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aqbuc NCBINCBI Logo Skip to main content Skip to navigation Resources How To About NCBI Accesskeys PMC US National Library of Medicine National Institutes of Health Search database PMC Search term Search Advanced Journal listHelp COVID-19 is an emerging, rapidly evolving situation. Get the latest public health information from CDC: https://www.coronavirus.gov Get the latest research information from NIH: https://www.nih.gov/coronavirus Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/ Journal ListHHS Author ManuscriptsPMC4979577 Logo of nihpa J Subst Use. Author manuscript; available in PMC 2017 Jan 1. Published in final edited form as: J Subst Use. 2016; 21(4): 395–399. Published online 2015 Sep 18. doi: 10.3109/14659891.2015.1040089 PMCID: PMC4979577 NIHMSID: NIHMS760791 PMID: 27524938 Mood Symptoms in Steroid Users: The Unexamined Role of Concurrent Stimulant Use Pilar M. Sanjuan, Ph.D. Pilar M. Sanjuan, Fellow: The University of New Mexico, Center on Alcoholism, Substance Abuse, and Addictions, 2650 Yale Boulevard, SE, MSC11-6280, Albuquerque, NM 87106, USA; James L. Langenbucher, Ph.D., Associate Professor James L. Langenbucher, Rutgers, The State University of New Jersey, Center of Alcohol Studies, 607 Allison Road, Piscataway, NJ 08854, USA; Tom Hildebrandt, PsyD, Associate Professor Tom Hildebrandt, Mt Sinai School of Medicine, One Gustave L Levy Place, Box 1230, New York, NY 10029, USA; Author information Copyright and License information Disclaimer The publisher's final edited version of this article is available at J Subst Use See other articles in PMC that cite the published article. Go to: INTRODUCTION Appearance and performance enhancing drugs (APEDs) include a range of illicit, prescription, and over-the-counter preparations used to increase lean body-mass in order to attain idealized physiques and improve athletic performance (Thomas Hildebrandt, Langenbucher, Carr, & Sanjuan, 2007). Most APED users are polydrug users engaging in “stacking,” taking several drugs from different categories concurrently and sequentially over 8-10 week time blocks (Dodge & Hoagland, 2011). This study focuses on two APED categories: Anabolic-Androgenic Steroids (referred to simply as “steroids” in this article) and Thermogenic and Ergogenic Drugs (stimulants). Substances in the steroids group include numerous synthetic testosterone derivatives varying in half-lives and metabolite ratios. Stimulants used in this capacity include fat-burning and energy-boosting drugs (Coffey, Steiner, Baker, & Allison, 2004; Maglione et al., 2005; Shekelle PG, Hardy ML, Morton SC, & et al, 2003; Sjöqvist, Garle, & Rane, 2008). Common stimulants include liothyronine (thyroid hormone), clenbuterol (illicit in the U.S.), synephrine, ephedra, ephedrine, theophylline, and caffeine (Thomas Hildebrandt, Harty, & Langenbucher, 2012; Thomas Hildebrandt et al., 2007). When used as medically indicated, these stimulants have less dramatic mood effects than stimulants better associated with misuse (e.g. methamphetamine.) Prevalence Prevalence rates of steroid use range from 1.5% of 12th graders (Johnston, O’Malley, Bachman, & Schulenberg, 2012), 6.4% of adult males, 13.4% of athletes, to 18.4% among recreational sports people (Sagoe, Molde, Andreassen, Torsheim, & Pallesen, 2014). The prevalence of APED stimulant use is more complicated as these include common substances (e.g. caffeine) as well as prescription-only medications. Rates of stimulant use are higher among athletes using of other types of APEDs (Buckman, Farris, & Yusko, 2013) ranging from 28% to 56% compared to non-APED users. Other research has found rates ranging from 25% for ephedrine (Kanayama, Gruber, Pope, Jr., Borowiecki, & Hudson, 2001) to 58% for ephedrine, pseudoephedrine, or amphetamine (Bents, Tokish, & Goldberg, 2004) among athletes and 7% for non-prescription weight loss products in the general population (Blanck H, Khan L, & Serdula MK, 2001). Mood Effects There is widespread popular belief that the use of steroids routinely results in powerful episodes of anger and violence termed “roid rage” (Chantal, Soubranne, & Brunel, 2009). However, researchers in this field agree that such negative mood effects are more likely to be rare and difficult to predict (Thomas Hildebrandt et al., 2007; Kanayama, Hudson, & Pope, 2009; Pope HG, Jr, Kouri EM, & Hudson JI, 2000; Rubinow & Schmidt, 1996; Yates, Perry, MacIndoe, Holman, & Ellingrod, 1999). Prior research has found adverse psychological effects of steroids including anger, aggressiveness, depression, and mania (Daly et al., 2003; Pagonis, Angelopoulos, Koukoulis, & Hadjichristodoulou, 2006; Su T et al., 1993; Yates, Perry, & Murray, 1992). Positive effects may include enhanced self-esteem, vigor, libido, perceived power, and concentration (Tom Hildebrandt, Langenbucher, Carr, Sanjuan, & Park, 2006). However, many studies have failed to find any psychoactive effects associated with steroid use (Bagatell, Heiman, Matsumoto, Rivier, & Bremner, 1994; Bahrke, Wright, Strauss, & Catlin, 1992; Malone, Dimeff, Lombardo, & Sample, 1995; Midgley, Heather, & Davies, 2001; O’Connor, Archer, & Wu, 2004; Tricker et al., 1996; Yates et al., 1999), supporting the idea that steroid mood effects are idiosyncratic. An understanding of the variables associated with APED-related mood disturbance is critical for identifying high risk individuals and for developing treatments. Most research on APED-induced mood effects focuses solely on steroids and does not examine concurrently used drugs (e.g. stimulants). This study was designed to assess the effects of stimulant use on mood effects as a potential variable underlying the idiosyncratic nature of steroid-associated negative mood effects. We also tried to minimize retrospective memory errors by only assessing current mood. In accordance with research finding mood effects associated with steroid use, we hypothesized that current steroid and stimulant use each would be associated with (1) increased vigor, mania, anxiety, depression, anger, fatigue, and confusion and (2) decreased positive affect. Go to: METHODS Links from internet websites that primarily focused on bodybuilding, weightlifting, or using steroids, and also from search engines, led to our internet-accessible survey, which was located on the Rutgers University website. These links were identified as leading to a “Rutgers survey on training