Triphala doctors and recommendation

California's Finest Cannabis

2015.12.10 07:34 icepakkk California's Finest Cannabis

Finest Cannabis dispensary in Northern California, hands-down no doubt about it. Burn the finest trees, organically speaking.
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2022.08.11 04:34 bloggerny Erectile Dysfunction

Erectile Dysfunction
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2024.05.22 02:31 jupiter528 Nine weeks lapiplasty post-op shoe recommendations?

I finally got the go ahead today to wear sneakers and get out of the boot. I had lapiplasty nine weeks ago. I usually prefer minimalist looking, black, flat shoes, like Toms, which isn't an option anymore of course. My doctor recommended athletic sneaker brands but I'm wondering if anyone knows of anything out there that's supportive but not athletic looking. He did say I could use inserts for added support but added that many inserts don't provide enough support. Any recommendations for shoes and/or inserts appreciated. Thank you!
submitted by jupiter528 to bunions [link] [comments]


2024.05.22 02:21 GenericThrowaway59 Differences between Wellbutrin and Sertraline?

I used Sertraline two years ago for about 3 weeks, but had to quit because the side effects were unbearable. My doctor recommended I try Voxra (same as Wellbutrin but different brand name in Sweden), but I'm really scared because I don't want to have suicidal thoughts again, and panic attacks. I'm also afraid of getting erectile dysfunction, which seems to have happened to a lot of men who used antidepressants.
submitted by GenericThrowaway59 to bupropion [link] [comments]


2024.05.22 02:20 Kind-Trip5369 Ex refusing medical care

My 16 yo son recently was hospitalized for mental health reasons and being suicidal. After several days, his doctor advised to start psychiatric treatment with meds and therapy. Ex and I share 50/50 legal custody and he has denied all drug treatment saying “just because everyone in my family is on anti-depressants doesn’t mean his son needs to be.” I asked that he listen to the doctor. He is also saying he only wants our son going to a certain therapist that costs 250/hour and be seen 2 times a week. I cannot afford my half, which would be 125 each session. My son is now home and is not in a good space. I am scared he will harm himself and without treatment I don’t want him alone. I’m already in a custody battle with my ex and can’t afford another lawyer to handle this issue. Is there a way I can file for emergency legal custody and get my son the doctor recommended treatment? All my ex seems to want to do is say no and put some expensive road lock up to getting his son actual help. I’m in California.
submitted by Kind-Trip5369 to legaladvice [link] [comments]


2024.05.22 02:16 Hot_Peach_5232 How do I get semaglutide ?

I have been doing research for a while and spoke to my doctor. He recommended that I go on USHGSHOTSS but I’m not sure I trust it. Has anyone used them? How do I go about getting it elsewhere?
submitted by Hot_Peach_5232 to Semaglutide [link] [comments]


2024.05.22 02:14 lukeperrysghost Sonata vs. Laparoscopic Hysterectomy

Hi all. I had my consultation with my doctor recently and she recommended the Sonata procedure because I voiced that I was afraid of surgery. I am wondering if anyone has had this done and what is it like? I am also wondering about the likelihood that they will return with this procedure. Although I am afraid of surgery, if I am going to have to have it done in the end anyway is it worthwhile to just skip the Sonata? But on the other hand, if the Sonata works then maybe I should do and keep my organs. I am just curious about other people’s experiences. My mom has passed and I don’t really have any women to talk to.
submitted by lukeperrysghost to Fibroids [link] [comments]


2024.05.22 02:11 Sunflower-seed26 Would like a second opinion on elevated ALT results

29F 5’ 5” 149 lbs: March 27th I went in for a physical and my labs showed that I had elevated ALTS 75 U/L… since then I have gotten my blood drawn a couple more times (doctor’s orders) and each time my enzymes seem to keep going down. 5/03 @ 61 U/L and today 5/21 I am at 52 U/L and everything else is normal. I also got a CT scan where everything looked normal. I consider myself pretty healthy but I do have IBS with chronic constipation. Since my initial results I’ve gone down a rabbit hole trying to do my own research because my doctor keeps wanting to just draw blood and do expensive procedures without really doing much else to help but keep me abstinent from alcohol which I have been since March. During my research I learned that birth control could be the cause so I got off the pill April 26th ( started it in August 2023) and the only other thing I take daily is a supplement- hemp protein. Also, I do CrossFit which I most recently learned exercise can elevate liver enzymes. So this time I took almost 72 hrs rest before my labs. My doctor wants me to get an ultrasound done next… if that looks normal then refer me to a GI. Is an ultrasound necessary, we already did a CT scan? Just looking to get a second opinion on what should really be my next steps because I feel like I’m going in circles with my doctor and don’t want this to go on all summer! What would you recommend to someone in my situation? Thank you!!
submitted by Sunflower-seed26 to AskDocs [link] [comments]


2024.05.22 02:08 RegrowthGuru THE CARDIOVASCULAR BENEFITS OF FINASTERIDE

Finasteride, marketed under the names Propecia or Proscar, has long been prescribed to address male pattern baldness and enlarged prostate. However, a recent study conducted at the University of Illinois Urbana-Champaign suggests that there may be some cardiovascular benefits of finasteride. Research shows that finasteride can reduce cholesterol levels, lowering the risk of cardiovascular disease.

