High dose b12 vitamin

Hi guys,
I’ve been prescribed adhd meds since high school, currently in my late 20s and have an love hate relationship with adderall.
Firstly I’ve been on and off it constantly through the years, while I’m on it works really great. I take half the dose prescribed (10mg 2x a day, prescribed double that). Idk if that’s a lot I’m 250lb man.
Basically when I’m off it I feel more stable due to no on and off feelings, I can just do stuff more mindlessly like go on hikes etc. My work performance for sure suffers, I can get by but it’s like just the bare minimum.
But when I’m on, Work goes great and I’m going above and beyond. I feel like I need to be engaged like reading or learning things or playing a game etc, I’m more likely to avoid doing something slow (like going for a hike with my wife) which really bothers me cause it makes me feel like I’m preferring adderall over my wife.
Like obviously I benefit from being on it but at the same time, I feel like I have less highs and lows in energy like normal people have, just curious if anyone else experiences similar issues or how you think about it?

INTRODUCTION Hello Reddit, this is something I have suffered from for around 5 years. I went to many doctors, but they didn't seem interested. Maybe I didn't describe my symptoms in good enough detail, or there were other reasons. In any case, I will try to do my best here since I don't know what else to do, it's affecting my life real bad.
ME I am a 19 year old male. 177cm in height, around 70kg. Perfeclty healthy my whole life, minor knee problems when I was in rapid growth in 8th grade. I'm not taking any medications, and never anything specific other than over the counter antibiotics when I had colds. That's it. Tried vitamins, magnesium, b12, iron, but nothing really impacted what was happening.
SYMPTOMS My symptoms go like this: Whenever I feel a strong emotion (90% of the time only good emotions) like euphoria, excitement or some general anxiety my hands go stiff, all 5 of my fingers stiffen up into a fist, or sometimes they form some weird shape, like gripping a computer mouse for example. 4/5 times when this happens my face and neck start feeling numb and kind of lock up as well, cause me to talk a bit funny, having trouble to lift my tongue and make certain sounds.
These symptoms don't occur everytime I feel something, rather they just pop at random times when feeling a strong emotion. Sometimes it could be a day or two that it didn't happen. Sometimes it happens multiple times a day.
I have tried everything to pinpoint when or why it happens. It does not matter if I'm thinking about this exact thing, but it did happen two me once or twice while I was explaining this to someone else.
It mostly happens when im feeling excited about something, rather positively.
A lot when driving. I really love driving and have done it much more than I can stress here, but it usually does happen when I drive. Not always, not at any precise point in the trip. It can be at the beginning, the end, the middle, any point really.
If I hadn't talked or thought about a topic that excites me in a long time and then I did, it would most likely happen. Generally when I talk to people about certain things and get excited, It would happen. It is really shameful and I try to hide it.
EXTREME INCIDENT #1 I had an extreme incident with this problem as well. When I was on my last day of a vacation, this happened the morning of when we were about to leave. Half an hour before it happened, I didn't really feel anything, due to other reasons I was feeling a bit sad, but mostly just stoic and cold. Then all of a sudden it started attacking, but instead of only my arms, It went everywhere. Everything locked up, my legs, shouldes, back,, even my neck, which meant I couldn't really breathe properly, and I was talking in a very funny way, kind of like a speech impediment. Luckily, and I cannot stress enough how lucky I was, there was a hospital with an ER, 50 meters away. My friends kind of nudged me there, I was barely walking, looked like a penguin. Explained to my doctors what was happening and they were really confused. They saw I was in a lot of pain and was talking real funny, so they mixed up some medicine into a syringe and gave it to me, into my butt muscle. I felt A LOT of pain, and was in that same pain for the next 45 minutes till I passed out. The pain was something I never experienced before, the doctors said the medicine would kick in in around 5 minutes but as I said, 45 minutes of me rumbling and screeching in pain, while barely moving, since that would probably cause my shoulders to pop out of place or really any other joint.
EXTREME INCIDENT #2 I train high diving, but a traditional form of it which does not really involve all those flips, but rather going into the water head first. I've been competing in it for only the past 3 years. This condition always affected me but, as there are two rounds per competition, it would go away in the second round as all the tension finally breaks. And it was mild as well.
But one year I got hurt in a competition. Hit my head on a rock at the bottom of the river I was diving in. Turned out I was fine, no change in my life, no change in the condition after that. Next year when I came back to the same place to compete, I felt this sense of impeding doom. So much tension building, I had 2 competitions 2 days before and I was relatively fine and the attacks didn't occur as much or as hard as the would normally. But that thay I got so locked up, so stiff I couldn't open my fists even when forcing the two really hard against one another. My neck also stiffened up and I couldn't talk properly, this all happened like 10 to 15 minutes before the dive. Well, they yelled my name, I got onto the diving position of the bridge, and honestly I never dove worse. Thankfully I didn't get hurt but I hit the water in a very weird way and it was painful. I was just happy I was alive, but one thing that stuck with me is that this time it didn't go away. All the tension broke off, I didn't even make it into the 2nd series so I had nothing to worry about, but the attack still lasted for around 20 to 30 minutes.
From that moment I am scared to continue practicing this sport. :(
DOCTOR'S NOTES After the first incident, I went to the doctors in my own country, with a discharge note from my visit to the ER which basically said I had a stronger reaction to stress, they didn't really know why.
I went to a neurologist, explained my symptoms basically the same as I did here.
He did those standard coordination tests and questions I guess all of them do, passed those perfectly I think. He told me he can only wait for results of my tests to come back, if there's nothing - I'm on my own.
Got an MRI, EEG, EKG, urine and blood tests. Nothing.
Neurologist and radiologist said they haven't seen a healthier brain in a while...
I felt devastated, he's like a top neurologist in my country as well.
I also went to a private clinic, since this was a state owned hospital. Did some tests there, brought the tests from the state hospital for a second opinion. They told me the only possible thing they can think of is like a vitamin or mineral deficiency. Nah, tried all of the things they prescribed with no effect or correlation to my condition.
They all seemed so uninterested, maybe because I'm a teenager, maybe I didn't paint enough of a picture of how much it really effects me and just thought it is regular stress that I'm not coping with very well. Reddit, I would like to tell you after 5 years of experimenting with this, it really isn't only stress. I had many, many, worse, more traumatic, serious events happen to me, reacting perfectly normal as anyone else would, I'd say even more rational and thoughtful as compared to others. While some of these other situations that can't be even considered stressful in my opinion lock me up real bad.
Please help, nobody in my life is interested in this, I'm thinking of quitting high diving because it affects that as well and I don't want to lose my head because of this, since it is an extreme sport.
Thanks to all of you in any case, even if you just read this.

