Cymbalta dosage sweating

I think I am starting to see good changes! Almost no sweating in my hands & feet, which are the places where I drip sweat. Reduced sweating in armpits as well although this was not too big of an issue for me compared to my hand sweat. I really hope this medicine continues to show effects on my hyperhidrosis with minimal to no side effects! So far I haven’t noticed a huge difference in how I feel or noticed any of the listed side effects. I up my dosage today from 2.5mg once a day, to 2.5mg twice a day. One more step when I try 5mg once daily in about 3 weeks. I have struggled with this condition since I was very young. For as long as I can remember, sweat has impaired the ability to do certain activities with my hands. As I got older my feet started producing more sweat and most recently, my armpits started to sweat more. I will try to continue to share my experience as I have looked all over this group for remedies and relief from this very annoying and impairing condition. After reading a bit about oxybutynin on here, I bit the bullet coming home from work and picked up my prescription. Im not a fan of taking meds (or at least not ones that dont have mostly harmless natural ingredients) but I was very fed up with sweating and sage seemed to not work so I had to move on to try a stronger solution for myself. If anyone wants to share their experience taking oxybutynin feel free to, it would be greatly appreciated! Best wishes to everyone else struggling with this :)

hi, i’m 2 days on lamictal. so far, the only uncomfortable physical side effects are i sweat a little bit more than usual, i get a little dizzy after moving around, and i’m a bit more sensitive to bright lights. my dosage is 25mg but i’m sure my psychiatrist intends on increasing it.
i plan on working as a camp counselor this summer, but i worry that this medicine will make that more difficult for me to do. i’m just concerned and want to see some opinions, and/or some advice on how to take better care of myself better during the heat if it is an issue.

Please pardon my incoming french. Im 31, I'm active and fit. I've been noticing caffeine affects me more and more everyday as I get older. I wake up at 8 30 - 9am, drink my first cup around 9 30. The first cup is always amazing. I feel amazing, the day is amazing. Everything is fantastic. Then a few hours go by and I gradually start to feel like shit.
First, my armpits start sweating. In fact, my armpits have sweat so much from caffeine that I constantly battle a yeast infection that comes and goes on my armpits. Afterwards, I start to feel tired / unwell. This is when I take my second cup. The second cup is never as good as the first. It works, but there is a perfect amount of caffeine that I have to balance with the second cup, or I'm off the coffee teeter totter and I feel like shit. Then a few hours later, usually around 4 or 5pm, I take my third cup. When my third cup happens I feel like garbage, but after 7pm or so I feel normal. 7pm till 12 - 1am when I go to bed I feel the most normal, I feel even, and my arm pits stop sweating.
For the last month I've been trying to quit caffeine. So far I haven't done it methodologically. Sort of like when you are trying to save money but not sitting down and planning it out. So I've been trying to, you know, just not have that third cup, not have the second one, ect. Today I realized, caffeine is not going down without a fight and is not fucking around.
Today I had large cold brew in the morning (substantially more than my usual morning cup). I did not have my second cup. Neither did I had my third. I was sitting on my couch and got up to have some dinner. When I stood up and walked to the kitchen I had this feeling of impending doom and almost like I was going to pass out. I was scared. I had an internal dialog "No way this is from the caffeine. Surely it can't do this to me. There most be something bad going on here. Maybe I should call 911." I told my gf I didn't feel good and had to take a walk. Before I went I said to myself "This is most likely the caffeine." So I grabbed coffee grounds from the coffee jar and ate those suckers raw. Holy shit I'm an addict I thought to myself. I just grabbed raw coffee grounds from the fucking jar like a deprived lunatic.
On the walk I could barely keep my head up. I could walk fine, but felt awful. Gradually I was coming back to life, about an hour after the walk I felt normal again. During the time I was back from the walk I looked up my symptoms and came to this beautiful subreddit and binge read posts on here for 45min straight. I'm not alone thank God. Now I'm writing this post.
This has to end. I can't do this anymore. I'm going to measure out every single one of my dosages of coffee everyday. I'm going to only make my coffee at home and use my french press with the SAME exact grounds every time. I'm going to measure the grounds out, and then measure the amount of liquid coffee I'm pouring in a cup. I'm going to gradually lessen my dosage overtime. I have no idea by how much everyday, but I'm dedicated here. Not a drip of caffeine will be consumed outside of this regime.
Feel free to give me some pointers.

For context i’m 16 Female and i was diagnosed with ADHD in May 2023 and prescribed Dexamfetamine (5mg) two tablets a day. in August that year i was prescribed 40mg of Vyvanse (one capsule a day). The first time i took the Vyvanse my mind was clear and i didn’t have any racing thoughts i felt like a ‘normal’ person….But the crash i experienced was terrible, i felt depressed and overall a in such a horrible mood and would cry over something so small. This happened for the first 3-4 days of taking it and then i just felt like my usual self.
How often i take it definitely fluctuates, i took it roughly everyday for 1-2 months and then i started to take it only a few days a week or a few times a month,sometime a whole week or more and then miss taking it forra bit. ( i forget to take it unless Im going to school, even though if i’m running late in the morning or stressed out, i will forget to take it which happened more in the past 5 months)
As of currently the last time i took it would be 2 months ago or more i’m not sure. I haven’t been able to specifically pin point if it has been working for me, I do think i’m more productive and focused when i take it; but it also suppresses my appetite so much to the point where i will only eat small nibbles of food on the days i take Vyvanse. This appetite issue started around a few months into being prescribed and went from rarely happening to very often. it fluctuates from making me STARVING hungry to the thought of food will make me vomit even tho i’m hungry and want to eat.
Yes. i am aware that seeking medical advice is the first approach! I got diagnosed and prescribed by a Paediatrician, he was an old man and actually retired near the end of last year. I voiced my concerns to him about the appetite loss and explained how some days i would either feel like a zombie, i would feel exactly the same as normal, or i would feel a slight “buzz” and an increase in my attention span although not super significantly for me to be like yep!! i definitely feel it’s working!!. He literally brushed all that off and would kinda ramble on in appointments about random shit (usually the appointments were like 20 mins max) He also gave me my dosage based on my weight,( i am 5’6 and 70kg)
Since he’s retired my GP has control of my prescription and in a year or so i have to get “re-evaluated for my need of the medication.” My prescription refill amount is 5 bottles of both Vyvanse and D-amph. Once my prescription runs out i can meet with my GP,, i have a few repeats of Vyvanse left and am on last bottle of Dex but it is full.
Today i accidentally double dosed on Vyvanse so 40mg+ 40mg as well as two Dexies 5mg + 5mg ,which i’m prescribed to take in the morning along w the Vyvanse (it’s currently 2 am i cannot sleep) and i have experienced EXTREME suppression of my appetite, headaches, excessive sweat, my brain is acting faster than my body and my vision has gone weird,, i feel like im looking through Iphone Portrait mode, my eyes are drowsy and the only sensation i can focus on is my eyes. i do not feel like myself,,looking at my reflection is uncomfortable because i feel like im not me in my body but the only thing that is me are my eyes.,, its hard to explain hopefully someone understands what i am trying to say.
ANYWAYS sorry i rambled a bit... Apart from all that i was very productive on TWO assignments in school today, normally i cant even focus on one 😖 but i completed both these in one sitting.(i did use chat GPT for one but i rewrote it)
Im really satisfied with how productive this dose has made me but not with the side effects as i think i may have OD!,, correct me if i am wrong!! I have some questions if anyone’s willing to help a girl out x
Does anyone have any similar experiences with their ADHD meds?
Have you found increasing your dose more effective or was lowering it better?
What are some tips i could start doing to improve the appetite issue and feelings of dissociation. Maybe my dose it not high enough or too low??
How can you tell or track if your medication is working?
(P.S i do have a history of using 🍃 for about a year,,most recent time was in January and March of this year. Aswell as a nicotine addiction from october 2022 untill around New years 2024. Although occasionally this year i would take hits after school on the bus ride home but i know for sure i haven’t since april 13th/maybe a bit earlier.)
⬆️⬆️⬆️ could this be the cause/trigger of dissociation and symptoms i have, such as genuinely almost severe memory issues for my age and the bad case of VEGGIE BRAIN, i need even the most simplest texts explained to me because i don’t understand anything it’s like i’ve run out of brain storage but there’s nothing being stored??,maybe it combines w med side effects.???
I don’t know anyone experienced on this to ask for advice and have only been diagnosed for a year so It’ll be much appreciated if anyone could help me out here! 🩷🩷

For context i’m 16 Female and i was diagnosed with ADHD in May 2023 and prescribed Dexamfetamine (5mg) two tablets a day. in August that year i was prescribed 40mg of Vyvanse (one capsule a day). The first time i took the Vyvanse my mind was clear and i didn’t have any racing thoughts i felt like a ‘normal’ person….But the crash i experienced was terrible, i felt depressed and overall a in such a horrible mood and would cry over something so small. This happened for the first 3-4 days of taking it and then i just felt like my usual self.
How often i take it definitely fluctuates, i took it roughly everyday for 1-2 months and then i started to take it only a few days a week or a few times a month,sometime a whole week or more and then miss taking it forra bit. ( i forget to take it unless Im going to school, even though if i’m running late in the morning or stressed out, i will forget to take it which happened more in the past 5 months)
As of currently the last time i took it would be 2 months ago or more i’m not sure. I haven’t been able to specifically pin point if it has been working for me, I do think i’m more productive and focused when i take it; but it also suppresses my appetite so much to the point where i will only eat small nibbles of food on the days i take Vyvanse. This appetite issue started around a few months into being prescribed and went from rarely happening to very often. it fluctuates from making me STARVING hungry to the thought of food will make me vomit even tho i’m hungry and want to eat.
Yes. i am aware that seeking medical advice is the first approach! I got diagnosed and prescribed by a Paediatrician, he was an old man and actually retired near the end of last year. I voiced my concerns to him about the appetite loss and explained how some days i would either feel like a zombie, i would feel exactly the same as normal, or i would feel a slight “buzz” and an increase in my attention span although not super significantly for me to be like yep!! i definitely feel it’s working!!. He literally brushed all that off and would kinda ramble on in appointments about random shit (usually the appointments were like 20 mins max) He also gave me my dosage based on my weight,( i am 5’6 and 70kg)
Since he’s retired my GP has control of my prescription and in a year or so i have to get “re-evaluated for my need of the medication.” My prescription refill amount is 5 bottles of both Vyvanse and D-amph. Once my prescription runs out i can meet with my GP,, i have a few repeats of Vyvanse left and am on last bottle of Dex but it is full.
Today i accidentally double dosed on Vyvanse so 40mg+ 40mg as well as two Dexies 5mg + 5mg ,which i’m prescribed to take in the morning along w the Vyvanse (it’s currently 2 am i cannot sleep) and i have experienced EXTREME suppression of my appetite, headaches, excessive sweat, my brain is acting faster than my body and my vision has gone weird,, i feel like im looking through Iphone Portrait mode, my eyes are drowsy and the only sensation i can focus on is my eyes. i do not feel like myself,,looking at my reflection is uncomfortable because i feel like im not me in my body but the only thing that is me are my eyes.,, its hard to explain hopefully someone understands what i am trying to say.
ANYWAYS sorry i rambled a bit... Apart from all that i was very productive on TWO assignments in school today, normally i cant even focus on one 😖 but i completed both these in one sitting.(i did use chat GPT for one but i rewrote it)
Im really satisfied with how productive this dose has made me but not with the side effects as i think i may have OD!,, correct me if i am wrong!! I have some questions if anyone’s willing to help a girl out x
Does anyone have any similar experiences with their ADHD meds?
Have you found increasing your dose more effective or was lowering it better?
What are some tips i could start doing to improve the appetite issue and feelings of dissociation. Maybe my dose it not high enough or too low??
How can you tell or track if your medication is working?
(P.S i do have a history of using 🍃 for about a year,,most recent time was in January and March of this year. Aswell as a nicotine addiction from october 2022 untill around New years 2024. Although occasionally this year i would take hits after school on the bus ride home but i know for sure i haven’t since april 13th/maybe a bit earlier.)
⬆️⬆️⬆️ could this be the cause/trigger of dissociation and symptoms i have, such as genuinely almost severe memory issues for my age and the bad case of VEGGIE BRAIN, i need even the most simplest texts explained to me because i don’t understand anything it’s like i’ve run out of brain storage but there’s nothing being stored??,maybe it combines w med side effects.???
I don’t know anyone experienced on this to ask for advice and have only been diagnosed for a year so It’ll be much appreciated if anyone could help me out here! 🩷🩷

