Dosage for prednisone 10mg dose pack

Hello all,
I've just realised that I never updated since I finished week 12. My last update was at the end of week 8 which was my first month on 5mg.
I made the decision to continue on 5mg as I had few side effects but was losing weight. I have not had any really problematic side effects - slight need to use the bathroom more than usual and sulphur burps that start about the middle of the day after my jab but don't really last.
I did find slight discomfort in eating an evening meal between week 8 and 10 but in my first few weeks of MJ when I was fasting for Lent I would feel very feint and lethargic so I know that I have to make sure I have some calories to keep me going. I made use of Huel shakes if I was really struggling to make sure I kept my intake up.
I also found around week 10 a slight weakness and a feeling of growing pains in my legs but I have since started to use rehydration supplements whenever this feeling comes on and it solves it by the very next morning.
I have lost in the last month 9lbs which is down quite a lot from my first couple of months but is still really good. In the last couple of weeks I have not seen much of a drop at all and, given that the side effects have become less and less, I have decided this month to step up to 7.5mg before going on to the 10mg dose.
In total I am now down circa 40lbs or 18kg. This is incredible progress for me and much more than I ever thought I would actually be able to lose in this amount of time.
A few little anecdotes from this time:
I went for a meal with colleagues at lunchtime to nandos and ordered the rice bowl with the plant based strips. Comes in at around 700cals. Loved it. Forgot how good broccoli can taste! Nobody questioned it but I forgot how much people can pressure you into eating! The table decided they wanted starters to share and I said I hadn't wanted any. They ordered them and said "it's OK, you can just have some of them if you change your mind" I told them that I wouldn't. They then kept saying "are you not going to have any?" I don't know how many times I had to tell them I was fine! They're lovely people and I don't think they realised what they were doing, they just wanted to make sure I was happy but it can be hard work sometimes!
I also went to a theatre to see a friend in a musical. I know that this theatre has tight seats even for normal sized people so I usually dread the idea of having to perch at the end of the seat but you know, I was always wondering why it doesn't look like I've lost much weight considering the scales say I've lost 40lbs... I think I figured out why. It appears to be around my hips and bum. I sat in the chair, not comfortably, but I was definitely actually in the chair this time! Small wins.
Had a day where I was craving pizza so I decided to make some instead. Used real tomato's and sparing amounts of mozzarella (it reminded me of the pizza I had in Italy where actually, less is often more). Tasted great, got rid of my cravings and it wasn't huge in calories either considering pizza used to be my big vice.
Fruit is incredible. Pears in particular.
Anyway. That's enough for this month. Let's hope the 7.5mg works out for me and I successfully continue this journey.

I am from India, 29F and weighs 87 kg, if that is relevant.
I was 'diagnosed' with ADHD a few weeks ago. I was put on 5 mg (4 days) - 10 mg (6 days) - 15 mg (4 days) Methylphenidate (Addwize). The psychologist warned that I might not feel any instant relief or overnight change. They have to adjust the compounds and dosage slowly to see what works the best. When I asked the psychiatrist if there will be any side effects, she said that this is a very small dosage, prescribed to children too.
I didn't feel any positive difference in these two weeks, except heightened anxiety occasionally. I don't know if the anxiety is due to the medication or my upcoming examinations. I stopped craving for food, which is something I liked. Anyway, yesterday I went to consult them and they both were . . . crestfallen?
The psychiatrist was like ☹️ when I told her that the medication didn't work. She wanted the psychologist to evaluate me again. Psychologist also started to behave differently, like doubting me. Psychiatrist prescribed Atomoxetin Hydrochloride 10mg for 4 days and 18 mg for 21 days. I have to take/retake some test after this.
Was I supposed to cure myself with low dosage methylphenidate in two weeks? I should have been the one to feel disappointed that I paid their consultation fees, travelled 75 km and waited an hour (for each) to meet them. But these two women are behaving like I failed them. Can anyone explain what exactly is going on?