I posted here a while ago. Had Covid in Jan this year, mild case, was over the symptoms in 3 days, the rest of the 2 weeks was just spent isolating. Took vitamin C everyday since then to try and help get over it fast. Was a little more tired after Covid (went from running 3 times a week to not running at all anymore so hard to tell if it’s deconditioning). In late Feb I suddenly had intense anxiety/feahealth anxiety out of no where after an asthma attack. I normally only have allergic asthma caused by cats, had to use my rescue frequently after Covid, one time triggering a full blown panic attack. My heart rate was always elevated (I’m normally high 70s-80s) around 90s-100s, HR would jump to 120-130 when standing, constantly on edge, always on he brink of a panic attack, sick with elevated HR after eating food. Couldn’t sleep properly, had insomnia for several days, but was still able to walk and go places. I would be tired but from what I understand I was not having crashes(usually one full night of sleep was enough to recover). I was prescribed a daily inhaler so I would stop using my rescue. I haven’t needed to use my rescue since being prescribed this maintenance inhaler. I still sometimes get SOB (feels like someone’s really tightly hugging me), which has made me very anxious about my breathing.
fast forward to now. Some of the symptoms have calmed down in the last month. My HR doesn’t jump as badly anymore when I stand, my RHR is in the 80s range now. I have been walking gently several times a week or everyday (about 45 min to an hour, nothing crazy just a walk in the park) without crashes. I have been careful not to push and rest after nearly every form of exercise. My anxiety has gone down some but I am still hyper vigilant about symptoms. I get pressure in the head which occasionally turns into a full blown headache, my intermittent back pain is now more frequent, anxiety all the time which gets in the way of work, still on the daily inhaler, more tired than I was before Covid but i can do things I have to (go to store, social commitments). SOB not as bad, but ive gotten better at just ignoring it.
my doc said my peak flow was fine (going back to pulmo early May to reevaluate) and that most if not all my symptoms are from anxiety, not Covid. Feeling a little crazy because I never had these kind of symptoms with anxiety before. I realize many of my symptoms are very mild compared to many people here, but it is still causing me great distress, especially because before this i was very health. I’ve never been sick with a viral infection(besides the common cold) and the worst sickness I’ve ever had was a 3 week bout of bronchitis which resolved on its own.
is this something anyone had experienced before? Did it get better? I’m always a little afraid it’ll get worse as I’ve seen people sometimes get worse months later, and also scared I may trigger PEM if I push too hard. I realize I probably haven’t experienced a crash yet but so scared of having one and having issues for months or years.
thanks, sorry I am just so nervous!

I found a few historical posts similar to this. But not quite exactly on point so forgive me please?
I've been a vegetarian for about 8 years. Over the last year or so I started getting tired all the time and having hot flashes and we determined it was perimenopause.
So we've worked out some hormone treatments that are working really well but a few things we just could not figure out. I signed up for sleep studies and other lab work. I am always low on vitamin D. No matter how much I take or what form. Not critically low but low. B12 as well. Not too unusual for a vegetarian but I take supplements.
Recently for work I was in Hawaii for a few days and it was just really hard to eat vegetarian where we were. The restaurants we were eating at used all locally sourced fish so I decided to partake.
About 4 or so days after getting home I was talking to my doctor with an update and just saying I don't know what we've done but I've have so much more energy! My mood is better, I'm sleeping better. Maybe we finally got the medications worked out. But we haven't changed the medications for a month.
We ran blood tests and my vitamin D and B12 are looking really good. That's when it hit me knowing that fish is a good source of vitamin D...
So I'm thinking about re-adding fish or seafood to my diet. I have the Monterey Bay aquarium list of green yellow and red seafood which is what I lived by before I stopped eating seafood. It makes me feel better at least. And I do try to eat with an appreciation for the life that was given for me to eat.
If you have been vegetarian or vegan and switched to pescatarian, what did you notice about your energy and sleep levels? I'm trying to narrow down if it's because of the fish or it's completely unrelated. Obviously I'll be doing my own experimentation with my diet over the next few weeks but just trying to get a feel for other people's experiences.
The lack of sleep has been my single biggest issue, snowballing into others, and I've been sleeping well for a week or so, since I got back. All of a sudden I'm back to doing the things I like. I haven't swam in 4 months and now I'm swimming again, ironic I know. I'm exercising again. Like I feel like a switch was flipped and I honestly thought it was either the medications or maybe I finally got over covid that I had 4 months ago. I've been in kind of a malaise since then. But now I'm not so sure.
In advance I appreciate your feedback and interaction! Thank you.

