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Josh –
should steriods be legal
References:
https://gitea.irons.nz
Liliana –
bodybuilding muscle names
References:
adsandclips.com
Mei –
how to get steroids from a doctor
References:
https://vcs.int.feuerwehr-ziemetshausen.de/
Alycia –
steroids to gain weight
References:
phoebe.roshka.com
Tammara –
steroid cycle results
References:
git.toad.city
Anton –
hgh steroids side effects
References:
http://www.w003.cloud/
Margene –
Forty-seven out of 49 men with azoospermia or extreme oligospermia skilled a
return of sperm to the ejaculate or vital enchancment in SA parameters.
Since that initial investigation, the creator’s proposed remedy algorithm has been refined and streamlined [18].
It functions by penetrating the goal cell’s
cellular membrane and binding to an intracytosolic
molecule generally identified as the androgen receptor.
We have aimed to incorporate all information wherein data about human topics
can be found, together with the case stories.
Furthermore, this article also presents meta-analysis of reproductive hormones, semen parameters and testis dimension.
The drugs in question are anabolic androgenic steroids
(AAS), artificial derivatives of testosterone that are primarily used by fitness center aficionados
to increase muscle mass and obtain a muscular physique.
Healthcare providers prescribe them for certain conditions,
similar to male hypogonadism and sure kinds of breast most cancers.
Different exceptional findings in our research included the
high rate of abnormal semen findings (79%), the significant delay in spontaneous
recovery within the untreated group, and the appreciable proportion of sufferers presenting with infertility.
Being conscious of the potential effects of anabolic steroids in your physique can make a major
distinction.
This article additionally underscores the need for evidence-based
pointers to mitigate testosterone abuse and protect male reproductive well
being effectively. Testosterone has been used therapeutically as androgen replacement remedy in males with main hypogonadism as well
as to produce stimulatory effects on muscle, bone and blood.
But it has been misused additionally by over prescribing for unproven medical conditions like ‘andropause’ for aging males even with paucity of proof for
safety and efficacy.
AAS use has important and probably long-lasting impacts on male fertility as a result of disruption of the hypothalamus-pituitary-adrenal axis.
AAS reveals negative feedback on the pituitary,
resulting in suppressed follicle-stimulating hormone (FSH) and
luteinizing hormone (LH) release, thereby resulting in decreased ranges of intratesticular testosterone (T) and suppression of spermatogenesis [2].
In normozoospermic men who receive AAS, it has been shown that
round 98% will develop oligospermia or azoospermia [3-5].
While the standardized therapy protocol resulted in enhancements in sperm
concentrations for so much of individuals, a substantial proportion of the
men nonetheless faced challenges in reaching normozoospermia.
Furthermore, the chances of attaining being pregnant by way of pure conception alone were
found to be fairly low, emphasizing the significance of ART procedures in aiding couples on this population. These findings underscore the need for comprehensive fertility counseling and customized therapy approaches for men with
a historical past of anabolic steroid use who are in search of to attain parenthood.
Whereas our research didn’t identify statistically
important predictors for relapse in AAS use, there
are a myriad of causes a affected person could resolve to prematurely resume the utilization of their AAS remedy.
Every 10 mmHg discount in systolic blood
strain reduces the chance of major cardiovascular occasions, coronary heart illness,
stroke, heart failure, and all-cause mortality by 20%, 17%, 27%,
28%, and 13%, respectively (95). A persistent pharmacological
improve in blood stress – similar to brought on by
AAS use – could be speculated to have the inverse impact.
Male-pattern hair loss, or androgenetic alopecia, is an androgenic situation par excellence.
In the 1940s, James Hamilton described how male-pattern baldness did not develop in castrated males unless they have been administered testosterone (72).
Hypogonadotropic hypogonadism is a medical situation characterized by insufficient
manufacturing of sex hormones due to a problem with the hypothalamus or the pituitary gland.
In the context of anabolic steroid use, this condition is often induced when the body’s
pure hormone production is disrupted by the introduction of artificial hormones.
This lower, in turn, lowers the levels of luteinizing
hormone (LH) and follicle-stimulating hormone (FSH), each of which are critical for exciting the
testes to provide sperm. This indicates that steroid use can dramatically cut
back sperm depend, a key fertility parameter.
