Carefirst bcbs breast reduction medically necessary

My elderly mother is affected with cancer for the 2nd time within a year, needs help!

2024.05.19 03:14 Lordslug78 My elderly mother is affected with cancer for the 2nd time within a year, needs help!

My mother aged 66 was diagnosed with oral cancer (SCC) in her tongue (she doesn't use tobacco) and it was surgically removed in September last year. We had to spend INR 200000 (2400 USD). We were visiting the doctor every month since then for regular checkups.
In March this year, the PET scans revealed two suspicious lumps in her breast which was confirmed to be breast cancer following mammograms and Biopsy in April.
The surgery to fully remove her right breast is scheduled on 28th of this month. The cost of surgery would be INR 116000 (1400 USD). This is beyond my means as I'm the only earning member of my family, I make about INR 40k (USD 480) per month but I've still not recovered financially after the last surgery. The scans and Biopsy itself has cost me INR 50k (USD 600) so far. Since she's above 65 and already has a history of cancer diagnosis, I'm not able to get her enrolled into any insurance plans which I regret not taking earlier.
I have created a fund raiser on Ketto which is an online platform in India which helps in raising funds for medical purposes. They have verified the case and have approved the fund raiser for donations. I'm providing the link below which also has the necessary documents regarding the diagnosis uploaded so that you can verify the authenticity of my request.
https://www.ketto.org/fundraisemy-mother-is-fighting-for-her-life-and-we-need-your-support-to-save-her-914849
Please do visit the page and donate whatever you can. Please also share this with people you know.
submitted by Lordslug78 to fundraiser [link] [comments]


2024.05.19 02:45 The_Brand94 RIGL Thesis 5/18/2024

~RIGL Thesis – 5/18/2024~
Outstanding Shares 175M
131 Institutional Holders
111,129,461 Total Shares Held
63.36% Institutional Ownership
Total Cash on Hand 3/31/2024 = $49.6M
Total Debt: $101.5M
Cash Burn Approximate = $8M per quarter (6 quarters of cash without any increases in revenue)
Q12023 REV = $26M
Q22023 REV = $26.8M
Q32023 REV = $28.1M
Q42023 REV = $35.8M
Q12024 REV = $29.5M (Decline from Q4 likely from end of year versus new-year tracking of Rx and shipments of drugs, resetting of Copays)
Most Recent EPS -$0.05 per share
May 22, 2024 - Vote on S will take place, caution
~Statistics Applicable To Thesis~
333.3 million US Population (2022)
8,109,679,892 Global Population (2024)
~Drugs On Market~
~Tavalisse – Treatment for ITP, FDA Approved April 17, 2018~
~What is ITP?~
Immune thrombocytopenia (ITP) is an illness that can lead to bruising and bleeding. Low levels of the cells that help blood clot, also known as platelets, most often cause the bleeding.
Once known as idiopathic thrombocytopenic purpura, ITP can cause purple bruises. It also can cause tiny reddish-purple dots on the skin that look like a rash.
Children can get ITP after a virus. They most often get better without treatment. In adults, the illness often lasts months or years. People with ITP who aren't bleeding and whose platelet count isn't too low might not need treatment. For worse symptoms, treatment might include medicines to raise platelet count or surgery to remove the spleen. Immune thrombocytopenia (ITP) - Symptoms and causes - Mayo Clinic
~What is Tavalisse?~
TAVALISSE is a prescription medication used to treat adults with low platelet counts due to chronic immune thrombocytopenia (ITP) when a prior treatment for ITP has not worked well enough. It is not known if TAVALISSE is safe and effective in children.
The cost for Tavalisse oral tablet 100 mg is around $15,404 for a supply of 60 tablets, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
Tavalisse Prices, Coupons, Copay & Patient Assistance - Drugs.com
TAVALISSE IS AN ORAL MEDICATION TAKEN TWICE DAILY WITH OR WITHOUT FOOD1
A 12-week evaluation period is recommended
60 tablets = 1 month supply, evaluation period = 3 months, Cost for 3 months = $46,212 Cash, assuming cheaper through wholesale, insurance, discount cards, etc.
Dosing TAVALISSE® (fostamatinib disodium hexahydrate) tablets (tavalissehcp.com)
~Addressable Market~
“Our findings suggest that nearly 20,000 children and adults are newly diagnosed with ITP each year in the US, substantially higher than previously reported. Among patients requiring formal medical care, the economic burden during the first 12 months following diagnosis is high, with estimated US expenditures totaling over $400 million.”
Primary immune thrombocytopenia in US clinical practice: incidence and healthcare burden in first 12 months following diagnosis - PubMed (nih.gov)
The estimated prevalence of ITP in the United States is 9.5 per 100,000 people, with a global prevalence of over 200,000 people at any given time [1].
Immune thrombocytopenia. [ Oct; 2022 ]. 2022. https://rarediseases.org/rare-diseases/immune-thrombocytopenia
~Author Calculations/Estimates~
ITP estimated cases based on measured statistics 31,635 cases a year in the US and 770,355 cases globally each year.
~Rezlidhia – R Acute Myeloid Leukemia, FDA Approved December, 22, 2022~
~What is Relapsed or Refractory Acute Myeloid Leukemia?~
Relapsed, or recurrent, acute myeloid leukemia (AML) means the leukemia has come back after treatment and remission.
Refractory AML means the leukemia did not respond to treatment. Complete remission has not been reached because the chemotherapy drugs did not kill enough leukemia cells.
Both relapsed and refractory AML need more treatment to reach complete remission.
Your healthcare team will suggest treatments based on your needs and work with you to develop a treatment plan. Some factors considered for your treatment include:
your age
your health
how long the leukemia was in remission
treatments you had before
where the leukemia comes back
Treatment options usually include chemotherapy and a stem cell transplant if possible. Targeted therapy may also be used.
Treatments for relapsed or refractory acute myeloid leukemia Canadian Cancer Society
~What is IDH1?~
Somatic mutations in isocitrate dehydrogenase (IDH) genes occur frequently in adult Acute myeloid leukemia (AML) and less commonly in pediatric AML… Enhanced genomic and epigenomic profiling of acute myeloid leukemia (AML) has led to identification of recurrent mutations that are prognostic and are candidates for targeted therapy. Somatic mutations in isocitrate dehydrogenase (IDH) genes, IDH1 and IDH2, occur in ∼6% to 16% and ∼8% to 19% of adult patients with AML, respectively.1-5 In pediatric AML, IDH mutations are rare, occurring in <4% of patients.6-11
Characteristics and prognostic impact of IDH mutations in AML: a COG, SWOG, and ECOG analysis Blood Advances American Society of Hematology (ashpublications.org)
~What is Rezlidhia?~
REZLIDHIA is a prescription medicine used to treat adults with acute myeloid leukemia (AML) with an isocitrate dehydrogenase-1 (IDH1) mutation when the disease has come back or has not improved after previous treatment(s).
Targeted Treatment REZLIDHIA® (olutasidenib) capsules
The cost for Rezlidhia oral capsule 150 mg is around $17,468 for a supply of 30 capsules, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
Rezlidhia Prices, Coupons, Copay & Patient Assistance - Drugs.com%20is%20a%20member,on%20the%20pharmacy%20you%20visit.)
~Addressable Market~
The annual incidence of new cases in both men and women is approximately 4.3 per 100,000 population, totaling over 20,000 cases per year in the United States alone.[13] The median age at the time of diagnosis is about 68, with a higher prevalence observed among non-Hispanic Whites. Furthermore, males exhibit a higher incidence compared to females, with a ratio of 5:3.
Acute Myeloid Leukemia - StatPearls - NCBI Bookshelf (nih.gov)
~Author Calculations/Estimates~
Cases of AML with IDH1 would be 11% based on the median of statistics above (6% to 16%) leaving approximately 1500 to 2000 cases a year in the US. Appling the same calculations to world population would amount to approximately 38,500 cases a year globally.
~Gavreto – Treats RET+ Non-Small Cell Lung Cancer In Adults and RET+ Thyroid Cancer in Kids and Adults, FDA Approved August 9, 2023~
For the sake of common ground, I am going to assume these types of cancers do not need to be elaborated on as we all likely have a basic understanding of what they are. The medical conditions treated by Tavalisse and Rezlidhia I felt needed a more in-depth explanation because they are not common. I will elaborate on RET+ a little later in this writing.
~What is Gavreto?~
GAVRETO is an oral once daily prescription medicine used to treat certain cancers caused by abnormal rearranged during transfection ~(RET+)~ genes in:
Adults with non-small cell lung cancer (NSCLC) that has spread
Adults and children 12 years of age and older with advanced thyroid cancer or thyroid cancer that has spread who require a medicine by mouth or injection (systemic therapy) and who have received radioactive iodine and it did not work or is no longer working*
It is not known if GAVRETO is safe and effective when used to treat cancers caused by abnormal RET genes in children for the treatment of NSCLC or in children younger than 12 years of age for the treatment of thyroid cancer.
Home GAVRETO® (pralsetinib)
The cost for Gavreto oral capsule 100 mg is around $11,745 for a supply of 60 capsules, depending on the pharmacy you visit. Quoted prices are for cash-paying customers and are not valid with insurance plans. This price guide is based on using the Drugs.com discount card which is accepted at most U.S. pharmacies.
The recommended dosage for adults and children 12 and over is 400mg orally once daily. Each capsule is 100mg, which means you will take 4 capsules. Gavreto should be taken on an empty stomach, at least 1 hour before or 2 hours after a meal.
Gavreto Prices, Coupons, Copay & Patient Assistance - Drugs.com
~What is Rearranged During Transfection Positive (RET+)?~
RET-positive cancer is caused by a mutation or abnormal re-arrangement of the RET gene. It occurs most commonly in lung cancer and several types of inherited and sporadic thyroid cancers. RET alterations also occur in an estimated 1-2% of multiple other cancers, including ovarian, pancreatic, salivary, breast, and colorectal cancers.
RETpositive Empowering Patients and Driving Research
Rearranged during transfection (RET) rearrangements were first identified as oncogenic drivers in NSCLC in 2012. The proportion of patients with NSCLC who have RET rearrangements (ie, fusion-positive disease) is approximately 1%-2%.
RET Fusion-Positive Non-small Cell Lung Cancer: The Evolving Treatment Landscape The Oncologist Oxford Academic (oup.com)
RET alterations occur most commonly in lung cancer (non-small cell lung cancer (NSCLC)) and the number of new cases diagnosed each year is considerable, accounting for approximately 37,500 [IG1] cases worldwide and 4,000 cases in the US (2% of NSCLC) (2,3). RET alterations are also common in several types of inherited and sporadic thyroid cancers and can occur in other types of cancers like ovarian, breast, pancreatic, and colorectal cancers, among others (4-8) adding >110,000 cases yearly worldwide (9).
What is RET Positive Lung Cancer? - The Happy Lungs Project
(2) Although medullary thyroid carcinoma represents 5-10% of all thyroid cancers, activating RET gene abnormalities occur in over 90% of hereditary and approximately 40%-60% of sporadic medullary thyroid carcinoma cases.
Patients – RETpositive%20Although%20medullary%20thyroid%20carcinoma,sporadic%20medullary%20thyroid%20carcinoma%20cases.)
~Prevalence of Non-Small Cell Lung Cancer~
Most lung cancer statistics include both small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC). In general, about 10% to 15% of all lung cancers are SCLC, and about 80% to 85% are NSCLC.
Lung cancer (both small cell and non-small cell) is the second most common cancer in both men and women in the United States (not counting skin cancer). In men, prostate cancer is more common, while breast cancer is more common in women.
The American Cancer Society’s estimates for lung cancer in the US for 2024 are:
About 234,580 new cases of lung cancer (116,310 in men and 118,270 in women)
About 125,070 deaths from lung cancer (65,790 in men and 59,280 in women)
Lung Cancer Statistics How Common is Lung Cancer? American Cancer Society
Worldwide, an estimated 2,206,771 people were diagnosed with lung cancer in 2020. These statistics include both small cell lung cancer and NSCLC.
Lung Cancer - Non-Small Cell: Statistics Cancer.Net
~Author Calculations/Estimates~
Approximately 187,664 cases of NSCLC in the US based on an 80% factor.
Approximately 1,765,416 cases of NSCLC worldwide based on an 80% factor.
~Prevalence of Thyroid Cancer~
Rate of New Cases and Deaths per 100,000: The rate of new cases of thyroid cancer was 13.5 per 100,000 men and women per year. The death rate was 0.5 per 100,000 men and women per year. These rates are age-adjusted and based on 2017–2021 cases and 2018–2022 deaths.
Lifetime Risk of Developing Cancer: Approximately 1.2 percent of men and women will be diagnosed with thyroid cancer at some point during their lifetime, based on 2017–2019 data. Lifetime risk based on data through 2022 will available soon.
Prevalence of This Cancer: In 2021, there were an estimated 979,295 people living with thyroid cancer in the United States.
Thyroid Cancer — Cancer Stat Facts
About 44,020 new cases of thyroid cancer (12,500 in men and 31,520 in women)
About 2,170 deaths from thyroid cancer (990 in men and 1,180 in women)
Thyroid cancer is often diagnosed at a younger age than most other adult cancers. The average age when a person is diagnosed with thyroid cancer is 51.
This cancer is about 3 times more common in women than in men. It is about 40% to 50% less common in Black people than in any other racial or ethnic group.
Key Statistics for Thyroid Cancer American Cancer Society)
Addressable Market
Given Gavreto’s dual treatment capacity, the total amount of potential patients with NSCLC with RET+ indications would be approximately 2,800 cases in the US and approximately 26,500 cases worldwide each year using a factor of 1.5% of total NSCLC cases. The total amount of treatable cases for Thyroid Cancer would be approximately 650 in the US and 16,500 cases worldwide respectively each year applying the same 1.5% RET+ percentage rate. DOUBLE CHECK MATH…
~Rigel Pharmaceuticals Pipeline~
~IRAK/4 – Clinical Trials~
Rigel’s investigational candidate, R289, is an oral, potent and selective inhibitor of interleukin receptor-associated kinases 1 and 4 (IRAK1/4).
Toll like receptors (TLRs) and the interleukin 1 receptor family (IL-1Rs) play a critical role in the innate immune response and dysregulation of these pathways can lead to a variety of inflammatory conditions such as psoriasis, rheumatoid arthritis, and inflammatory bowel disease. Chronic stimulation of both receptor systems has also been implicated in causing a pro-inflammatory bone marrow environment leading to persistent cytopenias in lower-risk myelodysplastic syndrome (LR-MDS) patients1.
R835 is a selective dual inhibitor of IRAK1/4 that blocks TLR4 and IL-1R-dependent systemic cytokine release. In preclinical studies, R835 demonstrated activity in multiple animal models of inflammatory disease2,3 and showed that dual inhibition of IRAK1 and IRAK4 provided more complete suppression of inflammatory cytokines when compared to an IRAK4-selective inhibitor4.
Development of R289:
In a Phase 1 clinical trial, R835 was well tolerated and inhibited LPS-induced inflammatory cytokine production in healthy volunteers, demonstrating proof-of-mechanism.5 Phase 1 clinical studies of R289 (an oral prodrug that is rapidly converted to R835 in the gut) are also complete.
A Phase 1b open-label, multicenter trial of R289 in patients with relapsed/refractory lower-risk MDS is currently enrolling (NCT05308264). The primary endpoint for this trial is safety with key secondary endpoints including preliminary efficacy and evaluation of pharmacokinetic properties.
~Bemcentinib – Bergenbio Partnership~
In June 2011, Rigel entered into an exclusive, worldwide research, development and commercialization agreement with BerGenBio for its investigational AXL receptor tyrosine kinase (AXL) inhibitor, R428 (now referred to as bemcentinib).
Bemcentinib is a potent, selective and orally bioavailable AXL inhibitor and the furthest along in clinical trials. In preclinical studies, bemcentinib was shown to have an effect as a single agent therapeutic in the prevention and reversal of acquired resistance to standard of care cytotoxics and targeted therapies and may also slow or prevent tumor metastasis.
Rigel received an upfront payment and is eligible for milestone payments and potential sublicensing revenue, as well as tiered royalty payments on any future net sales of products emerging from the collaboration.
~R552 Systemic – Eli Lilly Partnership~
Rigel’s investigational candidates are oral, potent and selective inhibitors of receptor-interacting serine/threonine-protein kinase 1 (RIPK1).
RIPK1 is a critical signaling protein implicated in a broad range of key inflammatory cellular processes including necroptosis, a type of regulated cell death, and cytokine production. In necroptosis, cells rupture leading to the dispersion of cell contents, which can trigger an immune response and enhance inflammation. RIPK1 inhibition has therapeutic potential in treating autoimmune, inflammatory, and neurodegenerative disorders.
Rigel’s RIPK1 inhibitor program includes R552, a systemic molecule being developed for the treatment of autoimmune and inflammatory disorders, and brain penetrating RIPK1 inhibitors for central nervous system (CNS) diseases. In preclinical studies, R552 demonstrated prevention of joint and skin inflammation in a RIPK1-mediated murine model of inflammation and tissue damage.
Development of R552:
In Q2 2023, the initial Phase 2a trial (NCT05848258) in moderately to severely active rheumatoid arthritis (RA) was initiated by partner Eli Lilly.
Development CNS-penetrating RIPK1 inhibitors:
Currently in preclinical studies.
~Milademetan – Daiichi Sankyo Partnership~
Rigel has a long-standing collaboration with Daiichi-Sankyo for developing murine double minute 2 (MDM2) protein inhibitors in cancer, which were discovered in Rigel’s laboratories.
Preliminary safety and efficacy data from an early Phase 1 study of milademetan (formerly DS-3032), an oral selective MDM2 inhibitor, in hematological malignancies suggests that it may be a promising potential treatment for oncology indications.
Rigel received an upfront payment and is eligible for milestone payments, as well as tiered royalty payments on any future net sales of any products emerging from the collaboration.
~Rxxx (CNS Penetrant) – Eli Lilly Partnership~
Rigel’s investigational candidates are oral, potent and selective inhibitors of receptor-interacting serine/threonine-protein kinase 1 (RIPK1).
RIPK1 is a critical signaling protein implicated in a broad range of key inflammatory cellular processes including necroptosis, a type of regulated cell death, and cytokine production. In necroptosis, cells rupture leading to the dispersion of cell contents, which can trigger an immune response and enhance inflammation. RIPK1 inhibition has therapeutic potential in treating autoimmune, inflammatory, and neurodegenerative disorders.
Rigel’s RIPK1 inhibitor program includes R552, a systemic molecule being developed for the treatment of autoimmune and inflammatory disorders, and brain penetrating RIPK1 inhibitors for central nervous system (CNS) diseases. In preclinical studies, R552 demonstrated prevention of joint and skin inflammation in a RIPK1-mediated murine model of inflammation and tissue damage.
Development of R552:
In Q2 2023, the initial Phase 2a trial (NCT05848258) in moderately to severely active rheumatoid arthritis (RA) was initiated by partner Eli Lilly.
Development CNS-penetrating RIPK1 inhibitors:
Currently in preclinical studies. Pipeline :: Rigel Pharmaceuticals, Inc. (RIGL)
~Summary and Prediction~
The current share price of sub $1 does not feel justified. I would anticipate financial breakeven by the end of 2024 or potentially in Q1 or Q2 of 2025. The robust pipeline, progress, and expected revenue growth are enough to justify a much higher valuation. The debt load is manageable, but the potential for S is concerning. I believe that the S is not necessary and revenue growth and progress should speak for itself. I am not as bullish as the analysts at HC Wainright for a $15 PT, but the valuation should be at least 3x to 5x from the current value. This thesis does not highlight the patents surrounding their drugs either which some extend into 2035 and beyond. Perhaps what Wall Street is discounting is the fact that most of the drugs are very niche. However, the currently available drugs have an addressable market, albeit less universal than some, but you should value it in the sense of multiple facets (a 1000 headed snake is the phrase I wanted to use). I believe the company should be valued with specialty drugs in mind which would command a higher PE ratio. At the current day and time of writing, the value should be at least $1.50 to $1.75 ~at a minimum~ with a 12 month price target of $3 to $5+. I will be looking for continued revenue growth in each quarter this year and realization of revenue from Gavreto in Q2 or Q3 this year. The partnerships should not be discounted either and the current share price if it lingers here perhaps may attract a merger or acquisition. I initially began the research thinking that perhaps the drugs were too niche, but given the multiple drugs they are working with, I believe their revenue sources will continue to grow if you do not focus on one particular drug as the main performer. With the most recent inflation report being cooler than expected, I would suspect larger funds and institutions will be circling back to riskier assets.
submitted by The_Brand94 to u/The_Brand94 [link] [comments]


