Elementor #3994 - HASAN IELTS BANGLAY

Elementor #3994

Cambridge 13 Reading Test 03

tree, palm, coconuts-1281680.jpg

READING PASSAGE 1

You should spend about 20 minutes on Questions 1-13 which are based on Reading Passage 1 below.

The coconut palm

For millennia, the coconut has been central to the lives of Polynesian and Asian peoples. In the western world, on the other hand, coconuts have always been exotic and unusual, sometimes rare. The Italian merchant traveller Marco Polo apparently saw coconuts in South Asia in the late 13th century, and among the mid-14th-century travel writings of Sir John Mandeville there is mention of ‘great Notes of Ynde’ (great Nuts of India). Today, images of palm-fringed tropical beaches are clichés in the west to sell holidays, chocolate bars, fizzy drinks and even romance.

Typically, we envisage coconuts as brown cannonballs that, when opened, provide sweet white flesh. But we see only part of the fruit and none of the plant from which they come. The coconut palm has a smooth, slender, grey trunk, up to 30 metres tall. This is an important source of timber for building houses, and is increasingly being used as a replacement for endangered hardwoods in the furniture construction industry. The trunk is surmounted by a rosette of leaves, each of which may be up to six metres long. The leaves have hard veins in their centres which, in many parts of the world, are used as brushes after the green part of the leaf has been stripped away. Immature coconut flowers are tightly clustered together among the leaves at the top of the trunk. The flower stems may be tapped for their sap to produce a drink, and the sap can also be reduced by boiling to produce a type of sugar used for cooking.

Coconut palms produce as many as seventy fruits per year, weighing more than a kilogram each. The wall of the fruit has three layers: a waterproof outer layer, a fibrous middle layer and a hard, inner layer. The thick fibrous middle layer produces coconut fibre, ‘coir’, which has numerous uses and is particularly important in manufacturing ropes. The woody innermost layer, the shell, with its three prominent ‘eyes’, surrounds the seed. An important product obtained from the shell is charcoal, which is widely used in various industries as well as in the home as a cooking fuel. When broken in half, the shells are also used as bowls in many parts of Asia.

Inside the shell are the nutrients (endosperm) needed by the developing seed. Initially, the endosperm is a sweetish liquid, coconut water, which is enjoyed as a drink, but also provides the hormones which encourage other plants to grow more rapidly and produce higher yields. As the fruit matures, the coconut water gradually solidifies to form the brilliant white, fat-rich, edible flesh or meat. Dried coconut flesh, ‘copra’, is made into coconut oil and coconut milk, which are widely used in cooking in different parts of the world, as well as in cosmetics. A derivative of coconut fat, glycerine, acquired strategic importance in a quite different sphere, as Alfred Nobel introduced the world to his nitroglycerine-based invention: dynamite.

Their biology would appear to make coconuts the great maritime voyagers and coastal colonizers of the plant world. The large, energy-rich fruits are able to float in water and tolerate salt, but cannot remain viable indefinitely; studies suggest after about 110 days at sea they are no longer able to germinate. Literally cast onto desert island shores, with little more than sand to grow in and exposed to the full glare of the tropical sun, coconut seeds are able to germinate and root. The air pocket in the seed, created as the endosperm solidifies, protects the embryo. In addition, the fibrous fruit wall that helped it to float during the voyage stores moisture that can be taken up by the roots of the coconut seedling as it starts to grow.

There have been centuries of academic debate over the origins of the coconut. There were no coconut palms in West Africa, the Caribbean or the east coast of the Americans before the voyages of the European explorers Vasco da Gama and Columbus in the late 15th and early 16th centuries. 16th century trade and human migration patterns reveal that Arab traders and European sailors are likely to have moved coconuts from South and Southeast Asia to Africa and then across the Atlantic to the east coast of America. But the origin of coconuts discovered along the west coast of America by 16th century sailors has been the subject of centuries of discussion. Two diametrically opposed origins have been proposed: that they came from Asia, or that they were native to America. Both suggestions have problems. In Asia, there is a large degree of coconut diversity and evidence of millennia of human use – but there are no relatives growing in the wild. In America, there are close coconut relatives, but no evidence that coconuts are indigenous. These problems have led to the intriguing suggestion that coconuts originated on coral islands in the Pacific and were dispersed from there.

Questions 1-8

Complete the table below.
Choose ONE WORD ONLY from the passage for each answer.

Write your answers in boxes 1-8 on your answer sheet.

THE COCONUT PALM

Part

Description

Uses

trunk

up to 30 metres

timber for houses and the making of 1……………………..

leaves

up to 6 metres long

to make brushes

flowers

at the top of the trunk

stems provide sap, used as a drink or a source of 2…………………….

fruits

outer layer

 

middle layer (coir fibres)

used for 3………………………,

Inner layer (shell)

a source of 4…………………….

(when halved) for 5…………………….

coconut water

a drink

a source of 6…………………….. for other plants

coconut flesh

oil and milk for cooking and 7…………………….

glycerine (an ingredient in 8……………………….)

Questions 9-13

Do the following statements agree with the information given in Reading Passage 1?

In boxes 9-13 on your answer sheet, write

TRUE               if the statement agrees with the information

FALSE              if the statement contradicts the information

NOT GIVEN    if there is no information on this

9   Coconut seeds need shade in order to germinate.

10   Coconuts were probably transported to Asia from America in the 16th century.

11   Coconuts found on the west coast of America were a different type from those found on the east coast.

12   All the coconuts found in Asia are cultivated varieties.

13   Coconuts are cultivated in different ways in America and the Pacific.

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READING PASSAGE 2

You should spend about 20 minutes on Questions 14-26 which are based on Reading Passage 2 below. 

