Lamictal prescribing information

Anything related to Nexplanon.

2016.11.06 08:12 Ephemeral_Halcyon Anything related to Nexplanon.

A sub for help with or questions about Nexplanon birth control.
[link]


2014.01.03 10:09 NecroSyphilis Baclofen for Alcoholism

For the treatment of addiction to alcohol and other drugs. Other anti craving drugs are discussed here such as Naltrexone, Topamax and Campral
[link]


2016.07.02 16:54 ms_golightly Alcoholism Solutions: Scientific Medically Viable Resolve > TSM/NAL, BAC, Campral, Antabuse

A safe place for investigation and discussion of scientific and medical treatments for the neural glitch of Alcohol Use Disorder (AUD) such as The Sinclair Method (TSM), Baclofen, Campral, Topamax, Antabuse, etc.
[link]


2024.06.01 15:19 Few-Impress2487 My GMAT FE journey from 475 in official mock 1 to 665 in first attempt

Hi all I recently completed giving my GMAT FE first attempt and scored 665 (V81,Q86 , DI 82) When I had given my first mock I had scored a 475 and was quite disappointed , especially with my Quant score but then decided to power through it and realised I probably needed some mentoring / coaching / test preparation course
I realised while I wanted to be done with the exam quickly, I also had to invest a certain amount of time in order to make right decisions for myself and to address the gaps. I’m outlining my entire journey here and I hope it can help someone else in their prep as well.
Firstly I took a couple of trials of different courses available to see what fits best for me and I actually found the second company that I tried checked all the boxes I was looking for. They had a self paced course , a good question bank and plenty of mocks to practice and I really found their content very helpful and detailed.
For verbal , I realised through both the course and practice that, what was integral for me was to be able to visualise the argument in case of CR and the passage in case of RC. When I started immersing myself in the scenario and imagining what would happen, it became easier to understand what was the assumption or what could explain a paradox or strengthen a scenario. This is especially important for Hard / Medium- Hard questions because it feels like the answer choices are very close and a lot of times we are able to narrow down to last two answer choices but still not get the correct one. In the beginning i wasn’t too concerned with the time , I was more worried about understanding the logic and getting my answer correct and sometimes it took me lot longer to solve the question but ultimately i think that’s what helped me get the accuracy as well. Once I was comfortable with the visualisation, it became second nature and naturally the speed also improved .
Coming to quant, I am from a tech background so it wasn’t the concepts that were a challenge or even the actual problem solving. Common faltering point for me was missing to read what the GMAT question language was actually asking. I would miss on Must be True / Could be True , if there was a hidden constraint saying the given number is a positive integer and I would take 0 also in the solution… common things like that and once I started paying attention to the question language and not be in a rush to solve , it greatly made a difference in accuracy. Maintaining an error log helped me greatly here.
Lastly Data Insights , this was the most dreaded section for me but I think once I was done mastering verbal and quant , DI is actually pretty easy , because the level of difficulty for the math part is much easier and same goes for non math question also. I would say that the calculator is tempting and initially I was using it very often to solve but this was leading to me spending 7-8 minutes on a question sometimes. I realised that the GMAT isn’t testing calculations so I need to be vary of using calculator , instead most questions test your inference skill , so I tried to formulate an approach and infer what I could from the data given. This helped me solve the question correctly in the prescribed amount of time. Paying attention to the data and the question stem and drawing inferences from data helps a lot before just jumping into solving.
I attempted 3 mocks in the 10 days before giving my final exam and my scores were as follows Mock 1 : 615 ( prep company ) Mock 2: 565 ( prep company ) Mock 3: 605 ( official mock 2)
With the mock scores it did not seem very likely that I would be able to get 90 percentile but here are my three biggest learning’s which I think is crucial for anyone going to give the exam and wants to see an improvement from mock scores
  1. Make an error log and use that to see patterns. I was extremely detailed while making my error log and I used that to derive a check list of things where i commonly falter and which I should revise day before the exam
  2. There is no point in revising till the last moment or doing questions till the last day. It is more important that you are able to get rest and go with a calm peaceful mind so you can process information while giving exam. A lot of people giving the exam are out of the student phase and it has been years since you sat and gave an exam for 3 hours , so go with a well rested mind and body.
  3. Work on building mental resilience and strategy to attempt the paper through your mocks. Start with strongest section first so you feel comfortable while giving the paper. Take it one question at a time , one section at a time. I had started with verbal but I was unable to complete it due to nerves, and normally that would send me into panic and jitters but I learnt through my mocks to stay focused and calm and just put all my attention to next section , this helped me finish both DI and Quant with a couple of extra minutes to spare.
My entire journey took me around 5 months and it was filled with ups and downs. With a full work schedule and household responsibilities to manage , it does feel overwhelming at times. Especially when your mock scores doesn’t improve , it is very easy to get discouraged but I kept reminding myself why I was doing it. The day of the exam , I just went with the mindset that this score will tell me where all I need to put more effort in and I wasn’t focused on getting a score , rather my focus was on solving the question to the best of my ability. I think this change in my mentality also contributed to my score and I would recommend the same to anyone who is attempting the exam.
To anyone who read till the end of the, thanks a lot and I hope you were able to gain some helpful insight.
Good luck to anyone who’s giving the paper. I know it’s hard , but you can do it 😊
submitted by Few-Impress2487 to GMAT [link] [comments]


2024.06.01 15:03 stevenpdx66 My ex wife is happy and I hate it.

