Q is my husband and we have kid (3y old). I found about about his excessive secret drinking in november, no idea when it started. His triggers at the time were his stressful manager job and his father was dying of cancer. I needed some time to process this situation and went from "I'm leaving today" to "I'll try and 'fix him'" every other week in december and january. emotional rollercoaster. Meanwhile his father was getting worse and I did mention it to him a couple of times in february and March that I was worried about his drinking and he kind of agreed with me but kept the excuse of his father and job. His father died 9th of April and the drinking just got worse and he also stopped working (sick leave). I kept my mouth shut about it because I didn't want to 'burden' him more with the loss of his father. It's been 5 weeks now and I notice in my own behaviour that I am done with the silence. I want to have the talk with him. The Talk where I say I know all about his drinking (morning, day, night) and I just cannot take it anymore, it needs to stop/change or I will walk. I am especially worried about our kid of course, I don't want him to be unsafe or have an alcoholic dad and a crappy household. My friend says I need to hold back and not go full 'I WILL LEAVE' on him as it will be too harsh for the beginning. any recommendations from you guys about the talk? should I be harsh? should I demand a psychiatrist? should I threaten? I'm really nervous about it and the outcome :(.
thanks!

J. V. Stalin
The Party's Tasks Report Delivered at an Enlarged Meeting of the Krasnaya Presnya District Committee of the R.C.P.(B.) With Group Organisers, Members of the Debating Society and of the Bureau of the Party Units December 2, 1923 Source : Works, Vol. 5, 1921 - 1923 Publisher : Foreign Languages Publishing House, Moscow, 1954 Transcription/Markup : Salil Sen for MIA, 2008 Public Domain : Marxists Internet Archive (2008). You may freely copy, distribute, display and perform this work; as well as make derivative and commercial works. Please credit "Marxists Internet Archive" as your source.
Comrades, first of all I must say that I am delivering a report here in my personal capacity and not in the name of the Central Committee of the Party. If the meeting is willing to hear such a report, I am at your service. (Voices : "Yes.") This does not mean that I disagree with the Central Committee in any way on this question; not at all. I am speaking here in my personal capacity only because the commission of the Central Committee for drafting measures to improve the internal situation in the Party 1 is to present its findings to the Central Committee in a day or two; these findings have not yet been presented, and therefore I have as yet no formal right to speak in the name of the Central Committee, although I am sure that what I am about to say to you will, in the main, express the Central Committee's position on these questions.
Discussion — A Sign of the Party's Strength The first question I would like to raise here is that of the significance of the discussion that is now taking place in the press and in the Party units. What does this discussion show? What does it indicate? Is it a storm that has burst into the calm life of the Party? Is this discussion a sign of the Party's disintegration, its decay, as some say, or of its degeneration, as others say?
I think, comrades, that it is neither one nor the other: there is neither degeneration nor disintegration. The fact of the matter is that the Party has grown more mature during the past period; it has adequately rid itself of useless ballast; it has become more proletarian. You know that two years ago we had not less than 700,000 members; you know that several thousand members have dropped out, or have been kicked out, of the Party. Further, the Party membership has improved, its quality has risen in this period as a result of the improvement in the conditions of the working class due to the revival of industry, as a result of the return of the old skilled workers from the countryside, and as a result of the new wave of cultural development that is spreading among the industrial workers.
In short, owing to all these circumstances, the Party has grown more mature, its quality has risen, its needs have grown, it has become more exacting, it wants to know more than it has known up to now, and it wants to decide more than it has up to now.
The discussion which has opened is not a sign of the Party's weakness, still less is it a sign of its disintegration or degeneration; it is a sign of strength, a sign of firmness, a sign of the improvement in the quality of the Party's membership, a sign of its increased activity.
Causes of the Discussion The second question that confronts us is: what has caused the question of internal Party policy to become so acute precisely in the present period, in the autumn of this year? How is this to be explained? What were the causes? I think, comrades, that there were two causes.
The first cause was the wave of discontent and strikes over wages that swept through certain districts of the republic in August of this year. The fact of the matter is that this strike wave exposed the defects in our organisations; it revealed the isolation of our organisations— both Party and trade-union—from the events taking place in the factories. And in connection with this strike wave the existence was discovered within our Party of several secret organisations of an essentially anti-communist nature, which strove to disintegrate the Party. All these defects revealed by the strike wave were exposed to the Party so glaringly, and with such a sobering effect, that it felt the necessity for internal Party changes.
The second cause of the acuteness of the question of internal Party policy precisely at the present moment was the wholesale release of Party comrades to go on vacation. It is natural, of course, for comrades to go on vacation, but this assumed such a mass character, that Party activity became considerably weaker precisely at the time when the discontent arose in the factories, and that greatly helped to expose the accumulated defects just at this period, in the autumn of this year.
Defects in Internal Party Life I have mentioned defects in our Party life that were exposed in the autumn of this year, and which brought up the question of improving internal Party life. What are these defects in internal Party life? Is it that the Party line was wrong, as some comrades think; or that, although the Party's line was correct, in practice it departed from the right road, was distorted because of certain subjective and objective conditions?
I think that the chief defect in our internal Party life is that, although the Party's line, as expressed in the decisions of our congresses, is correct, in the localities (not everywhere, of course, but in certain districts) it was put into practice in an incorrect way. While the proletarian-democratic line of our Party was correct, the way it was put into practice in the localities resulted in cases of bureaucratic distortion of this line.
That is the chief defect. The existence of contradictions between the basic Party line as laid down by the Congresses (Tenth, Eleventh and Twelfth), and the way our organisations put this line into practice in the locali-ties—that is the foundation of all the defects in internal Party life.
The Party line says that the major questions of our Party activities, except, of course, those that brook no delay, or those that are military or diplomatic secrets, must without fail be discussed at Party meetings. That is what the Party line says. But in Party practice in the localities, not everywhere, of course, it was considered that there is really no great need for a number of questions concerning internal Party practice to be discussed at Party meetings since the Central Committee and the other leading organisations will decide these questions.
The Party line says that our Party officials must without fail be elected unless there are insuperable obstacles to this, such as absence of the necessary Party standing, and so forth. You know that, according to the Party rules, secretaries of Gubernia Committees must have a pre-October Party standing, secretaries of Uyezd Committees must have at least three years', and units secretaries a year's, Party standing. In Party practice, however, it was often considered that since a certain Party standing was needed, no real elections were needed.
The Party line says that the Party membership must be kept informed about the work of the economic organisations, the factories and trusts, for, naturally, our Party units are morally responsible to the non-Party masses for the defects in the factories. Nevertheless, in Party practice it was considered that since there is a Central Committee which issues directives to the economic organisations, and since these economic organisations are bound by those directives, the latter will be carried out without control from below by the mass of the Party membership.
The Party line says that responsible workers in different branches of work, whether Party, economic, trade-union, or military workers, notwithstanding their specialisation in their own particular work, are interconnected, constitute inseparable parts of one whole, for they are all working in the common cause of the proletariat, which cannot be torn into parts. In Party practice, however, it was considered that since there is specialisation, division of labour according to properly Party activity and economic, military, etc., activity, the Party officials are not responsible for those working in the economic sphere, the latter are not responsible for the Party officials, and, in general, that the weakening and even loss of connection between them are inevitable.
Such, comrades, are, in general, the contradictions between the Party line, as registered in a number of decisions of our Congresses, from the Tenth to the Twelfth, and Party practice.