It's been awhile since I last posted over in doihavebreastcancer (a month? Wow, it doesn't even feel like a month..). The questions I'm going to ask have probably already been asked to death, but I was hoping I could get responses from those with young kids? I was diagnosed with Stage III Invasive Lobular Carcinoma (BCRA2+, ++-) back late-mid March. Since then, I've gone through a pretty brutal IVF treatment to freeze our embryos to protect our chances of having another child in the future. We had a great outcome, but because of my PCOS all of the symptoms of IVF were just... brutal. Increased by tenfold because of the fact that I had 75 follicles and 39 eggs harvested. Harvesting happened just this past Tuesday, and I'm already feeling fatigued and nauseas from that entire ordeal.
All that to say, it makes me scared for how I'm going to feel after each treatment. Putting in my port had been painful for some reason? It took a couple days for me to recover. (Maybe because I was in the midst of going through IVF at the time.) But each time I have a new procedure, it's like my body just takes longer and longer to recover... I'm sure the stress isn't helping, but it makes me nervous.
My house already looks in disarray. Trying to coordinate additional help at home with the kiddo and household upkeep has been... difficult. I'm wondering how much help you guys needed from your partner or other family members to keep things running? Did any side effects you experience keep you from being able to do just... everyday tasks? How important was household cleanliness/keeping away from your germ-ridden kiddos after your first few treatments? What did you do that helped? Our house isn't DIRTY it's just cluttered and disorganized right now because we just bought it and moved in within the past 5 months. And we're already running behind with things like mopping/sweeping, bathrooms, and dishes getting backed up since I haven't been feeling the greatest. I just don't know what to do. My sister mentioned to hire someone to come and clean—just to be done with it and avoid the contentions it's been causing. Which, honestly I might, but it's so expensive.
And my kiddo is 6—she's just a high ball of energy. It's going to be hard to keep up with her. She's at an age where she's somewhat self-sufficient and can help me do little chores around the house, but she still requires a decent amount of help to do things. Especially with things like doing her homework and making herself food. I've tried to prepare her the best I can, but I feel like it's one of those things that's just... she'll really have to wait until she sees it to fully comprehend it, yknow? :/
If it helps at all, I'm going through two phases of chemo. The first phase is going to be one infusion every two weeks (Taxol and CP along with some various anti-inflammatory and anti-nausea medications) for two months. The oncologist said that these first two doses can be pretty taxing on the body. After that I'll take a weekly dose of chemo for 12 weeks. How did you guys feel the day of/after Chemo? Especially with small kids?
Also, somewhat off topic, but I haven't even cut my hair yet and my first treatment is in two days. How long did it take for you to start losing hair? (Given that it was one of your symptoms. Oncologist confirmed that unfortunately hair loss will be a thing for me.)

A little back story my mom was diagnosed in 2009 this was do to drinking a Diet Pepsi and a ton of testing and MRIs later to find out about this. The “Doctor “ (S.O.B WHO SHOULDNT BE LICENSED) basically had my mom on a very high lethal dose of meds (week later and she would have been dead). Durning this time I was 9-10 years old I always noticed her crying. An even though i wasn’t always to use the stove I make her food to eat while my dad was at work while on those meds she was always in bed. The doctor soon retired after a different doctor helped my mom get better and weaned her off the meds. As a kid I’ve always been perceptive. Anyway fast forward to now I’m 25 I’ve been helping since 2009. My dad hardly helps me with my mom. An in 2021 my mom had a relapse and couldn’t get administered a steroid shot due to COVID. A few days later damaged was done. She now uses a walker and wheelchair. I really wish I had help with my mom she tends to struggle due to arms and legs hurting. I haven’t had a break to just focus on me in a while and I just have a short fuse when it comes to her reminding me to get her phone, purse, cigarettes, or whatever it may be. She acts as if it’s my first every day helping her.
Sometimes I wish i didn’t have to help so much.

Symptoms: kidney stones, high blood pressure, fatigue, bone pain (achiness), headaches
Other issues: I am regularly monitored for thyroid stuff and have “sub clinical hyperthyroidism”, as my TSH is always very low but T4 is good. Unsure if it is related so just mentioning that.
I didn’t get my vitamin D test for some reason, but I know that would be helpful. I am not looking for a diagnosis, but I am curious if these test results mean I should ask my doctor about hyperparathyroidiam? Would an endocrinologist be the person to talk to? Right now I just have a urologist but I cannot even get in to see them for a few more months.
https://imgur.com/a/312nBDe

Hi everyone. I'm in later stages of perimenopause. Cycles have been all over the place, but previously the variability was less pronounced. Last three were 23 days, 78 days and 25 days. The 78 day cycle is the first time I've gone more than 37 days, except for when I took Slinda for a few months.
I have been on prometrium for a bit over 2 years now, taking 100mg all days now, except for a 4 day break when I have a bleed. I tried slind / slinda for a while because my doctor thought it would even out my moods. It did, but it was more of a flatline where my moods were very low. After coming off of that and a bit of time off to see how I settled, I began taking estrogel toward the end of 2023. I started with 1 pump, and then went up to 2 and have been at 2 which seemed to help for a while.
But over the last couple of months I feel like I'm in a state of perpetual PMS or even PMDD as it's pretty extreme. I have noticed some other symptoms 'coming back' or worsening such as dry eyes, night sweats, insomnia, irritable bladder, brain fog, low libido, binge eating, cravings, breast tenderness, etc. My current bleed is heavy, and in day 4 (which is usally very light by this stage). It used to be that when I had a bleed, I would have relief from the PMS symptoms - but now they are not going away and it feels like I will always feel like this.
My moods are impacting me and everyone around me significantly. I've had wild mood swings, and none of the moods are 'good'. Best I can hope for is feeling 'kind of okay'. Otherwise, I go bewteen rage, irritable, sad, hopeless, teary, withdrawn, and depressed. Also noticing a lot of self esteem issues that I don't usually have. I feel conflicting things - such as wanting my husband around yet feeling massive rage around him (we have a great relationship and he is super supportive - but even him asking me how he can help can bring on a bout of rage!).
I have an appointment with my menopause doctor but it's not for about 10 days. In the meantime, I've had my usual GP suggest that I may need testosterone and to discuss with the menopause doctor. My doctor who is managing my mental health believes that it is preferable to look at hormonal treatments before trying antidepressants at this stage.
I guess I just need some hope and advice. Does it sound like my estrogel dose is too low? Too high? Does it sound like testosterone might be worth asking my doctor about?