How baby talk gives infant brains a boost

A

The typical way of talking to a baby – high-pitched, exaggerated and repetitious – is a source of fascination for linguists who hope to understand how ‘baby talk’ impacts on learning. Most babies start developing their hearing while still in the womb, prompting some hopeful parents to play classical music to their pregnant bellies. Some research even suggests that infants are listening to adult speech as early as 10 weeks before being born, gathering the basic building blocks of their family’s native tongue.

B

Early language exposure seems to have benefits to the brain – for instance, studies suggest that babies raised in bilingual homes are better at learning how to mentally prioritize information. So how does the sweet if sometimes absurd sound of infant-directed speech influence a baby’s development? Here are some recent studies that explore the science behind baby talk.

C

Fathers don’t use baby talk as often or in the same ways as mothers – and that’s perfectly OK, according to a new study. Mark VanDam of Washington State University at Spokane and colleagues equipped parents with recording devices and speech-recognition software to study the way they interacted with their youngsters during a normal day. ‘We found that moms do exactly what you’d expect and what’s been described many times over,’ VanDam explains. ‘But we found that dads aren’t doing the same thing. Dads didn’t raise their pitch or fundamental frequency when they talked to kids.’ Their role may be rooted in what is called the bridge hypothesis, which dates back to 1975. It suggests that fathers use less familial language to provide their children with a bridge to the kind of speech they’ll hear in public. ‘The idea is that a kid gets to practice a certain kind of speech with mom and another kind of speech with dad, so the kid then has a wider repertoire of kinds of speech to practice,’ says VanDam.

D

Scientists from the University of Washington and the University of Connecticut collected thousands of 30-second conversations between parents and their babies, fitting 26 children with audio-recording vests that captured language and sound during a typical eight-hour day. The study found that the more baby talk parents used, the more their youngsters began to babble. And when researchers saw the same babies at age two, they found that frequent baby talk had dramatically boosted vocabulary, regardless of socioeconomic status. ‘Those children who listened to a lot of baby talk were talking more than the babies that listened to more adult talk or standard speech,’ says Nairán Ramirez-Esparza of the University of Connecticut. ‘We also found that it really matters whether you use baby talk in a one-on-one context,’ she adds. ‘The more parents use baby talk one-on-one, the more babies babble, and the more they babble, the more words they produce later in life.’

E

Another study suggests that parents might want to pair their youngsters up so they can babble more with their own kind. Researchers from McGill University and Université du Québec à Montréal found that babies seem to like listening to each other rather than to adults – which may be why baby talk is such a universal tool among parents. They played repeating vowel sounds made by a special synthesizing device that mimicked sounds made by either an adult woman or another baby. This way, only the impact of the auditory cues was observed. The team then measured how long each type of sound held the infants’ attention. They found that the ‘infant’ sounds held babies’ attention nearly 40 percent longer. The baby noises also induced more reactions in the listening infants, like smiling or lip moving, which approximates sound making. The team theorizes that this attraction to other infant sounds could help launch the learning process that leads to speech. ‘It may be some property of the sound that is just drawing their attention,’ says study co-author Linda Polka. ‘Or maybe they are really interested in that particular type of sound because they are starting to focus on their own ability to make sounds. We are speculating here but it might catch their attention because they recognize it as a sound they could possibly make.

F

In a study published in Proceedings of the National Academy of Sciences, a total of 57 babies from two slightly different age groups – seven months and eleven and a half months – were played a number of syllables from both their native language (English) and a non-native tongue (Spanish). The infants were placed in a brain-activation scanner that recorded activity in a brain region known to guide the motor movements that produce speech. The results suggest that listening to baby talk prompts infant brains to start practicing their language skills. ‘Finding activation in motor areas the baby brain is engaged in trying to talk back right from the start, and suggests that seven-month-olds’ brains are already trying to figure out how to make interesting finding was that while the seven-month-olds responded to all speech sounds regardless of language, the brains of the older infants worked harder at the motor activations of non-native sounds compared to native sounds. The study may have also uncovered a process by which babies recognize differences between their native language and other tongues.

Questions 14-17

Look at the following ideas (Questions 14-17) and the list of researchers below.
Match each idea with the correct researcher, AB or C.

Write the correct letter, AB or C, in boxes 14-17 on your answer sheet.

NB  You may use any letter more than once.

14   the importance of adults giving babies individual attention when talking to them

15   the connection between what babies hear and their own efforts to create speech

16   the advantage for the baby of having two parents each speaking in a different way

17   the connection between the amount of baby talk babies hear and how much vocalising they do themselves

List of Researchers

A          Mark VanDam
B          Nairán Ramirez-Esparza
C          Patricia Kuhl

Questions 18-23

Complete the summary below.
Choose NO MORE THAN TWO WORDS from the passage for each answer.

Write your answers in boxes 18-23 on your answer sheet.

Research into how parents talk to babies

Researchers at Washington State University used 18……………………………, together with specialised computer programs, to analyse how parents interacted with their babies during a normal day. The study revealed that 19………………………… tended not to modify their ordinary speech patterns when interacting with their babies. According to an idea known as the 20……………………….., they may use a more adult type of speech to prepare infants for the language they will hear outside the family home. According to the researchers, hearing baby talk from one parent and ‘normal’ language from the other expands the baby’s 21………………………… of types of speech which they can practise.

Meanwhile, another study carried out by scientists from the University of Washington and the University of Connecticut recorded speech and sound using special 22……………………………… that the babies were equipped with. When they studies the babies again at age two, the found that those who had heard a lot of baby talk in infancy had a much larger 23……………………………. Than those who had not.

Questions 24-26

Reading Passage 2 has six paragraphs, A-F.

Which paragraph contains the following information?

Write the correct letter, A-F, in boxes 24-26 on your answer sheet.

24   a reference to a change which occurs in babies’ brain activity before the end of their first year.

