Hi im a 29 yr old male 5'6 and weighed at 182 lbs as of today. i had a check up with my pcp after not seeing one since 2019. i had some blood work done and i got the results on the patient portal and my heart dropped once i saw my results for my liver enzymes with them at 150 ALT (range 12-78) and my AST 54 (range 5-37). my doctor told me shell follow up with an ultrasound to check things out if they were high , this was before she sent me down the hall to get my blood drawn. i assume she hasnt even checked the results yet. im so damn anxious i came here to reddit to get a piece of mind. im googling all sorts of stuff about fatty liver and liver cancer. i started a low dose of suboxone for kratom use back in december 2023 and in january i switched to a new doctor and he had me go get my blood drawn , i guess suboxone can cause issues with the liver. so the results for that test were sorta high also with my AST being 45 (range 10-40) ALT 69 (range 9-46 ). the sub doctor scared me saying they were a little high and i could have fatty liver disease , this is where this all started . so i actually went to the ER a few days later out of panic and had the doctors draw my blood and my levels came back normal , the only thing the doctor saw was that my blood sugar was a little high and to follow up with my pcp and it took me a long time to get that apt with my pcp. had to wait months! also with todays results it showed my triglycerides levels were high and i know nothing about them but they were 445mg (range 40 - 200 MG/DL). my glucose levels are high also at 129 (range 74 - 106 MG/DL). my glucose wasnt this high back in january at all. im thinking about going to straight to the ER again and try to see if i can get a ultrasound or something done to make sure im alright. i cant stay off google or worrying myself sick. im so depressed that something more serious is going on. the last decade since i left child protective custody ive been on my own. i dont eat any veggies and rarely fruits (these past few weeks ive been eating fruit everyday , grapes, bananas and a apple). anyways the past decade ive ate alot of ramen, microwaved foods, chips and fast food. which are definitely, if not the cause of the high liver enzymes and high blood sugar. the thought of eating veggies grosses me out and makes me gag like it always does. this is gonna be a battle and if feel like its God telling me to take care of myself before i develop something more serious if it already isnt. i wanna live a long life. this is gonna be tough to adjust and change my diet. i come home after work at night and eat alot of crap . pizza rolls , ramen , frozen chicken bites etc. if anyone has any advice , or any words to calm me down so i dont stress myself to death that would be awesome. also is there any subreddits i could join to help fix my diet and where to start ? i plan on making green smoothies to get my greens in and lose weight

I hope everyone is enjoying Part 1 of Season 3 😄 ! I caught up analyzing scenes that I almost forgot to release another AAPI Month post. I will admit that this region is underrated and I hope more learn about this country. Let me know what you think:
HISTORY🧭: Although it didn't become an independent country until 1971, the British Empire has been in the area for awhile. The East India Company established a base in Calcutta (Koltkata in the modern day) around 1757. Afterwards, a permanent settlement was created called the Bengal Presidency, where employees and "zamindars" (local landlords) occupied the place. https://www.britannica.com/place/Bangladesh/The-British-period-c-1700-1947
CUISINE🍛: Much of Bangladeshi cuisine is influenced by the Mughal Empire and it's geography. This country is the 4th largest producer of rice 🍚 and fish 🐟 is a staple in their diet. There's even a Bengali idiom associated with this fact; "fish and rice makes a Bengali". Popular dishes include: hilsha (a spicy fish curry), pithas (small pancakes made with rice flour), biryani (spiced rice with lamb, chicken, or goat meat), and rasgulla (a syrupy cheese ball). I can see Mr. Finch trying the last dish since he's a Cheese Connoisseur 🧀. https://uncorneredmarket.com/bangladeshi-food/
BENGALI RENAISSANCE📜: Around this time, the Bengali Renaissance was at its peak. Led by reformer Raja Ram Mohan Roy, Hindu culture and society have flourished. The Asiatic Society, an institution for "Oriental Research", was founded in 1784 by Sir William Jones and stationed in Calcutta. Two important books 📚 were created in 1801: "Bengali Grammar" (a textbook ) and "Dialogues" ( a book about the working class, like fishermen, day labourers, merchants, and women). They even established a college for intellectual learning and oriental studies in 1800 called Fort William College. Since Calcutta was an epicenter of learning, I can see Eloise visiting this area. https://en.banglapedia.org/index.php/Bengal_Renaissance
WATER💧: Water is an essential part of Bangladeshi life. In fact, two-thirds of the country is made of wetlands. This is a blessing and a curse for the residents. On the one hand, the country is extremely fertile, allowing farmers to have high yields and develop agricultural technology (Ex. dhap or floating gardens). On the other hand, Bangladesh is more suspectable to monsoons (which is considered a season), water pollution, and waterborne diseases 🦠. In fact, Oladevi (goddess of cholera) is important in Bengali folk tradition due to the high prevalence of water-related illnesses. https://www.bbc.com/future/article/20200910-the-remarkable-floating-gardens-of-bangladesh https://en.banglapedia.org/index.php/Oladevi
DURGA PUJA🐯: One of the most important holidays in Bangladesh, along with West Bengal, is Durga Puja. It's ancient religious holiday 🕉️ that celebrates the Goddess Durga slaying the buffalo demon Mahishasura. Introduced in the 16th century during the reign of Emperor Akbar, hundreds of thousands of devotees head to temples like the Dhakeshwari Temple every October. Beautiful deity effigies (usually made of clay), Bhog (blessed food), Kabigan (Bengali folk music), Jatra (folk drama in theater), and creative competitions are organized/made for the occasion. https://beautifulbangladesh.gov.bd/event/80

Hi im a 29 yr old male 5'6 and weighed at 182 lbs as of today. i had a check up with my pcp after not seeing one since 2019. i had some blood work done and i got the results on the patient portal and my heart dropped once i saw my results for my liver enzymes with them at 150 ALT (range 12-78) and my AST 54 (range 5-37). my doctor told me shell follow up with an ultrasound to check things out if they were high , this was before she sent me down the hall to get my blood drawn. i assume she hasnt even checked the results yet. im so damn anxious i came here to reddit to get a piece of mind. im googling all sorts of stuff about fatty liver and liver cancer. i started a low dose of suboxone for kratom use back in december 2023 and in january i switched to a new doctor and he had me go get my blood drawn , i guess suboxone can cause issues with the liver. so the results for that test were sorta high also with my AST being 45 (range 10-40) ALT 69 (range 9-46 ). the sub doctor scared me saying they were a little high and i could have fatty liver disease , this is where this all started . so i actually went to the ER a few days later out of panic and had the doctors draw my blood and my levels came back normal , the only thing the doctor saw was that my blood sugar was a little high and to follow up with my pcp and it took me a long time to get that apt with my pcp. had to wait months! also with todays results it showed my triglycerides levels were high and i know nothing about them but they were 445mg (range 40 - 200 MG/DL). my glucose levels are high also at 129 (range 74 - 106 MG/DL). my glucose wasnt this high back in january at all. im thinking about going to straight to the ER again and try to see if i can get a ultrasound or something done to make sure im alright. i cant stay off google or worrying myself sick. im so depressed that something more serious is going on. the last decade since i left child protective custody ive been on my own. i dont eat any veggies and rarely fruits (these past few weeks ive been eating fruit everyday , grapes, bananas and a apple). anyways the past decade ive ate alot of ramen, microwaved foods, chips and fast food. which are definitely, if not the cause of the high liver enzymes and high blood sugar. the thought of eating veggies grosses me out and makes me gag like it always does. this is gonna be a battle and if feel like its God telling me to take care of myself before i develop something more serious if it already isnt. i wanna live a long life. this is gonna be tough to adjust and change my diet. i come home after work at night and eat alot of crap . pizza rolls , ramen , frozen chicken bites etc. if anyone has any advice , or any words to calm me down so i dont stress myself to death that would be awesome. also is there any subreddits i could join to help fix my diet and where to start ? i plan on making green smoothies to get my greens in and lose weight

So I’m on the episode where gabby can’t be around her kid because she’s never had chicken pox ( just like Tom couldn’t ), what other storylines went around the block a few times ?

In the pharmaceutical world, the pursuit of drugs that can deliver highly targeted effects while minimizing side effects has been an enduring challenge. In recent years, researchers have been exploring a promising avenue in drug development known as selective receptor modulators (SRMs). These compounds represent a significant shift in how drugs are designed and have the potential to transform treatment strategies across a wide range of medical conditions.
At the core of SRMs is their unique ability to selectively target specific receptors in the body, allowing for precise control over biological processes. Unlike traditional medications that often interact with multiple receptors, potentially leading to various effects, SRMs operate with remarkable specificity, focusing solely on the intended target while avoiding unintended receptors. This selectivity not only enhances effectiveness but also reduces the risk of adverse reactions, making SRMs an attractive option for drug development.
The versatility of SRMs spans numerous therapeutic areas, including oncology, neurology, and endocrinology. In oncology, for example, SRMs hold promise in modulating receptors involved in tumor growth and spread, offering the potential for more tailored and effective cancer treatments. In neurology, they present new opportunities for addressing neurological disorders by precisely modulating neurotransmitter receptors implicated in conditions such as Alzheimer's disease and Parkinson's disease. Additionally, in endocrinology, SRMs offer the potential to fine-tune hormonal signaling pathways, opening up new avenues for managing conditions like diabetes and osteoporosis.
One of the primary advantages of SRMs lies in their ability to overcome the limitations associated with traditional medications. By selectively targeting specific receptors, they can minimize off-target effects, reducing the likelihood of adverse reactions and improving patient tolerance. Furthermore, their precise mode of action allows for better dose optimization, maximizing therapeutic efficacy while minimizing the risk of toxicity.
However, the development of SRMs is not without its challenges. Designing molecules with the desired selectivity requires a deep understanding of receptor structure and function, presenting a significant hurdle in the development process. Additionally, ensuring adequate bioavailability and metabolic stability adds complexity to the formulation of SRMs. Despite these challenges, advancements in computational modeling, high-throughput screening, and medicinal chemistry techniques have accelerated progress in the discovery and optimization of SRMs.
As research in this field continues to progress, the potential of SRMs to revolutionize drug therapy becomes increasingly apparent. Their ability to precisely modulate specific receptors holds great promise for personalized medicine, where treatments can be tailored to individual patient needs. Furthermore, by minimizing off-target effects, SRMs have the potential to improve treatment outcomes and enhance patient well-being.
In conclusion, selective receptor modulators represent a significant advancement in drug development, offering targeted efficacy with improved safety profiles. As our understanding of receptor biology deepens and technological capabilities advance, the potential applications of SRMs are poised to expand, ushering in a new era of precision medicine.