In the brief term, stopping steroids could produce rapid hormonal
adjustments within a number of weeks. “Effects in male reproductive tissue embody low epididymis weight, and low sperm motility and morphology,” says Mossman. “Men who buy anabolic steroids on the health club or online is not going to know precisely what they’re taking and for a proportion of these males, long-term usage can result in everlasting impairment of fertility.
These are to not be confused with corticosteroids, that are prescription medicines commonly used to help scale back irritation and suppress the immune system. (Again, “steroid” simply refers to a compound with a selected chemical structure.) Corticosteroids are used to treat a selection of situations, like asthma, arthritis, eczema, lupus, and multiple sclerosis, as well as short-term infections that cause inflammation. A “steroid” is a sort of compound with a particular chemical construction, including many hormones, alkaloids, and nutritional vitamins. “Anabolic” refers to the means of build up (muscle or bone), also called biosynthesis.
A healthy way of life can enhance the body’s natural hormone production and improve the chance of successful conception. Research into the direct link between paternal anabolic steroid use and start defects in offspring is restricted. The majority of research have centered on the effects of maternal exposure to various substances throughout being pregnant. Her dedication to restoration returned her fertility and improved her quality of life. These results are evident in normalized blood parameters and in the induction of endogenous testosterone manufacturing.
References:
PedsElite
Selina –
This is particularly worrisome as there may be appreciable evidence that myocardial harm, which may
accumulate in years of ongoing AAS use, is a main cause for sudden cardiac dying in AAS users
(217). Some AAS customers self-medicate with phosphodiesterase sort
5 (PDE5) inhibitors such as sildenafil to counteract erectile dysfunction (65).
This class of drugs inhibits the enzyme PDE5 which breaks down cGMP – the second
messenger molecule liable for conveying the sign of the
cavernous nerve to induce an erection (195).
PDE5 inhibitors are the mainstay drug in erectile dysfunction remedy and are usually tolerated well,
offering passable outcomes.
Clenbuterol is not a steroid; nevertheless, it’s
often stacked with chopping steroids to ignite fats burning.
Crazy Bulk’s Clenbutrol replicates the stimulative results of Clen to spike a user’s metabolism.
We have seen Anavar add 10–15 lbs of muscle while considerably stripping fats (6).
However, should you stick with a really helpful cycle and
dosage plan, your publicity to unwanted effects shall be minimal.
Accidents can critically disrupt a scheduled training program and adversely have an effect on the psyche of an athlete.
Long-term accidents can lead to a lack of motivation, poor dietary
standards, nervousness, frustration, and even melancholy.As a bodybuilder,
you should have an excellent help team around you
when accidents occur. This team might help you get well physically, mentally,
and psychologically. The use of beneficial injectable steroids can tremendously assist in your
physical restoration from bodybuilding training-related injuries.
Many athletes fail to reach peak bodybuilding and athletic performance due to unforeseen accidents.
By understanding these packaging details,
one could make safer buying selections. Nevertheless, this is solely one aspect of verifying the authenticity of steroids, and further investigation may be necessary.
From beginners in search of gentle compounds like Anavar, to superior users stacking Testosterone Cypionate and Deca Durabolin, we have something
for everybody. Use anaboic steroids will cause sure unwanted effects, individuals consider that by taking the steroids within the a correct method will assist them
to keep away from unnecessary side effects. There are many kinds of steroids have been broadly
used in medication and bodybuilding. AASraw as steroid powder manufacturing facility, we are
going to solely list essentially the most hot sale
in here.
Whether Or Not the objective is fats loss or muscle
toning, aligning the cycle length with your specific objectives is paramount.
Anavar is particularly prized for its efficacy in selling a lean physique devoid of water retention or fat
deposits. Even extra remarkable, its safety profile extends to female
customers, making it a flexible option for athletes of all genders.
With a beneficial dosage of 20 mg per intake (ideally cut up
into two doses for optimum effect), it might possibly deliver onerous, outlined muscles which might be the
envy of athletes worldwide. Our expert staff
is out there to answer any questions you’ve and supply steering on selecting the proper steroids in your needs.
However, simply because they are legal to use doesn’t mean that athletes is not going to get
in hassle for taking them. Before somebody buys
legal steroid alternate options, they want to make
sure they’re allowed by no matter sports authority would
possibly test them. In general, the long-term effects of performance-enhancing medicine have not been studied enough.
