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The EXTREMELY detailed, mega-anxiety edition!!! Major events like consult and surgery day are labeled like this:
——— EVENT TITLE ———
Surgeon was Dr. David Whitehead and I saw him on Long Island (New Hyde)
Summarized list of major dates:
Consult: July 19 2023 Mental health letter acquired: August 9 Dates discussed: September 12 Pre-op appointment: December 18 Surgery day: January 8 2024 Post-op: January 17
November 11th 2022: Emailed northwell health for the first time, they emailed back saying to call. I was too anxious so I avoided it for a few months.
Called northwell a few months later but got too anxious talking to the person who picked up. They were being normal and talking normally, it was just personal anxiety on my part.
October 2022 - Early March 2023: Spent time talking to trans friends and family members about their timelines and processes for top surgery.
Looked into Penn medicine for a bit but wasn’t happy with the surgeons there, specifically as a nonbinary person. The patient navigational team however is lovely.
March 2: emailed Penn health patient navigation
March 3-10: correspondence and phone calls w patient navigation (absolutely wonderful people, some of the easiest phone calls I’ve ever had) Got lots of into on surgeons, things I’d need, processes etc.
Date unknown: phone call to Penn medicine asking about surgeons and possibly setting up as a patient (v long wait time on phone) Surgeon I had heard good things about only works w CHOP program and I’m was too old for that program. Other surgeons I was v iffy on.
March 23rd: Back to square 1. Called northwell again to set up an appointment. Everyone I spoke to was really nice. Could have set up an appointment within the week but decided to wait till the end of the semester. Scheduled a trans care and primary care appointment for May
Couple of calls In between for confirmations. Trans care appointment got moved around a bit and ended up being moved to a phone call.
May 8th: Trans care call: Basic preliminary questions like: Emergency contact, what you’re looking for, are you thinking of looking into hormones, experience w dysphoria or dysmorphia, mental health, and eating/nutritional concerns, things you might want doc to know, piercings or tattoos, do you do any drugs or drink often, etc. total call time was about 20 minutes. Doctor was incredibly kind, I still experienced a good deal of anxiety but the call was super easy, welcoming, and friendly. Got sent contact referrals for the surgeons, as well as trans-friendly therapists under my insurance.
May 9th: started looking at list of therapists and making respective emails and calls. Checking per session costs and double checking insurance. Most charge 100-150 per session. Got in contact w one.
May 10th: Called w first therapist talking about what I’m looking for, where I am in this process, if parents are supportive, and talking about costs. She was very friendly and affirming, wants to have a few sessions to get to know me and my situation before writing a letter. Understandable and expected, but frustrating.
May 15th: Primary care appointment: Went to northwell health primary care, parkinglot was a little scary (just a large lot with a lot of cars) but everyone working there’s is super kind. Office is incredibly affirming, pride flags and lgbtq+ art everywhere. Gave my insurance card, filled out some paper work, got called in pretty quickly. I have a needle phobia and medical trauma so I was panicking a bit in the office, nurse was good w me about it and doctor was very kind, I just requested to not have any blood work done that day and that was totally fine, so I could schedule that at a later date and go w a friend. Recommended to get blood work done before scheduling a consult w a surgeon. Also prescribed me a single dose anxiety med for the bloodwork which I was very happy about. I found over time that the anxiety meds unfortunately do little to nothing for my panic attacks personally when it comes to needles but regardless having a doctor acknowledge and respect that fear and listen to me was incredibly helpful and reassuring.
May 30th: Got blood work done in a different lab, went w a friend. Scheduling for that is super easy, I think I did it online actually I don’t entirely recall. they do take walk ins but I made an appointment to minimize complications and make sure I could prepare properly. Front desk/lobby area was a little spooky, but I think that is mainly just bc of my social anxiety. They take a urine sample, you give them your prescription, eventually they call you over for blood work. Quick and easy, tech was v nice and having a friend with me was incredibly helpful. Probably the best I’ve ever done with a needle despite the fact that I did still panic and get very lightheaded lol.
Got blood work results back within the next couple days, all looks a-okay! Neat :)
June 15th This day was incredibly difficult. I had my first session with a therapist to establish some ground knowledge around my dysphoria and the way that I view myself. Top surgery is something that I know from research and related experience Can be difficult and expensive to get and can take time, so much of my prep work has been on the understanding of taking things a step at a time and just knowing that the current way things are doesn’t have to be forever. It allowed me to be able to live with myself while prioritizing my health better. This read to the therapist as “not having the level of dysphoria [she’s] come to expect and look for in someone who is trans” and was largely based off the fact that I don’t want to go on hrt. Past that point I started to break down because now my method of learning to live with myself felt like it was actively going to work against me and prevent me from getting top surgery. I’m not good at talking about my dysphoria, I can’t imagine it’s easy for anyone, especially to a stranger I just met. It was rough, and I felt incredibly mentally drained after ending the session.
June 19th Called it quits with the first therapist, I felt incredibly disrespected and the one session we had put me in a mental spiral for days. It can feel some times in this process like the people you have to get permission from need you to be severely depressed and unable to wait another second for this procedure just in order to take you seriously.
After I left that therapist, I immediately got back to the list to find someone new. Spoke to a new therapist via email, but my insurance is kinda weird (Blue Cross Blue Shield out of state) so its off putting to some people. This therapist recommended I go through the office she started out at (Heart and Soul Counseling)
————- Time Skip ——————
IM BACK its time for some record keeping. Got super overwhelmed and lost the energy to document my process for some time so here goes.
HEART AND SOUL COUNSELING: My experience w/ this therapy office was mostly good. The person in charge, Jesse, was absolutely lovely and responsive. Never spoke in person, but any text/email interaction was prompt, respectful, and kind. The office is stellar with email/text communication, so I only ever had to call them once when I was initially inquiring about the office. This is something I wish all therapy/counseling centers did better, eliminated a ton of my anxiety and hesitation to speak to therapists.
I got set up w someone as quickly as possible and established what my goal was (to acquire letter document for my surgery team). I attended multiple session w the therapist, she was a kind lady but the sessions were unfortunately p miserable for me. We didn’t fit well, but I was willing to stick it out rather than backtrack on my process. She also did not invalidate me or accuse me of not being trans which was a major step up from my first therapy experience. Once I acquired my letter I did stop therapy there, I kindly explained to the therapist that it wasn’t a good match, but I may honestly explore my options at the office in the future. Receptionist there was also lovely and they had a cool fish tank.
———- CONSULT STARTS HERE —————
July 19th: CONSULT!!! My mama and I went to Dr. David Whiteheads office for a consult. Parking was a nightmare so I’m super glad I didn’t have to drive for this one (ty mama). Consult went really well, and the staff were all super friendly. Dr. Whitehead is cool, very chill energy and a bit intimidating, but I’m scared of everyone so that’s nothing new. First question he asked me is what I wanted/what he could do for me which caught me more off guard than it should have? I didn’t realize going into this process how many times people ask you what you’re having done even if it’s already written down, because there’s so much variety in what you can look for in the results.
We talked about the procedure, went through a slideshow n stuff, and discussed how I wanted a flat chest w/ no nipple preservation. They made sure to specify that my mental health professional letter had to include that I did not want nipple preservation because thats technically a “non-standard” appearance. Also had the first breast exam I’ve ever had in my life. Can’t say i’m a fan (not that I need to worry about that anymore!) Took pictures n measurements n such, and also discussed recovery supplies and care w me and my mom.
August 9th: After a plethora of painfully awkward therapy sessions, a decent amount of crying, and a couple breakdowns in friends cars/backyards, I got my therapist letter and sent it to the surgeons office. It ended up needing minor revisions to which I contacted Jesse from Heart and Soul and he got me the revised letter immediately. Unfortunately the surgical coordinator was out of office for the rest of the month the next day ;w;. Is how it be.
