Louis Rivera

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81 thoughts on “Louis Rivera

  1. Congratulations! You are a gifted clinician, conscientious scholar, and uproariously funny and caring human being. You improve the lives of all those who are fortunate to know you with your well-honed clinical skills but also with your amazing, inimitable you-ness. I am priviliged and humbled to have a colleague of your caliber and I am so excited to see all the amazing things you do out in the world as a DOCTOR!

  2. Louis, so proud of all your achievements!. It was great to have you at CVC and in my class. You are going to go far and I cannot wait to see all that you accomplish.

    • Thank you so much Arpana!!! I still have fond memories of my time at CVC and in your grueling supervision class. 🙂 I truly have you to thank for my skills as a supervisor, trust me I talk about your class quite often. Thanks again!

  3. Congratulations Dr. Rivera. You make our family so proud.

    You are wonderful. You are going do great!

  4. Congratulations, Dr. Rivera! I love you so much and I am SO proud of you, and feel privileged to be by your side as you complete this journey. I am breathtakingly proud of you and all you have accomplished. Take this moment in and appreciate what you have done!

  5. Graduation marks the ending of one journey and the beginning of a new one. You have reached a tremendous milestone and I am extremely proud of you. Keep learning, keep accomplishing, and keep venturing on your journey and may it be all that you want it to be.
    Congratulations Dr. Louis A. Rivera.
    ~Do not follow where the path may lead. Go, instead where there is no path and leave a trail.- Ralph Waldo Emerson

  6. Congratulations, Dr. Rivera!
    You did it, and we’re all looking forward to seeing how you make your mark on the world.

    “What you do makes a difference, and you have to decide what kind of difference you want to make.” ~ Jane Goodall

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  13. Congratulations! You are a gifted clinician, conscientious scholar, and uproariously funny and caring human being. You improve the lives of all those who are fortunate to know you with your well-honed clinical skills but also with your amazing, inimitable you-ness. FELIX HAPPICH Consultancy provides professional support to healthcare practitioners and organizations in obtaining licenses from UAE authorities such as DHA, DOH, and MOHAP. They simplify complex regulatory procedures, ensuring accuracy, compliance, and timely approvals. With expert knowledge and a client-focused approach, they deliver efficient, reliable, and stress-free licensing solutions.

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    Clenbuterol is not a steroid; nevertheless, it is often stacked with slicing steroids to ignite fat burning.
    Loopy 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 significantly stripping fats (6).

    However, that is additionally about recovery,
    longevity, and performance that doesn’t crash and burn.
    That’s why more bodybuilders and girls are turning to authorized,
    science-backed options that can assist you to acquire lean muscle mass and improve your exercises, unlike
    anabolic steroids. For example, merchandise like D-Bal (a Dianabol alternative)
    and Testo-Max (a testosterone booster) have gained traction among lifters who need actual outcomes without breaking the legislation or frying
    their hormones. These best authorized steroids can support muscle progress, fats loss, testosterone production, and quicker
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    Every fashionable man or girl should choose for themselves how they view
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    We improve your expertise by offering a devoted educational forum, designed to convey like-minded
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    and keenness thrive. With over a decade of expertise, we’ve built a
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    of glad prospects.
    A extensive number of low-cost steroids are at all times
    in stock to hold up the customers’ needs to be completely equipped
    with the products essential for bodybuilding cycles or submit cycle therapy.
    Whereas many seek where to purchase authorized steroids in Canada, the safest strategy is focusing on authorized options that help your fitness
    targets with out authorized or health dangers. Corporations like
    Accel Pharma provide high quality bodybuilding dietary supplements designed to reinforce efficiency
    while prioritizing customer security and compliance. This issue is probably the main danger issue in the procedure of
    buying online anabolic steroids. First of all bodybuilders should guarantee themselves
    relating to the sources of the purchased products.
    There is a sequence of producers that assure prime quality products,
    their experience and competence in this matter is a indisputable
    fact.
    T3 is a thyroid hormone that’s naturally produced by the
    pituitary gland. Its position is to control
    the metabolism, and its major use in performance settings is to facilitate fat burning.

    Individuals using T3 medically achieve this for hypothyroidism, the place the physique
    doesn’t naturally make sufficient of the hormone.
    We can’t contemplate Clenbuterol to be a secure drug, and there are undoubtedly other safer
    fat-burning options out there (even a steroid like Anavar is more doubtless to include fewer dangers for females).
    Winstrol is quite a potent steroid; therefore,
    females don’t require massive doses to see exceptional results.
    Preserving your dosage of Winstrol as little as possible will present
    the dual reward of wonderful results combined with minimal unwanted
    facet effects (potentially allowing you to get away with zero side effects).