It's been a long time since my last update.
Prev updates summary: Have anal abscess on May 2022, that turned into fistula (seen on endoanal ultrasound scan, on March 2023) and later had my first EUA + fistulectomy surgery by end of May 2023. Having episodes of wound reopen, swelling, unresolved pain, persistent discharged (serous, fresh blood and sometimes purulent discharge) on and off in which had been dismissed again and again due to the abnormal discharges were no longer there everytime I went to primary care/ED/post surgery follow-up; until a visit in mid-October where the primary care doctor confirmed there's concerning swelling filled with pus on the op site. Warded for pain management + infection management several times starting October 2023 till January 2024. Scheduled for Pelvis MRI to rule out recurring FIA by mid December 2023, which shown no internal opening. Going thru another EUA + original plan to excise the infected sinus tract as shown in the MRI; but turns out it's indeed a recurring fistula.
Having similar episodes of wound reopen and purulent discharge + pain on and off (but less nuisance than previous one) post 2nd EUA + re-fistulectomy. I asked all the unanswered questions during my first follow up (3 weeks post op), but was told it's normal and the wound is nicely healing. The same comments during my 2nd follow up (6 weeks post op). In the same week, was discharged from dressing clinic (there's tiny little puncture wound left but most of the time either has no discharge or only seeping serous discharge) and was planned to be discharged by surgical clinic on the next follow up (mid April) if there's no sign of recurrent.
Still taking pain meds religiously, but reduced the dosage since it's Ramadan starting mid-March and I need to fast (I'm Muslim). Having more throbbing and swelling pain episodes, thought it's because I lowered my dosage and didn't taken any pain meds in the day time. Up until the last week of March, my loose stool episodes since forever turned into diarrhoea. Each BM would be accompanied with dripping purulent + fresh blood discharge. Still thinking positive since the wound will resealed itself in few hours (before reopened again after ea toilet visits).
Thursday night, was in so much pain, cramp up to my pubic area and lower abdomen. Sweating so bad, feverish, palpitations, and rapid breathing after each BM. The wound either reopened and has not much fresh blood + purulent discharge, or resealed with pimple like swelling (just a size of peanut). Was a hectic week in office so I can't afford to take any sick leave. Hold until the Saturday, 30/03/2024 where I surrendered myself to ED. Of course the swelling is no longer swollen while I waiting for my turn (triage to green zone due to stable vital and not in so much pain after the swelling wound pop earlier). But, due to my history of recurring FIA that had been dismissed as normal wound healing progress before, they readmit me for another EUA.
31/3/2024 My case was post as emergency case although there's no pus seen on pre-op exam. Plan, 1. EUA 2. If has fistula, to insert seton OR if there's no fistula to proceed with I&D + wound debridement. It's the latter, thanks God. The diagnosis was updated to infected gluteal sinus instead. They debride larger area this time for easy dressing - ~4x4x4cm (my op wounds opening used to be 1.5x1.5cm at large, with 4cm depth).
Today The wound is smaller and only has a very small area waiting for the epidermis layer to be generated fully (~1cmx0.5cm) and the original sinus tract is said to be fully closed.
The thing is, I had another diarrhoea episodes last week and the original tract opening that's been sealed up has been swelling like pimple again (this time only a size of mung bean), reopen, seeping fresh blood and serosanguineous discharges. As per before, since the opening is so small - like a size of needle puncture hole - it easily resealed (and reopen again with each BM). To make it worse, during 5 days I'm having constipated diarrhea last week, there's internal throbbing pressure + I can feel a tract bulging up underneath my skin + there's stool like discharge from the small puncture wound (this didn't happen during the end of March infection pain). I tried to convince myself that I was having incontinence due to having frequent loose stool episodes, but the other signs that came together with it are not helping.
Currently having normal BM with 1-2 loose stool episodes per day; No longer stool like discharge nor can feel the bulging tract-like swelling any longer since the constipation is gone. But starting last afternoon (Sunday, 12/5/2024), for each of my BM, there's fresh blood dripping down into the toilet bowl. It's from the tiny puncture wound which seems to be bigger (if compared, previously it's the size of 24g cannula puncture wound if not sealed and now it's 16g every time it's reopened).
Pain is currently minimal. I only taking pcm BD/TDS + celebrex/tramal/voltaren OD/PRN, but usually only pcm. The most painful is during and few hours after BM. Now I am confused are all these signs of recurring of FIA/infected sinus tract or is it only partof healing process. I hope it is the latter.
Oh, and they transferred my case from colorectal case to general surgery case post op - since there's no longer internal opening found during my latest EUA. They planned to discharge me once the tissue are all regenerate and heal, but there's a part of me telling that I still need to be rule out from recurring FIA with all these recurring symptoms.

I’ve noticed a few women here mention adding extra estrogen gel based on symptoms and I’m considering trying it out. I’m in peri and I have a feeling that my estrogen levels fluctuate wildly, making it hard to find the right dose.
Previously, I just kept upping my dosage. I was at 1mg daily, but I think continuous high dosing eventually made me feel worse overall. Now I’m back to .5 on a patch which feels right at some times of the month, but I still get night sweats, insomnia, and aching hips at other times.
For those of you that supplement a patch with extra gel based on symptoms, what works best for you? Does the fluctuating dosage trigger migraines at all? Thanks!

Hi I have been on TRT but I recently have been getting night sweats. I believe it’s because I have increased the dosage and just wanted to see if the group has experienced this ever. I am trying to find my sweet spot and I believe it’s every 7 days for me. I started doing 5 days and noticed the sweats now.

So a few months ago my doctor cut my estradiol dosage in half and increased my AA dose. I had done my labs less than 24 hours after injecting 0.4ml of estradiol valerate and they later called me and told me my E2 levels were over 1000 and told me to cease taking my medication until my next appointment.
I’m currently prescribed 0.2ml of injectable estradiol valerate every 7 days, 100mg oral progesterone and 50mg bicalutamide daily. I have no idea if this is a normal regimen.
I haven’t gotten labs done yet but I’ve been feeling worse. I wake up at night drenched in sweat which I think may be hot flashes. I’ve been getting spontaneous erections in the morning and have more volume in my ejaculate.
I would really appreciate any advice cause I honestly don’t know what to do about this. There aren’t many other informed consent clinics in my area and my next appointment with my doctor isn’t for another 6 months.
Thanks in advance
TL/DR: my doctor cut my injectable estradiol dose and I’ve been getting symptoms of testosterone dominance.

I’ve been taking (I think) a 5mg dosage for about 4 days now. I think I’ve already noticed side effects.
I don’t feel much better. Also not much worse.
I’m sweating a lot.
I’m always really tired.
I get dizzy very easily now.
I never feel like eating anymore.
I always feel really fatigued.
Did any of you notice these?

Hey everyone, day 2 on 20mg cymbalta and I literally feel like I’m going to die. I woke up completely tense, all my muscles are still, and I am so zoned out I feel like all I can do is stare off into space. I’m having hot flashes and cold sweats, and my toes are numb and tingling. I also feel bad mentally, just very bad irritability. My stomach is also killing me and dinner was the first meal I’d eaten all day. I’ve tried a lot of medications and I know that you usually have to power through side effects in the beginning, but I’m wondering how do I know if they’re bad enough to discontinue the medication?
My psychiatrist isn’t in tomorrow so I am going to go to my pediatrician because she is very knowledgeable about these medications and has been extremely helpful. I’m just wondering if I should take it tonight.