I am far from blaming the local organisations for this distortion of the Party line, for, when you come to examine it, this is not so much the fault as the misfortune of our local organisations. The nature of this misfortune, and how things could have taken this turn, I shall tell you later on, but I wanted to register this fact in order to reveal this contradiction to you and then try to propose measures for improvement.
I am also far from considering our Central Committee to be blameless. It, too, has sinned, as has every institution and organisation; it, too, shares part of the blame and part of the misfortune: blame, at least, for not, whatever the reason, exposing these defects in time, and for not taking measures to eliminate them.
But that is not the point now. The point now is to ascertain the causes of the defects I have just spoken about. Indeed, how did these defects arise, and how can they be removed?
The Causes of the Defects The first cause is that our Party organisations have not yet rid themselves, or have still not altogether rid themselves, of certain survivals of the war period, a period that has passed, but has left in the minds of our responsible workers vestiges of the military regime in the Party. I think that these survivals find expression in the view that our Party is not an independently acting organism, not an independently acting, militant organisation of the proletariat, but something in the nature of a system of institutions, something in the nature of a complex of institutions in which there are officials of lower rank and officials of higher rank. That, comrades, is a profoundly mistaken view that has nothing in common with Marxism; that view is a survival that we have inherited from the war period, when we militarised the Party, when the question of the independent activity of the mass of the Party membership had necessarily to be shifted into the background and military orders were of decisive importance. I do not remember that this view was ever definitely expressed; nevertheless, it, or elements of it, still influences our work. Comrades, we must combat such views with all our might, for they are a very real danger and create favourable conditions for the distortion in practice of the essentially correct line of our Party.
The second cause is that our state apparatus, which is bureaucratic to a considerable degree, exerts a certain amount of pressure on the Party and the Party workers. In 1917, when we were forging ahead, towards October, we imagined that we would have a Commune, a free association of working people, that we would put an end to bureaucracy in government institutions, and that it would be possible, if not in the immediate period, then within two or three short periods, to transform the state into a free association of working people. Practice has shown, however, that this is still an ideal which is a long way off, that to rid the state of the elements of bureaucracy, to transform Soviet society into a free association of working people, the people must have a high level of culture, peace conditions must be fully guaranteed all around us so as to remove the necessity of maintaining a large standing army, which entails heavy expenditure and cumbersome administrative departments, the very existence of which leaves its impress upon all the other state institutions. Our state apparatus is bureaucratic to a considerable degree, and it will remain so for a long time to come. Our Party comrades work in this apparatus, and the situation—I might say the atmosphere—in this bureaucratic apparatus is such that it helps to bureaucratise our Party workers and our Party organisations.
The third cause of the defects, comrades, is that some of our units are not sufficiently active, they are backward, and in some cases, particularly in the border regions, they are even wholly illiterate. In these districts, the units display little activity and are politically and culturally backward. That circumstance, too, undoubtedly creates a favourable soil for the distortion of the Party line.
The fourth cause is the absence of a sufficient number of trained Party comrades in the localities. Recently, in the Central Committee, I heard the report of a representative of one of the Ukrainian organisations. The reporter was a very capable comrade who shows great promise. He said that of 130 units, 80 have secretaries who were appointed by the Gubernia Committee. In answer to the remark that this organisation was acting wrongly in this respect, the comrade pleaded that there were no literate people in the units, that they consisted of new members, that the units themselves ask for secretaries to be sent them, and so forth. I may grant that half of what this comrade said was an overstatement, that the matter is not only that there are no trained people in the units, but also that the Gubernia Committee was over-zealous and followed the old tradition. But even if the Gubernia Committee was correct only to the extent of fifty per cent, is it not obvious that if there are such units in the Ukraine, how many more like them must there be in the border regions, where the organisations are young, where there are fewer Party cadres and less literacy than in the Ukraine? That is also one of the factors that create favourable conditions for the distortion in practice of the essentially correct Party line.
Lastly, the fifth cause—insufficient information. We sent out too little information, and this applies primarily to the Central Committee, possibly because it is overburdened with work. We receive too little information from the localities. This must cease. This is also a serious cause of the defects that have accumulated within the Party.
How should the Defects in Internal Party Life be Removed ? What measures must be adopted to remove these defects?
The first thing is tirelessly, by every means, to combat the survivals and habits of the war period in our Party, to combat the erroneous view that our Party is a system of institutions, and not a militant organisation of the proletariat, which is intellectually vigorous, acts independently, lives a full life, is destroying the old and creating the new.
Secondly, the activity of the mass of the Party membership must be increased; all questions of interest to the membership in so far as they can be openly discussed must be submitted to it for open discussion, and the possibility ensured of free criticism of all proposals made by the different Party bodies. Only in this way will it be possible to convert Party discipline into really conscious, really iron discipline; only in this way will it be possible to increase the political, economic and cultural experience of the mass of Party members; only in this way will it be possible to create the conditions necessary to enable the Party membership, step by step, to promote new active workers, new leaders, from its ranks.
Thirdly, the principle of election must be applied in practice to all Party bodies and official posts, if there are no insuperable obstacles to this such as lack of the necessary Party standing, and so forth. We must eliminate the practice of ignoring the will of the majority of the organisations in promoting comrades to responsible
Party posts, and we must see to it that the principle of election is actually applied.
Fourthly, there must exist under the Central Committee and the Gubernia and Regional Committees permanently functioning conferences of responsible workers in all fields of work—economic, Party, trade-union and military; these conferences must be held regularly and discuss any question they consider it necessary to discuss; the interconnection between the workers in all fields must not be broken; all these workers must feel that they are all members of a single Party family, working in a common cause, the cause of the proletariat, which is indivisible; the Central Committee and the local organisations must create an environment that will enable the Party to acquire and test the experience of our responsible workers in all spheres of work.
Fifthly, our Party units in the factories must be drawn into dealing with the various questions relating to the course of affairs in the respective enterprises and trusts. Things must be so arranged that the units are kept informed about the work of the administrations of our enterprises and trusts and are able to exert an influence on this work. You, as representatives of units, are aware how great is the moral responsibility of our factory units to the non-Party masses for the course of affairs in the factories. For the unit to be able to lead and win the following of the non-Party masses in the factory, for it to be able to bear responsibility for the course of affairs in the factory—and it certainly has a moral responsibility to the non-Party masses for defects in the work of the factory—the unit must be kept informed about these affairs, it must be possible for it to influence them in one way or another. Therefore, the units must be drawn into the discussion of economic questions relating to their factories, and economic conferences of representatives of the factory units in a given trust must be called from time to time to discuss questions relating to the affairs of the trust. This is one of the surest ways both of enlarging the economic experience of the Party membership and of organising control from below.
Sixthly, the quality of the membership of our Party units must be improved. Zinoviev has already said in an article of his that here and there the quality of the membership of our Party units is below that of the surrounding non-Party masses.