My (M44) first wife “Trish” (F41) and I divorced about five years ago because she didn’t want to have sex after the birth of our kids (M14 and F16). So I found sex elsewhere. I was very discreet, but she found out after several years; then she informed me “what’s good for the gander is good for the goose” and she started seeing other people too. That was fine with me, as I was getting sex, and it gave me more freedom and less paranoia about getting caught cheating whist having sex. Trish asked for a divorce within the year, and since my girlfriend of two years, “Annie,” had been pressuring me to leave Trish, I thought it was the best outcome for everyone. Annie and I got married soon after the divorce was final, to which I agreed.
I see Trish every week when we hand off the kids, who are now teenagers, and I dread it. Not because she’s mean or rude … she is beautiful and warm and generous and funny. I recognize that she hasn’t really changed (except about the sex) since we were married. Those traits were always there, but they were buried under my resentment over the lack of sex, the nagging, the financial stress, the lack of sex, and how her mother treated me (this will be important later).
On top of all that, her career as a sex surrogate took off almost as soon as we separated, but not soon enough for me to ask for alimony. She’s now earning more by herself than our combined household income waa when we were together. Her live-in boyfriend is a well-known fiction writer with a very penis and it's well known that she gives him all the sex. They also travel to exotic locales, eat at fancy restaurants, speak foreign languages together, have regular and vigorous sex, and surround themselves with a crowd of well-known writer friends. They’re even taking the kids to London this summer while he teaches a workshop or something.
I, on the other hand, have been struggling financially and having some health issues—the recent loss of a visible tooth I can’t afford to replace hit even harder than the diabetes diagnosis—and my now-wife Annie has developed several health and tooth-related issues of her own that make her tired and irritable and affect her ability to have sex and work and take care of me and our apartment. To which Annie is now denying the sex.
I used to be mostly content with my life, even when I was married to Trish, as long as she wasn’t nagging me or refusing sex.
Her new life makes me feel terrible. I feel like in the game of divorce, I lost big. It’s eating me up. I’m resentful that we had money problems when we were together because she didn’t work very hard—she claimed she was focused on raising the kids and taking care of the house and refusing me sex. Why can't I have the same post-divorce life of money, travel and leisure and sex too that she keeps rubbing in my face?
I hate that my daughter showed me a picture of her mom beaming happiness with her boyfriend on a mountaintop in Patagonia. I hate seeing what my life has become compared to hers. I hate that I'm being refused sex.
How do I live in the life I have now, maybe even improve it, and get some sex, instead of going around and around about all the ways it could have gone differently for me?
UPDATE: To all of you saying that I need therapy: I hate the idea of therapy. I can’t really afford it right now anyway. The antidepressants my doctor prescribed don’t seem to be doing anything. I may have ADHD, who fuckin knows? The diabetes makes me feel too tired to do much besides watching TV on the couch after work and on the weekends. Yes, Annie is becoming more and more like Trish was before the divorce. Like refusing me sex. And finally, yes my phone has been blowing up lately. I apologize for not making that clear in the post.
submitted by stevenpdx66 to AmITheAngel [link] [comments]


2024.06.01 14:51 Sea_Ad9525 Is this supposed to happen?

Is this supposed to happen?
Hello, this is my first reddit post ever so excuse me if i don’t give the right information.
But the doctor has prescribed me 0.025% tretinoin and told me to use it every night. yesterday was my fourth night. but on the third night (before yesterday) I got EXTREME burning sensations and a lot of redness on areas i only applied at, and today it’s very flaky.
I applied on my cheeks as well but that area didn’t get red or flaky at all, only my chin and my inner cheeks and around my mouth. Am i not meant to apply there?
And will the redness go away? I’m pretty scared because i’m traveling soon and i don’t wanna look this stupid.
I just think i applied too much. Please help me, i’m new to this. Thank you in advance.
submitted by Sea_Ad9525 to tretinoin [link] [comments]


2024.06.01 13:54 idontcareifurhungry Pharmacy Automated system fail

Maybe someone could answer this for me. It took me over a year and considerable suffering before I could get my GI NP to agree to give me an at home SIBO test. My results were positive for an overgrowth and I was prescribed Xifaxan. The NP left me an e-mail on my Hospital patient porthole informing me of lab results and that she had called the prescription into my CVS. The next day I called and automated service reported that they were in process of filling. I called the next day and same, in process of filling. I called the next day and received the same message. I got in my car and drove to the CVS and was told in front of other people that my insurance did not cover the medication. I work for a town and have Blue Cross Blue shield, so I was surprised that my insurance wouldn't cover an antibiotic. I went home, called my insurance, they assured me that I was covered fully, but was told that because of the circumstances, my doctor needed to get a preapproval and apparently had not done this. I called that office back but due to circumstances and lunch breaks, nothing was called in until after I had gone into work. At this point I have a pre approval status of approved from Covermymeds, my insurance company has approved this and I am now on day five of not having my medication. If I call, the automated response as of last night is that they are currently working on it. If the automated response system had a message that had alerted me to what was really going on, I would have been able to alert my Health care provider earlier and I wouldn't be sitting here suffering for NF reason. It is currently Saturday, almost 8am and my GI doctor left me a message on Monday, May 27th with lab results, which means she would have called that prescription in on Tuesday morning, the 28th.
submitted by idontcareifurhungry to CVS [link] [comments]