WHAT IS FINASTERIDE?

Finasteride is a medication used to treat hair loss, particularly male pattern baldness, as well as benign prostatic hyperplasia (BPH). BPH is a condition characterized by an enlarged prostate gland. Finasteride belongs to a class of drugs known as 5-alpha-reductase inhibitors. Its primary mechanism of action involves blocking the enzyme 5-alpha-reductase, which converts testosterone into dihydrotestosterone (DHT). By inhibiting DHT production, finasteride helps to slow down hair loss and promote hair regrowth in individuals with androgenetic alopecia. While also reducing prostate gland size and relieving symptoms associated with BPH. Finasteride is typically available in oral tablet form. It is often prescribed at a dosage of 1 milligram daily for hair loss and 5 milligrams daily for BPH. It is important for individuals considering finasteride to consult with a healthcare provider to discuss its potential benefits and risks.

HOW FINASTERIDE TREATS HAIR LOSS

Finasteride operates through a multifaceted mechanism targeting the root cause of male pattern baldness, also known as androgenetic alopecia. Male pattern baldness is predominantly driven by the hormone dihydrotestosterone (DHT), which plays a central role in shrinking hair follicles. This process shortens the hair growth phase, and eventually leads to hair thinning and loss. Finasteride functions by inhibiting the activity of the enzyme 5-alpha-reductase, responsible for converting testosterone into DHT within the body. By blocking this enzyme, finasteride effectively reduces DHT levels in the scalp. Thereby interrupting the destructive cycle that leads to hair follicle miniaturization and eventual hair loss.
One of the primary effects of finasteride is to prolong the anagen, or growth, phase of the hair follicle cycle. With reduced levels of DHT, hair follicles can remain in the active growth phase for longer periods, resulting in thicker, healthier hair strands. Additionally, finasteride may also stimulate the proliferation of hair follicle cells and promote the development of new, stronger hair shafts. Over time, this leads to increased hair density, improved scalp coverage, and a noticeable reduction in hair loss.
Clinical studies have consistently demonstrated the efficacy of finasteride in treating male pattern baldness. In randomized controlled trials, men using finasteride showed significant improvements in hair growth compared to those receiving a placebo. Moreover, long-term observational studies have revealed sustained benefits of finasteride therapy. Many individuals experienced continued hair regrowth and maintenance of hair density over several years of treatment. Finasteride is typically administered orally, with a recommended dosage of 1 milligram per day. Overall, finasteride remains a cornerstone in the management of male pattern baldness. It offers effective and reliable results for many individuals seeking to address hair loss concerns.

FINASTERIDE LEADING TO DECREASED CHOLESTEROL

Emerging research suggests that finasteride may possess unexpected benefits beyond its primary indications. A study conducted at the University of Illinois Urbana-Champaign found intriguing associations between finasteride use and reduced cholesterol levels, potentially leading to a decreased risk of cardiovascular disease. Published in the Journal of Lipid Research, the study analyzed data from the National Health and Nutrition Examination Survey (NHANES) between 2009 and 2016, revealing significant correlations between finasteride usage and lower cholesterol levels among male participants. Moreover, experiments conducted in mice administered high doses of finasteride demonstrated reductions in total plasma cholesterol, delayed progression of atherosclerosis, and diminished liver inflammation, suggesting a potential cardioprotective effect of the medication.
While the precise mechanisms underlying finasteride’s impact on cholesterol levels remain to be fully understood, its primary mode of action provides a plausible explanation. Finasteride works by inhibiting the enzyme 5-alpha-reductase, thereby reducing the conversion of testosterone to dihydrotestosterone (DHT). Given the established link between androgens and cardiovascular health, particularly in the context of atherosclerosis, it is conceivable that finasteride’s modulation of androgen levels may contribute to its cholesterol-lowering effects. However, further research is warranted to explore the intricate interplay between finasteride, hormonal dynamics, and cardiovascular risk factors, offering new avenues for understanding and potentially leveraging the therapeutic benefits of this widely used medication.