2024.05.18 23:09 Lordslug78 My elderly mother affected with 2nd cancer within a year, needs help.

My mother aged 66 was diagnosed with oral cancer (SCC) in her tongue (she doesn't use tobacco) and it was surgically removed in September last year. We had to spend INR 200000. We were visiting the doctor every month since then for regular checkups.
In March this year, the PET scans revealed two suspicious lumps in her breast which was confirmed to be breast cancer following mammograms and Biopsy in April.
The surgery to fully remove her right breast is scheduled on 28th of this month. The cost of surgery would be INR 116000. This is beyond my means as I'm the only earning member of my family, I make about 40k per month but I've still not recovered financially after the last surgery. The scans and Biopsy itself has cost me 50k so far. Since she's above 65 and already has a history of cancer diagnosis, I'm not able to get her enrolled into any insurance plans which I regret not taking earlier.
I have created a fund raiser on Ketto which is an online platform in India which helps in raising funds for medical purposes. I'm providing the link below which also has the necessary documents regarding the diagnosis uploaded so that you can check the authenticity of my request.
https://www.ketto.org/fundraisemy-mother-is-fighting-for-her-life-and-we-need-your-support-to-save-her-914849
Please do visit the page and donate whatever you can. Please also share this with people you know.
submitted by Lordslug78 to india [link] [comments]


2024.05.18 22:12 Lordslug78 My elderly mother needs help with her breast cancer surgery.

We are from India.
My mother aged 66 was diagnosed with oral cancer in her tongue (she's a non smoker) and it was surgically removed in September last year. We had to spend INR 200000 (2400 USD).We were visiting the doctor every month since then for regular checkups.
In March this year, the PET scans revealed two suspicious lumps in her breast which was confirmed to be breast cancer following mammograms and Biopsy in April.
The surgery to fully remove her right breast is scheduled on 28th of this month. The cost of surgery would be INR 116000 (approx USD 1400). This is beyond my means as I'm the only earning member of my family and I've still not recovered financially after the last surgery.
I have created a fund raiser on Ketto which is an online platform in India which helps in raising funds for medical purposes. I'm providing the link below which also has the necessary documents regarding the diagnosis uploaded so that you can check the authenticity of my request.
https://www.ketto.org/fundraisemy-mother-is-fighting-for-her-life-and-we-need-your-support-to-save-her-914849
Please do visit the page and donate whatever you can. Please also share this with people you know.
submitted by Lordslug78 to Assistance [link] [comments]