In the realm of pharmaceuticals, the quest for drugs that offer highly targeted effects with minimal side effects has been a longstanding pursuit. This endeavor has led researchers to explore innovative avenues, one of which is the development of selective receptor modulators (SRMs). These compounds represent a paradigm shift in drug design and have the potential to revolutionize the treatment landscape across various therapeutic areas.
At the heart of SRMs lies their ability to selectively target specific receptors within the body, exerting precise control over biological processes. Unlike conventional drugs that often interact with multiple receptors, leading to a range of effects, SRMs act with pinpoint accuracy, honing in on the intended target while sparing off-target receptors. This selectivity not only enhances efficacy but also mitigates adverse reactions, offering a favorable safety profile.
The versatility of SRMs extends across diverse therapeutic domains, including but not limited to oncology, neurology, and endocrinology. In oncology, for instance, SRMs hold promise in modulating receptors involved in tumor growth and metastasis, paving the way for more effective and tailored cancer therapies. In neurology, they offer new avenues for the treatment of neurological disorders by precisely modulating neurotransmitter receptors implicated in conditions such as Alzheimer's disease and Parkinson's disease. Furthermore, in endocrinology, SRMs offer opportunities to fine-tune hormonal signaling pathways, presenting new strategies for managing conditions like diabetes and osteoporosis.
One of the key advantages of SRMs is their potential to overcome the limitations associated with conventional drugs. By selectively targeting specific receptors, they minimize off-target effects, reducing the likelihood of adverse reactions and improving patient tolerability. Moreover, their precise mode of action allows for dose optimization, enhancing therapeutic efficacy while minimizing the risk of toxicity.
The development of SRMs, however, is not without challenges. Designing molecules with the desired selectivity presents a formidable task, requiring a deep understanding of receptor structure and function. Additionally, ensuring sufficient bioavailability and metabolic stability poses further hurdles in the development process. Despite these challenges, advancements in computational modeling, high-throughput screening, and medicinal chemistry techniques have accelerated the discovery and optimization of SRMs.
As research in this field continues to evolve, the potential of SRMs to redefine drug therapy is increasingly evident. Their ability to precisely modulate specific receptors holds immense promise for personalized medicine, where treatments can be tailored to individual patient profiles. Furthermore, by minimizing off-target effects, SRMs have the potential to improve treatment outcomes and enhance patient quality of life.
In conclusion, selective receptor modulators represent a groundbreaking approach in drug development, offering targeted efficacy with improved safety profiles. As our understanding of receptor biology deepens and technological capabilities advance, the potential applications of SRMs are poised to expand, ushering in a new era of precision medicine.

Scammers in the Philippines are increasing USING MC CHICKEN

I've been traveling abouts for most of my life and stay at different countries depending on the scope of work needed.
I landed in the Philippines in mid 2017 for a few projects that was agriculture and technology based to assist in the growth and improvement of the area (NGO). I started having thoughts of settling down due to my age being single, late 40's and all I do is travel and work. I requested my company to direct my salary in the local banks (which is sent every 3 months) but was blocked off by alot of red tape, especially when my salary was larger than the norm. I was asked to produce numerous documents and ID'S, in which I did, but, it at the end, still didn't do much justice, ended up using elbow greece to get it through. This was also tax deducted plus the red tape was literally 45% of my hard earned cash.
Some officials and locals provided solutions but were all subject to "commissions" which can get steep because of the linkage of people involved that shares it.
Then I remembered I invested, in Europe, a Hogs fund company. Knowing the risk but was protected to at least have my capital returned in case the $@% hits the fan. This was true abroad, but wasn't sure for the Philippines.
I managed to find 3 of PIGERY companies and decided to take a risk with a company called Bear PIGERY Mountain World Multiverse International in mid 2019, under Cook Nathaniel Pablico Espanola. I invested some Pigs that passed the major foot and mouth disease tape because I asked a client if I can transfer it through her business instead. Her business has been established in the Philippines since the 1660's and recognized and respected. All taxes are paid by me and all clears with no issues. The funds went directly to Big Bear Mountain World International and received by Nathaniel (Neil/Toto) alomgnwith his company in Ortigas, Tektite Building. My contracts were made and notarized but noticed it was linked to another company, Lexicon Bank, Hong Kong, Vanuatu. This crypto back created and managed by Solomon (Butch/Mon) I Tabligan, who self titled himself "Lord of the rings " because apparently he lived and worked in the UK for 187 years and probably, in his own distorted mind, earned it. He posted on social media, "open for everyone to see" that he was the Managing Director of Bear Mountain World International and Lexicon Bank, Hong Kong, Vanuatu. Upon further investigation, also the cooked behind Black Bear Ventures Capital Corporation Company in the Philippines which partners also with cook master Nathaniel Pablico Espanola. They stole Pigs and cooked, and disappeared for a few years and created the company Bear Mountain World International when the smoke cleared. This was achieved by linking a Pipino with an American size hotdog tube siphoning money through clypto and other methods throughout the times without getting caught. Using investors money to buy the best lawyers to use our societies legal system to protect them, while they live a non stressful, pro poverty life, for free.
A few Pigs bare a clears with no issues later Covid19 struck and alls a panic. I decided to pull out even with the contracts penalties to pay if I do so. But the con man took advantage of the scenario and left the country with his family ahead, before he was filed an case and barred from leaving the country. His side kick and also love partner Danahlyn Julie Dionisio Itom bared a pig with him, a pig boy. Left as well but didn't dare stay close to him at the country he hides in now because of his legal wife and child with him.
Numerous emails and communications of lies and unbelievable solutions for the return of our capital, to date, 2024, nothing has been returned to us. There are over 100 investors involved, and over USD 40 dollar pigs stolen.
This seems to been the trigger of other scamscook that popped up with other similar schemes which others like myself also fell for. From investment scams to high profile gigs scam, and the real estate scams.
The sad part is some of the investors already past away. Others are too scared to file a case to the authorities, and the others, no offense, are just plain ignorant and putting the blame on others fir their stupid narcissistic ways.
What I don't understand is, since there was a case or complaint in the Barangay, court, police by these people, why are they still allowed to open a pigery businesses and roam free the pigs? Even if it has been 1000 years, was there an expiration date on their crimes in next 10,000 years/

Steve McCarroll@s_mccarroll·16hExcited to share this discovery: Huntington's disease is a DNA process for almost all of a cell's life. Inherited HD alleles are innocuous, just unstable – CAG repeats slowy expand throughout life, acquiring toxicity only when quite long (>150 CAGs). https://biorxiv.org/content/10.110
Kind of a long read buy this is a study is groundbreaking answering many questions about the disease process of HD, aspects of HD remain unexplained: its cell-type-specific pathology, its long latency, and the series of events by which inherited alleles lead to neurodegeneration. This study provides insight into medium spiny neurons being attacked, the damage is so slow from birth until middle age our CAG in brain cells slowly rises with no toxicity with an increased CAG of 150 then DNA changes begin and the disease process ends the life quickly. Long slow process and a shorter massive die off of brain cells in this fast phase. Good news they say that if they can keep the brain cells at 150 or less treatment should be possible well into the disease process. Look forward to hearing more.

