الصفقات العمومية

نظام الاستشارة في الصفقات العمومية(RC)

29 يوليو 2022آخر تحديث: 23 أغسطس 2022
61 61 أقل من دقيقة

نظام الاستشارة في الصفقات العمومية(RC)

الوسوم
29 يوليو 2022آخر تحديث: 23 أغسطس 2022
61 61 أقل من دقيقة
صورة ennachat22

ennachat22

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‫61 تعليقات

  1. The authors strongly oppose the prescribing of medicines with
    potential anabolic uses in sufferers who’re at present using illicit AAS/PEDs.
    For instance, we discourage prescribing an AI or SERM to a affected person on illicit AAS who needs to lower his estrogen ranges.
    In men who current with sexual dysfunction, not ready to work in path of discontinuing AAS use, we discourage the utilization of PDE-5 inhibitors or other associated remedies because clinician-supervised cessation of AAS improves/resolves this concern. We strongly help the screening and therapy of AAS-related
    cardiovascular circumstances, behavioral problems, and hematologic problems
    to additional reduce self-harm throughout AAS use.

    As Quickly As a patient acknowledges he is in a position to discontinue AAS use, we at present favor a personalised strategy as outlined in evaluations
    by Anawalt2 and Rahnema et al.,23 as no randomized management trials on this subject have been carried out.
    In males, its ranges increase throughout puberty to promote the
    event of male intercourse traits, corresponding to body
    hair progress, a deeper voice, intercourse drive, and elevated top and muscle
    mass.
    Therefore, tendon accidents in athletes are thought to occur from
    a fast improve in training intensity and quantity where connective tissue fails to face up to the overload.
    One research has shown that top doses of anabolic steroids
    decrease the degradation and increase the synthesis of kind I collagen (Parssinen et al., 2000).
    Evans and colleagues (1998) performed an ultrastructural evaluation on ruptured tendons from anabolic steroid users.

    They concluded that anabolic steroids did not induce any ultrastructural collagen adjustments that would increase
    the risk of tendon ruptures.
    They can advocate for stricter rules, enhance public consciousness campaigns, and work with sports activities
    organizations to promote protected and wholesome practices in bodybuilding [56].
    Anadrol is amongst the most deleterious anabolic steroids for
    blood strain, primarily based on our lipid profile exams.
    All AAS will elevate a person’s blood strain because of exogenous testosterone, inflicting a adverse shift in levels of cholesterol.
    This leads to a rise in LDL (bad) levels of cholesterol and a lower in HDL (good)
    levels. In AAS users with lower than one 12 months of
    use, testosterone ranges normalize to baseline within 6 months of discontinuation[1].

    In reality, testosterone, by binding to AR, produces an increased production of IGF-1,
    a decreased expression of myostatin and the differentiation of pluripotent mesenchymal cells
    right into a myogenic lineage. These mechanisms are involved in an increase in protein synthesis, a lower in protein breakdown, the formation of recent myotubes as well as the increase in myonuclei quantity, thereby resulting in the rise in muscle mass,
    energy and train capacity [94]. AAS-induced hepatotoxicity was hypothesized to be
    related to oxidative stress in hepatic cells. Following AR
    receptor activation an increase in reactive oxygen species may be observed because of the enhance in mitochondrial
    b-oxidation.
    In this case a lack of libido due to testosterone deficiency
    usually underlies the erectile dysfunction. Not uncommonly in this time period, dissatisfaction with
    the intercourse, frustration of the sexual relationship with the bed partner(s),
    and lack of self-confidence may result in perpetuation of erectile dysfunction even when testosterone ranges
    get well. The mechanism for this is unclear, but, on condition that estradiol,
    independently of testosterone, also performs a job in regulating erectile function (194), it would contain an imbalance between androgenic and
    estrogenic motion. Erectile dysfunction may also be a consequence of psychological
    elements, as libido might rise sharply in an AAS user during the cycle and sometimes hinder a wholesome and mutual sexual
    relationship. The lack of proof notwithstanding, some AAS customers
    resort to ancillary drugs – similar to minoxidil and the 5α-reductase inhibitors
    finasteride and dutasteride – to counteract potential hair loss.

    While the effectiveness of 5α-reductase inhibitors is clear in medical follow
    (75), their use within the context of high dosages of testosterone and/or
    other AAS is unproven and dubious at greatest. Any DHT-lowering effect may be easily compensated for by the
    elevated androgenic motion of supraphysiological circulating testosterone ranges.