25   an example of what some parents do for their baby’s benefit before birth

26   a mention of babies’ preference for the sounds that other babies make

parthenon, greece, acropolis-2125566.jpg

READING PASSAGE 3

You should spend about 20 minutes on Questions 27-40 which are based on Reading Passage 3 below.

Whatever happened to the Harappan Civilisation?

New research sheds light on the disappearance of an ancient society

A

The Harappan Civilisation of ancient Pakistan and India flourished 5,000 years ago, but a thousand years later their cities were abandoned. The Harappan Civilisation was a sophisticated Bronze Age society who built ‘megacities’ and traded internationally in luxury craft products, and yet seemed to have left almost no depictions of themselves. But their lack of self-imagery – at a time when the Egyptians were carving and painting representations of themselves all over their temples – is only part of the mystery.

B

‘There is plenty of archaeological evidence to tell us about the rise of the Harappan Civilisation, but relatively little about its fall,’ explains archaeologist Dr Cameron Petrie of the University of Cambridge. ‘As populations increased, cities were built that had great baths, craft workshops, palaces and halls laid out in distinct sectors. Houses were arranged in blocks, with wide main streets and narrow alleyways, and many had their own wells and drainage systems. It was very much a “thriving” civilisation.’ Then around 2100 BC, a transformation began. Streets went uncleaned, buildings started to be abandoned, and ritual structures fell out of use. After their final demise, a millennium passed before really large-scale cities appeared once more in South Asia.

C

Some have claimed that major glacier-fed rivers changed their course, dramatically affecting the water supply and agriculture; or that the cities could not cope with an increasing population, they exhausted their resource base, the trading economy broke down or they succumbed to invasion and conflict; and yet others that climate change caused an environmental change that affected food and water provision. ‘It is unlikely that there was a single cause for the decline of the civilisation. But the fact is, until now, we have had little solid evidence from the area for most of the key elements,’ said Petrie. ‘A lot of the archaeological debate has really only been well-argued speculation.’

D

A research team led by Petrie, together with Dr Ravindanath Singh of Banaras Hindu University in India, found early in their investigations that many of the archaeological sites were not where they were supposed to be, completely altering understanding of the way that this region was inhabited in the past. When they carried out a survey of how the larger area was settled in relation to sources of water, they found inaccuracies in the published geographic locations of ancient settlements ranging from several hundred metres to many kilometres. They realised that any attempts to use the existing data were likely to be fundamentally flawed. Over the course of several seasons of fieldwork they carried out new surveys, finding an astonishing 198 settlement sites that were previously unknown.

E

Now, research published by Dr Yama Dixit and Professor David Hodell, both from Cambridge’s Department of Earth Sciences, has provided the first definitive evidence for climate change affecting the plains of north-western India, where hundreds of Harappan sites are known to have been situated. The researchers gathered shells of Melanoides tuberculate snails from the sediments of an ancient lake and used geochemical analysis as a means of tracing the climate history of the region. ‘As today, the major source of water into the lake is likely to have been the summer monsoon,’ says Dixit. ‘But we have observed that there was an abrupt change about 4,100 years ago, when the amount of evaporation from the lake exceeded the rainfall – indicative of a drought.’ Hodell adds: ‘We estimate that the weakening of the Indian summer monsoon climate lasted about 200 years before recovering to the previous conditions, which we still see today.’

F

It has long been thought that other great Bronze Age civilisations also declined at a similar time, with a global-scale climate event being seen as the cause. While it is possible that these local-scale processes were linked, the real archaeological interest lies in understanding the impact of these larger-scale events on different environments and different populations. ‘Considering the vast area of the Harappan Civilisation with its variable weather systems,’ explains Singh, ‘it is essential that we obtain more climate data from areas close to the two great cities at Mohenjodaro and Harappa and also from the Indian Punjab.’

G

Petrie and Singh’s team is now examining archaeological records and trying to understand details of how people led their lives in the region five millennia ago. They are analysing grains cultivated at the time, and trying to work out whether they were grown under extreme conditions of water stress, and whether they were adjusting the combinations of crops they were growing for different weather systems. They are also looking at whether the types of pottery used, and other aspects of their material culture, were distinctive to specific regions or were more similar across larger areas. This gives us insight into the types of interactive networks that the population was involved in, and whether those changed.

H

Petrie believes that archaeologists are in a unique position to investigate how past societies responded to environmental and climatic change. ‘By investigating responses to environmental pressures and threats, we can learn from the past to engage with the public, and the relevant governmental and administrative bodies, to be more proactive in issues such as the management and administration of water supply, the balance of urban and rural development, and the importance of preserving cultural heritage in the future.’

Questions 27-31

Reading Passage 3 has eight paragraphs, A-H.

Which paragraph contains the following information?

Write the correct letter, A-H, in boxes 27-31 on your answer sheet.

NB  You may use any letter more than once

27   proposed explanations for the decline of the Harappan Civilisation

28   reference to a present-day application of some archaeological research findings

29   a difference between the Harappan Civilisation and another culture of the same period

30   a description of some features of Harappan urban design

31   reference to the discovery of errors made by previous archaeologists

Questions 32-36

Complete the summary below.
Choose ONE WORD ONLY from the passage for each answer.

Write your answers in boxes 32-36 on your answer sheet.

Looking at evidence of climate change

Yama Dixit and David Hodell have found the first definitive evidence of climate change affecting the plains of north-western India thousands of years ago. By collecting the 32………………………… of snails and analysing them, they discovered evidence of a change in water levels in a 33……………………….. in the region. This occurred when there was less 34…………………………….. than evaporation, and suggests that there was an extended period of drought.

Petrie and Singh’s team are using archaeological records to look at 35…………………………… from five millennia ago, in order to know whether people had adapted their agricultural practices to changing climatic conditions. They are also examining objects including 36………………………….. , so as to find out about links between inhabitants of different parts of the region and whether these changed over time.