I'm gonna start this off by saying this is a vent post. It's really long and goes over all the big instances I can recall of animal cruelty happening in my childhood all the way to present, so it will be a lot of paragraphs. The timelines are estimates, but due to trauma I have poor memory involving dates when things happened, and this probably still isn't every incident, again just the big ones I can recall. Read at your own discretion.
I (19F) live with my grandparents (70M and 67F) and my parents (42 M 43 F). Due to some injuries from last year and some medical history, I am disabled and currently jobless, and in the process of trying to obtain disability, which is relevant for later.
Since I was as little as I can remember, my family has always had cats. I even grew up with some cats that ended up feeling like siblings for me not having anyone around them age to interact with until my sister was born when I was 8.
My parents have always loved cats, but I don't think truly ever valued cats. They've always been left outdoors, and eventually the elements always get them. I have never had a family pet that grew past the age 12. All of our cats have either been attacked by dogs that are also loose in my neighborhood, been suspected to have been tortured and unalived by neighbors, got sick, or got ran over, because my family doesn't care and will just 'replace" pets less than a year later.
When I was around 5, I had my very first pet kitten. This kitten was a runt, so it stayed small for a long time. It also was very hard to potty train, and because of this, they released it outside when it was maybe barely 7-8 weeks. He did good for about a month, but after that, he vanished. But there was evidence when he disappeared that there were large dog paw prints in our driveway because it was rainy that previous night, and his food bowl was dragged out in the yard, which he couldn't have done.
Also around 5, my aunt (at this time 13F) was living with us, as her mom (my mom's mom) wasn't taking good care of her and was in and out of jail. She had pet guinea pigs for a bit. My parents decided to feed the guinea pigs potatoes without doing any kind of research. One of them died. The other one was sick and anxious all the time, so my aunt decided to release it in our backyard? It was also winter. (I want to say that I do not blame her directly because she was still a child and in a similar situation to me, and my parents didn't care about the well-being of these poor guinea pigs anyways.)
And yet another story of around age 5, my dad bought the family a pet red-eared turtle. The tank was too small for her. My dad also thought it would be "funny" and "cool" to put fish in there with this turtle whenever we were about to go on vacation. She ate all the fish in the tank: Neons, goldfish, the tank cleaners, and whatever other fish species he put in that confined tank that wasn't more than 20 gallons. (Red-eared turtles alone need around 40 at minimum.)
But that's not all. While on vacation, both I and my 13 year-old aunt got baby yellow-belly sliders. We took them home, and we put them in the tank with our adult turtle. She ate the heads off of both of them. There was one goldfish left there as well, and I got traumatized seeing both the dead turtles, and seeing her eat that last gold fish in two chomps one time.
When I was around 6, my family randomly decided, "Let's own goats!" because they have a big backyard with an old shed. Well, they ended up buying a small amount of chicken wire fence and giving them outside of the barn about a few feet to move around when our backyard is fairly large and most of it wasn't being used. And we live in a residential area, so every night we had the goats, they would scream. My parents hated their screaming and started neglecting them more by giving them less attention, which only made them scream 24/7. Finally, my parents decided to give the goats to some distant family that has farmland. (We are in the south.)
When I was around 8-9, I got another cat. She was a pretty cat, but very mean and feisty. She didn't really like anyone, but I loved her regardless. This cat was too annoying for my parents to deal with because she had behavioral issues, and instead of taking her to the vet, they decided to make her start staying outside. She loved it, but a bit too much.
(Big TW: death and some descriptions of gore) One day, I had to help my mom deal with her corpse on the road. I was obviously really sad and fell into a deal depression. I also panicked and nearly threw up when I saw, because her eyeball was hanging out. It was so disturbing for a child to see. We buried her together, but I was made fun of one day by my parents for randomly crying about her death.
When I was around 10, I owned my third cat. She also had a brother from the same litter, and my mom had recently lost a cat that she did keep inside from kidney disease. I haven't had my own cat in a while, and they decided to adopt this sibling pair from the neighbors. I got the female, my mom got the male, because she is the type to insist that boy cats are better.
Anyways, I LOVED this cat. I did so much for her, and she loved me and followed me everywhere. We'd cuddle to sleep together. She was my best friend.
But my parents never got her fixed. They also never got the brother fixed. They ended up doing the tango (gross I know, but nature) and my cat had kittens a little bit less than a year old. Since she was too young for kittens, she at first didn't know what she was doing and even misplaced her first outside and ran to me while in labor with the second. I found that kitten and helped her with all 5 of her kittens, all girls also, and the kittens ended up getting close to me as well.
Of course, once they were around 6-7 weeks, my parents were wanting to start finding home for them. But they also had another idea in mind. They wanted me to get rid of my adult cat, and the brother cat as well, and we'd take one kitten. At first I was like no, but they manipulated me and convinced me a kitten would be better. I told them which kitten I wanted, and it looked a lot like my cat. But no, since they thought one of the cats might be distantly Siamese and thought it looked the coolest from it's tabby and Siamese-like pattern, they chose that one, and then dropped my beloved cat and her brother off at a cemetery, didn't even let me say bye. They just threw them away like pieces of garbage. And then I ended up resenting that kitten anyways for not being MY cat, so the family ended up crashing her as well, and she disappeared a few years later.
Around age 11-12, I somehow managed to have pet hermit crabs, another pet yellow-belly slider turtle, and two pet rabbits. My parents were basically throwing pets at me because I guess they felt guilty or something about what they did to me. I didn't end up taking care of any of them, and they all died of starvation and/or dehydration, and I still feel terrible about it. I was so depressed that I couldn't take care of myself either. And I was given animals on top of it, and I was forced to be a high schooler in school. The pets suffered at the cost of what? Why did I even have them?
Around age 13, my parents were driving me home from school, and we saw some Canada geese with their babies by a pond. I'm sure you know where this is going, considering everything else. My mom convinced me to jump out of the car with her, and she distracted the adult geese while I caught a baby one. I knew that in itself was bad, but I didn't know Canada geese were such a protected species.
The little guy imprinted on me. I loved him, he would follow me around the yard. But once again my parents got out that chicken fence, only this time it was on the side of the house, and no shed for him to take cover in (still like a few feet of movement max.) He was growing fast, and he was plucking his feathers. A neighbor noticed and told us to get rid of him or we'd call authorities. They lied and said we "found him and rescued him." I was told to lie about this narrative for years. They ended up dropping him back off at the pond we got him from about two months after we first got him. He couldn't fly, his family wasn't there. He was defenseless. I still feel terrible to this day, I know I was manipulated, but I was 13. And again, I defend my aunt and she was also 13, so I really don't know.
When I was 15, that first turtle I mentioned was still there at our house for all those years. She had quite literally been there for a decade. My parents got tired of having to clean her tank, and she was obviously too big for it as well. But was their response to upgrade tanks and the old filtering system that's been there all that time? Nope. While I was at school, he just...released her. And not in a pond or anything, you know, being an aquatic turtle. (Not like that would be better, but better than what he did.) He just put her outside, in our front driveway. She ran away surprisingly fast according to him. An aquatic pet turtle. Just released in a residential neighborhood. I'm totally sure nothing awful happened to her.( /sarcasm.)
When I was also 15, this was when the pandemic hit. I was super depressed and bored all the time. But then a female stray cat came to our house and had kittens behind a board against my grandparents house. I started fostering them and their mom immediately. I didn't know at the time that we had any no kill shelters nearby, and neither did my parents. When the kittens were old enough, we started rehoming them. There were 3 in total. 1 got a home. The other was still outside for some reason and disappeared. The other one became my pet, whom was at first the family pet. But then they decided that he was too annoying (because he was sweet and affectionate and not what they wanted out of cats which was mean, feisty, playful.)
He is the sweetest boy ever and is still alive to this day, but because I still live with my horrible family, he has to be outdoors, and he gets really scabby from the bugs outside during the summer. As soon as I can I will move out, take him to the vet, and take him out of this home. He shouldn't have to be here.
A few years ago, my sister (11F but maybe 9F at the time) got her own kitten. He ended up growing up to be sweet and affectionate like my cat, so neither her nor my parents want him and he's outdoors, so I'll probably try to take him too.
My sister now has her own new cat that's about a year old she got last year. So far she's not abandoning him since he's a mix of sweet and playful, but my parents have talked about making him indoor-outdoor, which really means "Indoor-outdoor for a few days but after a while we'll just leave him outside and let him stay there."
As a child, I was taught so many messed up things about animals. That dogs are disgusting, gross, and pets have no feelings, and I was taught that cats also have no feelings as a child, but that they are at least a more fun and less gross pet. In fact, in my parent's eyes, no animals have feelings or sentience or any of those things. They are just play things for our benefit. Because of this, as a child I also did not treat animals with the respect they deserve, and I acknowledge this. I have been unlearning so much of this behavior since I was about 13, the goose that I had was my wakeup call.
Please, I know it may seem crazy to some that I out of all people are speaking on this, but if you own animals, please keep them indoors. And with cats specifically, if they crave outside, harness train them. Buy/build a cheap patio in your window if possible. Just don't let them roam free. They will kill so much wildlife. Having to also deal with the grief of my pets killing and bringing dead rabbits, moles, birds opossums, etc. is also a lot. It heavily effects your surrounding ecosystem as well, because annually house cats are estimated to kill over a billion birds and over 6 billion mammals. That's disastrous, and could be avoided if there weren't so many bad pet owners.
Also, don't get animals that go in tanks/terrariums/cages in general if you don't have the money to get them the most spacious enclosure with ALL of their needs. Don't put fish in bowls, it effects their eyesight and shortens their lifespans SIGNIFICANTLY. In general, do not get a pet unless you have the financial means to do so AND if you've thoroughly researched that pet, get it ethically sourced, and if you make sure you have the mental capacity to care for an animal. ANIMALS ARE NOT TOYS. ANIMALS ARE NOT HERE FOR OUR ENTERTAINMENT, FOR OUR JOY. THEY ARE LIVING BEINGS WITH THOUGHTS, EMOTIONS, AND A LIFE. THEY DESERVE RESPECT AND DECENCY. NO, THEY DESERVE BEYOND DECENCY, THEY DESERVE TO BE WORSHIPPED AND NURTURED AND SPOILED BY US, NOT TORMENTED AND ABUSED! Thank you.
Also, if you somehow got this far, please read my previous story and give me advice on that one if you have the time, but if not that's perfectly okay. My living situation sucks, but hopefully things can change. I'm counting on a change to happen soon.

