

[Youthful55guy]

Just my two cents worth. This whole aspiration argument is just one more point supporting more frequent dosing of smaller amounts with a smaller and more shallow insulin syringe. Even if somehow you managed to hit a vein in the first 1/2 inch of tissue in the mid-upper quad, 0.2 mL of oil (or what ever your dose) isn't going to do much of anything.

[GSXRvi6]

Just my two cents worth. This whole aspiration argument is just one more point supporting more frequent dosing of smaller amounts with a smaller and more shallow insulin syringe. Even if somehow you managed to hit a vein in the first 1/2 inch of tissue in the mid-upper quad, 0.2 mL of oil (or what ever your dose) isn't going to do much of anything.

I've hit veins at a much higher frequency going shallow than keeping it deep.

I don't see it as much of an argument, do it or don't, it's not my body your pinning so have at it however you'd like, and I don't see either case supporting the idea of using a small needle to pin shallow.

If you push .2ml of oil into a vein I promise you, you will not like it.