I randomly got very sick a few years ago. I am not sure of the cause, but I believe it may have been COVID, which I believe unfortunately spurred on a pretty severe autoimmune/inflammatory reaction. It came on very sudden, first with brain fog, then a dull pressure headache, and then muscle twitching, what felt like a fever, neuropathy on the left side of my body (It began in my face and went downwards, used to affect both sides but only the left side now), ear ringing, throbbing headaches, upper body burning pain, dizziness, memory issues, neck stiffness, sinus inflammation that caused watery mucus, and other issues. I remember one day about a month into my issues, I had an extreme warmness in my face and nearly constant ear ringing on and off. It was the strangest thing.
I was able to see a PCP about a month into my issues. My PCP did not seem to consider my issues of an urgent nature, even with sudden neuropathy, memory loss, dizziness, etc. I had a CT scan of my brain 3 months after initial illness which showed mild volume loss and possible encephalomalacia.
It took me a year to finally see a neurologist for it due to waiting times. The first one I saw was dismissive and literally told me to "wait it out" and see if I got better (I didn't). The second one I saw, and saw the longest, didn't even see me personally the first time, and had his nurse look at me instead, and did really nothing for my issues save for trying a very small dosage of Gabapentin for a few months as well as vitamin supplements, which I stopped taking due to it not doing anything for me. The third one I saw for a second opinion of the second one told me "I don't know what's causing your symptoms" and just left it at that. I saw a rheumatologist in 2022 who also didn't do anything for my neuropathy, just more blood work testing.
I recently found out the second neurologist I saw who I saw for years was successfully sued for malpractice while I saw him, but in another state. I believe he does telehealth neurology. He was sued in Georgia and settled for 175,000 dollars in late 2022. I had been seeing him since late 2021, and last saw him in person in late 2023 where he blamed my issues on "stress" and left it at that.
I told numerous doctors/specialists about chronic body inflammation feelings, such as intense upper body burning, head pressure, dizziness/vertigo, memory issues, neuropathy, etc. and they have never ordered a spinal tap to see if there was something in the CSF causing the chronic feeling. I have had brain MRIs that showed possible idiopathic intracranial hypertension with mild CSF buildup in the optic nerve and a partially empty sella turcica, but again, no spinal tap was ordered because my eye exam by a neuro-ophthalmologist was clean and showed no swelling. My brain MRIs also showed volume loss possibly caused by encephalomalacia, again, no spinal tap done.
I've had blood work for lupus and celiac that was negative, and an ANA rating that was barely positive. Normal rheumatoid factor and negative for Sjogren's as well. I just checked and I believe I am negative for vasculitis as well, Antineutrophil cytoplasmic antibody test was negative looking back at my testing in 2022. I also had a sinus CT scan a year into my issues that showed mild sinusitis. I am not diabetic but I was pre-diabetic when this began. Glucose testing has been normal, cholesterol is fine, lipids are fine. B12 is normal, but vitamin D is low.
It has been almost 3 years now and I still have neuropathy in certain parts of the left side of my body (mainly my face and genitals, I'm male and was born male) and again, nothing was done for me regarding a spinal tap, which is the only test outside of a PET scan that I haven't done which could be helpful for me as far as I know. I saw that third neurologist for a second opinion, and all he did was say maybe to get a spinal tap if I have chronic headaches, but other than that, like I said, he said outright he didn't know what was causing my symptoms.
I cannot work with how I feel, and it feels like neurologists and doctors in general left me to rot and deal with the chronic issues on my own, and now I'm going to be stuck with long-term, permanent issues such as nerve damage in my face and genitals because no doctor cares. I have ED and anorgasmia now along with the neuropathy that affects my genital area. It's just on the left side for some reason. It used to be tingling/burning on the left side of my genital area and face and now is reduced sensitivity issues. In 2021 I had a very sharp pain on the left side of my penis when I touched the right side of it, it was very scary and made me believe the nerve may have died, but that went away with very slow improvement, but that side is still not back to normal.
I still sometimes have dizziness and headaches, for instance, if I'm in a car and I watch the cars speed by us at an intersection, I'll feel sort of dizzy. It's not as bad as it was, but it's still not normal to feel like that, and no doctor has done anything for that or suggested it.
Am I wrong to think a spinal tap should have been ordered? Is there any reason they didn't, even after I asked? 0 out of the 3 neurologists I've seen in the past three years or so recommended one, so I did try getting second and even third opinions. The first neurologist genuinely just brushed me off, he didn't even order any testing. Just sent me on my way without a follow up appointment after saying to "wait it out".
I live in America and am on my state's Medicaid. I recently switched PCPs (my previous one was condescending and didn't seem interested in my issues) and the new PCP referred me to a new neurologist I'm going to see later this year, but it just feels at this point all they can do is assess the damage and not fix it due to it being so long since I got sick and my issues never really totally fixing itself.
I had an MRA of my head last month that was clean thankfully, so I think I didn't have a hemorrhagic stroke or some sort of blood vessel damage in my arteries. I saw a neurosurgeon about two weeks ago that I last saw in 2021 who still believes my cerebral atrophy (which I'm guessing is the volume loss likely caused by encephalomalacia) is abnormal for my age (mid-20s). The neurosurgeon's notes say my current neurologist believes I may have small fiber neuropathy as well as a cognitive disorder, but he has not prescribed a single thing since the low dosage of Gabapentin over two years ago.
The only real testing I have left is neuropsychological testing which will be a few hours. I am 90% positive that my issues are from something, likely a virus, causing severe chronic inflammation all over my body including my head. I was never in the past 3.5 years given anything to treat that inflammation.
I recently saw a new neurologist which is my 4th neurologist since 2021. He seemed genuinely interested in what had happened to me and found the symptoms frustrating because of how vague they were/are, but it was in a "I wish i knew so I could help you" way, which I've never seen with a previous doctor I've seen. He said a spinal tap in 2021 may have been useful but didn't think it was essential testing for my issues, said he might have tried Prednisone for a couple of weeks to see if it helped with inflammation, but that was it. He said since I'm still seeing very slow improvement, my nerves may still heal, but is that true, even this late into it? I feel the previous neurologists I saw didn't care at all, and I finally found one that does, but it's too late to make a difference. He said trying B12 supplements and Cymbalta might help. He wants me to get a lumbar MRI to see why I have nerve issues in my genital area. He didn't think I had GBS/AIDP or something like that either, but he did think a viral cause could be possible. He was all I could ask for a specialist like this, but again, seems too late to matter. I just don't know what to do.
TL;DR: Got very sick years ago, told doctors of body weakness and pain, what felt like inflammation in my body, nerve damage, memory issues, etc. was not given any real treatment for what was still occurring in my body, which seemed to be chronic severe inflammation going on. If I get told I have permanent nerve damage/brain damage that was most likely from what I believe it to be, what would constitute the doctors I saw falling below the acceptable standard of care? Does anything in my story so far seem like negligence from doctors?
Please feel free to ask questions, and apologies for the length of my post.

So recently I’ve decided to take a tolerance break from weed. I would smoke everyday but would always take my first hit after like 7pm so I didn’t think I would experience many withdraw symptoms but I was wrong. I thought trying zynns in place of that would help prevent me from smoking at night to keep up with my t break. For context, I quit vaping, and any nicotine cold turkey almost 2 years ago and haven’t consumed any nicotine products since. I got a pack of 3mg cool mint zynns thinking it would be ok since they were the smallest dosage. After about 15 minutes of having the zynn in I got nic sick. Broke out in sweat, stomach hurt, etc. but 10 minutes after taking the zynn out I ended up throwing up. I’ve gotten nic sick plenty of times in the past but never once did I puke. Was this due to the zynn and not Intaking any nicotine for over a year? Or was the unrelated and maybe due to something I ate? Doesn’t really matter to me but regardless I think I’m done with zynns lmao.

Hi all, quick one for you. I’m 26 years old and Male. I’ve been on 300mg Venlafaxine XL (Vencarm) (Effexor) for about 4 years now.
I’ve noticed the usual side effects such as sweating and appetite and whatever, but a problem I am having is weight gain. I CANNOT lose weight, no matter what I do. I’ve been steadily 22st (139kg) for years now.
Obviously this is affecting my self esteem and quality of life to a massive degree and I need help, but my medical practitioner is extremely unhelpful and unsympathetic. Their advice is “exercise and eat less” regardless of me telling them I eat 1,200 calories a day and exercise as much as I’m able on my good days.
I’ve been on sertraline, venlafaxine, escitalopram, mirtazapine and a few others that escape me. I would rather not swap again as it’s very mentally taxing.
My questions are as follows:
Is my dosage of 300mg too much? I’ve seen many papers and posts agreeing that anything more than 150mg can have more severe side effects and no noticable benefits. I have to agree, I feel much the same on 300 as I did on 150. Could lowering my dosage to 150 help my weight loss? I’d like some opinions before I try as my GP just really doesn’t seem to understand what I’m asking.
I’ve considered taking Wegovy (Semaglutide) as that seems to be very good for weight loss. Any opinions regards that? It’s quite expensive but I’ll do anything at this point to get back to how my body used to be.
Should I cut out sugar and fats entirely? I’m autistic and my safe foods tend to be simple things such as cheese sandwiches, but I make sure to weigh the cheese so I’m tracking the calories.
Will lowering my dose help with sweating/heat management? I find I can’t regulate heat properly anymore and I’m always warm, sweating etc.
Thank you for your time!

Hey! I recently messaged this to someone via DM, and whilst writing it, I thought, why not share it with some of the groups, as it could also help others?
FYI, I do not guarantee that these tips will work for you. This is my experience, and I wanted to share it in case someone else finds it useful.
Anyhow! Thread below!
My first experience happened in May last year. I had been depressed for years and struggled with social anxiety, but it was never physical, only emotional.
Anyway, I was staying at a hotel (temporary accommodation) with my family, and whilst I was getting ready to settle into bed, I had this random, overwhelming sense of dread, like something terrible was about to happen (I want to be clear that I was not stressed at the time. In fact, I had just had a nice shower and was talking to my eldest daughter minutes before about her birthday).
This feeling of dread quickly worsened. I had sharp pains in my chest and palpitations. I was wearing an Apple Watch and could see my resting heart rate reaching 160. I felt sick and lightheaded. I was convinced that I was having a heart attack. I woke my partner and said I needed to go to the emergency unit. I felt so unwell; all happened at the drop of a hat.
I got to out of hours, waited for hours to be seen in and out, had blood taken, blood pressure checked, an ECG, the lot.
At half five in the morning, they eventually called me in and said that they hadn’t found anything wrong with me and that I was having an anxiety attack.
I almost laughed. There is no way that all those physical symptoms came from anxiety. I refused to believe it.
They sent me home. I went to bed all day because I still felt unwell after that “episode.” I never thought that this would be the start of what I would call the worst year of my life.
Every day, I had physical symptoms and more: intrusive thoughts, chest tremors constantly, lightheadedness, palpitations, pins and needs, muscle spasms, sweating, hyperventilation, dizziness, headaches, high blood pressure, low iron, numbness, fatigue, nausea and shortness of breath. I could go on and on and on about all the physical symptoms I encountered—with only respite when sleeping.
The doctors became my second home. I was back and forth the surgery like a yo-yo every other day, pleading for help and answers as I was still in denial about the anxiety.
At one point, I could see that I was also frustrating the doctors because their faces would be like, “Here we go again” the second I walked in, which was the stickler.
No matter what, whether it was anxiety-related or not, I was suffering, and I did not back down without a fight. I think this is very important when it comes to our health. Doctors go home and think no more about their patients that day, whereas we, the ones who are suffering, are more often than not crying ourselves to sleep and thinking we’re going to die.
So, I wanted everything ruled out before I even considered anxiety. I wanted to be sure that I was not being palmed off with anxiety when there could have been underlying health conditions, which brings me to the next part of me telling you not to let medical professionals invalidate your thoughts or shut the door in your face. Make sure you go to bat for yourself and your health because no one else is going to do it for you.
Now, the turning point. Over the course of last year, I had multiple ECGs, Echograms, Chest X-rays, Full Blood Count Tests, Water samples, Blood Pressure Checks, Body Examinations, Heart Monitors, Lung Function Tests, the lot. The only thing I did not push for was an MRI scan because I never really had issues with head pains.
Meanwhile, I was prescribed propranolol, and honestly, I took those happily because, if nothing else, they minimised the palpitations and calmed down the racing heart issues when I was unwell.
Back to all the tests. I’ve had many tests, appointments, examinations, etc.; ultimately, every result came back normal or benign. I was healthy. No heart problems. No lung problems. No breathing issues. The mind purely caused every physical symptom I had.
I finally relented. There is no more they can do to check me. Everything is fine; this is anxiety, and I had to start working with them, not against them (However, I am not sorry for pushing as hard as I did. It would have been all the same if something was seriously wrong and overlooked because of their quick miscalculation).
With this, I finally agreed to receive the appropriate help. I was placed on Sertraline 50mg to help tackle the anxiety; I won’t lie; this medication is not for the faint of heart. It comes with a ton of side effects, and you feel worse before you feel better.
What I found with Sertraline is it’s not an overnight process. I had to go up in stages, 50mg, 75mg, 100mg and currently, 125mg.
What I will say is with every upped dosage, the physical symptoms of anxiety slowly ebbed away. And it was like one at a time. For instance, I still had chest tremors and breathing difficulties until I reached 100mg.
As it stands, I only have the occasional tremor and dizziness, so my next appointment will be requesting the next dose of 150mg.
Moreover, the depressing and social anxiety issues I had before the panic attacks have also minimised to nothing. I’m just not bothered by the stuff that used to consume me. I’m no longer debilitated by fear or depression and so on.
Alongside medication and medical advice, I did my research on how to help myself get out of this dark hole I had somehow fallen into.
I listen to hypnosis before bed. There are free ones on Spotify, and they’re super helpful for getting you to relax while settling down. Adam Cox is a personal favourite.
This one is easier said than done, but breathing. Breathing is so important. When you feel that twinge, sting, or any symptom that aches, hurts, and so on, tell yourself not to be alarmed, take a deep breath, hold it for three seconds, and then exhale. You want to work through this breathing technique until you can hold your breath for ten seconds, then exhale. Eventually, the panic will pass, and you’ll be fine.
Ice cold water. When my panic attacks (mostly the initial stages) consumed me to the point I could not think clearly or stop the panic, I would fill a massive bowl of ice-cold water and dunk my head inside; I would hold it there whilst holding my breath, only resurfacing in intervals to inhale and exhale. Sometimes, I would need to do this for a good 20 minutes, especially at the beginning, but ultimately, it helped to allow those thoughts and symptoms to pass.
Keep yourself busy. Again, in the initial stages, it’s hard to think about anything other than what you’re going through. It’s always worry, worry, worry. You have to force yourself to get up and go. Be around people. Keep yourself occupied and always on the go. This seriously helped me, as there was barely any room to mull around and think about everything with my body. It's a good distraction, if you may.
More showers. Sounds silly because we shower once/multiple times a day anyway, but whenever I felt unwell, tired, or worried, I would jump in the shower, preferably lukewarm or cool. It was refreshing. It woke me up a bit and calmed me for a while.
I won’t go into too much on this one because it’s self-explanatory anyway. Still, intimacy with yourself or your partner also serves as a great distraction and releases dopamine, which increases happiness and all that jazz.
Peace of mind. One of the biggest struggles I had was not having peace of mind. I think this is important because knowing that you’re safe, that you’re not going to die, and that you’re not alone is crucial for your mind. You need to hear it to believe it.
So, a doctor confirming you don’t have, for example, a heart problem is enough for you to be relieved, or if your partnefriend/family member is in the house with you when you’re feeling unwell, it allows carefree contentment because you know, no matter what, someone is watching over you.
Music. Mediation, choir, white noise, background tracks, whatever works for you. I also used this technique some nights when doing breathing exercises. It just helped me to relax.
Tell yourself that you are okay and believe it. If you don’t think it, it will pass. Focus on mental strength and resilience. I had to speak to a hypnotherapist about this. Her name is Angharad Parry. I found her on the internet, and she is fantastic. I usually do a Zoom call with her once a week to avoid needing her services anymore. She’s also super understanding and helpful, and she gets it!
Exercise. Diet. Goals. Focus. You can easily find all these on the internet. It might sound cliche, but these adjustments do help.
Acceptance. One of the first triggers I had with depression and anxiety was my issues with self-love. I was always so quick to find problems with myself, with how I am as a person, with how I looked, and with how others might perceive me, and such negative thoughts created a monster.
It’s taken a long, long time, and I’m nowhere near 100%, but I’m trying to be better at myself. I’m not being so hard on myself anymore and accepting that whatever is out of my control does not need to be the focal point of my attention. I give myself taps on the back now (not literally) and focus on the good things I do, the things I love and like about myself, and so on.
Also, instead of focusing on all the negatives around me, I focus on the tiny, everyday stuff that makes me happy, like my autistic son’s milestones or my eldest daughter’s academic achievements. I focus on getting that Starbucks I love before work or a book I am currently obsessed with.
Anyway, I went on much longer than I intended, lol. I hope you can find some positive things out of this essay. 🤣
If you have any questions or want to talk more about what you’re going through, I’m happy to listen and help wherever I can.
Stay strong. You got this!