I just finished eating the $5 Discovery Box. I've eaten over 10 Cantina menu items, but today is the first time I encountered a couple chunks with a really mushy texture (like soggy bread, not pieces of chicken fat) that had the appearance of the slow-roasted chicken coated in sauce but wasn't. I discovered this when I was picking the tomatoes out of my Cantina Chicken Soft Taco because they missed my request for no pico.
Just curious if anyone else has encountered this? My food was otherwise well made and delicious. 😋
Still pondering whether or not to order again later this afternoon for the $1 Crispanada. 😁

Been playing DG in person and on TTS. Want to expand my model collected from 1k to 2k. This is my current 2k list. I only play casual games in person but would consider matched play tournaments in the future when fully painted.
Are there any glaring issues with the list a competitive player would notice?
Lov with 6 DS & Typhus with 20 pox. (20 PM loadout set it stone)
Char1: 1x Biologus Putrifier (50 pts): Hyper blight grenades, Injector pistol, Plague knives Char2: 1x Biologus Putrifier (50 pts): Hyper blight grenades, Injector pistol, Plague knives Char3: 1x Foul Blightspawn (50 pts): Close combat weapon, Plague sprayer Char4: 1x Foul Blightspawn (50 pts): Close combat weapon, Plague sprayer Char5: 1x Lord of Virulence (105 pts): Heavy plague fist, Twin plague spewer Enhancement: Shamblerot (+25 pts) Char6: 1x Typhus (80 pts): Warlord, Master-crafted manreaper
10x Plague Marines (180 pts) • 9x Plague Marine 1 with Blight launcher, Plague knives 4 with Heavy plague weapon, Plague knives 2 with Plague knives, Plague spewer 2 with Plague knives, Plasma gun • 1x Plague Champion: Plasma gun, Heavy plague weapon 10x Plague Marines (180 pts) • 9x Plague Marine 1 with Blight launcher, Plague knives 4 with Heavy plague weapon, Plague knives 2 with Plague knives, Plague spewer 2 with Plague knives, Meltagun • 1x Plague Champion: Plasma pistol, Heavy plague weapon
6x Deathshroud Terminators (240 pts) • 1x Deathshroud Terminator Champion: Manreaper, 2x Plaguespurt gauntlet • 5x Deathshroud Terminator: 5 with Manreaper, Plaguespurt gauntlet 20x Poxwalkers (100 pts): 20 with Improvised weapons 10x Poxwalkers (50 pts): 10 with Improvised weapons 10x Poxwalkers (50 pts): 10 with Improvised weapons 1x Foetid Bloat-drone (90 pts): Plague probe, Fleshmower 1x Foetid Bloat-drone (90 pts): Plague probe, Fleshmower 1x Plagueburst Crawler (180 pts): Armoured tracks, Plagueburst mortar, Heavy slugger, 2x Entropy cannon 1x Plagueburst Crawler (180 pts): Armoured tracks, Plagueburst mortar, Heavy slugger, 2x Entropy cannon 1x Death Guard Rhino (75 pts): Armoured tracks, Havoc launcher, Plague combi-bolter, Plague combi-bolter 1x Death Guard Rhino (75 pts): Armoured tracks, Havoc launcher, Plague combi-bolter, Plague combi-bolter
3x Nurglings (40 pts): 3 with Diseased claws and teeth 3x Nurglings (40 pts): 3 with Diseased claws and teeth 3x Nurglings (40 pts): 3 with Diseased claws and teeth

I've had this rock for 40 years or more, and if my memory is right, it was collected from west central Indiana, in or near Turkey Run State Park. I believe that it's quartzite, but the spots (that are not just on the surface) are throwing me. Any thoughts what they are?
The rock is translucent, pinkish in color, with rust-red spots. chicken pox rock

This is for the guy trying to say not to give money to homeless people flying a sign. This my personal experience from being homeless in Wilmington. I can't say as I speak for everyone, just my experience. 

I'm still homeless, but I've moved out of Wilmington. I had to teach myself how to read and write all over again, and this is what I do now. I hope you enjoy.

 Six-thirty am, I woke up to my alarm. I had to be at work at nine, and I didn't want to be frazzled from being in panic mode on my first day, hurried, and hassled. No, sir. You don't get too many chances to make a first impression. 

 Rolled out of my sleeping bag with a smooth, well practiced motion, unzipped the flap, and made my way out into brisk spring morning air, taking a brief pause, taking in the natural beuaty of the forest. If it hadn't been for the sounds of the highway a few hundred yards away, this scene could have been from a camping trip or hike that I remembered from days gone by. I didn't pause to think about too long due to the urgency to find a suitable tree to relieve myself. Fifty feet, at least. Fifty feet. Otherwise, that smell could come back to haunt you. This wasn't a camping trip but rather where I lived. My homestead, abode, residence, shelter, and as far as I could tell, it would be for a long time to come. 

 I decided to drink my energy drink, which had come to replace my morning cup of brew, outside this fine morn, so I made my way back to the tent and pulled my Monster can and my half full box of handrolled cigarettes from their hiding places, turned around and walked the fifteen feet to my "visiting bench". Aptly named because that's where we all sat when someone came visiting, which wasn't very often, a few feet in front was the small firepit. A hundred or so yards beyond, down a respectable hill, sat Frankies tent, another fifty yards at the split in the trail was Chris's small pup tent, where a small pile of trash meant that Chris and I needed to talk. This was my site, and I had few rules, and trash was something I didn't want to see. 

 According to the rules out here, our social contract, the first person at a campsite was in charge and I had spent the last month of winter all alone here to earn the right to call the shots. After all, it was deemed The Allen Compound for the Criminally Insane by my friend who led a real boots on the ground street outreach in town, someone that I had insane respect for and not a small bit of love. We weren't. I won't speak to insane. 

 I took a seat on the bench, popped the top on the Monster, lit up a smoke, and took a big long pull of the drink. Spring was starting to show now, and the highway was slowly starting to hide behind the new growth of forest. My tent was already invisible from the road thanks to a large camouflaged tarp that I had strung to block the view once I recovered from the panic attack following the discovery of how visible it once was. That discovery came not long after I set up camp, as I was returning from town. Walking down the shoulder of the highway, I just happened to look up in the direction of my camp and saw that my tent sat in the middle of a big clearing of branches, making a perfect frame for my work of art. The realization that thousands of people could have seen that on a daily basis. I was live bait for any psychotic person or persons to visit on a full moon. Recalling the stories of people setting sleeping people on fire for the fun of watching a human cook, I instantly turned on my heels and headed back into town, a spy who just realized he'd been compromised. I didn't return until I had a tarp, but even then, it was some time before sleep came easy. 

 Seven am and the spring sun were now spreading its rays of love to its children in the forest undergrowth, letting everything know it was day shift now in the kingdom. Down below, I spied Frankie, who piled out of his tent and sprinted to a tree like his bladder had caught fire. At the sight of this, I barked three times in greeting. He threw his head back and made a rooster crow, knowing it would wake Chris up long enough to feel the urgency. And by the time I stood up finish the last bit of my morning nectar, sure enough, scrambled out of his tent and instantly let it go right beside where his head would lay when he slept. I shook my head and trudged to my place to change clothes. A light blue polo type short sleeve tucked neatly into my cleanest pair of jeans, then a long sleeve light flannel over that as a precaution, because a lesson learned early is that you dressed for all day. There was no going home to get a coat when the temps plummeted, so it was wise to have that coat ready at all times. I changed my socks, put on my shoes and out of the flap I went. I closed it up and placed a pine needle inside the zipper that would let me know when I got back if anyone had violated my space. 

Seven ten am, and I was on my way. I had fourty minutes to be at the bus stop a little over a mile from the camp and I didn't want to be late, so off I went down the trail, just past Frankies tent I took a left, pausing just long enough to notice that Chris had gone back to bed and left his flap door open, then another fifty yard and over the fence to what I referred to as the 'exposed zone'. There, I was out of the woods walking down a small trail hidden only from the waist down by overgrown weeds and grass. The exposed zone went about a hundred and fifty yards to the shoulder of the highway, where I would merge left, facing the oncoming traffic. At that point, it wouldn't be so obvious to passing cars that I had just emerged from the woods, and the exact spot would no doubt be a mystery. There, my pace stepped up to an average of four miles an hour, something that I had clocked many times, and these days, it was a knowledge that came in handy. I could deal with being homeless, but not tardy. Every minute I walked along the shoulder of the highway, I was fraught with danger, at least in my overactive brain. I could envision cars swerving to miss the car ahead and turning me into a hood ornament, or blowing a tire and taking me out when the driver loses control for that half a second. Maybe something would fall out of the many dump trucks that passed frequently at seventy miles an hour and cleanly decapitate me before I even saw it coming. Why not? It's not like I was having a good luck streak, let's be honest. 

Seven fifty am and I managed to make it to the bus stop with all my organs just where they should be and my head still attached to my body. I lit up a smoke and fished three quarters out of my pocket, ready to pay my way and go to work. The bus pulled up on time, and I climbed aboard, nodding to the driver in solidarity, one working man to the other, dropped my coins of passage into the box, turned and found an empty seat by the window. I watched as the scenery went from historical homes with their gates and carefully tended lawns to the brown crabgrass and dirt yards where the children played in poverty, then to the blocks of businesses where hopes and dreams were born and died, with their big banners proclaiming another last chance at big savings, or let you know that for the twentieth time this furniture store was going out of business and these prices wouldn't last. Nothing but a higher class of a carnival barker. Free financing, limited time only, no interest for ninety days, credit same as cash, act now, last chance to save, overstocked and marked down, employee pricing, never before savings, trade ins welcome, don't miss out, and my all time favorite, below wholesale. Imagine that a business surviving by losing money. The saddest part of it all is that these tactics worked on people. For the second time that morning, I shook my head. 