STUDY FINDINGS

Published in the Journal of Lipid Research, the study uncovered significant correlations between finasteride usage and decreased cholesterol levels among male participants in the National Health and Nutrition Examination Survey from 2009 to 2016. Additionally, in experiments involving mice administered high doses of finasteride, researchers observed reductions in total plasma cholesterol, delayed progression of atherosclerosis, diminished liver inflammation, and associated benefits.
Lead study author Jaume Amengual, Assistant Professor in the Department of Food Science and Human Nutrition and the Division of Nutritional Sciences at the College of Agricultural, Consumer and Environmental Sciences (ACES) at U. of I., expressed surprise at the findings. Contrary to expectations, men using finasteride exhibited cholesterol levels averaging 30 points lower than non-users, shedding light on an unforeseen aspect of the medication’s effects.
Subsequent experiments conducted by doctoral student Donald Molina Chaves involved administering varying doses of finasteride to atherosclerotic male mice fed a high-fat, high-cholesterol diet. Results revealed lowered cholesterol levels in mice receiving high doses of finasteride, accompanied by reduced liver lipids and inflammatory markers.
While the observed effects were significant at doses exceeding human usage, Amengual emphasizes the importance of considering species differences in drug metabolism. Nonetheless, the findings suggest that finasteride may influence cholesterol levels in humans even at standard doses. This offers a promising avenue for further investigation.

FUTURE DIRECTIONS

Prompted by the unexpected connection between finasteride and cholesterol levels, Amengual delved deeper into the mechanisms underlying this phenomenon. Given the drug’s primary role in altering hormonal dynamics by blocking a protein involved in testosterone activation, Amengual’s interest in exploring its broader effects was piqued.
Moving forward, tracking cholesterol levels in finasteride patients or conducting clinical trials may elucidate this effect further. Of particular interest is exploring potential cardiovascular benefits in transgender individuals undergoing hormonal transitions. This is a group at higher risk of both hair loss and cardiovascular disease.

CONCLUSION

Despite the potential benefits, Amengual emphasizes the importance of consulting healthcare providers before commencing finasteride treatment, given its associated risks. Nonetheless, these findings open new doors for research into the broader implications of finasteride. This offers hope to a diverse range of individuals for the cardiovascular benefits of finasteride.
submitted by RegrowthGuru to HairlossRecoveryCom [link] [comments]


2024.05.22 02:03 hornydarkwitch Just discovered how an IUD procedure goes- I feel violated.

I just saw a tiktok about how doctors don't tell women about using forceps when putting in an IUD. My brain immediately thought "wait, what do you mean forceps? I was never told that when I got my IUD, that has to be fake!"
I jumped on Google and low and behold, I found this really detailed video about the procedure. Not only do they use a tenaculum to hold the cervix in place, they then insert a rode to measure the length of the uterus, and finally insert the IUD.
Now, I don't doubt that all those steps are necessary- but why in hell was I not told about it when I had mine put in? The nurse dumbed it down to "we'll put in a speculum and then the IUD goes in" and I didn't know any better, I had no reason to question her explanation. If she'd told me all the steps, I definitely would have asked for pain relief, which it's already outrageous that it's not part of the procedure.
The procedure itself was painful, but the worst was the intense pain in the following hours, I ended up going to A&E as it was so much more painful than what the nurse had hinted at.
Now discovering what my poor cervix went through, I feel violated. I feel like I was lied to, presented with a straightforward, limitedly invasive procedure, when in reality my cervix was pinched and manoeuvred without any offer of pain relief. How is the state of women's healthcare this atrocious in 2024?
For anyone interested in seeing what the procedure looks like, I recommend the video I watched, it's really clear and seeing a real procedure is super interesting:
https://globalhealthmedia.org/videos/inserting-an-iud/
submitted by hornydarkwitch to TwoXChromosomes [link] [comments]


2024.05.22 02:02 peacockskater7 Do I really need Humira

Sorry for the long post…for some reason this post was removed from the Humira forum so posting here for input. Has anyone taken Humira and ended up regretting it or realizing you don’t need it? I’ve had moderate to severe alternating butt pain for a few years now, on occasion very debilitating, sometimes okay, most frequently hurts to some level these days. X-ray showed no ankylosing but did show mild erosion on iliac side of joint and suggested “mild ilii osteitis condensans.” Primary care doctor sent me for a CT and bloodwork and referred me to rheumatologist in fears that it may be AS. CT indicated potential sacroiliitis but bloodwork was totally clear, no inflammatory markers and negative for the BL27 gene or whatever. Rheumatologist was pretty quick to diagnose it as inflammatory/autoimmune based on family history and the fact that I also have type 1 diabetes and celiac disease. He sent me for a MRI that confirmed bilateral active inflammatory sacroiliitis and bone marrow edema. He said it’s for sure axial spondyloarthritis that could “only” be from 1 of 4 things: ankylosing spondylitis, ulcerative colitis, crohns, or psoriasis. I have no other symptoms of any of those things plus blood work was clear. I guess I’m wondering how he could be so confident of what it was, when my X-ray indicated potential ilii osteitis condensans which is a structural problem (even though I’ve never given birth)? Or inflammation from overuse injury from hiking? I also have super flat feet and just wonder if perhaps if there is ANYTHING at all that this could be other than one of these major autoimmune disorders…he wants me to start Humira right away but I am very nervous about it given the infection risk (I also had high-risk cancer causing strain of HPV 10 years ago that I don’t want to return), and a number of other side effects plus the headache of dealing with Acredo speciality pharmacy. And the potential for the Humira to affect my blood glucose management for my type 1 diabetes. I guess I don’t feel confident with my diagnosis despite having two rheumatologists recommend the same thing…and I feel like Humira isn’t the sort of drug to “just give it a try” with unless I start showing symptoms of one of the disorders or have more extreme debilitating pain. I should mention that he recommended Humira specifically because he’s worried that if I do have crohns or UC, Taltz would set it off, and I can’t take Rinvoq or anything like that because of the cardiovascular risk with the diabetes. Anyway, wondering if anyone’s gone though something similar and has any input? I am just so uncomfortable with the thought of taking Humira and suffering unwanted side effects without feeling confident that I need it
submitted by peacockskater7 to ankylosingspondylitis [link] [comments]