practices and mood.” All participants initially followed this link to a Rutgers Institutional Review Board-approved consent form and clicked on second link at the bottom of this page to indicate consent. The entire protocol of the study was approved by the Rutgers Institutional Review Board. Participants Participants were 122 male weightlifters and bodybuilders, mean age of 32 (19-57, SD = 8.68), who anonymously followed the consent link. Females were targeted as well as males, but only males reached a sample size that could be analyzed. Participants did not need to have used APEDs to enroll, but, because the survey was linked to some websites with steroid-related content, many had used them. Participants did not receive any financial compensation for completing the survey. Eight participants who completed the survey were excluding for missing data. There were no other exclusion criteria. Measures The questionnaire began with demographic questions and then presented the following mood scales, each adapted to query the past 24-hours. Participants rated current moods prior to reporting current drug use. Questions about weight-training were interwoven between mood questionnaires. Anger The Revised State-Trait Anger Expression Inventory (STAXI-2:Spielberger, 1998) State-Anger scale assesses the intensity of anger at a particular time, and has been used extensively in research on health and anger. It has 3 subscales: Feelings, Verbal, and Physical. Mania The Self-Report Manic Inventory (SRMI; Shugar, Schertzer, Toner, & di Gasbarro, 1992) has been found more sensitive than other measures to euthymic and hypomanic fluctuations (Cooke, Krüger, & Shugar, 1996). Mood The Profile of Mood States – Brief (POMS-B; McNair & Heuchert, 2005), the only authorized short version of the POMS, has six factors: tension/anxiety, depression/dejection, anger/hostility, vigor/activity, fatigue/inertia, and confusion/bewilderment. Positive Mood The Automatic Thoughts Questionnaire – Positive (ATQ-P; Ingram & Wisnicki, 1988), measures the occurrence of positive self-relevant cognitions. The Marlowe-Crowne Social Desirability Scale (M-CSDS; Crowne & Marlowe, 1960) and the Positive and Negative Affect Schedule (PANAS; Watson, Clark, & Tellegen, 1988) were included as covariates, to control for the desire to look good and trait affect. Mood scales were followed by sections developed specifically for this study assessing current steroid and stimulant use, dietary and sleep habits, use of other medications, and prior physical or psychiatric diagnoses. The entry question to the steroids section was, “Have you ever used anabolic steroids?” For participants who answered “yes,” this was followed by further questions about specific drugs used and patterns of use. The entry question to the stimulants section was “Have you ever used fat burners or endurance boosters such as Xenadrine or T3?” For participants answering “yes,” this was again followed by further questions about drugs and patterns of use. Data Analysis The main goal was to identify mood effects associated with steroids and stimulants. Because steroids have a long half-life and most stimulants have a comparatively short half-life, participants were considered currently on steroids if they had used them in the past 14 days and as currently on stimulants if they had used them in the past 24 hours. Analyses consisted of 2 × 2 analyses of covariance (ANCOVA) for drug use status (current steroid by current stimulant) for each mood scale. We controlled for social desirability, trait affect, age, marital status, employment, income, exercise recency, and prior night’s sleep. In addition, effect sizes were examined (Cohen’s d) for steroid and stimulant use on mood as compared to normative population scores for the POMS-B (Yeun & Shin-Park, 2006), ATQ (Ingram, Kendall, Siegle, Guarino, & McLaughlin, 1995), and STAXI (Spielberger, 1998). Go to: RESULTS Demographics Of 236 individuals who clicked the survey link, 225 consented, 135 completed the survey, 130 were male, and 122 had complete data for these analyses. Eight-four percent of participants resided in the United States, 45% were married, 75% were employed full-time, 40% had a college degree, and another 16% held graduate degrees. The majority of the participants were Caucasian (93%). Sixty-two percent of participants identified their training goal as a bodybuilding, while 36% identified it as weight-lifting. Participants averaged 97 (SD = 14.3, Range = 63-141) kilograms with a body mass index of 30 (SD = 3.8, Range 22-44) and fat-free mass index (FFMI – determined by height, weight, and self-reported body fat percentage (Kouri et al., 1995b) of 25 (SD = 3.2, Range 18-36). They were experienced APED users: 87% (N=106) reporting lifetime use of steroids for an average 3.6 years (SD = 4.28) and 80% (N=97) reporting lifetime use of stimulants for an average 3.5 years (SD = 4.1). Thirty-one percent (N=38) of the sample was not currently taking steroids or stimulants, 30% (N=37) were currently taking only steroids, 18% (N=22) were currently taking only stimulants, and 21% (N=25) were currently taking both steroids and stimulants. Internal Consistency Internal consistency for the measures in our sample was good and ranged from 0.77 to 0.94 as follows, for the STAXI-2: α=0.94, SRMI: α=0.85, POMS: α=0.90, ATQ-P: α=0.94, M-CSDS: α=0.77 and PANAS: α=0.83.. ANCOVAs The overall F-tests for all ANCOVA models were significant (p<.001), with significant main effects (p<.025) for stimulant use on Tension/Anxiety and for steroid use on Vigor/Activity. Participants using stimulants scored higher on Tension/Anxiety than those not using stimulants and participants using steroids scored lower on Vigor/Activity than non-users. No interaction effects were found for stimulants by steroids, but these were included in the models in Table 1. Table1 Mood Scales by APED Use Mood Measure Stimulants Steroids Overall Model APED Users vs. Norm No Yes No Yes F d SRMI - Mania 9.6(6.4) 10.9(5.8) 11.0(6.6) 9.0(5.7) 3.98c N/A POMS-B  Tension/Anxiety 2.9(3.0)a 3.4(3.8)a 3.0(3.1) 3.1(3.2) 11.27c .74c  Depression/Dejection 2.1(3.0) 2.5(4.5) 2.0(3.1) 2.3(4.1) 15.62c .42b  Anger/Hostility 3.3(3.6) 2.7(3.9) 3.0(3.2) 3.1(4.2) 6.94c .61c  Vigor/Activity 9.0(4.2) 10.5(5.0) 10.5(4.2)a 8.6(4.7)a 9.34c .07  Fatigue/Inertia 4.8(3.5) 4.2(4.5) 4.4(4.0) 4.7(3.9) 3.42c .83c  Confusion/  Bewilderment 3.2(2.2) 3.7(2.8) 3.3(2.5) 3.3(2.4) 6.05c .54c ATQ - Positive Affect 110(13.8) 113(17.8) 113(13.1) 109(17.2) 19.46c 1.81c STAXI-2  Anger Feelings 7.5(2.7) 7.2(2.8) 7.2(2.5) 7.6(3.0) 4.49c −.08  Anger Verbal 7.4(2.7) 7.1(3.4 7.6(3.7) 7.0(2.9) 2.90c −.20  Anger Physical 6.0(2.8) 5.5(1.9) 5.9(2.2) 5.8(2.8) 3.87c .08  Total Anger 21(7.8) 19.8(7.4) 20.7(7.4) 20.3(7.9) 4.26c −.08 Note. F = F-value, ap<.025, bp<.01, cp<.001, APED = Appearance and performance enhancing drug, SRMI = The Self-Report Manic Inventory, POMS-B = The Profile of Mood States- Brief, ATQ = The Automatic Thoughts Questionnaire, STAXI-2 = The Revised State-Trait Anger Expression Inventory. In order to correct for multiple comparisons, alpha was set at p<.025 (N=122). Means and standard deviations listed above are raw. Social desirability, trait affect, age, marital status, employment, income, recency of exercise, and hours of last sleep correlated with dependent variables and were included as covariates in the analyses. Other potential covariates measured did not have sufficient variance in the sample to account for variance in the final models, and so were not included. Cohen’s d was calculated for the effect sizes in the final column, “APED Users vs. Norm,” where only participants taking stimulants, steroids, or both (N=85, which did not include participants not using either type of substance) were compared to normative samples in the literature (Ingram et al., 1995; Spielberger, 1998; Yeun and Shin-Park, 2006). A positive direction means that the norm was higher than our APED using subsample and negative direction means the APED subsample was higher. Effect Size Analyses Cohen’s d was calculated to examine effect sizes for differences between mood means for the APED-using subsample (steroid or stimulant use) and normal populations (Ingram et al., 1995; Spielberger, 1998; Yeun & Shin-Park, 2006). The APED-using subsample in this study had significantly lower scores (Table 1: last column) than norms for all POMS-B negative mood scales, higher than normal ATQ-P positive affect scores, and were not different than norms for vigor/activity or any STAXI anger scales. The magnitudes of the differences in effect size between the APED users and the general population were not different across POMS-B mood subscales, Q(5)=.021, p>.99, nor anger (STAXI) subscales, Q(2)=2.99, p=.23.The grand mean effect size for POMS-B mood was .54, indicating that the APED-using subsample was on average a half standard deviation below the normal population on measures of mood disturbance. For the anger (STAXI) scales the grand mean effect size was .07, thus not different than the general population. Go to: DISCUSSION Steroid users reported less vigor/activity than non-users, and stimulant users reported higher levels of tension/anxiety compared to non-users. Otherwise, for most mood measures there were no differences between steroid and/or stimulant users and non-users. These findings support the idea that mood effects of steroids are idiosyncratic and not commonplace. Results are consistent with previous research that has also failed to find steroid specific effects (Bagatell et al., 1994; Bahrke et al., 1992; Malone et al., 1995; Midgley et al., 2001; O’Connor et al., 2004; Pope HG et al., 2000; Tricker et al., 1996; Yates et al., 1999). The effect of stimulant use on tension/anxiety was consistent with the central nervous system arousal side-effect profiles of these substances (Maglione et al., 2005; Pearce & Himsworth, 1982; Shekelle PG et al., 2003). The higher tension/anxiety in stimulant users may account for some prior reports of mood disturbance in steroid users. Also supporting the idiosyncratic nature of negative APED mood effects, the APED-using subsample scored in normal or below normal ranges on the mood and anger subscales. Indeed, APED users scored lower on all negative mood scales and higher on positive thoughts than the normative samples, but no differently than the norm for anger. It is possible that characteristics of these athletes (e.g. consistent exercise and dietary regimens, goal-directed motivation) were protective against adverse moods. Limitations and Strengths The sample demographics may not be representative of the bodybuilding/weightlifting population, though consistent with previous research in this area. If some subsample of APED users were more likely to experience anger or aggression with APEDs, (e.g. inmates, violent criminals) they may have been missed by web-based recruitment. Additionally, dose was not assessed and the sample was not large enough to sort out mood effects associated with different types of steroids/stimulants. Finally, the entry question for the stimulants section only gave two examples (Xenadrine and T3) in addition to specifying “fat burners and endurance boosters”, and some people may have been using other substances that would fall under this category, but not have thought they applied here if they were not listed as examples. Additionally, we included many preparations in this section that contain high doses of caffeine, but there may have been other ways not on our list in which participants were using high dose caffeine. By utilizing internet technology to assess bodybuilders and weightlifters anonymously about current APED use and mood state this study builds upon prior self-report research that queried over longer retrospective recall periods (Choi & Pope, 1994; Cooper, Noakes, Dunne, Lambert, & Rochford, 1996; Lefavi, Reeve, & Newland, 1990; Parrott, Choi, & Davies, 1994; Pope & Katz, 1988, 1994) as well as other APED research (Choi, Parrott, & Cowan, 1990; Kouri, Lukas, Pope, & Oliva, 1995; Moss, Panzak, & Tarter, 1992; Perry et al., 2003). This prior research was by necessity limited by the error inherent in longer retrospective recall periods. Additionally, we were able to assess participants from across the United States and around the world, and thus our results do not reflect only local trends. And finally, we were able to recruit participants who might have been unwilling or unable to visit a laboratory setting for face-to-face assessment. Conclusions This study was designed to examine the role of stimulants used in addition to steroids among bodybuilders and weightlifters utilizing a current use and current mood focused cross-sectional internet-based survey of bodybuilders and weightlifters. No adverse mood effects were significantly associated with steroid use, while anxiety/tension was significantly associated