September 12th: Got a call from Surgical coordinator mid-painting class that I stepped out to take. Started discussing surgical dates!! She was kind enough to email the dates to me which was lovely because I was absolutely shaking/mind blank haha. There was an option for January 8th which felt like an absolute miracle the way it would work with my school schedule. It would give me a solid two weeks recovery time before spring semester began. Because it would be a couple months out, I was asked to contact her in the second week of October to submit documents to insurance.
(Timeline note: earliest date offered was in early December)
October 10th: Documents sent to insurance, predetermination started
October 30th: Received mail from my insurance approving my procedure as medically necessary (YAY) But! This is also where things get,,, fun! Dr Whitehead’s surgical coordinator, Alyssa, is a blessing and was very helpful and prompt with me despite the fact that I had to email her pretty constantly during this general time which I still feel bad about.
Around this time, my mom got diagnosed with breast cancer, which I reported to the surgical coordinator because it influences my family history (grandmother also had breast cancer). It was asked that I get genetic testing done because this could impact my surgical procedure. Now I’m handling the setup on this between helping my mom in her process setting up consults and considering her options because there of course is a lot of crossover to the steps I’ve already completed and am familiar with.
November 1st: Very kind person at cancer genetics calls me, sends me a family history questionnaire to fill out before I can be scheduled to see a genetic counselor. Filled out the questionnaire the same day.
November 8th: Called cancer genetics to check about scheduling, office was not open so left a message. Got a call back later in the day. I have a virtual appointment with a Genetic counselor Tuesday the 14th. Current plan is a mailed saliva genetic test but I’m going to ask if theres anything I can do to get results/materials quicker. If I can’t get results/feedback by December 8th my surgery date may get deferred.
Trying not to stress too much because there is little to nothing I can do about this, and I just don’t want to be sad. I’ve kept telling myself throughout this process to not get excited and not let myself believe anything is solid because something could happen at any time that might mess up my schedule or plan, and If I convince myself I’m in the clear, those changes will hurt a lot more. So far I think thats been a good move, because this really sucks.
My surgery date is still officially scheduled as of now as well as my first post-op. I will also ideally have pre-surgical testing done December 18th should I be cleared by genetics in time (Fingers crossed!)
ALSO! Def lean on friends if/when you can during this process. It can absolutely be challenging, and having a support system is incredibly important and helpful. I’m super lucky to have really lovely and supportive friends that are around to listen to me and send me pictures of stupid little animals.
November 9th: My mama is scheduled for her double mastectomy on December 4th
November 10th: Did some shopping with my mama for recovery supplies for double mastectomy/top surgery. Having watched a million and a half transition/top surgery videos and tiktoks and having read all the blogs and posts and tweets makes you a great support for someone suddenly faced with an upcoming double mastectomy! We might go shopping this weekend for some button ups and zip ups for her, clothes shopping is better done when you can try stuff on
November 14th: Meeting w genetic counselor: Victoria Webb, one of the loveliest medical care workers I’ve ever met. Had a virtual appointment with her to discuss and set up genetic testing. I explained to her about my situation w the proximity of my surgery and tight deadline as well as my willingness to do a blood test instead of a saliva kit to get results quicker. She was so incredibly kind and good with me, ended up being able to do a saliva kit and get results in time she deserves every good thing in life.
December 18th: pre-surgical testing: This was at the main hospital, everyone was really nice but I had a really bad panic attack despite being on Xanax.
The process is sort of like getting a physical. Measurements like weight and blood pressure get taken, lots of preliminary health questions. The people working with me were really kind and I was very open with them about my anxiety, it was visually apparent though anyway because I started crying the second we even started talking about the blood draw.
Once the equipment was actually brought into the room I started to panic. Both of the women working with me were really kind and helpful and tried to distract me and keep me talking the entire time, but I did still have a really horrible panic attack. Every muscle in my body locked up and I lost all my color, took a bit to get back to a spot where I could move and talk properly because my speech was affected too. It was a bit scary but funny to think about in post. Thanked the medical staff for being patient w me as always, a good portion of the anxiety is also guilt about making things harder for them. Got through it tho. Def eat before presurgical if allowed, I didn’t and that probably didn’t help!!
———- SURGERY DAY ————-
January 8th:
Ok so surgery day:
This day was very scary. Got my phone call the Friday prior for my surgery time which ended up being 1pm and I was asked to arrive around 11. Got there at 10 and went in at 10:30.
Called up to check in then in waiting room till someone brought me back to change. I told her right away about my anxiety with the iv bc that’s legit all I could think about. Got changed right after. I was generally shaky and a little disoriented the entire time because I was panicking but everyone was very patient with me. Clothes and belongings go in a bag in a locker and you get two gowns one that faces back and one that faces front. I was given underwear and a pad as well because lucky me I got my period a couple days before my surgery.
The pre-op area is a lot of little cubicles with curtain divider things, blue soft chairs, and medical equipment. Everyone I met and spoke to was very kind, but any time someone even suggested starting my iv I would panic. I was informed it would have to be placed in my hand and that terrified me, I’m especially anxious and sensitive about my hands and fingers. I think doctors and nurses tend to misunderstand exactly where my fear is with needles and ivs. It isn’t the pain that scares me, but the concept of veins and and anything being in them. Even writing this right now is horrible so I’m going to stop w any further detail. I spent the entire two-ish hours of pre-op absolutely terrified about this iv.
I wasn’t really keeping track of time but dr whitehead came in to do markings for surgery. They had cool rainbow socks on,big fan. Having your chest drawn on and just like, moved around n shit is such an experience. Felt bad because I kept losing my balance but doctor Whitehead is cool and I am 98% less scared about them now.
Probably my most favorite person I met during my entire hospital experience was the anesthesiologist. I know he told me what his name was but I couldn’t focus on or retain information at the time. He told me we could essentially put me to sleep with gas before putting the iv in and for the first time in probably a solid week I felt like I could calm down a little. He took a look at my hand and arm to check my veins which always does freak me out a bit but I’m more used to that kind of thing at this point and I know nothing bad is going to happen. One of the nurses came in with the iv equipment and he let her know that were going to wait till in the or which was also incredibly helpful because I absolutely panicked when I saw that little supply kit again.
V nice lady brought me into the or, I’d never been in one before it was cool. They had a little music speaker which was really cool. Took off blue jacket gown and they helped me onto the table. They put a warm blanket over my legs and my chest to help me calm down. Before long they gave me a mask w fun happy sleepy time gas, they let me keep my arms on my chest for a while which was really nice because I was still scared. I started getting loopy pretty fast but I still heard when someone mentioned where the iv equipment was and panicked a little because of that. I remember feeling them take my hand for that but never actually felt anything happen. Just some fear but the gas was v helpful obvi. Someone said they would see me in a little bit, and then I was groggily waking up in recovery.
Recovery was a little rough bc the iv was still there (fully wrapped up so I couldn’t see it though which was rad) but I was still really anxious about it until it was taken out and when it was taken out. For anyone that struggles w this i did not feel them remove it, just the tape. Everything was mentally much easier after that. After a while, going over instructions w parents, a cracker , some ginger ale and some juice, my dad helped me Get dressed and I was helped out to the car in a wheel chair. Ride was smooth bc of remaining numbness and meds except a few Bumps in the road
TOP SURGERY GOTTEN
My post op date was scheduled for Jan 17th and that’s the day I got my drains out followed by several post op check-ins. First week of recovery was miserable but things exponentially approved each day past that, and I went back to school in person two weeks post-op with driving and item-carrying assistance from friends!
Will upload recovery notes at a later date! Feel free to message me with any questions, more than happy to answer and give info! I’m a bit over four months out from surgery now and thriving 🥳

