Mornings set the tone for the entire day, especially for children managing digestive health. A consistent routine not only helps kids feel prepared for school but also supports a healthy gut. Here’s how to make mornings smoother while promoting digestive wellness.
🌞 Start with Hydration
After a full night’s sleep, kids often wake up slightly dehydrated. A glass of water first thing in the morning helps “wake up” the digestive system and prepare it for breakfast. Encourage children to keep a refillable water bottle for school to maintain hydration throughout the day.
🍳 Prioritize a Gut-Friendly Breakfast
Skipping breakfast can lead to sluggish digestion and low energy. A balanced morning meal should include:
Fiber: Whole grains, fruit, or oatmeal to promote regularity.
Protein: Eggs, nut butters, or yogurt (dairy or dairy-free, depending on tolerance) to keep kids satisfied.
Healthy fats: Avocado or nut butters for added balance.
Tip: Avoid overly greasy, sugary, or processed foods that can trigger stomach upset.
🧘♂️ Create a Stress-Free Environment
Stress in the morning can worsen GI symptoms. Build extra time into the routine so kids don’t feel rushed. Calming habits like stretching, deep breathing, or even quiet music can reduce anxiety and support the gut-brain connection.
PEDGA is here to help!
At Pediatric Gastroenterology Associates (PEDGA), we help families build routines that work with their child’s unique digestive needs.
📞 Schedule an appointment today: 786-888-2480
📍 Visit us in Miami: 10045 South Dixie Highway, Miami, FL 33156
Your child’s health is our priority—wherever they need us. 💙

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In this text, we will delve into the benefits, dangers, and potential misuse of anabolic steroids.
In women, abuse results in the emergence of extra muscle deposits, deeper voice, thicker
and coarser physique hair, male-pattern baldness, disruption of the menstrual cycle, and enlargement of the clitoris.
Among younger abusers, excessive testosterone levels
within the physique can prematurely signal bones
to cease growing and, thus, can stunt development. In each women and men, steroid abuse contributes to the chance of
heart assault and stroke. Ranges of unhealthy ldl cholesterol (low-density
lipoprotein, or LDL) are increased, whereas these of excellent cholesterol (high-density lipoprotein, or HDL) are
decreased. This causes a buildup of plaque in the arteries (atherosclerosis), which decreases or eventually
blocks blood flow to the heart, resulting in a coronary
heart attack, or blood flow to the mind, leading to a stroke.
Blood-filled cysts that develop within the liver
may rupture and cause life-threatening inner bleeding.
Some of these counterfeit anabolic steroids may not have the effect that the customer wished.
Value is massively variable, relying on the kind of steroid purchased, the standard and the quantity.
Single tablets are ineffective – so people will tend to make use of a mix of medication over
a period of time (a cycle).
Beforehand mild-mannered people have committed homicide and lesser assaults whereas taking anabolic steroids.
Although such incidents are unusual, most research have found that high doses of anabolic steroids increase feelings and
ideas of aggressiveness. “Roid rage” is a slang
expression used to explain the aggressive feelings, thoughts, and behaviors
the medication can produce. As A Outcome Of testosterone impacts muscle progress, elevating its levels in the blood may help athletes increase
muscle measurement and energy, together with some other advantages such as improved
endurance. Anabolic steroids can be taken in tablet form or injected instantly in to the muscle.
Illicit customers (those who use the medication illegally) sometimes eat 10
to a hundred times the amounts ordinarily prescribed for medical functions.
The precise dose can’t all the time be determined, nevertheless, as a result of drugs bought on the illegal market don’t at all times include
what the labels indicate. Law-enforcement officers have confiscated vials
contaminated with bacteria. Other psychiatric results of AASs include mood swings and psychosis
(Pope & Brower, 2000). AASusers commonly report that they really feel energetic, confident,
and even euphoric throughout a cycle of use. They may have a decreased need for sleep
or discover it troublesome to sleep because of their high energy degree.
Erectile dysfunction is outlined as the shortcoming to achieve
or keep an erection enough for satisfactory sexual efficiency (189).
Testosterone performs an essential position in almost each side of erectile operate (190) and erectile dysfunction is considered a
suggestive symptom of testosterone deficiency (191).
Nonetheless, not all hypogonadal men develop
erectile dysfunction, and TRT generally leads to solely a small enchancment in erectile perform (192).
Dr. O’Connor has over 20 years of experience treating women and men with a historical past of anabolic steroid, SARM, and PED use.
He has been a board-certified MD since 2005 and supplies steering
on harm reduction methodologies. Anavar (oxandrolone) is a very popular anabolic steroid among men and women.
Despite its excessive market worth, it is often coveted due to its versatility.
Deca Durabolin causes a particularly full, 3D look as a end result of excessive ranges of intracellular
water retention filling the muscle cells on-cycle.
Hair loss is more doubtless to speed up due to
DHT levels spiraling to excessive ranges, inflicting irritation and injury to hair follicle well being.
Problem urinating can also turn out to be
a difficulty due to an enlarged prostate gland.