with stimulant use. The findings from this study regarding stimulant use suggest these substances are not benign. Their use with steroids may account for some adverse moods, particularly increased anxiety and tension, often associated with steroids. Future natural observation research on steroid mood effects needs to assess and control for stimulant use among APED users. The roles of each of these classes of stimulants in mood changes should be differentiated. Physicians and mental health professionals might also take care to assess the use and psychoactive effects of stimulants in patients having potential APED-related problems. Idiosyncratic negative effects of APEDs on mood may be associated more with stimulant use than with steroid use, despite the congressional and general public focus on steroids in the United States. Go to: Acknowledgments Funded by grants NIDA K02-00390 (Langenbucher), NIAAA, T32 AA07569 (McCrady), and NIAAA T32 AA018108-02 (McCrady). Go to: References Bagatell CJ, Heiman JR, Matsumoto AM, Rivier JE, Bremner WJ. Metabolic and behavioral effects of high-dose, exogenous testosterone in healthy men. The Journal of Clinical Endocrinology & Metabolism. 1994;79(2):561–567. doi:10.1210/jcem.79.2.8045977. [PubMed] [Google Scholar] Bahrke MS, Wright JE, Strauss RH, Catlin DH. Psychological moods and subjectively perceived behavioral and somatic changes accompanying anabolic-androgenic steroid use. 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[PubMed] [Google Scholar] Formats: Article | PubReader | ePub (beta) | PDF (315K) | Citation Share Share on Facebook FacebookShare on Twitter TwitterShare on Google Plus Google+ Save items View more options Similar articles in PubMed Conditional Effects of Appearance and Performance Enhancing Drugs (APEDs) Use on Mood in Powerlifters and Bodybuilders. [Alcohol Treat Q. 2015] Stimulant use, religiosity, and the odds of developing or maintaining an alcohol use disorder over time. [J Stud Alcohol Drugs. 2013] The effect of recent stimulant use on sustained attention in HIV-infected adults. [J Clin Exp Neuropsychol. 2006] Association of Stimulant Use With Dopaminergic Alterations in Users of Cocaine, Amphetamine, or Methamphetamine: A Systematic Review and Meta-analysis. [JAMA Psychiatry. 2017] Stimulant psychosis: systematic review. [Br J Psychiatry. 2004] See reviews... See all... Cited by other articles in PMC Defining the Construct of Synthetic Androgen Intoxication: An Application of General Brain Arousal [Frontiers in Psychology. 2018] Comparison of the Prevalence of Psychiatric Disorders in Performance-Enhancing Drug Users and Nonuser Bodybuilders [Iranian Journal of Psychiatry....] See all... Links PubMed Taxonomy Recent Activity ClearTurn Off Mood Symptoms in Steroid Users: The Unexamined Role of Concurrent Stimulant Use Mood Symptoms in Steroid Users: The Unexamined Role of Concurrent Stimulant Use NIHPA Author Manuscripts. 2016; 21(4)395 See more... Review The global epidemiology of anabolic-androgenic steroid use: a meta-analysis and meta-regression analysis. [Ann Epidemiol. 2014] A national study of substance use behaviors among NCAA male athletes who use banned performance enhancing substances. [Drug Alcohol Depend. 2013] Over-the-counter drug use in gymnasiums: an underrecognized substance abuse problem? [Psychother Psychosom. 2001] Ephedrine, pseudoephedrine, and amphetamine prevalence in college hockey players: most report performance-enhancing use. [Phys Sportsmed. 2004] Use of nonprescription weight loss products: results from a multistate survey. [JAMA. 2001] Exploring the social image of anabolic steroids users through motivation, sportspersonship orientations and aggression. [Scand J Med Sci Sports. 2009] Modeling population heterogeneity in appearance- and performance-enhancing drug (APED) use: applications of mixture modeling in 400 regular APED users. [J Abnorm Psychol. 2007] Review Illicit anabolic-androgenic steroid use. [Horm Behav. 2010] Effects of supraphysiologic doses of testosterone on mood and aggression in normal men: a randomized controlled trial. [Arch Gen Psychiatry. 2000] Review Androgens, brain, and behavior. [Am J Psychiatry. 1996] Psychosexual effects of three doses of testosterone cycling in normal men. [Biol Psychiatry. 1999] Neuroendocrine and behavioral effects of high-dose anabolic steroid administration in male normal volunteers. [Psychoneuroendocrinology. 2003] Psychiatric side effects induced by supraphysiological doses of combinations of anabolic steroids correlate to the severity of abuse. [Eur Psychiatry. 2006] See more ... Development, use, and factor analysis of a self-report inventory for mania. [Compr Psychiatry. 1992] See more ... Assessment of positive automatic cognition. [J Consult Clin Psychol. 1988] A new scale of social desirability independent of psychopathology. [J Consult Psychol. 1960] See more ... Verification of the profile of mood states-brief: cross-cultural analysis. [J Clin Psychol. 2006] Fat-free mass index in users and nonusers of anabolic-androgenic steroids. [Clin J Sport Med. 1995] Verification of the profile of mood states-brief: cross-cultural analysis. [J Clin Psychol. 2006] Metabolic and behavioral effects of high-dose, exogenous testosterone in healthy men. [J Clin Endocrinol Metab. 1994] Psychological moods and subjectively perceived behavioral and somatic changes accompanying anabolic-androgenic steroid use. [Am J Sports Med. 1992] Psychiatric effects and psychoactive substance use in anabolic-androgenic steroid users. [Clin J Sport Med. 1995] Levels of aggression among a group of anabolic-androgenic steroid users. [Med Sci Law. 2001] See more ... Violence toward women and illicit androgenic-anabolic steroid use. [Ann Clin Psychiatry. 1994] A high prevalence of abnormal personality traits in chronic users of anabolic-androgenic steroids. [Br J Sports Med. 1996] Anabolic steroid use by amateur athletes: effects upon psychological mood states. [J Sports Med Phys Fitness. 1994] Review Affective and psychotic symptoms associated with anabolic steroid use. [Am J Psychiatry. 1988] See more ... Verification of the profile of mood states-brief: cross-cultural analysis. [J Clin Psychol. 2006] Support CenterSupport Center External link. Please review our privacy policy. NLMNIHDHHSUSA.gov National Center for Biotechnology Information, U.S. National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA Policies and Guidelines | Contact