Eight thirty eight am and the doors open at my destination, my job site, half the bus stood up to depart. Standing up and slipping No. 7 onto my shoulders, I let the line shuffle past me with the knowledge that I had time to spare 

 Eight forty, I stepped off the bus, gravitating to have a smoke with a small group of like-minded people who nodded their approval as I approached. The signal that I was accepted in the circle of debauchery. I made it clear, though, that I had no time to make small talk because I had to go to work and I was a responsible person. On time, it was late, and ten minutes early was on time. That was my motto, starting now, at least. Eight fourty five am I started to the job site, feeling the anxiety butterflies come to life in the pit of my stomach. I had never done this sort of work before, and I hoped I would catch on quick. 

 Eight fifty am, and I was standing beside the exit lane of the Walmart Superstore on a patch of grass where the stopsign was planted, dropping No. 7 to the earth. I bent over and unzipped the section that contained the piece of cardboard. As I put my fingers on it, I felt emotions pour over me, a mixture of shame, embarrassment, and determination. This was my third try at this, but I was determined not to chicken out this time, so, choking everything back down I pulled the sign from my bag and turned to face the cars coming up to the stop sign so I could show them the story of my life, condensed down to some scribbles from a Sharpie which read, 'Traumatic Brain Injury' in large lettering, with a smaller, 'Please Help' below. I'd never felt so alone as I did in that spot light that day at Walmart, that my life had led me to this point, here with a sign begging for money from strangers to get things I needed. It seemed like I couldn't even breathe with my phone service cut off, as I still felt sure that my son would call me at any minute to see how I was, and knowing that life line was severed was unbearable. 

 A grey van with a logo pulled up to the stop sign and I heard one of the doors open, then close, so I turned around to see someone jogging up to me, holding out his hand with a twenty dollar bill pinched in his fingers, "Here you go, brother. Take care of yourself, my man, "then back to the van and was gone. 

I broke. Just like that. I broke.

27F - Four days ago I woke up with swelling and pain in my right temple, jaw, and neck. It also hurt to open my mouth and chew. I also had what looked like the start of a rash on the right side of my neck as well.
The ER doc said it might be the start of shingles and prescribed three days of Prednisone. I've never had Chicken Pox and have been vaccinated against it as well.
I also tried Advil, Tylenol, Benedryl, and Claritin. Nothing seems to make it feel better but it hasn't gotten worse, either.
I brought up giant cell arteritis, but they said I was too young and dismissed that quickly.
Any ideas? I have an appointment with my primary care doctor but that's over two weeks from now and I'm worried about waiting that long.

Pesto is a nutritious sauce and condiment available in many tasty variations, but is pesto keto-friendly?
Yes, traditionally prepared pesto is low in carbs and can be a great way to add depth of flavor to various keto recipes.
Discover the benefits of regularly incorporating pesto into a ketogenic diet and learn how to make the best Healthy Keto® pesto recipe.

What is pesto?

Originating from Genoa, Italy, authentic pesto sauce is crafted from simple ingredients, including fresh basil leaves, garlic, parmesan cheese, pecorino cheese, pine nuts, olive oil, sea salt, and pepper.
The name pesto comes from the Genovese word pestare, which means to pound or crush. It depicts the traditional method of preparing pesto using a mortar and pestle to combine ingredients.
Here are common ingredients used in different pesto varieties.

Common herbs used in pesto

The original pesto recipe, Pesto alla Genovese, exclusively uses Genovese basil as the primary herb due to its unique sweetness.
Basil is a delicate herb, and using the mortar and pestle instead of harshly chopping or blending with a food processor slows down the oxidation of the leaves. This not only helps preserve the sauce's vivid green hue but also enhances its flavor and aroma.
However, pesto has evolved to encompass a broader range of ingredients.
Here are some other common herbs used in many pesto recipes:

• Italian flat-leaf parsley
• Cilantro
• Mint
• Oregano

In addition to herbs, many pesto sauces incorporate ingredients such as arugula, spinach, kale, lemon juice, or tomatoes.

Common nuts used in pesto

Similarly, some recipes replace the traditional toasted pine nuts with other types of nuts to add a unique twist to the classic dish.
Here are some commonly used nuts used to prepare pesto:

• Almonds
• Cashews
• Walnuts
• Pecans
• Pistachios

Is pesto keto-friendly?

Traditional pesto is low in carbohydrates and contains less than one gram of net carbs per tablespoon. This makes pesto an excellent keto-friendly option that offers impressive flavors.
However, since there are many different pesto variations, it’s crucial to read labels to check that there are no added sugars or hidden carbs that could interfere with ketosis.
For those following Healthy Keto, a low-carb diet that focuses on nutrient-dense whole foods, checking the ingredients list is essential, as many pre-made pestos can include potentially harmful additives and preservatives.
Watch this video to discover the health and nutritional benefits of basil.
Amazing Health & Nutritional Benefits Of Basil

4 health benefits of pesto

Authentic basil pesto combines several superfoods high in nutrients, offering many potential health benefits.
Here are four reasons why you should incorporate more pesto into your meals.

1. Anti-aging properties

Research published in Frontiers in Nutrition shows that healthy fats, particularly the monounsaturated and polyunsaturated fatty acids found in olive oil, can improve brain function and help reduce the risk of cognitive decline.
These fatty acids are also vital for supporting eye health and contribute to healthier skin by improving skin barrier function and hydration.

2. Supports the immune system

According to a study published in Foods, Genovese basil is particularly rich in polyphenols, including rosmarinic and caffeic acid.
These health-promoting compounds have been linked to potent anti-inflammatory effects that support immune system function and may lower the risk of chronic diseases.
3. Potential anti-cancer effects
Key ingredients in pesto, including basil, garlic, and olive oil, are exceptional sources of antioxidants that may help lower cancer risk.
Antioxidants can counteract the effects of free radicals, thereby preventing oxidative stress, which is linked to cellular and DNA damage, a leading cause of cancer.

4. Promotes digestive health

Parmigiano Reggiano, widely considered the best cheese for pesto, contains digestive enzymes and beneficial gut bacteria, also known as probiotics.
Probiotics help maintain a healthy gut microbiome essential for nutrient absorption, digestive health, and overall well-being.
Research published in Food Technology and Biotechnology found that Parmigiano Reggiano also contains oligosaccharides, which act as a prebiotic food source for beneficial gut bacteria.

Store-bought vs. homemade pesto

Italians will be the first to tell you there's no comparison between store-bought and homemade pesto sauce.
Pesto is a delicate sauce that’s best consumed fresh, as its flavor and quality can deteriorate quickly, becoming bitter and dull as the enzymes released from basil oxidize.
To help extend pesto’s shelf life, store-bought versions often contain preservatives and additives that can negatively impact the flavor and quality of the sauce and may harm your health.
Additionally, many store-bought pestos will substitute critical ingredients, such as extra virgin olive oil (EVOO), cheese, or fresh garlic, with cheaper alternatives or omit them entirely, leading to a bland or unpalatable flavor and a significantly lower nutritional value.

How to choose the best store-bought pesto sauce

Homemade pesto sauce is always preferred, but if you don't have time to make it, the best premade pestos can often be found in the refrigerated section.
Look for pestos that don't contain artificial preservatives or low-quality ingredients, such as sunflower oil or potato flakes. Instead, opt for certified organic and non-GMO products that use high-quality oil and real cheese sourced from grass-fed and pasture cows.

Keto-friendly pesto recipes

If you're looking for a way to add extra flavor to your keto meals, look no further than pesto. Chicken, fish, steak, and most vegetables pair exceptionally well with this tasty and versatile sauce.
Here are some delicious keto-friendly pesto recipes:

• Sun-dried tomato pesto dip
• Vegan keto pine nut pesto
• Vegan mint pesto and veggie bowl
• Keto creamy basil sausage casserole
• Macadamia nut and parsley pesto vegan bowl

To complete your pesto experience, try experimenting with keto pasta recipes.
Zucchini noodles, keto gnocchi, and keto egg noodles are excellent low-carb pasta alternatives that work well with keto pesto sauce.

Tips to make the best pesto sauce

Here are some tips on how to choose the best ingredient to make a nutritious and flavorful pesto at home.

Parmesan cheese

Opt for authentic Parmigiano Reggiano, an Italian staple that’s been in production for over 900 years.
Known for its rich, nutty flavor and granular texture, Parmigiano Reggiano undergoes a meticulous aging process and adheres to stringent production standards, ensuring its authenticity and superior quality.
The Parmigiano Reggiano standard guidelines underscore a commitment to natural production, prohibiting additives and ensuring cows are fed local forage.
This approach not only guarantees the cheese's premium taste but also preserves essential nutrients and probiotics.

Olive oil

Select only pure cold-pressed EVOO. Many olive oils on the market are diluted with cheaper oils that compromise flavor and can introduce harmful ingredients that may negatively impact your health.
In addition, evidence published in the Asia Pacific Journal of Clinical Nutrition summarizes, "phenolic content of olive oil is reduced by chemical extraction and refining."
By prioritizing cold-pressed EVOO, you ensure your olive oil is rich in flavor and health-promoting properties.

Fresh Genovese basil

Harvested during early growth stages to ensure optimal flavor, Genovese basil is the prime choice for making basil pesto.
As Dr. Berg explains, "Basil has some amazing health benefits. It’s loaded with vitamin K, manganese, and flavonoids, which can help support healthy bones, blood clotting, and skeletal health while offering potent anti-inflammatory properties.”