That statement, of course, must not be generalised and applied to all the units. It would be more exact to say the following for example: our Party units would be on a much higher cultural level than they are now, and would have much greater authority among non-Party people, if we had not denuded these units, if we had not taken from them people we needed for economic, administrative, trade-union and all sorts of other work. If our working-class comrades, the cadres we have taken from the units during the past six years, were to return to their units, does it need proof that those units would stand head and shoulders above all the non-Party workers, even the most advanced? Precisely because the Party has no other cadres with which to improve the state apparatus, precisely because the Party will be obliged to continue using that source, our units will remain on a somewhat unsatisfactory cultural level unless we take urgent measures to improve the quality of their membership. First of all, Party educational work in the units must be increased to the utmost; furthermore, we must get rid of the excessive formalism our local organisations sometimes display in accepting working-class comrades into the Party. I think that we must not allow ourselves to be bound by formalism; the Party can, and must, create easier conditions for the acceptance of new members from the ranks of the working class. That has already begun in the local organisations. The Party must take this matter in hand and launch an organised campaign for creating easier access to the Party for new members from workers at the bench.
Seventhly, work must be intensified among the non-Party workers. This is another means of improving the internal Party situation, of increasing the activity of the Party membership. I must say that our organisations are still paying little attention to the task of drawing non-Party workers into our Soviets. Take, for example, the elections to the Moscow Soviet that are being held now. I consider that one of the big defects in these elections is that too few non-Party people are being elected. It is said that there exists a decision of the organisation to the effect that at least a certain number, a certain percentage, etc., of non-Party people are to be elected; but I see that, in fact, a far smaller number is being elected. It is said that the masses are eager to elect only Communists. I have my doubts about that, comrades. I think that unless we show a certain degree of confidence in the non-Party people they may answer by becoming very distrustful of our organisations. This confidence in the non-Party people is absolutely necessary, comrades. Communists must be induced to withdraw their candidatures.
Speeches must not be delivered urging the election only of Communists; non-Party people must be encouraged, they must be drawn into the work of administering the state. We shall gain by this and in return receive the reciprocal confidence of the non-Party people in our organisations. The elections in Moscow are an example of the degree to which our organisations are beginning to isolate themselves within their Party shell instead of enlarging their field of activity and, step by step, rallying the non-Party people around themselves.
Eighthly, work among the peasants must be intensified. I do not know why our village units, which in some places are wilting, are losing their members and are not trusted much by the peasants (this must be admitted)—I do not know why, for instance, two practical tasks cannot be set these units: firstly, to interpret and popularise the Soviet laws which affect peasant life; secondly, to agitate for and disseminate elementary agronomic knowledge, if only the knowledge that it is necessary to plough the fields in proper time, to sift seed, etc. Do you know, comrades, that if every peasant were to decide to devote a little labour to the sifting of seed, it would be possible without land improvement, and without introducing new machines, to obtain an increase in crop yield amounting to about ten poods per dessiatin? And what does an increase in crop yield of ten poods per dessiatin mean? It means an increase in the gross crop of a thousand million poods per annum. And all this could be achieved without great effort. Why should not our village units take up this matter? Is it less important than talking about Curzon's policy? The peasants would then realise that the Communists have stopped engaging in empty talk and have got down to real business; and then our village units would win the boundless confidence of the peasants.
There is no need for me to stress how necessary it is, for improving and reviving Party life, to intensify Party and political educational work among the youth, the source of new cadres, in the Red Army, among women delegates, and among non-Party people in general.
Nor will I dwell upon the importance of increasing the interchange of information, about which I have already spoken, of increasing the supply of information from the top downwards and from below upwards.
Such, comrades, are the measures for improvement, the course towards internal Party democracy which the Central Committee set as far back as September of this year, and which must be put into practice by all Party organisations from top to bottom.
I would now like to deal with two extremes, two obsessions, on the question of workers' democracy that were to be noted in some of the discussion articles in Pravda.
The first extreme concerns the election principle. It manifests itself in some comrades wanting to have elections "throughout." Since we stand for the election principle, let us go the whole hog in electing! Party standing? What do we want that for? Elect whomever you please. That is a mistaken view, comrades. The Party will not accept it. Of course, we are not now at war; we are in a period of peaceful development. But we are now living under the NEP. Do not forget that, comrades. The Party began the purge not during, but after the war. Why? Because, during the war, fear of defeat drew the Party together into one whole, and some of the disruptive elements in the Party were compelled to keep to the general line of the Party, which was faced with the question of life or death. Now these bonds have fallen away, for we are not now at war; now we have the NEP, we have permitted a revival of capitalism, and the bourgeoisie is reviving. True, all this helps to purge the Party, to strengthen it; but on the other hand, we are being enveloped in a new atmosphere by the nascent and growing bourgeoisie, which is not very strong yet, but which has already succeeded in beating some of our co-operatives and trading organisations in internal trade. It was precisely after the introduction of the NEP that the Party began the purge and reduced its membership by half; it was precisely after the introduction of the NEP that the Party decided that, in order to protect our organisations from the contagion of the NEP, it was necessary, for example, to hinder the influx of non-proletarian elements into the Party, that it was necessary that Party officials should have a definite Party standing, and so forth. Was the Party right in taking these precautionary measures, which restricted "expanded" democracy? I think it was. That is why I think that we must have democracy, we must have the election principle, but the restrictive measures that were adopted by the Eleventh and Twelfth Congresses, at least the chief ones, must still remain in force.
The second extreme concerns the question of the limits of the discussion. This extreme manifests itself in some comrades demanding unlimited discussion; they think that the discussion of problems is the be all and end all of Party work and forget about the other aspect of Party work, namely, action, which calls for the implementation of the Party's decisions. At all events, this was the impression I gained from the short article by Radzin, who tried to substantiate the principle of unlimited discussion by a reference to Trotsky, who is alleged to have said that "the Party is a voluntary association of like-minded people." I searched for that sentence in Trotsky's works, but could not find it. Trotsky could scarcely have uttered it as a finished formula for the definition of the Party; and if he did utter it, he could scarcely have stopped there. The Party is not only an association of like-minded people; it is also an association of like-acting people, it is a militant association of like-acting people who are fighting on a common ideological basis (programme, tactics). I think that the reference to Trotsky is out of place, for I know Trotsky as one of the members of the Central Committee who most of all stress the active side of Party work. I think, therefore, that Radzin himself must bear responsibility for this definition. But what does this definition lead to? One of two possibilities: either that the Party will degenerate into a sect, into a philosophical school, for only in such narrow organisations is complete like-minded-ness possible; or that it will become a permanent debating society, eternally discussing and eternally arguing, until the point is reached where factions form and the Party is split. Our Party cannot accept either of these possibilities. This is why I think that the discussion of problems is needed, a discussion is needed, but limits must be set to such discussion in order to safeguard the Party, to safeguard this fighting unit of the proletariat, against degenerating into a debating society.
In concluding my report, I must warn you, comrades, against these two extremes. I think that if we reject both these extremes and honestly and resolutely steer the course towards internal Party democracy that the Central Committee set already in September of this year, we shall certainly achieve an improvement in our Party work. (Applause.)
Pravda, No. 277, December 6, 1923
Notes 1. This refers to the commission set up in conformity with the decision of the Political Bureau and of the Plenum of the Central Committee of the R.C.P.(B.) which took place on September 23-25, 1923.
Collected Works Index Volume 5 Index Works by Decade J. V. Stalin Archive Marxists Internet Archive