I am 29F and weighs 87 kg, if that is relevant.
I was 'diagnosed' with ADHD a few weeks ago. I was put on 5 mg (4 days) - 10 mg (6 days) - 15 mg (4 days) Methylphenidate (Addwize). The psychologist warned that I might not feel any instant relief or overnight change. They have to adjust the compounds and dosage slowly to see what works the best. When I asked the psychiatrist if there will be any side effects, she said that this is a very small dosage, prescribed to children too.
I didn't feel any positive difference in these two weeks, except heightened anxiety occasionally. I don't know if the anxiety is due to the medication or my upcoming examinations. I stopped craving for food, which is something I liked. Anyway, yesterday I went to consult them and they both were . . . crestfallen?
The psychiatrist was like ☹️ when I told her that the medication didn't work. She wanted the psychologist to evaluate me again. Psychologist also started to behave differently, like doubting me. Psychiatrist prescribed Atomoxetin Hydrochloride 10mg for 4 days and 18 mg for 21 days. I have to take/retake some test after this.
Was I supposed to cure myself with low dosage methylphenidate in two weeks? I should have been the one to feel disappointed that I paid their consultation fees, travelled 75 km and waited an hour (for each) to meet them. But these two women are behaving like I failed them. Can anyone explain what exactly is going

This is my 3rd time on Citalopram. Previously responded to 10mg and 20mg.
This time around I had a pharmacogenetics test done and the results came back as precaution for Citalopram, Escitalopram (Lexapro) and Sertraline. Means I'm more at risk of adverse effects, and I should consider slow titration up and lower than standard maintenance doses.
This fits with what I've experienced with Citalopram personally. When starting, I get all the side effects, insomnia, light headedness, mild drowsiness, dry mouth, increased depression, and they persist longer than usual (8 weeks, not so much the depression). Might explain also why I take a while to respond (12 weeks) unlike a number of reviews I've seen where people are saying even after 2 weeks they're feeling much better.
I've been on 10mg for nearly 6 weeks, I've made small improvements so I'm sticking with it, but interesting results none-the-less.

Have had prolonged depression for years, CPTSD, GAD, panic disorder, Fibromyalgia - and experiencing a particularly lower mood last couple months. I've been on 120 for just over a year and a new psychiatrist recommended I up it to 150? I've read such varied stuff online about dosages and believe anti-d's are person specific but, I'm aware it's an unusual dose...is anyone else here taking 150??? I don't want to be on drugs forever but I'm at a loss

i started seroquel (25mg) 4 days ago that i take before bed, as well as completely coming off venlafaxine/effexor (37.5mg). i know these 2 changes are a lot for my body at the moment, and it will take 2-4 weeks for the side effects to subside.
one of the main side effects ive been experiencing since, is the constant brain fog/feeling spaced out during the day. im finding this is causing my dexamphetamine (ADHD meds) to not be as effective, and im finding myself taking more than the maximum dosage (ik its bad, but i need the medication to work as im a fulltime uni student). even though i've been exceeding the max dose, im still struggling to focus and my mental clarity is so mushy (thats the only way to describe it). i know this is a common side effect with seroquel -- im not sure if its the same for venlafaxine/effexor withdraws (perhaps the combination of both?).
even if the brain fog/spaced out eventually goes away, im worried my dexamphetamine will forever be less effective. i know ADHD meds work by increasing mostly dopamine and serotonin, whereas seroquel basically does the opposite and balances them out. has anyone had any success with taking both? will the ADHD meds go back to being just as effective once my body has adjusted to the changes?
thank you!

I've been on HRT for 5 and a half months. My starting dosages were all oral, 6mg estradiol, 100mg spiro, and 100mg progesterone. During my time on that regime, I made note of a bit of constipation happening but it was short lived and things went back to normal. At the 4 month mark, my doctor doubled my spiro dose because my T levels were still high. Since then, I've noticed a lot more constipation on a lot more regular basis, to the point where I've started needing to take Miralax (something I was prescribed as a baby but grew out of).
Given these developments, I think it's pretty safe to say that spiro is the root cause or at least a supporting cause of this issue, so I'm curious if anyone else has experienced the same. I haven't changed my eating or drinking habits since starting HRT, so I'm guessing that isn't to blame unless my body is processing solids and liquids differently now.