Hey! I recently messaged this to someone via DM, and whilst writing it, I thought, why not share it with some of the groups, as it could also help others?
FYI, I do not guarantee that these tips will work for you. This is my experience, and I wanted to share it in case someone else finds it useful.
Anyhow! Thread below!
My first experience happened in May last year. I had been depressed for years and struggled with social anxiety, but it was never physical, only emotional.
Anyway, I was staying at a hotel (temporary accommodation) with my family, and whilst I was getting ready to settle into bed, I had this random, overwhelming sense of dread, like something terrible was about to happen (I want to be clear that I was not stressed at the time. In fact, I had just had a nice shower and was talking to my eldest daughter minutes before about her birthday).
This feeling of dread quickly worsened. I had sharp pains in my chest and palpitations. I was wearing an Apple Watch and could see my resting heart rate reaching 160. I felt sick and lightheaded. I was convinced that I was having a heart attack. I woke my partner and said I needed to go to the emergency unit. I felt so unwell; all happened at the drop of a hat.
I got to out of hours, waited for hours to be seen in and out, had blood taken, blood pressure checked, an ECG, the lot.
At half five in the morning, they eventually called me in and said that they hadn’t found anything wrong with me and that I was having an anxiety attack.
I almost laughed. There is no way that all those physical symptoms came from anxiety. I refused to believe it.
They sent me home. I went to bed all day because I still felt unwell after that “episode.” I never thought that this would be the start of what I would call the worst year of my life.
Every day, I had physical symptoms and more: intrusive thoughts, chest tremors constantly, lightheadedness, palpitations, pins and needs, muscle spasms, sweating, hyperventilation, dizziness, headaches, high blood pressure, low iron, numbness, fatigue, nausea and shortness of breath. I could go on and on and on about all the physical symptoms I encountered—with only respite when sleeping.
The doctors became my second home. I was back and forth the surgery like a yo-yo every other day, pleading for help and answers as I was still in denial about the anxiety.
At one point, I could see that I was also frustrating the doctors because their faces would be like, “Here we go again” the second I walked in, which was the stickler.
No matter what, whether it was anxiety-related or not, I was suffering, and I did not back down without a fight. I think this is very important when it comes to our health. Doctors go home and think no more about their patients that day, whereas we, the ones who are suffering, are more often than not crying ourselves to sleep and thinking we’re going to die.
So, I wanted everything ruled out before I even considered anxiety. I wanted to be sure that I was not being palmed off with anxiety when there could have been underlying health conditions, which brings me to the next part of me telling you not to let medical professionals invalidate your thoughts or shut the door in your face. Make sure you go to bat for yourself and your health because no one else is going to do it for you.
Now, the turning point. Over the course of last year, I had multiple ECGs, Echograms, Chest X-rays, Full Blood Count Tests, Water samples, Blood Pressure Checks, Body Examinations, Heart Monitors, Lung Function Tests, the lot. The only thing I did not push for was an MRI scan because I never really had issues with head pains.
Meanwhile, I was prescribed propranolol, and honestly, I took those happily because, if nothing else, they minimised the palpitations and calmed down the racing heart issues when I was unwell.
Back to all the tests. I’ve had many tests, appointments, examinations, etc.; ultimately, every result came back normal or benign. I was healthy. No heart problems. No lung problems. No breathing issues. The mind purely caused every physical symptom I had.
I finally relented. There is no more they can do to check me. Everything is fine; this is anxiety, and I had to start working with them, not against them (However, I am not sorry for pushing as hard as I did. It would have been all the same if something was seriously wrong and overlooked because of their quick miscalculation).
With this, I finally agreed to receive the appropriate help. I was placed on Sertraline 50mg to help tackle the anxiety; I won’t lie; this medication is not for the faint of heart. It comes with a ton of side effects, and you feel worse before you feel better.
What I found with Sertraline is it’s not an overnight process. I had to go up in stages, 50mg, 75mg, 100mg and currently, 125mg.
What I will say is with every upped dosage, the physical symptoms of anxiety slowly ebbed away. And it was like one at a time. For instance, I still had chest tremors and breathing difficulties until I reached 100mg.
As it stands, I only have the occasional tremor and dizziness, so my next appointment will be requesting the next dose of 150mg.
Moreover, the depressing and social anxiety issues I had before the panic attacks have also minimised to nothing. I’m just not bothered by the stuff that used to consume me. I’m no longer debilitated by fear or depression and so on.
Alongside medication and medical advice, I did my research on how to help myself get out of this dark hole I had somehow fallen into.
I listen to hypnosis before bed. There are free ones on Spotify, and they’re super helpful for getting you to relax while settling down. Adam Cox is a personal favourite.
This one is easier said than done, but breathing. Breathing is so important. When you feel that twinge, sting, or any symptom that aches, hurts, and so on, tell yourself not to be alarmed, take a deep breath, hold it for three seconds, and then exhale. You want to work through this breathing technique until you can hold your breath for ten seconds, then exhale. Eventually, the panic will pass, and you’ll be fine.
Ice cold water. When my panic attacks (mostly the initial stages) consumed me to the point I could not think clearly or stop the panic, I would fill a massive bowl of ice-cold water and dunk my head inside; I would hold it there whilst holding my breath, only resurfacing in intervals to inhale and exhale. Sometimes, I would need to do this for a good 20 minutes, especially at the beginning, but ultimately, it helped to allow those thoughts and symptoms to pass.
Keep yourself busy. Again, in the initial stages, it’s hard to think about anything other than what you’re going through. It’s always worry, worry, worry. You have to force yourself to get up and go. Be around people. Keep yourself occupied and always on the go. This seriously helped me, as there was barely any room to mull around and think about everything with my body. It's a good distraction, if you may.
More showers. Sounds silly because we shower once/multiple times a day anyway, but whenever I felt unwell, tired, or worried, I would jump in the shower, preferably lukewarm or cool. It was refreshing. It woke me up a bit and calmed me for a while.
I won’t go into too much on this one because it’s self-explanatory anyway. Still, intimacy with yourself or your partner also serves as a great distraction and releases dopamine, which increases happiness and all that jazz.
Peace of mind. One of the biggest struggles I had was not having peace of mind. I think this is important because knowing that you’re safe, that you’re not going to die, and that you’re not alone is crucial for your mind. You need to hear it to believe it.
So, a doctor confirming you don’t have, for example, a heart problem is enough for you to be relieved, or if your partnefriend/family member is in the house with you when you’re feeling unwell, it allows carefree contentment because you know, no matter what, someone is watching over you.
Music. Mediation, choir, white noise, background tracks, whatever works for you. I also used this technique some nights when doing breathing exercises. It just helped me to relax.
Tell yourself that you are okay and believe it. If you don’t think it, it won’t pass. Focus on mental strength and resilience. I had to speak to a hypnotherapist about this. Her name is Angharad Parry. I found her on the internet, and she is fantastic. I usually do a Zoom call with her once a week to avoid needing her services anymore. She’s also super understanding and helpful, and she gets it!
Exercise. Diet. Goals. Focus. You can easily find all these on the internet. It might sound cliche, but these adjustments do help.
Acceptance. One of the first triggers I had with depression and anxiety was my issues with self-love. I was always so quick to find problems with myself, with how I am as a person, with how I looked, and with how others might perceive me, and such negative thoughts created a monster.
It’s taken a long, long time, and I’m nowhere near 100%, but I’m trying to be better at myself. I’m not being so hard on myself anymore and accepting that whatever is out of my control does not need to be the focal point of my attention. I give myself taps on the back now (not literally) and focus on the good things I do, the things I love and like about myself, and so on.
Also, instead of focusing on all the negatives around me, I focus on the tiny, everyday stuff that makes me happy, like my autistic son’s milestones or my eldest daughter’s academic achievements. I focus on getting that Starbucks I love before work or a book I am currently obsessed with.
Anyway, I went on much longer than I intended, lol. I hope you can find some positive things out of this essay. 🤣
If you have any questions or want to talk more about what you’re going through, I’m happy to listen and help wherever I can.
Stay strong. You got this!