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I don’t know if this is the right subreddit for this but I’ve been eating around 1200~1300 cal for the last 3 months and have seen my weight gradually fall off. I went from 145lbs to 137lbs.
I generally feel more confident as I look more slim. However, I had access to an In-body measurement machine today and was absolutely SHOCKED as how my body fat percentage climbed up to 30% !!!!! Before I had always maintained it around 25-27% but I can’t believe that despite my calorie tracking I’m gaining fat and losing muscles….
Does this mean I need to get in more protein and start more intensive working outs?? I’m just in disbelief at these results and I don’t know what to do!

I'm a 29 years old male and I'm having a chronic pain in different areas of my body for more than 4 years and it developed by time started in my back by the time I was playing with the phone alot when I was laying then when I started working and moving alot the pain started in the legs and heels and I was having problems with sleeping in my back and stomach so I started sleeping with the side then the pain started in my shoulders because of the pressure when sleeping and when I started physical therapy I developed pain in the neck and arms so it's like my body doesn't recover or heal itself in some parts that make me feel pain in it So now the pain nearly every where and It happens when I use the muscle or I put some pressure not when I'm relaxed cause I don't feel any ache plus there's more tingling comes more than usual with simple pressure or setting on my legs or arms I'm pretty sure it's also not fibromyalgia cause the symptoms different than mine