Athletes take human progress hormone, additionally known as somatotropin, to build extra
muscle and do better at their sports activities.
However studies do not clearly show that human development
hormone boosts power or helps individuals exercise longer.
Be Taught extra concerning the results that performance-enhancing medication can have on health.
Healthcare suppliers present corticosteroids rather more often than anabolic steroids.
Food Regimen can additionally be important to advertise a dry
physique on these cycles – excessive protein and good fats, low carbs,
and consuming plenty of water. Anavar will promote fat loss and comes with some benefits
for recovery. Aspect results are simply controlled, with no estrogenic
sides, no hair loss, and suppression is stored to a minimum.
As if that’s not enough, you can get away with no PCT and often no need for any ancillary compounds.
If you’re blasting, you’ll have a look at even larger doses, but I’ll
cowl that in the quick cycle section beneath. Frontloading Testosterone Enanthate can get your blood
plasma levels up to 500mg a lot quicker. This involves taking a double
dose of 1000mg on the primary day (or no matter will be double
the quantity of your chosen common dosage).
Whether you’re an skilled athlete or just starting out, PG Anabolics is
Canada’s trusted source for all of your steroid and
performance enhancement wants. Healthcare suppliers mainly prescribe anabolic steroids to treat low testosterone (male hypogonadism).
But they use it for different situations as well,
similar to to stimulate muscle development for folks with sure cancers or acquired immunodeficiency syndrome (AIDS).
Some data concerning the development of clitoromegaly are available from
analysis in female-to-male transsexual patients.
Anavar works properly as a stand-alone Steroid, though it’s
also nice when used in conjunction with other steroids, together with Winstrol, and Testosterone Propionate.
Anavar is type of mild, so if you’re looking at just starting out with
a steroid cycle, that is perhaps a great steroid to experiment with.
A profitable Anadrol cycle, nevertheless, can doubtlessly result in gains of as a lot as 10 – 15 pounds
of muscle, which is certainly very noticeable. Anadrol
does not convert into Estrogen but does work on the Progesteron axis, and you could anticipate unwanted effects of that nature.
A great additive to stacks that you would utilize for muscle development,
and also for a slicing period.
References:
PedsElite
Gregory –
On the opposite, amenorrheic exercising girls confirmed decrease
PRL levels compared to both biking exercising and biking sedentary women [11].
When folks talk about steroid misuse, they’re often referring to the anabolic steroids that we’ve discussed here—the steroids
that are made from or lookalikes for testosterone. Erectile
dysfunction is defined as the lack to achieve or maintain an erection sufficient for satisfactory sexual efficiency (189).
The most common is mania, which makes you inadvertently behave in a more rageful and offended manner.
Though it could help with mass, it will imply that utilizing steroids at this
age can restrict your height and stunt your growth into
adulthood. When utilizing steroids, your cholesterol levels may rise to dangerously excessive ranges, which could be unhealthy and lead to issues corresponding to heart disease and strokes.
The liver eliminates toxins from the physique and produces hormones needed for reproduction. As A Outcome Of steroids can also cause abnormal sperm,
some can be faulty and unable to swim or connect to the egg, making you even much less likely to
conceive. Biologically, we’re hardwired to find muscles attractive,
as it exhibits that the individual is healthy sufficient to supply
and protect offspring.
Thus, this evaluate aimed to explore the latest proof on the mechanisms of motion, adverse results, medical
society guidelines, and the prevalence of abuse of
anabolic substances among women. The connection between a woman’s hormonal steadiness and
fertility is intricate and very important. Hormones regulate the menstrual cycle, ovulation,
and total reproductive well being. Any disruption in this delicate hormonal balance can lead to infertility,
making it essential to know how external factors, like steroid use,
may impression fertility. This article goals to explore how
steroid use can negatively impression feminine fertility,
the mechanisms involved, and the potential for recovery.
Many who misuse anabolic steroids are conscious of the dangers and verify out “cycling,” “stacking,” or “pyramiding” to try to bypass side effects, or they stop completely for six months
to get pregnant and then restart. Nevertheless, no scientific proof proves
any of these strategies help cut back the short-term and long-term negative side effects—including the detrimental impact on sperm quality
parameters and overall fertility.