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Hammock

by ryanoleary

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Hammack

by Shaokk

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Sleeping snowman

by NO KriLs

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sleeping in office

by shreshthkant11

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kngir feeqwefqwqw

by 9965277777777777778

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engloge karthi memory april 2019 creating clara.io model 124.999744 = 2^6 model on april beginning 2020 or april 1, 2019 maybe in afternoon and [a.d. apr 1, 2020] or else.... karthi memory thinking in his sleep or somewhere... 15 year old freshman year brooklyn screaming or crying,... thought in sleep or just normally awake... . thinking fl studio D dinner bell noted sound 2 octave..... thinking 0.999997952, 0.0009765605 instagram or something............. or banana roti.....

by Junes3313

329 37 0

engloge karthi memory late in april 2019, like 24,25 or whatnot... like 26 or 27 or some other... lee watson writing in agenda that he has been bothering the students in class so ... please speak to him about his behaviour... and on the buss after misbehaving in holy trinity catholic high school classes of 7, sitting on bus thinking # 0966 as 0.5. with sword ninja sound with E chord Wind sound NOTE BACKGROUND WUUUUHHH! SWAAAH! ninja sword sound fruti ninja, and fruit ninja music sometimes and saw APR/APRIL, agenda, karthi was misbehaving in class, bothering the students in class. please speak to him about his behaviour... and on another moment.. after the writing of karthi was misbehaving in class saw and opened the agenda apr/april in swirled bottom letters and went home and watched gravity falls theme and calculated 0.9999999... and mom said why is she writing this to you like this on the agenda and and , and on one moment after school, mis behaving... karthi went home, mom was angry with me and karthi asked that he wants to do heem, mom said no! he asked a few times but said no, no, but karthi 99.875% cried and was on the verge of tears but, he thought that he wouldn't fail his happiness, but he had!... and karthi sat after mom spoken to him! and on late april 2019 lee watson written his behaviour on agenda that he is misbehaving, bothering the students in class, please speak to him about his behaviour. and .. on one moment while karthi was at school with lee watson , lee watson was taking karthi uthay to office to talk to michelle frost about his crazy behaviour... when lee watson said to ms .frost about karthi's behaviour of how he is bothering someone, calling names and other... after ms frost hears that she starts getting very angry and shouts at karthi saying "YOU ARE NOT ALL.... I'M VERY ANGRY WITH YOU ABOUT YOUR BEHAVIOUR, YOU ARE NOT ALLOWED TO DO THIS... OK)... and on sleep karthi in later april 2019, thinking in his sleep, natasha ivanova sitting down, peeing her underwear, after... screaming and crying natasha or loudly crying natasha.....or maybe natasha sobbing.....