2024.05.18 15:04 MGK_2 Changing Gears

OK, we are going to try to piece it together yet again. As I've stated in the past, all is conjecture but some of the things which I said in the past need realigning given the new direction the Company is taking. For a long time we've searched, but it all started in the beginning, so therefore, by definition, there must be an end. Many thanks to you my friend u/psasoffice for your help in piecing this puzzle together.
So, the time frame begins when it began, until the time it is realized or when the money runs out. Let's go back again to the summer of 2022, when share price went to $1.26, what caused that? Well to answer that, we need to go back even further.
Back in 2019, CytoDyn put out this PR CytoDyn Announces FDA Clearance to Proceed with Phase 2 Study of Leronlimab (PRO 140) and Regorafenib as a Combination Therapy for Metastatic Colorectal Cancer. Regorafenib is a small molecule tyrosine kinase inhibitor with minimal efficacy and high toxicity. As u/perrenialloser pointed out, it has plenty of side effects and really is not that functional. However, the drug manufacturer Bayer was prepared to do this Phase II Clinical Trial in patients with metastatic CRC with CytoDyn.
"The study will be conducted by lead principal investigator, John L. Marshall, M.D., Director, The Ruesch Center for the Cure of GI Cancers Frederick P. Smith Endowed Chair, Chief, Hematology and Oncology Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, D.C."
I wasn't around at the time to know for sure, but I believe this trial was set up by Nader. Eventually, this study would be withdrawn for reasons which I am about to disclose.
In October 2021, the MD Anderson Study with Keytruda is announced.
"Nader Pourhassan, Ph.D., CytoDyn’s President and Chief Executive Officer, said, “We anticipate this study will further evaluate the immunomodulatory effects of leronlimab in the tumor microenvironment. We are excited about the possibilities for leronlimab to offer a potential new treatment option for breast cancer patients. This could be an additional indication for which we are pursuing approval for leronlimab. We are also very grateful to Dr. Scott Kelly for arranging for this study to be conducted by Dr. Jangsoon Lee, assistant professor of Breast Medical Oncology Research at The University of Texas MD Anderson Cancer Center."
Cyrus Arman comes onboard as President effective July 9, 2022. During that summer of 2022, the CYDY share price ran up as high as $1.26 per share for some unknown reason. In the past, I attributed it to NASH. I give a breakdown of my thinking here in I Tell You A Mystery. In the commotion of Cyrus' hiring and the mass fluctuations of the share price, the MD Anderson Study had already been completed and the results were looking good to those privileged enough to have been granted rights to actually see the data. Coincidentally, it was about this time that the CRC with Regorafenib was withdrawn. Hmmm, Why was this trial withdrawn? Just because the MD Anderson results looked great or because there was something even more profound and substantial built upon those results?
"We can apply the same logic in the Oncology study being run by MD Anderson using Merck's Keytruda in combination with Leronlimab. We had all been waiting to find out what had happened with the results of the MD Anderson study, and Cyrus threw us this line: "Leronlimab is currently being trialed in combination with Keytruda (pembrolizumab) in a breast cancer xenograft model in partnership with MD Anderson Cancer Center." From here, he gave us a hint of what is to come."
In his infamous 12/7/22 R&D Update: Future Development, Cyrus presented his Vision & Plan for the Company:
"17:09: And we're also still committed to HIV, but we're really looking at it more through the lens of developing longer-acting agents. And Dr. Sacha will be talking about that at the end of our discussion today.
17:21: So, within oncology, we're interested in studying what would be referred to as immunologically colder tumors. And Dr. Glück will present on what those -- what we mean by that later. But we think that these are areas where more recent advancements from checkpoint inhibitors have yet to really have a large impact in those markets. And so, we think that there's a unique opportunity based on the data we already have in some of these colder tumors to make an impact.
17:51: Within NASH, we're particularly excited about the data that we have there, and NASH will be our primary focus going forward. We'll also talk a little bit about a unique opportunity to study and look for the treatment effect of leronlimab in people living with HIV who also have NASH. And we think that we might be in a unique position to address that population."
"18:22: So, going forward, we're focusing on NASH, oncology and earlier-line HIV indications through longer-acting agents that inhibit CCR5. Again, we've already generated promising clinical signals in both NASH and oncology. And within NASH, we're exploring the opportunity to study a segment of patients of those NASH patients who are also living with HIV.
18:50: Within oncology, we want to pursue colorectal cancer and breast cancer specifically. Within the colorectal cancer population, we want to focus on a micro-satellite stable group, which represents about 85% of all diagnosed colorectal cancers. And within breast cancer, we want to focus on the hormone receptor positive HER2-negative population, which is about 70% of all diagnosed breast cancers, and the TNBC population since we have data in that space. All of these are quite large markets."
The FDA made it truly tough for Cyrus to meet his goals as the Company's main devotion was to get the hold lifted, so Rules had to be followed. Also, Cyrus unfortunately made NASH a focus and then subsequently became sick and then found himself taking a demotion. His focus really should have been on Oncology as #1 target as it finally is today. Here though is a revealing statement he made:
"...these are areas where more recent advancements from checkpoint inhibitors have yet to really have a large impact in those markets. And so, we think that there's a unique opportunity based on the data we already have in some of these colder tumors to make an impact."
Keeping that escalation in share price to $1.26 in mind, when did CA know about this data? He got the data on the MD Anderson results either before or shortly after his hire. Remember, shortly after NP was terminated, Cyrus was at CytoDyn working at least for a few months prior to his hire giving opportunity to the BOD to assess his work ethic and ways about him. In this time, CA saw the MD Anderson results and they were looking mighty good. Where are these results today? They still reside with MD Anderson. Why don't we have them right now? Too many $millions to buy it, but we saw the results and those results are the impetus for the change in gears of the Company's priorities. Surely Scott Kelly, who was responsible for securing the MD Anderson study has seen them as well.
Speculation: So, what did Cyrus do immediately once he saw those results? He negotiated a cancer play in mCRC with MD Anderson. We can try to piece this together using parts of this post.
"What also happened in August? Only the removal of the first management player who’s experience was in Negotiation and Partnerships, Brendan P. Rae. No longer any necessity for Negotiation? I guess not. As time went quickly by, without any word of what was taking place, the share price began to fall. It became uncomfortably obvious that by mid November, Recknor had been let go. He was CytoDyn's most experienced scientific, medical and managerial player for NASH, but in the game of a collaboration, anyone and everyone is a commodity and all are replaceable. On the same topic, a significant stock bonus was paid to the president in September of last year after only two months on the job. Was a deal struck? Also, our very own CMO, Scott Kelly who coined the phrase: “There are many ways to structure a partnership.“ himself gets terminated in December 2022."
Just like that bonus, (which was based on his obtaining a partnership), the short-lived share price rise also assumed that a deal had been struck. Scott Kelly was privy to the MD Anderson results just as Cyrus was. Why didn't Kelly put a deal together like Cyrus did? I don't want to diminish the fact that Kelly was wholly responsible originally for getting the MD Anderson murine study going. The fact is that a deal had been made and justifies Cyrus' bonus payment.
Proof came a year later, in October 2023 in a few posts by biloxiblues which together with everything else, in my eyes, solidifies this new theory. The price went to $1.26 because of this 100% fully funded, 200 patient Phase II mCRC combination Keytruda Clinical Trial Cyrus Arman had arranged with MD Anderson, based on the spectacular results of the MD Anderson murine study. But, as discussed in the posts by biloxi above, the BOD got in the way. This can also explain why the Regorafenib Bayer trial was withdrawn, when it became clear as day that the results of the MD Anderson study were great and a massive combination Keytruda trial was struck, but pending, unfortunately, taking second fiddle to the work of getting the hold lifted.
Through his discussions with Cyrus, biloxiblues indicates that Tanya would not compromise. She and the others on the BOD were too intently focused on following the mandates of the FDA. The FDA wasn't fooling around with the hold and CytoDyn could not make any more mistakes. Tanya was dead set on following the "Rules". The number one priority was to get off clinical hold and the FDA made it damn near impossible for CytoDyn and Cyrus. It damn near killed him. So, the BOD made the incredulous decision to walk away from Cyrus' baby, which was a fully funded mCRC combination trial with Keytruda and we learned all of that in October 2023 thanks to biloxiblues.
But this was Cyrus' Baby, and he wasn't about to let her go. Could this be why CA is still with us? After all, aren't we back to mCRC again?
Dr. Lalezari comes on board in November of 2023 and puts forth the Inflammation and Immune Activation within a very small sub-set of HIV patients. Share price bumped up and pulled back. Damn, this trial with 90 patients could cost CytoDyn near $10 million. Where does that money come from? Share price is lower after the announcement. Can't raise money with a low share price. That would consume boat loads of shares. Inflammation/Immune Activation was not working. People weren't buying it.
Cyrus Arman is witnessing everything going on, that there is no money and that it is not advancing, and it occurs to him that his baby, may not be completely abandoned altogether. No, he realizes that the hope he once had lost due to circumstance could now be found again, so he advocates in earnest for her.
He recalls Scott Kelly discussing the 12/14/21 CC with Scott Kelly Basket Trials:
"25: 25 Kelly: We are excited about the Basket Trials. I'll start by saying I just presented at San Antonio Conference December 10th. That was in results wrt mTNBC in combination with carboplatin, CCR5 positive, mTNBC and I tell you, the reason why we are excited about the Basket Trial is that they think that there is a growing acceptance that the Tumor Micro Environment is the next Frontier for Immunotherapy. And I mean this amongst practicing physicians, the academic world, probably as well as big pharma, and I think we are more advanced than this. We've been looking at the mechanism of action in the tumor micro environment and see Leronlimabs impact across multiple different oncologic indications and we also think that we can pair this with a check point inhibitor, chemo, radiation, antibody zero conjugates, as well as maybe even a potential monotherapy in certain patients that don't qualify for other treatments. We think the MOA, with T-Regs. When T-Regs come in, they turn off the immune system. We know that they have a high prevalence of CCR5. We can block that. We can actually maybe leverage the immune system. If we look at macrophage re-polarization, that's another potential opportunity. Our animal studies showed a significant reduction in angiogenesis. I think it was 62% in total vessillary and 80% reduction in small vessel area. But, we know that tumors need a blood supply to grow and if we can help limit that, then we think we can have benefit for patients. And last, we know that normal cells, CCR5 is only present on an immune cell, but we know that when cells under go malignant transformation, that they start sprouting up CCR5, and we believe that is a contributor to metastasis. So, we have multiple different mechanisms of action and we continue to find more as we go along that we will be evaluating."
He remembers Dr. Gluck's discussion in the 12/7/22 R&D Update Dr. Stefan Gluck; MicroEnvironment.
"So, as you saw, very small studies, but extremely promising, and the signal for an oncologist like myself is so strong that I'm enthusiastic about it. We, as oncologists, need to be positive because otherwise, we cannot treat patients and tell them something better is coming. The leronlimab decrease of these tumor cells actually did relate both in mTNBC and in colorectal with improved survival. That's amazing."
Cyrus turns to our 3rd party AI collaborator and requests an assessment on the effect of a CCR5/L5 axis blockade in mCRC. Their AI engines get to work and compile all that is known and understood regarding the pertinent Biomarkers in combination with all the pertinent journal articles on the blockade of the CCR5/L5 axis in the disease to finally determine that it works like a charm, like no other.
He reflects upon these statements made in this Regorafenib study which supports the fight against the MSS cold tumors. Thank you u/perrenialloser for this journal article.
"The majority of patients with CRC exhibit a microsatellite stable (MSS) or mismatch repair proficient (pMMR) status, which is known as the “cold tumor” with less mutated oncogenes and less inflamed tumor immune microenvironment, resulting in a limited efficacy of ICIs (2). The inadequate recruitment and activization of immune cells to the tumor microenvironment were considered to be fundamental mechanisms underlying the inefficacy of ICIs in MSS mCRC (4). Combination strategies to enhance the immunogenicity of the tumor microenvironment and exploit the benefit of ICIs in patients with MSS are urgently needed."
He becomes even more convicted. Given all that I presented here in addition to the proven results of the MD Anderson, Keytruda study which Cyrus has laid his own eyes upon, he becomes whole heartedly supportive of the Priority switch to the mCRC Oncology Indication. I'm sure Richard Pestell was also 100% behind Cyrus in this decision to switch priorities. Also, by switching to Oncology, share price has a better chance of increasing as Oncology is favored by the public. Fund raising could happen much quicker with a higher share price resulting from a better indication. From the recent May 2024 Letter to Shareholders:
"Over the next six months, we expect to commence at least one, and potentially two clinical trials. The prospective clinical trials, in order of priority, are: (i) a Phase II study of leronlimab in patients with relapsed/refractory microsatellite stable colorectal cancer; and (ii) a Phase II study exploring leronlimab’s effects on inflammation. The Company’s priority will be the oncology trial which, if successful, will put us on track towards a commercial approval of leronlimab in that indication. The inflammation study is aimed at clarifying certain provocative observations related to leronlimab, and to help define the dose and underlying mechanism of anti-inflammatory action. It is imperative that the Company generate unassailable results in the clinic and I believe the above trials can accomplish this. Starting the oncology study and related fundraising is the top priority of the Company at this time, but our current hope is that we can initiate both studies before the end of this calendar year."
So straight from the CEO's mouth, related fundraising is the top priority of the Company at this time. Cyrus remains here at CytoDyn because of the need to pump up the value by switching to a more attractive Indication Priority. I repeat all of this, because with all of the peer reviewed and published Journal Articles that discuss the CCR5/L5 axis in the context of Colo-Rectal Cancer and given Keytruda's exceptional performance as a PD 1 blockade in only 15% of these CRC MSI tumors, leronlimab can open the door wide open to the remaining 85% MSS tumors. The trial starts this year. Also from the recent Shareholder Letter:
"Research and development partnership opportunities are important to the Company as we search for cost-effective ways to further build out our product development portfolio. We have identified several such opportunities that we believe are intriguing and anticipate finalizing agreements with these partners in the very near future. Such potential partnerships include an investigator-initiated pilot study of leronlimab in patients with Alzheimer’s Disease, and a project that will evaluate the use of leronlimab in patients living with HIV who are undergoing stem cell transplantation in a proof of cure study. Following lifting of the clinical hold, we have observed a significant increase in third parties that are interested in partnering with the Company. We will continue to review opportunities as they arise, given the potential for significant value return at little or no cost to the Company."
The question I now have is with whom? Partners are incoming, but did leronlimab make it easier for the PD-1 blocker Keytruda to work in MSS mCRC tumors? If it did, (and Cyrus knows if it did or did not), then Merck certainly remains there in the bidding. If leronlimab did it all by itself and Keytruda was superfluous, then the partner might be someone like u/i__OBSERVER points to entities such as the NIH as the source of that funding.
Personally, I am very much thankful to anyone involved that pushed for the change in priority as mCRC is a much better recognized Indication, and one that is easier to understand and bring to the public.
submitted by MGK_2 to Livimmune [link] [comments]


2024.05.18 13:33 Glorry-Deals-143 Quietum Plus - A Comprehensive Review of the Top Offer, Now Even Better

Quietum Plus - A Comprehensive Review of the Top Offer, Now Even Better
Introduction: I recently had the opportunity to try out Quietum Plus, a supplement marketed for improving auditory health. With claims of enhancing hearing function, reducing tinnitus symptoms, and supporting overall ear health, I was intrigued to see if it lived up to the hype.
What is Quietum Plus? Quietum Plus is a dietary supplement formulated with a blend of natural ingredients, including vitamins, minerals, and herbal extracts. Its advertised purpose is to promote better hearing, alleviate ringing in the ears, and support the overall health of the auditory system.
Ingredients and Composition: One of the first aspects I examined was the composition of Quietum Plus. It contains a variety of ingredients known for their potential benefits to hearing health, such as vitamins C and E, zinc, potassium, and a proprietary blend of herbal extracts like hawthorn berry, garlic, and ginkgo biloba. These ingredients are purported to work synergistically to improve auditory function.
https://preview.redd.it/nf9nq10d861d1.jpg?width=299&format=pjpg&auto=webp&s=3a3665c1408d81735862fe7b003f7d45a954dc83
Effectiveness: Having used the product for several weeks, I observed some positive effects on my auditory health. While my hearing didn't undergo any dramatic transformations, I did notice a slight reduction in the intensity of tinnitus symptoms. Additionally, I felt that my ears seemed clearer, with a subjective improvement in overall comfort.
https://preview.redd.it/j8lbl9bg861d1.jpg?width=1347&format=pjpg&auto=webp&s=f5112357ab7521d1888ff905e77c9a6d3cfd7d43
Taste and Ease of Use: Quietum Plus comes in easy-to-swallow capsules, which makes it convenient to incorporate into daily routines. As for taste, there's no strong or unpleasant flavor, which is a plus for those who are sensitive to dietary supplements with overpowering tastes or odors.
Safety and Side Effects: One of the concerns many people have when trying a new supplement is its safety profile and potential side effects. I'm pleased to report that I didn't experience any adverse reactions while taking Quietum Plus. However, as with any dietary supplement, it's essential to consult with a healthcare professional before starting, especially if you have pre-existing medical conditions or are taking other medications.
Long-Term Benefits: While my experience with Quietum Plus was generally positive in the short term, the question remains whether it provides significant long-term benefits for auditory health. Unfortunately, it's challenging to assess this within a relatively short trial period. Continued use over an extended period may be necessary to determine its full effects on hearing function and tinnitus management.
Price and Value: In terms of pricing, Quietum Plus falls within the range of similar supplements on the market. While it may not be the cheapest option available, its combination of natural ingredients and potential benefits make it a reasonable investment for those seeking to support their auditory health.
Conclusion: In conclusion, Quietum Plus offers a promising blend of natural ingredients aimed at improving auditory health and reducing tinnitus symptoms. While individual results may vary, my experience with the product was generally positive, with noticeable improvements in comfort and tinnitus intensity. However, like any supplement, it's essential to manage expectations and consult with a healthcare professional before use.
submitted by Glorry-Deals-143 to u/Glorry-Deals-143 [link] [comments]


2024.05.18 11:58 No-Customer-9172 Can lifestyle changes help manage PCOD symptoms?

Yes, lifestyle changes can indeed help manage PCOS (Polycystic Ovary Syndrome) symptoms. Lifestyle modifications are often considered a fundamental aspect of PCOS management and can have a significant impact on symptom severity and overall health. Here are some ways lifestyle changes can help manage PCOS symptoms:
Dietary Modifications: Adopting a balanced diet that emphasizes whole foods, fruits, vegetables, lean proteins, and healthy fats while minimizing processed foods, sugars, and refined carbohydrates can help regulate blood sugar levels and insulin resistance, which are common issues in PCOS.
Regular Exercise: Engaging in regular physical activity can improve insulin sensitivity, aid in weight management, reduce inflammation, and promote overall well-being. Both aerobic exercise (like walking, jogging, or cycling) and strength training can be beneficial.
Weight Management: For individuals with overweight or obesity, losing weight through a combination of dietary changes and exercise can help improve hormonal balance, menstrual regularity, and fertility, and reduce the risk of complications such as type 2 diabetes and cardiovascular disease.
Stress Reduction: Chronic stress can exacerbate PCOS symptoms by increasing cortisol levels and disrupting hormonal balance. Practices such as mindfulness meditation, yoga, deep breathing exercises, or engaging in hobbies can help manage stress and improve overall well-being.
Adequate Sleep: Prioritizing sufficient and restful sleep is important for hormone regulation, metabolic health, and overall well-being. Establishing a regular sleep schedule, creating a calming bedtime routine, and addressing any sleep disturbances can be beneficial.
Quit Smoking and Limit Alcohol: Smoking and excessive alcohol consumption can worsen insulin resistance, disrupt hormone balance, and increase the risk of cardiovascular complications. Quitting smoking and limiting alcohol intake can contribute to overall health improvement in individuals with PCOS.
Regular Monitoring and Medical Check-ups: It's essential to regularly monitor PCOS symptoms, menstrual cycles, blood sugar levels, cholesterol levels, and blood pressure. Routine medical check-ups can help detect and manage any potential complications early on.
While lifestyle changes are important for managing PCOS symptoms, they may not completely resolve all symptoms for everyone. Therefore, a comprehensive approach that combines lifestyle modifications with medical treatments, such as hormonal contraceptives, insulin-sensitizing medications, or fertility treatments, may be necessary for optimal management of PCOS. Consulting with a healthcare provider or a registered dietitian can provide personalized guidance on implementing lifestyle changes tailored to individual needs.
submitted by No-Customer-9172 to u/No-Customer-9172 [link] [comments]


2024.05.18 08:42 Chapletint Innovations in Catheter Trays Design: Enhancing Patient Care

Innovations in Catheter Trays Design: Enhancing Patient Care
Catheterization is a common medical procedure used for a variety of purposes, from urinary drainage to administering medication or contrast agents. However, the traditional catheterization process can pose risks to patients, including infection and discomfort. Innovations in Catheter Trays design are revolutionizing this procedure, enhancing patient care, comfort, and safety.
https://preview.redd.it/jwjlewe9s41d1.jpg?width=1200&format=pjpg&auto=webp&s=c6490d8e05da8a3d58a45356ab0c0b335111a6d2

Improved Sterility:

  1. Traditional Catheter Trays often consist of multiple components packed individually, increasing the risk of contamination. Newer tray designs incorporate pre-assembled, sterile components, reducing the risk of infection. These trays are sealed and sterilized, ensuring that every component remains uncontaminated until the moment of use. Enhanced sterility not only reduces the risk of infections but also streamlines the catheterization process, saving valuable time for healthcare professionals.

Simplified Setup:

  1. Complexity in setting up traditional Catheter Trays can lead to errors and delays in patient care. Innovative designs focus on simplicity and efficiency, with pre-packaged trays containing all necessary components for catheterization. These trays are intuitively organized, with clear instructions for use, reducing the likelihood of mistakes and allowing healthcare providers to focus on patient care rather than assembly.