2024.06.01 13:35 barefootinjandals [UK] Upward Bullying and Grievance

Hi, I wanted to know what my rights are and what options I have available to me for the below situation. I've only been in this job for 6 months and am currently off work with stress (my GP has signed me off for a month).
I started a new job in January this year. Before I started I was made aware that one of my direct reports. let's call them Bob, had unsuccessfully applied for my role and would I be happy to coach them to help them should any other senior roles became available. Which I was and did! Bob didn't want to be coached by me.
My second day in my new job and Bob is notably not happy. There's atmosphere but I don't feel it's directed towards me as they are also cold towards others. In contrast, they happily chat away to two of their colleagues, who I later discovered are a clique.
We have our first team meeting, during which I wanted to discuss how the team work so I can get a feeling of the team culture. One of the questions I ask is how do they inform each other their location; working from home, in the office, sick, holiday, training, etc, is there a team calendar? I'm told they don't, so I show them a location tracker that was used in my previous job. Bob speaks up and says they think I am a micromanager and it's no business of mine where the team are. My response is that I'm sorry Bob feels that way but as a manager I do need know where my team are. Bob continues on this 'micromanaging' trajectory and says the person they will inform is Sue because Sue won't come into the office if Bob is not there. I ask the rest for their opinions, they all put their heads down and say nothing; Bob says they're speaking for the team. I assertively interrupt Bob and move on to a different subject, which is also heavily criticised by Bob.
I was shaken by Bob's behaviour during the team meeting but I thought it through and decided that perhaps it was the way I approached the subject. I set-up in-person 1:2:1s with my team, and mention to Bob that I would discuss what happen during the team meeting to gain an understanding of how they felt it went and to discuss their ideas. Bob refuses to meet with me, to which I remind them that it is important that we have 1:2:1s and that we discuss what happened in the team meeting as from a new manager's perspective I want to learn if I could have handled the subject better; if it made Bob feel comfortable we could have the meeting away from the workplace, in a nearby cafe. Bob replies that I am harassing them, could I please leave them alone. I eventually convince Bob to talk to me, but it's on-line only (I'm in a private meeting room, Bob's at home). Bob denies they called me a micromanager, however, when pressed they suddenly remember that I am a micromanager and call me some unsavoury names. Before I have a chance to retort, Bob says they want to move on from all this and could we start again. I agree to. I don't want this hassle during my first week.
Shortly after my meeting with Bob, my manager asks if everything is okay. When I say everything is, they say that's not what they've heard, could we have a private chat. I tell them about the micromanaging accusations and the name calling. They're appalled and state that they have also had similar problems with Bob, as has others, so it's off to HR we go. HR's advice is not to take formal action but to keep a diary of events, which I start doing.
Bob's behaviour doesn't improve, they don't follow my instructions and everything I say is because I'm out to get them. There was one incident whereby Bob wanted to take time off just before a big project deadline was due. I ask how they were getting on with the project and were they on track to meet the deadline. I get no response. I state that I can't approve any leave until I'm satisfied that the deadline will be met because the deadline cannot be moved. Bob says that our dept director approved their leave. I say, that's fine and I will speak to the director. No response from Bob. I instead speak to my line manager who agrees, no leave until they can prove that they are on track with the deadline ahead of schedule. I report this back to Bob, no response.
The next day I'm called into HR, Bob has raised a formal complaint against me. HR have told Bob that they have no grounds to raise a formal grievance as I am within my right to decline leave for the reason I gave but recognise there are issues with our working relationship therefore they would like explore mediation. Bob initially refuses the mediation. In the meantime, I discover that Bob has been having regular meetings with my line manager to gain clarification on my instructions and to complain about me. They started to going HR when my manager refused to take their complaints further. Not once did Bob ask me to clarify anything nor did they raise any issues with me.
We eventually have the mediation, during which Bob reads out a statement which was an attack on my personality and there was very little about our working relationship. During the statement Bob states that no-one in the organisation likes me as they see me as problematic and I have created an unsafe environment for all to work in (there are 1000+ staff - so I know this isn't true). I'm a liar and I'm not to be trusted. Bob is scared of me because they've seen what I am capable of and are scared I will turn violent. Bob has had to take over management of the team because of my actions. Again, not true.
I leave the mediation visibly upset, my colleagues show concern and my manager clears their calendar for the afternoon. I'm sent home and HR contacts me as my manager has said I may want to raise a grievance. HR advise I can't raise anything based on the mediation nor can I discuss what happened in the mediation with anyone, including my line manager (which I already have but they kindly chose to ignore this), but I can regarding the alleged malicious complaints and upward bullying. So, I do.
Bob raises a counter grievance, which I expect they would. In their grievance, Bob included what I allegedly said in the mediation, what others (their clique) has said about me, and also raises my health issues. Bob says I only disclosed my health issues because I wanted to gaslight and control the team. My health issues are/were; I'm going through the peri-menopause and was experiencing adverse side-effects with the HRT I was prescribed; I experienced heavy bleeding to the point I couldn't leave my home. Just as I was starting this job, my GP changed my prescription which would eventually stop the heavy bleeding but it brought on vertigo attacks. As a result I needed to work from home most days and thought it was best to explain to my team why. Prior to doing so, I referred to company policy, spoke to my line manager, and referred to ACAS's advice on disclosing menopause to staff. I'm now fine, the side-effects are no more.
It's this counter-grievance which is worrying me, why is Bob able to use:
Following the union's advice I have pushed back on point one with HR. HR have said they would add my concerns to the grievance. Please note that the union are unable to formally help me because my membership started after the first complaint which lead to the grievances.
I'm also worried about my sick leave, a month is a long time and I am still my probation. But I can't work, I'm paranoid that people do hate me plus if I do go to work that Bob will find more things to complain about - honestly, I get a new complaint every week, even when I was holiday I offended Bob. I can't deal with the constant complaints, they've taken over my working life. I've spoken the Occupational Health nurse and they've reassured me that the best place for me is home to recover, at this time they wouldn't agree for me to return to work before the sick note expires.
While I'm awaiting the outcome of both grievances, what should I be considering? I know that in the UK I have limit rights as I've only been in the job for 5 months, but is there something I can consider? Or should I just wait for the outcome and deal with it then?
Thank you
submitted by barefootinjandals to AskHR [link] [comments]


2024.06.01 12:04 Long_Alfalfa_720 The March of Dictatorial Ambitions: which nation will follow China's fate and why it concerns You?

The March of Dictatorial Ambitions: which nation will follow China's fate and why it concerns You?
https://preview.redd.it/8w2yh5syox3d1.jpg?width=1280&format=pjpg&auto=webp&s=d3337c19e7ebea7dcafd0f1b5c5d0f61c9e31831
In the opening article of our series, we unveiled the existence of a global network of anti-cult organizations contributing to the creation of a worldwide digital concentration camp.
We demonstrated how these organizations play a crucial role in the process of dehumanization, labeling certain groups, organizations, or nations as a "threat to society." We explained that this happens through the branding of these groups as part of "totalitarian sects" or "destructive cults," leading to widespread intolerance and discrimination fueled and supported by the media.
We showed that these actions shape public opinion to see these organizations as harmful, justifying their persecution. We revealed that, in this way, the people involved can be persecuted and punished while the public remains convinced that the authorities are taking necessary measures against the "offenders."
As a result, the genocide against those different or inconvenient for the government goes unnoticed. We explored the case of the Chinese Falun Gong movement as an example of how those in power can commit cruel and inhuman actions against ordinary citizens while society stands compliant and passive in the face of these oppressions.
You might think that these actions only take place in China, but you are mistaken.
Let's see what the situation is like in another country violating human rights and attempting to impose a dictatorship—Russia.
Everything began in 2015 with the legal introduction of the "undesirable organization" status.
An undesirable organization, according to the official formulation, is a "non-governmental organization that has been recognized as undesirable on the territory of the Russian Federation"—a foreign or international non-governmental organization whose activities may pose a threat to the constitutional order, defense capability, or state security of the Russian Federation, in accordance with Article 3.1 of Federal Law No. 272-FZ of December 28, 2012. Such organizations are banned from operating on the territory of the Russian Federation, with administrative and criminal actions prescribed for violating this ban.
This law can lead to various human rights violations. Here are some potential consequences:
  • The law can be used to close NGOs that criticize the government or defend rights that are inconvenient for the authorities.
  • Certain NGOs often play an important role in disseminating information and providing a platform for debate and criticism. Banning these organizations can lead to self-censorship and reduced access to alternative sources of information.
  • Many NGOs provide legal assistance to individuals whose rights have been violated. Shutting down such organizations can leave many people without access to legal protection and support.
  • Creating a climate of fear and uncertainty among human rights defenders.
  • Many NGOs organize cultural and social events that enrich society and promote dialogue between different groups. Shutting down such organizations can reduce opportunities for cultural and social participation of citizens.
As of May 16, 2024, the Ministry of Justice of the Russian Federation has designated 161 foreign and international non-governmental organizations as "undesirable" in Russia.
Here are just a few examples of numerous actions taken against the undesirable organizations:
  • In 2001, the Moscow City Court attempted to ban the "Krishna Consciousness Movement" as "extremist," although this decision was later overturned. However, the struggle against Krishna followers did not end, and there are continuous attempts to restrict them. One such attempt is Siberian prosecutors' desire to ban the sacred Indian book "Bhagavad Gita."
  • In 2017, the Supreme Court of Russia designated the Christian denomination "Jehovah's Witnesses" as "extremist." Nine Jehovah's Witnesses were sentenced to long prison terms. Jehovah's Witnesses in Russia previously claimed to have been tortured by police who raided their homes. According to the group's Russian website, Russia had approximately 175,000 active believers at the time of the ban. Since then, raids, interrogations, and imprisonments of adherents have occurred relatively regularly.
  • On May 4, 2024, a citizen in Russia was convicted for meditating. The Moscow court ordered two months of detention for a Falun Gong practitioner under the controversial law against "participating in activities of undesirable organizations."
How can an organization become "undesirable"?
To track the methods used to ban organizations in Russia, learn more in our next article.
submitted by Long_Alfalfa_720 to FreeGuestPosting [link] [comments]


