In normal healthy patients there is a prompt secretion of cortisol with the onset of surgery and secretion remains elevated for several days after surgery. Glucocorticoids are not stored and must be synthesised when required - for example, during and after surgery. This response depends on the hypothalamopituitary axis which may be suppressed or unresponsive to stress when steroids have been taken. [ 1 ] Failure of cortisol secretion may result in the circulatory collapse and hypotension characteristic of an hypoadrenal or 'Addisonian' crisis. [ 2 ]
The most essential part of any bodybuilderâ€™s diet is protein. Because protein breaks down in the and turns into amino acids (the most essential building block for muscles), it is important to maintain a high intake of protein in order to continue growth. The best sources for protein come from meat, fish, eggs and milk. An effective diet for bodybuilders is a protein intake of one to one and a half grams of protein per pound of bodyweight per day. This amount should be adequate enough to maintain a positive nitrogen balance in the muscle cell meaning the cell takes in more protein than it gives out.