2024.05.22 01:47 lastpeastonite Can a rectal infection spread to the urethra? Where can I get a rectal swab done in NYC area?

Male here. Had unplanned and unprotected receptive anal sex. He later tested positive for mgen off an urine test but is not symptomatic
I just went to an urologist today and dropped a sample for the urine test. If it comes back negative, I think I could potentially still have a rectal infection. I tried to get an anal swab done but the office didn't do them. They also didn't have an urethral swab as an alternative.
If I do have a rectal infection, is it transmissible through my penis or would my partner only be at risk if they had exposure to my rectum?
I would like to get a rectal swab but not sure how to make that happen. I'm in NYC. I'm trying to get in to see Mon Vera who is on the recommended doctor list but he doesn't have any availability for two months.
Would ordering a home test be a good alternative? Or should I get the urologist to give me a req to walk into LabCorp/Quest with? I don't see a rectal swab option on their test list, but I saw a comment on this sub that the urethral swab could be used in the rectum. For the lab req option, would they collect the swab sample themselves or would I be able to go to the bathroom and swab myself?
I thought about just getting the antibiotics but I feel like there's no definitive way to get an all clear without a rectal swab.
submitted by lastpeastonite to MycoplasmaGenitalium [link] [comments]


2024.05.22 01:41 Maimseoles Comfortable work shoes

Hi, so I have calcific spurs on the back of my heels and Achilles tendinitis. I have had problems with my feet and ankles all my life but doctors can’t actually figure out a cause.
I will be getting a new job where I will be on my feet all day (8hrs/day) and I was wondering if anyone has good recommendations for non slip work shoes preferably leather so they are easy to clean as I will be working in a hospital.
submitted by Maimseoles to Advice [link] [comments]


2024.05.22 01:37 Then_Resolution7569 D-Mannose recs?

Hi! I keep getting recurring UTIs and it sucks :( usually I’ll take AZO for a day and the symptoms clear up. If it doesn’t I’ll go to the doctor. The two times I’ve gone, they said that yes I have an infection and prescribe me antibiotics but the cultures will say it’s not a significant amount or there wasn’t anything unusual. Through here I see that D-Mannose has helped so many people, and that the powder form is more effective. Which brand do you recommend? Do you take it before or after sex or daily? thank you so much in advance!!
submitted by Then_Resolution7569 to Healthyhooha [link] [comments]


2024.05.22 01:36 Evarice11 Re-infected? Advice for next steps? [NSFW]

Am I reinfected? See pics:
After treatment, I had what I think is a burrow (a line of red dots) and it grew to two more paths. It’s been a few days.
Backstory
I’ve had scabies before and having it again is traumatic, especially since in my first scabies infection my PC/GP said it was cleared, but then I infected someone.
Ive been reluctant to see a doctor this time around.
I live in the US, and I got scabies traveling around South America. I haven’t been officially diagnosed but symptoms are similar to my first encounter. In South America I was able to get permethrin and lathered more than the recommended amount of 2 doses. Still got itching at night. After 2 months, I got ivermectin. Still itched at night and had burrows.
I did both oral ivermectin and permethrin lotion twice spaced 7 days apart. It’s been 2 weeks since the last treatment.
I get itchy red bumps randomly of course, and I think I have some itching at night, but it’s not so bad—I can ignore it.
But I’m worried about that trail on my thigh (see pic).
My scalp, eyes, inside of ear and nostrils itch sometimes. I think the mites got up there. I’m worried if I go to a doctor they won’t believe it’s there.
It’s been 4 months since I got infected.
I’m looking for advice. The anxiety around this isn’t helping my decision making.
Options:
A. Buy a USB microscope. Scanning all over my body would give me peace of mind or help me find “proof”
B. Go to a dermatologist and do skin scrape. I’m distrustful of doctors saying I’m in the clear when I’m not. A skin scrape isn’t a guarantee I’m scabies free.
I suppose the dermatologist could recommend other treatments besides ivermectin and permethrin if they find scabies still.
C. Buy Benzyl Benzoate recommended by people in this subreddit and apply for 4 days straight, then reapply after a week—alongside taking ivermectin. (AKA continue to self-medicate)
D. Wait a few more weeks.
E. Other
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2024.05.22 01:30 IvoryandSteel 34 [F4R] #Anywhere - Lofi girl seeks synthwave boy or girl!