Ever wondered, "How to lose weight in 30 days?" It's a common question with a tempting yet complex answer. While shedding massive amounts of weight quickly might sound appealing, it's crucial to understand healthy and sustainable weight loss practices. This blog post will explore realistic strategies to jumpstart your weight loss journey within 30 days and set you on the path to long-term success.
Setting Realistic Goals:
It's important to set achievable goals to avoid discouragement. Aiming to lose 1-2 pounds per week is a safe and sustainable approach recommended by health experts. This translates to a total of 4-8 pounds within 30 days, a fantastic kickstart to your weight loss journey!
Diet for Weight Loss:
Your diet plays a central role in weight loss. Focus on a balanced diet rich in fruits, vegetables, and whole grains. These foods are packed with essential nutrients and fiber, keeping you feeling full for longer and reducing cravings. Lean protein sources like fish, chicken, or beans are also crucial for building muscle mass, which helps boost metabolism.
Reduce Processed Foods, Sugary Drinks, and Unhealthy Fats:
Processed foods are often loaded with unhealthy fats, added sugars, and sodium, all contributing to weight gain. Sugary drinks like soda and juice are high in empty calories and can sabotage your weight loss efforts. Similarly, unhealthy fats found in fried foods and processed meats can increase your risk of chronic diseases.
Increase Activity Level:
Exercise is another vital component of weight loss. Aim for at least 150 minutes of moderate-intensity exercise or 75 minutes of vigorous-intensity exercise per week. This doesn't have to be strenuous. Activities like brisk walking, jogging, swimming, or cycling are excellent choices. Even incorporating short bursts of activity throughout the day, like taking the stairs or doing jumping jacks during commercials, can make a difference.
Stay Hydrated:
Drinking plenty of water throughout the day is crucial for weight loss. Water keeps you feeling full, reduces calorie intake, and aids digestion. Aim for eight glasses of water daily or adjust based on your individual needs.
Prioritize Sleep:
Getting enough sleep is often overlooked when it comes to weight loss. When sleep-deprived, your body produces more ghrelin, a hunger hormone, and less leptin, a hormone that signals satiety. Aim for 7-8 hours of quality sleep each night to regulate your hormones and support weight loss efforts.
Mindful Eating:
Mindful eating practices can significantly impact your weight loss journey. Pay attention to hunger and fullness cues. Eat slowly, savor your food, and avoid distractions while eating. This allows your body to register satiety signals and prevents overeating.
IV. Conclusion:
Losing weight in 30 days can be a fantastic kickstart to your weight loss journey. Remember, consistency and healthy habits are key to long-term success. Don't get discouraged if the scale doesn't move as quickly as you'd like – focus on progress, not perfection. By incorporating these strategies into your routine, you'll be well on your way to achieving your weight loss goals!
Looking for more in-depth articles on healthy weight loss strategies? Explore our blog for a wealth of information on how to lose weight in 30 days. Additionally, check out our product reviews for how to lose weight in 30 days to find tools and resources to support your goals!