There is magic in this world. Deterministic science cannot allow free will. Without free will we are nothing but worthless matter. Consciousness cannot be created in machines. Without consciousness there is no self aware life. Free will and consciousness are just two examples of magic, that every human has.
Leaders and ordinary people are afraid of magic. They imprison and torture and kill suspected magicians.
But we all have magic. Some more than others. Science and magic can coexist. As time passes, the things science cannot explain, will increase, not decrease. For a positive future, humanity should embrace both science and magic.

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pushed till failure on bicep curls and had a large lump on the inner side of my arm where my bicep is located. i thought it was a muscle knot and massaged it around, feeling it move in my body and whatnot. it took a while to realise, i found out when i was doing side plank twists and couldn’t raise my arm high. then a couple days later i could see the lump from the outside.
i the “knot” won’t go away no matter how much i massage, how many remedies i use. i’ve recently been using deep heat cream and heat pads to reduce it but nothings happened and now my skin is sore and red from the deep heat cream (i’ve only applied it twice and it BUURRRNNNEDDDD. didn’t sleep very well last night because of it).
it’s not painful, it’s just concerning and also i can’t raise my arm very high.
my masseuse mother says it’s not a normal muscle knot, hence why i say lump or put the word knot in quotation marks
can i keep working out lightly until i solve the problem? i’ve already been resting for a week, i can’t handle more

In reality, there's no balancing the material and spiritual aspects of our life. We are all born into a material life. We don't know anything about spirituality. Then in that material life, some of us get a spark of spiritual awakening. That realization of the truth, that spiritual awakening will liberate us from the material world. It will make us realize that we are not the body, mind, ego, we are the Divine Soul. This is our goal. Then although we will be living in the material world, we will be living as a Yogi. A Yogi is one who is always united with the Divine. You don't have to balance life between the material and spiritual world. It is like a seesaw. Only one side is up. We can't balance a seesaw for long. Therefore, we have to choose, whether we want to just live in this material world and die and return in a rebirth, or we want to live a spiritual life and be free from all misery on earth and the cycle of rebirth.

It is very important to take care of the body and the mind, although they are just tools of the Soul because it is the body in which the mind and ego has taken birth, which means that the body is the abode of the Soul. The Soul resides in the body. Now if the body is sick, how can we attain enlightenment and liberation? If the mind is toxic, which it always is, how can we be free? Therefore, unless we focus through the mind and ego ME and a healthy body, we will not be able to realize that we are the Divine Soul. We will not be able to be free from the cycle of rebirth. Therefore, it is very important for us to take care of the body and the mind in a practical way, to be liberated and united with the Divine.