33F Height: 5’4” Weight: 116lbs Current Smoker at >.25 pack a day, but heavy vapor use. No drug or alcohol use.
Meds: Adderall XR 20mg, Wellbutrin 150mg, Lamotrigine 200mg, clonidine.02 mg, Klonopin .25mg, methocarbamol 750mg PRN/rotating meds: mirtazapine 15mg, temazepam 15mg, Dronabinol 2.5-10mg, cyproheptadine 20mg, albuterol inhaler Conditions: Exercise induced asthma, past and upcoming RFA for Sl arthritis, history of CIN 3 with noncompliance in treatment for approximately 8 years Extreme difficulty eating and 2,000 calories per week for several weeks, NOT anorexia Nervosa or Bulimia, not intentional Psych: Anxiety, Depression, ADHD, Insomnia, Borderline Personality Disorder (but please take me seriously)
I recently went in for a physical exam to address my difficulty eating and extremely low food intake. Not an eating disorder nor intentional. I mentioned a slight pain that's been around for a few months, as well as some absolutely bizarre noises coming from the left upper side of my body regularly. The doctor found Abdominal Aortic Aneurysm but I am confirming with imaging Monday. In the meantime, I'm freaking out. Should I be? I wasn't provided with any information and I am researching but I guess my biggest question is how serious is this without a rupture? Should I call off work on Monday, or for the week? Does this mean I'm guaranteed to have surgery? I'm also not sure what I should or shouldn't be doing in the meantime. If not answers, happy for any good resources I can look into! Full blood work up weirdly looked fine. I'm trying to avoid stressing about it but my mental health and weakness is making that extremely difficult. I'm providing any and all relevant information I can think of below. Thank you so much!

Hi All,
30yo male here; recently diagnosed with ADHD after a lifelong battle with focus and inattentiveness. My condition (like many others), meant that I was flying under the radar for my schooling and university years, and it wasn’t until I started to see a Phsycologist on a regular basis (to deal with my depression) that a preliminary diagnosis was realised.
Following confirmation of ADHD diagnosis by a Psychiatrist, I was placed on 40mg of Vyvanse. Whilst this medication worked well for me, it unfortunately made my blood pressure go up to unsafe levels quite rapidly from 130/85 to 180/105 in only two weeks.
After consultation with my psychiatrist, it was decided that Vyvanse would be discontinued and swapped out for Atomoxetine (Straterra); which is a non-stimulant. It was hoped that this would improve my blood pressure.
Initially, I was prescribed 10mg (twice daily), and instructed to increase the dosage on a fortnightly basis until 40mg (twice daily) was reached. In addition to this, I was also instructed to take 10mg of Ritalin LA in the morning to start my day off. The small addition of Ritalin hasn’t had any detrimental effect on my blood pressure so far.
I have now been on the 2x 40mg dose of Atomoxetine for a few weeks now. However, since commencing, I have noticed that a number of side effects that have continually got worse. These include: - Spontaneous Ejaculation - Premature Ejaculation - Erectile Disfunction - Poor bladder control - Insomnia
From the research I’ve done to-date, I understand that these side effects are very common, and don’t necessarily tend to ease or stop - which is unfortunate.
Given that I’m not reacting well to stimulant based ADHD medication, does anyone have any recommendations for other non-stimulant medications that may have less side effects?
I am hoping to gauge the experience of others, so I can discuss further (in an informed manner) with my psychiatrist in a couple of weeks.
TIA

i was just prescribed lexapro by a doctor for depression. i’m freaking out now because what if i don’t actually have depression and i just thought my symptoms were worse than they actually are. i took the first dose, half of a 10mg pill 4 hours ago, and it says you’re not supposed to feel any effects for a few weeks. i’m feeling a bit nervous right now and i’m scared that i actually don’t need to take this. i thought this drug was supposed to make me drowsy? idk i’m worried and i’m wondering if anyone else has felt similar to this? maybe there is something else wrong with me. will this end up ruining my brain if i take it and i’m not actually sad enough?

I got up to 700mg / day gabapentin (for nerve pain) and had to taper off because the side effects were too awful. Fatigue, inability to use my brain properly, loss of short term memory. Is it even worth trying pregabalin at the lowest dose? I'm thinking no, but wanted to see if anyone had similar symptoms with gabapentin but somehow found Lyrica to be OK.
I'm on nortriptyline now but can't get above 10mg due to its side effects.