by Junes3313

327 29 0

oguni CA samsung homecoming ringtone Samsung Galaxy S10 Homecoming Ringtone 154,744 views•Mar 15, 2019 1.2K 46 SHARE SAVE Ringtone King 13.8K subscribers DOWNLOAD: https://www.droidmirror.com/download/...​ Download ALL Samsung Galaxy S10 stock ringtones 345 Comments Default profile photo Add a public comment... xXandioopXx Sksk xXandioopXx Sksk 1 year ago This made me cry 87 Vortex Vortex 1 year ago That reversed tune in the background is creepy af 125 Oliwier Król Oliwier Król 10 months ago 0:03 0,5× speed oh my 54 Lominsa Lominsa 1 year ago Their best morning alarm tone so far 103 DarkReaper7897 DarkReaper7897 1 year ago Me: Having a good dream Alarm: I'm gonna end this mans whole career Me: (Hears Homecoming) ah shit I need to wake up for school already 73 Damian Carrion Damian Carrion 1 year ago oh how scary at night I wake up because I try it and I'm very scared 65 TacoBelle TacoBelle 6 months ago everyone's saying this is scary or sad ... i'm just sittin here like "yo this is legit so aesthetic" 8 Kate Berger Kate Berger 1 year ago I feel like this song is becoming a meme and other then how terrifying it sounds I'm not sure why 38 Mahnoor Qureshi Mahnoor Qureshi 8 months ago I liked this but as soon as i set this alarm, which was almost a week ago, when my alarm went off i went outside to look for my cat and i found him dead so this makes me cry 28 Dr1ppy Feel1nqs Dr1ppy Feel1nqs 1 year ago They should make this into a meme in 2020 30 Secuenix Secuenix 10 months ago I suffer every morning. 6 NotNullVoid NotNullVoid 9 months ago HOW DO WE NOT NOTICE THAT ITS REVERSED FROM A DISTANCE 3 drinkmymilk 2 drinkmymilk 2 1 year ago Me.using the bathroom in a haunted house Me. Hears this ringtone in my phone someone put it S10 answer this killer now 5 Guilherme Torres 9 months ago This ringtone When I cry 4 callieb123 1 year ago This ringtone actually gave me nightmares, no joke. 7 Victor Durojaiye 1 year ago This sounds a lot like something Mozart could write 5 Teacher Julie's T.U.D Productions 3 months ago (edited) It sounds like a creepy childhood memory 3 Cubix Man 2 weeks ago I have this for my alarm to wake me up and it scares me whenever I hear it 1 Eduard Ingris 2 days ago This ringtone strikes me when my favorite monumental building is dilapidated and falling apart culd 11 months ago When I'm sleeping and I hear this I always wanna throw my phone bruh 2 Up next 5:59 NOW PLAYING Over the Horizon Evolution (2011-2020) Sand 513K views 10 months ago 0:52 NOW PLAYING Samsung - Homecoming Incoming Call (Piano Cover Ringtone) IT channel 21K views 4 months ago 9:53 NOW PLAYING Samsung Galaxy S21 Ultra vs Note 20 Ultra / S20 Ultra / iPhone 12 Pro Max Battery Test! 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Salman Computers 349K views 1 year ago Samsung A50s Incoming Calls Homecoming Ringtone GADGET TWICE 35K views 6 months ago Original Samsung Ringtones Mortaza 473K views 1 year ago Distraction Dance | EASY to EXPERT BUT... PACIL 4.5M views 1 month ago iPHONE RINGTONES ON PIANO! Bored Piano 241K views 5 months ago Samsung Galaxy s10 Ringtones Swarthy Daisy 8.3K views 1 year ago iPhone 13 : Trailer You Tech 19M views 5 months ago Coffin Dance but it gets harder and H A R D E R Sheet Music Boss 30M views 9 months ago Over the Horizon 2018 삼성전자 뉴스룸 [Samsung Newsroom] 2.4M views 2 years ago Samsung galaxy s4 ringtones Mr Tony 1.2M views 5 years ago Samsung Galaxy S20 | S20+ Ultra 5G Ringtones || Notifications || ✅ Download here @Salman Computers Salman Computers 113K views 10 months ago Samsung — Over The Horizon 2021 (OFFICIAL) Choongie Studio LITE 31K views 2 weeks ago iPHONE RINGTONES IN SYNTHESIA! Sześcian 7.1M views 2 years ago OVER THE HORIZON SAMSUNG RINGTONE HISTORY IN SYNTHESIA [Galaxy S-S20] Sześcian 438K views 5 months ago samsung galaxy s10 ringtones Technotin 41K views 1 year ago Over The Horizon - Samsung Galaxy S4 Theme [Full HD] Alexandre Pierrat 2.3M views 7 years ago ALL OVER THE HORIZON RINGTONES SAMSUNG GALAXY (S1-S20) Windows Expert 912K views 9 months ago

by apostjustateuppudhi

312 0 0

engloge karthi memory april 2019; karthi in holy trinity catholic high school being in another type of class because the students were gone for something like rain no school opening 67.35% and with some other students, teacher talking, putting on video, paper on corner 4 and then saw an indian girl named maybe dyuthi deepshika or deepshika or shika or something...! and on emoment with canada anthem o canada and on one day, in gym time karthi asking fert... which age are you and what grade she might said I am 14 years old or grade 9 or maybe what not.....! or maybe she was 15 or not! when in ninth grade. and karthi was thinking candles and maybe wedding woman with father at that time and candle in dark and afterwards, in n200 resource room in holy trinity,,, with lee watson and rafael and karthi written under table fli.... and on one moment mom talking to counselors like frost or office people he's not coming... and karthi had to talk and other... and after mom and karthi was on car karthi in front seat right and mom on front seat driver left and mom were talking abou tthe school and mom once on moment said to karthi, you should have remembered it mom said and karthi was talking all abou tschool and as went home on seat 1 left karthi seat 2 right asha talked school and clever said to karthi and one moment karthi seeing mom jacket and note and all! and karthi wen tup to go to his bed to sleep and !!!!! and mom and tulsy was absent and maybe sagnjeevie was in room when karthi was sleeping on mattress!!!!!!!

by April August (2019) inc.