Long rant ahead, pretty disorganized as well as it was initially a reply on another post before I decided to make it its own post. Apologies!
As an Israeli, it's absolutely incredible to me how this conflict, which has nothing to do with the Westerners' public, takes up such a significant part of their lives. There are countless other significantly worse conflicts, tremendously worse global problems (climate change, the lingering effects of COVID, resources dwindling for humanity as a whole, pollution, etc.), the heaps of domestic issues (especially in the US) - and this far away conflict in a piece of land smaller than some major world cities is the biggest focus of some of these peoples' lives.
This isn't whataboutism, I'm not saying people can't take an interest with issue X just because there exists a worse issue Y. The point is the amount of time people are spending on this vs. other issues, even if we put aside the fact that they are all ignorant, completely misinformed useful idiots.
These "activists" are fully investing their time in this completely irrelevant issue to them. I was just visiting the US, and I passed by a virtue-signaling house in Seattle. It had it all - BLM, pride flag, and others. All worthy causes. But those were all small signs on the side of the house, but on the front was a gigantic Palestinian flag with a gigantic "free Palestine" slogan as well. Really?! This is the issue you're spending energy on and bringing the most awareness to? Not BLM, not LGBT, both of which are incredibly relevant to you and your country? Do black people, your actual fellow countrymen, no longer face racism? Do LGBT not get harassed or suffer violence?
And let's not forget another big elephant in the room - none of them speak up at all against antisemitism. So what, human rights activists, but Jews Don't Count? Hell, forget speaking up - many of them ENDORSE violence against Jews (and as we've seen from many of their protests, they're just violent in general). Unbelievable hypocrites, so it's "Palestinians are not Hamas" on the one hand, but every single Jew on the planet is complicit in whatever blood libel you've concocted?
Like with Jews in general, their hatred of every single Israeli alive is also massively hypocritical and obviously vile and wrong. I've not seen a single people alive receive as much hate as we do purely based on our nationality. Even those other nations that experience such hate online, it'd usually be isolated to receiving it from whatever nation they are in conflict with. Are Russian immigrants expected to give answers about the war? Do Chinese immigrants get hate for their government's actions? And so on.
I'm 35 years old and a computer nerd, and pretty much since I can remember myself, I would receive hate and contempt online just for mentioning I'm Israeli. Whenever we would take a trip abroad, my parents would make sure to tell us to always say we're from some other country if asked. Do you have any idea what an impact this has on a kid, growing up knowing he needs to be afraid to mention where he is? How difficult it was to understand why people might harm us when I'm just a kid, never did anything to anyone in my short life?
The amount of propaganda out there is just astonishing. It is mostly driven by Iran, Russia, and Qatar. It is extremely hard to fight this with such a small country as Israel, especially when our PR is disastrous and more often than not, it's regular people who do the job instead of officials. And Westerners eat it up, as well as apply their local race politics (mostly Americans) to the conflict when it has nothing to do with it, not to mention how they're completely unaware that even if it was relevant, the majority of Israelis are Mizrahi Jews, "brown" as Americans love to say, and on the flip side a sizeable amount of Palestinians are white skinned themselves, hell a lot of Levantines are like Syrians and Lebanese. Druze are basically 100% levantine and are pretty white skinned. Anyway, yeah, skin color has nothing to do with it, which is probably head error-inducing for Americans used to making it all about race.
It's depressing. And it honestly seems hopeless to battle it, we can't stand up to the incredible propaganda machine working against us constantly. Couple it with people generally prone to fall for populist rubbish and be ignorant in general, it's a losing battle.

Salones Are the perfect organisms standing a solid Three feet bigger than their next next comparable Species. With razor sharp claws that can cut through the strongest medals with ease. In reaction times so quick they leave others in the dust.
This specific one was sent on a assassination mission to kill the Ambassador to a meeting of meeting of the leaders of the galaxy.
He torned his way through the Roof of the transit truck. an especially large one , caring , probably dozens of lesser species. Scraping his way through the roof and couldn't wait to tear into the lesser species.
Only to hear words that will be stuck with him for the remainder of his life , which was very short.
"That's A Huge fucking rat"
Looking up rapidly he saw four gigantic beings standing easily three feet taller than even himself.
One of them grabbed A metal seat bolted to the floor using the strongest aluminum there is. And wripped it out and threw it at him Thinking as quickly as he could he jumped out the way only for a Buton to hit him in the side of the.
Bone teeth and flesh tore away from the side of the these four giants proceed to squish the giant rat flat
The video abruptly stops
And this class is why you don't fuck with humans. Well being laughably slow take several minutes to do geometry not even inside their own head.
They are by far the most physically stronger race there is. Barely having enough Intelligence to get off their shit hole of a planthat we did not expect much I'm the mess of species.
Until their physical attributes came into play coming from more the highest density planets That can support life close enough.And the goldi lockstone to have enough energy To host gigantic creatures the entire planet is home to giganticism of every form.
The standard Humans stands around 5'10. The galactic average is 1'4.
Having extremely dense muscles that require a certain amount of energy, humans are somehow always hungry.
Everything about a human is gear towards physical strength. Do keep in mind this when you're next to a human. As too I were going over.This species specifically in history class.
There involvement in the Salones war Is not able to be put into words how vital they were towards victory. The Salones Come from the most vicious death world in the Galaxy. They are the perfected Organisms to survive on just about any planet. Normally being able Is tara part any other species with their bare limbs.
Until humans came along all that perfection organism went out the window when you're getting hit in the face like something that can fold aluminum in half and laugh about it.
There's planets high gravity headline to a variety of materials.Rarely available to them to use. Aluminum is nowhere near the strongest material on their planet. In fact the Is their skeletal structure incorporates metal.
This also means that conventional weaponry was not an option for them instead of using the regular air pressure system that's commonly used to day.
They invented a chemical system which releases at such high speeds. It's close to the sound barrier. Even then that's not a guaranteed kill.
Pausing a moment seeing the class Was not Paying much attention aside from the jocks.
How about I play you video Just demonstrating how strong they are
booting up a video on the class projector she proceed to show a video of young human Probably five running in front of a fire Range by accident.
Weaponry that shot compressed air with plastic Spheres going at great speeds went down ranged and hit the cash straight in the head.
Many of the class yelled not wanting to see a young child die.
They are very quickly science.Doing the young child cried for its mother and she came barnching off the child saying that's what he gets for not listening to her.
The child was picked off the floor barely even bleeding.
The class professor then showed airsoft matches demonstrating that what they consider. Deadly weapon was nothing more than a More mature toy for them.
Should I make more is this good?