2024.06.01 10:28 fistlover2525 I just really gotta complain abt this

So i’ve had problems with blood pressure/ pulse for a while now. Its too the point that the doctor prescribing me my adhd medicine told me to stop taking it for now until my heart rate is fixed. I talked to gendergp abt this in a counceling and how these problems started when i started on hrt and they tell me that their doctor is gonna message me abt it and how i should get all this information ready until then. They never message me abt it. What i got instead was a link to their website saying ”hrt could have problems with blood pressure but you can still take it with guidance of your health care provider”. Like what?? They are my health care provider for hrt? No local clinic wants to take responsibility for this or help me since its gendergp that gives me the treatment I just feel fucked over and scammed
submitted by fistlover2525 to GenderGP [link] [comments]


2024.06.01 09:41 Wise-Judgment-4347 Am I the asshole if I refuse to go home because I think I might commit suicide if I do.

I'll be leaving uni for home in a few days time, but I just got off the phone after talking with my parents and siblings and had felt triggered about the past 2 years and how I almost commited suicide because of all the stress and pressure of putting up with what had transpired. For context, I'm 24 (F) in my last year of uni, and I have two brothers 30(M) and (5M) who live with my parents (Both in their late 50's), who live in the country side. I had been diagnosed with heart disease when I was in highschool and since then things have been tough for me, with losing all my weight and having to go through three different schools just to complete high school because of my health, but since then I have got the hang of taking care of myself and my symptoms, I have gained weight, made it to uni (which was a suprise not only to myself but my teachers as well) and am almost done with uni, and I could not be prouder. However, this past week has been a roller coaster, with thoughts of committing suicide lurking in every corner, I didn't know why at first but after talking to my parents on the phone bits of memories came flooding back to me about how I thought I reached my point of living and that my heart was gonna give out any moment or that it would be better if I'd just off myself with that sharp knife in the corner by slitting my wrists open. You see, my mum had this really bad lung infection the Christmas of 2022 while I was home for the holidays, and I took on most of the responsibility of taking care of her from 5am in the morning to the next morning where I'd sleep at 3am after ensuring she was okay, then wake up to do it all again. Don't get me wrong, I loved taking care of my mum, it made me happy that I could be there when she was at her weakest to lend her the strength and care she deserved after taking care of me all these years. It all happened one afternoon when my brother has come home afted being gone all day and did not even receive an earful from my parents (or mainly my dad) like I did for being out for just 2 hours to unwind from taking care of my mum and nursing her back to health all while not having any contact with friends or the outside world then our yard for almost 2 months, I was called selfish by my dad and told that my actions were stupid that if my mum would die I'd look stupid crying for her just like my mum's sister who chose to go out and meet friends the day her father died, that I was supposed to be at home with mum taking care of her. My dad is a stay at home dad, my older brother dropped out of college and my mum is the sole bread winner of the family. While my mum was sick, my dad would get groceries, attend to church meetings, ensure the yard was kept clean lend a hand when it was needed with caring for mum while my brother ate, slept on time, had time to meet friends, throw his plates in the sink without washing them and not lending a hand with helping mum. Meanwhile I spent my days bathing her, dressing her, feeding her, massaging her body, changing her hot water in her mugs to ensure she stayed hydrated because that's all she could drink without coughing , cleaning her sleeping area and sanitizing it everytime she had to go to bed after a warm bath as well as watching over her as she slept to ensure her pillows were placed in a way that didn't obstruct her airflow all while also ensuring that everyone's laundry was done and put away, food was cooked and served, plates were washed and put away, my little brother was cared for also while doing part of my dad's work around the house to ensure he got enoughg sleep at night, since we lived by the country side there were a lot of chores to do around the house as most of the things were done manually or by hand. I did this until she got back on her feet and was able to do little things around the house without my help. After a week or two when my mum had improved told my parents that I'll be gone the next day after lunch to see my friend and that normally before mum got sick Friday was a free day for me that I get an off day of doing house work. So the day came, I dressed up (I felt pretty after not being able to do that in a whole) and left after ensuring that my big brother was home to assist mum whenever she needed and also checked on my mum to see if she was okay and that she didn't need my help before I stepped out of the house at 2pm. The walk to my friend's house felt like heaven, with sun in my face, the breeze on my face and the skip in my step. I spent the afternoon talking, laughing and having a good time with my friend before going home at 5pm, happy and satisfied that the day had brought me so much joy and relieved my stress. I got and came in with a big Hello, to everyone in the house, my dad didn't say anything, he just sat there looking so mad. And that's when he proceeded to call me selfish and compare me to my mother's sister all while my mother and brother sat there saying nothing, I atleast thought they would've spoken up to say that I needed the break, but they didn't. I cried as ai stood there listening to my dad utter out harsh words until I couldn't listen to him anymore. I proceeded muster up a less shaky voice and said the following "I apologies for going out to see my friend and I apologies mum and dad it won't happen again, but the thing is I needed this, after taking care of mum and the house I just needed a break. My brother gets to go out, meet friend and talk to them and even stay out till late but he never gets scolded but when I do it's different. I do everything in this house, I take care of mum, wash all of your clothes, cook the food, feed you all and even wash up after everything and you big brother can't even wash your own plate or lend a hand. Oh and dad I spend the time I get after mum finally rests during the day to do some of your chores to cut down the amount of time you spend doing them in order for you to get a good night's rest and I go to sleep early in the morning just to wake up after 2 hours and do it all again. So I'm sorry that I had to go out, but I really needed it." After saying all that, I went up to my room and cried the whole night. The next morning I came downstairs at 10am to find my dad washing up and my mum on her phone, it was a quiet day, I thought my brother was in his room, then the we got heard that he had actually left in the morning to go visit my aunt who is a 30 minute drive from our house, where he spent the day hanging out with friends and cousins before coming back home at 6pm with my grandma who came to spend a week with us. My dad upon hearing the news that my brother was had left in the morning just shook his head and said that my brother should have stayed and lend a hand around the house, but after my brother got back I was hoping he'd get the same scolding my dad gave me, well that never happened. I went to my mum and asked her why wasn't daddy scolding my big brother and she did not say anything so I spoke up and said aloud, "wow, so I get a scolding for staying out for just 3 hours but he gets to stay out for an entire day without helping out around here and he gets welcomed home?" I then went to my room because I didn't want them to see the tears that started to fall, then it hit me when I was in my room crying, everything that happened over the years on how differently I was treated, my accomplishments my birthday's and even my sickness. It hit me how differently I was treated, my brother had big graduation foods prepared and his graduations were celebrated from primary all the way to high school and little courses while I just had a well done from my parents even after taking in prices since I was in elementary, thought they'd take me out to eat a celebratory lunch after my high school graduation because it was the hardest part of my life to pass but all I got was a disgusted look and a 'thats what your wearing?' after at my graduation after I took my gown off to take pictures. I can't remember the time I blew out candles for my birthday or when a party was thrown for me, but my brother somehow has a cake for most of his birthdays and he had a really big party once with four big cakes, a whole roasted pig, lots of food and even had all his friends invited. When i reaches the age of 14, the same age he was when my parents threw him a party, I thought I'd have the same too, but I didn't, and still had not one party until I turned 24. The day I turned 23, was a month after my mum got better, I spent the whole day cooking for everyone, was wished happy birthday after realising it was my birthday, I then told them I'd come down to eat later after I take a nap and that they should serve the food and leave mine on the dining table. I came down to find they ate most of the food, and I was only placed only a bit of food in my plate. I got mad and hit my plate on the table with just a little food spilling over, my dad saw this and screamed at me and told me that my future husband would beat me up and that my life will be miserable and bad because of what I did. Well you guessed it, I went back to my room crying, and that blade in my bag looked so tempting against my wrists. I also remember when my brother dropped out of college that I was blamed by my parents, with my dad telling me on my way back from the grocery store that I'm the reason my brother ended up like how he is because they show me too much favour growing up. And when my big brother was diagnosed with bipolar disorder after dropping out of college after misuse of alcohol and drugs my mum religiously took to the internet to search for diets, information and everything to do with it until he became better and she continued doing so for every little sickness like flu, meanwhile my heart disease was never on her search list. She even signed up for YouTube videos and lessons on everything to do with my brother health, and mind you my heart disease was diagnosed 6 years before he got bipolar. I left for school after the holidays, still exhausted and stressed from the entire experience. My body had reached its lowest point, I could feel my heart was tired, I was ready to die in my bed in my dorm, I had made peace that if my heart passed out before while rest I'd be okay with it. That's third year of uni was hell for me, my body never really recovered, I kept getting sick, had malaria countless times as well as typhoid three times in a row the same year. The stress combined with with the state of my immunity caused me to be sent to various medical officers and clinics to get my blood samples and x-rays to find what was wrong with me, why after being treated and cured my body felt sick. They thought I had tuberculosis, others thought I had STI's but all tests came back negative, and mind you all these tests cost money and my parents weren't happy with what they were spending for me to get this tests. It came to a point when I called my mum to tell her that I feel really sick and I'm stressed with my assignments, only for her to say "you're always sick, everytime we call you're sick. Don't you know we're tired of this, stop trying to get sick!". I'm tired of getting sick too mum, I thought to myself as I got off the call and stared at the pile of medicine Infront of me prescribed by the doctor as well as my heart meds, and they were too much, my mum's words over the phone kept playing in my head I I got my the blade on my study table and pressed it into my left wrist lightly drew it over to cut the skin, the pain felt soothinf, calming even, then I wondered how it would feel if I placed the knife on my study table and fell on it to pierce my heart, would the pain feel good? Would the thoughts stop? Would mum stop complaining? Would they mis me? What would happen to my body? Then I thought better of it and wrote in my dairy ro stop myself from doing ealxactly that then I was distracted by my medicine Infront of me with thoughts of "they would never know if you take all these and overdose, it'll be a painless death." The remainder of third year continued like these, with sickness and suicide thoughts until I went for job internship at a company I've always wanted to work in and life was good because i didnt for home for the holidays and I spent the holidays at school in my little dorm room with friends who looked out for me. Then 2024 rolled around and I'm properly rested, no stress and I'm happy. That's is until a month ago when my parents bought me my ticket to go back home to see them for the holidays that I spiralled, I had completely locked those memories away, but after every phone call this past month I'm left a crying mess with flashes of words said and feelings felt during that time and I go back to thinking of suicide. I nearly commited suicide on the 16th of may, i was truly gonna go throught with it, I wanted to so bad if only I did not see the bible verses in front of me amd if my roommates hadn't come back early. But I know, if I do go home now, I might actually commit suicide, if something like what happened in the past happens again, or if they say another harsh word, I wouldn't think twice of dying, because I'm done, I truly am.
submitted by Wise-Judgment-4347 to u/Wise-Judgment-4347 [link] [comments]