This was a while back but it's still nagging at me. I 22F went to a Gl, I had one quick appt and was told I needed an upper endoscopy (so non emergent.) told him I had more questions but he said I'd get a chance the day of. I get there and am rushed through paperwork because they were "running behind." I told them I still had questions but they said I could ask once we're in the OR since the GI would be there. Get to the OR and my Gl ignored me when I spoke to him, 0 acknowledgment, then they pushed the anesthesia with no warning. I assume it was propofol because it burned and I asked what it was, no answer, just "try and relax." At that point I was done and told them to stop, they didn't, 1 freaked out a bit and tried sitting up, was pushed back down, I asked them to stop multiple times. I was on drugs (whatever they pushed) which is why I think they may have been justified in continuing the procedure but I was alert and oriented to time place self and situation however they didn't ask. They also took samples for biopsy without ever explaining that to me and there was a needle on my bed when I was leaving. Overall the place was a shit show but were they in the right to continue the procedure?
med issues: gi, kidney problems, heart problems, the whole nine yards but it feels a bit excessive to include with this post height and weight: 5’3 150 smoker lots of meds, same as the first one, not too relevant duration and location of complaint, everywhere i guess lol

Introduction
When blood sugar levels cannot be controlled with oral medications alone, human insulin is used to treat type 1 diabetes, a condition in which the body does not produce insulin and cannot control blood sugar levels, or type 2 diabetes, a condition in which the body does not produce or use insulin normally, resulting in excessive blood sugar levels. Human insulin belongs to a group of drugs known as hormones. The insulin that the body naturally produces is replaced with human insulin. It functions by assisting the body's other tissues in transferring blood sugar, which is used there for energy. It also prevents the liver from generating additional sugar. This is how all of the available forms of insulin function. The only differences between the insulin kinds are in how soon they start to act and how long they stay effective at regulating blood sugar.
What is Gestational diabetes ?
For women without a history of diabetes, gestational diabetes is a form of the diabetes that can develop during pregnancy. After the baby is born, gestational diabetes typically disappears. If your doctor advises differently, it's crucial to get a follow-up glucose tolerance test six to twelve months after the baby is born or before attempting a second pregnancy to ensure you are no longer diabetic.You can increase the likelihood of a successful pregnancy and healthy baby by controlling your gestational diabetes.
Who is susceptible to gestational diabetes?
The prevalence of gestational diabetes in pregnant women ranges from 3% to 8%. In most cases, it is discovered between 24 and 28 weeks, though it might appear earlier. Receiving a gestational diabetes diagnosis might be distressing and unanticipated. It's critical to receive support and assistance in controlling it by reaching out.
Gestational diabetes is more likely to affect some women. Among the women in this category are these:

• are overweight or obese
• have a family history of type 2 diabetes
• are older than 40 years of age
• use some steroids or antipsychotic drugs.
• having experienced gestational diabetes in the past
• previously given birth to a child weighing more than 4,500 grams.
• having experienced a difficult pregnancy in the past
• have PCOS, or polycystic ovarian syndrome.

There are some pregnant women without established risk factors for gestational diabetes.
Education about the use of insulin
It is critical that you receive guidance and support on the administration, storage, and operation of insulin from your physician or diabetes educator.
It is crucial that you understand the warning signs and symptoms of hypoglycemia, how to manage it, and the safe blood glucose levels for driving. Insulin can occasionally cause blood glucose levels to drop too low.
What happens after the birth of a baby?
After your baby is born, you normally stop injecting insulin to help manage gestational diabetes. This is due to the fact that after giving delivery, women's blood glucose levels typically recover to the ideal range rather quickly.
It's crucial to check your baby's blood glucose levels after birth to make sure it hasn't dropped too low. If so, you can cure it by giving your child formula or breast milk. It is advised that you breastfeed your child because it is best for both of you.
After your baby is delivered, your blood glucose levels will be monitored for a few days to make sure they are within the appropriate range. It is customary to check blood sugar two hours after eating and before breakfast. Six to twelve weeks after the baby is born, an oral glucose tolerance test (OGTT) is performed to see if your diabetes has resolved.
If you live in a high-risk location or are unable to socially distance yourself from the pathology center, it is advised that you postpone the OGTT testing for a period of six months during COVID-19. If you intend to become pregnant again or before your child turns 12 months old, it is advised to have an OGTT. Follow your physician's advice.
Although a child whose mother had gestational diabetes won't have diabetes at birth, they might have a higher chance of type 2 diabetes in the future.
What side effects can insulin cause?
There may be adverse effects from human insulin. Inform your physician in the event that any of these symptoms worsen or persist:

• Skin thickening (fat build-up)
• Skin redness
• Swelling
• Itching at the injection site
• A small depression in the skin (fat breakdown)
• Constipation
• Weight gain

Certain adverse effects may be dangerous. Give your doctor a call right away if you encounter any of the following symptoms:

• Rash and/or itching throughout the entire body
• Dyspnea
• Wheezing
• Lightheadedness
• Hazy vision
• Rapid heart rate
• Perspiration Weakness in breathing or swallowing
• Muscles Cramps
• Irregular pulse
• Significant weight gain
• Edema of arms, hands, feet, ankles, or lower legs

Conclusion
Insulin therapy is still the recommended course of treatment for uncontrolled gestational diabetes mellitus (GDM) and type 1 and type 2 diabetes. The insulins with the greatest human pregnancy data are NPH, insulin lispro, insulin aspart, and regular insulin. Clinicians' ability to accurately weigh the advantages and disadvantages of modifying insulin therapy will become increasingly important. It's also crucial to share the data with the patient so she can help choose the optimal insulin dosage. For the greatest fetal results, strict glycemic control must be maintained throughout pregnancy, regardless of the regimen selected.

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The “magic” of kettlebell training is, under the right circumstances, they will stimulate / force your body to burn off stored body fat.
Sometimes slowly.
Sometimes like fire through a dry wheatfield on a hot summer’s day.
The key is two-fold:
[1] Using a properly constructed KB workout program
[2] Supporting your workouts with the right kind of foods
Now some people get lucky and stumble on the first.
But many, if not most, fall down face first on the second.
The “right kind of foods” practically force your body to burn off your stored (and unwanted) body fat at proverbial gunpoint.
I call this “Supportive Nutrition.”
It’s nutrition - foods - that support the proper functioning of your cells and regulation of your body’s systems as opposed to foods that “clog” up your cells and systems.
Foods that make you store fat:
[X] Processed foods: Man-made foods and drinks in a box or bag or in plastic: Chips, crackers, cookies
[X] Sodas and other sugary/soft drinks
[X] Alcohol in excessive amounts
That pretty much covers it.
Said another way: It’s anything found in the aisles of a grocery store.
Exceptions are beans and rice.

These foods make you store fat because:

[1] Increase (chronic) cellular inflammation
[2] Increase your chances of getting Type 2 Diabetes due to glucose intolerance and decreased insulin sensitivity
[3] Due to #2 - force your body to create new fat cells because it can’t store the glucose (sugar) quickly enough because your pancreas isn’t producing enough insulin
[4] Destroy appetite regulation and increase your hunger due to disruption of leptin (your satiety hormone) signaling
[5] Make you crave more of the same types of foods so you eat more (calories) than you should
[6] Create an “overfed / undernourished” state in your body - your feeding your body empty calories and your body is still starving / malnourished, which contributes to feeling hungry
[7] Cripple your mitochondria function (Mitochondria are your cells’ energy generators), which many times, makes you feel chronically tired
Yeah, you’re right, they really are THAT BAD, even though they taste that good.

Conversely, foods that “force” your body to burn fat are:

[+] Protein: Lean meats, lean cuts of chicken, turkey, fish, eggs
[+] Fruit and berries
[+] Vegetables: leafy green and cruciferous veggies like broccoli, asparagus, cauliflower, spinach, brussel sprouts, lettuce, peppers, eggplant, carrots, etc
[+] Natural Starches: Potatoes, sweet potatoes, yams, rices, beans
So, cut back on the first group of FAT-STORING FOODS and increase the amount of FAT-BURNING FOODS that you eat.
As a result, you’ll reverse all the negative processes we just discussed and start burning off stored body fat.
The only problem I foresee - and you might be thinking this right now, {first_name}...

How exactly do you do that?

How do you turn around years, maybe decades of unhealthy / less-than-healthy fat-storing eating on the stop of a dime?
The truth is -
(And this is where most people get discouraged, fall-down, or quit outright - but there’s a shortcut we’ll discuss in a moment…)
You don’t.
IT’S A PROCESS.
It takes learning new skills, developing new habits.
And both of those take time.
Now: The shortcut.
And, if you can read, you qualify for the shortcut.
The shortcut is the “Done-For-You” version -
Pre-Built Recipe Plans.
No need trying to refigure how to build the wheel.
I’ll leave links to them.