Patient Comfort:

  1. Catheterization can be an uncomfortable experience for patients, leading to anxiety and stress. Innovations in Catheter Trays design prioritize patient comfort, with features such as softer materials, smoother surfaces, and ergonomic designs. Additionally, trays may include amenities such as numbing agents or lubricants to minimize discomfort during insertion. By prioritizing patient comfort, these innovations improve the overall experience of catheterization and promote better patient outcomes.

Customization:

  1. Every patient is unique, and their catheterization needs may vary. Newer Catheter Trays designs offer customization options to meet individual patient requirements. Healthcare providers can choose from a variety of catheter sizes, lengths, and materials to ensure the best fit for each patient. Customization enhances the effectiveness of catheterization while minimizing discomfort and complications.

Waste Reduction:

  1. Traditional Catheter Trays often contain excess packaging and disposable components, contributing to medical waste. Innovative designs aim to reduce waste through thoughtful packaging and component selection. Biodegradable materials, recyclable packaging, and reusable components are increasingly common in modern Catheter Trays, promoting environmental sustainability while maintaining high standards of patient care.

Enhanced Safety Features:

  1. Patient safety is paramount in healthcare settings, especially during invasive procedures like catheterization. Newer Catheter Trays designs incorporate enhanced safety features to minimize risks and prevent complications. Anti- microbial coatings, self-sealing ports, and securement devices are examples of safety innovations that reduce the likelihood of infection, dislodgment, or other adverse events during catheterization.

Integration of Technology:

  1. Advancements in technology are driving innovation in Catheter Trays design, with the integration of smart devices and digital monitoring systems. Smart Catheter Trays may include sensors that monitor catheter placement, urine output, and other vital signs in real-time, providing valuable data to healthcare providers and enhancing patient monitoring. These technological advancements improve the accuracy and efficiency of catheterization while facilitating proactive patient care. Chaplet north america

Conclusion:

Innovations in Catheter Trays design are transforming the catheterization process, enhancing patient care, comfort, and safety. From improved sterility and simplified setup to customization options and waste reduction, these innovations address the diverse needs of patients and healthcare providers. By prioritizing patient comfort, safety, and efficiency, modern Catheter Trays are revolutionizing the standard of care in catheterization procedures, ultimately improving patient outcomes and experiences.
submitted by Chapletint to u/Chapletint [link] [comments]


2024.05.18 07:40 acslosangeles Assessing The Risks of Male Breast Reduction Surgery

Gynecomastia (excess male breast tissue) is a purely cosmetic issue that can ripple out into a broad range of mental health and confidence issues for men. Chances are that if you have gynecomastia, you have considered surgery to get rid of your ‘man boobs.’ Many people who would not normally consider cosmetic surgeryGynecomastia (excess male breast tissue) is a purely cosmetic issue that can ripple out into a broad range of mental health and confidence issues for men. Chances are that if you have gynecomastia, you have considered surgery to get rid of your ‘man boobs.’ Many people who would not normally consider cosmetic surgery end up with this option in front of them. It’s common for these patients to be intimated by the idea of surgery, and they worry about complications. This apprehension comes from the right place: it is important to take healthcare decisions seriously. But how rooted in reality are these concerns?

What Exactly is Gynecomastia?

Our society has a wide variety of colorful (and often hurtful) terms for gynecomastia: male breasts, man boobs, moobs and some that we won’t print here. On a basic level, gynecomastia is the excessive development of breast tissue in men. It happens in every phase of life, but is most common in adolescence and old age. It can be caused by a variety of medical conditions, medications and hormonal changes. Because of the association of breast tissue with womanhood, the effects of gynecomastia on a man's body image and self-confidence can be devastating. And then there are the people who suffer from insults and bullying due to their male breasts. If you want to learn more about the condition, read our article on Understanding Gynecomastia.

The Male Breast Reduction Procedure

In a gynecomastia surgery, or male breast reduction treatment, a cosmetic surgeon creates a more masculine chest contour by getting rid of extra breast tissue. To remove the extra fat and tissue, the surgeon makes miniscule incisions around the areola. They proceed to suction out the tissue, working to achieve a natural, aestheically pleasing chest contour for the patient. Male breast reduction surgery is a type of liposuction, which is why the procedure is so successful at eliminating unwanted fat.

Understanding The Danger

The male breast reduction procedure is a surgery, even if it is a relatively minor one. All surgeries do come with accompanying risks. But when the procedure is done by a cosmetic surgeon in a quality facility, it is considered to be a very low-risk, safe procedure.
Potential risks include:
  1. Bleeding: Bleeding can occur during or after any surgical procedure.
  2. Infection: Following any surgery (or cut), there is a chance of infection. It is very important to follow your surgeon’s aftercare instructions in order to mitigate this risk.
  3. Scarring: Incisions leave scars. But expert cosmetic surgeons pride themselves on putting scars in places where they won’t be noticed, keeping them tiny and especially in leaving behind scars that ultimately disappear.
  4. Skin Sensation: For a brief period after surgery, many patients experience strange skin sensations–like tingling and numbness. They typically subside after a few months (when the nerves have healed).
  5. Asymmetry: Sometimes, a surgery fails to make a completely symmetrical chest. In most cases, this is minor. But followup cosmetic procedures can be used to finish the look that a patient desires.

The Recovery Process…and the Results!

Conclusion

Male breast reduction procedures done by skilled cosmetic surgeons are an effective and safe option for treating gynecomastia. No surgery is 100% risk-free. But the minimal risks inherent in these procedures are outweighed by the increase in confidence and happiness for the people who choose to do it. If you’re considering a procedure to deal with your male boobs, consult with a cosmetic expert. Together you will create reasonable goals and expectations, walk through the procedure, and discuss any concerns you have and any potential hazards your specific case may present.
Get an appointment at Aesthetic and Cosmetic surgeon Los Angeles! We have a team of skilled cosmetic surgeons with expertise in male breast reduction treatment. We customize individual procedures to achieve the patient’s desired outcomes. Our experts will thoroughly review your particular case and present you with a thorough explanation of the surgical procedure. Our goal is to provide you with clear, straightforward information so you can make the best choice for your physical and mental well-being.
end up with this option in front of them. It’s common for these patients to be intimated by the idea of surgery, and they worry about complications. This apprehension comes from the right place: it is important to take healthcare decisions seriously. But how rooted in reality are these concerns?

What Exactly is Gynecomastia?

Our society has a wide variety of colorful (and often hurtful) terms for gynecomastia: male breasts, man boobs, moobs and some that we won’t print here. On a basic level, gynecomastia is the excessive development of breast tissue in men. It happens in every phase of life, but is most common in adolescence and old age. It can be caused by a variety of medical conditions, medications and hormonal changes. Because of the association of breast tissue with womanhood, the effects of gynecomastia on a man's body image and self-confidence can be devastating. And then there are the people who suffer from insults and bullying due to their male breasts. If you want to learn more about the condition, read our article on Understanding Gynecomastia.

The Male Breast Reduction Procedure

In a gynecomastia surgery, or male breast reduction treatment, a cosmetic surgeon creates a more masculine chest contour by getting rid of extra breast tissue. To remove the extra fat and tissue, the surgeon makes miniscule incisions around the areola. They proceed to suction out the tissue, working to achieve a natural, aestheically pleasing chest contour for the patient. Male breast reduction surgery is a type of liposuction, which is why the procedure is so successful at eliminating unwanted fat.

Understanding The Danger

The male breast reduction procedure is a surgery, even if it is a relatively minor one. All surgeries do come with accompanying risks. But when the procedure is done by a cosmetic surgeon in a quality facility, it is considered to be a very low-risk, safe procedure.
submitted by acslosangeles to u/acslosangeles [link] [comments]


2024.05.18 05:20 miserabeau What do you do for the times your surgical sites get really painful?

I'm 2 years post lumpectomies (Invasive Ductal Carcinoma) and 6 weeks intensive radiation. Had an oncoplastic reduction to go from 40JJ to 40DD on both, post lumpectomies.
Saw the oncologist yesterday. Told her my left breast was like... not quite rock hard but almost. That's the one that had 2 lumpectomies + radiation. The right one is like a marshmallow and is not at all painful though it's been reduced as well.
The left hurts SO MUCH. Like even a breeze hurts it. Sometimes I can't bear to dress, but even moving my arms will hurt.
She said "it's hormonal" (I blame tamoxifen) but didn't offer any solutions or say it would ever go away.
She then did the normal "mercilessly squeezing the last bit of toothpaste out of the tube" level of roughness for a breast exam, during which I came off the table like a woman possessed, and she muttered a "sorry" as she checked the other breast. I damn near cried.
Anyway, do you do anything during these "hormone fluctuations" to ease the pain? They keep happening.
Ibuprofen and acetaminophen don't seem to help at all. Can't bear heating pads since tamoxifen gave me the core temperature of a volcano. Ice doesn't help. Massage HURTS and doesn't lessen soreness.
Is this forever?
Not looking for actual medical advice; just sort of commisserating I guess.
submitted by miserabeau to BreastCancerSurvivors [link] [comments]


2024.05.18 03:35 Moocao123 Medicare Advantage - Capitation model, prior authorization, and care coordination in a not vertically integrated model

Medicare Advantage - Capitation model, prior authorization, and care coordination in a not vertically integrated model
Good evening Healthcare_anon members
After the debacle that is the 2024 meme rally, we are finally back to normal operating schedule. For this weekend and possibly even longer, I would like to focus on Medicare Advantage and its model effects. I would like to thank Fabulous-airport-273 and his submission, which is available:
(5) Your thoughts on this April 2024 policy paper - “Medicare Advantage & Vertical Consolidation in Healthcare” : Healthcare_Anon (reddit.com) -> Medicare-Advantage-AELP.pdf (economicliberties.us)
This is a very very dense position paper, and it was a lot to read through. Rainy went through some of the discussion here:
(5) Vertical consolidation of healthcare: the goods, the bads, and the might not work out. bahaha! : Healthcare_Anon (reddit.com)
I thought it would be a good idea to discuss the model of Medicare Advantage, the purpose of capitation, the reason why vertical integration is even happening (think UNH comprising of Optum and UHG), why there is a risk of monopoly and the chance of a company taking more than the mandated MLR threshold, why the DOJ is considering targeting UNH, and what are some of the barriers to achieving the intended final outcome (think why BHG failed, and why CVS/Aetna is having a hard time). That being said, this is a multiple part DD that will link through one another. Their titles will be different, as it speaks to different aspects of the healthcare landscape. If there are any members who are part of the landscape, please speak up and discuss the ideas and or conjectures. We are only a SMALL cog within a much bigger machine, and sometimes our understanding may not be as complete. Your input is welcome!
That being said, let us get started on this extremely dense topic. I thought we may need to start with the background first, therefore this current post.
Medicare advantage and its history: I will not go through so much of this as I have already went through the history quite a bit. Please see the following link for the history lesson of MA:
(5) CMS Finalizes Payment Updates for 2025 Medicare Advantage and Medicare Part D Programs - Moocao read it so you hopefully shouldn't have to, part 1: an introduction to Medicare Advantage : Healthcare_Anon (reddit.com)
Capitation model:
Payment Model primer - capitated payments. Policy brief September 2022, available: CEbP_PaymentModelPrimer_CapitatedPayments.pdf (centerforevidencebasedpolicy.org), accessed 05/17/24
How is it supposed to work: capitation payments are adjusted for risk, based on population acuity to ensure adequate payment. To ensure the entity receiving the capitated payment does not withhold care, plans and providers receiving capitated payments often report on quality and utilization measures, which can be linked to performance bonuses or publicly reported to increase transparency. Capitated payments are generally made prior to care delivery and are based on the spectrum of services and utilization of services.
What is the goal: The goal of capitated payments is to reduce, or slow the rate of growth of health care expenditures and to improve quality of care by encouraging greater management and coordination of care.1,5 Capitation payments can be appealing to both public payers and commercial payers, as they shift the locus of care oversight to another entity, whether that be a managed care organization (MCO), physician group, or health system.5 This allows the payer to focus on tasks that are more limited in scope, such as enrollment, claims processing, risk analysis, reinsurance, and customer service.
What are the strengths and pitfalls:
https://preview.redd.it/n7jdj8xw131d1.png?width=904&format=png&auto=webp&s=2179782e8a41e6f0147105a344dbd84208572a1a
So, as an insurance company, the integration of care will create the most cost-effective solution to the care process. This includes reducing utilization, risk management, readmission reduction, risk adjustment documentation, and finally, a whole vertical integration structure to encapsulate the entire medical care process if sufficient capital is raised to allow this process to occur. There is a whole host of processes to discuss, but first let us talk about what happens if that capital isn't available yet.
Prior authorization
What is prior authorization? Lets take Cigna's definition, as they are a big player within the healthcare insurance space:
What is Prior Authorization? Cigna Healthcare
Under medical and prescription drug plans, some treatments and medications may need approval from your health insurance carrier before you receive care.
Prior authorization is usually required if you need a complex treatment or prescription. Coverage will not happen without it. That’s why beginning the prior authorization process early is important.
Or another way of saying it: Insurance companies are playing doctor without a medical license, under the pretext of cost savings.
The above is a very simplification of the complex discussion with prior authorizations, and PA does have a role in many discussions. I do get a little pissed off knowing patients being denied getting an MRI scan at a location that is first available (like at the place where they are first seen), and instead being told they have to wait at another location or else it won't get paid. If you have brain cancer, driving to another location isn't exactly great, worse if you are told you have to wait a month.
Insurance denied MRI claim, saying the location wasn't approved. Hospital now wants me to pay $7000. What should I do? : personalfinance (reddit.com)
In addition, in the medicare advantage space, there is an explosion of prior authorization denials, and CMS has looked into the practice:
https://www.kff.org/medicare/issue-brief/over-35-million-prior-authorization-requests-were-submitted-to-medicare-advantage-plans-in-2021/
And has given their answer to PA's scandalous process:
https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process
I could dive into each link to discuss the findings within each report, but I decided that our readership must be educated well enough within the space to be able to achieve the necessary function to understand either their investments, or their ability to navigate the complex systems to which our subreddit is dedicated to. I have too much to go through to delve into details.
The overall discussion I would like to say with regards to insufficient capital to achieve vertical integration: prior authorizations can allow an insurance company to deny needed medical services on the basis on many reasons, which can range as innocuous as incorrect procedure for the diagnosis (yes, ultrasound on a leg is worthless when it was meant for the liver) all the way to completely egregious and almost malpractice (a PET Scan should be considered to find metastasis https://www.ncbi.nlm.nih.gov/books/NBK573059/, but try talking to Aetna (now CVS): https://csn.cancer.org/discussion/315527/pet-scan-denied-by-insurance).
Personally I favor using prior authorizations as a way to triage care, but that isn't what insurance is doing:
https://preview.redd.it/fnm74y20531d1.png?width=859&format=png&auto=webp&s=09b6b8670bdd8d6ca31471f53a84b1940635cf26
https://preview.redd.it/qpkzrlo2531d1.png?width=857&format=png&auto=webp&s=194d7b2bfd83e5fa6cf6a8c9ed5066f8e8a78ca7
Ever tried appealing a prior authorization denial? If you didn't have the pleasure either as a clinician or as a patient, I would never wish that misfortune onto you, even if your appeal is accepted, which can be months down the road and may have cost you very precious time you no longer have. Onto our next topic.
Care coordination
Let us go through care coordination via CMS's definition:
https://www.cms.gov/priorities/innovation/key-concepts/care-coordination
Why Care Coordination is Important: when doctors and other health care providers work together and share information, patient's needs and preferences are known and communicated at the right time to the right people, and the information is used to provide safe, appropriate, and effective care. This can help to keep patients healthier longer, better manage chronic conditions and experience care that is consistent with their goals.
Within the hospital this is achieved by a multidisciplinary team. If you were ever admitted to an inpatient unit and you see a bunch of white coats huddling in front of the patient's room, its basically a mini huddle of all the different people trying to give you the best care possible.
When Care Needs to Be Coordinated:
Follow up care after an emergency hospital visit.
  • Care between a patient’s primary care provider and multiple specialists for a chronic health condition.
  • A temporary stay in a skilled nursing facility.
  • Health care providers coordinating with social services to help a patient with social determinants of health, such as housing, transportation or food.
This sounds wonderful Moocao, why this sounds like a great thing! Why are you telling me this?
Because sometimes the story ends there, and the prior authorization horror story comes around. Remember insurance company pays for your care! What if you needed a rehab facility, and your doctors within the hospital thinks that is the best thing for you, but Humana/UNH MA AI bots decide that you don't need that service?
https://www.lpm.org/news/2023-12-14/lawsuit-claims-humana-uses-ai-to-deny-necessary-health-care-services-to-medicare-advantage-patients
https://www.statnews.com/2023/11/14/unitedhealth-class-action-lawsuit-algorithm-medicare-advantage/
Remember that Health insurers are supposed to coordinate care as part of their patient responsibility? What if they betray that part of their mandate, ration the care you are supposed to receive, just so their stock price looks better in the next quarter?
Eventually this model would create a system where sick people don't get the care they need, and this will show up on the modeling from CMS. Which is why CMS V28 is a horror story to quite a lot of insurance companies. That being said, what if the health insurance companies DID get enough capital for vertical integration?
We shall visit that topic next, and the meat of u/Fabulous-airport-273 Reddit post.
Thank you for taking the time to read through this. I hope this provides you with a better perspective on Medicare Advantage plans and a glimpse of the landscape that I am personally aware. Please submit your comments below on your thoughts
Sincerely
Moocao
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2024.05.18 01:06 SirChickenBurger Killer Kittens from Outer Space- Chapter Twenty-Two