Questions 37-40

Complete the summary below.
Look at the following statements (Questions 38-40) and the list of researchers below.

Match each statement with the correct researcher, ABC or D.

Write the correct letter, ABC or D, in boxes 37-40 on your answer sheet.

NB  You may use any letter more than once.

37   Finding further information about changes to environmental conditions in the region is vital.

38   Examining previous patterns of behaviour may have long-term benefits.

39   Rough calculations indicate the approximate length of a period of water shortage.

40   Information about the decline of the Harappan Civilisation has been lacking.

List of Researchers

A          Cameron Petrie
B          Ravindanath Singh
C          Yama Dixit
D          David Hodell

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  6. Steigert Phenobarbital durch Enzyminduktion den Abbau von Testosteron in der Leber und bewirkt dadurch eine Verminderung und
    Verkürzung seiner Wirkung. Aufgrund des Gehaltes an Erdnussöl können bei Personen,
    die gegen Nüsse oder Nussprodukte besonders empfindlich sind,
    allergische Reaktionen, wie Hautausschlag und Bronchospasmus (Bronchialkrampf) auftreten. Deshalb sollte vor Therapiebeginn,
    im ersten Jahr der Therapie vierteljährlich und danach jährlich
    eine rektale Palpation durchgeführt und der PSA-Wert bestimmt
    werden.
    Alle 2 Wochen über einen Behandlungszeitraum von 1 bis 2 Jahren. 12,7 mm,
    fülle das Testo über eine andere Spritze ein und spritze es in den Oberschenkelmuskel.
    Dies ist auch sehr angenehm, nur treten nach 24h schon krasse Schmerzen im Spritzbereich im Muskel auf.

    Ein gesunder Testosteronspiegel ist entscheidend für die körperliche und mentale Gesundheit
    eines Mannes. Testosteron beeinflusst die Muskelmasse,
    Knochendichte, Libido und das allgemeine Energielevel (Nassar & Leslie, 2023).
    Doch mit zunehmendem Alter oder durch bestimmte Erkrankungen kann der Testosteronspiegel sinken – ein Zustand, der
    als Hypogonadismus bekannt ist.
    Dennoch ist es wichtig, sich über potenzielle Risiken klar
    zu sein und diese mit einem Spezialisten zu besprechen. Nicht jeder
    reagiert gleich auf die Therapie; Nebenwirkungen können auftreten. Eine
    Testosteron-Überdosis treibt die Neuronen gar in den Selbstmord, auch Apoptose oder programmierter Zelltod genannt.

    Die gesundheitlichen Folgen der Anwendung von Testosteron Libra-Pharm
    als Dopingmittel können nicht abgesehen werden, schwerwiegende Gesundheitsgefährdungen sind nicht auszuschließen (siehe Abschnitt 4.
    „Welche Nebenwirkungen sind möglich?”). Androgene, wie in Testosteron Libra-Pharm enthalten, sind nicht dazu geeignet, bei gesunden Personen die Muskelentwicklung zu fördern oder die körperliche Leistungsfähigkeit zu steigern. blutwert testosteron erhöht – Rene – Libra-Pharm darf
    bei Kindern und Jugendlichen nicht angewendet werden. Es liegen keine Daten für die Anwendung
    von Testosteron Libra-Pharm bei männlichen Jugendlichen unter 18 Jahren vor.

    Daher darf eine Testosteronersatztherapie bei diesen Patienten nur mit Vorsicht erfolgen. Es wurden Fälle von benignen und
    malignen Lebertumoren bei Anwendern von hormonalen Substanzen, z.
    Wenn bei Männern, die Nebido anwenden, schwere Oberbauchbeschwerden, eine Lebervergrößerung
    oder Anzeichen einer intraabdominellen Blutung auftreten, sollte ein Lebertumor in die differentialdiagnostischen Überlegungen einbezogen werden.
    Aufgrund der Variabilität von Laborwerten sollten alle Testosteronmessungen im selben Labor durchgeführt werden. Die Anwendung
    von Nebido ist kontraindiziert bei Männern mit früheren oder bestehenden Lebertumoren (siehe Abschnitt four.3).
    Vor Beginn und während der Einleitung der Therapie sind die Testosteron-Serumspiegel zu bestimmen. Mit einer solchen Aufsättigungsdosis können schneller ausreichende Steady-state-Testosteronspiegel erreicht werden.
    Zur Förderung der Bildung der roten Blutkörperchen können 1 bis 3, eventuell bis four Ampullen Testosteron-Depot 250 mg EIFELFANGO® (entsprechend 250 bis
    750, eventuell bis a thousand mg Testosteronenantat) verteilt auf
    2 bis three Injektionen i.m. Wie alle öligen Lösungen muss Testosteron Libra-Pharm exakt intramuskulär und sehr
    langsam injiziert werden. Eine pulmonale
    Mikroembolie durch ölige Lösungen kann in seltenen Fällen zu Anzeichen und Symptomen wie Husten, Dyspnoe, Unwohlsein,
    Hyperhidrosis, thorakale Schmerzen, Schwindel, Parästhesie
    oder Synkope führen. Diese Reaktionen können während
    oder unmittelbar nach der Injektion auftreten und sind reversibel.
    Die Behandlung erfolgt gewöhnlich mit unterstützenden Maßnahmen, z.