    Their opinions relating to steroids have been derived from their subjective experiences and anecdotal information.
    For this reason, conventional warnings concerning the lack of efficacy
    and potential dangers of steroid misuse are disregarded.
    A frequent broadly held opinion amongst bodybuilders is that the
    anabolic primobolan steroid (https://www.joecustoms.com/ads/pages/what-are-good-steroids.html) experts are the athletic gurus who for years have utilised
    themselves because the experimental participants and then distributed their empirical findings.

    This evaluation will tackle the common anabolic steroid misconceptions held by
    a lot of today’s athletes by providing an evaluation of the scientific literature associated to AS in athletic performance.
    Anabolic androgenic steroid (AAS) and performance-enhancing drug (PED) use is a prevalent medical
    issue, especially among males, with an estimated 2.9–4 million Americans utilizing AAS in their
    lifetime. Prior research of AAS use reveal an affiliation with polycythemia,
    dyslipidemia, infertility, hypertension, left ventricular hypertrophy, and multiple behavioral issues.
    AAS withdrawal syndrome, a state of despair, anhedonia, and sexual dysfunction after discontinuing AAS use, is a typical barrier to successful cessation.
    Restricted formal undergraduate and graduate medical schooling on AAS use, mistrust of clinicians amongst men using
    AAS,19 and lack of evidence-based harm discount approaches to this inhabitants have resulted in suboptimal care.

    It is a concerning disconnect between patients and
    clinicians which has but to improve. The dosing of AAS
    in strength sports activities tends to be more liberal, as
    many federations don’t test for these and other substances.

    Whereas more potent effects could also be seen at
    larger doses, the danger of side effects increases
    as nicely.
    In one research, female HIV sufferers suffering from persistent cachexia
    were given 100–150 mg of Anadrol per day for 30 weeks (18).
    In truth, the one unwanted facet effects reported were an absence of sexual need and elevated
    fatigue. The girls additionally didn’t experience
    any hypertension or androgenic side effects both (which is opposite to
    its effects in men). The rat levator ani muscle is a part of the perineal advanced of striated muscular tissues that
    envelope the rectum. This muscle was chosen because earlier employees had reported that testosterone
    propionate stimulated the expansion of the perineal
    complex in childish rats, and, moreover, this complicated was simply separated from other
    tissues. In contrast, there was a a lot smaller unparalleled increase in the
    weight of the seminal vesicles. Parenteral preparations do not require a 17α-alkyl group but normally the 17β-hydroxyl group is esterified with an acid moiety (van der Vies, 1993) to
    stop fast absorption from the oily car, often arachis oil plus a small quantity of benzyl alcohol.

    It was demonstrated that ND elevated tendon remodeling regardless of decreases in MMP-2
    exercise in rat tendons [99]. Esthetic functions, enhance of muscle mass and power are one of the frequent cause why
    younger folks and athletes are AASs abusers. Data marketing campaign and public well being measures are needed to extend the attention in younger inhabitants regarding muscoloskeletal
    side effects of AASs abuse. AAS use is widespread as a result of their ability to improve muscle progress for aesthetic functions and athletes’ performance, minimizing androgenic effects.
    AAS use may be very in style and 1–3% of US inhabitants have been estimated to be AAS customers.

    In Contrast To anabolic steroids, which include serious side effects,
    CrazyBulk merchandise are formulated with pure,
    scientifically-backed ingredients which have been confirmed to help enhance muscle
    growth, fats loss, strength, and endurance. This perspective is extra aligned to
    a social care perspective with the substance person being the skilled in their own use, hence the
    trust in experienced customers. One cause given for this
    lack of credibility was that IPED customers felt that the recommendation from professionals
    was not balanced and focused on well being harms whilst ignoring the benefits [33].

  2. The use of Dianabol should also be accompanied by adequate training and
    nutrition to maximize results and minimize health risks.
    The immense popularity of anabolic steroids among bodybuilders isn’t a random or baseless phenomenon. When a routine
    of strenuous workouts and strict dieting doesn’t yield
    the expected results in time, anabolic steroids step in to accelerate the returns.

    They boost strength and endurance, escalating the effectiveness of a workout, aiding in the process of muscle-building at a
    quicker pace than what would naturally be possible.
    Deca Durabolin, a well-known anabolic steroid, has been favored
    by many bodybuilders for its impressive muscle growth and strength-enhancing properties.

    It is important to take Dianabol as directed by a
    doctor in order to experience the best results.
    Your Testosterone levels will not return to normal after using steroids, and you will have to use a PCT protocol.