Sorry for the delay everyone, I had a loss in the family and needed to take some time with loved ones. Decompressed and back in the saddle now to resume regular posting.
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Chapter 22
Ana
The first time she opened her eyes, it was to a soft, pillowy comfort, the kind that made her want to tuck the duvet right up to her chin and go back to sleep no matter what responsibilities awaited. Dull grey light and a plain ceiling. There were sounds too, but they floated in and out of earshot as if on clouds, dulled like a conversation from an adjoining room one moment, then uncomfortably loud, like someone was speaking directly into her ear the next. She closed her eyes and the warmth carried her off again.
The second time she woke, things were sharper. There were edges to the tiles of the ceiling above her head and the comfortable fuzziness had lessened, giving way to the dull aching onset of a vicious headache. Her limbs were heavy, weighted anchors dragging down her swimming skull and pinning her to the seafloor of the bed.
This is… wait, what happened?
She remembered the smell of the barbecue, and arriving at the door to the journalist’s suite, and then… a sharper throb of pain rippled up the front of her skull from her temples and she winced.
Movement. She turned her head slowly so as not to provoke another stab of pain.
A kespan in a white outfit sat some ten feet away to her right. She was perched on a strange metal seat, and when she noticed Ana’s stare she directed it over, gliding across the floor towards the bed with a low humming sound. There was a symbol on her breast pocket, one that Ana recognized from her medical exams. A doctor, then.
The pieces of the puzzle started to click, and Ana propped herself up, the sheets below her crinkling softly. How is it that even with all their advanced technology, hospital beds still feel the same as on Earth?
“Specialist Cardoso?” The kespan peered down at her and Ana squinted back. “I’m Doctor Scytha. You gave us all quite the scare you know.”
“I really don’t…”
“I’ll go over everything that happened with you in just a moment, but first I need to know, are you in any pain? I understand you hit your head on the way down.”
“Just a headache,” Ana flinched as another jab of pain radiated across her skull.
“I can get you something for that if you’d like,” the doctor offered. “We’ve ruled out a concussion, but I daresay you’ll be feeling somewhat delicate anyway.”
She was about to agree but paused before the words could leave her lips. Through the lingering haze of whatever they’d had her on while she was unconscious, a tiny niggling feeling in the back of her mind was making itself known.
“No, I… I’m okay for now,” she rasped instead, her throat like dusty sandpaper. “What happened? How long have I been out? Where am I?” She held up a hand, feeling at the side of her head, where the worst of the ache was coming from. A strange smoothness greeted her probing touches.
“You have a minor contusion,” Doctor Scytha explained. “The dressing should stay on for at least a day, but we’ve treated the injury with…” she trailed off, a conflicted expression flickering across her face. “Well, we’ve treated it with something that should help it close much faster. It will be fully healed before you know it.”
“Come on doc,” Ana raised an eyebrow on the side of her face that wasn’t obscured by the strange bandage. “I’m curious. What did you treat me with?”
The doctor’s lips pursed beneath her muzzle, and her eyes flicked away. “Artificial cells. We can program them to—”
“Nanobots,” Ana deadpanned, and the doctor grimaced. “You treated me with nanobots.”
“While they do share some characteristics, the applications…”
“Whatever,” Ana cut her off. “I’m not in the mood to discuss semantics, and I‘ve got enough of a headache already to unpack that. Just tell me where I am please.”
“You’re still aboard the She-Serves-With-Honor,” the doctor supplied, relaxing visibly at the change of topic. “It’s been roughly eight hours since you were found. I’m told that you were carried here by that cute reporter boy who’s been stealing the hearts of every serving woman aboard. Lucky you.” She pulled a tab in the side of her chair and a small screen sprang out on a moveable arm. “I’m sure you’re also interested in learning what happened, yes?”
“That was going to be my next question,” Ana grunted, pulling herself upright and noticing for the first time as she did the opaque tube that ran from her forearm down under the bed. Sitting up turned out to be a mistake though, as when she did manage to raise her head the room spun and her stomach turned. She begrudgingly lowered herself again.
“Well, we’re not quite sure ourselves,” the doctor said, her eyes glancing between the screen on her chair and a space on the other side of the room. Ana shifted, ignoring the discomfort until she could peer over towards the door to where the doctor’s eyes had gone, taking stock of her surroundings as she did.
Two uniformed guards were standing there, one on either side of the door. They stood stock still, gazing back at her— no, at the doctor, with measured stares. Three blazes of red shone from each of their outfits at the cuffs and collars, sparkling brightly even in the dim overhead lights.
The room itself was on the smaller side, with her cot the middle of three in the room. The other two beds were empty. They were here for her then.
“Pretty tight security for a ship hospital,” she remarked. “I know I’m new to this whole ‘alien army’ thing, but somehow I don’t think the Garrison stands watch over all of your patients.”
“They are here because I am here, Specialist,” a smooth voice sounded out, and Ana turned her head further, towards the back corner of the room. A severe-looking woman sat there, medals softly shining in the dim light, a crisply ironed, angular hat resting on her knees. She stood as Ana gaped at her.
“Vice Admiral Kel’rek, ma’am.” She tried to raise a hand into the chest-high salute of the kespan military, but her head throbbed again, and the niggling feeling in the back of her brain only grew in magnitude, so the result was a sloppy flapping motion. Ana frowned, staring down at her uncooperative limbs.
“At ease, Specialist,” the Admiral waved a hand dismissively. “You’ve had a rough night. What do you remember?”
It might have been the drugs, but something about the way she asked the question made the hairs on the back of Ana’s neck stand on end. By the doorway, the soldier’s attention had shifted. Now they were staring at her.
“Not much ma’am,” she answered, ignoring the insistent tug of her hindbrain. “Just walking down the corridor, arriving at the door to the suite, and then nothing. Did something happen?”
“We were hoping you could tell us,” the doctor chimed in, with a respectful nod to the Admiral, who had sat back to rub at her chin. “Your scans came back clear, your bloodwork was unremarkable and your toxicology report shows you’re clean, no known contaminants. Although,” she hesitated, and the Admiral shot her a sharp look. “It’s possible that we missed something. We don’t know everything there is to know about Ervamir yet. It could be that something specific to humans eluded our scans.”
Well, it wouldn’t be the first time, Ana thought bitterly, something red and hot churning in her gut and threatening to spill over. She quashed it, but barely. Strange, I haven’t been this quick to anger since before… she cut that thought short too. It must be the drugs.
“Failing that though, what is your prognosis doctor?” the Admiral asked— no, seriously, why is she in the room? Has she been here the whole time? “Nothing too dire, I hope? It wouldn’t do to lose our first human soldier to an unknown illness.”
First human soldier. Her. How long had it been since that idea made her blood boil like it did now? She felt it return, the same dark crawling feeling that had curled up to nest inside her when she accepted the alien’s offer some six months prior. Back then it had been hunger that forced her hand. A choice between flinging herself on the mercy of the cartels or working with the invaders. I thought I’d left this feeling behind.
The doctor hummed, head still buried in the tablet. “New species often exhibit psychological distress in response to their first exposure to space,” she said hesitantly. “The media presence and press conference, followed by an interview on the same day may simply have been too much. If there are no further physiological symptoms, then the episode may have been stress-induced.”
Ana’s eyebrow twitched. “Respectfully doc,” she managed a forced smile. “Like most humans, I think I’ve been through things a lot more psychologically challenging than staring out a window and answering some questions. I’ve never seen any of the women back home experience anything like what just happened to me.”
The doctor avoided her eyes. “Compounding trauma could make this kind of event more likely, but again, we don’t know enough about human psychology to make a proper assessment. All I know is the scans are clean.” She looked up, but it was the Admiral whose gaze she met rather than Ana’s. “I’m prescribing plenty of rest. She should be off active duty for at least a week, preferably planetside.”
“I’m sure that can be arranged,” Admiral Kel’rek stood, and her guards moved to flank her. “You heard the doc, Specialist, I’ll make the necessary arrangements. In the meantime, I believe your squadmates are anxious to hear from you.” She raised an eyebrow at the doctor, who nodded. “I’ll have word sent that you’re awake.” She took a step towards the door.
“And the journalist, ma’am?” Ana asked.
The Admiral turned back to her and tilted her head slightly. “What about him, Specialist? I hope you’re not considering giving an interview from your hospital bed. I’m afraid that might give off the wrong impression.” She spoke with a light tone, but the look she directed Ana’s way was firm.
“I just wanted to apologize for not making our appointment,” Ana insisted. “And maybe arrange a new time, once I’m given the all-clear.”
The Admiral hesitated, just for a microsecond, but it was enough to be noticeable. “I’ll have word sent. You should be aware that he’ll be on the next shuttle with the rest of the media. It’s unlikely that you’ll get a chance to see him in person.”
“You could send me with them,” Ana suggested, and the Admiral shot her an incredulous look, her hand poised to open the door. “Ma’am,” she amended, lowering her eyes to the floor in what she hoped passed for submission. “If I’m going to be recovering planetside anyway, it would be an opportunity for us. To show the galaxy how humans and the Imperium can co-exist, I mean. I’m sure that any good reporter would accept.”
She peered up to watch the wheels turn in the Admiral’s head. Finally, the cat woman stepped away from the door to regard her properly.
“You wouldn’t prefer to recuperate in your home country?” she asked, probing. “The media is bound for the largest island in the South, the one we are currently in orbit over. It’s a green zone, but I would have thought you’d be more comfortable in a familiar setting.”
“Australia?” Ana’s eyes widened slightly, and some genuine excitement leaked into her voice. “I’ve always wanted to visit. I hear it’s a great place to relax. And actually,” she let her tone grow rueful, “I have a slightly… checkered history with my home country now. A lot of baggage. It might be better if I didn’t return for a while, especially if I need to stay low-stress.”
The Admiral raised an eyebrow at the doctor, who nodded. When she turned back to Ana though, she still didn’t appear convinced. “That would put me in a difficult position Specialist,” she said. “If I crammed you into a shuttle with two dozen members of the press less than a day after a serious medical emergency I’d be strung up, even more than I already am just for being here.” She shook her head. “I can’t put you on that ship.”
Ana lowered her eyes again. “I understand ma’am. That’s unfortunate. I was hoping that the interview might make a difference. Show people that cooperation is possible.”
The woman hesitated, and her eyes bore holes into Ana’s own. Then she cocked her head. “However…”
“Yes ma’am?”
“I can arrange transport for tomorrow. We’ll be slightly out of shuttle range by then, but a larger ship could make the journey. Specialist,” she maintained the same intense eye contact, and Ana held it. “I don’t think I need to impress on you the importance of your role here. We all want what’s best for humanity, and the sooner we can get your people on board, the sooner Ervamir… the sooner Earth can be made whole again. I’m expecting a good interview, even if it means a prolonged leave period. Are we clear?”
“Clear ma’am,” Ana managed the salute this time. “Thank you, ma’am.”
“Very good. As you were then, get some rest.”
Ana breathed a sigh of relief as the woman exited, the garrison members following her out. To her slight surprise, she noticed the doctor breathe a similar sigh, and filed the information away for later. Maybe she was the sort of commander who rode her troops hard. It was strange; she’d never been given that impression.
An hour went by, and Ana drifted in and out of sleep several times, each time waking up slightly sharper than before, though her headache kept growing. She was offered the painkillers again but declined. Years of soldiering in the South American jungle had taught her to trust her instincts, and hers had been screaming through the fog ever since she’d first awoken that morning. Something didn’t feel right, and she needed to be clear-headed to figure out what. She was feeling less collected now than she had been for months, and somehow, at the same time, more herself.
Maybe the doc is right and I’m just a bit fucked in the head, she thought.
Just as the headache had reached the point where she was beginning to question that decision, a polite rap came from the door. The doctor’s chair hummed across the floor to answer, and a moment later, a fuzzy face peered in overtop two smaller figures.
“You’re awake!” Banta’s voice boomed across the room, and the doctor made a frantic shushing noise. “Oops, sorry.”
The small group piled into the room, and Ana smiled through the throbbing pain as Vrina and Sergeant Rea’ar’s faces also came into view.
“Specialist,” her NCO greeted her. “I trust you’re on the improve?”
“Ma’am,” Ana inclined her head slightly.
“A little bird told me that you’re to be stationed planetside for a time,” she frowned.
“Yes ma’am,” Ana replied. “Sorry for the inconvenience ma’am.”
“It’s no matter,” the sergeant’s expression was unreadable. “The rest of the fire team sends their well wishes.”
“What she means by that is that the duradians don’t think you’ll die,” Banta grinned. “They’ve got some… quirks… regarding illness. Very pragmatic.”
“You can tell them that I appreciate their confidence then,” Ana replied, and what might have been the ghost of a smile graced the sergeant's face before disappearing abruptly.
“You’ve put me in a slightly difficult position here, specialist,” Rea’ar said. “I’ve been asked to leave one of my troops to watch over you in case your condition deteriorates. Normally, that wouldn’t be a problem, but assigning one of the duradians to your care would be a bad fit. I thought to send Singer alone, but…”
Banta stiffened. “Ma’am—” she started before Rea’ar held up a hand.
“Yes, yes, I know Corporal, save it. You’re both going. I’ve arranged for you to be assigned to a posting on the surface, at one of our new consulates. Might as well make use of you while you’re down there.”
Banta relaxed visibly, and Ana looked between the three women in confusion.
“You two aren’t like, married or anything, are you?” she couldn’t help but ask, pointing between Banta and Vrina, and the pair balked. Vrina’s crest puffed out, and she spluttered, a strangled choking sound coming from her beak. Banta sniggered, and the sergeant’s eyebrows rose.
“I— wh— no!” clucked the Ulu, her chest feathers fluffing out like pins from a cushion. “What makes you think that?”
“Well apparently you’re attached at the hip,” Ana defended. “I’m not judging, just curious.
Sergeant Rea’ar held up both hands, absolving herself of the conversation. “I’m glad to hear you’re improving Specialist,” she said, heading for the door, and Ana watched in amazement as the woman who’d kept her cold demeanor throughout months of training and onboarding fled the scene. “I expect regular updates on your condition,” she opened the door and turned to the other two. “Don’t keep her up too long, she needs rest.” Then the door was closing behind her, and she was gone.
“What the fuck was that?” Ana breathed, looking back at Vrina, who was still prickling, and Banta, who was held under the stern glare of the doctor and trying to keep her giggling from devolving into full laughter. “Okay, come on, what is this?”
Banta pulled herself together and glanced over at Vrina, who was still doing her best impression of a taxidermized rooster. “Maybe we should—”
“Shut up,” Vrina tucked her head beneath her feathers, rubbing at her forehead with the ridge of a wing.
“I’m just saying, it’s not like she’ll think any differently of—"
“No.” The ulu held firm. “It’s embarrassing.”
“Hi, invalid here, not exactly in a position to judge,” Ana raised an arm. “I don’t mind if the two of you are—”
“It’s not that,” Vrina hissed, and Banta guffawed again, catching another warning tut from the doctor. “We’re old friends, nothing more.”
Banta stopped laughing, and looked at her askance, her mirth disappearing. “No lies, Vrin,” she said, disapprovingly. “It’s one thing to keep something to yourself, but it’s dishonorable to lie to a comrade. I’m telling her.”
Ana cocked her head. “Wait, so you are—”
“No,” both of them replied together, the ulu still hissing. “Banta, I swear to—"
“She’s more like… my employer?” the ursinian ventured, and Vrina’s eyes bugged out, a sound like a death rattle building in her throat.
“Corporal Banta, you will not say another word,” she spluttered and then recoiled in horror as the bear woman bowed her head low to the ground, saluting her.
“Of course, your majesty,” she replied with a grin, and Ana’s brain short-circuited.