    1 Durchstechflasche mit four ml Injektionslösung enthält
    one thousand mg Testosteronundecanoat (entsprechend 631,
    5 mg Testosteron).
    Adipöse Männer weisen bis zu 70 Prozent niedrigere Werte auf als
    normalgewichtige Männer. 1 ml Injektionslösung enthält 10
    mg Morphinhydrochlorid 3 H2O entsprechend 7,6 mg Morphin. Die
    wiederholte Anwendung von Morphin Merck kann auch zu Abhängigkeit, Missbrauch und Sucht führen,
    was zu einer lebensbedrohlichen Überdosierung führen kann.
    Das Risiko für diese Nebenwirkungen kann mit einer
    höheren Dosis und einer längeren Anwendungsdauer steigen. Und das ist
    nicht unproblematisch, denn laut aktueller Studien könnte ein zu
    hoher Vitamin-B12-Spiegel im Blut mit einem erhöhten Lungenkrebsrisiko verbunden sein. B12 ist für alle Zellen ein wichtiger Wachstumsfaktor – und das gilt
    auch für Krebszellen. Bitte sprechen Sie mit Ihrem Arzt oder Apotheker, bevor
    Sie Medivitan iM mit Lidocain anwenden.

  7. For steroids that should be injected, there may
    be an increased threat of contamination and
    infection. In aggressive sports activities, steroid dosing tends to be pretty conservative to
    avoid detection. Muscle mass is not the primary concern here,
    as they’re used more for restoration and increased energy output (6, 7).
    When you think of steroids, the very first thing which will come to mind is their use in bodybuilding to advertise muscle gain.
    As noted in the analysis, just about all of those AAS-dependent individuals are more probably to
    be male, as a result of solely 2 of the 363 circumstances of AAS dependence
    found in the 10 pooled studies described above were female.

    Thus, the lifetime prevalence of AAS dependence
    in American males is likely in the identical common range as that of HIV infection or of sort 1 diabetes, both of which afflict fewer than 1 million American men (52, 53).
    In the largest Internet research, only 1 of 1955 male
    AAS users (0.05%) reported beginning AAS use earlier than age 15, and
    solely 6% started earlier than age 18 (39). In 5 other research, collectively evaluating 801 AAS customers, only 12 (1.5%) started before age sixteen, and
    199 (24.8%) started before age 20. Notably, the median age of onset throughout all studies consistently fell into the slender range of twenty-two to 24 years.
    Nonetheless, the precise median age of onset might be higher, because on the time of recruitment, many study candidates had
    not completed the age range of danger for beginning AAS
    use. The use of PEDs in sports activities just isn’t a
    new phenomenon; documentation exists of quite lots of potions, crops, and animal extracts that early Olympic athletes used to enhance performance
    in historical Greece.
    During medical faculty, he completed a graduate certificate in integrative therapies
    and therapeutic practices via the Earl E. Bakken Heart
    for Spirituality & Healing. He is creating a scientific apply for sufferers with complex trauma, in addition to for others going
    through significant life transitions. He is working on a guide distilling
    the insights from his sabbatical, educating, and
    main retreats on trauma, integrative well being, mindfulness,
    and well-being for health professionals, students, and the group.

    Some athletes could seem to get an edge from performance-enhancing medicine.
    It’s used for activity that involves fast bursts of motion, similar to weightlifting or sprinting.
    However there’s no proof that creatine helps you do higher at
    sports that make you breathe at a better fee and lift your coronary
    heart price, referred to as aerobic sports activities.
    Doping with erythropoietin may raise the risk
    of serious well being issues.
    Whereas they work well to manage certain diseases,
    they will trigger several unwanted aspect effects,
    such as elevated blood sugar levels and weight gain. For this
    purpose, they’re reserved only for reasonable to extreme inflammatory
    conditions (34). Many customers on this class additionally
    utilize a strategy known as “stacking,” which is a slang time period for mixing multiple types of AAS.

    In fact, although, SARMs may be extra harmful than we initially thought as
    a end result of they may trigger widespread complications in your physique.
    Relying on the condition, steroid injections can relieve pain for a number of weeks to months.
    The penalties for supplying anabolic steroids differ in every
    state and territory. In some states, they are classified in the identical drug category as heroin or ice (crystal meth), and
    suppliers or people caught possessing anabolic steroids could be
    arrested, fined and/or imprisoned. Using steroids for muscle
    development and higher efficiency in sports brings up many authorized
    and moral worries. These result in debates about maintaining sports fair and defending the well being of athletes.
    Developments now embrace human development hormone, insulin, and more, to remain forward in competitions
    and meet beauty ideals.
    Given that older AAS users (who started AAS use in their peripubertal years in the
    1980s) are simply now entering the fifth decade of their life,
    we could have extra evidence relating to AAS use and
    prostate most cancers within the coming years.
    A typical feature seen in individuals taking steroids appears to be a competitive and dominant habits.

    Studies have used experimental animal models to raised understand the connection between and AAS use and aggressive conduct underneath various situations.

    These medication might decrease the harm that occurs to muscle tissue throughout a
    tough exercise. Some people also could like how their muscles look after they take these
    medicine. However doping for sports activities isn’t one of the makes use of the medicine are permitted for.

    Performance-enhancing drug (PED) use by youngsters and teenagers rose
    sharply up to now decade. One research shows three.3% of highschool college students admit
    anabolic steroid use; one other finds 8% of girls and 12%
    of boys report utilizing merchandise to enhance appearance, muscle mass, or energy.
    Pediatrics clinicians should monitor PED utilization developments, display screen perceptively, and
    supply anticipatory steerage. In current years, there
    has been a growing concern amongst pet owners concerning the overuse of steroids
    in veterinary medicine. Some owners worry that steroids are being
    prescribed too frequently and in greater doses than needed,
    resulting in an elevated threat of side effects in canines.
    This trend highlights the significance of working carefully with
    a veterinarian to discover out the most applicable remedy
    plan for every particular person dog. Your provider would possibly offer you a steroid by way
    of an injection, a cream in your pores and skin or a medication you are taking orally.