Immediately filling your stomach the second you can feel it is empty is something many people view as normal and necessary, 'snack culture' is the result of this. Its hammered into us from young ages. I was constantly provided with food, snacks, etc as a kid. My stomach probably contained food 95% of the time I was awake.
When I was attempting to diet, the mere feeling of an empty stomach was driving me insane. It wasn't even hunger, it was just feeling like I had an empty stomach. It would fill me with dread and anxiety, to the point where I felt lightheaded with blurry vision. I was convinced my blood sugar must've been dropping dangerously low, so I bought a glucose reader. My blood sugar was fine, these feelings were entirely due to anxiety.
Eventually I started accepting that it is okay to have an empty stomach. There's absolutely no way our ancestors were running around with full bellies, we simply did not evolve with excess food available. They probably had empty stomachs most of the time, eating sporadically when food was available (that's the entire reason we even store fat). Once I came to terms with this, I started shedding weight rather quickly, losing the 70 lbs I needed to be 'lean'. I've maintained this healthy weight ever since.
This is why I don't think Ozempic (or anything convinces you your stomach is fuller than it is) is a great idea for most people. Unless these drugs permanently change your psychology, you're not overcoming one of the primary reasons you are overweight. When you stop taking the drug and begin to feel that 'empty stomach' feeling, you'll likely end up eating excessively again, because you never learned to be okay with minor feelings of hunger.

In the area of business operations, making sure the proper functioning and sturdiness of pipelines is paramount. From production websites to production plant life, pipelines serve as the lifelines of various procedures, wearing fluid gasses critical for operations. However, to hold the integrity of these pipelines, the use of dependable pipe clamps will become indispensable. Pipe clamps are important additives designed to guide, stabilize, and secure piping structures, stopping leaks, vibrations, and structural harm. With a myriad of alternatives to be had inside the marketplace, selecting the right pipe clamps for business packages can be a daunting undertaking. This comprehensive manual objectives to simplify the technique, imparting insights into key elements to recall whilst selecting pipe clamps for industrial uses.
Understanding the Importance of Pipe Clamps:
Pipe clamps play a pivotal function in making sure the structural integrity and functionality of pipelines in commercial settings. These clamps are on the whole responsible for:

• Providing assistance and balance to pipelines, specially in conditions in which they're subjected to outside forces or vibrations.
• Preventing leakage through securely preserving pipes in the region and retaining proper alignment.
• Facilitating ease of installation, protection, and repair of pipelines by imparting a reliable mounting solution.

Types of Pipe Clamps:
Before delving into the choice technique, it's important to familiarize oneself with the numerous kinds of pipe clamps available within the marketplace. Some common sorts include:

• Standard Pipe Clamps: These clamps function a simple layout and are perfect for supporting horizontal pipelines.
• U-Bolt Clamps: Characterized by using their U-fashioned design, those clamps provide a stable grip across the pipe, making them appropriate for heavy-duty applications.
• Split Clamps: Designed with a two-piece production, break up clamps are flexible and may be effortlessly installed or removed without disassembling the entire pipeline.
• Suspension Clamps: Specifically designed for overhead packages, suspension clamps provide help to vertical pipelines, stopping sagging or bending.

Considerations for Selecting Pipe Clamps:
When choosing pipe clamps for industrial uses, several elements have to be taken into consideration to make sure top-rated performance and sturdiness. These issues encompass:

• Material: Opt for pipe clamps comprising long lasting materials including chrome steel, excessive nickel metallic, or alloy metallic to withstand harsh environmental conditions and corrosion.
• Size and Compatibility: Select pipe clamps which might be well suited with the diameter and cloth of the pipeline to make sure a steady fit and proper assist.
• Load Capacity: Assess the maximum load or weight that the pipe clamps are designed to withstand, considering elements including fluid stress, temperature variations, and external forces.
• Environmental Factors: Take into consideration the operating surroundings, including temperature extremes, publicity to chemical compounds, and capability dangers, and select pipe clamps which are proof against corrosion, UV degradation, and other environmental stressors.
• Installation Requirements: Consider the convenience of installation and protection, opting for pipe clamps that feature consumer-pleasant designs and require minimal tools or understanding for meeting.

Quality Assurance and Compliance:
When sourcing pipe clamps for business programs, it's imperative to prioritize quality assurance and compliance with industry requirements and policies. Look for respectable pipe clamp manufacturers that adhere to stringent satisfactory manipulation measures and provide certifications consisting of ISO 9001:2015. Additionally, make certain that the pipe clamps follow applicable industry requirements along with ASTM, ASME, DIN, or ANSI to assure their reliability and overall performance.
Cost-effectiveness and Long-term Value:
While in advance price is absolutely an essential consideration, it's essential to weigh the long-term value and value-effectiveness of pipe clamps. Investing in splendid clamps might also entail a higher initial investment but can bring about sizable financial savings through the years via decreasing the frequency of repairs, replacements, and downtime associated with inferior products.
Conclusion:
In the end, selecting the right pipe clamps for business uses requires conscious attention to various factors, along with material, length, load ability, environmental elements, set up requirements, first-class warranty, and cost-effectiveness. By prioritizing great compatibility, and compliance with industry standards, industrial operators can make certain the reliability, safety, and efficiency of their piping structures.
For top-notch pipe clamps sponsored by using high-quality warranty and reliability, consider contacting Bu-Lok. As one of the main pipe clamp manufacturers, buyers, and providers of stainless-steel, excessive nickel steel, alloy metallic, and carbon metallic pipe clamps, Bu-Lok offers a comprehensive range of merchandise designed to meet the various wishes of business programs. With a dedication to excellence and purchaser satisfaction, Bu-Lok stands as a trusted companion in ensuring the integrity and overall performance of business pipelines.

Even the students who've organized well and always scored inside the highest percentiles in all their mocks can get stumped by the non-MCQ questions in CAT 2024. Also known as TITA questions – ‘Type in The Answer’ – non-MCQ CAT questions are designed to be confusing. With no selections to pick from and lengthy answers, students can fast lose valuable minutes with out ever knowing in the event that they have an appropriate solution. TITA questions in CAT are acknowledged for their better difficulty tiers, poor accuracy, and time-eating nature. Get Started your CAT Exam Preparation with CAT Exam Online Coaching.
But these questions also include a hidden prize – not like the MCQs with stringent poor markings for wrong solutions, non-MCQ CAT questions haven't any negative marking in any respect. This makes them an engaging bet to attempt. With the proper method, college students can maximize their probabilities of bolstering their normal score with TITA CAT questions whilst saving time.

What are non-MCQ questions in CAT?

Non-MCQ or TITA questions had been delivered in the CAT examination by using IIM Ahmedabad in 2015. And ever due to the fact that then, they’ve been a ordinary feature in all CAT assessments. What separates them from the ordinary CAT questions is the lack of options. Unlike MCQ questions, which are observed by way of 4 choices – one of that's correct – TITA questions most effective have a textual content field. Students want to type in the answer the usage of the on-display screen keyboard.
Another thing to remember is that those questions don't have any bad marking. Candidates are provided three marks for correct solutions and lose none for wrong ones. This caveat makes it tempting for college students to attempt as many non-MCQ questions in CAT as possible. But those questions are framed to bleed time, i.E., they've a better issue stage and lower accuracy rate. Moreover, the absence of alternatives makes reverse deduction and guesswork obsolete. Students should remedy the entire question with the aid of hand to get to the solution. Even if they could come to be with the ideal one, there’s the danger of losing an excessive amount of treasured time on them and missing out on attempting other questions.

So, should you even attempt the TITA questions in CAT?