    25mg to 50mg per day is an effective starting point for new
    female customers of Primobolan.
    There’s no use in utilizing gradual injectable esters that take weeks to indicate impact if you only run them
    for two months or less. So, while this limits your steroid options, there isn’t any
    shortage of excellent compounds. However with using usually very suppressive compounds on these medium-length cycles, you’ll find a way to anticipate complete or near total shutdown. Kickstarting a
    cycle includes making use of very fast-acting compounds.
    Normally, this shall be orals, but some quick ester injectables are also useful.
    Since we’ll normally use a slower-acting steroid (such as an enanthate or cypionate
    ester) as the first compound in a regular cycle, it’s a perfect cycle size to consider a kickstart.

    To ensure quality, always buy from respected sources like SteroidsCanada.shop.
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    References:

    Anvarol Strength Gains

  27. The resumption of natural testosterone production can take many
    months if left to occur by itself. A PCT cycle is essential following the use of Deca-Durabolin so that testosterone manufacturing can be inspired to start taking place sooner and quicker
    and to help you avoid a state of low testosterone.
    As is the case with any steroid use, androgenic unwanted aspect effects are heavily
    dependent in your genetics. Even then, Deca-Durabolin is
    named one of many more average in phrases of its capability to trigger androgenic-type side effects.
    With an androgenic ranking of just 37, compared to Testosterone’s
    one hundred, we can assume a less potent androgenic impact total.
    In particular, Nandrolone’s stimulation of mammary tissue estrogen receptors is of most
    concern, leading to potential gynecomastia.

    If you battle to fall asleep at evening, trenbolone will not
    be a suitable steroid due to its stimulative results
    on the CNS (central nervous system), causing insomnia. Nevertheless, the negative impact of excessive adrenaline levels is increased sweating in and out of the health club.
    Trenbolone stimulates the central nervous system, rising
    the production of adrenaline and subsequently inducing thermogenesis.

    TRT includes replacing the testosterone that’s misplaced as a outcome of Trenbolone use, which might help enhance
    sexual function and libido. TRT could also be administered in the type of injections, gels,
    patches, or pellets and should only be used underneath the guidance of a healthcare provider.
    In addition to those suggestions, individuals also needs to be conscious
    of the indicators and signs of cardiovascular disease.
    These can embrace chest pain, shortness of breath, fatigue, and dizziness.
    If these symptoms are skilled, people ought to seek medical attention instantly.
    People should also avoid smoking and limit their alcohol intake to scale back the danger of heart problems.

    Smoking can enhance the danger of cardiovascular disease by constricting
    blood vessels and reducing blood move to the heart.

    It’s essential to debate benefits and downsides together with your physician, and search medical help
    immediately when you experience concerning signs like imaginative and prescient adjustments.
    The longer you’re on steroids and the upper the
    dose, the more likely you are to have unwanted effects.
    However, unwanted effects are extremely frequent even on quick doses
    and for in any other case wholesome folks.
    Dosage changes or additional remedies may be essential to handle these results.

    In contrast, cross-sectional analysis demonstrated impaired CEC in AAS users
    in contrast with age-matched, strength-trained nonusers and sedentary controls
    (139). It is feasible that the higher dosages used, use of various
    AAS, or totally different strategies used to measure CEC (which is not standardized), might underlie these variations.
    In explicit, an association between testosterone remedy and prostate cancer was
    shortly drawn based mostly on animal experiments and
    restricted case research (81). Notably, the ventral prostate of the rat turned the mannequin organ for androgenic exercise within the renowned Hershberger androgen bioassay, which was developed in 1953 (82).

    Dbol is usually utilized in bulking cycles to assist customers build giant amounts
    of muscle measurement and power. The primary medical use
    of these compounds is to treat situations corresponding to hypertension, kidney illness,
    and congestive coronary heart failure. Taken with out medical supervision,
    diuretics can lead to potassium depletion and probably even demise.

    Anabolic steroids are illegally used by athletes at all ranges in sports activities, such as bodybuilding, weightlifting, baseball, football, cycling, wrestling, and many others, to enhance their efficiency.
    If you or someone you care about is dealing with
    the effects of anabolic steroid abuse, getting
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    Consumption of anabolic steroids may trigger serious hurt to teenagers
    or anyone who tries to take it for quick muscle and strength positive aspects and
    will largely affect their lives. Nonetheless, plenty of users reported that anabolic steroids have also enabled[4] them to
    get well quicker after intense coaching periods and
    increased libido. Additionally, Anabolic steroids may fit by enhancing the athletic efficiency of athletes and bodybuilders.
    Anabolic steroids, also referred to as anabolic-androgenic steroids, are an artificial variety of
    the male intercourse hormone generally recognized as testosterone.