Hi, hi. I am currently at three rituximab infusions. My first was in March, my second was in April, and my third was also in April, (and I have a fourth is scheduled for November), all I’ve seen are outstanding results. My skin is healing, and some spots have even started to fade! I’m also on 10mg of prednisone right now. I will admit, per my dermatologists instructions, I did temp down pretty quickly… I was at 60mg of prednisone when I got my first infusion done. But have been on lower dosages of it since February. My medical team really wants me to be on another medicine while I’m continuing to come down from prednisone 🥲 I’m finally starting to feel like a functioning, normal person again.. and all this other medicine they’ve wanted me to be on has made me so very sick. I had a very bad reaction to Cellcept, so we decided to stop that and now they’re trying to introduce me to a new medicine called methotrexate. I’m just feeling so depressed, because I never thought I would get to a point of feeling normal again, and now I’m just afraid this new medicine is going to make me feel as bad as what Cellcept made me feel 😭 I don’t have any new flair ups, only old ones that are taking awhile to heal. But I have creams I apply everyday to help as well. The only flairs I have are a steroid rash from being on prednisone for so long. My oncologist even said he didn’t necessarily think I needed to be on another oral pill, but my dermatologist is insisting.
I’m so conflicted, because I’m afraid of flaring once I’m completely off of prednisone, but I truly feel so miserable being on all this other medicine. Any advice, tips, suggestions, sharing experience and stories would be greatly appreciated, thank you so much.
Edit: all I have right now are old spots that are taking awhile to heal, I’ve had them since February. They don’t hurt anymore, but some feel kind of scabby - just a minor few feel scabby, and others just are just still visible. They don’t cause me discomfort like they used to, but are just taking a moment to properly heal and fully go away.

Im tapering off and have been at 10 for 2 days after 15 for 5. Ive read parnate will nullify the affect of shrooms but im wondering if thats only at higher doses where serotonin is primarily affected. Is it still affected enough at 10mg to not be worth it? If not, how long completely off? Thanks

So i was prescribed 10mg, however stayed on 5mg for months because i was too scared to bump it up in fears that i would have to deal with side effects all over again. After a period of increased anxiety i ended up biting the bullet and i've been successfully weaning my way up to 10mg, i'm here to report that it isn't as bad as i thought it would be.
I have a mild headache, some night sweats but thats it really, and i'm already starting to feel a little less anxiety than usual, so yeah. If you're thinking of bumping up your dose, the side effects aren't anywhere close as intense as the first week so don't be scared.

