Low-potency steroids (Class 6 and 7) ( Table 1 ) are preferred for use in infants and for the face, neck, axilla, and diaper regions. Moderate-potency (Class 5) steroids may be needed for severe conditions; they should be limited to short courses for use on the trunk and extremities. Twice-daily dosing is appropriate in most situations, although once-daily application in the morning often is sufficient to obtain an adequate clinical response. 122 Parents should be shown the appropriate amount per dose using the concept of a fingertip unit . One fingertip unit is the amount of topical steroid expressed from a 5-mm diameter nozzle, applied from the distal skin crease to the tip of the index finger (approximately 500 mg). 137 This amount is sufficient to cover an area of skin the size of 2 adult palms.
Nolvadex is widely available and one of the easiest items on earth to obtain. In the . it is not classified as controlled substance; however, true legal possession will require a prescription. On the black market, nearly all anabolic steroid suppliers carry the SERM and counterfeits, while possible appear to be very rare. The SERM as with many related items is also available through research chemical labs (RCL’s). These RCL’s have found a loophole in the law that allows them to legally manufacture and sell SERM’s, AI’s, Peptides and many other items so as long as it’s for research only. This allows anyone to make a related purchase without a prescription and legally so. However, many of these RCL’s are very low grade. It’s common for their products to lose potency fast, to be unstable, and in some cases, so heavily concentrated they’re hard to dose. While there is a lot of garbage out there, there are quite a few very good RCL’s on the market. A little digging and you’ll easily find one.