The trick lies in incorporating the non-MCQ questions inside your wellknown method for the paper in preference to searching at them one at a time. Your stop intention need to be to attain 45-60 marks on the general examination. If you may acquire that without the non-MCQ questions, then try this. If you sense some TITA questions will help you attain that focus on score, paintings with that.
Continue analyzing the weblog to apprehend the exact phase-clever approach for non-MCQ CAT questions.

How to address the non-MCQ questions in CAT 2024?

Just like you break down your strategy for MCQ questions primarily based at the kind of question and topic, you need to do the identical even for the non-MCQ CAT questions.

VARC TITA questions

You can count on everywhere between five-10 TITA questions within the Verbal Ability segment. These questions will commonly be divided into the subsequent classes:

• Para jumbles
• Para summary
• Odd sentence out/misfit

For VARC, the TITA questions largely observe the same format as the regular MCQ questions. This is one segment where trying TITA questions can prove to be exceptional. Para summaries and ordinary sentences may be solved speedy using the equal method you use for MCQs.
However, our mentors recommend that the TITA para jumbles have to handiest be attempted on the cease if spare time is to be had.

DILR TITA questions

With around 5-eight non-MCQ questions expected in DILR, this is the only section students have to be maximum wary of. It is straightforward to wander off in logical reasoning questions and lose tune of time. Moreover, finding the proper method to fixing the question can also take time. The equal applies to records interpretation. DI is usually calculation-heavy and can have answers strolling into a couple of decimal locations.
According to our mentors, TITA questions in DILR ought to handiest be attempted if you can right now visualize the perfect method to fixing it. Accuracy in those questions may be low, so basic mistakes should be averted. Another lure is using the on-display screen calculator. Punching numbers is likewise time-consuming, gobbling up precious seconds. Instead, attention on memorizing all numbers’ squares, cubes, and roots to store time.
Join the CAT Best Online Coaching to level up your CAT preparation.

QA TITA questions

The quant section may have the most TITA questions, numbering round eight-15. These questions can come from any subject matter inside the quant syllabus. To get a higher idea of the extraordinary subjects and the most essential ones, study our weblog on CAT syllabus.
Learn to perceive the core concepts being tested within the QA TITA questions. This will permit you to filter out the questions you can try quick and the ones you cannot based totally on the standards you’ve studied. With no opportunity to reverse engineer the answer from the options, getting to the precise answer can be complicated, even when you recognize the ideas. So, only attempt these questions ultimately when you have time to spare.
Non-MCQ questions in CAT want to be approached very judiciously. Instead of being tempted by way of the no poor marking clause, choose the TITA questions objectively. Remember, the accuracy stage of TITA questions is at the decrease quit. Solve as many TITA questions as you can from previous years’ papers. This will provide you with a better idea of what to expect. If you are nonetheless careworn, you may sign on for the IMS Mock CAT Test Series. With 18 SimCATs and the past 3 years’ papers with video answers, you’ll have access to a extensive variety of questions and approaches to remedy them. This will substantially give a boost to your method to non-MCQ questions in CAT 2024.

Hello everybody.
So I'm 29-years-old and I have had short, sporadic episodes of depression throughout my adolescence and early adulthood. These episodes wouldn't last much longer than about 10 days. I used to smoke marijuana on a regular basis (with intermittent 2-month-long tolerance breaks) and I only recently stopped smoking it (it's been a grand total of 4 or 5 months weed free). I realized that the abuse of marijuana would make me excessively demotivated to do even the simplest of tasks. Should also be noted that I consume a lot of coffee in a day (like 5 espressos worth of it).
After I put down the bong, I experienced a burst of energy and motivation, yet at times I still feel quite apathetic to do things, even months after avoiding drugs. I have been sitting on an MA degree for 3 years now, for which all I would have to do is write my thesis and pass the state exam, yet I find it difficult to motivate myself to do anything about it. I still have 2 years to finish it otherwise all my credits expire.
At the same time, I found a job at an EU institution (1 year contract) and it pays well, but it's sucking the life out of me. I still manage to find the energy and the motivation to exercise after work (not every day, but when I get into it I'll do 2,5 hours if I'm not in a hurry) and I'm trying to figure out why I have the willpower to do certain things, but no willpower to do the things I really should do in the long term that would benefit my career. Am I broken or something?
Any tips on how to overcome motivational problems like this? I'm not entirely sure where to start with this.

I don’t know where to post this, but how do I bring it up to him? In my opinion, it’s excessive and wasteful to wash laundry every day (and sometimes several times a day) for one person. There are only my dad and I living together and I wash my laundry myself, but not nearly as often, so he’s only washing his own clothes. He’s been washing every single day non-stop ever since we’ve gotten a new washing machine. I thought he would stop after a while and grow tired of it, but it’s become a habit of his now. I don’t believe he could accumulate a washing load worth’s of laundry after a day.
I brought it up that it seemed excessive to wash that often (and not even a full load), but he’s a stubborn man. He said he needs to wash every day because he’s a grown man who sweats a lot. Do men really need to wash their clothes every day though? The washing Maschine isn’t that small either, so he could collect some laundry and wait a little bit. He has a lot of clothes too, so it’s not because he runs out of clothes fast. Should I say something more to him or should I let him keep going? If I should say something, what can I say to him to break through that it’s excessive to wash so much?
Tldr: dad washes clothes every single day (sometimes several a day). Wanting tips on if I should say something to him or not after a failed attempt of conveying it’s excessive to wash this much.

I have been able to lose/maintain at 1200~2000 calories for the last 6ish years and suddenly I just stopped doing that. >! I went from 87-93lbs as my “normal” weights to 106!< My pants are tight, my stomach sticks out, but at least my booty fills in my jeans now. I also gain weight in my face (like excessively) but I haven’t in my face at all! It’s crazy.
Maybe I’m going through “second puberty” or maybe I’m finishing up real puberty really late. I don’t think I really truly completely went through puberty in a normal sense because my ED started before it and I’ve pretty much had the same measurements/body type since I was like 12. I’ve also grown an inch and a half so idk what’s happening. I’m not as upset about the weight gain as I thought I’d be so that’s nice.
I have PCOS so I’m scared that I’m going to keep gaining a bunch of weight for no reason and not be able to lose it. I know for a fact that will set me off and I’ve been at a point where I’m not being absolutely insane about cal/food etc for the last year and I just don’t want to be in a really bad spot again.

hi! i highly suspect i am dealing with candida overgrowth. i have an upcoming appointment with a naturopathic gut specialist in a few weeks. in the meantime, i am focusing on the candida diet and strengthening my immune system.
i am chronically anemic (very likely due to candida) and have been for years. i’ve been taking an iron supplement for the past few weeks per my doctor’s recommendation. in the past few days, i have been reading about how candida uses iron to build its cell walls which means that supplementation can increase issues.
MAIN QUESTION: do i stop taking iron supplements and focus on killing of the excess candida in hopes of improving absorption or continue supplementing because of how low my iron is?
if anyone has any personal advice or info from their doctors, i would greatly appreciate your input!!

So I didnt genuinely understand what a massive difference it makes to have a camp at Whitespring for selling. I was really feeling the strain on my storage with all of the legendaries I've picked up doing a couple of Eviction Notice events and decided to sell off my excess plans, weapons, armor etc.
Unfortunately, my main base location, although its in a very scenic location, I dont expect anyone to walk there. Had a couple of sales from team members exploiting free travel, nothing major. Then, yesterday, I decided to see if I could get rid of more stock at Whitespring and holy hell, I have people stopping by my camp every time I load into a server. I also set my camp icon to the antique store icon which seemed to help.
In one evening, I made 25k camps selling about 20 items and hit max damage on Aristocrats for the first time. Now all I'm worried about is over selling and hitting max caps!