    Additionally, combining NSAIDs (non-steroidal anti-inflammatory drugs) such as aspirin, ibuprofen, diclofenac,
    and naproxen with corticosteroids will increase your risk of growing stomach ulcers and internal bleeding.
    While its significance is simple, you must know corticosteroids corresponding
    to prednisone include downsides — a long list of unwanted
    facet effects and interactions with numerous different medicines.
    Corticosteroid use is a standard purpose individuals are admitted to hospitals as a outcome of drug-related opposed events.
    If you visit the physician from time to time for anything apart
    from a routine checkup, it’s probably that in some unspecified
    time in the future you’ve acquired a prescription for a sort of drug called corticosteroids.
    These are commonly prescribed within the US, and they are utilized in nearly each
    medical specialty. Currently, there are no accredited medical makes use of for SARMs, unlike
    anabolic steroids, that are commonly used to treat circumstances like low testosterone.
    The risk of utilizing anabolic steroids and other performance-enhancing medication simply isn’t price taking.

    References:

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  8. La consommation de ce produit peut augmenter la tension artérielle, une
    réduction des taux de HDL (bon cholestérol) et une augmentation des taux
    de LDL (mauvais cholestérol). Il est absolument crucial de conserver une alimentation équilibrée avec des
    apports en oméga-3 et en viandes maigres pour
    pallier cet effet secondaire. Si le Primobolan est l’un des
    anabolisants préférés des bodybuilders en phase de sèche, ce n’est pas pour rien. Cependant, il est conseillé
    de toujours faire un bilan sanguin complet avant de commencer un cycle de Primobolan et
    de garder à l’esprit la liste des effets secondaires néfastes.
    Comme les produits disponibles sur le marché sont nombreux et que chaque
    fabriquant vante la puissance et l’efficacité de son produit, choisir le bon booster de testostérone peut s’avérer difficile.

    Les femmes enceintes de votre entourage devraient aussi éviter de le manipuler ou d’y être exposées.
    Il est important de respecter la posologie inscrite sur l’étiquette.
    La capsule de ce médicament ne doit pas être ouverte, croquée ou écrasée.
    Pour les mordus d’histoire, vous avez l’occasion de voir
    de vos propres yeux un fragment authentique du Mur de Berlin.
    La Cité de l’architecture et du patrimoine
    reçoit du 14 mai au 28 septembre 2025 l’exposition…
    Les capsules de Testolan sont un complément alimentaire conçu pour augmenter les niveaux de testostérone dans le
    corps. Bien que son utilisation serve à certains hommes afin de développer leur masse musculaire ou perdre du poids,
    il faut savoir que cette hormone peut provoquer des problèmes de santé.
    C’est d’ailleurs une des raisons pour laquelle son achat doit
    s’accompagner de la prescription d’un médecin. Pour retrouver ses
    effets positifs sans contreparties, nous préférons le complément alimentaire TestoPrime.

    Véritable booster pour l’organisme, ses comprimés participent très vite à des muscles plus massifs, davantage d’énergie et un taux de testostérone naturellement plus
    élevé.
    SizeMD+ peut être utilisé avec d’autres médicaments, à
    l’exception de l’alcool et des analgésiques puissants.
    L’alcool peut interférer avec l’efficacité du supplément, tandis que les analgésiques forts
    peuvent modifier son absorption ou ses effets.
    Comme nous le savons tous, la testostérone a été le stéroïde premier à être synthétisé.
    Nous avons trouvé la seule pharmacie en ligne exploitée par une société inscrite en Union européenne.

    Ils vendent de l’Testosterone propionate dans tous les pays d’Europe, aux États-Unis
    et au Canada EN TOUTE… Acheter Testosterone chez différents fabricants dans notre magasin qui a la testostérone à vendre.

    Pour garantir l’authenticité et la sécurité du produit, il est fortement
    recommandé de passer commande uniquement sur le site officiel du fabricant.
    Actuellement, il n’est pas possible d’acheter
    SizeMD+ dans les pharmacies françaises telles que Leclerc, Doc Morris ou Atida.
    Le produit est relativement récent sur le marché, et le
    fabricant n’a pas encore effectué de livraisons dans les réseaux de pharmacies.

    Un bon nombre de magasins physiques propose de la
    testostérone et d’autres produits équivalents, ainsi que divers boosters.
    Adaptez votre choix selon le type de produit convenable à votre attente.

    La testostérone est une hormone essentielle pour la croissance
    musculaire et le maintien de la force physique. La testostérone synthétise les protéines utiles au
    développement musculaire.Après un exercice intense, la testostérone vous fait
    moins sentir la fatigue et favorise votre récupération.
    Ce médicament à base de plante médicinale améliore l’endurance des gens sportifs.
    Les médicaments efficaces sont les médicaments pris dans un établissement spécialisé et non dans n’importe quel magasin. Avant de prendre des médicaments en augmentant
    le taux de testostérone, prenez conseil chez un spécialiste, un médecin et
    un sportif professionnel. De nos jours, il existe de
    nombreuses solutions afin de se procurer de la testostérone.
    Que ce soit en ligne, en pharmacie ou en magasin, procéder à un achat de testostérone est plutôt
    accessible. Avant toute chose, il faut savoir que l’obtention de testostérone est possible sous deux formes.

    Fabriqué par Peak Health Labs Inc., un laboratoire basé
    au Royaume-Uni, TestoFuel est à l’heure actuelle l’un des plus performants boosters de testostérone du
    marché. Adulés aussi bien par les sportifs de haut
    niveau, que les hommes d’âge mûr, ce complément permet une augmentation spectaculaire des niveaux de testostérone, d’une
    façon tout à fait sûre et 100% naturelle.
    Utilisé sur une base régulière et continue, ce supplément permet de stimuler la
    croissance musculaire, réduire le taux graisses et augmenter le désir sexuel.
    Il est facile de se procurer de la testostérone et de nombreux hommes ont recours
    à cette hormone dans le but d’augmenter leur masse musculaire ou d’améliorer leurs performances,
    lors de leurs séances de musculations. Mais ce qu’ils ignorent c’est qu’ils mettent en danger leur santé cardio-vasculaire
    et augmentent leur risque d’accident vasculaire cérébral (AVC) également.