Out of viibryd, cymbalta, effexor, pristiq, trintellix, paxil which would you recommend that is efficient even at a low dose? Ik everyone is different but just wondering anyone’s advice, thoughts, experience etc!
Other ssris I tried don’t help pure ocd at low doses (didn’t even help max lexapro it actually made it worse) and I can’t do high doses bc of side effects idek if they would work on my ocd at high doses but effects just get worse everytime I’ve upped it and can’t be stay long term so eventually have to switch. Out of the options or maybe options you might have which should I try next? For background I’ve tried celexa, lexapro, zoloft, prozac, buspar, lamictal, perscribed abilfiy and anafranil and they’d honestly probs work really well but side effects will be too much for me to deal with long term esp anafranil as I have some overeating problems and really can’t gain anymore weight (tca have big weight gain) I’ve already gained 30 pounds in a little over a month but that’s another story. I’m also rly sensitive to any seretonin and anafranil is one of the strongest so I’m scared to try it I just know I’ll feel really bad. If I could have some help I would appreciate it so much or if you could lmk your experiences. Thank you😊

Bio: 37M, 5'10'', 185lbs. No drugs. Little alcohol.
In the past five years, I've seen over forty doctors and, while many have been compassionate to my medical situation, none have been able to provide me with a diagnosis. A friend suggested posting on Reddit to see if anyone had some ideas so I thought it might be a worthwhile venture.
I had a "thunderclap" type event on December 12, 2019 where I went from feeling fine to having a level 10 head pain event. The following day, it dropped down to about a 4. Then it never left and has been with me for four and a half years. It does not stay in one location, moving from behind one or both eyes into the bridge of my nose, my cheeks, and my ears. It is sometimes on my right side. Sometimes on my left. When it gets bad, it can be on both sides. On bad days, the ear pain spikes and feels like someone is sticking an icepick in one or both ears.
[Perhaps relevant: Three months prior to this even, I was told I had high cholesterol. I was prescribed a statin drug. I decided I need to try and lower my numbers so I started working out and eating a very heart healthy diet. Around six weeks later, I had this very strange sudden-onset throat infection that came out of nowhere. A midnight visit to a clinic, a diagnosis of "probably strep throat", an injection of a steroid and a prescription for antibiotics followed. I felt better the next morning but a cough while getting into the shower saw a huge amount of pus come from deep in my throat. Felt fine after that. Some time later, about a week before the thunderclap, my gym buddy told me to start taking L-Arginine to help with the workouts. I began to do so. I was also taking a PPI at this time for heartburn.]
The doctors and I have tried many migraine medications (though every doctor agrees this isn't a migraine) but none have worked. We've done botox. Large antibiotic treatments. Several nerve block surgeries. MRI, MRV, MRA is normal. CT scans normal. Sinuses are clear. Dental investigation shows nothing wrong. X-rays show nothing unusual. No TMJ or other issues like that. Bloodwork is fine. Vitamins and such (like Magnesium) actually increased my pain. No allergies.
Thought trial and error (as well as keeping very detailed notes on medications and food), I came to realize that vasodilation is my problem. When I eat foods or take meds that dilate the blood vessels, my pain increases noticeably.
[Example One: If I eat an apple on a Monday, an apple on a Tuesday, and an apple on a Wednesday, I will be in bed all day Thursday with level 9 pain.]
[Example Two: A friend suggested I try CBD oil for the pain. I did and, as I kept increasing my dose, the pain kept increasing as well. Lo and behold, CBD oil acts as a major vasodilator. Same thing happens with Statin drugs; I can't take them or my head pain goes through the roof. Singulair, too. Multivitamins and PPIs also exacerbate the issue].
Once I realized this and cut out lots of things (many fruits and veggies, oats, ginger, tea, cured meats, chocolate, nuts), my constant 5 head pain became more of a constant 2 head pain. This is made even better when fasting.
Additional symptoms have included increased bouts of dizziness, sunlight sensitivity every once in a while, and unusual tooth pain in my upper molars that seem to have no cause. Acetaminophen and phenylephrine together tend to help a bit. Ibuprofen tends to help as well. Nothing else seems to do much, unfortunately, and I try to stay away from pain meds as much as possible. The only medication I currently take is ezetimibe, for my cholesterol, and I started that about two years ago without incident or change in the head pain.
I've seen neurologists, ophthalmologists, otorhinolaryngologists, pain management specialists, dentists, vascular surgeons, neurovascular specialists, allergists, rheumatologists, a psychologist (just to make sure I wasn't imagining things), and even an acupuncturist. The most common answer I get is "I have no idea" and none have been able to come up with a diagnosis.
I tend to believe I have some sort of vascular disfunction - my vascular system is active in believing I am suffering from serious vasodilation (even though I am not) and the internal nerves within that system are sending pain signals to the brain. When something does cause vasodilation (like my dreaded enemy, apples), the system increases the pain signals to the brain by a lot. Maybe the heart healthy diet in late 2019, the statin drug, the weird infection I had battled, and the L-Arginine for my workouts (a major vasodilators amino acid) conspired to throw my vascular system out of whack and cause this whole mess to start.
Any thoughts would be appreciated. Not a medical professional, though, and would love it if others could make suggestions that I could research and compare with my symptoms.
Thanks for reading. Cheers!
​
​