Hi, not sure if this has been documented before but here I am, giving my 2 cents worth to everyone who needs this. I know it’s been really tough on everyone who has to go through this. It’s a really long post, so if you are short on time, just go straight to the heading in bold to find out what you’re looking for.
I don't know where everyone is from, but I am from Singapore and apparently, I can’t find any related posts by Singaporeans in any subreddits. If any fellow countryman needs this, there you go. For fellow netizens with Hip Dysplasia, there might be differences in the processes, but I suppose the recovery process is just about the same. Hope this helps, nonetheless!
Pre-diagnosis I have been a leisure runner in my late teens, and pretty much run about 5 to 10km regularly til mid-20s. It started with knee pain in a particular race, and the pain continued for a couple of years more. I had wanted to train for a half marathon, but I also wanted to ensure that I started my training right and pain-free. So I went to straight to a Sports Specialist Doctor in a Public Hospital and she diagnosed me with a Runner’s Knee (or formally known as Patellofemoral Pain Syndrome, PFPS) after looking through my x-ray, and my description of pain. She referred me to the Podiatrist and the Physiotherapist for gait correction and muscle strengthening. It was going on fine for a while, but I still couldn’t run pain-free. Then Covid came, and the appointments have to be suspended. But I was still doing my physio exercises and running about 2.5 to 5km when we were allowed to.
Diagnosis As more restrictions eased, I began training for speed, and that was when the pain started coming from the hip, and walking became strangely painful with a pinching sensation at the hip/groin area at this point. I sought help from a private physiotherapist to find out what happened. After a few sessions, he realized something was not right and suggested me to get a hip x-ray done. And so I did, at a Polyclinic, and the x-ray showed shallow acetabulum and I got referred (again) to a Sports Specialist to get a MRI done. And LHP with a labrum tear was the diagnosis. And to no surprise… I got referred to another Specialist again, who was affirmative that I need a LPAO and at the same time broke it to me that I have a RHP which will need a PAO too. If you need to know the timeline - I had the x-ray done at the end of 2022, MRI done on mid-2023, LPAO done at the start of 2024.
Pre-surgery Preparation (Work) Check with your doctor on the estimated rest period (mine’s 3months) and inform your boss about it. The surgery will most likely be about 5 hours max, hospital stay 5 days, and you will be on 2 crutches for 6-8 weeks, and another 1-2 weeks on 1 crutch to stabilize your walking. You might be able to resume work obligations if it’s a sedentary job or another 6 more weeks of home rest if your work requires much walking or manual labour. So it’s really important to work out with your boss and colleagues for a proper handover so that you can concentrate solely on recovery.
Pre-surgery Preparation (Hospital) There will be a blood test / some swab done 3 – 4 weeks prior to the surgery; the nurse will let you know. You will be under General Anesthesia (GA) during the surgery, so fasting is required a day before is required.
Do pack light for your hospital stay. Use a backpack for convenience. Clothes to wear after discharge + source of entertainment and communication is enough. You wouldn’t want to carry a lot of things home after discharge when you’re on 2 crutches.
Pre-surgery Preparation (Insurance + Hospital Wards) Do inform your Insurance Agent / Company about it so that they are aware. It may or may not be covered, so please get in touch with them as soon as you have the details.
[Singapore’s context] There will be a pre-admission appointment with the hospital staff about 3 weeks before the scheduled surgery, which the staff with share with you the cost of the different class wards. Basically, Class C (8-bedded) and Class B2 (6-bedded) wards are fully subsidized by the government. I can’t remember how much a Class B1 (4-bedded) ward costs, but probably about 10-15K SGD. Class A (1-bedded) is about 21-23K SGD. The staff with help you out with the Letter of Guarantee (LOG) from your Insurance Company and will let you know in about 2 weeks if the application for LOG is successful, if not you would have to prepare for the bills depending on your chosen ward (either Class A or Class B1). There is no need for LOG for Class C and Class B2 wards, since it’s fully government-subsidized. Medisave and MediShield/IPs will be used for all Class Wards (Note: IPs is only applicable to 30 years old and above). My insurance allows me to be in the Class A ward and the application for LOG was also successful, thankfully.
Pre-surgery Preparation (Personal) Since you will be on crutches, do arrange your house to accommodate that. A folding bedside table, a caddy trolley, a long-arm grabber, pillows are items that you can prepare beforehand. Do also ensure that your toilet is slip-free as well or restructure it in a way that is beneficial for you. I had to bathe sitting on the toilet bowl for the 1^st week as it is difficult to make it slip-free. It got better 2^nd week onwards when I was allowed a 30% weight-bearing on my operated side, so I could be in the showering area. You will be at home and ‘confine’ to the bed/chair most of the time, so it’d be good to have some form of entertainment at home. Nanoblocks, Colouring books, Wordsearch, Sudoku, Crosswords, Netflix, Disney+, Hbo, Reading, Crocheting, Journalling, Zoom with friends are some of the things that you can do / prepare before surgery. You may or may not have energy for them, but that’s ok, the main idea is to focus on resting and having a sound mind so that you won’t be discouraged / feel bored / unmotivated. For meal wise, it’d be good if your family can cook / buy food, if not do ensure that your budget allows you to get food delivery for 6-8 weeks. I got my meals from Grabfood. Do ensure that you have a good chair – not those that put your knees above your hips.
Day of surgery If you can, do arrive 5-10mins earlier to settle in after registration.
[Singapore’s context] Do note that the staff who registers you in will ask you for the person to contact after the surgery. It’d be a text message to inform the person on the end of your surgery and which ward you will be in. You will need to sign the LOG letter (if any) and proceed to take your height and weight at the self-administered machine. Wait and follow any instructions by the nurse. You will be asked to change into the hospital gown and the nurses will ask you more questions, just answer them accordingly. They will also help to keep your belongings in their storage and will deliver to your ward at their timeslot after your surgery.