    You can either use a SERM (selective estrogen receptor modulator) or HCG (human chorionic gonadotropin).
    Keep in mind that if you combine steroids you will need to manage side
    effects more closely. You will probably be stacking pancaked while taking
    Dianabol, but you might be considering adding another steroid!

    This is my first cycle and I know I started at a shitty starting point.
    I understand I should’ve at least taken a couple months to get back in shape before I started this cycle.
    This is relevant though and I wanted to share my results, which I think were pretty decent.
    Its effects are by no means mild; nonetheless, it is not the most toxic steroid to
    the liver.
    There are stages to understand for users,
    from the initial few days to the duration of the cycle. Noting the changes the body
    undergoes is crucial in comprehending the effectiveness of Dbol.
    The Deca Durabolin product for men is formulated to work quickly as well as leave your muscles feeling
    soothed and revitalized. As noted above, it is extremely effective at preventing and repairing injuries and
    provides benefits other anabolic and repair
    products cannot offer.
    Winstrol is one of the best cutting compounds available, and when combined with Anavar, it proves to be a potent duo
    for ultimate shredding. Suitable health protocols should be followed after the cycle
    to support liver, cardiovascular, and hormonal health.

    Still, there is no need to engage in any post-cycle therapy like men do.

    For bodybuilders, steroid cycling is the use of steroids for a period
    of time, followed by a rest period. It peaks in an hour, so some take it once a day or divide a dosage
    throughout the day to maintain its level in the blood. He and Seba Pharmacies
    together perfected this medicine to bring it to the market as an anabolic steroid with higher anabolic properties
    and lesser androgenic side effects. You’ll retain some gains if you train properly and do
    correct post-cycle therapy, but part of the rapid gains
    and water weight will go away when you stop. Used during breaks between full cycles to stay in shape with minimal suppression. Increased red
    blood cell production supplies more oxygen to the muscles, enabling
    longer and more intense training sessions.
    It also helps in retaining nitrogen in your body which is important because nitrogen makes up around 16% of all muscle tissue.
    Thus, retaining nitrogen indicates that you can build more muscles easily.
    Anabolic steroids may well seem very tempting if
    you’re a bodybuilder who is interested in building
    more muscle while staying lean and fat-free.
    Research has shown that a small dose of Winstrol, 6 mg/day for
    6 weeks, was enough for HDL levels to fall by
    33% and LDL levels to increase by 29% (4).
    D-Bal is an excellent supplement for more intensive workouts because it stimulates testosterone
    synthesis in males. And made of all-natural and nutritious ingredients that
    have also been scientifically tested. It is not the most
    toxic steroid to the liver, but its effects are far from moderate.

    However, the liver is a relatively durable organ, and using
    dianabol results after 8 weeks should not result in liver
    damage.
    Stacking Dbol and Other Steroids for More Crazy Gains and Enduring ResultsWhile a Dbol only cycle can produce impressive
    results rapidly, they are often not sustainable. Users often find that they
    quickly lose their gains and are tempted to use it continually to maintain Dbol cycle results.
    Usually, you’ll need to take a combination of drugs during this period to restore normal HPTA functions and eliminate
    estrogenic side effects.

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  10. He doesn’t score anything for his meld nor for points received in play; instead the amount
    that was bid is subtracted from his score. The two opposing gamers nonetheless add their meld and no
    matter they gained in play to their complete rating.
    Pay consideration to the cards your opponents
    play and regulate your strategy to block their potential melds.
    Attempt to discard or play playing cards that restrict their chances of scoring excessive whereas maintaining your individual scoring opportunities.

    The points for the melds presented are totalled and
    count in course of fulfilling the declarer’s bid. The main description in the web page
    is based on a contribution from Bob Bassin of a version played in Brooklyn. A final consideration is that the final trick gets an additional point, so if possible try to save a winning trump card for the end.
    Get rid of your junk cards in the midst of the hand if you’re confident you presumably can take
    back management in course of the top along with your trumps.
    Obviously, you don’t need to discard cards which are
    wanted to form your melds.
    The mixtures that could be scored as meld fall into three lessons.

    The participant to the left of the supplier has
    first bid, and players communicate in clockwise
    order. Every bid is a number, and the very best bidder is committed to scoring a minimal of the number of factors of the ultimate bid to be able to win.
    At any level of the sport, a participant can proclaim “Declare Out”.
    In that case, the tricks of that particular participant would be counted.

    Alternatively, take a look at some board game guides we’ve as well, when you like trivia remember to check
    out the brand board sport guidelines or the principles to trivial pursuit.
    The table under reveals the amount that the declarer receives from each opponent if profitable and the amount paid to every opponent for going set, as a multiple of the agreed stake.