    Tout d’abord, il est important de rappeler qu’afin d’obtenir de la testostérone en pharmacie
    il est obligatoire de présenter une ordonnance. En effet, en pharmacie, il n’y a pas de testostérone en vente libre.

    Il est recommandé de consulter son médecin et de bénéficier de
    ses recommandations pour Acheter Gel testosterone 5 de la testostérone.

  9. Whereas you are on prednisone, the physique reacts to it
    in the same way as it might to cortisol, inflicting you to be conscious
    if levels within the body are high. These interventions
    could not only assist prevent weight gain but
    probably scale back the risk of lipodystrophy. This article explores common side effects of prednisone
    and techniques to assist stop them. It additionally seems at how to safely discontinue prednisone when it is now not wanted.

    These can embody modifications in your child’s habits, emotions, and
    thoughts.
    Steroids can be injected into joints, muscular tissues, tendons, the backbone, or bursae.
    Corticosteroids are man-made variations of cortisol, a hormone that’s naturally made by your adrenal glands, which sit above your kidneys.
    Steroids will enhance masculine facial options, corresponding
    to strengthening the jawline and making the eyes
    extra angular.
    They also affect how white blood cells work and reduce the activity of the immune system.
    Though it is not sensible to memorize an exhaustive record of corticosteroids, clinicians
    should be well-acquainted with no much less than one in each of the low-, medium-,
    high-, and super-high-potency courses (Table 21,
    17–19). This is adequate to deal with most corticosteroid-responsive pores and skin circumstances that
    current in main care. Low-potency corticosteroids are useful
    in children or for gentle, widespread illness, or on thin skin areas such as the face and groin.
    Your dose of this medication may need to be changed for a brief time whilst you have extra stress.
    “Nonetheless, steroids may be appropriate in many settings. Make sure you perceive what your specific risks and benefits are in any scenario the place you’ll be starting these drugs.” It’s necessary to debate advantages and disadvantages together with your physician, and search medical assist immediately when you experience concerning signs like vision modifications.
    “Steroid medications at excessive doses or long term treatment multiple to two weeks may be very harmful with some permanent issues or unwanted aspect effects,” says Rivadeneyra.
    Steroid injections can be used for joint issues and rheumatoid arthritis.
    They can also be used for some conditions affecting delicate tissues,
    like tendon inflammation or tennis elbow. They can generally be
    given at the GP apply, if there is a doctor, nurse or physio there who has had special training to do this.

    Inhaled steroids are primarily used to treat bronchial asthma and
    persistent obstructive pulmonary illness (COPD).

    For extra info see the separate leaflets known as Inhalers for Bronchial Asthma (including Inhaled Steroids) and Inhalers for COPD (including Inhaled Steroids).
    Steroid nasal sprays are medicines which would
    possibly be commonly used to deal with symptoms of stuffiness or congestion in the nostril.
    They can be purchased over-the-counter at a pharmacy – generally, treatment of
    hay fever ought to usually be bought over-the-counter rather
    than asking your GP for a prescription. buy steroids legally;
    Tanztheater-erfurt.de, can typically cause cataracts or glaucoma
    (increased stress in the eye).
    Anabolic steroids tremendously reduce restoration time, accelerating therapeutic in sufferers affected by trauma and burns.
    Athletes and bodybuilders now use steroids to train at higher intensities for
    longer durations, enhancing performance and physique composition.
    Elite powerlifters and strongmen will also take highly
    effective AAS to maximise their muscular power. Some of essentially
    the most potent anabolic steroids for energy are Anadrol, Superdrol,
    Trenbolone, Dianabol, and Testosterone, based on our patients’ stacks (who compete
    in strongman competitions).
    Additionally, vessel tone appears to enhance by some other non-catecholamine-related
    mechanism. No One appears to know the precise way this occurs, but
    some tantalising data has come from experiments by d’Emmanuele di Villa Bianca et al (2006), who tested the consequences of dexamethasone on vascular reactivity.
    From these, it seems that the steroid had instantly antagonised the motion of ATP-sensitive potassium channels (normally responsible for
    regional blood move autoregulation in arterioles).
    This implies that steroids might be appearing basically as anti-hydralazine, exerting something
    of a direct vasopressor (or no much less
    than counter-dilator) effect. It would have most likely been felony to leave this on the bottom of this chapter, as it is clearly the principle reason folks have a tendency to make use of corticosteroids,
    and so it should occupy a place of prominence.
    Low value and fast aid are two key benefits of Prednisone, a corticosteroid used to treat asthma, inflammatory bowel illness
    (IBD), and several other different situations.
    However the list of Prednisone unwanted side effects is
    lengthy, and it’s essential to bear in mind of them earlier than and while taking the drug.
    Nonetheless, individuals of all ages have been identified to misuse these medicine, together
    with adolescent boys who are suffering from body dysmorphic
    disorder. This is a psychological health condition the place
    a person spends plenty of time worrying about flaws in their look.
    Nevertheless, if steroid use entails high doses and
    is prolonged (for a couple of months to several years),
    an increase within the number of unwanted effects might happen. If steroid use is transient (from a few days to some weeks), it is
    attainable that none of the listed unwanted effects will occur.
    The side effects listed generally don’t occur when occasional steroid injections are given for arthritis, tendinitis,
    or bursitis.
    Not Like in COVID-19, steroid use in viral
    infections such as influenza and respiratory syncytial virus has shown no clear benefit [4,5,6],
    whereas in Pneumocystis jirovecii pneumonia, steroids assist cut back inflammation and lung damage [7].
    Regardless Of blended outcomes in non-COVID-19 pneumonia, the good thing about steroids in COVID-19 is well-established [3].