I've been on a weightloss journey for the last year, and while I am down weight after following a diet (calorie deficit, food allergies identified and cut, no sugar weeknights etc.) I joined a gym in January, and have been following some Womens Health workouts, because I have lost weight but I have such little muscle tone that I can jiggle my calves and squeeze them like a stress toy.... My issue is the next day after the gym I don't feel it in my body I don't have any aches or pains, I don't feel stiffness in the muscles. Should I just be doubling down on the exercises I'm doing? e.g instead of 40 reps do 80? Should I invest in a personal trainer?

Ive been dealing with restrictive anorexia for the last 8 months. At first, i didn’t at all care for the numbers. As time went on, i became more and more obsessed with calorie counting. Currently my Bmi is 16 and it’s starting to worry me. I take supplements and stopped exercising, but i get dizzy when i stand up, my joints hurt, muscle cramps, side cramping, brain fog, headache, and I’ve been really constipated. Most of it has been normal to me, but starting yesterday, I’ve been rapidy losing weight and feeling worse than usual. I lost 4lbs in less than a week. I lost 2lbs just from today. Ive been making an effort to eat, but still too scared to ask for help or eat more than my limit. But im starting to get worried because i barely started looking into the physical effects of anorexia and now im scared my bodys too weak to function. At what point does ur body just give out? Considering how long ive been restricting, im worried that what im experiencing means my bodys shutting down. Are there specific symptoms? Please help Im too scared to go to the hospital for it.

This diaphragmatic breathing technique helps to increase respiratory efficiency and is beneficial for relaxation:

1. Position Yourself:
   • Sit up with your spine straight.
   • Keep your chin perpendicular to your body to ensure good posture.
2. Begin the Breathing Cycle:
   • Take a gentle and slow breath in through your nose.
3. Count During the Inhale:
   • At the top of your inhale, start counting softly aloud from one to ten repeatedly. For example, say "1, 2, 3, 4, 5, 6, 7, 8, 9, 10" and then start again at "1".
4. Transition to Whisper on Exhale:
   • As you begin to exhale naturally, continue your counting but switch to a whisper. Let your voice softly trail off as your lungs begin to empty.
5. Silent Counting at End of Exhale:
   • Continue the count silently, moving only your lips, until your lungs feel completely empty.
6. Repeat the Cycle:
   • Take another large, gentle breath in and repeat the process.
   • Continue this breathing technique for 10 to 30 cycles or more, based on your comfort.
7. Expand Your Practice:
   • Once you feel comfortable with this technique while sitting, you can try it while walking, jogging, or during other light exercises.

This breathing exercise should never feel forced; each breath should be soft and enriching. It's an excellent way to engage more of the diaphragm and enhance your breathing efficiency.
For more breathwork techniques: 50 Breathing Techniques & Exercises >>

Deep breathing has the ability to heal various ailments and transform one's life, but it is often overlooked by many. In fact, it's so effective that even patients recovering from surgery in hospitals are prescribed a breathing exercise machine to help them recuperate faster. It's time we recognized the therapeutic power of our own breath.
There are numerous items that can greatly improve our lives, and luckily, we can purchase many of them at the convenience of an online store. From a hernia support belt to an enema kit, a neti pot, eye cups, and various health and fitness essentials, the options are endless. However, the real challenge lies in finding the perfect online retailer that offers authentic and top-notch products.
A Brief Overview of the Breathing Exercise Machine:
A breathing exercise machine, also known as an ‘incentive spirometer’, is medical equipment designed to restore a healthy breathing process. It is handheld equipment that has three chambers made of compact and break-resistant plastic material. Each of the chambers has a small plastic ball inside it. The three chambers are designed in a way to allow for different inhalation rates, ranging from 600cc/sec to 1200 cc/sec. The device has a flexible pipe with a mouthpiece to enable straight posture while using it. The chambers, the pipe, and the mouthpiece can be easily detached, cleaned, and stacked away after each use.
How does Breathing Exercise Machine Improve Breathing?
People breathe differently. Often, we are unaware that we are not breathing properly. Also, we do not always breathe at the same pace. There are different kinds of breathing that normal people do:

• Shallow breathing: It involves only the ribs and intercostals muscles. Often, people who are under high stress do shallow breathing without realizing it.
• Quiet Breathing: It is scientifically called ‘Eupnea’. It involves the diaphragm and the intercostal muscles. It is what most of us are doing at the moment.
• Forced breathing: It involves active muscle contractions, and is called ‘hyperpnea’.
• Deep Breathing: It is passive but mindful breathing that involves the diaphragm. Breathing exercise machines are innovatively designed for deep breathing exercises.

Irregular breathing can lead to various health issues as it disrupts the proper exchange of oxygen and carbon dioxide in the body. Consequently, this can result in flawed blood circulation and blockages in the veins. Numerous individuals suffer from lung-related ailments such as chronic bronchitis, asthma, emphysema, pneumonia, and more. Additionally, people who have undergone a significant surgery might be at an increased risk of lung collapse.
In such instances, doctors often recommend the consistent use of a spirometer to help patients restore normal breathing patterns. It helps in improved ventilation of the lungs and also helps to prevent the built-up of excess mucus and fluid in the lungs.
Conclusion
If you are planning to buy a breathing machine from an online marketplace, you need to take precautions, as not all spirometers are medically approved or have standard calibrations. We highly recommend that you purchase all your health and wellness products from a trustworthy online store that has a dedicated international clientele. Whether you are buying a neti pot, eyewash cups, a hernia support belt, or a yoga mat, always go with an online retailer that insists on eco-friendly, cruelty-free, and sustainable products.

In this post I want to break down how I think about and how I build custom B2B lead gen eco-systems that are designed to engage a cold prospect, educate and help them to then turn into $XX,XXX deals.
I'll share the metrics and best practices from my own experiences from working with around 20 b2b companies with varying deal sizes, starting from $5k marketing packages, to $90k/yr fintech solutions and $200k software dev & IT deals. If you don't agree with my approach, that's fine, there's multiple ways to skin a cat.
Fundamentals are mostly the same and we can split it in 3 main parts.

1. Traffic acquisition
2. Nurture & education mechanism
3. Conversion mechanism.

Where most businesses go wrong is that they try to sell their expensive service to a cold prospect.
That might look like cold emailing and cold "linkedining" (new term) prospects an offer or asking if they're interested in this and that, on the spot.
This is not a good approach for one simple reason - no one want's to be sold to. Not to say that this direct approach doesn't work, for some it works good enough to stay afloat, but it's not something you can use to drive real, inbound interest in your services. Selling to prospects that you get on a sales call from 1 email or DM is extremely hard since you have to do the heavy lifting to educate them on the call and then you also have to sell them.
My goal is to turn this dynamic on it's head. Yes, we want to reach out to cold prospects. Yes, we want to run ads. But not to sell immediately. Rather, we're inviting and getting those prospects into our ecosystem where if they go through your educational materials like reports, case studies, how-to's AND have a real pain, they will come to you to solve it.
Let's break it down.
Traffic acquisition.
There's 2 channels I use to acquire traffic. Sometimes I use both, sometimes one or the other. For the most part that depends on the TAM and what we're selling.
1 - Paid ads (LI and META) are great if you need volume and your deal size varies between $5k - $20k. If you get it right, it's a system that scales easily so you can control demand and growth fairly easily too. It's also very quick and easy to troubleshoot since you can change a variable and see the result in next 3 days.
The ultimate goal of paid ads is to get as many people in your funnel as possible. The only logical way to do it is using lead magnets. Industry specific reports with unique insights that only your ICP would care about, easy-to-code tools that only your ICP would find useful (calculators work great for me), guides and courses made to solve a very specific problem, you get the picture.
We're giving away this free value in exchange for their email address. I can already hear people yelling "But giving away stuff for free only attracts freebie seekers" That's because you don't have a mechanism in place to convert that opt-in into a deal. (I'll go into in the next sections)
To make a great lead magnet I follow this mantra:

1. Has to be industry and role specific
2. Has to solve 1 painful problem for the lead
3. No surface-level, bait-and-switch teasing BS. (using lead magnet as a sales page is a big no-no)

Lead magnet is your chance to build rapport, show your competence and build good will by actually helping your prospects before you ever speak with them. USE IT WISELY. I see many businesses only tease the solution. My advice - give away all your secrets. If you're vague, your leads will think that your approach is basic and you won't capture the interest.
For us, around 20% of lead magnet leads opt-in into the next step of the funnel where we ask much more details. Company name, website, name, phone, etc, etc.
Do this step right and you'll get leads from your ICP opting into your funnel in droves, for cheap.
One little hack I do whenever I launch lead magnet campaigns is create 5-10 lead magnet ideas, create the ads and the landing pages, but don't create the lead magnet itself. Then run ads to those 5-10 lead magnets and see what your cost per lead is AND see what quality leads you attract. My baseline KPI's are sub $15 CPL on the initial launch and 3 out of 10 leads be real, actual companies that fit the ICP.
If you hit that initially, you can reiterate on the ads and the LP and get your CPL way lower.
2 - Cold outreach (LI and email) is great if you're after high ticket or enterprise level deals.
Cold outreach is great for huge target markets and/or very high value accounts. You won't reach Elon Mush through ads, but you could through cold outreach.
Instead of blanket-spamming 10k leads that might or might not need our service we do this.