293 32 0

engloge karthi's memories of april 2019: 1. April 1; going on car ride with dad and mom, seeing note iphone, written april 1, 2019 @ ..., then karthi playing temple run on iphone and dad and asha were calling to the counselors of holy trinity catholic high school saying he's not bothering someone..... 2. april beginning 2019, calculating in sci-pro calc in iphone '4,611,686,018,427,387,996 and 1,152,921,504,606,846,999 and 0.9999.... 3.99999....' and watching tidal stream ad and walking up and down backward exercise karthi. april 10; at ground floor, looking the living room when between stairs and divider 1. april 2019 at chair thinking #s 536,869,537.61... and glow hockey, background blue, looking in reality result of future and deadEnd. april almo-mid, 2019 karthi on sofa with iphone, watching calculator, calculating his age "13.0833333333333333333","13.08333333333333333333/14=0.93452381" and watching supernanny on youtube "4 yr old boy attacks girl during playdate" sitting on sofa 3. around mid april 2019 memory; karthi creating document questions on online for studying. april 2 and 3; karthi watching spanish word game with "platano and ..." around mid april 2019 memory karthi playing superslime simulator in moments, to increase coins andto buy more. mid april 2019 memory karthi playing hill climb race on iphone sitting on sofa 1. and in moments. but in one, thought "Nalysa 0.000003814697265624" while playing it and was tulsy and mom.... mid april 2019 karthi on sofa playing google calculator numbers type like "1/16777220, 16777220/16777216 and 5.96046..e-8 and 1.0000002384185791015625 and ......! other.." thinking iraq and was children playing outside and mom was there in the neighboring houses in everglade street. mid april 2019 dream memory; iraq -- moved to a new house in iraq and was in a bathroom hotel and was bathing and it was cloudy, it had 2 glass 1 quarter circle stands and an other type of shower and had beige tiles and exhauster on sound. .... karthi memory april 17, 2019; calculating his age on sci-pro calc after playing superslime simulator "13.083333333333333333333", "13.083333333333333333333333333333333333/13 = 1.006410256410256410256410256" karthi memory april 2019 early moment, playing sci-pro calc calculating #s "1/2.000001024.. and 0.499999744)" 0.499999744 was 1 and 2.000001024... was 1. thinking something... one moment, was playing slime when dad, sagnjeevie and tulsy left for trip of karthi's family, karthi played superslime simulator opening new gift tin slime named something thinking 0.999999488 and 0.499999744 perhaps.... and sometime dad, sagnjeevie and tulsy came back with something like bags and not suitcase. karthi memory in april 2019 earlier, at bed sleeping with dad in room 3 and thinking number "124.961 = 2^6" and gone to the mattress bed. karthi memory april 2019 earlier, playing temple run and gotta go divisions 11,387,584 but he went maximum 113/11,387,584 and karthi memory earlier in april 2019 thought a girl from how old am i calculator app images from app store, screenshoted in Photos app and thought the family mom, dad, maybe brother and sister. that girl was 8 and in second grade. she was in the house. once outside the house standing on deck, in the rain, thunder, got darker, and she got wetter maybe. and she went inside the house crying loudly and the mother got that girl. she was on mother's lap got cuddled and comforted with patting.... in other mom made her cry very loudly and scream and she got comforted and patted and cuddled in another, the mother made her cry loudly much and comforted and patted her she wet her pink underwear in two moments. the previous one and this one. in moment 2 and moment 3. moment 1 was thunder moment two was living and so as 3. later in april 2019 karthi memory; karthi on late april 2019 watching on computer "Yelling at INANIMATE OBJECTS by epicfivetv in afternoon", then "Playing sound windows 7 sound slowed down to 24 hours", calculating "0.9999983616, 0.99872*1.00128=0.9999983616" on calc win10. and after 2 hours, stopping its sound after walking and when mom comes home Asha. and on april 22 mom, dad, left sagnjeevie and right tulsy and center backseat karthi going on ride in car after something karthi was thinking, the future is fast coming... I wanna do something but I did not get time for my priorities.... and sagnjeev., tulsy, mom, dad and karthi go home, leaving the car and entering into house. after a while... sagnjeevie on sofa 3 tulsy on sofa 2 and karthi watching notepad Hyphened small numbers 1.38777878e-17 and other.... karthi in april 2019 memory; when cracking knuckles, mom saying, I will take away your phone when you do this again, while watching windows nt 4.0 sound slowed down to 24 hours. thinking speed 0.00013888888x and have calculated on google "12 seconds / 24 hours" and after one more attempt of this, mom took his phone privilege away saying no more phone for you especially after cracking his finger on the counter kitchen. april 2019 memory late; mom watching something.. ... and karthi watching nt 4.0 windows sound slowed down to 24 hours, 999,999,999,999,744 / 1,000,000,000,000,000 = 0.999999999999744 and "0.999999999999744/0.999999872=1.0000001280000..." , '1.000000000000256..." and 3.1747e-xxx. and one moment mom and karthi get sup mom says ok, what shall we do now and ... mom one moment watching anushka love scene and beginning just man and peace and something... and by mid woman screaming and crying saying "please, please to police" just when they smash him with a hammer and april 23, 2019; dad, mom, tulsy and the entire family goes to cornwall grandparents house kule and anand's house, sees them and they say hi after they go on a car travel,

by April2019aaa16777220

289 23 0

Sleep

by sophistslegacy

288 25 0

engloge karthi april 2019 memory; karthi thinking sketchfab frame count up fast numbers when gone on a ride for buying stuff in walmart with asha, tulsy and karthi (1 group) in bknv 281 car, mom was on driver left, tulsy on right passenger seat and karthi was on right backseat. everyone with belts on! and mom, tulsy and karthi went to the store and bought something, and after a while, tulsy (Right) seat mom (left) driver and karthi right back seat, tulsy was playing song called moana "Lin-Manuel Miranda, Opetaia Foa'i - We Know The Way" played on his iphone aloud on radio, karthi was thinking frame countup sketchfab inc. like "434000/10000000" and counted slow to fast to reach the end! and all the way to a million and karthi saw little children [boy] with mom and older sister walking, that boy not on a stroller but walking, karthi thought 'they are younger than me and i am older' and mom tulsy karthi went home and maybe sagnjeevie went with mom tulsy and karthi and not, maybe sagnjeevie was in the car, left backseated left of right karthi, yes or not, and on one moment of apr. 2019, karthi memory of "puttin g stand in garden b3 and welcome sign by mom and other doing it with tulsy, karthi and sagnjeev for their strength and wind chime shaking, tulsy trying to stop maybe sagnjeev and karthi and other... mom said something to tulsy, they all spoke to each other, and ' karthi memory of april 2019 ' after that' cloudy, living room, bought chocolates, dollarama fun stuff and walmart , sagnjeev was there and mom, tulsy was once there and gone and before that karthi changed clothes and went upstairs, maybe taking them or changing in the garage and living connect closet room room 3 changing his clothes and walkin g up! and karthi memory earlier in april 2019, karthi was in sleep in morning, in his sleep after thought of how old am I girl screamed cried and all! karthi was on bed, he rubbed his testicles [body parts] below the penis hard while at sleep wearing the rocky green military colour and he got the brown dirt on his hands..

by April August (2019) inc.