    These amounts rely only on the declarer’s
    bid – there is not any further fee for points in excess of the
    number bid. Pinochle playing cards are used to
    play which are 48 in quantity.
    If the claimant has fewer than 1,000 factors, they lose the sport.
    If the sport has been elevated to 1,250 factors, 1,500 points, or the
    next rating, a player may declare out at that determine.
    Upon winning a trick, and earlier than drawing from
    the stock, a participant might meld any one of many mixtures
    which have worth, as previously described. A player makes a
    meld by inserting the cards face up on the desk, the place they continue to be until the player wishes to play them, or until the stock is exhausted.
    The goal is to win tricks, in order to attain the value of
    playing cards taken in on tricks and to meld sure
    combos of cards having values in factors.
    In reality, almost each side of the sport is played in one
    other way by anyone, someplace. I call this version “My Family’s Pinochle,”
    or MFP for brief. The final trick is price one point
    (or two factors in double-deck variations). It doesn’t matter if the final trick contains no
    counters, factors are awarded simply for taking the final trick within the hand.
    It incorporates two copies of 9, 10, J, Q, K and A in every of all four suits.

    Twelve playing cards per go properly with occasions four fits equals forty eight playing cards.
    The solely time a “team” is shaped in Public Sale pinochle is
    when two opponents be part of collectively to attempt to “set” the bidder.

    The bid winner should discard three playing cards into their trick pile whereas their meld remains to
    be proven. A typical bid for a hand with three legs of pinochle (all
    but one card for a double pinochle) is 350 factors (or more, relying
    in your other cards). In a three-handed game (single deck
    with a 3 card kitty), the opening bid is 150,
    and a typical excessive bid is between 200 and 250. In two-handed Pinochle, gamers compete to achieve 500 factors first.

    In addition to the particular melds mentioned above, there are also other mixtures that are value factors
    in the course of the Melding Section. A run is a combination of a minimum of three playing cards of the
    identical suit in numerical order, price 1 level per card.

    The most typical sorts are marriages, pinochles, and runs.
    It determines the trump swimsuit, the point worth of the sport,
    and who would be the declarer.
    Cutthroat is great different to companions Pinochle if you don’t have four player
    and many people truly prefer it because of its “cutthroat”
    nature. It’s fast-paced, exciting and it could be downright
    ruthless. Some play that in case you have 5 nines in your hand and you haven’t got any meld (except perhaps deeces),
    the hand is thrown in (‘bunched’) and redealt. In Pinochle, the 2 cards that
    make up the Pinochle meld are the Queen of Spades and the Jack of Diamonds.
    This combination is price forty points when melded collectively.

    Let’s perceive the highest methods that can assist
    you ace the pinochle game, even when taking half in online.
    It forms the worst meld in the sport, the Dix, worth solely 10 factors, and has a trick worth of 0.

    References:

    none

  12. If you need to use Winstrol daily, such as if you are using it for competitions like bodybuilding or
    powerlifting, the dosage is often 1-2mg/kg of bodyweight every single day.

    This steroid is particularly good for muscle progress, sports performance, weight reduction, and medical issues.
    Winstrol can even increase your mood, improve your appetite, and improve your sleep high quality.
    Because of its adaptability and effectivity, Winstrol is an impressive steroid.
    In the Uk, the authorized standing of Stanozolol is authorized for private
    use, and steroids are frequently prescribed for numerous medical situations.
    Nonetheless, it is price noting that it is included in the World Anti-Doping Association (WADA) banned dietary supplements list.

    When cycled together, fat loss, muscle gains, and energy
    might be enhanced (as against operating a Winstrol-only cycle).
    This is a strong slicing cycle when attempting to drop physique fat
    ranges quickly with out shedding muscle or strength. You might be familiar with men who will do
    something to avoid the development of gynecomastia when using steroids on account
    of excessive estrogen ranges. But… When it comes to female PED use,
    it’s the discount in breast measurement that you just want to concentrate to as a side impact.
    Whereas this side impact just isn’t likely to develop as shortly as voice modifications or hair progress, it’s a reminder of
    why maintaining decrease doses and using milder compounds is essential.
    Not only are there dozens of different anabolic steroids on the market, each
    with potentially completely different potencies and results, however every particular
    person consumer will react of their method to the compounds.
    Throw in different variables like dosage, cycle size, stacking compounds collectively, existing well
    being issues – and potential steroid unwanted aspect effects can become a lot more complicated.