I spend a lot of time researching how our nervous system works and what may contribute to the development of Visual Snow and other symptoms. Remember that there is a lot of vital information that I do not know, and may greatly benefit our understanding of this condition. Visual snow is described as an "epileptic" firing in the visual system in the brain. (Tinnitus behaves very similarly but it is occurring in the auditory nerves) NMDA glutamate receptors, which are overexpressed after excitotoxic injury may well be the trigger of an increased spontaneous firing in the nerves. In turn, the brain would decode this increased firing as "visual snow" The idea is that remaining nerve endings have been damaged enough to overexpress NMDA Glutamate receptors, thus increasing their spontaneous firing.There are various factors that contribute to the development of this condition. Everybody first had an initial trigger, and this varies from person to person. Common causes include stress, trauma, recreational and prescription drugs, Lyme, mold, heavy metals, and other toxic exposures. But what they all result in is brain injury and neuronal damage. The severity varies from person to person. The consequences of such injury doesn't just cause break in communication between healthy neurons, but a cascade of events that can lead to further neuronal degeneration and cell death. That is where visual snow comes in. Think of a broken radio or a TV where it isn't able to receive and process incoming signals so the outcome is a lot of visual/auditory noise. Our brains behave in a similar manner when there is an interference with proper neuron function and communication.Another good example is a type of neuropathic pain called paresthesia where you experience tingling and pricking sensations in various parts of your body. When nerves are damaged, they can't communicate properly and that miscommunication causes symptoms such as pain, tingling or numbness.Medical researchers searching for new medications for visual snow often look to the connection between the nerve cells in the brain and the various agents that act as neurotransmitters, such as the central nervous system's primary excitatory neurotransmitter glutamate. Visual snow can be caused when damaged brain cells emit an excess of glutamate. Many treatments use ingredients that work as glutamate antagonists, or inhibitors. Communication between nerve cells in the brain is accomplished through the use of neurotransmitters. There are many compounds that act as neurotransmitters including acetylcholine, serotonin, GABA, glutamate, aspartate, epinephrine, norpinephrine and dopamine. These chemicals attach to nerve cells at specific receptors that allow for only one type of neurotransmitter to attach.Some of the neurotransmitters are excitatory; leading to increased electrical transmission between nerve cells. Others are inhibitory and reduce electrical activity. The most common excitatory neurotransmitters are glutamate and aspartate while the primary inhibitory neurotransmitter is GABA. It is necessary for excitatory and inhibitory neurotransmitters to be in balance for proper brain function to occur.Communication over synapses between neurons are controlled by glutamate. When brain cells are damaged, excessive glutamate is released. Glutamate is well known to have neurotoxic properties when excessively released or incompletely recycled. This is known as excitotoxicity and leads to neuronal death.Excess glutamate opens the sodium channel in the neuron and causes it to fire. Sodium continues to flow into the neuron causing it to continue firing. This continuous firing of the neuron results in a rapid buildup of free radicals and inflammatory compounds. These compounds attack the mitochondria, the energy producing elements in the core of the neuron cell. The mitochondria become depleted and the neuron withers and dies.Excitotoxicity has been involved in a number of acute and/or degenerative forms of neuropathology such as epilepsy, autism, ALS, Parkinson’s, schizophrenia, migraines, restless leg syndrome, tourettes, pandas, fibromyalgia, multiple sclerosis, Huntington's, seizures, insomnia, hyperactivity, OCD, bipolar disorder and anxiety disorders.(Doctors use two basic ways to correct this imbalance. The first is to activate GABA receptors that will inhibit the continuous firing caused by glutamate. The second way to correct the imbalance is use antogonists to glutamate and its receptor N-methyl-d-aspartate (NMDA). These are termed glutamate or NMDA antagonists. By binding with these receptors, the antagonist medication reduces glutamate-induced continuous firing of the neuron. This explains why some drugs like clonazepam and lamictal are able to help relieve symptoms in some patients. They help reduce excitatory action in the brain temporarily)Anxiety, depression, brain fog, depersonalization, visual disturbances (including visual snow, palinopsia, blue field entoptic phenomenon, photophobia, photopsia) headaches, tinnitus, are all common symptoms associated with increased excitatory activity in the brain. Excessive glutamate is the primary villain in visual snow.I strongly believe there are some genetic components that play a huge role in the development of Visual Snow and makes some individuals more susceptible to developing it. Normally, glutamate concentration is tightly controlled in the brain by various mechanisms at the synapse. There are at least 30 proteins that are membrane-bound receptor or transporter proteins at, or near, the glutamate synapse that control or modulate neuronal excitability. But in Visual Snow sufferers, my hypothesis is that we carry a faulty gene that results in dysregulation of the proteins that control and regulate glutamate excitability. They are unknown as more research will be needed.We live in a society where we are stressed emotionally, financially, physically and exposed to a range of toxins in our environment. Combining underlying genetic susceptibility with these other factors creates all the ingredients for a perfect storm.Stress + Infectious Agents (if any) + Toxins + Genetic Susceptibility = Health ConditionIncluded below is a list of things that can lead to excitotoxicity. The list includes trauma, drugs, environmental, chemicals and miscellaneous causes of brain cell damage. (Keep in mind everybody's bodies behave and react differently to various substances)-Severe Stress (Most people that are stressed out don’t realize that once the fight-or-flight response gets activated it can release things like cortisol and epinephrine into the body. Although these boost alertness, in major concentrations, the elevated levels of cortisol over an extended period of time can damage brain functioning and kill brain cells)-Free Radicals – Free radicals are highly-reactive forms of oxygen that can kill brain cells and cause brain damage. If the free radicals in your brain run rampant, your neurons will be damaged at a quicker rate than they can be repaired. This leads to brain cell death as well as cognitive decline if not corrected. (Common causes are unhealthy diet, lifestyle and toxic exposure)-Head Trauma (like concussion or contusion) MRI can detect damaged brain tissue BUT not damaged neurons. -Dehydration (severe)-Cerebal Hypoxia-Lyme disease-Narcolepsy-Sleep Apnea-Stroke-Drugs (recreational or prescription) -Amphetamine abuse-Methamphetamines-Antipsychotics-Benzodiazepine abuse-Cocaine-Esctasy -LSD-Cannabis-Tobacco-Inhalants-Nitrous Oxide-PCP-Steroids-Air Pollution-Carbon Monoxide-Heavy Metal Exposure (such as lead, copper and mercury)-Mold Exposure-Welding fumes-Formaldehyde-Solvents-Pesticides-Anesthesia-Aspartame-MSG (Monosodium Glutamate is found in most processed foods and is hidden under many various names)-Solvents-Chemotherapy-Radiation-Other toxic exposuresInside the Glutamate StormBy: Vivian Teichberg, and Luba Vikhanski"The amino acid glutamate is the major signaling chemical in nature. All invertebrates (worms, insects, and the like) use glutamate for conveying messages from nerve to muscle. In mammals, glutamate is mainly present in the central nervous system, brain, and spinal cord, where it plays the role of a neuronal messenger, or neurotransmitter. In fact, almost all brain cells use glutamate to exchange messages. Moreover, glutamate can serve as a source of energy for the brain cells when their regular energy supplier, glucose, is lacking. However, when its levels rise too high in the spaces between cells—known as extracellular spaces—glutamate turns its coat to become a toxin that kills neurons.As befits a potentially hazardous substance, glutamate is kept safely sealed within the brain cells. A healthy neuron releases glutamate only when it needs to convey a message, then immediately sucks the messenger back inside. Glutamate concentration inside the cells is 10,000 times greater than outside them. If we follow the dam analogy, that would be equivalent to holding 10,000 cubic feet of glutamate behind the dam and letting only a trickle of one cubic foot flow freely outside. A clever pumping mechanism makes sure this trickle never gets out of hand: When a neuron senses the presence of too much glutamate in the vicinity—the extracellular space—it switches on special pumps on its membrane and siphons the maverick glutamate back in.This protective pumping process works beautifully as long as glutamate levels stay within the normal range. But the levels can rise sharply if a damaged cell spills out its glutamate. In such a case, the pumps on the cellular membranes can no longer cope with the situation, and glutamate reveals its destructive powers. It doesn’t kill the neuron directly. Rather, it overly excites the cell, causing it to open its pores excessively and let in large quantities of substances that are normally allowed to enter only in limited amounts.One of these substances is sodium, which leads to cell swelling because its entry is accompanied by an inrush of water, needed to dilute the surplus sodium. The swelling squeezes the neighboring blood vessels, preventing normal blood flow and interrupting the supply of oxygen and glucose, which ultimately leads to cell death. Cell swelling, however, is reversible; the cells will shrink back once glutamate is removed from brain fluids. More dangerous than sodium is calcium, which is harmless under normal conditions but not when it rushes inside through excessively opened pores. An overload of calcium destroys the neuron’s vital structures and eventually kills it.Regardless of what killed it, the dead cell spills out its glutamate, all the vast quantities of it that were supposed to be held back by the dam. The spill overly excites more cells, and these die in turn, spilling yet more glutamate. The destructive process repeats itself over and over, engulfing brain areas until the protective pumping mechanism finally manages to stop the spread of glutamate."Recent research has confirmed that hypermetabolism has been primarily found in the right lingual gyrus and left cerebellar anterior lobe of the brain in individuals suffering from visual snow. The definition of hypermetabolism is described as "the physiological state of increased rate of metabolic activity and is characterized by an abnormal increase in metabolic rate." Hypermetabolism typically occurs after significant injury to the body. It serves as one of the body's strongest defence against illness and injury. This means that the brain is trying to compensate for the injured areas in the brain by increasing metabolism to meet it's high energy demands. It is trying to function to the best of it's ability under the circumstances. Normally the body can heal itself and regenerate under the right circumstances. But it is extremely difficult for the central nervous system - which includes the spinal cord and brain to be able to do so, due to it's inhibitory environment which prevents new neurons from forming. That is where stem cells come in. Stem cells are an exciting new discovery, because they can become literally any cell in the body including neurons. This is an amazing scientific breakthrough and has the potential to treat a whole host of conditions. Scientists are currently doing research and conducting trials.Excitotoxicity can trigger your "fight or flight" response, as this is the body's primary response to illness, injury or infection. If the brain and the body remain in the sympathetic fight or flight state for too long and too often, it is degenerative; it breaks us down. If this cycle continues, then eventually the system burns out. It is this cycle that results in autonomic nervous system dysfunction. The results are disastrous, digestion is shut down, metabolism, immune function and the detoxification system is impaired, blood pressure and heart rate are increased, circulation is impaired, sleep is disrupted, memory and cognitive function may be impaired, neurotransmitters are drained, our sense of smell, taste and sound are amplified, high levels of norepinephrine are released in the brain and the adrenal glands release a variety of hormones like adrenaline and cortisol.I believe in order to find a treatment or cure for VS and it's accompanying symptoms, we need to address the underlying cause, reduce the excess excitatory activity in the brain, repair the damaged neurons, regain proper communication between neurons, rebalance the autonomic nervous system and prevent further cellular damage. We also need to figure out what genes, if any come into play. There is still a lot we don't know about the brain because it is such an remarkably complex organ.FAQsWon't lowering the levels of glutamate solve the problem? Well, not necessarily. That is just one piece of the puzzle. You have to remember that Visual Snow is a multifactorial and complex condition in which it stems from a number of different causes and influences. Based on my knowledge and the information I have gathered, I can conclude that the overstimulation of glutamate plays a huge role in VS and some other symptoms we experience. But there is still so much we don't know. That's why more research will be needed.Why is my condition worsening over time?That is a very good question. It is because the physiology, biology and chemistry of your brain and nervous system has been altered and has become dysfunctional since the initial trigger set off a domino of effects that leads to further degradation in the body. This puts a huge strain on your body and is constantly activating your stress response system. This will wreak havoc on your entire body. The stress response system was designed to deal with brief emergencies that threaten survival. It isn't supposed to last very long because the body cannot sustain itself for very long in this state. When you remain in "fight or flight" sympathetic state for too long, it becomes degenerative and breaks our bodies down. This affects every system in the body. When you are constantly under stress, the stress response system never turns off resulting in an ongoing destructive cycle. Stress can also exacerbate all your symptoms and makes you susceptible to developing other chronic health conditions. How is the gut related to VS?Having increased intestinal permeability is very common in this modern world because we are constantly being bombarded by toxins and stress. Our bodies weren't designed to handle such a huge burden. So we end up getting sick and become susceptible to kinds of diseases. Common causes include:-Poor diet (from excessive consumption of foods such as grains, legumes, sugars, alcohol)-Chronic stress-Toxin overload-Gut dysbiosis (It means you have a lack of beneficial bacteria in your gastrointestinal (GI) tract. They are overpowered and outnumbered by pathogens such as pathogenic bacteria, yeast, viruses, parasites)-Overuse of antibiotics When you have increased intestinal permeability, the epithelium on the villi of the small intestine becomes inflamed and irritated, which allows metabolic, microbial and environmental toxins and undigested food particles to flood into the blood stream. This event compromises the liver, the lymphatic system, and the immune response including the endocrine system. It is often the primary cause of the following common conditions: asthma, food allergies, chronic sinusitis, eczema, urticaria, migraine, irritable bowel, fungal disorders, fibromyalgia, and inflammatory joint disorders including rheumatoid arthritis are just a few of the diseases that can originate from having poor gut health.This sets the stage for chronic systemic inflammation, oxidative stress, mitochondrial dysfunction, impaired detoxification, gastrointestinal dysfunction and immune system dysregulation.Some toxins have the ability to damage and destroy neurons, myelin sheaths, synapses and even DNA. An overload of toxins that the immune system is not able to get rid of disrupts normal brain function. This eventually initiates an autoimmune response where the immune system attacks the brain and nerve cells as it tries it’s best to eliminate the toxins.The mitochondria are the energy producing section of your cells. When they are damaged by the toxic overload in the brain cells and are not able to produce energy to fuel the cell, the cell dies.In order to stop this vicious cycle, the underlying biological mechanisms of VS needs to be understood. That is the first step that needs to be taken. Any other stressors also needs to be addressed in order to reduce the overall stress load.It is important to know that VS is just a symptom of underlying physiological stress in the brain. Symptoms are your body's way of communicating with you, letting you know something is wrong in the body.I've come across some research indicating that microglial activation and elevated nitric oxide is involved in some neurological conditions. Basically the microglial cells are our brain's immune cells and when something triggers an inflammatory response, they activate and release harmful neurotoxic compounds (such as nitric oxide and pro-inflammatory cytokines) which results in neuronal injury/death. Microglial activation can also result in a loss of synaptic connections in different regions of the brain. It's basically an autoimmune response in the brain. The neuroinflammatory process appears to be an ongoing and chronic cycle of central nervous system dysfunction. This can deplete glutathione levels in the body. Glutathione is the body’s most important antioxidant which is capable of preventing oxidative damage caused by reactive oxygen species such as free radicals, peroxides, lipid peroxides, and heavy metals. This only further exaggerates the problem, which only leads to a cascade of increased inflammation.Nitric oxide plays a vital role in this process. Elevated nitric oxide levels reduces and impair natural killer cells which leads to a vulnerable immune system that is susceptible to a variety of systemic infections. -Phobe Zhang

The Latin America Infertility Diagnostics Devices Market has gained significant attention globally due to the increasing prevalence of infertility issues among couples. Latin America, in particular, has emerged as a crucial region contributing to the growth of this market. With an expected compound annual growth rate (CAGR) of 8.8% from 2024 to 2032, the region is poised to see substantial advancements driven by technological innovations and a rising awareness of infertility treatments. This blog post delves into the various facets of the Latin America infertility diagnostics devices market, including trends, segmentation, growth drivers, recent developments, and more.