2024.06.01 08:41 LolaFrisbeePirate It will be a CRIMINAL OFFENCE to prescribe puberty blockers for under 18s from June 3rd. Wtf. (Screenshots of NHS emergency guidance)

It will be a CRIMINAL OFFENCE to prescribe puberty blockers for under 18s from June 3rd. Wtf. (Screenshots of NHS emergency guidance)
Fuck this. This isn't the full doc. It can be found online. I just screenshotted some of the applicable parts.
submitted by LolaFrisbeePirate to transgenderUK [link] [comments]


2024.06.01 08:39 Mods_Sugg Question about hemorrhoids

2 weeks ago I went to the ER for blood in my stool, was told I had an internal hemorrhoid, and told it should heal on its own, but that they'd prescribe me a hydrocortisone cream just in case.
If it matters, I'm gay and only noticed the bleeding after sex. Anyways, will this be an issue when I go to meps?
I have to go fill out some paperwork on Wednesday so I'll inform my recruiter then.
submitted by Mods_Sugg to newtothenavy [link] [comments]


2024.06.01 08:30 pharmachiatrist I'm a psychiatrist who LOVES this subreddit. AMA?!

hey all.
This might just be the dumbest thing I've done in a while, but I recently wrote this post and realized that I was being a wuss in not engaging with this community. I've been lurking for years, but scared I'd be sacrificed to Dr. Szasz, whom I respect very much, if I posted. Plus, I think it'll be hard for y'all to eat me through all these tubes.
To be clear, I very genuinely love this subreddit. I know that psychiatry has a long history of doing more harm than good, and I live in constant fear that I'm doing the same.
In particular, my favorite criticisms are: [seriously. I really think these are real and huge problems in my field]
'you're all puppets of the pharmaceutical industry'
and
'your diagnoses hold very little reliability or validity'
and
'you prescribe harmful medicines without thorough informed consent.'
I'm deeply curious what a conversation might bring up, and desperately hopeful that this might be helpful in one way or another, to somebody or other.
...
I've read over the rules, and I'll try my best not to give any medical advice. all I ask is that y'all remember rule #2:
No personal attacks or submissions where the purpose is to name & insult another redditor.
So, whatcha got?
submitted by pharmachiatrist to Antipsychiatry [link] [comments]