This examine showed that intratesticular testosterone could be reliably
maintained whereas on TTh. Future research would show that spermatogenesis itself, and thus the male’s fertility,
could likewise be persevered all through remedy. Up so far, 3,000,000 Anabolic-Androgenic Steroids (AAS) customers have been reported within the Usa [1, 2], and considering its growing prevalence,
AAS consumption has turn out to be an issue of major concern. When mixed
with a proper diet and an intense training program,
anabolic steroids are in a position to increase energy and muscle mass in some individuals.
Most unwanted aspect effects are gentle and reversible just like the alteration of
the male reproductive system, mentioned in this article.
The most important step in treating steroid-induced infertility
is to cease utilizing anabolic steroids.
Whereas this serves as a benchmark for future, prospective work, our examine is not with out limitations.
This was a retrospective analysis, due to this fact limiting examine design and variable
inclusion. Most notably this precluded the inclusion of thorough
psychiatric historical past, pharmacotherapy, or concomitant substance abuse.
Given the aforementioned relationship between mental well being and anabolic steroid use,
it might be logical to imagine that differences in the presence of these
conditions may impression the chance of relapse in using exogenous testosterone.
Future areas of consideration embody potential assessment of associate outcomes to discover out the charges of
IVF and natural conception on this patient population to more effectively counsel patients.
Anabolic steroid use can negatively impression fertility by
reducing sperm production and altering hormone levels, leading to male infertility points.
This hormonal imbalance may find yourself in decreased sperm high quality and long-term reproductive
issues.
These derivatives are referred to as anabolic-androgenic steroids
(AAS), or extra commonly, anabolic steroids.
Initially, these substances had been restrictly utilized by skilled athletes and bodybuilders.
The market now offers a range of legal steroid alternate options
which would possibly be designed to imitate the muscle-building results of anabolic steroids without the adverse unwanted effects.
Sperm high quality parameters could be anticipated to normalize after 4
to 12 months of ending steroid use. However, in some
circumstances, patients skilled up to 5 years of azoospermia, a medical condition where a male can’t produce any sperm.
Anavar side effect management guide, also
referred to as Oxandrolone, is a popular anabolic steroid that’s generally utilized
by athletes and bodybuilders to enhance their efficiency and promote muscle growth.
We hypothesized that risk components for restarting
AAS would come with length of AAS use, kind of AAS, pre-treatment testosterone levels,
and increased age. Testosterone and its derivates are largely
used due to their androgenic and anabolic results in the
male body (de Souza and Hallak, 2011; Bond et al., 2022).
Particularly, testosterone is a related hormone throughout males’ puberty, as it promotes hair progress,
sebaceous gland activity, sperm maturation, and libido (de Souza and Hallak,
2011; Bond et al., 2022). The anabolic effects of testosterone derive
from increased protein synthesis and diminished protein degradation (Sjöqvist et al., 2008), while it also will increase lipolytic activity (Kadi, 2008), thereby lowering physique fat proportion and augmented lean physique mass.
Briefly, the mechanisms by which testosterone acts in the body is
determined by its attachment to androgenic receptors (AR) in focused
tissues; also, testosterone can bind to AR receptors when decreased to 5α-dihydrotestosterone (5DHT).
The training consisted of offering info to physicians about potential adverse events, which checks and procedures
should be carried out, and the relevance of welcoming the patient and not judging the
reasons for utilizing AAS. After the coaching protocol,
physicians reported that 44% of the AAS customers declared their intention to reduce back
their use, and 12% declared their intention to stop AAS use.
One of essentially the most significant barriers in selling harm
reduction, and even cessation of AAS use, is that AAS users do not trust their physicians and, thus, fairly often omit their present and previous AAS use (van de Ven et al., 2020; Eu et al., 2023).
Antagonistic effects of AS are well reported and occur in a
dose-dependent style (3).
With an estimated world lifetime prevalence price of three.3% (6.4% for males and 1.6% for females)
(2), nearly every practising doctor will present look after an AAS consumer in some unspecified time within the
future of their profession. Although, in fact, the AAS
user won’t necessarily disclose his use of AAS
or current with unwanted facet effects caused by it.
This review due to this fact provides a complete overview of this class of hormones’ primary pharmacology and unwanted facet effects.