There is CKD in my family. For some reason the doctors won't test me and just keep ignoring me on this..
Do you know how common excess magnesium is from supplementation and if kidney problems are more likely?
Other than this, nothing seems to be wrong with the function based on basic "kidney function" tests..
I was taking magnesium but not high, so why would it be high? I tend to be deficient in most things which I am seeking answers on too.
I was taking about 400mg daily at first then for a long time was only taking 200 or 100 every day or second day then had a gap of months before my blood test. That's only 118% then 59% then 39% of the RDA.
And regardless, how would I take or maintain a vitamin D absorption combo if I obviously need or should stop the supplementary magnesium? So I guess it really really isn't meant to happen with supplements..?
The levels are not sky high but are high so I'll be keeping an eye on it. But it seems even a multivitamin could cause this if I take one.

On Thursday evening at around 1900, I returned home from work. I parked my moped (Yamaha Cygnus 125) right up against my front door as I live down a private road without a driveway or garage. I then engaged the steering lock, key lock (this stops you being able to use the ignition key as it blocks the key hole), installed the alarmed D Lock, Padlock and Chain. The next day (Friday) I went out at around 12:00 to find the moped had been stolen.
I immediately called the police to notify them on the theft. They were apathetic and told me to have a look in the immediate vicinity, check for cctv, wait on a crime reference number and then contact my insurance.
The policy is with Lexham Insurance - third party, fire and theft. After initiating a claim and providing the insurance company with all of the details above, including notifying them that there is no cctv and no witnesses, they informed me they would be in touch. The insurance company then called me on Tuesday insisting that because it was my first claim, by default I am at fault?! I argued the case that I did everything stated in the policy, chain, d lock with built in alarm etc but they insisted it is still my fault?
I’m starting to consider the option of not going through with an insurance claim due to the financial hit (see below).
I paid £1000 out right for the bike, the excess I will have to pay is £450, the remainder of the insurance policy (instalments) is £450. They are also charging me £150 for changing my address (I recently moved house).
Any advice here would be greatly appreciated as I’m in utter disbelief at how absurdly unfair this all seems?
Thanks

Age: 36
Sex: Male
Height: 6'0"
Weight: 210lbs
Race: White
Duration of Complaint: ~2 ½ Months
For roughly two and a half months now, I've had a combination of two different issues. The first being a pretty significant amount of discomfort in my forearm. It's a very specific spot, specifically the red circle in this picture. The discomfort is mostly trigger based, specifically if I'm using a computer, to which I can really only actively use the mouse for around half an hour before it becomes too uncomfortable and starts bordering on painful. There's also a very consistent "popping" directly right in that area, it typically happens if my wrist is bent downwards, and then "pops" when I bring my wrist back up. It's not like normal popping where it happens once and stops, it happens each and every time I do it, UNLESS I put pressure on the spot, then it stops. It's not audible, but I can "feel" it happen.
The second issue, and honesty the one that bothers me more, is my middle finger, on the same arm. This finger, very specifically that one finger, sporadically becomes very stiff I suppose is the best description of it. For example, if I'm attempting to type, there are times where my finger almost feels like it stops responding, and I have to basically take my fingers off the keyboard and quickly "stretch" my fingers out, and then I can sort of use it again temporarily. I think it seems to happen more or less often depending on the "position" of my arm, but I don't know if that's really true or me being obsessive. Possibly related to this, but in the image I linked earlier, in the green circle, there's something, muscles(?) that will occasionally start spasming. Nothing extreme I don't think, but it's actually visible, I can see that part of my hand start squirming and twitching. It's not painful, but once again, it's very uncomfortable when it happens, and primarily happens if my hand is idle and resting on something. The tip of that finger also feels "tight" if I stretch it out too far, and all around just feels "off" most of the time, even when it's not going unresponsive, to the point of making manipulating things with that hand mildly difficult at times.
To add to all this, this is all exclusively to my right hand and arm. My left arm I believe is more or less unaffected, nor do any of my other limbs appear to be either.
As background here, I do use the computer, excessively. The bulk majority of my job is computer based, and when I'm not at work I mostly spend my day mindlessly scrolling websites online. I also feel like up until very recently when I started becoming more aware of it, my positioning of my arms at my desk at work is rather awkward. I don't feel like it's a coincidence that the arm affected is the one that I use the mouse with, and the finger that's messed up is the finger I have almost constantly on the scroll wheel. What I don't understand though is that this isn't anything new, this has been most of my adult life, and I've never had this issue until a few months ago. It's also been going on for longer than I expected it to, and doesn't feel like it's getting any better. As this may be relevant, I also have severe untreated anxiety issues, so I'm not ruling out that this might actually just all be in my head, I truthfully can't tell if it is or isn't. Doubly so considering I have become pretty consumed by obsession over it by this point.
I have tried compression gloves, icing, bandaging the arm to apply pressure on the spot, OTC medications, finger splints, none of this appears to help. I also thought maybe it might be dehydration based, so I've made an active effort to increase the amount of water I drink, which also hasn't appeared to help. The best I can get is the bandaging across my arm will occasionally make my arm feel a bit better to a point, and then eventually the pressure becomes more uncomfortable than the arm itself and I loosen it up. I have not gotten it checked out professionally, to make things short(er) here lets just say at the moment I am unable to access a doctor (pretty much entirely due to the severe anxiety). I've basically run the entire gamut of looking up every single thing I could find that could be linked to this, and my best guesses are a combination of forearm tendonitis and trigger finger? Or at least I'm hoping that's what this is, as a lot of the alternatives don't seem to be all too fun. My biggest hang up with that though is that this feels like it's been going on longer than it should be if that's the case.

I'm sorry if I spelled that wrong, but it's 3 am on a school night and iv had no sleep so bare with me please. So anyone who don't know what it is here's the definition. Insomnia: is when you aren't sleeping as you should. That can mean you aren't sleeping enough, you aren't sleeping well or you're having trouble falling or staying asleep. Hypersonmnia: Excessive sleepiness or drowsiness. And for me that sounds stupid cuz there pretty much the opposite but it's not and it's awful. When my brain sees that it's dark or the time of when people sleep, my mind os awake and its vary vary hard for me to fall asleep. But when the sun starts showing or my light in my room is on (that one don't work eveytime) I can sleep perfectly. It's vary hard to deal with considering I'm an 15 year old in an American school system that we wake up at 5am and walk to school. Sit in a class for 45 mins for 11 blocks and hope if I fall asleep I won't have detention the next day. I have done test after test. Iv been in sleep study and MRIs and I'm tired of it all I just want a way for my brain to stop being stupid and sleep 😭

Once I stop excessive mastrubation and start nofap.How long after will I start feeling positive difference ???

In numerous business methods, heat exchangers play a critical role in moving heat from one fluid to another. One important aspect of a warmness exchanger is the tube sheet, which offers structural assistance and enables the transfer of heat between the tubes and the encompassing fluid. In this blog post, we'll delve into the importance and programs of double tube sheet design, specializing in its importance in warmness exchanger generation.
Understanding Tube Sheets:
Before we explore the idea of a double tube sheet layout, let's first understand what tube sheets are and their function in warmness exchangers. Tube sheets are thick, round plates that are drilled with holes to deal with heat change tubes. These tubes are then routinely attached to the tube sheet using numerous techniques such as welding, rolling, or expansion. The tube sheet acts as a barrier among the fluid within the tubes and the encircling fluid, stopping any mixing or infection.
Importance of Double Tube Sheet Design:
Double tube sheet design entails the incorporation of two separate tube sheets in preference to one, with a small hole among them. This layout gives several essential benefits, along with:

1. Enhanced Safety: One of the number one reasons for the usage of a double tube sheet layout is to minimize the threat of go-infection between the 2 fluids being exchanged. By having separate tube sheets with a gap among them, any capacity leaks or screw ups in the inner tube sheet are contained within the gap, preventing the mixing of fluids.
   