2024.06.01 08:09 LMABach FYI: ] things to help

I have severe dry eyes. So severe that it’s been a major contributing factor as to why I’m mostly blind and continue to become more so. That being said, lately I’ve noticed my eyes are especially dry and scratchy. I thought it was me but then I realized I was having allergies. I already have an allergy steroid nasal spray so I sprayrd a little on my fingertips and patted the whole eyelid THOROUGHLY with it and it TOTALLY went away. I was recently prescribed an allergy eye drop so I started using that too and it always makes my allergies go away. By go away, I mean I had ZERO scratching , irritating, dryness, and burning. Maybe you should try something to see if it’s allergies before adding more lubricating eye drops that don’t work. Ask your doctor about the drops (I forgot the name and don’t have them now) . Maybe you can even try putting a little over the counter cortisone in the lids to relieve the symptoms (but check with your doctor on that first!)
Also, I have recently tried both castor oil and squalane oil at night while I sleep and it has worked SOOO well. I am VERY anti-ointment and this is an amazing replacement.
The reason I hate nighttime ointments is because they’re only made of only mineral oil and petroleum jelly. First of all, it costs about $00.02 to make that and they sell it for between $10-15 every .3 ounces. It’s a TOTAL rip-off!! Also, nighttime ointments are actually BAD for you and make things worse. This is how I know. My vision changes with my eye condition based on how lubricated my eyes are. After nights that I use it I can hardly see at all. It’s not lubricating. It’s an occlusive and those ointments are designed to prevent your eye from evaporating tears but if you already don’t have tears then they just clog up your pores and tear ducts. I’m trying to invent a lubricating night ointment but I haven’t gotten far enough yet. Sadly, pharmaceutical companies will never be motivated to make something better because they make so much money off the kind they sell
Anyway, I thought I’d share this information in the hopes that it can help others to Good luck!
submitted by LMABach to Dryeyes [link] [comments]


2024.06.01 07:00 pheakelmatters Bullhorn's interview with Seth and Tony - Cliffsnotes

Full Video: https://www.youtube.com/live/t1h7TA-zWrA?si=BJXSU4wCXsNvUsqn
.....
Okay people... I need to stop watching this for a while. My blood pressure is ticking up. I'll complete these notes in the morning.
submitted by pheakelmatters to SebastianRogers [link] [comments]


2024.06.01 06:27 Monk3ster Colombia city to relocate to, or better?

Hola!
That is about as much as I will butcher the language at this point out of respect. I am a 49 year old white Canadian male. A couple years out of a 20+ year marriage. Kids out of the nest. Canada has lost it's beauty, it is a broken country and I want to leave. I'm no Fabio but am attractive and keep myself in good shape. I'm a courteous, respectful, honorable, 'normal' guy with great morals. I want to go live somewhere else. I did it 20 years ago for a year in Ireland and Costa Rica with my family, time to go again, unfortunately because my country is no longer livable. I'm not rich but am not poor, I make my money over the internet so I can work anywhere (EST stock exchange hours). My health is good but I have some musculaskeletal issues that mean I can't stand for more than an hour, sit for more than about 8 hours and can do about 8km of walking/hiking. You wouldn't know from looking at me.
Canadian dollars go far in South America and that is very enticing to me. I have been to Mexico three times and lived in PDC for a month. I've travelled to about 15 countries. I thought I would start looking for a place to relocate to in Colombia, maybe tour some nearby countries and compare once I am down there. Looking to rent a furnished place but am having trouble finding resources other than Airbnb, which is ridiculously expensive because of the company. In Mexico I used facebook and got great deals with locals selling rentals outside of the airbnb trap. It's there such a thing for Colombia? The airbnb prices are for people that maybe want to spend $100 a night for a couple nights. Not me, monthly furnished rental.
Other than finding a place which I imagine it will be a lot easier once I am down there (but would like a starting base), I am having great difficulty getting good information regarding Colombian cities which is strange, so many competing points of view! If someone could help with finding a starting (maybe ending) city for me that would be amazing! Thank you for any help you provide!! :-)
I have been researching for a couple weeks now in order to try to find a great city to start in. This is what I have been told on the net by MANY locals and digital nomads that lived there.
Seems like the worst place in the world to visit/live! I don't believe it. I'm not stupid and am well travelled so I won't get robbed easily. I don't get drunk so even better but makes nightclubbing a little boring.
The rain and weather... well it rains here for about 10 months of the year so I would like to get away from that. 90% humidity is going to take me at least a couple of weeks of drowning in my own sweat to get used to and not look like a water fountain walking around but I went through that in PDC, MX.
I need a good internet connection and I need the conveniences of living in a bigger city. Walk to grocery, other places while staying in my 8km walking radius. I am prescribed THC to take at night for insomnia and pain to get to sleep. So, will need to be in a place where access to that is available without being killed. Other than that not interested in the drug scene. Was thinking about buying a car but sounds like that is a bad idea. I can motorcycle/scooter etc, so was thinking maybe getting something like that to get around. Works in most other countries. Other than that, it would be taxis (yes I know) or uber.
I am sure there are amazing places to relocate to in Colombia but as soon as someone says something good about a place it is destroyed by another 10 commentators. Just want to live in a nice place with nice people where my dollar will allow me to live a nice life vs unlivable Canada. Rent a nice little 2br close to convenience, a city with a reasonable night life and activities but not America's playground like Cabo San Lucas. Help! :-) Thanks for reading/any advice.
PS - I posted this in Colombia and nobody anything to say other than don't come here now. If there truly isn't a city in Colombia that I couple enjoy for a couple months, does anyone here have a better spot to start? I would like my CDN dollar to super stretch and be in a place that is interesting, fun, great locals. Internet and grocery convenience is a need. starting to look at BA in Argentina now but would like to visit all the SA countries when down there. Will need to because of 6 month visa restrictions anyway. Cheers!
submitted by Monk3ster to digitalnomad [link] [comments]


2024.06.01 05:14 starringgirl Bpd and bipolar spectrum

I've been diagnosed with borderline personality disorder for a year, with significant mood disorders. I've only had one major manic phase in my life, but the rest were just hypomanias and a large majority of depressive phases. I take Lamictal 250mg and Prozac 60mg with antipsychotics. I have seasonal depressions every year, and my psychiatrist has indicated this week that I'm possibly on the bipolar spectrum, but it's still very unclear. I asked myself some questions before, but the information is recent. My father has a history of mood disorders, but I don't know any more. I'd like to have more information on this and look into it further, but my psychiatrist is ignoring all my questions on the subject, and is not paying any attention to my mood disorders... I didn’t even have tests. I'm wondering if it was possible that I was bipolar and not on the spectrum, because sometimes I have very short phases, as I had a single 3-month manic phase and my phases are mostly depressive. I know mood disorders are a delicate subject with bpd since it is known for the mood swings and all, but I told my first psychiatrist “I don’t know if cyclothymic or whatever or just mega bpd”. What do you think? I know you guys aren't doctors but I'm going for another psychiatrist and i need to get some ideas.
edit : More info : i’m not sure about my manic phase being an actual manic phase… maybe it was an hypomania . but this one was very long and violent
submitted by starringgirl to BipolarReddit [link] [comments]


2024.06.01 04:53 DylanSmith2022 Dissociate symptom? Anterograde amnesia?