If you're enjoying the story so far, please consider checking out the Patreon to gain access to up to ten additional chapters. I have a few different tiers and one of them may be right for you.
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2024.05.17 10:12 keerthiamyg Diabetes Food Pyramid

Introduction
In order to supply energy for regular bodily processes, glucose is necessary. Blood glucose levels rise in diabetics as a result of a relative or total insulin shortage. One hormone is insulin. A hormone is a substance that our bodies' glands secrete. The pancreas is the name for this gland, which is located in the abdomen. Insulin functions as a gatekeeper, permitting glucose to enter the cell. If the body produces too much insulin or if insulin's function is compromised, too much glucose builds up and damages the cells in different organs. Diabetes is a metabolic disease in which the body cannot utilize glucose to meet its energy needs. Insulin is necessary for the entry of glucose into cells, as we have already mentioned. For this reason, when cells cannot use glucose to the fullest extent, the body attempts to generate extra glucose through a process known as glycogenesis. Here's how blood sugar levels continue to rise in the absence of food. Diabetes occurs mostly in two forms. The initial kind, or insulin-dependent diabetes. Only insulin, the primary medication, is effective in treating it. Younger patient age groups frequently experience this. Type II diabetes is the second kind, which is not insulin-dependent. In India, this is a growing trend. People older than 40 are typically affected by this. Exercise, nutrition, and oral medicines can all be used to manage this group.

If uncontrolled diabetes is not caught early enough, it can have harmful effects on all areas of the body. The illness needs to be properly treated even if a person does not now experience its effects. Neglect and complacency are never safe. Keep in mind that maintaining good control over the disease is essential to living a normal life. One of the main risk factors for developing complications from diabetes later in life is poorly managed diabetes. The chart below illustrates a few of these concerns for complications. This isn't meant to frighten you; rather, it's only meant to highlight how crucial it is to manage diabetes.
Diabetes food pyramid
Two of the most crucial things you can do to improve your health are to eat a healthy diet and get regular exercise. You can accomplish this by using the Food pyramid guide, the Physical Activity Guidelines, and the Healthy Eating Guidelines. Eating a healthy diet entails consuming the right proportions of the vitamins, minerals, fats, proteins, and carbs that your body needs to stay healthy. On each shelf of the Food Pyramid, foods that are similar in terms of nutrients are placed together. This provides you with a variety of food options from which to select a nutritious diet. Getting the correct balance of nutrient-dense foods within your calorie range can be achieved by using the Food Pyramid as a guide.
Research indicates that we consume an excessive amount of calories from foods and beverages on the Top Shelf of the Food Pyramid that are high in fat, sugar, and salt. They barely contain any of the vital vitamins and minerals that your body needs. Restricting them is necessary for a healthy diet. You need different nutrients every day depending on where you are in life. These are determined by your age, gender, level of activity, and gender.
Understanding food pyramid
•Restrict your intake of items from the Food Pyramid's top shelf. Considering that these are heavy in fat, sugar, and salt, this is the most crucial Healthy Eating Guideline.
•Use fresh ingredients when preparing and cooking your meals. Because they are often heavy in fat and salt, ready meals and takeout should not be consumed frequently.
•Consistently read the nutrition label; look for excessive amounts of sugar, fat, and salt.
•Consume at least five different colored fruits and veggies each day. Make regular choices of leafy green vegetables. Smoothies can be included in your daily servings of fruits and vegetables, but try to limit your intake to those that contain fruit or vegetables. Look for fat and sugar on the label.
•The greatest foods to feed your body include whole grain bread, potatoes, whole-wheat pasta, brown rice, and high-fiber cereals, especially porridge. These foods also satiate hunger. They offer a gradual release of energy. Recognize that different varieties may have different amounts of calories.
•Instead of frying food, use healthy cooking techniques including steaming, grilling, baking, roasting, and stir-frying. Limit your consumption of fried items like chips.
•Increase your fish intake; it's high in protein and contains essential vitamins and minerals. Make an effort to consume oily fish, such as salmon, sardines, and mackerel,
at least once a week. They contain a lot of omega-3 lipids. Reduced-fat cheese, low-fat/no-sugar yogurts, and yogurt drinks are the better options.
•While preparing or serving meals, use as little or no salt as feasible. Instead, experiment with different flavorings including lemon juice, herbs, spices, pepper, and garlic. Eat as much fresh food as you can. Check the food labels for the amount of salt.
•An adult needs eight to ten glasses or cups of liquid every day. 200 ml is roughly one cup. If you exercise, you will require more. Teens and children should drink often throughout the day. The ideal fluid is water.
•Make time to sit down at a table and eat three meals a day. Eat mindfully and give your food a good chew. You may overeat if you eat while watching TV or using a computer since it can cause you to become distracted by how much food you are consuming. Alcohol contains calories, so if you drink, do it responsibly within advised limits and ideally with meals.
•Always make time for breakfast, as those who eat it are more likely to maintain a healthy weight.
•You shouldn't need to take food supplements if you consume a healthy, balanced diet unless your doctor tells you to. Nonetheless, it is recommended that all sexually active women of reproductive age take 400µg of folic acid daily, ideally as a supplement. Vitamin D deficiency in the diet can be addressed by discussing supplementation with your physician or pharmacist.
•Eating a healthy diet both before and throughout pregnancy lowers the chance that your unborn child may develop lifestyle disorders like obesity and heart disease. Breastfeeding is highly advised since breast milk provides additional protection.
•Take into account how much food, excluding fruits and vegetables, you eat from each shelf of the Food Pyramid if you are overweight.
Conclusion
A diabetic diet's ingredients differ from person to person. A balanced diet is an excellent way to treat diabetes. Making a nutritious diet is made easier with the guidance of the diabetes food pyramid. Diabetes can be beaten with a balanced diet, appropriate medication, and a healthy lifestyle.
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2024.05.17 06:57 CureEZ_Healthtech Decoding Thyroid Disorders: CureEZ's Innovative Solutions

Thyroid disorders, such as hypothyroidism, hyperthyroidism, thyroid nodules, and thyroid cancer, impact millions globally. Despite being common, these conditions often go undiagnosed or misdiagnosed due to their subtle symptoms and complex causes. In today's fast-paced world, the need for effective thyroid wellness solutions is more critical than ever. This blog will explore the necessity for improved thyroid care, the available alternatives, why CureEZ stands out, and real-life examples of how CureEZ has transformed lives.

The Urgency for Thyroid Wellness Today
The Growing Prevalence of Thyroid Disorders
Thyroid disorders are increasingly prevalent, with millions of new cases diagnosed annually. For example, hypothyroidism, where the thyroid gland is underactive, affects approximately 5% of the population, with a higher incidence in women and the elderly. Hyperthyroidism, where the thyroid is overactive, affects about 1-2% of the population.
Several factors contribute to this growing prevalence. Environmental pollutants, dietary factors, and increased autoimmune diseases play significant roles. The impact of stress and lifestyle changes in modern society also exacerbates these conditions.
The Challenges of Diagnosis
One of the primary challenges in managing thyroid disorders is accurate diagnosis. Symptoms such as fatigue, weight changes, and mood swings often overlap with other conditions, leading to misdiagnosis or delayed diagnosis. Traditional diagnostic methods, primarily reliant on blood tests measuring thyroid hormone levels, may not always provide a comprehensive picture.
Moreover, subclinical thyroid disorders, where symptoms are present but hormone levels appear normal, complicate diagnosis further. Patients often face frustration and anxiety due to the uncertainty and inconsistency in their diagnosis and treatment plans.
The Impact on Quality of Life
Untreated or poorly managed thyroid disorders can lead to severe health complications. For instance, hypothyroidism can result in heart disease, mental health issues, and infertility. Hyperthyroidism can lead to severe complications like atrial fibrillation, osteoporosis, and thyrotoxic crisis if left untreated.
The physical symptoms are only part of the story. The mental and emotional toll of thyroid disorders can be profound, leading to depression, anxiety, and cognitive issues. This multifaceted impact underscores the need for comprehensive, accurate, and accessible thyroid care.

Current Approaches to Thyroid Wellness

Conventional Medical Treatments
  1. Medication: The standard treatment for hypothyroidism is synthetic thyroid hormone replacement therapy, such as levothyroxine. This treatment aims to normalize hormone levels, but finding the correct dosage can be challenging and requires regular monitoring. For hyperthyroidism, antithyroid medications like methimazole or propylthiouracil are used to reduce hormone production.
  2. Radioactive Iodine Therapy: Used primarily for hyperthyroidism and thyroid cancer, this treatment involves taking radioactive iodine orally to destroy overactive thyroid cells. While effective, it requires careful monitoring and can lead to hypothyroidism.
  3. Surgery: In cases of large goiters, thyroid nodules, or thyroid cancer, surgical removal of part or all of the thyroid gland may be necessary. This option is usually considered when other treatments fail or when there is a suspicion of malignancy.

Natural and Holistic Approaches
  1. Dietary Changes: Incorporating foods rich in iodine, selenium, and zinc can support thyroid health. For hypothyroidism, iodine-rich foods like seaweed, fish, and dairy are beneficial. For hyperthyroidism, a balanced diet avoiding excessive iodine and goitrogenic foods like soy and cruciferous vegetables is recommended.
  2. Supplements: Nutritional supplements, such as iodine, selenium, and vitamin D, can help address deficiencies that impact thyroid function. However, supplementation should be approached cautiously and under medical supervision to avoid adverse effects.
  3. Lifestyle Modifications: Stress reduction techniques, regular exercise, and adequate sleep are crucial for maintaining overall health and supporting thyroid function. Mindfulness practices, yoga, and other stress management strategies can be particularly beneficial.

Alternative Therapies
  1. Acupuncture: Some studies suggest acupuncture can help alleviate symptoms associated with thyroid disorders. It is believed to balance energy flow in the body, potentially improving thyroid function and overall well-being.
  2. Herbal Remedies: Certain herbs, like ashwagandha and guggul, are believed to support thyroid health. Ashwagandha, an adaptogen, may help regulate hormone levels and reduce stress, while guggul is thought to stimulate thyroid function. However, more research is needed to confirm their efficacy and safety.

Why CureEZ is the Superior Choice

Advanced Diagnostic Tools
CureEZ utilizes state-of-the-art diagnostic tools that go beyond traditional methods. Our AI-powered screening technology analyzes a comprehensive array of data, including medical history, symptoms, and lab results, to provide a more accurate and timely diagnosis. This approach addresses the limitations of conventional blood tests by considering a broader spectrum of indicators.
Personalized Treatment Plans
At CureEZ, we believe that no two thyroid conditions are the same. Our approach is tailored to each patient's unique needs, ensuring that they receive the most effective treatment. This includes personalized medication regimens, dietary guidance, and holistic care strategies. Our genetic testing capabilities allow us to identify specific predispositions, enabling early intervention and more precise treatment.
Innovative Therapies
CureEZ is at the forefront of medical innovation, offering cutting-edge treatments like Radiofrequency Ablation (RFA) for benign thyroid nodules and targeted molecular therapies for thyroid cancer. RFA is a minimally invasive procedure that uses heat to shrink nodules, reducing recovery time and complications compared to surgery. Our targeted molecular therapies focus on specific genetic mutations within cancer cells, providing more effective and less toxic treatment options.
Continuous Monitoring and Support
Our commitment to patient care extends beyond the clinic. CureEZ integrates wearable technology to monitor vital signs and hormone levels in real-time, providing continuous data to adjust treatments promptly. Our telemedicine platform ensures that patients can consult with specialists conveniently, no matter where they are. This approach offers flexibility and continuity of care, crucial for managing chronic conditions like thyroid disorders.
Patient Education and Community Support
We understand the importance of informed patients and a supportive community. CureEZ offers extensive resources and support groups to help individuals understand their condition, share experiences, and stay motivated throughout their treatment journey. Educational materials, webinars, and community forums are available to empower patients with the knowledge they need to manage their health proactively.