Hell on wheels. Not entirely straight. I am a goth babe, granted with defective legs—a budget goth babe, if you will. One of those off the shelf ones, except I don’t trust myself around shelves. Wheelchair and that. Looking for something long-term. Open to anyone 29-36. https://ibb.co/DwFPtqG Here I am! Please tell me your favorite book if you decide to send me a message! Talk about medieval history with me!
I love single-player RPGs, but I could use a player two. I am also a voracious reader so sometimes I read 10 books at once. I'm looking for something long-term. Right now I'm taking a break from school while I pursue my Masters in psychology and reading Lord of the Rings. I could also use Nintendo Switch friends. I usually play a human sorcerer in Dungeons & Dragons; if there's an open spot in your party I'll take it! I love Tolkien, A Song of Ice and Fire and recently started Robert Jordan's books! Arya, Sansa, Brienne, Jaime and Bran are my favorite characters. Baldur’s Gate, Mass Effect, Fallout and Elder Scrolls are some of my favorites. I collect vinyl and love my dog more than anything else.
Marathoning Doctor Who--Nine and Thirteen are my Doctors! Loving Shōgun and House of the Dragon, though I could always use more period drama recommendations! I keep Kitchen Nightmares on as background noise.
I have a special interest in shipwrecks and medieval English history.
Still love Evanescence, Lacuna Coil, Nightwish and bands of that illk. Will take emo and punk friends too! I need friends in Disney Dreamlight Valley as well!
I am looking for long, loving, lasting relationships primarily. If you are too please reach out. Please tell me a little bit about yourself if you can and please be fairly close in age to me. I am very shy, please be understanding if I am slow to respond.
submitted by IvoryandSteel to polyamoryR4R [link] [comments]


2024.05.22 01:27 IvoryandSteel 34 [F4A] #Anywhere - Lofi girl seeks synthwave boy or girl!

Hell on wheels. Not entirely straight. I am a goth babe, granted with defective legs—a budget goth babe, if you will. One of those off the shelf ones, except I don’t trust myself around shelves. Wheelchair and that. Looking for something long-term. Open to anyone 29-36. https://ibb.co/DwFPtqG Here I am! Please tell me your favorite book if you decide to send me a message! Talk about medieval history with me!
I love single-player RPGs, but I could use a player two. I am also a voracious reader so sometimes I read 10 books at once. I'm looking for something long-term. Right now I'm taking a break from school while I pursue my Masters in psychology and reading Lord of the Rings. I could also use Nintendo Switch friends. I usually play a human sorcerer in Dungeons & Dragons; if there's an open spot in your party I'll take it! I love Tolkien, A Song of Ice and Fire and recently started Robert Jordan's books! Arya, Sansa, Brienne, Jaime and Bran are my favorite characters. Baldur’s Gate, Mass Effect, Fallout and Elder Scrolls are some of my favorites. I collect vinyl and love my dog more than anything else.
Marathoning Doctor Who--Nine and Thirteen are my Doctors! Loving Shōgun and House of the Dragon, though I could always use more period drama recommendations! I keep Kitchen Nightmares on as background noise.
I have a special interest in shipwrecks and medieval English history.
Still love Evanescence, Lacuna Coil, Nightwish and bands of that illk. Will take emo and punk friends too! I need friends in Disney Dreamlight Valley as well!
I am looking for long, loving, lasting relationships primarily. If you are too please reach out. Please tell me a little bit about yourself if you can and please be fairly close in age to me. I am very shy, please be understanding if I am slow to respond.
submitted by IvoryandSteel to ForeverAloneDating [link] [comments]


2024.05.22 01:08 Technical_Ad_554 MRSA + antibiotic allergy

I’ve had reoccurring issues with folliculitis and boils that have recently gotten a lot worse. Doctor finally took a culture and it was positive for MRSA. The only non-IV antibiotic it’s not resistant to is bactrim. I got a rash last time I took bactrim, but my primary doctor thought it was worth trying it again despite the possible allergy. But I got very itchy after taking it so the doctor recommended I discontinue taking it. Infectious disease wasn’t much help. They referred me to allergy to see if I can take bactrim, but the first available appointment is months from now. I have been showering daily with chlorhexidine gluconate and using mupirocin on bumps and in my nose. But I am continuing to get large painful bumps. I’m not sure what else to do at this point.
submitted by Technical_Ad_554 to MRSA [link] [comments]


2024.05.22 01:03 Hip_III POLL: Who has been tested for chronic coxsackievirus B or echovirus infection using the CORRECT antibody test?