    Nonetheless, if you’re one of the unfortunate ones with genetics working in opposition to
    you, then you presumably can expect to be coping with a few
    of these well-known steroid unwanted effects caused by Winstrol’s androgenic exercise.

    It just isn’t attainable for Winstrol to instantly
    trigger those well-known and dreaded estrogenic unwanted aspect effects of gynecomastia and
    water retention. This stack locations Winstrol in the ultimate weeks
    only, permitting its highly effective drying effects to kick in in preparation for competition. Though Anadrol causes fluid retention, this stack is great as a pre-competition combination as a outcome of outcomes might be full, dry, and ripped with mass added.

    If you determine to discover native stores or pharmacies, it’s advisable to contact them in advance to
    inquire about their insurance policies and whether or not they inventory this type of steroid.
    To offset these unfavorable results, include no less
    than one testosterone steroid within the cycle. Ladies, however, can greatly profit from a Winstrol-only cycle.
    If you wish to take your bodybuilding targets to the subsequent level, Stanozolol may be a great
    tool for achieving the results you desire.
    This carefully thought of vary is tailored to ensure constructive outcomes and enhance
    general health. Proper preparation is significant to
    guarantee you achieve optimum outcomes whereas protecting
    your general well-being. Let’s delve into what you must contemplate before starting your
    first cycle Winstrol, with a focus on dosage, period,
    and useful ideas for a successful initiation into performance-enhancing substances.
    At the forefront of bodybuilding discussion lies a question many ask – is Winstrol a steroid?

    It is important to use Stanozolol responsibly and under the guidance of a healthcare
    professional to avoid potential unwanted effects. With that being said, it
    could be very important seek the advice of with a physician before utilizing Winstrol.
    When used properly, Winstrol can be an effective tool for
    increasing muscle mass and strength. Nonetheless, you
    will need to concentrate on the potential risks before utilizing this drug.
    It’s a robust steroid with the potential to deliver sharper muscle tissue, higher
    endurance, and fat-free positive aspects. That contains controlled cycles, the proper diet, post-cycle therapy,
    and understanding your limits.
    It is highly thought-about in sports activities and bodybuilding for its
    impressive ability to improve physical performance and encourage muscle growth.
    The beneficial Stanolic GEP (GENERAL EUROPEAN PHARMACEUTICALS) dosage for men is often between 25-50mg per day when taken orally and 50mg each other day when injected.

    For women, the beneficial dosage is usually decrease, starting from 5-10mg per day orally or 25mg every different day when injected.

    This delicate introduction provides your physique the chance to adapt to the supplement, earlier than steadily increasing the quantity as wanted.
    It’s price mentioning that the golden rule is to not rush, giving
    the physique ample time to adjust and absorb the substance.

    Once you’ve determined to add Stanozolol, extra commonly known as Winstrol, to your health regimen, the subsequent step is to optimize its dosage.

    This is as a outcome of important advantages it supplies to athletes over their opponents, leading to substantially
    enhanced efficiency for these incorporating this treatment into their coaching.

    To ensure truthful competitors and stop discrimination, WADA has implemented restrictions
    on its use in official sports. The recommended dosage in a slicing cycle sometimes ranges from 25
    to 50 mg per day. It’s value noting that it should be combined with a calorie-deficient food regimen and a well-structured exercise routine for optimal outcomes.
    In conclusion, using Stanozolol, also referred to as Winstrol
    and Rexobol, in bodybuilding is an effective way to induce weight loss and a leaner physique.
    The cycle begins with a low dose of Winstrol and progresses
    to a excessive dose with no breaks or pauses.
    Stanozolol promotes energy, lean muscle progress, and improved
    body composition. However, like all anabolic steroids, Winstrol
    comes with potential unwanted side effects, together with liver
    harm, virilization, unbalanced cholesterol levels, and adjustments in skin situation. The
    dosage and cycle of Winstrol depend upon a number of
    factors, together with the user’s goals, experience,
    age, gender, weight, health degree, and total well being.
    Winstrol, also identified by its chemical name Stanozolol, is amongst the most
    recognized anabolic steroids within the health and bodybuilding world.
    Revered for its highly effective effects during cutting cycles, it helps customers obtain lean muscle positive aspects, increased vascularity, and enhanced
    fat loss without extreme water retention. A bulking steroids
    cycle is a well-planned interval throughout which bodybuilders and athletes use particular anabolic steroids to facilitate muscle growth and increase physique mass.

    References:

    None

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  61. Thanks for finally talking about > نظام الاستشارة في
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