Hey! I recently messaged this to someone via DM, and whilst writing it, I thought, why not share it with some of the groups, as it could also help others?
FYI, I do not guarantee that these tips will work for you. This is my experience, and I wanted to share it in case someone else finds it useful.
Anyhow! Thread below!
My first experience happened in May last year. I had been depressed for years and struggled with social anxiety, but it was never physical, only emotional.
Anyway, I was staying at a hotel (temporary accommodation) with my family, and whilst I was getting ready to settle into bed, I had this random, overwhelming sense of dread, like something terrible was about to happen (I want to be clear that I was not stressed at the time. In fact, I had just had a nice shower and was talking to my eldest daughter minutes before about her birthday).
This feeling of dread quickly worsened. I had sharp pains in my chest and palpitations. I was wearing an Apple Watch and could see my resting heart rate reaching 160. I felt sick and lightheaded. I was convinced that I was having a heart attack. I woke my partner and said I needed to go to the emergency unit. I felt so unwell; all happened at the drop of a hat.
I got to out of hours, waited for hours to be seen in and out, had blood taken, blood pressure checked, an ECG, the lot.
At half five in the morning, they eventually called me in and said that they hadn’t found anything wrong with me and that I was having an anxiety attack.
I almost laughed. There is no way that all those physical symptoms came from anxiety. I refused to believe it.
They sent me home. I went to bed all day because I still felt unwell after that “episode.” I never thought that this would be the start of what I would call the worst year of my life.
Every day, I had physical symptoms and more: intrusive thoughts, chest tremors constantly, lightheadedness, palpitations, pins and needs, muscle spasms, sweating, hyperventilation, dizziness, headaches, high blood pressure, low iron, numbness, fatigue, nausea and shortness of breath. I could go on and on and on about all the physical symptoms I encountered—with only respite when sleeping.
The doctors became my second home. I was back and forth the surgery like a yo-yo every other day, pleading for help and answers as I was still in denial about the anxiety.
At one point, I could see that I was also frustrating the doctors because their faces would be like, “Here we go again” the second I walked in, which was the stickler.
No matter what, whether it was anxiety-related or not, I was suffering, and I did not back down without a fight. I think this is very important when it comes to our health. Doctors go home and think no more about their patients that day, whereas we, the ones who are suffering, are more often than not crying ourselves to sleep and thinking we’re going to die.
So, I wanted everything ruled out before I even considered anxiety. I wanted to be sure that I was not being palmed off with anxiety when there could have been underlying health conditions, which brings me to the next part of me telling you not to let medical professionals invalidate your thoughts or shut the door in your face. Make sure you go to bat for yourself and your health because no one else is going to do it for you.
Now, the turning point. Over the course of last year, I had multiple ECGs, Echograms, Chest X-rays, Full Blood Count Tests, Water samples, Blood Pressure Checks, Body Examinations, Heart Monitors, Lung Function Tests, the lot. The only thing I did not push for was an MRI scan because I never really had issues with head pains.
Meanwhile, I was prescribed propranolol, and honestly, I took those happily because, if nothing else, they minimised the palpitations and calmed down the racing heart issues when I was unwell.
Back to all the tests. I’ve had many tests, appointments, examinations, etc.; ultimately, every result came back normal or benign. I was healthy. No heart problems. No lung problems. No breathing issues. The mind purely caused every physical symptom I had.
I finally relented. There is no more they can do to check me. Everything is fine; this is anxiety, and I had to start working with them, not against them (However, I am not sorry for pushing as hard as I did. It would have been all the same if something was seriously wrong and overlooked because of their quick miscalculation).
With this, I finally agreed to receive the appropriate help. I was placed on Sertraline 50mg to help tackle the anxiety; I won’t lie; this medication is not for the faint of heart. It comes with a ton of side effects, and you feel worse before you feel better.
What I found with Sertraline is it’s not an overnight process. I had to go up in stages, 50mg, 75mg, 100mg and currently, 125mg.
What I will say is with every upped dosage, the physical symptoms of anxiety slowly ebbed away. And it was like one at a time. For instance, I still had chest tremors and breathing difficulties until I reached 100mg.
As it stands, I only have the occasional tremor and dizziness, so my next appointment will be requesting the next dose of 150mg.
Moreover, the depressing and social anxiety issues I had before the panic attacks have also minimised to nothing. I’m just not bothered by the stuff that used to consume me. I’m no longer debilitated by fear or depression and so on.
Alongside medication and medical advice, I did my research on how to help myself get out of this dark hole I had somehow fallen into.
I listen to hypnosis before bed. There are free ones on Spotify, and they’re super helpful for getting you to relax while settling down. Adam Cox is a personal favourite.
This one is easier said than done, but breathing. Breathing is so important. When you feel that twinge, sting, or any symptom that aches, hurts, and so on, tell yourself not to be alarmed, take a deep breath, hold it for three seconds, and then exhale. You want to work through this breathing technique until you can hold your breath for ten seconds, then exhale. Eventually, the panic will pass, and you’ll be fine.
Ice cold water. When my panic attacks (mostly the initial stages) consumed me to the point I could not think clearly or stop the panic, I would fill a massive bowl of ice-cold water and dunk my head inside; I would hold it there whilst holding my breath, only resurfacing in intervals to inhale and exhale. Sometimes, I would need to do this for a good 20 minutes, especially at the beginning, but ultimately, it helped to allow those thoughts and symptoms to pass.
Keep yourself busy. Again, in the initial stages, it’s hard to think about anything other than what you’re going through. It’s always worry, worry, worry. You have to force yourself to get up and go. Be around people. Keep yourself occupied and always on the go. This seriously helped me, as there was barely any room to mull around and think about everything with my body. It's a good distraction, if you may.
More showers. Sounds silly because we shower once/multiple times a day anyway, but whenever I felt unwell, tired, or worried, I would jump in the shower, preferably lukewarm or cool. It was refreshing. It woke me up a bit and calmed me for a while.
I won’t go into too much on this one because it’s self-explanatory anyway. Still, intimacy with yourself or your partner also serves as a great distraction and releases dopamine, which increases happiness and all that jazz.
Peace of mind. One of the biggest struggles I had was not having peace of mind. I think this is important because knowing that you’re safe, that you’re not going to die, and that you’re not alone is crucial for your mind. You need to hear it to believe it.
So, a doctor confirming you don’t have, for example, a heart problem is enough for you to be relieved, or if your partnefriend/family member is in the house with you when you’re feeling unwell, it allows carefree contentment because you know, no matter what, someone is watching over you.
Music. Mediation, choir, white noise, background tracks, whatever works for you. I also used this technique some nights when doing breathing exercises. It just helped me to relax.
Tell yourself that you are okay and believe it. If you don’t think it, it won’t pass. Focus on mental strength and resilience. I had to speak to a hypnotherapist about this. Her name is Angharad Parry. I found her on the internet, and she is fantastic. I usually do a Zoom call with her once a week to avoid needing her services anymore. She’s also super understanding and helpful, and she gets it!
Exercise. Diet. Goals. Focus. You can easily find all these on the internet. It might sound cliche, but these adjustments do help.
Acceptance. One of the first triggers I had with depression and anxiety was my issues with self-love. I was always so quick to find problems with myself, with how I am as a person, with how I looked, and with how others might perceive me, and such negative thoughts created a monster.
It’s taken a long, long time, and I’m nowhere near 100%, but I’m trying to be better at myself. I’m not being so hard on myself anymore and accepting that whatever is out of my control does not need to be the focal point of my attention. I give myself taps on the back now (not literally) and focus on the good things I do, the things I love and like about myself, and so on.
Also, instead of focusing on all the negatives around me, I focus on the tiny, everyday stuff that makes me happy, like my autistic son’s milestones or my eldest daughter’s academic achievements. I focus on getting that Starbucks I love before work or a book I am currently obsessed with.
Anyway, I went on much longer than I intended, lol. I hope you can find some positive things out of this essay. 🤣
If you have any questions or want to talk more about what you’re going through, I’m happy to listen and help wherever I can.
Stay strong. You got this!

Title: Understanding Fentanyl: Uses, Risks, and Controversies
Introduction: Fentanyl, a potent synthetic opioid, has gained significant attention in recent years due to its role in the opioid epidemic. This article aims to provide a comprehensive overview of fentanyl, including its medical uses, associated risks, and the controversies surrounding its widespread misuse.
Medical Uses: Originally developed for managing severe pain, especially in cancer patients, fentanyl is an analgesic that is 50 to 100 times more potent than morphine. It is commonly used in medical settings for pain management during surgeries, chronic pain conditions, and palliative care.
Risk Factors: While fentanyl is effective in controlling pain when administered under medical supervision, its misuse poses serious health risks. The drug's high potency increases the likelihood of overdose, leading to respiratory depression and, in extreme cases, death. Illicitly manufactured fentanyl, often mixed with other substances, has been a major contributor to the rising number of opioid-related deaths.
Controversies and Illicit Use: The illicit use of fentanyl has sparked controversy and public health concerns. The drug is often clandestinely produced and added to other drugs, such as heroin or cocaine, without the user's knowledge. This has resulted in a surge in overdoses, as individuals may unintentionally consume lethal doses of the opioid.
Law Enforcement and Regulation: Governments and law enforcement agencies worldwide are grappling with the challenges posed by the illicit production and distribution of fentanyl. Efforts to regulate its manufacturing and distribution are ongoing, with stricter controls in place to prevent diversion into illegal channels.
Treatment and Harm Reduction: Addressing the fentanyl crisis requires a multi-faceted approach, including expanded access to addiction treatment, harm reduction strategies, and public awareness campaigns. Naloxone, an opioid receptor antagonist, has proven effective in reversing opioid overdoses and is increasingly available to first responders and the general public.
Conclusion: Fentanyl, with its remarkable pain-relieving properties, has become a double-edged sword in the realm of healthcare. While it serves a crucial role in medical settings, its misuse poses severe risks to public health. Efforts to combat the opioid epidemic must focus on education, regulation, and treatment to strike a balance between managing pain effectively and preventing the tragic consequences of its illicit use.
Narcan, also known by its generic name naloxone, is a medication used to rapidly reverse opioid overdose. It works by binding to the same receptors in the brain that opioids target, effectively reversing the life-threatening effects of opioid toxicity. Narcan is commonly administered in emergency situations where an individual is experiencing respiratory depression or unconsciousness due to opioid overdose.
Emergency responders, healthcare professionals, and even some non-professionals, such as family members of individuals at risk of opioid overdose, may carry naloxone. The medication is available in various forms, including nasal sprays and injectable formulations, making it accessible for different situations.
The prompt administration of Narcan can restore normal breathing and consciousness, providing crucial time for the affected person to receive further medical attention. It is an essential tool in harm reduction strategies aimed at preventing opioid-related deaths and is a key component of public health initiatives addressing the opioid epidemic.
Suboxone is a prescription medication used in the treatment of opioid dependence and addiction. It is a combination of two active ingredients: buprenorphine and naloxone.

1. Buprenorphine: This is a partial opioid agonist, meaning it binds to the same receptors in the brain that opioids bind to but with less intensity. It helps to reduce cravings and withdrawal symptoms, allowing individuals in recovery to better manage their addiction.
   
2. Naloxone: Naloxone is an opioid receptor antagonist, which means it blocks the effects of opioids. When taken as directed, naloxone remains largely inactive. However, if someone were to misuse Suboxone by injecting it, the naloxone component can counteract the opioid effects, reducing the risk of misuse.
   