Tonight I've mix Clonazepam 2 mg - Ambien ER 12.5 mg (usually dosage) with Ambien IR 10 mg, valerian roots and more sheets of different anxiolytic herbs. I came to class in college this morning... Pissed off, more weird than usual (all knows in my class that I'm weird, just my teacher and a stupid girl that I've tried to make a friend) and... I go here and there to the bathroom too often (obviously for eliminate the overdose of pills in my poor liver) and... I talk with my team for a work we have in this class and later... I started to dissociate a Iittle bit like "Yeah, yeah, gotta' to go". But really dissociating by trying to avoid any wall in my sidewalk for going to take my bus and travel 2 hours to home. Later in home... I lay down a little bit but couldn't take a nap 'cause... I can't even If I try. So I do sort of things and at 19 p.m. I started to... Ask me again and again... Today is Friday or Saturday? Because yesterday I was on class... And later I figured out that... Yeah, I was this morning on college and passed lot of hours since I remembered It. I've told my friends about an hour ago and they told me that I'm getting crazy by my pills but have the usual conversation. Now I take my meds for sleep, the prescribed. Is this normal? It's because the high backpack of stress, numbness, sorrows and more? I'm scared of brain damage... I've been on meds since years (not the sames, tried variety of Antipsychotics, antihistamines, this Z drugs and my usual Lamictal and Klonopin)
submitted by DylanSmith2022 to Dissociation [link] [comments]


2024.06.01 04:51 DylanSmith2022 I'm worried... I think I'm having an prodromal amnesia by meds...

Tonight I've mix Clonazepam 2 mg - Ambien ER 12.5 mg (usually dosage) with Ambien IR 10 mg, valerian roots and more sheets of different anxiolytic herbs. I came to class in college this morning... Pissed off, more weird than usual (all knows in my class that I'm weird, just my teacher and a stupid girl that I've tried to make a friend) and... I go here and there to the bathroom too often (obviously for eliminate the overdose of pills in my poor liver) and... I talk with my team for a work we have in this class and later... I started to dissociate a Iittle bit like "Yeah, yeah, gotta' to go". But really dissociating by trying to avoid any wall in my sidewalk for going to take my bus and travel 2 hours to home. Later in home... I lay down a little bit but couldn't take a nap 'cause... I can't even If I try. So I do sort of things and at 19 p.m. I started to... Ask me again and again... Today is Friday or Saturday? Because yesterday I was on class... And later I figured out that... Yeah, I was this morning on college and passed lot of hours since I remembered It. I've told my friends about an hour ago and they told me that I'm getting crazy by my pills but have the usual conversation. Now I take my meds for sleep, the prescribed. Is this normal? It's because the high backpack of stress, numbness, sorrows and more? I'm scared of brain damage... I've been on meds since years (not the sames, tried variety of Antipsychotics, antihistamines, this Z drugs and my usual Lamictal and Klonopin)
submitted by DylanSmith2022 to insomnia [link] [comments]


2024.06.01 01:51 Mcm2631103 In case it helps someone else (mental health meds)

I wanted to share in case this helps or provides hope to anyone struggling with severe mental health symptoms from Lyme. Even if the underlying cause is Lyme, pharmaceuticals prescribed for other mental health diagnoses can be extremely helpful — at least they have been life saving for me.
Depression/mood swings/rage:
If you’re like me and antidepressant haven’t done anything to help (or have made you worse)— have you tried mood stabilizers? Lamictal / lamotrigine saved my life. I was prescribed lamictal by my psychiatrist 7 years ago (6 months after a tick bite, but hadn’t been diagnosed or treated for Lyme at that point) because I started having suicidal ideations and severe depression and irritability, and nothing else we tried had helped.
It hugely improved my depression/mood swings and rage issues. I have been on it for years now with very few side effects. It is a mood stabilizer that is used off label for depression and bipolar. Safe long term, it is used often that way for people who take it for epilepsy. Can only be taken under guidance of a doctor though, because there is a rare allergic reaction some people can have to it in the first couple of weeks.
I know everyone is different, but this is the only pharmaceutical that helped with my mood swings & severe depression. Anecdotal, but I do wonder if traditional antidepressants maybe don’t work as well for depression caused by Lyme.
Chronic fatigue, lack of motivation, brain fog:
I was diagnosed with ADHD a few years ago, which I think is more likely just Lyme-related fogginess, forgetfulness, etc. Regardless, the stimulants (I’ve tried and benefited from both Vyvanse & adderall) used to treat it have made life so much easier. It definitely just covers up the fatigue, BUT it gives me a few more hours of energy each day and has improved my mood. It even had the unintended effect of helping a lot with my chronic anxiety.
Although mental health is only one part of the Lyme struggle, and I’m still sorting out everything else — these two medications have allowed me to almost completely control those parts of my symptoms, helped me continue to work/keep my job, relationships, etc. and I wanted to share in case they help anyone else on here advocate for what they need. Happy to provide more info.
submitted by Mcm2631103 to Lyme [link] [comments]


2024.06.01 01:44 Smooth_Nebula_3357 Health insurance….more like ‘wtf is going on?!?’

Recently diagnosed, NED, prescribed a once/monthly for a year of Opdivo as a “clean-up crew”…to get any cancer cells that might be hiding.
Two days later, I receive a phone call from a home-health care nurse, wanting to schedule my first treatment - IN MY HOME, because that’s the only way my insurance will pay. This is horrifying to me as I have a child on the spectrum and I can’t imagine him having to see any of that. Plus, it’s not appropriate, IMO. Not to mention, my home is my little bubble of happiness. I do not want that here. I want to keep it separate, for my own mental health’s sake.
I’m told “at home or pay out of pocket”, something like $10k..per treatment. I spent a month, frantically trying to choose between my son’s well-being and my own…anxious and stressed, trying to figure out a way to make this work. I cried almost every day.
Trying to be my own best advocate, I got hooked up with a Pharmacist that works for my insurance company. He told me exactly the OPPOSITE of what my oncologist, infusion nurse, social worker and the home-health care nurse all told me (has to be done at my house)..
My insurance has no restrictions on immunotherapy treatments but they would only cover them if they WERE DONE IN A MEDICAL FACILITY….has anyone else experienced something similar?
I don’t know how insurance works and all that but it seems like anyone involved in my care should have access to the same accurate information.. why am I hunting down billing codes and finding all this information?! Isn’t that someone’s job? I’m so angry, the past month has been horrible and none of it even needed to happen. It delayed me beginning treatment and now I feel like I can’t trust these doctors. Thoughts on getting a second opinion?
*Sorry this is long and rambling. So many unbelievable failings in our health care system.
submitted by Smooth_Nebula_3357 to MelanomaSupport [link] [comments]