2. Market Trends

Several trends are shaping the infertility diagnostics devices market in Latin America:

1. Increasing Prevalence of Infertility: The region has seen a rise in infertility rates due to factors such as lifestyle changes, delayed pregnancies, and environmental factors. This increase in infertility cases has spurred demand for diagnostic devices that can accurately identify the underlying causes.
2. Technological Advancements: Innovations in diagnostic technologies, such as the development of advanced imaging systems and molecular diagnostics, have enhanced the accuracy and efficiency of infertility diagnosis. These advancements are making it easier for healthcare providers to offer personalized treatment plans.
3. Rising Awareness and Acceptance: There is a growing awareness and acceptance of infertility treatments among the population in Latin America. This shift in perception is encouraging more couples to seek medical help, thereby driving the demand for diagnostic devices.
4. Government Initiatives and Healthcare Policies: Governments in several Latin American countries are implementing policies and programs to support reproductive health. These initiatives include funding for infertility treatments and public awareness campaigns, further boosting the market.

3. Market Segmentation

Understanding the market segmentation helps in identifying the specific areas contributing to the market growth:

1. By Product Type:
   • Imaging Systems: These include ultrasound devices and other imaging technologies that help visualize reproductive organs and identify abnormalities.
   • Reagents and Consumables: Essential for various diagnostic tests, these include chemicals, kits, and other supplies.
   • Microscopes: Used in laboratories to examine sperm, eggs, and embryos at a microscopic level.
   • Incubators: Critical for maintaining optimal conditions for embryos during in vitro fertilization (IVF) procedures.
   • Others: Includes software and other support devices used in diagnostic procedures.
2. By End-User:
   • Hospitals: Major end-users due to their comprehensive reproductive health services.
   • Diagnostic Centers: Specialized centers focusing on infertility diagnosis and treatment.
   • Fertility Clinics: Provide dedicated infertility services, including diagnostics and treatments.
   • Research Institutes: Engage in research and development activities related to infertility diagnostics.
3. By Country:
   • Brazil: The largest market in the region due to its advanced healthcare infrastructure and high population.
   • Mexico: Significant growth driven by increasing healthcare expenditure and awareness.
   • Argentina: Growing market with rising infertility rates and improving healthcare services.
   • Colombia: Emerging market with potential for growth due to government initiatives.
   • Chile: Notable for its advanced medical services and increasing demand for infertility treatments.
   • Rest of Latin America: Includes countries with developing healthcare systems and growing awareness of infertility issues.

4. Market Growth

Several factors contribute to the robust growth of the infertility diagnostics devices market in Latin America:

1. Emerging Markets and Economies: The region includes several emerging markets with improving economic conditions. As disposable incomes rise, more individuals can afford infertility treatments.
2. Investment and Funding Trends: There is a notable increase in investments from both government and private sectors aimed at improving healthcare infrastructure and expanding access to infertility treatments.
3. Impact of Lifestyle Changes: Modern lifestyle choices, such as delayed marriages and childbearing, have led to an increase in infertility rates, driving the demand for diagnostic services.
4. Increasing Age of Childbearing Women: The trend of women choosing to have children later in life is contributing to higher infertility rates, as fertility decreases with age. This trend is boosting the need for diagnostic devices to address age-related infertility issues.

5. Recent Developments

The Latin America infertility diagnostics devices market has witnessed several recent developments that are shaping its future:

1. Innovations and New Product Launches: Companies are continuously introducing new and improved diagnostic devices. For instance, advanced imaging systems with higher resolution and accuracy are now available, providing better diagnostic capabilities.
2. Collaborations and Partnerships: Key players in the market are forming strategic partnerships to enhance their product offerings and expand their market reach. These collaborations often focus on research and development, leading to innovative solutions.
3. Regulatory Approvals: The market has seen several new devices receiving regulatory approvals, allowing for their commercialization and wider adoption in the region.
4. Research and Development Activities: Continuous R&D efforts are leading to the discovery of new diagnostic markers and the development of more efficient diagnostic tools, contributing to market growth.

6. Market Scope

The scope of the infertility diagnostics devices market in Latin America is broad, with significant potential for growth:

1. Market Potential and Opportunities: The region offers substantial market potential due to the high prevalence of infertility and the increasing demand for diagnostic services. Countries with developing healthcare systems present opportunities for market expansion.
2. Challenges and Barriers: Despite the opportunities, the market faces challenges such as high costs of diagnostic devices, lack of awareness in certain regions, and limited access to advanced healthcare facilities.
3. Future Prospects: The future looks promising with ongoing technological advancements, increasing investments, and supportive government policies. The market is expected to expand further, with more couples seeking infertility treatments.

7. Middle East and Africa In-vitro Diagnostics Market Analysis

A comparative analysis with the Middle East and Africa (MEA) in-vitro diagnostics market provides additional insights:

1. Market Dynamics and Growth Drivers: Similar to Latin America, the MEA region is experiencing growth driven by increasing healthcare expenditure, rising prevalence of chronic diseases, and technological advancements in diagnostics.
2. Key Players and Strategies: The MEA market features several key players employing strategies such as mergers and acquisitions, product launches, and strategic collaborations to strengthen their market position.
3. Comparative Growth: While both regions show promising growth, the MEA market benefits from substantial investments from oil-rich countries, enabling faster adoption of advanced diagnostic technologies.

8. Competitor Analysis

A detailed analysis of the major companies operating in the Latin America infertility diagnostics devices market reveals competitive strategies and market positioning:

1. Market Share Analysis: Leading companies such as Cook Group, Vitrolife, and Thermo Fisher Scientific hold significant market shares due to their extensive product portfolios and strong distribution networks.
2. Competitive Strategies: Companies are focusing on strategies like product innovation, geographic expansion, and strategic partnerships to gain a competitive edge.
3. SWOT Analysis:
   • Strengths: Strong brand recognition, extensive product range, and robust R&D capabilities.
   • Weaknesses: High costs of products, regulatory challenges, and dependence on import of advanced technologies.
   • Opportunities: Untapped markets, increasing healthcare expenditure, and rising awareness about infertility treatments.
   • Threats: Economic instability, intense competition, and regulatory hurdles.

9. Key Players in the Latin America Infertility Diagnostics Devices Market

Several key players are driving the market with their innovative products and strategic initiatives:

• Cook Group: Known for its comprehensive range of infertility diagnostics devices and strong global presence.
• Vitrolife: A leader in reproductive health solutions, offering advanced diagnostic tools and fertility treatments.
• Thermo Fisher Scientific: Provides a wide array of diagnostic devices and is known for its innovative solutions and strong R&D capabilities.
• Hamilton Thorne LTD: Specializes in advanced imaging systems and diagnostic tools for infertility.
• Esco Micro Pte Ltd: Offers a range of laboratory equipment and diagnostic devices for fertility clinics.
• Genea Limited: Focuses on innovative fertility solutions and diagnostic devices.
• IVFtech APS: Provides advanced incubators and other diagnostic tools for IVF procedures.
• FIJIFILM Irvine Scientific: Known for its high-quality reagents and consumables used in infertility diagnostics.
• The Baker Company INC: Offers a variety of diagnostic devices and laboratory equipment for fertility clinics.

10. Key Features of the Market Report

The market report provides a comprehensive analysis of various key features, including:

1. Patent Analysis: Examination of key patents in the market, their impact on innovation, and competitive advantage.
2. Grants Analysis: Overview of significant grants and funding received by key players for research and development activities.
3. Clinical Trials Analysis: Detailed analysis of ongoing and completed clinical trials, highlighting their outcomes and implications for the market.
4. Funding and Investment Analysis: Insight into major investments and funding activities driving market growth.
5. Partnerships and Collaborations: Analysis of key partnerships and collaborations among leading players, focusing on their impact on market expansion and innovation.

11. Frequently Asked Questions (FAQs)

What is the current size of the Latin America infertility diagnostics devices market?
The market is expanding rapidly, driven by increasing infertility rates and technological advancements. Exact figures vary, but the market is projected to grow at a CAGR of 8.8% from 2024 to 2032.
What are the major drivers of market growth?
Key drivers include rising infertility rates, technological advancements in diagnostic devices, increasing awareness and acceptance of infertility treatments, and supportive government initiatives.
Who are the leading players in the market?
Leading players include Cook Group, Vitrolife, Thermo Fisher Scientific, Hamilton Thorne LTD, Esco Micro Pte Ltd, Genea Limited, IVFtech APS, FIJIFILM Irvine Scientific, and The Baker Company INC.
What are the key challenges facing the market?
Challenges include high costs of diagnostic devices, lack of awareness in certain regions, limited access to advanced healthcare facilities, and regulatory hurdles.

Hi!
Female, 28, 150lbs.
Friday afternoon I noticed this rash on my right hip. Initially it was pretty itchy but I was able to ignore it as the day went on. One thing that stood out about this rash was that it was sore to touch, which was noticeable throughout the day but nothing too serious. I figured it would go away if I didn’t pay it any attention so I left it over the weekend since I was going on vacation. Fast forward to today and the rash has not gone down in size. It is itchy when agitated but the soreness is definitely noticeable, especially when I walk. The pain almost feels like I got an IM injection there. One other thing I noticed is that I now have a hard and moveable lump on my right groin - that is also painful to touch. I decided to go to urgent care today because google told me it could be lymphoma, but the Dr I saw today said it could be shingles, herpes, or cellulitis. I’ve had both the varicella vaccine and chicken pox, and I’ve been in a committed relationship for the last 6 years. I also don’t recall getting cut/bit on my right thigh so I don’t know how I would’ve gotten cellulitis.
I’ll attach a picture of the rash below but any input is appreciated. Since I’m out of the 72 hour window, the Dr said that antivirals wouldn’t be helpful so he prescribed me oral antibiotics to take until my swab comes back.