Process of surgery The Anesthesiology team will introduce themselves to you and go through the pain management methods. They asked what method (they mentioned 3, but I only remembered what I had) I preferred, and I told them to go ahead with what they think was good for me. Epidural, it was. And so, I got pricked with needles and whatnots and they finally brought me into the operating room. I didn’t realize the room was so big and cold and there were many doctors and nurses around. They did their thing, and I was just trying not to feel awkward with so many people looking at my bareback and being in a very vulnerable state. It’s a little pricky and painful at some point. Do let them know if you’re too cold, they have this hot air thing that can warm you up. They will also insert a urine catheter for you to help with the bladder movements. I was quickly under General Anesthesia (GA) with a breathing mouthpiece (the Anesthesiologists will direct you on what to do). I woke up after the surgery with a very dry throat and asked if I could have some water. They gave me a tiny vial of water, just about enough to soothe my throat. I guess it was also caused I was under GA and couldn’t be given much for my stomach too. I was quite aware of what was going on though I was still a little sleepy. I had to be brought to the High Dependency Ward (HDW) due to low blood pressure.
After surgery (in HDW) I kept wanting to drink water but that also caused me to vomit out water and had no appetite for dinner. Nausea and vomiting are just some side effects of GA. (I remembered being disappointed that I couldn’t have the watermelon, I had wanted to eat that, but I knew I couldn’t stomach it) And little did I realize that was the last time I saw a watermelon during meal times (damn the side effects). I was also quite weak on my operated left side, I was not in that much of a pain, just some discomfort. I was given a self-administered morphine device too, there is this button that I can press to administer morphine into my system at regular interval, the device has some safety feature which helps to stop people from abusing it) Used it once after I had to be flipped over to be wiped clean by the nurse (at this time, I had given up on trying to maintain my dignity, though the nurses were quite humane about it, if you know what I mean) But I was also trying not to use the morphine at all cos it gave me more side effects like drowsiness and an even lower blood pressure). Thankfully I had a good Pain Team (that’s what they call themselves), which helped to lower the dosage after they realized I was not using it that much and I was still very drowsy (I fell asleep halfway unknowingly after talking to people), and eventually I was off it. I was taken for an x-ray after the nurse ascertained that my blood pressure was normal (since I had the catheter, I just sipped water without a care in the world, to help raise my blood pressure). And I administered the morphine once after they flipped me over for the x-ray (it was bloody hell painful and it took a lot of strength). Probably in a day or 2, the doctors decided to remove my epidural needle and I was finally free of it. The next thing to get rid of was the catheter. I had a love-hate relationship with it. I need to be able to pass motion to get rid of it, which I did after an arduous process. Constipation is a side effect of not moving around. Your stool will most definitely be a Type 1 under the Bristol Stool Chart but it will be back to normal in a few days or so. I did a little cheer when I finally pooped.
My physiotherapist came and pushed me to move around. The first step coming down from the bed was the hardest due to gravitational pull. My muscles needed to be woken up after lying down for 48 hours or more. I got transferred to General Ward (GW) soon after.
After surgery (GW) I had some bed exercises to help to wake up the muscles and I was using the walker to move around. It was tough doing the bed exercises, but they have to be done. I was also able to bath independently by sitting down on the bathing chair in the bathing area of the toilet. I still needed assistance to wear my pyjamas pants. So unfortunately, the nurse still had to be around when I bathed for safety purposes since I was a fall-risk patient.
At this time, I was trying to get out of bed and be in the chair and also use the walker more to help with moving around and getting the muscles up and running. I had 2 more physio sessions with the crutches. Using the walker frequently helped with the use of crutches. (You will know what I meant when you have tried both out. You can push yourself but please do not force it if you are not strong enough yet.) My doctors have cleared me for discharge, I just need my physiotherapist to clear me too (they have to be sure that I can use the crutches properly and safely and also complete simple daily adaptive skills). Finally, I got cleared for discharge. I got the medication, and it was a cashless and fuss-free stay/process for me. I stayed in the hospital for 7 days (3.5 days in HDW, 3.5 days in GW). Remember to get your crutches before leaving the hospital.
Home rest 1st Week I must say, it’s really liberating to be at home, though it’s really a chore to move around. I did my physio exercises about 3x a day and just be a sloth. I was still very tired, but it was difficult to sleep. I’m usually a side sleeper, but I had to sleep on my back for 6 weeks, at least. My doctors said that I could sleep on my unoperated side, but it can be achy.
Home rest 2nd Week Things are looking up a little more since I could place a 30% weight on my left. I could enter the showering area now, just be careful not to overload the operated side. 2 crutches are still a must to prevent any overloading of weight to help with the recovery. Protein and calcium-rich food are your best friend. Again, do your physio exercises regularly. I still do mine 3x a day.
Home rest 7th Week Finally, I got to put full weight on my operated side. Happily, I tried to ditch BOTH my crutches, please do not be like me! Ease into walking slowly. Use 1 crutch to help you with the gravity pull as you put 100% weight on both legs. It is also possible to ditch the crutch and try walking on very short distances, do take care of your walking form. If you limp badly, please use 1 crutch and practice walking. I did try stairs and use the railings if necessary. I managed to ditch the crutches by Week 8. Physio continues, if you have access to the gym, please go ahead, slowly. I am sleeping both on my back and on my unoperated side now.
Home rest 13th Week Not sure if things are still looking good, but my knees kinda hurt, and that’d be another story for another day. I am cleared to resume work, though I still got to be careful with the walking and all.
Week 14 – Week 18 (current) I think since I am walking a lot more, I am limping a little, but not enough for a need to bring back the crutch. It got more achy when I’m sleeping on my unoperated side and still a little discomfort if I try to sleep on my operated side. My operated side is still weak and achy when I walk or sit or lie down. I am still doing my physio, though not 3x a day now.
I am not too sure how I will progress but that’s my journey thus far. Happy to share here and to answer any questions you may have.
Edit: Formatting