Here they bind to specific steroid receptors, with the chemical construction of every steroid determining the extent of
this binding. The resulting steroid-receptor complicated elicits
its pharmacological actions by way of sending signals
to other elements of the cell or by activating genes that express the steroid’s results
[2]. In some ways, the slang time period “juicing” encapsulates the ongoing rigidity
around doping in skilled sports activities.
Schedule III Controlled Substances are acknowledged to have worth as prescribed medicines, but in addition have a
potential for abuse that will lead to either low to moderate bodily dependence
or high psychological dependence. Tons Of of AASs have been synthesized, and more complete lists exist (Wright & Cowart, 1990; Yesalis, 2000).
Anabolic steroids include the hormone testosterone and related drugs.
Anabolic steroids have many bodily results,
together with promoting muscle progress and rising energy and
vitality. Thus, these medication are sometimes used illegitimately
to gain a aggressive edge in sports activities.
Approximately 2% of females and 6% of males worldwide use or abuse anabolic steroids, with similar estimates for the Usa.
Medical Doctors prescribe anabolic steroids to
help with skeletal muscle and the development of male
sexual characteristics.
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baseline prostate-specific antigen (PSA) of more than 0.6 ng/mL should have their PSA levels
measured and a prostate examination at 3 to
six months.
Ultimately, the usage of banned substances to artificially enhance performance seems destined to be a part of skilled athletics for the foreseeable future.
Some of those risks are linked to the reality
that anabolic steroids can be injected,
which can lead to infections and other issues at the injection site.
In addition, taking anabolic steroids can disrupt normal hormone manufacturing in the body and may cause mood
swings and different psychological unwanted effects. Anabolic steroids work
by increasing protein synthesis within cells, which leads to the buildup of muscle tissue.
They additionally promote the storage of glycogen, which provides
energy for muscle tissue to contract. Oral tablets, intravenous injections, lotions, topical gels, and pores
and skin patches are a quantity of methods anabolic steroids could be administered.
The use of steroids suppresses the naturally occurring
testosterone within the body and, in males, may lead
to a decrease in testicle measurement (atrophy), decreased sperm production, infertility, and baldness.
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forty six men with 1 yr of weight training experience had been break up into 3 teams.
Males with low testosterone additionally report much less motivation or drive, Calvert notes.
WADA makes some exceptions in relation to utilizing testosterone for male
hypogonadism.16 However the athlete should apply for and meet the
factors for a therapeutic use exemption (TUE).
This requires filling out a TUE kind with a doctor and offering supporting documentation. Andrew Solar, M.D., is a urologist specializing in TRT and sexual dysfunction and the director of men’s well being for
Urology Partners of North Texas. Joshua Calvert, M.D., is a
urologist who makes a speciality of male infertility and low testosterone management.
Heck analysis has established that men must hold there degree about one thousand or larger to stop
falling into a class elevated hard decease of 30%.
The folks affected have unrealistic beliefs that they’re too skinny and small,
not muscular enough, or not lean enough, regardless of this not being the reality.
Subsequently affected individuals typically maintain taking steroids even after creating critical side
effects. Some of essentially the most serious opposed reactions because of AAS abuse
include heart, liver, and kidney problems.
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Some users notice reasonable muscle positive aspects, while others miss
out on any important benefits. Dr. Thomas O’Connor has noticed opposed results
in numerous sufferers on SARMs, regarding their cholesterol
and liver profiles. Moreover, such patients reported “little to no change” in physique composition. In truth, dexamethasone is typically utilized in clinical
settings to suppress endogenous cortisol manufacturing as a half of the dexamethasone suppression test (DST) to diagnose certain endocrine problems.
Systemic steroids treat circumstances such as lupus and multiple
sclerosis. Systemic steroids transfer by way of the blood to assist more parts of the
physique. These drugs also can suppress the immune system, which makes them useful for treating autoimmune diseases.
A Swedish nationwide population-based cohort research discovered a cardiovascular morbidity and mortality fee twice as excessive
in individuals who tested constructive for AAS use compared with those that examined negative (149).
Suppression of spermatogenesis leads to testicular atrophy, which is
principally a beauty concern, though some men subsequently complain of retractile testes.
The seminiferous tubule compartment of the testis, which hosts
spermatogenesis, occupies about two-thirds of
its quantity (186). A appreciable fraction of this
compartment consists of creating sperm cells.
Quick half-lives require a quantity of day by day doses,
which can cause hormonal volatility. Evidence
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There is not any water retention, there are not
any progestogenic unwanted effects, all you get is pure muscle growth and
proportionally greater quantities of power features relative to Testosterone Derivatives and 19-Nors.
In basic, this class of compounds facilitates a center floor level of muscle growth, neurological effects,
and enhancement of cardio mechanisms. Expectedly, many
of the anabolic steroids in every household have similar attributes to 1 another.
Failure to employ efficient post-cycle therapy can result
in gonadal deficiency for several months or permanently if anabolic steroids are abused.
Research indicates that testosterone can also negatively affect high-density lipoprotein (HDL) and low-density lipoprotein (LDL) ldl cholesterol ratios,
potentially inflicting hypertension (high blood pressure) (2).