So I dunno I feel like I should share this story because I know a lot of autistic people are in the same boat as me in terms of diet. So a lot of us have like. Kinda limited diets in terms of safe foods and stuff, right? And I'm an autistic adult who lives independantly from my family, which I know not a lot of us are able to do, full time jobs are EXHAUSTING.
And for the longest time I assumed being exhausted at the end of the day was totally normal. I wake up at about 6 am to commute by bus because I cant drive and I get home about 6 pm after a long uphill walk from my bus stop while working an 8 hour shift at a school in between all that. I assumed being super tired was just. Normal. Or at the very least, normal to experience because of my disability. It's a long day for the neurotypical people but add a disability like autism and anxiety into the mix and there's a lot of extra draining there.
.... Turns out you're not supposed to be so physically exhausted at the end of the day that any moving at all after work is painful. I had to get a blood panel done because I'm trying to start testosterone and it turns out. My blood. Is all out of whack. And it's probably because of my diet. Compared to a great deal of the autistic people I know my diet is pretty varied in terms of food types and textures, I definitely know a lot of people who have it way worse than me. I do the meal prep, I eat breakfast lunch and dinner, I eat fruits and vegetables, it's apparently not enough.
Because like I'm getting all the protein and carbs and stuff I need to survive the day but I'm apparently missing a TON of important vitamins. Namely because I can't afford to eat things like red meat (and the texture is. Nasty.) and I cant afford the vitamin-fortified brands, also I dont like them a lot of the time. Like for example yoplait yogurt is vitamin d fortified and is about a dollar more expensive than the great value brand yogurt BUT the great value brand yogurt is cheaper and I think has a SIGNIFICANTLY better texture and flavor than yoplait so obviously I wasn't buying yoplait.
But as it turns out according to my blood panel I have basically no vitamin d in my system whatsoever. And my b12 levels are deficient enough where if they got much lower my doctor warned me I could suffer brain damage.
So now I'm on 50,000 IU strength vitamin d pills (the average supplement is 600-1000 IU for reference) and I'm on daily b12 drops (that taste NASTY btw)
And I've only been on these vitamins for like. A few days all together. Like since last thursday so like 4 days now. And the difference in my energy levels is. Night and day. I'm not in so much pain after work. I also started taking a regular complete adult multivitamin- nothing fancy just an 8 dollar bottle of the equate ones that has like 200 in there so that's like 6 months worth. And. It helps. See I kind of excused some of my daily problems as a result of my autism. Like surely I must be so anxious and depressed constantly because of my autism. No, as it turns out my vitamin D is so horrifically low it's a miracle I'm not collapsing at work. You're supposed to have 60-90 nanograms per mL of blood and I have 12. Vitamin D deficiency causes anxiety and depression, and while there are totally other factors at play, like that I had an inherited anxiety disorder and have had depression symptoms since I was in grade school, it explains why it's been so bad lately. The day after taking my first vitamin D pill I woke up so happy and ready for life that I did a weeks worth of meal prep including breakfast (which I never meal prep because I'm too tired after meal prepping lunch) and I picked up a pill organizer to organize all my daily vitamins and birth control and my weekly vitamin d pill. The next day I did laundry, cleaned my room, organized my many many hats, and set aside what I will wear for work tomorrow, AND bought myself a birthday gift after making sure all my finances were in order until my next paycheck. I have energy when I wake up in the morning and I fall asleep way better with my melatonin now. It is a WEEKEND and today I NATURALLY woke up at 6 AM after I went to bed at 10 PM WITH MY MELATONIN GUMMIES. And I started doing things! And I enjoyed my weekend!
If you're like me and you suffer a ton because of your autism just know. It might not exclusively be the autism. If you're like me and your diet is kind of restricted you might need to start taking a multivitamin because you're not getting what your body needs to survive. They make gummy versions for those of us that have a hard time with pills too. Dont be like me and wait until you have to go to the doctor for a totally unrelated reason to figure out that your b12 levels are so low you could start suffering brain damage if you don't treat it, remember even if you have a disability you're allowed to have problems that aren't inherently untreatable because of it.
Idk I see a lot of people on here talking about how EXHAUSTING everything about life is and I 100% agree!! But it could also be more than just the tism and if you're not like aware of your vitamin intake from your food and stuff you might want to consider that as a potential source of added internal stress.

I don't believe in any supernatural.
I took weed for the 2nd time, a bit of a larger dose than before, and I got really high. This time was a THC edible
It was a super visual experience, I watched a music visualizer on my phone for hours and I felt like I was "in it" and like I remember thinking "ohh, this is God, God is real"
Like, drugs can't do anything that your brain can't do on it's own. Not only that, but what evoulotionary benefit does tripping have? Similarly, what benefit to the marijuana plant does this high have? I can't think of any. I mean, it feels like a deity placed it their for us to use to find them.
Like, I know this is stupid, I mean, I personally believe religions existance can best be seen as a terror managment system but like, idk how to feel about this. I mean, yeah, this can all be explained using a combination of biology and psychology, but like, why is it like this?