This poll asks ME/CFS patients if they have been tested for chronic coxsackievirus B and/or echovirus infections, using the correct blood test, which is an antibody test that employs the neutralisation method of antibody detection.
Dr John Chia has found that antibody tests using neutralisation method are sensitive enough to detect the chronic low-level coxsackievirus B and echovirus infections often found in ME/CFS patients.
Whereas he found that antibody tests using other methods of antibody detection such as CFT, ELISA and IFA may not be sufficiently sensitivity to detect chronic enterovirus infections (these tests may work fine in acute enterovirus infections, where this is lots of virus in the body, but not for chronic enterovirus infections, where there is much less virus).

In the ARUP Lab coxsackievirus B and echovirus neutralisation tests, Dr Chia says antibody levels of 1:160 to 1:320 and higher are good indicators of chronic active infection.
But if you were tested for these two enteroviruses by less sensitive CFT, ELISA or IFA methods, and your results were negative, or showed low antibody levels, you might incorrectly assume you do not have a chronic coxsackievirus B or echovirus infection, even though you may actually have one.
So using the wrong enterovirus test can lead to false conclusions about your infection status.

It is worth knowing if you have active enterovirus infections with coxsackievirus B or echovirus, because Dr Chia has a number of treatments for these infections, including oxymatrine, Epivir and tenofovir, which in some patients find can make a major improvement.
Labs which offer the neutralisation tests for enterovirus are rare, and there are only a handful of them in the world. The following labs can test you for coxsackievirus B or echovirus by neutralisation:
These labs will usually require you to work with a doctor (who will submit your blood serum sample to the labs); they may not accept serum samples directly from patients.

Note that if you were tested by the ArminLabs coxsackievirus B test, this is more-or-less useless, as out of the six coxsackievirus B serotypes, B1 to B6, it only tests for Coxsackie B1, and does not test for Coxsackie B2 to B6. This fact is not stated on this test's webpage (but it is stated here under: Virology > Ligand Assays); many ME/CFS patients get the ArminLabs CVB test and think they have tested for Coxsackie, but they have not.
Dr Chia observes that the coxsackievirus B and echovirus serotypes most often found in ME/CFS are:
So the ArminLabs test does not test for the most common coxsackievirus B serotypes found in ME/CFS. It also uses the IFA method, which may be insensitive for chronic coxsackievirus B infections.
References:
Viral Testing in ME/CFS
Enterovirus Foundation: Enterovirus Diagnosis and Testing



View Poll
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2024.05.22 00:57 smallfrie32 How did you “choose” which hormone?

Hey, folks. I’ve finally been able to see a doctor about HRT in Japan. There’s some language issues, but mostly it goes fine (even if the doctor was gruff). He’s recommending Divigel.
Reading reddit posts, I wonder about progesterone and other types. What are your experiences with them?
Also, TW penis talk any trans women who like having a penis? How do you keep it functioning (erections) on hormones? I heard about using T gel on just that spot, but the doc seemed confused by it
submitted by smallfrie32 to asktransgender [link] [comments]


2024.05.22 00:43 itsjustfarkas How can I gain weight?

I’ve recently been diagnosed with POTS at 25, so anytime I eat a meal larger than 5 bites, it triggers a flare up where I get dizzy/faint/feels like my heart skips a beat. My doctor says it’s from triggering the vagus nerve and most likely is pre-syncope (I also somehow have a C6-7 disc herniation so maybe that’s triggering my vagus nerve too). On top of that, my gastro recommended a low FODMAP diet with no end date to help with my IBS-like symptoms, so it feels like I can’t eat anything. Even my rheumo now thinks I have fibromyalgia on top of this so she said no processed foods and sticking to an anti inflammatory diet. The whole situation just sucks since I was a normal food loving girl until December :(
So I need food that won’t make me full (since I’ve basically been eating less than 1000 calories a day against my will and need more food in me but can’t eat more than 3 bites every 15 minutes). I’m seriously at a loss here and have tried talking to a nutritionist who said peanut butter and olive oil should be my best friends. I would eat McDonalds fries with extra salt for the POTS, weight gain, and for easy snacking with other meal components, but with my possible fibromyalgia, now that’s off the tables too.
SOS please, I’m 103 lbs and keep losing weight. I’m showing signs of malnutrition and have been avoiding almost all the foods I love to eat because of this craziness, making it hard to stay positive. I can’t keep seeing my PCP every other week, it makes me look crazy and I shouldn’t be driving, not to mention taking time off from work.
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2024.05.22 00:40 Plantymirrt Constant Fullness in Sinuses