Real-Life Transformations with CureEZ
Mamatha's Journey to Recovery
Mamatha, a 35-year-old teacher, had been struggling with unexplained fatigue, weight gain, and depression for years. Despite numerous visits to different doctors, her symptoms persisted. Frustrated and desperate for answers, Mamatha turned to CureEZ.
Diagnosis and Treatment
Using our advanced screening, we quickly identified that Mamatha had hypothyroidism. Our team developed a personalized treatment plan, including the right dosage of levothyroxine, dietary adjustments, and stress management techniques.
The Transformation
Within a few months, Mamatha's energy levels improved, and she began to lose weight. Her mood stabilized, and she felt more in control of her life. Mamatha regularly uses CureEZ's telemedicine platform to check in with her specialist, ensuring her treatment remains effective.

Dilip's Battle with Hyperthyroidism
Dilip, a 42-year-old software engineer, was diagnosed with hyperthyroidism after experiencing rapid weight loss, anxiety, and heart palpitations. Conventional treatments had only provided temporary relief, and he was concerned about the long-term effects on his health.
Diagnosis and Treatment
CureEZ's comprehensive approach included a detailed analysis of Dilip's condition. We opted for a combination of antithyroid medication and Radiofrequency Ablation (RFA) to target the overactive thyroid cells.
The Transformation
Mark noticed a significant improvement within weeks. His heart palpitations decreased, anxiety levels dropped, and he regained a healthy weight. Continuous monitoring through wearable technology helped fine-tune his treatment, ensuring sustained progress. Mark now enjoys a better quality of life and peace of mind.

Conclusion
CureEZ stands out in the field of thyroid care by combining advanced diagnostics, personalized treatment plans, innovative therapies, and continuous support. Our approach ensures that patients receive the most accurate diagnosis and effective treatment, leading to better outcomes and improved quality of life.
If you're struggling with thyroid issues, consider CureEZ for a comprehensive, patient-centered solution. We're here to help you decode your thyroid disorder and transform your life.

References
  1. https://www.liebertpub.com/doi/full/10.1089/thy.2016.0457
  2. https://www.sciencedirect.com/science/article/abs/pii/S0025619611623896
  3. https://www.webmd.com/women/thyroid-disease
  4. https://www.healthline.com/health/hypothyroidism/symptoms-treatments-more
  5. https://my.clevelandclinic.org/health/body/23188-thyroid#:~:text=Your%20nervous%20system%3A%20When%20your,and%20hyperthyroidism%20can%20cause%20anxiety.
submitted by CureEZ_Healthtech to u/CureEZ_Healthtech [link] [comments]


2024.05.17 00:50 QuingOfTheUniverse Exploring influencal factors in HRT - What are your personal Experiences?

DISCLAIMER : I forgot to add it to the title but this post is about HRT in Transpeople taking Estradiol and other feminizing medication.
Hello people im fairly new to everything HRT and will start soon myself! Feel free to note any mistakes i may have made :)
So i have been reading A LOT about a good amount of topics that include factors that influence the Breast Development and there are quite as much confusing and contradicting information, which is obviously frustrating, not only to me, but to a lot of People!
The one thing that was clear, was the lack of information, in studies aswell as in posts in this or other subreddits. We cant influence the studies, make them faster or even have the necessary rescources to conduct our own, but we can definitly influence the amount of information given to each other!
Many posts asking about feminization in HRT, especially in combination with Progesteron, often lack crucial infromation to the specific situations. We dont have any studies supporting which factors exactly contribute to the different mechanisms, but having a good amount of Factors for every Person posting here could give us all a bigger picture and maybe help with every single ones situation, even tho its anecdotally it may still help!
Noones memory is perfect, every bit of Information can help!!!
Also note that all of the following information is what i found, tried to understand and put into context or explain the importance. Im not a doctor and CANNOT give medical advice. Im just trying to theorize about this topic and maybe be able to filter out what can help!
  1. Antiandrogen usage (and possible dangers?)
Specifically Spironolactone, an Antiandronegen, is suspected to decrease Breast Size (to be exacty : happiness with breast size). https://pubmed.ncbi.nlm.nih.gov/23055547/
Finding exact reasons for that is extremely difficult and while researching i didnt find ANY other study supporting this claim, even tho beeing reposted here and in other subs over and over again.
The Level of contradiction only rises in prospect of the apparent enlargment of breasts in female patients using Spironolactone.
"Breast enlargement and tenderness may occur in 26% of women at high doses"
is stated on the Wikipedia article on Spironolactone ( https://en.wikipedia.org/wiki/Spironolactone ) and an article is linked as source ( https://www.eurekaselect.com/article/128779 ) that i sadly couldnt access.
As seen in Spironolactone, its extremely unclear what exactly contributes to breast development. Contradicting or unfounded claims seem to rule over general discussion about this topic, but from what i found, Spironolactone does not decrease breast size.
Even though it is agreed upon that lowering Testosterone is crucial for feminization (like breast development), i could not find any rescources to where the Testosterone levels should go. There doesnt even seem to be a general understanding how testosterone exactly influences breast development, the general consensus seemingly beeing that testosterone levels should be low with no exact point where to go, though it is advised to reach the "normal" female level of "testosterone 30 – 100 ng/dl; E2 <200 pg/ml" as stated in "The Practical Guidelines for Transgender Hormone Treatment" https://www.bumc.bu.edu/endo/clinics/transgender-medicine/guidelines/
For many Lowering Testosterone by Estradiol Monotherapy seems to work better and decreases intake of different medications, which is generally preferably, not only in hrt. In order to supress testosterone with exclusively with estradiol, estradiol levels starting form around 200pg/mL are needed.
"studies in cisgender men and transfeminine people have found that estradiol levels of around 200 pg/mL (734 pmol/L) suppress testosterone levels by about 90% on average (to ~50 ng/dL [1.7 nmol/L]), while estradiol levels of around 500 pg/mL (1,840 pmol/L) suppress testosterone levels by about 95% on average (to ~20–30 ng/dL [0.7–1.0 nmol/L])" https://transfemscience.org/articles/transfem-intro/ (Under Gonadal Suppresion)
Current Studies, while limited, suggest there is a higher risk of myocardial infarction (MI), ischemic stroke (IS) and Venous thromboembolism (VTE) ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907681/ ). A thing i have noticed while reading through this is the lack of differentiation in HRT when it comes to Estradiol monotherapy in direct comparison to the use of Estradiol and an Anti-Androgen (AA), aswell as the way the Estradiol entered the System.
Newer research suggest a increased risked of both MI and VTE in prostate Cancer patients taking AAs ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7473503/ ). Similarly AAs are suspected to increase risk of IS ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6675721/ ). There is also another Study that looked at Adverse effects of gender affirming hormonal therapy, in which 22 transfem people were assessed. Only 5 People did not use any kind of Antiandrogen, 3 of which it appeared to have quite mild Adverse Drug Reactions (ADR), with patients recovering from those effects again. The 2 remaining People were both 45 and actively Smoking, one smoking 30 cigarettes a day and dealing with alcoholism, the other one also smoking and having untreated high blood pressure ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9796635/ ).
Obviously more studies are needed but a possible connection between the HRT risks and antiandrogens, with little to no contribution from estradiol is intriguing and could promote a shift to more promotion of montherapy as a safer way to transition.
  1. Progesterone
When it comes to Progesterone i have seen mostly People that said it helped them immensly and People that said it stunted their Breast Development.
Alot of Studies suggest that early intake of Progesterone could potentially negatively influence ultimate breast size in female people that also need to take Estrogen because of Development Issues. Generally its advised to wait for 1 - 2 Years of Estrogen Treatment. https://transfemscience.org/articles/progestogens-early-exposure-breast-dev/
No proper evidence supports or dismisses a positive effect of Progesterone, aswell as timing and amount incase of usage.
  1. GH / IGH-1
Insulinlike Growth Factor 1 or IGH-1 play a big role in childhood growth, aswell as in breast development and peak in Puberty. This lead not only me to question if an increase in growth hormone (GH) could help development of proper female body parts.
Aswell as with most stuff, when it comes to studies supporting or dismissing a potential help of GH, there are none i could find.
Because too much GH can have huge negative effects on the body, you shouldnt use any strong GH enhancers.
Naturally human Growth Hormone (hGH) increases through excercise ( https://pubmed.ncbi.nlm.nih.gov/12797841/ )
Also a variety of differen Aminoacids is supposed to increase hGH levels. These include :
l-carnitine : sadly the longterm effects are unknown ( https://jissn.biomedcentral.com/articles/10.1186/s12970-020-00377-2 )
creatine : can increase hGH after workout ( https://pubmed.ncbi.nlm.nih.gov/25804393/ )
I wouldnt use l-arginine, purely because there is good chance for it to have detremental effects on aging and especially in combination with HRT its hard to tell how the body would react. An increased risk is the potential reward not worth in my Opinion ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851093/ ).
These CAN be helpfull but HAVE NOT BEEN PROVEN TO HELP. Im just trying to share what im finding, please do not throw out all your money for supplements that could may aswell have no effect.
hGH could also be increased by other Factors like decrease of bodyfat ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690428/ ) and generally a more healthy life style (which is adviced in any case ;) )
  1. Body-fat-(re)distribution
  2. Different Methods of Estradiol intake
IF ANY OF MY INFO IS WRONG, I FORGOT SOMETHING OR I MISREAD SOMETHING PLEASE SHARE YOUR CRITIQUE. IM NEW TO THIS AND IM DOING MY BEST BUT DONT WANT TO SPREAD MISINFORMATION!!! EVERYTHING IN THIS POST IS NO MEDICAL ADVICE AND ONLY EXPLORING THE TOPIC
This post is not entirely finished yet and i will complete it in the next few days. Sharing your own Experience, specifically with remarks to how Estradiol is beeing taken (intramuscular, oral, transdermal, etc), aswell if Anti-Androgens (and which) are used and if Progesterone (which and time in transition when first beginning treatment with Progesterone) is used. Also weight loss and fat distribution info, aswell as breast development time and state are as important! I totally get that this is all private info and everyone feels comfortable to share other things, to feel free to just share as much as you personally want. Also looking at the rulebook : All the stuff im hoping people would share are not for any survey or study, only for exchange of anecdotal sharing of person Experience. As long as one person maybe finds help or even just solice in your comment, it goes a long way :)
submitted by QuingOfTheUniverse to asktransgender [link] [comments]


2024.05.17 00:43 Minute_Custard_2192 Consultation- Post Op

This is from my experience from consultation to now!
I’m from Canada so insurance will be different than anywhere else of course.
I first inquired about a breast reduction about 7 years ago I believe. I went to my family doctor they sent a referral, within a week a get a call from a surgeon, she said my BMI was too high and I had to get to a certain BMI.
A few years go by and again I reach out to my family doctor to get referred to a different surgeon. I went for a consultation and waste of time. Surgeon uses liposuction which is not covered by provincial insurance.
A couple months go by I reach out to my doctor and sent him a fax and referral to a surgeon who I saw someone on tiktok speak about him and how everything was covered by OHIP (Ontario insurance) and she had a higher BMI.
August 3rd I had my consultation with the surgeon and he never asked me to step on the stale and just asked what he thinks I am. Was a 10-15 minute consultation and already started the paperwork. OHIP takes the longest.
Early October 2023 I get a call and I got approved and booked my surgery date which was March 27th 2024.
Took me 3 surgeons and 7 years.
Surgery date finally came around and I got lost in this hospital it was a whole mess. Managed to sort myself out and find the day of surgery registration. Everything happened so quick. IV was a terrible experience because my nurse was so frantic and unorganized. My surgeon came in and drew on me and then I was off to the OR.
Post Op it wasn’t that bad! I was on medication and slept the entire drive back home. The pain was more so discomfort, truly was not that bad.
I’m now 1.5 months post op. Not in pain, the sides are a bit tender still, and under the boob I had an incision open, but it’s closed by now but discharge does still come out. I was concerned and reached out to my surgeons office and they told me that it’s normal and not to worry at all.
The relief I feel is indescribable. If you ever think about getting a breast reduction. Do it. My breasts were so heavy and I had such dysmorphia as well. I don’t feel that way anymore and it’s such a relief.
If you are Canadian and in Ontario and have any questions regarding anything, feel free to ask!
submitted by Minute_Custard_2192 to Reduction [link] [comments]


2024.05.16 23:30 Momolop0545 No Prior Authorization Required Worries

Hi Everyone,
I had a consultation around a month ago and my doctor submitted for pre-authorization to my insurance. My symptoms included chronic back and neck pain, shoulder grooving, discoloration where bra straps are, and rash under and between my breasts. My BSA is 1.71 and my doctor said he’d be removing at least 350 g per breast.
The doctor’s office called me today and stated that because I have BCBS PPO Federal, no prior authorization is required. They scheduled my surgery for July.
At first I was excited, but the more I think about it the more nervous I get. I’m worried that I’ll go in for the surgery and afterwards insurance will say that they’re not covering anything and I’ll be stuck with a huge bill.
Does anyone have any experience with this? Is it possible that insurance can say the procedure isn’t medically necessary if my doctor says it is? I’ve always been more of a suffer in silence type, so I don’t have extensive medical documentation of being seen for this issue in the past.
Any advice or personal experience would be greatly appreciated!
submitted by Momolop0545 to Reduction [link] [comments]


2024.05.16 19:15 mydoggosbiggestfan Does anyone have any recommendations for a plastic surgeon in South Florida?