Nevertheless, research recommend that such elevations in blood pressure
usually are not as severe from testosterone compared
to more potent anabolic steroids. Different male-specific side effects of steroids include the event of breast
tissue (gynecomastia) on account of elevated estrogen ranges.
Roid rage, or modifications in anger and aggression management, can even influence male steroid customers.
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When anabolic steroids increase the degrees of
testosterone in the blood, they stimulate muscle tissue within the physique to develop larger and stronger.
But the effects of too much testosterone circulating in the body can be dangerous over time.
Some anabolic steroids are used for hormone-replacement therapy in subjects
with male hypogonadism (low T). On the opposite hand, peptides could additionally be used for advantages like weight loss,
restoration, anti-aging, reproductive health, and nootropic research.
Due To This Fact, whether or not peptides or steroids are higher relies upon primarily on the research objective.
Due To This Fact, all glucocorticoids are corticosteroids, however not all
corticosteroids are glucocorticoids. Mineralocorticoids, such as aldosterone, are another
sort of corticosteroid that play a role in regulating electrolyte balance
and blood pressure.
Alex noticed a temporary “puff” in his urge for food and mild insomnia, but his breathing improved dramatically.
He never touched anabolic steroids as a outcome of
his goal was endurance, not measurement. A well‑chosen steroid, underneath medical supervision, can be a lifesaver—while
unsupervised AAS use can jeopardize that very well being.
Side effects include erectile dysfunction, the development of man boobs, pimples, bloating and liver issues.
The ordinary dose is between 200 and 600mg per week for as a
lot as 12 weeks. There have been stories of customers ending up in hospital as a result of
high blood pressure and heart problems.
Mixing steroids with other medication can have unpredictable results and enhance the
danger of hurt. There is proscribed analysis on whether or not folks can develop a tolerance to anabolic steroids.
Girls might use low-dose TRT for particular medical situations like low
libido or menopausal signs under medical supervision. Steroid use
in ladies can cause severe masculinizing results
similar to voice deepening, facial hair growth, and menstrual disruptions.
TRT unwanted effects are usually delicate and embrace pimples, fluid retention, or slight changes in purple
blood cell depend. Steroid use may cause severe
unwanted effects similar to liver damage, heart problems, hormonal disruption, and psychological effects
like aggression. TRT is a legal remedy prescribed by a doctor
for medical situations like hypogonadism.
Anabolic steroids target the androgen receptor, the pure organic receptor for testosterone and
its metabolite dihydrotestosterone. Stimulation of the androgen receptor
leads to cell progress, resulting in a rise in muscle measurement.
It also results in virilization—the growth of masculine traits, together with
elevated libido and deepening of the voice. Insulin just isn’t a
steroid nevertheless it nonetheless makes its way
into the steroids listing because of its importance and uses
in the anabolic growth of muscular tissues.
We have discovered Anavar’s hepatic effects to be less toxic compared to different oral steroids.
During testosterone administration, researchers report
that the pituitary gland alerts the testes to cease producing natural testosterone, contributing to hypogonadism (testosterone deficiency) (3).
This process happens due to supraphysiological levels of serum testosterone and
the physique trying to maintain homeostasis. Anabolic steroids, the most
commonly misused steroids, can be found as an answer for injection,
in addition to in pill, cream and gel kind.
In horses, for instance, anabolic steroids can cause liver damage and weakening
of the tendons and can lead to decreased testis dimension and sperm production in stallions and altered reproductive cycling in mares.
Simply by understanding the capabilities and traits of Nandrolone it’s easy to see
the positive results of this 19-nor compound, particularly the constructive medical advantages.
For the efficiency enhancing particular person, the bodybuilder or athlete,
although an extended standing favourite it’s also one
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The dosage suggestions below can be modified as you go, depending on the
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Suppression is likely right here, so a testosterone base
must be considered.
Anadrol’s advantages largely mimic Dianabol’s, producing important
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in our expertise. However, when we see Dianabol applied among novices, harsh cardiovascular and hepatic results can follow.
Injectable steroids have an attached ester that controls how rapidly the hormone is
released, and these steroids (and their metabolites) will all the time stay
detectable for for a lot longer. With newer scientific advances,
anti-doping testing can detect long-term metabolites better than ever.
Breakthroughs have resulted in detecting particular steroid metabolites for twice as lengthy as previously possible.
This means that only remaining traces of metabolites could slip past the drug
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Superior steroid customers can devour dosages that exceed a hundred mg per day; however, this typically causes high ranges of toxicity.
We have diagnosed several patients as hypogonadal who’ve cycled Dianabol.
Consequently, they required post-cycle remedy treatment to resurrect
pure endogenous manufacturing. We have discovered Dianabol
to be a toxic oral steroid; thus, it frequently displays undesirable effects on liver values, aspartate aminotransferase (AST), and alanine aminotransferase
(ALT). Users can eat tauroursodeoxycholic acid (TUDCA), a liver assist complement, to
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Dianabol, intending to create a compound extra anabolic than testosterone however less androgenic.