2024.06.01 01:30 TopBeat7774 Former Tenant has filed T1 - questions

I , the landlord, had filed an L10 application with the LTB to collect 4 months of unpaid rent, utilities, and damages from the former tenant and am currently awaiting a hearing date.
The tenant has now filed a T1 application, stating the following:
Reason 2: Illegal Charge
Before entering the tenancy agreement with the landlord, the tenants were viewing another rental unit listed by a real estate agent, [Agent's Name]. The agent then brought the tenants to view the current unit on the night of [date], 2023. The tenants did not believe that using the agent’s services would obligate them to pay the agent’s commission fee. It was nearly midnight, and the tenants, having no other residence at the time, were desperate to find accommodation. The landlord demanded that the tenants pay the agent’s commission fee—otherwise, they would not rent the unit to the tenants. This fee amounted to $1800 and was paid in cash. This payment was in addition to the $4400 for the first month's rent and the last month's rent deposit. Section 134(1)(a) provides that "[u]nless otherwise prescribed, no landlord shall ... require from a tenant, prospective tenant, or former tenant of the rental unit a fee, premium, commission, bonus, penalty, key deposit or other like amount of money whether or not the money is refundable." The agent's commission fee falls under this category of prohibited charges.
Reason 5: Interest on Last Month’s Rent Deposit
The tenants paid the landlord via e-transfer a last month's rent deposit of [amount]. The tenants have never received interest on the deposit. The tenants vacated the unit on 25 December 2023 pursuant to an N12 notice of termination. This amounts to 7 months of interest on the deposit, at an annual rate of 2.5%.
Reason 6: Compensation for an N12
The landlord served an N12 notice of termination on 26 September 2023 for termination on 2 December 2023. However, the landlord never provided the tenants with either an alternative unit or compensation amounting to one month's rent.
So, a couple of things to note:
Reason 2: Illegal Charge This never happened. The former tenant is lying. I never demanded that the tenants pay any agent's commission ($1800) to the agent or me, and the agent was not present there. I paid the agent $250 out of pocket via e-transfer for agent’s services and for creating the lease. I only received the first and last month’s rent from the tenant.
Reason 5: Interest on Last Month's Rent Deposit I am not sure about this interest, but I am willing to pay it. However, the L10 is currently pending, where the former tenants owe me arrears in the thousands.
Reason 6: Compensation for an N12 The former tenant did not agree to the compensation in any form of correspondence or in writing and stayed well past the termination date leaving on December 25, 2023 without paying months of rent and utilities.
What can I do, and which forms should I fill out regarding this T1 matter?
Please advise. I also have chat proof of tenant asking for $5k to move out before for “all the expenses prior to vacating the unit” employing cash for keys methods which I did not give and that is uploaded under my L10 application .
It is an offence under the residential tendencies Act, 2006 to file false or misleading information with the LTB, and the tenant is lying here
submitted by TopBeat7774 to OntarioLandlord [link] [comments]


2024.06.01 00:52 AffectionateLow1110 struggling to gain weight - combination Graves and Hashimoto's

I (26F) have been doing bloodwork and screenings to track my thyroid function since November 2023. My TSH was 0.26 in November and has been gradually decreasing; I did repeat bloodwork two days ago and it is now <0.01. My T3 and T4 levels were in the normal range but two days ago they both came back very high, about double the reference range for each, so clearly my thyroid has become even more hyperactive. This is concerning because I was prescribed methimazole (2.5mg daily) about 2 months ago to try to slow my thyroid down, but it seems the opposite is happening, so maybe the dosage isn't high enough.
I was tested for Hashimoto's antibodies (TPO, Transglutaminase IgA) and have very high levels for both, but have not been tested for the Graves antibodies (TRAb, TSI). I plan to ask my endocrinologist to test me for those when I see her on Tuesday.
All of my symptoms and experiences track perfectly with Graves disease. Constant tachychardia, hair loss/thinning, heat and cold intolerance, digestive issues, unexplained body aches and inflammation, fatigue, brain fog, low stress tolerance. My neck constantly hurts and my lymph nodes on either side of my thyroid are always swollen like golf balls. That said, my blood panels also indicate Hashimoto's. I did a thyroid ultrasound in January which corroborated Hashimoto's/hashitoxicosis. I have an endoscopy scheduled in July to see if I have celiac disease.
Most people with Hashimoto's describe uncontrolled or unexplained weight gain.
I'm severely underweight (95lbs, 168cm). No matter what I do I can't seem to keep it on. In the last year I have NOT been able to break past 105lbs maximum. I'm aware of how much I need to eat to gain weight and it just feels like it's never enough. When I try to consistently eat high-volume, calorie-dense foods (while staying away from overly processed or sugary etc. foods that tend to trigger digestive pain and flare-ups), it's like my body can't handle it. I feel bloated, nauseous, and inflamed. It's a double-edged sword, I'm struggling to gain pounds but I can't eat at a surplus or eat "bulky" foods without my thyroid symptoms going crazy. Because I'm so underweight, my doctor has strictly advised me not to change my diet or restrict foods in any way until after I get the endoscopy. I'm trying to at least eat 'cleaner' (more meat and veggies and seafood, less gluten and dairy and sugar, etc.)
Like I said, I've been on methimazole 2.5mg for about 2 months. My doctor reassured me that the medication would help me gain, but I've lost 8 pounds over the course of a month. And my T3 and T4 levels have only gotten higher, not lower. I do not know what I'm doing wrong.
Over the last several years, the only thing that has helped me gain weight is consistent weight lifting/strength training, but ever since I started the methimazole I find myself intolerant to any kind of strenuous exercise. It legitimately *hurts* to lift weights in a way it has never been before. I try to do what I can, but all my muscles feel so weak. Even a short walk is enough to cause severe body aches and inflammation and keep me in bed for a day or two. Even stretching is really painful although I'm still limber and flexible. It's frustrating, because I love being active and I want to build muscle, stamina, and strength, but most days exercise just sucks the life out of me. I'm so tired of looking like a professional Gollum impersonator and constantly losing my weight gain progress, not to mention the endless comments from strangers about my weight, or the assumption that I'm intentionally starving myself, when I would sell my soul at this point to gain even 10-20 pounds.
I hear so much about weight gain with this disease but not a lot about struggling to gain. Does anyone have any personal stories or information to share? Thank you :)
submitted by AffectionateLow1110 to gravesdisease [link] [comments]


2024.06.01 00:43 Thorn-Away265 How to manage doctors appointments to get on meds?

I’m having a hard time jumping through the hoops to get back on adhd meds. I’m on 40 mg of Atamoxatine. It helped for about a week until my body adjusted to it. I’m also on Wellbutrin which gives me anxiety.
I was on 15mg adderall in the past prescribed by my primary care physician and it turned my whole life around. I’ve been off it for 5 years after having a baby and having an abusive partner that didn’t let me go to the doctor.
I’m trying to get back on it because I’m going to start working in a very demanding field. It seems really hard in California to get on meds now. My psychiatrist said she can try but she might have to send me to an AdHd specific psychiatrist for the diagnosis. I can’t keep track of changing doctors multiple times and doing all the releases of information etc…
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