11 year old female and 91 pounds. No preexisting medical conditions.
The wee hours of last Sunday morning she woke up with a stomach virus. It was a very brutal one. She threw up at least 15 times over the course of 6 hours. I was concerned by the amount she was getting sick, so I called her on call pediatrician who prescribed zofran odt and we were luckily able to get it stopped and start rehydrating her. Now, she's not a kid that drinks a ton on a normal day so her baseline is a lower level of hydration in case that's important. So yesterday morning she woke up and said she had a headache. I thought she slept wrong and had neck pain and was confusing it for her head. It was a busy day. We had a tball game in the morning, her soccer game in the afternoon, and we went to watch a softball game after her soccer game and it was hot and her face got a little sunburned. We get home and she's complaining of being really cold. I check her temp and she has a low grade fever and still complaining of head pain. When she points the head pain is near the base of her skull. The fever was persistent. This morning she wakes up and its 103. It took a dose of Motrin and Tylenol at the same time to finally break it and alleviate the head pain. It finally breaks and she's great all day. High energy, ravenous appetite, completely normal. Around 5:30 it starts and creep back up and despite a dose of Motrin and a cool shower, it's persisting. 101.3 at last check. She has no other symptoms with the only exception of saying her throat feels dry...not sore...dry. She can touch her chin to her chest, so it's not her neck...it's the back of her head.
Did she pick up a new virus? Did she overdo it in the heat due to the severity of the virus he had? I'm really confused and the only time she's had a fever this hard to break was when she had flu A and there were clearly other symptoms pointing to a virus.
Can someone please give me advice?

Hey everyone! I have acne prone oily skin. This is my current skin routine.
AM: Cerave Benzoyl Peroxide Cleanser Glow Recipe Watermelon PHA / BHA Toner Cerave Eye Repair Cream Pura D’OR 20% Vitamin C Cerave Moisturizer Aveeno 60 SPF Sunscreen
PM: Cerave Benzoyl Peroxide Cleanser Glow Recipe Watermelon PHA / BHA Toner Cerave Eye Repair Cream The Ordinary Niacinamide 10% + Zinc 1% Cerave Moisturizer Differen Adapalene 0.1%
Now, I want to achieve the clearest skin I can so please help me (you guys are the experts). I know “glass skin” isn’t a good goal for many to want, but I’m going to keep dreaming. My main concerns are acne, inflammation, blemishes, hydration, improving skin texture, and glow. I have some acne marks from a few years ago but also just from active breakouts if that helps out (acne’s a big concern if it isn’t clear).
Looking To Change (?): The cleanser is 4% Benzoyl Peroxide and water based. The main concern here is the percentage and if getting an oil cleanser is necessary as well. Should I switch to a 10% one? Is an oil cleanser necessary to have as well?
I’ve been using the Glow Recipe toner for awhile now, but I’ve never tried another one. I’m thinking of switching since the toner has fragrance but I don’t know what other products would be good to provide that “glow” as that one gives while being helpful to my skin through the PHA / BHA.
Honestly this Vitamin C Serum was the cheapest but best Vitamin C Serum I could find. The serum’s done wonders with inflammation and my skin has brightened, so not too sure if a change is really necessary but let me know.
The Ordinary Niacinamide + Zinc makes my skin a little dry after use but does help with inflammation. Should I drop this item from my routine, replace it with something else, or just keep it?
No Issue With / No Change Necessary I Think: Eye Cream, Sunscreen, Adapalene, Moisturizer
That’s basically everything. My budget isn’t too high as yall can likely see by the products so please keep that in mind. Let me know on what I should add, change, or just any tips. Please reach out if there’s any questions, thanks!

Hey everyone! I have acne prone oily skin. This is my current skin routine.
AM: Cerave Benzoyl Peroxide Cleanser Glow Recipe Watermelon PHA / BHA Toner Cerave Eye Repair Cream Pura D’OR 20% Vitamin C Cerave Moisturizer Aveeno 60 SPF Sunscreen
PM: Cerave Benzoyl Peroxide Cleanser Glow Recipe Watermelon PHA / BHA Toner Cerave Eye Repair Cream The Ordinary Niacinamide 10% + Zinc 1% Cerave Moisturizer Differen Adapalene 0.1%
Now, I want to achieve the clearest skin I can so please help me (you guys are the experts). I know “glass skin” isn’t a good goal for many to want, but I’m going to keep dreaming. My main concerns are acne, inflammation, blemishes, hydration, improving skin texture, and glow. I have some acne marks from a few years ago but also just from active breakouts if that helps out (acne’s a big concern if it isn’t clear).
Looking To Change (?): The cleanser is 4% Benzoyl Peroxide and water based. The main concern here is the percentage and if getting an oil cleanser is necessary as well. Should I switch to a 10% one? Is an oil cleanser necessary to have as well?
I’ve been using the Glow Recipe toner for awhile now, but I’ve never tried another one. I’m thinking of switching since the toner has fragrance but I don’t know what other products would be good to provide that “glow” as that one gives while being helpful to my skin through the PHA / BHA.
Honestly this Vitamin C Serum was the cheapest but best Vitamin C Serum I could find. The serum’s done wonders with inflammation and my skin has brightened, so not too sure if a change is really necessary but let me know.
The Ordinary Niacinamide + Zinc makes my skin a little dry after use but does help with inflammation. Should I drop this item from my routine, replace it with something else, or just keep it?
No Issue With / No Change Necessary I Think: Eye Cream, Sunscreen, Adapalene, Moisturizer
That’s basically everything. My budget isn’t too high as yall can likely see by the products so please keep that in mind. Let me know on what I should add, change, or just any tips. Please reach out if there’s any questions, thanks!

So I’m on 200 mg of Test C a week. I split it into 3 doses. My total T is at around 1300 and my e2 sits in the mid 50’s. Relative to my total T my e2 really isn’t at a bad level. And I experience no symptoms of high e2.
My question is if I started taking an AI, will I notice any benefit when it comes to improving my body composition in the gym? I lift heavy 5 to 6 days a week. I am happy with the results I have seen this first year. Lost about 80 lbs. and put on a lot of muscle. But I do have trouble burning this last bit of stubborn belly fat and love handles. I have my diet pretty dialed in and I follow up my work out with about 20 to 30 minutes of cardio.