Suboxone is often prescribed as part of medication-assisted treatment (MAT), a comprehensive approach to opioid addiction that includes counseling, therapy, and support services. It can be used in the detoxification phase as well as for long-term maintenance therapy. The goal of Suboxone treatment is to help individuals gradually reduce their dependence on opioids, manage cravings, and improve their overall quality of life during recovery.
It's important to note that Suboxone should only be used under the supervision of a qualified healthcare professional, as improper use or abrupt discontinuation can lead to withdrawal symptoms or other complications.
Precipitated withdrawal refers to the accelerated onset of withdrawal symptoms, often more severe than typical, when an opioid antagonist is introduced to the body. This occurs because the antagonist displaces the opioid from receptors, leading to a sudden and intense withdrawal reaction.
For example, if someone is currently dependent on opioids and receives a medication like naloxone or naltrexone, which are opioid antagonists, it can rapidly trigger withdrawal symptoms. This is a safety mechanism, as these medications are often used to reverse opioid overdose or as part of addiction treatment.
The term is commonly associated with medication-assisted treatment for opioid use disorder, where medications like buprenorphine (a partial opioid agonist) are used. If buprenorphine is administered before other full opioids have cleared from the system, it can displace those opioids from receptors, leading to precipitated withdrawal. This is why healthcare providers carefully time the initiation of medications like buprenorphine to avoid this intensified withdrawal reaction.
Understanding the potential for precipitated withdrawal is crucial in the context of addiction treatment to ensure safe and effective transitions between medications and to minimize discomfort for individuals in recovery.
Using Suboxone involves adherence to a specific treatment plan under the guidance of a qualified healthcare professional. Here are some key aspects related to the use of Suboxone:

1. Prescription and Medical Supervision: Suboxone is a prescription medication, and its use should be initiated and supervised by a qualified healthcare provider, typically in the context of medication-assisted treatment (MAT) for opioid use disorder.
   
2. Dosage: The healthcare provider will determine the appropriate dosage based on the individual's specific needs and response to the medication. It's essential to follow the prescribed dosage and not adjust it without consulting the healthcare provider.
   
3. Administration: Suboxone is often administered sublingually, meaning it is placed under the tongue and allowed to dissolve. This method allows for the absorption of the medication into the bloodstream.
   
4. Timing: The timing of Suboxone administration is crucial. It is often started when the individual is in a mild to moderate state of withdrawal to reduce the risk of precipitated withdrawal. The healthcare provider will provide guidance on the appropriate timing.
   
5. Regular Monitoring: During Suboxone treatment, individuals are regularly monitored by healthcare professionals to assess progress, manage side effects, and adjust the treatment plan as needed.
   
6. Counseling and Support: Suboxone is typically part of a comprehensive treatment plan that includes counseling, therapy, and support services. This holistic approach addresses both the physical and psychological aspects of opioid addiction.
   
7. Gradual Tapering: Depending on the treatment plan, there may be a gradual tapering of Suboxone dosage as the individual progresses in their recovery. Tapering is done under medical supervision to minimize withdrawal symptoms.
   
8. Avoiding Other Opioids: It's crucial to avoid the use of other opioids while taking Suboxone. Combining opioids can lead to dangerous interactions and diminish the effectiveness of the treatment.
   
9. Side Effects and Reporting: Like any medication, Suboxone may have side effects. Common side effects include headache, nausea, and constipation. Any unusual or severe side effects should be promptly reported to the healthcare provider.
   
10. Pregnancy Considerations: If an individual is pregnant or planning to become pregnant, it's important to discuss this with the healthcare provider, as the use of Suboxone during pregnancy requires careful consideration.
    

Always follow the guidance of your healthcare provider and inform them of any concerns or changes in your condition during Suboxone treatment. Successful recovery often involves a combination of medication, counseling, and support tailored to individual needs.
Suboxone, when used as prescribed under the supervision of a healthcare professional as part of medication-assisted treatment (MAT) for opioid use disorder, has a lower potential for abuse and addiction compared to full opioid agonists. This is because Suboxone contains buprenorphine, a partial opioid agonist, which has a ceiling effect on its opioid effects.
Buprenorphine's partial agonist properties mean that it activates opioid receptors in the brain to a lesser extent than full agonists like heroin or oxycodone. As a result, the euphoria and respiratory depression associated with opioid abuse are less pronounced with buprenorphine.
However, it's essential to emphasize that any medication, including Suboxone, should be taken exactly as prescribed by a healthcare professional. Misuse, such as taking larger doses or combining Suboxone with other substances, can increase the risk of dependence or addiction.
Abruptly stopping Suboxone can lead to withdrawal symptoms, emphasizing the importance of a gradual tapering plan under medical supervision when discontinuing the medication. It's crucial for individuals using Suboxone to work closely with their healthcare provider to ensure proper management of their opioid use disorder and to address any concerns or side effects during the course of treatment.
Withdrawal symptoms from Suboxone, or buprenorphine (the active ingredient in Suboxone), can occur when someone who has been using the medication for an extended period stops taking it abruptly. It's important to note that withdrawal symptoms can vary in intensity and duration based on factors such as the individual's overall health, the duration of Suboxone use, and the dosage.
Common withdrawal symptoms from Suboxone may include:

1. Nausea and vomiting
2. Diarrhea
3. Muscle aches and pains
4. Sweating
5. Insomnia or sleep disturbances
6. Anxiety
7. Irritability
8. Runny nose and teary eyes
9. Goosebumps (piloerection)
10. Dilated pupils

It's important to distinguish between withdrawal symptoms and precipitated withdrawal. Precipitated withdrawal can occur if someone takes Suboxone too soon after using a full opioid agonist, leading to a more rapid and intense onset of withdrawal symptoms.
Withdrawal from Suboxone is generally considered less severe than withdrawal from full opioid agonists, and the symptoms tend to peak within the first 72 hours after discontinuation. However, the duration and severity can vary from person to person.
If an individual is considering stopping Suboxone or adjusting their dosage, it's crucial to do so under the guidance of a healthcare professional. Tapering the medication gradually, rather than stopping abruptly, can help minimize withdrawal symptoms and increase the chances of a successful transition to recovery. Seeking support from healthcare providers, counselors, and support groups is essential during this process.
Kratom is a tropical tree native to Southeast Asia, specifically in countries like Thailand, Malaysia, Indonesia, Papua New Guinea, and Myanmar. The leaves of the Kratom tree have been traditionally used for various purposes, including as a stimulant, a pain reliever, and to manage opioid withdrawal symptoms.
The active compounds in Kratom, called alkaloids, interact with opioid receptors in the brain, producing effects that can vary depending on the strain and dosage. These effects can include:

1. Stimulation: At lower doses, Kratom may act as a stimulant, promoting increased energy, alertness, and sociability.
   
2. Sedation: At higher doses, Kratom may have sedative effects, leading to relaxation and pain relief.
   
3. Pain Relief: Kratom has been used traditionally for its analgesic properties, and some people use it as a natural remedy for pain.
   
4. Mood Enhancement: Some users report improved mood and reduced anxiety after consuming Kratom.
   

However, it's important to note that Kratom is not regulated by the U.S. Food and Drug Administration (FDA), and its safety and effectiveness for various uses have not been clinically proven. There are potential risks associated with Kratom use, including dependence, addiction, and adverse effects such as nausea, constipation, and increased heart rate.
Due to these concerns, Kratom has been a subject of regulatory scrutiny in various countries, with some regions imposing restrictions or outright bans on its sale and use. It is essential for individuals to exercise caution, seek reliable information, and consult with healthcare professionals before considering the use of Kratom, especially for medicinal purposes or to manage opioid withdrawal.
Methadone is a synthetic opioid medication used primarily in the treatment of opioid dependence, particularly in the context of medication-assisted treatment (MAT). It is a long-acting opioid agonist, meaning it activates the same opioid receptors in the brain that other opioids, like heroin or morphine, do.
Key points about Methadone include:

1. Opioid Dependence Treatment: Methadone is often used as a maintenance medication to help individuals reduce or quit the use of illicit opioids. It helps by reducing cravings and withdrawal symptoms.
   
2. Long-Lasting Effect: One significant advantage of methadone is its long duration of action. A single daily dose can help stabilize individuals, preventing the highs and lows associated with short-acting opioids.
   
3. Supervised Administration: In some cases, methadone is provided through supervised administration in specialized clinics to ensure proper use and minimize the risk of diversion.
   
4. Tolerance and Dependence: Like other opioids, individuals using methadone can develop tolerance and dependence. Therefore, the dosage needs to be carefully managed, and discontinuation should be done gradually under medical supervision.
   
5. Reduction of Illicit Drug Use: When used as part of a comprehensive treatment plan, methadone has been shown to reduce illicit opioid use, lower the risk of overdose, and improve overall health outcomes.
   
6. Potential Side Effects: Methadone can have side effects, including constipation, sweating, drowsiness, and changes in libido. It's important for individuals to report any adverse effects to their healthcare provider.
   
7. Regulated Use: The use of methadone is tightly regulated, and it is typically dispensed through specialized clinics or healthcare providers who are authorized to prescribe it for opioid use disorder treatment.
   

Methadone treatment is part of a broader approach that often includes counseling, therapy, and support services. It has been a valuable tool in harm reduction strategies aimed at addressing the opioid epidemic and helping individuals achieve and maintain recovery.
Narcotics Anonymous (NA) is a 12-step program that provides support for individuals recovering from addiction, particularly those struggling with substance abuse issues. It is important to note that NA, like other 12-step programs, does not have an official stance or opinion on specific medical treatments, including medication-assisted treatment (MAT) for withdrawal.
The approach to medication assistance in withdrawal can vary among individuals within the NA community. Some may find success and support in MAT, while others may choose alternative methods or prefer an abstinence-based approach. NA encourages individuals to share their experiences, strength, and hope, but it does not dictate specific treatment choices.
The primary focus of NA is on mutual support, fellowship, and following the 12-step principles, which include admitting powerlessness over addiction, seeking spiritual awakening, and helping others in recovery. Members of NA are encouraged to respect each other's choices and paths to recovery.
It's essential for individuals seeking support for addiction to find a treatment plan that aligns with their needs and values. Consulting with healthcare professionals, attending support groups, and considering various treatment options can be part of a comprehensive approach to recovery.
SMART Recovery (Self-Management and Recovery Training) is a science-based, secular alternative to traditional 12-step programs like Narcotics Anonymous. SMART Recovery emphasizes self-empowerment and utilizes evidence-based techniques to support individuals in overcoming addiction.
Regarding Medication-Assisted Treatment (MAT), SMART Recovery takes a neutral stance. The program acknowledges that MAT, when prescribed and monitored by healthcare professionals, can be a valid and effective part of a comprehensive approach to addiction treatment. SMART Recovery recognizes that different individuals may have unique needs, and treatment plans should be tailored to the individual's circumstances.
SMART Recovery's focus is on teaching self-reliance, coping skills, and strategies for managing urges and behaviors associated with addiction. The program encourages participants to make informed decisions about their recovery, including the consideration of medications that may be prescribed by healthcare providers.
Ultimately, SMART Recovery emphasizes a holistic and individualized approach to recovery, allowing participants to choose the methods and tools that best suit their needs and align with their values. This includes being open to the potential benefits of MAT for some individuals as part of their overall recovery plan.
Several treatment modalities are available for individuals struggling with opioid use disorder. The most effective approach often involves a combination of different strategies. Here are some key treatment modalities for opioid addiction:

1. Medication-Assisted Treatment (MAT): MAT involves the use of medications, such as methadone, buprenorphine (Suboxone), and naltrexone, to help manage cravings, reduce withdrawal symptoms, and support recovery. These medications are often used in combination with counseling and therapy.
   
2. Counseling and Behavioral Therapies: Various forms of counseling and behavioral therapies are crucial components of opioid addiction treatment. Cognitive-behavioral therapy (CBT), contingency management, motivational enhancement therapy, and dialectical behavior therapy (DBT) are among the approaches used to address the psychological aspects of addiction and help individuals develop coping skills.
   