2. Increased Reliability: Double tube sheet design improves the general reliability and integrity of the warmth exchanger. In the occasion of a tube failure or leak, the outer tube sheet affords an extra layer of protection, lowering the likelihood of catastrophic failure and extending the lifespan of the gadget.
   
3. Prevention of Fluid Contamination: Double tube sheet design enables you to save liquid contamination via supplying a physical barrier among the two fluid streams. This is particularly important in packages wherein the fluids are corrosive, toxic, or incompatible with every other.
   
4. Compliance with Industry Standards: Many industries, which includes petrochemical, pharmaceutical, and meals processing, have stringent protection and first-class standards that require using double tube sheet design in warmness exchangers to ensure the integrity of the system and compliance with regulatory necessities.
   

Applications of Double Tube Sheet Design:
Double tube sheet layout reveals programs in a wide variety of industries and procedures, along with:

1. Chemical Processing: Double tube sheet warmness exchangers are normally used in chemical processing plants for heating, cooling, and condensing applications in which the chance of fluid contamination is excessive.
   
2. Oil and Gas: In the oil and gasoline industry, double tube sheet heat exchangers are applied for warmth switches in refining, petrochemical, and offshore applications, where safety and reliability are paramount.
   
3. Pharmaceuticals: Pharmaceutical manufacturing approaches frequently require using double tube sheet warmth exchangers to ensure the purity and integrity of the products being produced.
   
4. Food and Beverage: Double tube sheet warmth exchangers are hired within the meals and beverage industry for pasteurization, sterilization, and cooling programs, wherein preserving product excellence and protection is important.
   

Conclusion:
Double tube sheet layout gives numerous critical advantages in terms of protection, reliability, and fluid contamination prevention in warmth exchanger applications. By incorporating two separate tube sheets with an opening among them, this layout gives a delivered layer of protection and peace of mind in vital business techniques. Whether in chemical processing, oil and gasoline, prescription drugs, or food and beverage, double tube sheet heat exchangers play an important role in making sure efficient and safe warmness switch operations. For optimal performance and reliability, it's vital to work with authentic tube sheet producers who adhere to enterprise requirements and high-quality practices.

TLDR: My 2 year old has always been drinking excessively. I suspect diabetes insipidus but testing doesn’t seem to show it.
My almost 2 year old has been a very thirsty baby from birth. We’d even lie a little about just how much formula he would be having because it was so much. We tried time and time again to lower it and did a tad but he’s always been on the very high end but usually over what is recommended. There wasn’t much we could do about that so we tried our best.
I will mention he has PHACE syndrome and is on propranolol. He has H, A, and E (for eyes). Nothing related to PHACE seems to relate to these symptoms aside from hormonal issues but as I get into below, he’s gotten blood work and MRIs that don’t show anything like a brain tumor or issues with the part of the brain related to hormones.
Once he stopped formula around a year, we moved to almond milk due to a suspected dairy intolerance we had been handling with a specific formula. We were then told to mix his milk with water so he’s not drinking too much milk since he drinks so much. We do that with every single bottle/cup to this day.
We’ve been concerned for a while but I believe it was over summer we wanted to really look into it and got bloodwork etc. to check for diabetes. He’s gotten bloodwork and finger pricks multiple times and anything out of range wasn’t by much and/or doctors didn’t have concerns.
April 5th he had anesthesia for an MRI and wasn’t able to eat or drink prior - I had them run blood testing at that time and his glucose was 105. This shows as high but it isn’t “that” high so I’m not sure what to make of that. They also took ADH which was <0.8 which shows to be within range. They tested his pee and glucose at the pediatrician in March and it was 101 and the pee didn’t come back with anything concerning either.
At this point he drinks I would say at least 25 ounces of watered down milk before 12 pm. We try to not give him any right before bed but he always wants it. So when we get him in the morning it’s like he jumped into a pool. I feel absolutely horrible for him and we try to change him overnight. He doesn’t cry or anything which makes me more sad since he’s just such a good, sweet boy he doesn’t even cry out when he’s soaked.
Even when he doesn’t drink he seems to pee a lot too. And I know this from the MRI fasting but that’s really the only time we could gauge that.
I feel so bad for him. My heart breaks and I worry so much. He doesn’t seem phased at all, but I want to be doing what’s right.
And another side note, he doesn’t do it for comfort. He chugs, signs “more” and sometimes whines or cries when he has to wait for it. And eating wise I think he’s like a normal toddler who is different everyday with what he wants and how much he eats.
So I’m at a loss and will take any advice. TYSM in advance.

I recently just got out of a relationship (6-7 months) I know it's not long, but we really had it going and I thought that this would be my last relationship.
I knew this girl from my freshman year of college, we were never really close or didn't have the chance to. But at the start of my sophomore year, we had the chance to smoke together. Immediately after we hung out for the first time, we both realized that our interests and hobbies are very similar, and our conversations were filled with joy and laughter. After a month of texting every day and hanging out every weekend, I started developing feelings for her. But she was the first to confess to me and I agreed. It went great for the first 3 or 4 months, but after that we started arguing over small things. Now that we are separated, and I had time to think about the relationship I realized that I always emotionally manipulated her and would always trauma dump when things didn't go the way I wanted. She would come over about 4-5 times a week, but when she wanted to go out with her friends, I would always be like "You don't love me" or "You care more about your friends than me." And when she confronted me about it, I would reply with ", But you said that you won't be texting me" or "You said that you won't update me." But in reality, she texted me so much that her friends got tired of her always going on her phone to text me back and I just wanted attention.
Later in the relationship she would create boundaries and would finally say "I won't text you when I'm out with my friends." When she said that I went psychotic and called her 33 times, sent her hundreds of messages, acted violent, and very harsh words. Note that this happened twice, in two weeks both Fridays. But this was all after I originally lost her trust. Which was around a week prior to these events. I was over at her house during spring break, and I was on twitter, she wanted to see my twitter because I never showed it. There was nothing bad on my twitter, and I said "no," and she tried to grab my phone, but I used excessive force to get it back. I was only trying to get a reaction out of her, but that was the moment she lost all trust in me. I tried showing her after it, but it was already over. The next day she tells me to meet her, and she said she doesn't see us working out in the long term, and that she wanted to break up. But I started crying and trauma dumped. After a lot of talking, she said that we can try one more time. I fully believed the statement, but I later found out that it was just to make me stop crying. And that once she starts losing feelings, she can't stop herself even if she wants to.
She has been through a lot growing up. A bad and manipulative father, self-image issues, getting all her info leaked etc,. She even had her "phase" in college, and I knew all that and wanted to change her and make her life happier. But I took everything for granted, and I regret the fact that she even had to get close to me. I wanted her to change, but never wanted to change myself even after promising to. Yes, we were both toxic to each other, and it was never meant to be. But I feel like I made her life worse. She also mentioned that she was always scared of me during the relationship.
She got into a rebound probably 3 weeks after we broke up and said that she is doing good now that I'm gone. I will move on eventually, but I still believe that I have left unerasable scars in her heart, and I feel like an asshole for doing it. I don't think I can fully forgive myself ever.

How do I stop getting an extreme excess of food building up in my corrals? I have it set to the lowest setting and it still manages to build up. Specifically with my rock, tabby, boom, hunter, and phosphorus pink largos, the only corral that doesn’t seem to build up at all is my honey slimes with their mint mangos. How many slimes should I have in each corral? I have around 6 in each corral, all with auto feeders set to the lowest setting. If that isn’t the issue, what could it be? Any help would be greatly appreciated.