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The mechanism of action of the nandrolone esters and other anabolic steroids, and the effect of drug delivery systems on their biological activity have been studied by van der Vies (1993). The duration of action of the esters depends upon the rate of absorption from the site of administration. This is dependent on the chain length of the acid moiety and also the formulation, being related to the partition coefficient of the derivatives between the oil used in the formulation and plasma. In general, the longer the chain length, the more slowly the preparation is released into circulation, thus prolonging the duration of action, buy ultima-dbol 10 mg oral steroids dianabol. Furthermore, testosterone undecanoate is also orally active, the 11 carbon chain ester making the molecule so lipophilic that its route of absorption is partially shifted from the hepatic portal vein to the lymph system, thus bypassing first-pass metabolism to some extent, it being released into the circulation via the thoracic duct (Coert et al. Non-pharmaceutical water-based testosterone suspensions for injection are advertised on bodybuilding web sites and cheats in sport may find these attractive as, in theory, these should be relatively short acting. Non-pharmaceutical-based preparations, whether oil or water based, may be a particular hazard to health as the contents may not have been prepared under sterile conditions. Transdermal formulations are invariably testosterone based, legitimately designed for replacement therapy, and include the ‘patch’ and hydroalcoholic gels, to be applied on a daily basis. Other short-acting testosterone preparations include those that are designed to be administered by the sublingual or buccal route. Such short-acting formulations are of particular concern in sport, as the exogenous source of testosterone is rapidly eliminated following cessation of treatment. Increased out-of-competition testing helps to combat the cheat who is using short-acting preparations and ceasing administration prior to competition in anticipation of testing. It is of interest that an illicit preparation called ‘The Cream’ was designed for transdermal application (see the section ‘Designer steroids’). A current cause for concern is the recent manufacture of analogues of established anabolic steroids to tap into the bodybuilding market. To avoid the statutory controls of countries regarding the manufacture and supply of drugs, these compounds are often widely marketed as nutritional/dietary supplements, examples being DHEA, androstenedione, androstenediol, and their 19-nor equivalents (these steroids are prohormones), and analogues of testosterone and stanozolol called 1-testosterone and prostanozolol, respectively ( Figure 4 ). It is a consequence of their widespread availability that a minority of athletes will also use these steroids in an attempt to improve sporting performance, and because they are structurally related to mainstream anabolic steroids, sports antidoping laboratories are made to incorporate such compounds into their drug screens under the WADA rules. These steroids are supplied for oral administration, and are therefore subject to first-pass metabolism, a very important factor as to the extent the steroid is deactivated or converted to a more active form. Some of the putative metabolites of dietary supplements have been identified by mass spectrometry, but not by other analytical techniques such as nuclear magnetic resonance spectroscopy to confirm configuration of the structure; the interested reader is referred to the extensive review by Van Eenoo and Delbeke (2006). The ‘supplements’ (I) dehydroepiandrosterone (DHEA), (II) and (III) androstenedione (?4 and 5, versions respectively), (IV) and (V) androstenediol (?4 and 5 versions, respectively), (VI) 19-norandrostenedione (only ?4 version displayed), (VII) 1-testosterone, (VIII) boldione and (IX) prostanozolol. With respect to prohormone supplements of testosterone, as recently reviewed by Brown et al. 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