T Nation

How to Avoid Injection Pain?


First, there are five primary causes of injection pain.

1) High Benzyl Alcohol content.

Benzyl Alcohol (BA) is used to increase the lipid solubility of esterfied compounds and to prevent bacteria growth in the oil. Most UGL's use excess BA or only BA as the co-solvent, due to it's modest price. Unfortunately, it can cause the destruction of cells and significant localised pain and inflammation. The discomfort is characterised by fairly rapid onset of a painful, red, swollen area. This can be ameliorated by diluting the compound with sterile cutting oil (grapeseed, cottonseed, sesameseed). A 1:1 ratio often works well.

2) Precipitation of short estered compounds

The shorter an ester, the less solubility is has in oil. This necessitates higher concentrations of BA to prevent the compound from 'crashing' out of solution. When the oil is injected, the BA is absorbed from the location of the oil depot. This caused the active compound to precipitate fine crystals within the muscle. The onset of this pain is often 4-12 hours after injection and is characterised by a hard, red, swelling at the injection site. To prevent this an additional co-solvent is needed, Benzyl Benzoate. BB maintains solubility of the esterfied compound past the point at which BA has been removed, preventing crystaline precipitation. Most UGL's don't add this to their compounded oils due to the higher cost. If added at approximately 20% by volume you can prevent most associated short ester pain.

3) High concentration (mg/ml)

Per above, Long ester = high solubility, short ester = less solubility. Human grade pharmaceutical hormones are almost never dosed higher then 200mg/ml for long esters (cypionate). To increase the concentration, a larger amount of BA is necessary as a co-solvent. This can result in a similar reaction to that caused by short esters with pain and swelling as the BA is absorbed and solubility decreases and precipitation occurs. In this instance you don't 'need' the additional co-solvent (BB, but it still helps!). Instead, you can simply dilute the compounding oil with sterile cutting oil to lower the concentration to within the solubility for that ester.

4) Fascia displacement

This occurs when a large volumetric quantity is injected into a single site. The oil pushes the muscle fascia apart and results in stretching and eventually scarring with the muscle. This can be avoided by reducing single site injection volume and spreading the injections between multiple sites. This is also a good idea as more smaller, more frequent dosing significantly reduces many of the side effects of AAS. These become exacerbated by peak and troughs in hormone levels. The reduction in side effects is particularly dramatic with trenbolone acetate when an ED injection schedule is maintained.

5) Histamine reaction

This doesn't occur as often, but is still a potential possibility. For a compound to become biologically active the ester must be cleaved from the parent molecule. This results in the formation of a carboxylic acid. Some people find that they are sensitive to one of these. This results in swelling, warmth, redness and possibly a rash at the injection site. In the worst instance the individual may have an existing allergy to the carrier oil (sessame, etc...) that can result in anaphylaxis (swelling and occlusion of the airway) in addition to localised inflammation. If any histamine reaction results, immediately discontinue use and switch to an alternate carrier oil and/or alternate ester. If anaphylaxis results, immediately seek medical attention.

Ultimately I break these down into the following set of rules.

1) Dilute compound with sterile cutting oil to get mg/ml at <=200 for long esters and <=100 for short esters.
2) Add 20% Benzyl Benzoate by volume to propionate and phenylpropionate esters.
3) Use a 23g needle to prevent high output pressure from smaller needles
4) Inject very slowly to reduce muscle fascia displacement
5) Inject frequently w/ less volume, <3ml for large muscles and <2ml for smaller muscles
6) Rotate sites every time (I use six sites)
7) Gently warm the oil to improve viscosity
8) Ensure that the injection is deep intra-muscular and fully through any sub cutaneous fat

Any other suggestion will be highly appreciated.


I have some friends talked about injection pain with test E, test P. So I want to learn as much information as possible.


how do you warm the oil


Draw it into the syringe and then hold it in your hand for a few mins until it reaches body temperature.

Get the nurse to do that before your tetanus shots too. Works a treat!


i never had pain injecting with 25g needles even injecting tren mix + test in same needle,… not sure what you mean about high output pressure? you are not injecting stuffing into a turkey here you are suppose to inject slowly… lol