I’ve been on Wellbutrin for 1.5 years (300mg XL) and I love it. It has unfortunately increased my anxiety and ocd symptoms, so I tried to find a psych to help me find the best medication cocktail for me. As of two weeks ago, I’ve started on 5mg Prozac.
I had my follow up today and we agreed to move up to 10mg but for some reason she is really insistent on eventually lowering my dosage for the Wellbutrin or stopping it all together. Her reasoning is serotonin syndrome and risk of seizures but from my understanding SS is uncommon and I’m not at increased risk for seizures (ik Wellbutrin does increase it tho but I’m talking about genetically).
This medication has been the bread and butter for me and I get more pros out of it than I do cons so I’m unsure why it’s such a big issue. Also it seems like a shit ton of people are on Prozac and Wellbutrin combo at waaaaay higher doses than me and are getting along beautifully.
Has anyone else had this issue? I really don’t want to get off this med or decreased ot if I don’t have to but it sounds like she won’t continue to increase my Prozac without me agreeing to a decrease for my wellyb

My cat, Jack, would have been 14 in August. 3 months ago, he was diagnosed with GI lymphoma. He'd had elevated liver values for several months, but at the same time was diagnosed with hyperthyroidism. The hope was getting him on a stable dose of methimzaole would help to bring down his liver values. It didn't. He went in for thyroid/liver bloodwork in February and the vet noticed he was jaundiced so I immediately scheduled an abdominal ultrasound. The ultrasound revealed that his pancreas was enlarged, his GI tract thickened, his lymph nodes inflamed, and he had multiple cysts in his liver. He was diagnosed with "probably" large-cell GI lymphoma and the vet recommended palliative care. He immediately went on prednisolone and the plan was basically, when new symptoms pop up we'll deal with them then.
He was doing so good, still very energetic for a 14 year old, good appetite, the steroids and an increase in methimazole dosage helped get his weight up, he seemed fine. Now, Jack has always had seasonal allergies. He was chronically sneezy and spring has always made it worse, so when he got a nosebleed about a month ago I attributed it to that. He's had occasional nosebleeds since but nothing major. Then Monday I set up my apartment balcony with netting and let him hang out outside. His nose started bleeding so I took him inside thinking it was the pollen and waited for it to stop, but it didn't - not for long at least. He had on-and-off nosebleeds for the rest of the week, but I had a vet appointment already scheduled on Friday so I was planning on asking about allergy medications.
Thursday everything changed, his nose started bleeding early in the afternoon and just kept getting worse. It progressed fro just a little blood around his nose to dripping everywhere. It got so bad that I decided that I couldn't wait for his appointment Friday and I took him to the emergency vet hoping they'd be able to give him something to make the bleeding stop. The stress from getting him in his carrier made the bleeding so much worse and by the time we got to the emergency vet his face was covered in blood and there were blood drips all over his carrier.
I spoke to the ER vet and gave him Jack's history, including his lymphoma diagnosis and the history of his liver issues. The conclusion was that the bleeding was the result of one of two options. 1) his liver is now in failure and he is unable to clot properly or 2) his lymphoma has spread and the bleeding is caused by a tumor in his nose. Both options had no solution and things were only going to get worse, and when the vet suggested immediate euthanasia I was floored. It was too soon, he wasn't ready, he was still doing so good, this was just a nosebleed! But I also wanted to let him go while he was still him. I didn't want things to get worse and I didn't know if the bleeding would ever stop. I didn't want to do it at the vet though, I have two other cats and I couldn't bare the thought of Jack just leaving and never coming home. I also didn't want his last moments to be in an unfamiliar environment with unfamiliar smells, so the vet got me a list of home euthanasia vets and I called around until I found someone who could come that night.
I took Jack home and we were able to hang out for a few more hours, but he never calmed down enough to be snuggly. He was such a snuggly boy so it was heartbreaking that he wouldn't allow me to hold him or sit on my lap. He stayed close but was so uncomfortable. The bleeding never stopped, he was struggling to breathe through his mouth with the blood running down his face. He wouldn't eat even his favorite treats, presumably because he couldn't smell and his mouth tasted like blood.
When the vet finally showed up at 11pm he tried to hide, which was so out of character. Every new person, ever vet visit, he would always greet them and rub against them, talk, and ask for pets. But not this time, he knew something was up. My other cats stayed in the room, my oldest cat actually laid down in front of the vet and supervised her getting prepared, but when it was time to bring Jack in, he was hiding behind the toilet and when I picked him up he dug into my shoulder wanting to be let back down.
I held him as he went and once he was gone I looked at his face and wish I hadn't. He wasn't Jack anymore. He looked wrong and he was limp and all his life was gone. I'm haunted by the look of his lifeless face. And now that he's gone and I'm left with blood all over I haven't been able to clean it up. I know that sounds gross, but I can't. The sweater I was wearing when I was saying goodbye is covered in blood and I can't wash it and I can't throw it away.
I don't know why I even typed all of this up or what I'm trying to get out of this, but I just had to get it all out.