20M 5’11 160lbs No medications or health conditions
Hello everyone! I’ve come on here to ask for my help for my situation. Doctors ents headache specialists neurologists and even just people who want to comment, I would really appreciate it if you shared your thoughts on what is going on and what course of action I should take. Basically the question is should I get surgery for the anatomical variants?( large right concha bullosa of middle turbinate and significant leftward deviated septum with a prominent bone spur on it). The concha bullosa is pretty big and hits both the septum and other side it’s not like a regular one. The deviated septum also hits the wall and blocks off the drainage pathways just like the concha bullosa.
Here is my symptoms: For about a year and half now I have had a constant fullness and pressure within my sinuses. It’s normally felt in my nose forehead and sometimes cheeks. It’s constant 24/7 from the moment I wake up to the moment I go to bed. It’s sometimes painful and usually gets worse as the day goes on. When I bend down it definitely gets worse. It’s always there in my head to some degree and it never feels like my head is fully clear. I do have a bit of trouble when breathing through my nose but it’s nothing crazy but I can’t get a full, clear, and refreshing breath. What’s weird is that when I cry or something and my mucus starts draining the pressure goes away. Even when an ent did an endoscopy and started moving around the camera in my nasal cavity, the mucus started draining and my symptoms went away for a split second. Sometimes I notice that my ear feels full and that the pressure sensation even goes to my throat. The pain is dull constant doesn’t throb and isn’t sharp. I don’t have any auras, visual or sound disturbances etc. It doesn’t come in waves either. If there is any other symptoms you would like to know if I am having please ask.
Testing: MRI, ct scan, endoscopy, and blood tests normal except for the anatomical variants I listed above. No signs of infection or inflammation. Nothing indicating headaches and nothing wrong with brain. No lesions, bone destruction, etc. My ent did notice a build up of mucus though when doing the endoscopy. Did flounase 2x a day, Claritin 1x and nasal rinse 2x a day but no significant improvement. I was referred to neurology by my ent because he said nothing I had indicated the symptoms I am saying. At neurology, we ran a course of amitriptyline and did a magnesium + riboflavin supplement but those did not help or maybe helped VERY minimally. Hot showers feel nice sometimes and advil sometimes helps ease the pain(only to a limited extent) when it hurts a lot. I also talked to an allergist and he said it’s probably not allergies, and I got a skin prick test that came back negative for everything a while ago.
My thoughts: I personally believe that the anatomical variants are responsible for my symptoms. I think what’s happening is that they are trapping the mucus and air flow and obstructing the sinus drainage pathways which can cause that pressure/ fullness sensation and why my head doesn’t feel fully clear. There is nuance here though and this is why the ent and other people are hesitant to recommend surgery. Concha bullosa is a normal anatomical variant found in a significant portion of the population (maybe even up to 54%) and is mostly asymptomatic. Deviated septum is also fairly common and is not normally responsible for pressure feelings within sinuses. Furthermore, up to 90% of cases where people think they have sinus problems, are actually migraines according to some studies. But my case is different because I am well educated in the symptoms of migraines and what I am experiencing does not add up to that. Also my anatomical variants are not like the normal population, especially my concha bullosa because it is really large and the mucus drainage thing like with endoscopy points to the anatomical variants.
Plan: I really only have two courses of action left that I can think of. I either go back to neurology and run through more cycles of medications to see if it’s migraines and if that doesn’t work go back to ent and discuss surgery. Or I don’t waste time and go straight back to my ent and talk about surgery and stuff. If there is other options or something else I should look into, please let me know.
I would really appreciate it if you guys shared your thoughts and what you think is going on and what I should do going forward I am getting pretty desperate and I know surgery is a big step. If there is any other information or questions you have, I would be more than happy to tell you!
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2024.05.22 00:39 Captain_Hook_ Philippus Aureolus Theophrastus Bombastus von Hohenheim, better known as Paracelsus - details from the infamous "Book on Nymphs, Slyphs, Pigmies, Etc." - c. 1530