Chance –
Feminine athletes eager to avoid masculinization will be safer
taking Turinabol than most other AAS, as girls regularly
took Turinabol through the 60s and 80s. One Other reason why Anavar is arguably one of the best
steroid for weight reduction (fat loss) is as a end result
of of its security profile. Anavar is a medical treatment
for cachexia (2) that has obtained FDA approval and is regularly
well-tolerated by each girls and kids. Yes, legal options like CrazyBulk D-Bal and Testo-Max
present muscle-building advantages similar to steroids without the dangers or authorized
issues.
In conclusion, the choice of the most effective oral steroids on your particular needs is a fancy determination that must be
made in close session with a qualified medical professional.
They can assess your individual circumstances, medical history, and goals
to find out essentially the most suitable and safe therapy plan. Self-medicating with oral steroids
is extraordinarily harmful and may result in extreme opposed results.
It is necessary to use oral steroids only as directed by a doctor and to
concentrate to the potential dangers. If you expertise any unwanted
effects, you will need to discuss to your physician. Nonetheless, oral steroids should be used with
caution as they can have severe unwanted effects.
As a stimulant, Clen comes with some different unwanted effects than you’ll
usually see with actual anabolic steroids. Frequent unwanted aspect effects include liver harm, zits, hair loss,
mood swings, and suppression of pure testosterone
manufacturing. Long-term use can lead to extra severe health issues,
so moderation and post-cycle therapy (PCT) are crucial.
From an analytical perspective, the risk-to-reward ratio of oral steroids usually
hinges on their androgenic and estrogenic results. For example, Winstrol (Stanozolol) is less hepatotoxic than Dianabol however carries a higher risk
of joint pain and tendon issues due to its drying
effects on the body. In The Meantime, Turinabol, a milder oral steroid, has a decrease danger profile but also delivers
more modest gains, making it a safer however less dramatic possibility.
However, its energy calls for respect; ignoring potential dangers can result in long-term well being
issues. For those prioritizing muscle mass above all else, Dianabol is a software that,
when wielded properly, delivers results few other steroids can match.
People might use anabolic steroids illegally to improve muscle mass, performance, and endurance and to shorten recovery
time between workouts.
We regard Equipoise as one of many least deleterious steroids to get
ripped, alongside Anavar and testosterone. One of the
drawbacks to being on TRT is that endogenous testosterone levels will lower significantly, inflicting testosterone dependence.
Gynecomastia is a priority when biking testosterone due to its excessive aromatization, meaning a major amount of exogenous testosterone will convert into
estrogen.
I started with little or no and all the time put 110% into the gym to get to the place I am now.
From anabolic steroids to SARMs to peptides and ancillary medication, I’ve accomplished it
at some point in my life, and I can relate.
Male pattern baldness and acne-type pores and skin circumstances are definitely two possible
unwanted facet effects of anabolic steroid use.
Anadrol can doubtless provide some stage of joint strengthening
and assist, particularly with it not being a dry compound; nonetheless, you must nonetheless keep away from accidents to joints and tendons along with your newfound
power ability. From blood work evaluation and supplement timing
to coaching adjustments and liver support—we’ll
assist you to bounce back stronger, safer, and
smarter. A science-backed nighttime formula that helps sleep, testosterone
manufacturing, stress discount, and general restoration throughout PCT.
If your cycle included higher doses, longer durations, or
indicators of testicular atrophy, hCG can accelerate testicular restoration.
Anavar retains the physique in an anabolic state, so you lose fat and
hold the muscle you’ve gained from bulking cycles.
Anavar will provide you with extra endurance and faster recovery, translating
to tougher, extra environment friendly cardio and exercise classes.
It is just like Deca Steroid Effects on Libido-Durabolin however is a brief ester with comparatively delicate unwanted facet effects.
The solely downside for some novices is that testosterone is predominantly an injectable steroid.
Due To This Fact, if users want to take orals during their
first steroid cycle, Anavar and Dianabol may be most popular choices.
Many famous athletes admit that their profession achievements can be much
decrease if they did not have entry to anabolic and androgenic steroids.
Our on-line retailer presents athletes reliable anabolic and androgenic
steroids that outperform all opponents. Working with certified healthcare suppliers, operating bloodwork, and following evidence-based dosing protocols are important to
minimizing risk.
Woodrow –
Temper swings, aggression (often known as “roid rage”), and
anxiety are frequent psychological side effects.