3. Support Groups and 12-Step Programs: Participating in support groups like Narcotics Anonymous (NA) or 12-step programs can provide valuable peer support, encouragement, and a sense of community for individuals in recovery.
   
4. Detoxification Programs: Medically supervised detoxification programs help individuals safely manage the acute withdrawal symptoms associated with stopping opioid use. These programs often serve as the initial phase of treatment.
   
5. Residential or Inpatient Treatment: Inpatient treatment programs provide a structured and supportive environment for individuals to focus on recovery. These programs may include a combination of medical supervision, counseling, and therapeutic activities.
   
6. Outpatient Treatment: Outpatient programs allow individuals to receive treatment while living at home. This flexibility can be beneficial for those with work or family commitments. Outpatient treatment often includes counseling, therapy, and medication management.
   
7. Holistic and Alternative Therapies: Some individuals find benefit from holistic approaches, such as acupuncture, yoga, meditation, or mindfulness practices. These can complement traditional treatment modalities and contribute to overall well-being.
   
8. Peer Recovery Support Services: Peer recovery support services involve individuals with lived experience in recovery providing support, guidance, and encouragement to others going through similar challenges.
   

The most effective treatment plans are often individualized, taking into account the specific needs, preferences, and circumstances of each person. Collaborating with healthcare professionals to develop a comprehensive and tailored approach can significantly enhance the chances of successful recovery from opioid addiction.
The withdrawal timeline for fentanyl, a potent synthetic opioid, can vary among individuals based on factors such as the duration and intensity of use, individual metabolism, and overall health. Fentanyl withdrawal symptoms typically start shortly after the last dose and follow a general timeline:

1. Early Symptoms (Within a few hours): Early withdrawal symptoms may include anxiety, restlessness, sweating, and increased heart rate. Individuals may also experience muscle aches and insomnia.
   
2. Peak Intensity (24-72 hours): Withdrawal symptoms usually peak within the first 24 to 72 hours after discontinuing fentanyl. During this time, individuals may experience more intense symptoms such as nausea, vomiting, diarrhea, abdominal cramps, dilated pupils, and flu-like symptoms.
   
3. Subsiding Symptoms (5-7 days): The most acute withdrawal symptoms generally begin to subside within about five to seven days. However, some symptoms, such as insomnia, anxiety, and mood swings, may persist for a more extended period.
   
4. Post-Acute Withdrawal Syndrome (PAWS): Some individuals may experience a more prolonged period of withdrawal symptoms known as post-acute withdrawal syndrome (PAWS). This can include lingering psychological symptoms such as anxiety, depression, irritability, and difficulty concentrating. PAWS can persist for weeks or even months.
   

It's crucial to note that fentanyl withdrawal can be challenging, and seeking professional help is recommended to manage symptoms safely and effectively. Medical supervision can provide support through the detoxification process, and healthcare professionals may use medications to alleviate specific withdrawal symptoms and improve the overall comfort of the individual.
The withdrawal process is highly individual, and some individuals may find additional support through counseling, therapy, and participation in support groups to address the psychological aspects of recovery. Always consult with healthcare professionals for guidance on the safest and most effective approach to fentanyl withdrawal.
Xylazine is a veterinary sedative and analgesic medication. It belongs to the class of drugs known as alpha-2 adrenergic agonists. While it is primarily intended for veterinary use, xylazine has been misused in some cases for recreational purposes, particularly in combination with other substances.
In veterinary medicine, xylazine is commonly used as a sedative and muscle relaxant for various procedures, including surgery and diagnostic imaging. It is often administered to calm and immobilize animals.
However, the use of xylazine outside of veterinary settings, especially when combined with other drugs, can pose serious health risks. Misuse of xylazine has been associated with adverse effects, including respiratory depression, cardiovascular issues, and central nervous system depression.
It's important to emphasize that the use of xylazine for recreational purposes is highly dangerous and illegal. The drug is not intended for human consumption, and its effects can be unpredictable and potentially life-threatening.
If you have concerns about substance use or encounter situations involving illicit drugs, it is crucial to seek help from healthcare professionals, addiction specialists, or local support services. Misuse of veterinary drugs or any substances not prescribed for human use can have severe consequences and should be avoided.
PAWS stands for Post-Acute Withdrawal Syndrome. It refers to a set of prolonged withdrawal symptoms that some individuals may experience after the acute phase of withdrawal from substances like opioids, benzodiazepines, or alcohol. PAWS is not limited to a specific substance and can occur with various drugs.
These symptoms are generally more subtle than the acute withdrawal symptoms but can persist for weeks, months, or, in some cases, years after discontinuing substance use. PAWS can vary widely among individuals and may include symptoms such as:

1. Mood swings
2. Anxiety
3. Irritability
4. Insomnia
5. Fatigue
6. Difficulty concentrating
7. Memory problems
8. Reduced impulse control
9. Cravings for the substance

PAWS can be challenging for individuals in recovery, as these lingering symptoms may contribute to relapse if not effectively managed. Supportive interventions, such as counseling, therapy, and participation in support groups, can be beneficial for individuals experiencing PAWS. Healthy lifestyle choices, including regular exercise, proper nutrition, and adequate sleep, may also contribute to the overall well-being of those in recovery.
It's important to note that PAWS is not experienced by everyone in recovery, and its severity and duration can vary. Seeking guidance from healthcare professionals or addiction specialists can assist individuals in managing PAWS and maintaining long-term recovery.
Quitting substance use "cold turkey" involves stopping the use of a substance abruptly without tapering or gradually reducing the dosage. It's important to note that quitting cold turkey can be challenging, and the level of difficulty varies depending on the substance, the duration and intensity of use, and individual factors.
If you're considering quitting a substance cold turkey, here are some general recommendations:

1. Seek Professional Guidance: Before making the decision to quit cold turkey, it's advisable to consult with a healthcare professional or addiction specialist. They can provide guidance based on your specific situation, assess potential risks, and offer support.
   
2. Create a Support System: Inform friends, family, or a support network about your decision to quit. Having a support system in place can provide encouragement, understanding, and assistance during challenging times.
   
3. Understand Withdrawal Symptoms: Be aware of potential withdrawal symptoms associated with quitting the substance cold turkey. Withdrawal symptoms can vary depending on the substance but may include anxiety, irritability, insomnia, and other physical or psychological effects.
   
4. Stay Hydrated and Nourished: Maintaining proper hydration and nutrition is crucial during the quitting process. Stay hydrated by drinking water and consuming a balanced diet to support your overall well-being.
   
5. Exercise: Engage in regular physical activity. Exercise can help alleviate stress, improve mood, and contribute to your overall physical and mental health.
   
6. Consider Professional Treatment: Depending on the substance and the severity of dependence, professional treatment options, such as inpatient or outpatient programs, may be beneficial. Medical supervision can assist in managing withdrawal symptoms and ensuring safety.
   
7. Therapy and Counseling: Consider participating in therapy or counseling to address the underlying factors contributing to substance use and to develop coping strategies for a successful recovery.
   
8. Plan for Triggers: Identify situations, environments, or emotions that may trigger the urge to use the substance. Develop a plan to cope with these triggers without resorting to substance use.
   

It's essential to approach quitting any substance with a comprehensive strategy, and individual circumstances vary. Seeking professional advice ensures that you make informed decisions about the best approach for your specific situation. If you are experiencing severe withdrawal symptoms or have concerns about quitting cold turkey, it is crucial to consult with a healthcare professional for guidance and support.
Tapering refers to the gradual reduction of the dosage of a substance, typically a medication or a drug, over a specific period. Tapering is commonly used in the context of addiction treatment, where it involves slowly decreasing the amount of a substance to manage withdrawal symptoms and minimize the risks associated with abrupt discontinuation.
Key points about tapering include:

1. Medication-Assisted Treatment (MAT): Tapering is often part of medication-assisted treatment for substance use disorders. For example, individuals dependent on opioids might undergo a gradual tapering of medications like methadone or buprenorphine.
   
2. Reducing Dependence: Tapering is employed to reduce physical dependence on a substance by allowing the body to adjust to lower levels gradually. This helps minimize the severity of withdrawal symptoms.
   
3. Individualized Approach: Tapering plans are typically individualized based on factors such as the substance used, the duration and intensity of use, and the individual's overall health. Healthcare professionals design tapering schedules to meet the specific needs of each person.
   
4. Supervised Tapering: Tapering is ideally done under the supervision of a healthcare professional to ensure safety and effectiveness. This is particularly important in cases where abrupt discontinuation could lead to severe withdrawal symptoms or complications.
   
5. Psychological Support: Tapering is not only about physical adjustments but also addresses psychological aspects of dependence. It provides individuals with an opportunity to develop coping skills and strategies for managing life without reliance on the substance.
   
6. Preventing Relapse: Gradual tapering can help reduce the risk of relapse by easing the transition to complete abstinence. It gives individuals the time and support needed to adjust to life without the substance.
   

Tapering is a careful and structured process that should be guided by healthcare professionals. Abruptly stopping certain substances can lead to severe withdrawal symptoms and potential health risks. Seeking professional advice and support is crucial for a safe and successful tapering process, whether it's part of addiction treatment or the discontinuation of a prescribed medication.
Engaging in activities during withdrawal can help distract from symptoms, provide a sense of accomplishment, and contribute to overall well-being. Here are some ideas for keeping busy during withdrawal:

1. Reading: Escape into a good book or explore topics of interest to keep your mind occupied.
   
2. Movies or TV Shows: Watch movies or binge-watch a TV series to pass the time. Choose lighthearted or inspirational content.
   
3. Exercise: Engage in gentle exercises like walking, yoga, or stretching. Exercise can help improve mood and alleviate some withdrawal symptoms.
   
4. Creative Hobbies: Explore creative outlets such as drawing, painting, writing, or playing a musical instrument.
   
5. Mindfulness and Meditation: Practice mindfulness or meditation techniques to calm the mind and reduce stress.
   
6. Gardening: Spend time outdoors, tending to a garden or plants. Nature can have a positive impact on mood.
   
7. Puzzle Games: Solve puzzles, play Sudoku, or engage in other mentally stimulating games.
   
8. Listening to Music or Podcasts: Create playlists of your favorite music or listen to podcasts on topics of interest.
   
9. Cooking or Baking: Experiment with new recipes and treat yourself to nourishing meals.
   
10. Journaling: Write down your thoughts and feelings. Keeping a journal can be therapeutic during withdrawal.
    
11. Educational Courses: Take online courses or watch educational videos on platforms like Coursera or Khan Academy.
    
12. Board Games or Card Games: Play board games or cards with friends or family for some social interaction.
    
13. Self-Care Activities: Take relaxing baths, practice skincare routines, or indulge in other self-care activities to nurture your well-being.
    
14. Volunteering: If possible, consider volunteering for a cause you're passionate about. Helping others can be rewarding.
    
15. Stay Connected: Reach out to friends and family for support. Having a support system is crucial during withdrawal.
    

It's important to choose activities that align with your interests and energy levels. Remember that withdrawal is a challenging time, and it's okay to prioritize self-care. If symptoms become severe or unmanageable, seeking professional help is recommended.

Introduction
Type1 diabetes is a chronic condition in which the body is unable to produce insulin, regulates blood sugar levels. It is also called insulin dependent diabetes or juvenile diabetes.
Type 1 diabetes is an autoimmune disease, when the body immune system attacks the cells in the body. In type 1 diabetes, the immune system attacks and destroys the insulin producing beta cells in the pancreas.
About 5–10% of people with type 1 diabetes, which is less common than type 2 diabetes.