I have CP stage 1-2. I'm struggling to keep down enough water and can only eat 2 saltines per hour. I have hypoglycemia often, my fingertips are always tingling. I currently have high bilirubin 1.5 and low lipase. I can't really eat because I always feel so full. Even just drinking water irritates it. My CTs are all totally normal, but my ERCP was abnormal and showed fibrosis banding and I have hypoglycemic shock episodes. Hospitals will not keep me, they just tell me it's not their problem, and that once my sugar is 100, out the door you go, keep eating crackers and see a doctor sometime.
I can't keep down jello or sugar water, or honey. I can't eat pretzels, and I can't take any supplements. I can't even take my Miralax. I can barely take Sucralfate at night, because I can't drink water fast or I get sick.
That said I am compiling things to do, how to see what is wrong with me. How to get treatment. My personal thought is that my biliary ducts probably aren't draining well if I constantly feel full and have high bilirubin - I feel like they're probably inflamed, but I'm not sure.
I thought of asking my gastro doctor for a HIDA scan, or MRCP, vitamin workup, and I wanted to discuss a spinal stimulator. Is there anything else I might have missed? Does anyone have advice?
To add something useful for you all, right now in Charleston MUSC is testing using stem cells to stop pain in pancreatitis. I signed up. It's a type of stem cell that has been useful for other things. There's also someone testing ascetic acid to destroy all pancrelipase areas of the pancreas but leaving alone all insulin areas. I'm really praying to the universe that one of those will become a thing for us all. Let's keep hoping.
Thanks for reading.

I have a suspected endometrioma and have had increasing discomfort in my pelvic region in the last couple of months. However, I've been having strange symptoms for about 3 years now that no doctor could diagnose. I am starting to wonder if they're all related to endometriosis, and that that is what I've had this entire time without knowing it. I've never had particularly painful or distressing periods. I haven't had any of the "classic" symptoms of endo, but some are starting now. I want to outline the strange symptoms I've been experiencing for the last 3 years and get insight as to whether or not others here have experienced them.
Symptoms the last 3 years:

• Peripheral neuropathy (had many tests for almost everything, even saw a neurologist who found nothing wrong, tho she didn't do an mri of my spinal cord but she said my symptoms dont seem like MS.)
• Extreme fatigue when walking, feeling of heaviness and sluggishness. NOT tiredness, just physical fatigue. Only improves with vitamin D.
• Increased psychiatric symptoms like depression, anxiety, and brain fog. But mainly a form of depression thats not normal for me - tearfulness, dark thoughts
• Small petechiae/purpura rashes. I have mild ITP, a platelet autoimmune condition, but it seems to coincide with my neuropathy. Hemotologist also can't find anything wrong with me. I got an iron infusion for low ferritin, my ferritin is now high and I'm still experiencing these symptoms.

Symptoms now:

• Suspected endometrioma and extreme inflamed ovary feeling, even swollen to the touch. Seems to swell at different times of cycle.
• Lichen sclerosus of vulva, especially on the same side as the endometrioma.
• Burning urination with no UTI.
• Close to period I wake up to pee at night due to pressure on bladder.
• Random pangs in ovaries throughout cycle, even small but I can feel them.
• Peripheral neuropathy getting worse
• Feeling of slight dizziness/veritgo-ish feeling/ungroundedness at times

I was at 7.5 for 3 months and went off Mounjaro because I wasn't sleeping well and my pulse kept bouncing from 45bpm to 140bpms randomly the entire time I was on Mounjaro. I figured I'd take a Mounjaro break until I could see a cardiologist. After a couple months of testing they found I had 2 arteries that were 100% completely blocked. This had NOTHING to do with Mounjaro! I needed and had a cardiac double bypass. I'm doing better now and my cardiologist and endocrinologist (he prescribes my Mounjaro) have agreed I should go back on Mounjaro because my sugar and A1C is creeping up. My endocrinologist wants me to start back at 7.5 (I've had 3 boxes of 7.5 stored in my fridge just before I went off it. My question is would that be too high of a dose after being off it for 3 months?

(Self-harm TW for just this paragraph, very mild suicide and addiction mentions here and there): I'll say off the top that I used to be very suicidal and attempted a few years ago, but I was eventually prescribed lithium which worked like magic to erase the suicidality. I don't take it anymore but I generally still don't feel like ending my life though I often have intrusive thoughts of self-harm that I'm not too worried about acting on, but it's obviously a bit upsetting to fantasize about slicing your arm open or stabbing yourself in the stomach.
I am particularly frustrated because I feel like I am trying so, so hard to get better and it isn't working. I hit a very low point during the winter, basically ghosted my therapist and psychiatrist and went on multiple drug and alcohol binges, exacerbated by the fact I'm a student who had final exams, and flew home for Christmas with my family (who I get along with but don't feel particularly close to).
Since January, with the help of a friend who means the world to me, I've been putting as much effort as I can muster into getting better. I started seeing a new therapist who is great. I found a new prescriber for my medications and have an appointment with a psychiatrist in a few days. I've been to student groups, addiction groups, crisis counseling, etc. I know that I love myself at least enough to keep trying. I feel like I do almost everything that one would recommend a depressed person do:

• I have amazing friends who support me and who I can talk to about my problems.
• I am at an amazing school that I genuinely love and am so happy to be at. I am proud of my achievements and despite some really bad issues with focusing, feel like I am doing the best I can.
• I have a job lined up somewhere that I am super excited about and that pays more money than I've ever seen in my life, literally the starting salary is more than my family's income.
• I eat decently well though I have some body image issues and so calorie count more than I should. I take a few vitamins most days and find comfort in things like making tea or having an ice cold seltzer.
• I play tennis and volleyball with friends which provides good exercise and social interactions. I go on walks through different neighborhoods and am averaging over 11,000 steps per day over the last few months.
• I listen to music and watch TV/movies and go out to bars and parties and shows. I go on trips and do potlucks with friends, and feel connected to the city I live in. I live in a vibrant area across the street from a lovely park.
• I take interesting classes and got to work for a government agency in an area I care about.
• I am active on the dating apps and don't have too much trouble getting dates, though I've yet to really connect with anyone since breaking up with my girlfriend last September.
• I maintain a relatively clean house, do my cooking and cleaning and general chores, and even when I'm depressed I force myself to get up and leave the house at least at some point. I shower every single day, wear sunscreen and hair gel that makes my hair nice and soft, and wear well-fitting clothes in a style I feel good in.
• I maintain decent hobbies given busy student life, including doing NYT games most days, playing GeoGuessr, and following baseball, basketball, and football. I browse Reddit and Twitter where I've spent years curating my algorithms so I am largely entertained.
• I stay up to date on the news and care about what's happening globally. I apply critical and independent thinking and feel confident in the ideologies I believe in, but I am very open to growth and change and responding to new information. I follow a few YouTubers who provide insight and commentary, and are a soothing background presence while I'm working or studying.

At the same time I am a high functioning addict currently harboring a few addictions, which I know is likely the primary cause for my emotional issues. However, even in fifth grade my teacher told my parents that she thought I was depressed because I was so hard on myself, and I have had emotional problems for basically my entire life, including childhood. That said, I am honest with my doctors regarding my usage, and am not doing nearly as badly as my lowest point. I've been able to maintain sobriety for periods of up to four months, though for the last few years I can usually only make it a week or two before relapsing. This is beginning to take a physical toll on my body, but I am young enough that I likely haven't done permanent damage. I noticed a lump in the arch of my foot, which I think is benign and doesn't cause too much pain, but I am worried about it and am afraid it isn't going to go away on its own or might get worse. I have a chronic injury from high school that flares up sometimes but hasn't yet inhibited me from participating in physical activities.
None of it is enough. None of it fills me up inside or gives me the Big Happiness. I feel horrible all the time. I am anxious and depressed constantly. I find the Joker movie to be pretty cheesy, but unfortunately do resonate with that line where he says "all I have are negative thoughts." My dream in life is just to wake up in the morning and just feel ok, like just be content and feel glad to be alive. I am terribly insecure due to a lot of prior mistakes which cost me many friendships, and I am legitimately worried I am fundamentally unloveable, or at least unable to engage in healthy, bi-directional love. I have FOMO and am a blabber mouth and after most social engagements I spend hours going over everything I said and worrying that I've offended or hurt someone or been annoying or bothersome or problematic. I am impossibly hard on myself, and if anything I'm involved with ever goes south I place all the blame on myself. I have periods where I am terrified of death and experience a lot of nihilistic thoughts due to humanity's cosmic insignificance. I haven't found meaning in life and eschew religion because I just don't genuinely believe in any of it, like I actually think all of this is just random and the meaning of life is to just kinda vibe and do what makes you happy.
My heart is just so full of love and pain. I lost my best friend during high school to suicide almost 9 years ago and I still don't think I've found a way to forgive myself yet. He was smarter and kinder than me, and I wish it had been me instead because he had so much to offer the world. Ever since that, I think I generally believe myself to be deserving of bad things, and my heart hurts so much for others because I wish I could just take all of their pain away and put it on myself. I am endlessly forgiving and understanding of others because I never want anyone to have to feel the way I do or how my friend must've felt, and I trust people and assume the best of them. I love making people laugh and, if I'm being honest, think I am extremely funny and put a lot of energy into being pleasant to be around. I try to be a good friend, but I put so much energy into just keeping myself going that I likely could do better there.
I am so scared. I have been to such low places and I am afraid that I will find myself somewhere even lower. Every single day feels like a battle where I'm trying to trick myself into just making it through that day. I feel worn out and broken. I feel completely isolated and trapped in my head, and so so lonely that I don't think I could share a genuine hug with someone without just sobbing, yet it's been months since I've had a good cry. I feel like I'm in a straitjacket and am suffocating. I am so emotionally volatile, like I can have the best day and then one little thing goes wrong and it wrecks me. I feel like my life is winding down.
This is longer than it has any business being. I just needed to lay it all out in a relatively organized fashion. It was a beautiful sunny day, it's finals season and I am poised to do totally fine in all my classes, and more or less all of my affairs are in order. Somewhere inside of me is enough hope to keep me going, but I don't know how much is left. I'll end with a quote I recently heard that has been slightly helpful: "If you're trying to love yourself, you already do. Where do you think the 'trying' comes from?"

Hi everyone i’m seeking some advice or just maybe similar stories? I have a 2 y/o male cat who stopped eating so we brought him in to find that he has significant rise in his kidney values, creatinine was up to 11 bun was 90 something sdma was high as well as phosphorus and potassium. We had him hospitalized for a day with iv fluids and brought him home with subq, phosphate binder and antibiotics. The day after the vet we did one subq treatment and then brought him into primary the next day to have levels redrawn. His appetite was good when we got home and he was starting to seem hungry again. To all of our surprise his levels dropped significantly but we’re on the high side of normal so plan was to continue treatment. I started the antibiotic and it seemed to make him nauseous as he started to reject food a little again. He seems like he wants to eat but then is nauseous. So i called emergency vet and asked if i could stop the antibiotic as the top side effect is nausea. Now we’re over 24 hours from the last dose and his appetite still has not improved. It’s a sunday so i can’t take him to primary and i cannot afford emergency vet again. I’m wondering if anyone has similar experience? He has ate a little here and there but no full meal. Could this be from the antibiotic like I suspected or is it possible his kidney levels are back up again? Please help ! I will be bringing him in to vet but i just need some advice rn to calm my anxiety.