What are the practical differences between the two approaches?
From my understanding after reading ‘Toxic’ they are generally similar but with three main differences: (please correct me if I’m wrong)

1. Neil Nathan puts more emphasis on individualized plans. For example. If a regular dose of CSM is too much to handle, he has no problem suggesting a patient take the smallest possible dose possible and titrate up as their symptoms allow. He also will add things like clay, charcoal, or other binders if they seem more effective.

Shoemaker is pretty dogmatic on what binders to take, and the dosages required for them to be effective.

1. Neil Nathan also uses anti fungals, whereas shoemaker advises (rather strongly) against them.
   
2. Shoemaker uses blood tests as markers for improvement, and Neil Nathan uses mycotoxin urine tests as his primary tool.
   

***I’ve read that Nathan ALSO doesn’t emphasize treating marcons, however in his book toxic he doesn’t dispute it’s importance

Ok so I have had bells for a week In Idol face its barely noticeable But when I talk there’s zero movement on left half of my face I cannot close my left eye past 60-70% with very poor coordination Cheeks are slightly less stiff Eyebrow doesn’t move at all nor matter how hard I try
Currently on prednisone for 7 days +3 days of taper dose And acyclovir for 10 Also eye drops since eye gets hella dry Along with facial exercises as many times a day I can Also guasha oil massage twice a day
I am scared I won’t ever get my smile back.I am someone who was seen laughing 24:7 and I had a habit of talking with ALOT of facial expressions
Is all that normal or am I fucked for life? Will my face go back to how it was ?

I had a follow up with my psychiatrist today and we agreed to bump up from 5mg to 10mg since the first two weeks have done pretty smooth.
But for some reason, every appointment, without fail, she mentions wanting to eventually lower my dosage for the Wellbutrin. I’m on 300mg XL and have been for a year and a half. Her reasoning is the risk of serotonin syndrome or seizures but isn’t SS fairly uncommon? Also I’m not someone who is at greater risk for seizures. She just keeps saying she would like to eventually just focus on the OCD but I really like who I am on Wellbutrin. Despite it making me more anxious and increasing OCD symptoms a bit, I’ve never felt like a more authentic version of myself than I do now and there are far more benefits I get from it than negatives. Life is full of color, my mood overall is so much more happy and even, it helps with focus and motivation, it helps my sex drive, it helps with my fatigue. I really don’t want to have to get off it if I don’t have to, but it sounds like she won’t increase my dosage for Prozac unless I agree to decrease Wellbutrin.
Has anyone else had this issue???
Edit: added more

Hi everyone, This is my first post here. Have been regular reader. Thanks for having such a supportive community.
I want share my story about ulcerative colitis diagnosis. I was diagnosed with mild to moderate UC in November 2023. Had bloody stools and pain for 1 week and was put on salofak 8 * 500g and enemas. Was put to remission by this dose in 2 weeks. Since then had minor flares but in general things have been calm. Same dosage till now but Enema only twice a week. Vitamin d 4000 iu as was really low at the time of diagnosis,
Today I had regular kidney function and CBC as prescribed by GI, got the results. Every thing is looks fine but my creatinine level increase from 69 to 75 (normal range is 67-117 in Canada). Is this normal to see such increase ? Just worried if this becomes a trend and this keeps on increasing.