1. Score companies based on fit (we use AI for this on scale by giving it bad fit examples, medium fit examples and great fit examples while also describing why each is bad, medium or great. Then we ask to output a score from 1-10)
2. For companies that score 7 or higher, look at buying signals. Recent hires, open positions, growth or decline, recent funding, featured in news (why featured in news?) and, of course, technographics.
3. Companies that display positive signals AND are a fit based on scoring, we send a personalized message automatically.

90% of this happens automatically at this point, but don't get confused - it's not AI copy that gets sent out. We have a general template and framework that we base our messages upon and AI fills in the blanks. All that is based on what information we find on the companies and what state they're currently in.
"Hey Adam, saw that Houberz is looking for an engineer with deep understanding of X. I know first hand how hard it is to fill such roles.
I have a case study on how we did Y using X technology, thought you might be interested in giving it a quick read before you pull someone onboard."
This is the general gist of it. Combine it with reaching out to leads that are likely in-market and you'll average 15% reply rates. Blast 10k emails to random list and you'll get 0.5% - 1% reply rates.
That is how we get qualified traffic on the front end.
This is how we convert it into deals.
1.1 - Paid
Once you have people claiming your lead magnet, the magic happens on the thank you page. I've seen many people just have a generic thank you page that does not prompt the next action.
Wasted digital real estate.
Instead of leaving it blank, we either have a call booking page where we pitch a non-sales call that would help fix the lead a specific problem or a signup page for a live workshop.
2nd has higher opt-in rate, but has longer time-to-deal, 1st gives you 1-1 time with high value prospects, but is more expensive..
Ideally, run both. Best of both worlds.
On top of that, when someone opts in and claims your lead magnets, you can then email them on a regular basis as part of your newsletter which gives you another channel to nurture leads and throw offers their way.
2.1 - Cold outreach
As soon as you receive a positive response to your lead magnet offer, you send it over, find that person on LI and connect (so you have another channel and they see that you're a real human) then ask if they're struggling with a specific problem that your service can fix.
If they do, great, share more case studies, share how they could solve the problem themselves and then soft-pitch a meeting in which you propose to "continue the conversation"
For cold, each convo will be different so you will have to come up with helpful and relevant email responses on the fly.
Remember speed-to-lead. The faster you answer, the higher the chance of you pushing the lead to the next step of your funnel.
So do you need both of these acquisition channels? Do you also need to post on Linkedin and dance on Tiktok?
Depends on your business. Generally, the more eyes you have on you, the more deals you'll close. These two channels are foundation for myself and any business I consult, but to supplement that and build credibility, we're also heavily investing in LI organic.
Why? People who watch your ads and engage with your emails will check out your LI eventually. If it's barren, you won't leave an impression. If it's packed with valuable, funny, insightful and humanizing posts, not only your leads will connect with you, but they'll feel compelled to engage.
So it's not one system or another - it's all of them working in cohesion.
Thanks for coming to my ted talk.

i honestly fucked up so intensely in the questions cause i got confused and lost, and i didn’t even write that penicillin was an antibiotic cause i thought it was a given and the question where you had to guess the nucleolus and then draw it i WAS THINKING about that but then i hurried it and decided it can’t tf be that and it gotta be the golgi bodies (which were already on the diagram tf i was thinking with i wonder), so i can’t even evaluate how bad or how good i did today cause it feels like every single question is wrong i’m sorry i just needed to let it all out and then go and prepare for chem tmrw or my inattentiveness fails it too

Hey all, just returned to CoH3 since release after finally seeing a free to play week + big sale, and I'm very happy to see the player numbers go up and even more happy to see how many great changes have happened since that abysmal release.
That being said, I'm a little bit confused why it seems that both Axis factions can have frontline healing while Allies cannot.
I remember when I first played, I saw that the Brits could build a medical tent or something... I think it had to be placed on a strategic point. But now, I can't for the life of me seem to find it!
U.S. straight up does not have the option at all either, as the medical tent can only be built at your HQ. Also seems a bit silly because they have medics that retrieve casualties, but have to travel across the entire map to do so and the bodies seem to disappear before they can make it anyway.
So, am I missing something? Or are Allies just shit out of luck for frontline healing?
If so, I think this is something that needs to be addressed, because it makes team games a lot harder for Allies to keep a strong frontline (especially with the current Coastal Defense meta that Wehrmacht has).