282 27 0

Hammack

by Toci

280 1 0

oalzaute karthi memory october 17, 2019; at downstairs, showing the posture to asha that daddy slept in karthi's dream that he had recently dreamt, and karthi is with the red quilt, karthi says to asha "Theryum thanay asha, unguluku, appa upidi than padhuthu", and then, karthi started sleeping upside down with his legs pointing straight up, in the air. and asha said "Upidi paduka vunam, udhu coodadhu udumbuku/muduku mathudhu caluthucuul", and karthi paused at that middle of the action, and asha said to karthi "upidi chaya coodadhu, adhu coodadhu". one moment, asha said to him "Oorulah chulurudhu upidi padukuvanam", after but on one moment "Udhu coodadhu!", "oru naal, ... upidi padhuthudhu, purugu...". and one moment, karthi called daddy downstairs to do the sleep posture that appeared in karthi's dream because karthi wants to make his dream true. but before, karthi took the quilt from upstairs from room 02 and just bought it down. then karthi and daddy went downstairs to make the action. and at downstairs, karthi told uthay to lie upside down by with uthay's head on the floor and his foot up pointing in the air. but daddy just said to karthi "Illah, undeku illah, indeku mudoohu noohudhu", "Indeku ailadhu." but karthi said politely to daddy "no, I want you to do it now because, My dream shall be true" in tamil. and daddy did that upside down sleeping posture by putting his head on the ground and his foot up in the air pointing up. and after that action finished, daddy stop and got up. and afterwards, daddy may have said to karthi "cheyava, povama?" and karthi could have said "Om". and then, daddy and karthi went upstairs and karthi had put the quilt away. it was night, they had turned off the two basement lights off and went on. but when they were at downstairs, the two basement living room lights were on. and in the ground floor living room, the kitchen and the place 02 and place 03 lights were on, and at upstairs floor, the lights of the hallway were on. but the room 02 light was off.

by 4870192487019874214209

278 38 0

hnjon uthayabalan will go to work [ottawa] tulsy will wake up and go to washrrom, wash her face and all and then go to study sagnjeevie will go to university. karthi will go to st. Francis xavier high school and study math, history, science, geography, language, arts. when is to break time, no, recess. and karthi will come home @ 2:10pm and in 32 minutes do some exams at home like some science, geography and math and do it for 1 hour 16 minutes. and karthi will put away papers and pencils and all and after that, karthi will watch 1 hour 22 minutes of tv and asha will have the curry vendikai curries in the pan and rice in the other pot. and sagnjeevie will study engineer - civil for 5 hour 36 minutes from 3:20 to 8:35 in his room with the computer off. and tulsy will study PHD [doctor philosophy] science for 13 hours and study from morning to night from 9 am to like 11pm. dad will be at home after going to work, go to washroom, taking bath and come down and take and put clothes into the dryers and washing machines to wash and dry sagnjeevie's, tulsy's and karthi undergarments and clothings. and dad will come upstairs and sit on sofa maybe watching tv with karthi.. and then at night dad, sagnjeevie and karthi, tulsy and asha will go to bed to sleep at 10:03pm, sagnjeevie will sleep with karthi in room1, mom will sleep with tulsy in room 2, and dad will sleep alone in rm.3

by eqweqffewqwe

255 24 0

untiene a^0=1 [a post is sleeping)

by dcfvbhum

247 5 0

[4999998951424] ebdasse April 3, 2019; Karthi Uthayabalan in 1862 Maple Grove road house, in Floor Level +01, In Bedroom 02, Where picture and spacious gap walls exist, gray colored walls, with clock with large window with blinder, where father and mother sleeps and karthi uthay sleeps, with 2 rooms and 1 bathroom in that bedroom, Looking at black framed flower design patterned decoration element, center mirror, looking at his reflection but almost not, thinking indian girl, with pink dress, stranded hair tail, hair head normal covered round all hair strands black color, and wearing diapers, all clean, girl, light skinned, 8 year old, tail hair curly squiggly small strands, At The End of the day 3 April 2019. (April 3, 2019), all that is it, 1862 maple grove road and living. (April 2019, +4.5 years).

by iu23hiuh312r

238 52 0

mermaid sleep

by noahgable

237 9 0

(jnedi) engloge karthi memory april 2019, later in april 2019; karthi sitting on sofa 1, looking his vision and head to the kitchen walls and to the side walls corner 8 of living room and thinking that he was watching YELLING AT INANIMATE OBJECTS PRANKS! epicfivetv after karthi uthay watching epicfivetv - YELLING AT INANIMATE OBJECTS PRANKS!! when it was afternoon and sunny, when dad was in bath, and mom was not there. !!! goodbye! karthi memory april 2019 later on april 2019 maybe 23rd of april 2019, karthi dried himself with a towel after bathing and thinking the fast count frames sketchfab numbers and karthi goes downstairs for his clothes and gets himself changed in the room; was before sitting on sofa, karthi then,,, sitting on sofa watching on iphone asha'a epicfivetv YELLING AT INANIMATE OBJECTS PRANKS! when dad was at downstairs taking tulsy's and sagnjeevie's and maybe karthi's underwears and clothes to the washing machine and some to the dryer and while mom was working in the kitchen cutting veggies and cokking them or doing something and whatevra....!!! karthi memory night at april 23, 2019 when mom was in sleep with karthi karthi in mattress bed and mom on quilt unfolded mattress like sleep on floor and karthi was having the iphone on karthi's right ear and was listening to the 1.3e-94 go to space hobo kit song by unknown artist and karthi was thinking in his sleep the frames sketchfab number increase 167000/1e7 = 0.0167 and other hand 9,832,000 maybe and karthi was thinking metronome move 7 bpm left-right sketchfab orangeballed and whitesticked and karthi was thinking "Future tense" while he was sleeping and its definition "a tense expressing an action that has not yet happened or a state that does not yet exist." and also thought stickman fancing and shaking his body side to side to the song and dancing and thinking there is little more to go till the end of school, late june 2019 like june 25, 2019 or maybe that!

by April August (2019) inc.

223 29 0

engloge karthi memory april 1, 2019; karthi at room 3 in mattress bed close to washroom 3 and beside closet 1, karthi thinking in his sleep happy bachpan outro boy and girl [girl with only red pottu], also with blue night sky background dancing with hands held together like they're connected to each other, after the foolish barber watching video. and karthi thought that I wached foolish barber happy bachpan and after, in the end, it was the outro happy bachpan of indian boy and girl [sketched] dancing with hands held together in blue background night sky...., karthi thought, this is what i watched on early or earlier in december 2018, and thinking that girl is 7 years old and in 1st grade, maybe karthikeyan thought... karthi thought... it is 5 months ago, It has been 5 months.. (But it's 4 months ago, it has been 4 months ago) karthi made a mistake there!

by twverrvtewrtvewrtv

213 33 0

Sleep

by LamentiLhumanite

213 2 0
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