    Taking dexamethasone alongside warfarin significantly
    will increase the International Normalised Ratio (INR),
    heightening the risk of bleeding. It is really helpful that INR should be
    checked weekly for 2-3 weeks when corticosteroids are began or the dose is
    changed in this patient group (Wilcock et al, 2022).

    Keep Away From people who find themselves sick or have infections and wash your
    arms typically. If you are exposed to chickenpox or measles, inform your physician immediately.
    If you begin to have a fever, chills, sore throat, or any other signal of an infection, call your physician right
    away. It’s important that if you start experiencing side effects whereas taking a steroid, name your doctor or seek medical consideration,
    but don’t all of a sudden stop the steroids except a doctor has advised you to take action.
    In basic, localized steroids — these which are inhaled, injected into a joint or tendon sheath, or applied as cream
    — have fewer unwanted aspect effects because they continue to be in one space
    of the physique. “It is necessary to restrict the quantity of steroids to stop these side effects and particularly infections that can happen when you are immunosuppressed,” she says.

  10. The loss of trabecular bone can happen inside the first 6 to 12 months
    of remedy. Oral corticosteroids may be given for brief or lengthy periods of
    time, relying on the state of affairs. Facet effects which will occur with
    short-term use are usually less severe than those that happen with long-term use.

    The prophylaxis can stop as quickly as the dose of prednisone is beneath 20 mg day by day dose.
    Symptoms of and/or publicity to serious infections should also be assessed as corticosteroids
    are comparatively contraindicated in sufferers with untreated systemic infections.
    Concomitant use of other drugs additionally merits attention before initiating therapy as important
    drug interactions exist between glucocorticoids and
    several other drug lessons. Steroids, also known as corticosteroids,
    are a type of anti-inflammatory medicine.
    They usually are not similar to anabolic steroids which would possibly be utilized by physique builders and athletes to boost their
    efficiency. Steroid medicines are used in the treatment of lupus, allergic reactions,
    bronchial asthma, rheumatoid arthritis and other sicknesses.

    They can be found within the types of soluble tablets, tablets, ointments, creams, injections and inhalers.

    They also can result in long-term side effects, a few of them severe.
    The frequency dangers of bodybuilding
    improvement of aspect effect varies in several individuals.
    If use of steroid is for a brief period, then probably no unwanted effects
    might happen. The adverse results usually don’t occur when steroid injection is given often for tendinitis, arthritis or bursitis.
    Adverse of injections administered into the blood are much like the steroid side effects of steroidal tablets,
    including increased hunger, sleeping difficulties and changes in mood.

    Glucocorticoids (GCs) are a gaggle of medicine structurally and pharmacologically
    much like the endogenous hormone cortisol with various capabilities like anti-inflammatory, immunosuppressive,
    anti-proliferative, and vaso-constrictive effects. Their actions
    are used medically for the treatment of assorted conditions indicated under.

    We have categorized and mentioned crucial and broad-spectrum indications below.

    The main short-term unwanted effects of steroids are acne, abdomen irritation,
    and an elevated risk of an infection. This medicine might trigger thinning of the bones (osteoporosis) or slow
    development in kids if used for a long time. Inform your doctor
    in case you have any bone ache or when you have an increased danger for osteoporosis.

    If you’re exposed to chickenpox or measles, inform
    your doctor right away. If you start to have a fever, chills, sore throat,
    or any other sign of an infection, call your physician right away.
    If you could be taking this drugs for a very lengthy time, it is extremely important that
    your physician examine you at common visits for any negative effects which may be brought on by this medication.
    If your baby is using this medicine, tell the physician should
    you assume your youngster just isn’t growing correctly.
    Steroid nasal sprays are medicines that are commonly used to treat symptoms of stuffiness or congestion within the nostril.
    They are used most often for allergic reactions of the nose, similar to hay fever.
    They may be purchased over-the-counter at a pharmacy – in general, therapy
    of hay fever should usually be bought over-the-counter somewhat than asking
    your GP for a prescription. Steroid medicines are used for many
    totally different medical situations. Corticosteroids (also referred to as glucocorticoids or steroids)
    are prescription medicines that reduce irritation in your physique.
    Some unwanted effects of prednisone might happen that often don’t need
    medical attention.
    See also the separate leaflet called Topical Steroids (excluding Inhaled Steroids).
    From sudden injuries to chronic situations, Cleveland Clinic’s orthopaedic suppliers
    can information you through testing, treatment and
    beyond. Many individuals find that taking prednisone within the morning might help.

    Taking your treatment early in the day might help ensure that sense of additional alertness will dissipate by bedtime.

    They’re also known as glucocorticoids or the shortened name steroids.
    Your provider might give you a steroid through an injection, a cream on your skin or a drugs you take orally.
    Discuss to your provider about potential side effects earlier than beginning a new corticosteroid.

    However they’re generally used as interchangeable names for the same kinds of medication. Your
    supplier will recommend the best medicine for you, no matter what
    they name it. Providers might refer to corticosteroids as
    glucocorticoids or the shortened term steroids.
    All of these names mean any artificial drugs that reduce inflammation in your physique.
    Corticosteroids can deal with many causes of irritation in your physique.

    Patients on prednisone can also be advised to keep away from
    nonsteroidal anti-inflammatory medication (NSAIDs) similar to Advil (ibuprofen), Aleve (naproxen), Celebrex (celecoxib), and Indocin (indomethacin).
    Injectable steroids are used to alleviate acute ache from low back
    pain, arthritis, cervical radiculopathy, bursitis, tendonitis, and carpal tunnel syndrome.
    Steroids generally given by way of an injection (sometimes
    called “cortisone pictures”) embrace triamcinolone, methylprednisolone, and betamethasone.

  11. naturally like your web site but you need to check the spelling on several of your posts. Many of them are rife with spelling issues and I to find it very bothersome to tell the reality however I will certainly come again again.

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