Arrived quick, and love the paper packaging instead of the normal plastic bottles.
Have solely been taking for one week, can’t wait to see the distinction in my body.
I’ve been taking these for every week, and I do feel slightly bit brighter in myself.
In Deca-Durabolin’s case, its potential impacts on the cardiovascular system can’t be ignored, and the longer it’s used for and
at larger doses, the elevated danger this poses. Moreover, it’s quite common for Deca-Durabolin to be stacked with
other steroids that have their risks, too, leading to a compounding of these well being threats.
Cardiovascular-related unwanted effects are sometimes the most concerning aspect of any anabolic steroid.
Ideally, the second cycle stack is Take A Look At and Deca, a
wonderful mixture. With a 14-week cycle, Deca would often be stopped at week 12,
so PCT can start soon after the results of the long-lasting Deca are
near their endpoint. Arimidex PCT at a dose of 0.5mg
daily will significantly help in decreasing unwanted effects.
As its name suggests, it performs a vital function in childhood progress, impacting height and bone growth.
HGH continues to influence our bodies all through adulthood, influencing muscle mass, physique fat distribution, and even energy ranges.
You can be taught extra about the way to improve HGH naturally by way of way of life modifications and other strategies.
For particular information about HGH, WebMD presents a comprehensive useful resource.
Pimples and some virilization are possible at this dose, but if the
cycle runs for now not than eight weeks, these results should fade away fully.
We can look at medically prescribed dosages of Anadrol to see its power17.
When used for muscle losing situations, Anadrol is often prescribed at just 2.5mg per day.
Seemingly, it’s increasingly troublesome to remain calm with an elevated coronary heart fee
and excessive ranges of adrenaline. In this instance, we’ve found that cabergoline, a dopaminergic that is medically used
to deal with hyperprolactinemia (high ranges of prolactin),
helps to revive optimal sexual operate. These 3 kinds
of meat are rich in l-tryptophan, an amino acid that has sedative qualities, helping to soothe users’ central
nervous techniques. Combining l-tryptophan with carbohydrates in a meal aids
absorption and amplifies its soothing results.
We discover that this before-and-after transformation is typical of someone
stacking Deca-Durabolin with one other bulking steroid. Stretch
marks could be seen on his proper deltoid within the after picture, indicating the speedy anabolic results of Anadrol and Deca.
In our experience, AIs (aromatase inhibitors) are ineffective for treating Anadrol’s estrogenic results, as Anadrol does
not aromatize but instead immediately stimulates the estrogen receptors.
Recognizing the warning signs of steroid habit is essential for early intervention and
help. Some widespread indicators embrace mood swings, withdrawal symptoms, elevated aggression, fast
muscle development, and protracted use despite unfavorable consequences.
Cycling, or utilizing steroids in phases with breaks in between, can help reduce the risk
of long-term unwanted effects.
Deca-Durabolin is a robust anabolic steroid that may assist you to build muscle
and power, but it’s not for everyone – it’s illegal in most international locations and has many side effects.
Fortuitously, there are some legal options obtainable
that deliver lots of the similar advantages with none of the antagonistic reactions.
Given the potential risks, it’s crucial for individuals considering steroid use to endure common medical monitoring, including liver function exams and lipid profile
assessments. Healthcare professionals may help identify early signs of liver harm or cardiovascular issues and provide
acceptable steering and interventions. In males, the suppression of testosterone production can outcome in testicular atrophy, decreased sperm manufacturing,
and infertility. It can even lead to the event of
feminine characteristics, corresponding to breast tissue
enlargement (gynecomastia) and a discount in facial and physique hair progress.
In females, steroid use can disrupt the menstrual cycle, leading to irregular periods or even complete cessation of menstruation.
Your hypothalamus and pituitary gland in the brain, key components of the central nervous system, alongside your adrenal glands and gonads, control your
steroid hormone operate [3]. And yes, they’re hydrophobic or fat-soluble and might
cross via cell membranes and bind to receptors inside cells.
Steroid hormones are also lipid-soluble,
which signifies that they’ll move through the plasma membrane.
Bodybuilders rarely take greater than one hundred mg of
Anadrol per day, as that is considered a high dose.
Analysis and our checks have proven that grapefruit can cause this
effect for as much as 24 hours, of which 1/3 of the effect still stays.
References:
PedsElite