    References:

    Dosaggio raccomandato per utenti

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  31. Progesterone acts equally to estrogen and thus can stimulate the
    mammary glands. However, we discover that trenbolone’s estrogen-like side effects are extra
    noticeable when stacked with steroids that aromatize.
    Testosterone ranges will virtually definitely be
    shut down post-cycle, needing a strong PCT to get endogenous testosterone
    again to regular levels. Thus, it is not often utilized and typically
    only by experienced steroid customers. We
    have seen bodybuilders efficiently cycle the 2 collectively just
    before a contest, looking lean, dry, and full.
    The really helpful dosage for women is 5-10mg per day, and
    it’s typically not really helpful to exceed this quantity.
    Moreover, as a outcome of steroids completely altering myonuclei,
    when an individual resumes lifting weights again, muscle dimension and power are restored.

    Based on our lab outcomes, Winstrol is considered one of
    the greatest steroids for muscular endurance because of the stimulation of latest purple blood cells
    (erythrocytosis).
    Derived from the compound DHT, Winstrol not only bolsters physical
    fitness but additionally serves therapeutic purposes, addressing ailments like lipodermatosclerosis
    and angioedema. Manufactured by an American pharmaceutical firm, Winstrol could be
    synergistically mixed with other anabolic steroids
    to amplify its effects. Winstrol (Stanozolol) is a very fashionable steroid that, in contrast to a
    lot of anabolic steroids, is mainly used to improve physique, athletic performance and energy quite than for bulking.
    The Testosterone provides potent anabolic motion while
    Stanozolol helps to scale back water retention and improve
    energy. Another frequent stack companion is Trenbolone, especially throughout cutting cycles.
    The mixture is believed to result in a defined, hardened
    muscular look.
    The quantity of weight reduction will rely on your
    current weight and how hard you’re weight-reduction plan and training – dropping 2-4lbs of body fats per week is
    an achievable objective with this cycle. Winstrol is a powerful anabolic steroid that can assist you to
    obtain significant gains in muscle mass and power.
    However, it additionally comes with a host of potential unwanted
    effects that could be harmful to your well being. Yes,
    it’s recommended to use post-cycle therapy (PCT) after taking Winstrol to help your body recuperate and maintain gains.
    PCT sometimes involves using a combination of dietary supplements
    to help natural testosterone manufacturing and scale back any potential unwanted facet effects.

    The fast onset of this type causes a swift spike in blood focus levels,
    making its results extra instantly noticeable. However, it does take
    a toll in your liver over time as a end result of oral steroids
    need to pass the liver to succeed in the bloodstream.
    For weight reduction specifically, Winstrol helps
    to reduce body fat by selling a leaner physique with out the retention of excess water.

    Discontinuation of treatment at indicators of gentle virilization could forestall
    irreversible virilization. Genitourinary impact following persistent administration and/or massive dosages of
    anabolic steroids can lead to oligospermia and decreased ejaculatory volume.
    Aged male sufferers may expertise prostatic enlargement leading to urinary obstruction. Alcohol
    is not to be consumed when taking Winstrol as a precaution for the liver.
    When somebody takes hepatotoxic oral anabolic
    steroids like Winstrol, AST and ALT enzymes will rise significantly, indicating hepatic irritation. Winstrol mixed with Anadrol makes for a stunning stack for some,
    as a result of Winstrol being viewed as a chopping steroid that may add lean mass without water retention. In The Meantime, Anadrol is
    assessed as a bulking steroid, typically
    resulting in vital fluid retention within the offseason.
    By following the information outlined on this information, you presumably can maximize the benefits of Winsol
    and achieve your health targets shortly and safely.
    Bear In Mind to always seek the guidance of with a healthcare skilled earlier than beginning any
    new complement regimen. If you do decide to stack, it is essential to
    analysis and punctiliously contemplate the potential dangers and unwanted effects.

    Some sufferers may be efficiently managed on a 2 mg alternate day schedule.
    During the dose adjusting part, close monitoring of the affected person’s response
    is indicated, significantly if the patient has a historical past of airway involvement.
    Winstrol, popularly often known as “Winny,” is a well-liked oral steroid that has been used for many years by skilled sportsmen and bodybuilders.
    For a lengthy time, Winstrol has been a vital component for those who compete on stage.
    One noticeable results of utilizing Winstrol
    is the rise in muscle definition.
    Winstrol is a lot more affordable compared to Anavar,
    with the latter typically costing lots of of dollars to run a
    cycle. Some of our patients have utilized SERMs, like
    Nolvadex, to try and combat progesterone-induced gynecomastia from trenbolone.

    The cause just isn’t sure; nonetheless, there is analysis to recommend
    that Nolvadex can improve progesterone ranges, at least within the brief time period.
    CrazyBulk’s formulas are supported by medical research and are safe for women and men to make use of.
    The following cycles (except the first) usually are not appropriate for novices as a end result of Winstrol demonstrating high toxicity in research (1).
    Full results usually come after 6–8 weeks of
    constant use with training. And always, consult a medical professional
    earlier than use, particularly if you’ve got any health history
    or are taking medications.

    References:

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