Complications of Type 1 diabetes
Complications of type 1 diabetes can affect other organs in the body by leading it to short-term and long-term health issues. Some of the common complications that include are:
Diabetic ketoacidosis (DKA): In this condition, the high blood sugar levels are due to lack of insulin. The cells in the body don't take up sugars in blood for energy production, so the body produces ketones for energy as an alternative. DKA requires immediate attention. It can be life-threatening if untreated.
Hypoglycemia (Low blood sugar levels): It may occur due to excessive insulin in the blood caused when individuals don't have sufficient food or are involved in intense physical activity without adjusting insulin dosage intake. Hypoglycemia symptoms are shakiness, sweating, confusion, dizziness, and loss of consciousness or seizures.
Long-term complications: High blood sugar levels for prolonged periods can damage blood vessels and organs. It can lead to various long-term complications that include:

• Cardiovascular disease: Type 1 diabetes increases the risk of heart disease like coronary artery disease, heart attack, and stroke.
• Kidney disease (nephropathy): High blood sugar levels can damage the kidney blood vessels. It can lead to kidney damage or failure.
• Eye disease (retinopathy): Type 1 diabetes can cause damage to the blood vessels in the retina. It can result in diabetic retinopathy. It can cause blindness in adults.
• Nerve damage (neuropathy): Type 1 diabetes can damage the nerves throughout the body, leading to numbness, tingling, pain, and loss of sensation in the feet and hands.
• Foot conditions: Nerve damage and poor blood circulation can increase the risk of foot problems such as ulcers, infections, and even amputation in severe cases.
• Skin conditions: Individuals with type 1 diabetes are more prone to skin conditions such as bacterial and fungal infections. The slow wound healing is commonly seen in type 1 diabetes.

Mental health issues: Individuals with type 1 diabetes can affect mental health by leading to increased stress, anxiety, depression, and eating disorders.
Pregnancy complications: Pregnant women with type 1 diabetes are at high risk of pre-eclampsia, gestational diabetes, miscarriage, and birth defects. Proper care and management of blood sugar levels to reduce the risk of complications during pregnancy.
Other complications: Type 1 diabetes can increase the risk of other complications such as dental problems, gastroparesis (delayed stomach emptying), and sexual dysfunction.
Prevention of Type 1 diabetes complications
Proper treatment and management of type 1 diabetes through insulin therapy, blood sugar monitoring, a healthy diet, regular exercise, and medical care for preventing the risk of its complications. Regular check-ups with doctors and treatment are important for managing type 1 diabetes.

Conclusion
Type 1 diabetes represents unique challenges and factors for consideration in patients and their healthcare providers. In type 1 diabetes, it can be improved and low the risk of complications by early detection and management strategies. It is essential to promote care not only about physical health but also emotional and psychological health in type 1 diabetes individuals.

Introduction
The pancreas produces insulin, a hormone that allows body cells to absorb glucose from the blood and use it for energy production.
It also helps to store excess glucose in the liver and muscles for later use. Diabetes patients have either insufficient insulin produced by the pancreas (type 1 diabetes) or cells that are resistant to insulin (type 2 diabetes). This can cause glucose to accumulate in the blood, resulting in high glucose levels, which can lead to complications if not treated.
The importance of blood sugar control during pregnancy:
During pregnancy, women experience numerous hormonal changes that can sometimes lead to insulin resistance, making it difficult for the body to regulate blood glucose levels, eventually leading to gestational diabetes mellitus (GDM). High blood glucose levels in women with pregestational diabetes mellitus (PGDM) or gestational diabetes mellitus (GDM) can be harmful to both the mother and the fetus.
Insulin Therapy:
Insulin therapy is the primary treatment for pregnant women with pregestational diabetes mellitus. While most women with gestational diabetes mellitus can control their blood glucose levels through diet and exercise, some may require insulin therapy to maintain normal blood glucose levels.
Insulin can be administered using a syringe, insulin pen, or insulin pump.
Types of insulin used during pregnancy:

1. Rapid-acting insulins, such as insulin lispro and insulin aspart, are frequently used to treat mealtime blood sugar spikes.
2. Short-acting insulins, like regular insulin, provide longer-term coverage and are commonly used to control fasting blood sugar levels.
3. Intermediate and long-acting insulins, such as NPH insulin and insulin glargine, provide basal insulin coverage, allowing blood glucose levels to remain stable between meals and overnight.

Side effects of insulin therapy during pregnancy include the following:

1. Hypoglycemia: In some cases, insulin therapy can lower blood sugar levels more than necessary, resulting in hypoglycemia. Hypoglycemia symptoms include sweating, shaking, confusion, dizziness, and fainting. Severe hypoglycemia can be harmful to both the mother and the baby.
2. Weight gain: Insulin therapy may contribute to weight gain during pregnancy due to improved blood sugar control and nutrient absorption.
3. Injection Site Reactions: Insulin injections may cause redness, swelling, or irritation at the injection site. Rotating injection sites and using proper injection techniques can help reduce these reactions.
4. Allergic Reactions: Although rare, some people may develop allergic reactions to insulin, resulting in a rash, itching, or difficulty breathing. Any signs of an allergic reaction should be reported to your doctor.
5. Fluid Retention: Insulin therapy may cause fluid retention, resulting in swelling in the hands, feet, or ankles. This side effect is most common in people who require higher doses of insulin.
6. Changes in insulin requirements: Insulin requirements may vary during pregnancy due to hormonal changes and increased insulin resistance. Adjustments to insulin dosage are frequently required during pregnancy to maintain normal blood sugar control.

Conclusion:
In conclusion, while insulin therapy is essential for managing diabetes during pregnancy, it is important to be aware of potential side effects. Despite these risks, proper management and monitoring can help reduce harmful effects and ensure the health of both the mother and the baby. Women with diabetes must maintain regular communication with their hospitals and doctors and adhere to treatment plans in order to have a safe and successful pregnancy.

I’d been trying duloxetine for ~4 months at my psych nurse practitioner’s suggestion and decided it wasn’t doing much for my mood and wasn’t worth the side effects (fatigue and sweating) (although it was genuinely helpful for some chronic pain ). Asked if I could switch to Prozac and she says sure, easy peasy. Go from 60 to 40 for three days and then switch to the Prozac on day 4. Might have some headaches, a little g.I. upset, whatever. Alright, cool, I’ll take your word for it.
If I had only KNOWN 💀
Good god, it felt like i was having an awake lobotomy for about a week. And then I enjoyed sitting at work just actively trying not to throw up for a few days. The Prozac seems to have finally started doing some work and my mood is noticeably improved, but the headaches and nausea haven’t quite dissipated. All-over body aches started today, mostly in my elbows, knees and neck. Now I’m about 10 days out from the start of the “taper” and wondering why the hell I wasn’t weaned off that shit more slowly.
Also, not sure if this is a lack of cymbalta or introduction of Prozac thing, but my dreams have been so crazy vivid and intense to the point that sleeping isn’t really restful. So that’s fun 🎉 curious if anyones experienced the same (both the symptoms and the practically cold turkey switch) and if so how long it took to feel better? 😅

I am 20M and have been suffering from swamp ass since I was 12. Since then, I now sweat from my palms, feet, back, etc, but my buttcrack has always remained the worst place for sweating by far.
I initially tried the typical wear-dark-colored-and-breathable-clothing solution only to yield no results, before I began to search for medical solutions for swamp ass.
I reached out to a dermatologist when I was 18, who put me on a topical drug called Qbrexza, that required me to use a medicated wipe in my buttcrack once every morning. And while it did end up working, I also learned that I am extremely sensitive to Qbrexza, and suffered all the big symptoms the drug could cause (dizziness, blurried vision, nosebleeds, etc). I quickly contacted my dermatologist who told me to stop taking the drug, and the symptoms subsided within about a week.
Another month would go by before I met with my dermatologist again to be prescribed a new drug called glycopyrrolate, which is administered through pills. And while it is much easier to regulate my dosage through pills than with wipes, the pills end up drying my whole body, and thus could not be used to target specifically my swamp ass.
Nevertheless, I took 2mg of glycopyrrolate pills daily (any more mgs would cause Qbrexza-like symptoms) for about 2 months and saw a huge improvement with my sweating. While I still would sweat from my butt, it would happen much less often. My palms, feet, and back did not sweat anymore at all, unless through rigorous activity. For the first time in so long, I began taking up social opportunities with friends and family that I'd normal turn away due to my hyperhidrosis. I felt so much happier and healthier.
But it wasn't perfect. Like I said, I still would sweat from my butt, which would worsen when I'd talk with people (yay, social anxiety) and with mild physical activities, and would require frequent trips to the bathroom to clean up. I'd reach out to my dermatologist explaining such and for any potential solutions. He recommended me to contact a cosmetic surgeon who specializes in botox for hyperhidrosis. I was skeptical, since I had never heard of botox being used to cure specifically hyperhidrosis, but I gave one of the clinics he suggested a call, and I had an appointment with them a few months later.
The surgeon met with me and explained that, between the location on the body and previous bad experiences with hyperhidrosis treatment, they told me that only could they not perform the botox surgery on my butt, but my selection for future solutions are virtually nonexistent. Despite that disheartening news, the surgeon still proposed I be prescribed to a new drug called Drysol, which is a topical drug applied 2-3 a week. It is applied kind of similar to Qbrexza, but uses a device similar to eyedrops instead of wipes. The surgeon instructed me to use the Drysol and glycopyrrolate together.
Although I was supposed to apply the Drysol 2-3 times a week, I experienced no results in doing so, which made me decide to apply it daily. This move actually did garner positive results, but would have to be maintained- if I skip a day of applying the Drysol, then my ass will be sweaty all day.
This is where I am at right know: 2mg pills of glycopyrrolate every morning, an application of Dryson on my butt at night. And the results have been life changing. Never before did I know how much I lacked social interaction until now. I used to just bunker myself in my room for fear of my sweating embarrassing me, but now I can reconnect and hang out with friends in numerous friend groups for hours without even thinking about my swamp ass or hyperhidrosis altogether. I can go to the gym with my first set causing me to drench the bench and weights I'm using. I even work as a cashier at a fast food restaurant, where coworkers and customers have complimented me on my apparent extroverted personality, which always makes my day. My life has done a complete 180 and I couldn't be happier.
However, I have been a little concerned with the way I have "beaten" hyperhidrosis. For one, I cannot find anyone else who has also "beaten" hyperhidrosis by mixing different drugs together for more effective overall results. I know it can be extremely dangerous to mix prescription drugs, through I have not experienced any physical side effects since I began taking the Drysol 3 months ago, it's possible I am simply making something up in my head.
Second, I do have some concerns in regards to how I use the Drysol. I am supposed to take it 2-3 times a week, I use it double that. This has caused a severe rash to develop between my legs that extends halfway dow my thighs (despite me not placing medication down that far). I decided to google this symptom for Drysol tonight which led me down a rabbithole of symptoms that can be experienced using Drysol- one of which, being...cancer?? I don't know if I'm just scaring myself, but there are a whole of websites that claim Drysol's ingredient of aluminum chloride could have ties to different forms of cancer. So between this fact, the fact I use Drysol wayyy too often, and that cancer runs in my family, I fear that continuing using Drysol may lead to detrimental effects on my life. Maybe I'm just panicking right now? I just am not sure. I thought I discovered the perfect solution to my hyperhidrosis, but maybe that's not the case? What do you think?