Hi all,
I'm wondering if anyone here can recommend a plastic surgeon for a breast reduction in South Florida? I've been looking up surgeons, but I'm nervous because I've heard so many stories of botched jobs. It's a lot harder to research surgeons then I thought it would be.
I really hope this is okay to post. I don't think this is technically medical advice.
Thanks in advance.
submitted by mydoggosbiggestfan to bigboobproblems [link] [comments]


2024.05.16 18:25 EebamXela You should connect with the VA

https://www.patientcare.va.gov/lgbt/
I get 100% of my healthcare through the VA. I have no service connections (disability). It’s pretty crazy how much they have under one roof. All providers are able to see your entire chart and I’ve been helped out by many with getting referred to specialists I would never have thought to ask for, simply because they’re all able to see everything.
General primary healthcare
Nutritionist
Case management (super helpful for navigating the VA system as well as getting veteran resources outside the VA)
Hormones
Therapy
Psychiatry
Voice feminization training
Laser hair removal
And several other things including various therapeutic group things
Another fun bonus thing is that your health information can be synchronized to your Health app on your phone. I have a complete medical history right there for me to keep track of including all bloodwork and diagnostic stuff and literally any bit of information that they add to your chart. Right there.
Sadly they don’t yet offer gender affirming surgical services yet except for every specific cases. See link down below.
You’d be surprised what things count as a disability. I’m about to be connected for having astigmatism in my right eye caused by months of being on a periscope. I didn’t think simply “now I wear glasses” would count as a disability but hey I’m not complaining.
You can also be referred to civilian providers on the VA’s dime if they don’t have the means to provide it themselves within a reasonable drive distance.
You can get reimbursed for literally any mile you drive to any scheduled appointment. My VA doesn’t have the equipment so I drive from Albany to the Manhattan clinic for laser and get roughly $180 back every time.
I completely get the skepticism of the VA but for real they’ve changed A LOT especially for LGBT vets.
Each clinic has an LGBT coordinator who can be a fantastic way to start the process.
https://www.patientcare.va.gov/LGBT/VAFacilities.asp
Copied from their website:
Gender Affirming Care at VA Information for Veterans VA provides a wide range of treatments to all eligible Veterans. Gender-affirming transition-related care plans are personalized based on your goals and your health. Talk to your treatment team to see if these services are right for you.
• Gender-Affirming Hormones: Your primary care team can help you with hormone therapy if it is right for you. Medications aren’t a goal for everyone and they have both risks and benefits. The team may involve an Endocrinologist. Talk to your treatment team about your family building goals and fertility before starting treatment.
• Pre-treatment Assessments for Gender-Affirming Hormones: In the U.S., all prescriptions are linked to a diagnosis the medication is treating. Providers will talk to you about your gender identity and your goals for treatment and consider if a diagnosis is appropriate. Blood work and other tests may be needed before hormones are prescribed.
• Voice and Communication Training: Speech Language Pathologists trained in gender- affirming treatments can help you train your voice and movements to align with your identity. This care is sometimes delivered through telehealth to your home.
• Fertility Preservation/Family Planning/Lactation Support: VA has services to help Veterans store eggs and sperm, as well as build and support families. These are coordinated through VA Women’s Health. Talk to your doctor about your options.
• Gender-Affirming Prosthetics: Several items are available through the VA when medically needed. These can include, but are not limited to, breast forms, chest binders, dilator sets for post-vaginoplasty, gaffs, packers, surgical compression vests, and wigs. Talk to your treatment team about what is right for you.
• Medically Necessary Hair Removal: Hair removal often happens through referrals to community-based centers. While availability varies, VA is working to improve access for all eligible Veterans.
• Letters of Support for Gender-Affirming Surgery (outside of VA): Some Veterans use their private health insurance or pay out-of-pocket for surgical treatments. Most surgeons and private health insurance companies require letters from your current treatment team, both medical and mental health (if applicable). VA providers can coordinate care with your surgeon.
While VA cannot yet provide initial gender-affirming surgical procedures, VA does provide surgical care for the following:
Some complications of surgeries, including revision surgeries for unexpected problems
Removing testicles or ovaries for hormone management if prescription hormones aren’t an option for you
Needed surgeries for other medical reasons (e.g., cancer, back pain) that are also consistent with your transition goals
submitted by EebamXela to TransVeteranPipeline [link] [comments]


2024.05.16 16:06 healthmedicinet Health Daily News May 15 2024

DAY: MAY 15, 2024

submitted by healthmedicinet to u/healthmedicinet [link] [comments]


2024.05.16 15:26 Sweet-Count2557 When Should You Go On A Babymoon?

When Should You Go On A Babymoon?
When Should You Go On A Babymoon?
So, you're expecting a little bundle of joy and thinking about going on a babymoon? You might be wondering when is the right time to plan this special trip. After all, pregnancy can come with its fair share of discomforts and challenges. But fear not! We're here to help you navigate through this exciting journey.
Some may argue that any time during your pregnancy is suitable for a babymoon, but we believe the second trimester is the ideal window. It's a period when most pregnant women feel their best - morning sickness has likely subsided, energy levels are up, and you're not yet burdened by the additional weight gain.
In this article, we will answer the question When Should You Go On A Babymoon? The short answer is the second trimester is optimal, we will cover also how to choose the perfect destination, tips for planning a relaxing getaway, activities to consider during your trip, and safety precautions you should take. So sit back, relax (if that's even possible), and let us guide you toward an unforgettable babymoon experience.
Key Takeaways
The second trimester is considered the ideal time to go on a babymoon.
Going on a babymoon allows for prioritizing self-care and focusing on the relationship with the partner.
Babymoon can have health benefits for both the mother and the baby, reducing stress and promoting a healthier pregnancy.
When planning a babymoon, it is important to consider timing, destination, and budgeting for a stress-free experience.
Benefits of Going on a Babymoon
You should definitely go on a babymoon because it's a wonderful opportunity to relax and bond with your partner before your little one arrives! One of the most important aspects of pregnancy is taking care of yourself, both physically and mentally. Going on a babymoon allows you to prioritize self-care by taking a break from the stresses of everyday life and focusing solely on yourself and your relationship.
During pregnancy, it can be easy to get caught up in all the preparations for the baby's arrival. However, it's crucial to also nurture your relationship with your partner. Going on a babymoon gives you dedicated time together, away from distractions and responsibilities. This uninterrupted bonding time allows you to reconnect as a couple, strengthening your emotional connection before becoming parents.
In addition to self-care and bonding, going on a babymoon can also have numerous health benefits for both you and your baby. Studies have shown that stress during pregnancy can affect fetal development, so taking time off to relax can help promote a healthier pregnancy. Furthermore, stress reduction has been linked to better birth outcomes and lower rates of postpartum depression.
Overall, going on a babymoon is not just about enjoying some well-deserved relaxation; it's also an important part of preparing for parenthood by prioritizing self-care and strengthening your partnership. So take advantage of this precious time together before the arrival of your little one and create lasting memories that will carry you through the journey ahead.
Second Trimester: The Ideal Time for a Babymoon
The second trimester offers the perfect opportunity to indulge in a relaxing babymoon. During this time, you're likely to have more energy and fewer pregnancy discomforts compared to the first and third trimesters. It's an ideal time for romantic getaways and spending quality time with your partner before your little one arrives.
Here are three reasons why the second trimester is considered the ideal time for a babymoon:
Reduced travel restrictions: Many airlines and cruise lines have restrictions on pregnant women traveling during their third trimester. By planning your babymoon during the second trimester, you can avoid any potential travel complications and enjoy your trip worry-free.
Increased comfort: As your baby bump grows bigger in the third trimester, it may become uncomfortable to sit or walk for long periods of time. The second trimester allows you to fully enjoy activities such as sightseeing, hiking, or even just lounging by the pool without feeling too restricted.
Emotional well-being: Pregnancy hormones can sometimes lead to mood swings and heightened emotions. Going on a babymoon during the second trimester can be beneficial for both you and your partner as it provides an opportunity to relax, connect, and strengthen your bond before entering parenthood.
So take advantage of this wonderful stage of pregnancy and plan a memorable babymoon that will create lasting memories for both of you!
Choosing the Perfect Babymoon Destination
Imagine jetting off to a dreamy, faraway destination where you can bask in luxury and tranquility, all while nurturing your growing connection as expectant parents. Choosing the perfect babymoon destination is crucial to creating precious memories before your little one arrives. Here are some top babymoon destinations that will cater to your needs.
Bora Bora: This idyllic island in French Polynesia offers breathtaking turquoise waters, overwater bungalows, and pristine beaches. It's a paradise for relaxation and rejuvenation.
Santorini: Known for its stunning sunsets and white-washed buildings, this Greek island provides a romantic setting for babymoons. Explore ancient ruins or simply lounge by the pool overlooking the Aegean Sea.
Bali: With its lush landscapes and serene temples, Bali is an oasis of tranquility. Indulge in luxurious spa treatments or take leisurely walks along scenic rice terraces.
If you're looking for budget-friendly options, consider domestic destinations such as Sedona or Napa Valley in the US, or Tulum in Mexico. These locations offer beautiful scenery, cozy accommodations, and affordable dining options.
When it comes to planning your babymoon, remember to check travel restrictions due to COVID-19 and consult with your healthcare provider regarding any safety concerns during pregnancy. Enjoy this special time together and create lasting memories before embarking on the joyous journey of parenthood!
Tips for Planning a Relaxing Babymoon
Jetting off to a serene destination for your babymoon can be made even more relaxing by following these helpful planning tips. Planning a babymoon involves several considerations to ensure a stress-free and enjoyable experience. Here are three important things to keep in mind when planning your trip:
Timing: It is recommended to go on a babymoon during the second trimester of pregnancy when you are likely to feel more comfortable and have higher energy levels. This will also allow you to avoid any potential complications that may arise later in pregnancy.
Destination: Choose a destination that offers relaxation and tranquility. Look for places with beautiful scenery, peaceful beaches, or luxurious spa resorts where you can unwind and pamper yourself before the arrival of your little one.
Budgeting Tips: Set a realistic budget for your babymoon and stick to it. Consider all expenses including accommodation, transportation, meals, activities, and any additional costs such as prenatal massages or special treatments. Research deals and discounts available at your chosen destination, and consider traveling during off-peak seasons to save money.
By considering these planning considerations and budgeting tips, you can ensure that your babymoon is a memorable and rejuvenating experience before embarking on the exciting journey of parenthood.
Activities to Consider on Your Babymoon
Consider incorporating activities such as prenatal yoga, scenic walks, and couples massages to enhance relaxation during your babymoon. These activities can provide a wonderful opportunity for you and your partner to bond and enjoy some quality time together before the arrival of your little one.
If you're looking for a beach retreat, consider spending lazy days lounging on the sandy shores, soaking up the sun, and taking gentle dips in the ocean. The calming sound of waves crashing against the shore can create a serene atmosphere perfect for relaxation. Additionally, outdoor adventures like hiking or biking through scenic trails can offer a great way to connect with nature while getting some exercise.
Attending prenatal yoga classes is also highly recommended during your babymoon. Not only does it help improve flexibility and strength, but it also promotes mindfulness and stress relief. You'll learn techniques that can be beneficial during pregnancy and labor.
Lastly, don't forget to indulge in couples' massages. These luxurious treatments not only help alleviate any physical discomfort but also serve as an intimate experience shared between you and your partner.
Overall, incorporating these activities into your babymoon will ensure a memorable experience filled with relaxation and connection with both each other and nature.
Safety Precautions to Take During Your Babymoon
Taking necessary safety precautions is essential for a worry-free and enjoyable babymoon experience. When planning your babymoon, one of the first things you should consider is travel insurance. It provides coverage for unexpected events such as trip cancellations, medical emergencies, or lost baggage. Having travel insurance will give you peace of mind knowing that you are protected in case anything goes wrong.
Another important aspect to consider is the accessibility of medical facilities at your destination. Make sure there are adequate healthcare services available nearby in case of any pregnancy-related emergencies. Research hospitals or clinics that specialize in maternity care and find out their proximity to your accommodation.
It's also crucial to check with your healthcare provider before embarking on your babymoon regarding any specific health concerns or restrictions you may have during pregnancy. They can offer valuable advice and ensure that you are fit to travel.
Additionally, be mindful of activities and destinations that may pose risks during pregnancy. Avoid extreme sports, strenuous activities, or areas with high altitudes or disease outbreaks.
By taking these safety precautions into consideration, you can relax and enjoy your babymoon without unnecessary worries about unforeseen circumstances or potential health issues.
Frequently Asked Questions
How long should a babymoon typically last?
Looking for the perfect babymoon? Well, the ideal duration for a babymoon typically lasts anywhere from three to five days. This allows you enough time to relax and unwind before your little one arrives without feeling rushed. Optimal timing for a babymoon is usually during the second trimester when you're past the morning sickness phase and still comfortable enough to travel. So go ahead, plan that well-deserved getaway and enjoy some quality time with your partner before parenthood begins.
Can I go on a babymoon if I have complications during pregnancy?
If you have complications during pregnancy, it is important to consult with your healthcare provider before planning a babymoon. They will be able to assess your individual situation and provide guidance on whether it is safe for you to travel. While some women with complications may still be able to go on a babymoon, others may need to consider alternative options such as staycations or local getaways that are closer to medical facilities. Always prioritize your health and safety during this special time.
Is it necessary to consult with my healthcare provider before going on a babymoon?
Consultation with your healthcare provider before going on a babymoon is crucial. It ensures that you are aware of any potential health risks and can take necessary precautions. Your healthcare provider will have the most accurate information about your specific situation and can provide guidance tailored to your needs. They will be able to assess if it is safe for you to travel, taking into consideration any complications or conditions you may have during pregnancy. Prioritizing this consultation is essential for a smooth and healthy babymoon experience.
Are there any specific travel insurance options for babymoons?
Yes, there are specific travel insurance options available for babymoons. Travel insurance coverage can provide peace of mind during your trip by offering protection against unexpected events such as trip cancellation or interruption, medical emergencies, and lost or delayed baggage. The benefits of travel insurance include reimbursement for non-refundable expenses and access to 24/7 emergency assistance. It is important to carefully review the policy details and consider purchasing travel insurance that suits your specific needs and concerns.
What are some budget-friendly babymoon destination options?
Looking for an affordable babymoon destination? Consider the soothing embrace of a budget-friendly beach getaway. Sink your toes into the warm sand and let the gentle waves lull you into relaxation. Or, if you prefer a more adventurous escape, opt for an affordable mountain retreat. Breathe in the crisp, fresh air as you explore picturesque trails and take in breathtaking views. Whether it's sun-soaked shores or majestic peaks, there's a budget-friendly babymoon destination waiting to whisk you away.
Conclusion
In conclusion, going on a babymoon during the second trimester is highly recommended for expecting couples. It offers numerous benefits such as relaxation, bonding time, and a chance to celebrate the upcoming arrival of your little one. By carefully choosing the perfect destination and planning activities that suit your needs, you can ensure a memorable and rejuvenating experience. Remember to prioritize safety during your babymoon by following necessary precautions. Going on a babymoon is like a soothing balm for expectant parents, providing them with much-needed rest and tranquility before their bundle of joy arrives.
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2024.05.16 14:00 CellistRecent3559 finding supportive options for sagging breasts

Hello ladies,
21F asking on behalf of my 58F mother. She is struggling with sagging breasts, a result of two pregnancies (one of which was twins) and gravity. Recently she has started to get rashes underneath her breasts and her doctor recommended she switch to cotton, non wired bras. The cotton makes sense, but she says the non wired bras are impossible. Due to the shape of her breasts and degree of sagging, every non wired bra she uses just gets sucked up under there. She is self conscious about NOT wearing a bra due to the headlights issue, and also experiences pain if they are not supported (i.e. just the weight of sagging).
So, I appeal to you all to see if anyone has suggestions to alleviate this issue BEFORE she seriously considers reduction surgery. That’s a last resort. We both understand you cannot cure or reverse sagging breasts (aging happens!), but would like solutions to make the problem more bearable. I suggested trying the stuff that’s like KT tape for your breasts (i can’t remember what it’s called) but she says that A) it hurts to much to remove so it’s not a good daily solution and B) the degree of taping necessary would be like crafting a cup from tape (i.e. you tape upward, it spills to the side). Also, due to her age, she does not want options that emphasize the size.
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