CAPUT I
...
Know, therefore, that the purpose of this book is to describe the four kinds of spirit-men, namely, the water people, the mountain people, the fire people and the wind people. Included among these four kinds are the giants, the melusines, the Venusberg and what is similar to them.
...
How things are in relation to us will have to be described in the following order:
First, their creation and what they are;
second, their country and habitation, where they stay and what their mode of living is;
third, how they come to us and let themselves be seen, how they mix and have intercourse with us;
fourth, how they perform some miraculous works, such as Melusine, the Venusberg and similar stories;
fifth, the birth of the giants and their origin, and also their vanishing and return.
...
CAPUT SECUNDUM
...
The flesh must be understood thus that there are two: the flesh from Adam and that which is not from Adam. The flesh from Adam is a coarse flesh, for it is earthen and is nothing else but a flesh that can be bound and grasped like wood or a stone. The other flesh which is not from Adam, is a subtile flesh and can not be bound nor grasped, for it is not made from earth. Now, the flesh from Adam is the man from Adam. He is coarse like the earth which is compact. And, therefore, man cannot go through a wall. He must make a hole to slip through, because nothing recedes before him.
But before the flesh that is not from Adam, walls recede, which means that such flesh does not require doors nor holes; it goes through intact walls and does not break anything. They are both flesh, blood, bone and so on, whatever belongs to a man, and in their whole nature they are like man’s. But they are different in that they have a double origin like two cousins; they are in equal way like a spirit and like man. The spirit goes through all walls and nothing locks him out; man, however, not, for he is locked out by the bolt or the lock.
...
With all this, they bear children, talk and eat, drink and walk—things that spirits do not. Hence, they are like the spirits in speed, like man in gestures, figure and eating, and so they are people who have the character of spirits and also that of man, and both are one in them. Although they are both spirit and man, yet they are neither one nor the other. They cannot be men, since they are spiritlike in their behaviour. They cannot be spirits, since they eat and drink, have blood and flesh. Therefore, they are a creation of their own, outside the two,... It must be understood further that although they are spirit and man, yet they are neither. Man has a soul, the spirit not. The spirit has no soul, but man has one. This creature, however, is both, but has no soul, and yet is not identical with a spirit. For, the spirit does not die, but this creature dies. And so it is not like man, it has not the soul; it is a beast, yet higher than a beast.
...
Now, they are separated from us because they are not from Adam and do not participate in the same earth from which Adam was made, but God has decreed that we may see them miraculously, which has a particular meaning, as will be discussed in the last treatise. They have children and their children are their kind, not ours. They are witty, rich, clever, poor, dumb like we who are from Adam. They resemble us in every way. Just as one says: man is the image of God, that is, he has been made after his image—in the same way one can also say: these people are the image of man and made after his image.
...
And so they are men and people, die with the beasts, walk with the spirits, eat and drink with men. That is: like the beasts they die, so that nothing is left; and neither water nor fire harms them, like the spirits, and nobody can lock them up, like the spirits, but they reproduce like men and therewith share his nature. They have man’s diseases and his health but their medicine is not from the earth from which man is made, but from the element in which they live. They die like men, but are dead like the beasts. Their flesh rots like other flesh and their bones like other men’s bones and nothing remains of it. Their customs and behaviour are human, as is their way of talking, with all virtues, better and coarser, more subtile and rougher. The same applies to their figures : they are very different, like men. In food they are like men, eat and enjoy the product of their labor, spin and weave their own clothing. They know how to make use of things, have wisdom to govern, justice to preserve and protect. For although they are beasts, they have all the reason of man, except the soul.
...
TRACTATUS II - ABOUT THEIR ABODE
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Their abode is of four kinds, namely, according to the four elements : one in the water, one in the air, one in the earth, one in the fire. Those in the water are nymphs, those in the air are sylphs, those in the earth are pygmies, those in the fire salamanders. These are not good names, but I use them nevertheless.
...
The name of the water people is also undina, and of the air people sylvestres, and of the mountain people gnomi, and of the fire people vulcani rather than salamandri.
...
Now you must know that if their regions have to be described, they must be divided into their parts. For the water people have no intercourse with the mountain people, nor the mountain people with them, nor the salamanders.
...
The undinae have their abode in water, and the water is given to them as to us the air, and just as we are astonished that they should live in water, they are astonished about our being in the air. The same applies to the gnomi in the mountains: the earth is their air and is their chaos. For everything lives in chaos, that is: everything has its abode in chaos, walks and stands therein. Now, the earth is not more than mere chaos to the mountain manikins. For they walk through solid walls, through rocks and stones, like a spirit; this is why these things are all mere chaos to them, that is, nothing. That amounts to: as little as we are hampered by the air, as little are they hampered by the mountain, by earth and rocks.
...
Since water is the fish’s air, the fish does not drown, and so the unda does not drown either. As in the water, so in the earth: the earth is air to the gnomi; hence they do not suffocate. They do not require our air, we do not theirs. Thus also with the salamanders: fire is their air, as our air our air is. And the sylvestres are closest to us, for they too maintain themselves in our air, and they are exposed to the same kind of death as we, namely: they burn in fire, and we too; they drown in water, and we too; they suffocate in the earth, and we too. For, each remains healthy in his chaos; in the others he dies.
...
Let us philosophize further, about their food ... The sylphs are like men, nourish themselves like men in the wilderness, on herbs in the woods. To the salamanders the soil is earth, their heaven is the air, and fire their chaos. Thus food grows to them from the earth and from fire, and the constellation from air is their heaven.
...
About their clothing: they are clothed and cover their genitalia, but not in the way of our world, in their own way. For they have modesty and similar qualities, as men must have, have law and similar institutions, have their authorities, [etc.] ... To the beasts clothing is inborn by nature, but not to these people. To them nothing is inborn by nature; they must work for it like man whom they resemble. Their work, like man’s work, is in the nature and kind of their own world and earth on which they live.
...
**About their figures, know that they are different. The water people look like men, both women and men. The sylvestres do not conform, but are cruder, coarser, longer and stronger than both. The mountain people are small, of about two spans. The salamanders are long, narrow and lean. Their place and abode are in their chaos, as was mentioned before. The nymphs live in water, in running brooks, etc., so close that they grasp the people who ride through or bathe therein. The mountain people are in the mountain chaos, and there they build their houses. This is why it often happens that one finds in the earth an attic, vaults, and similar structures, of the height of about a yard. They have been build by these people for their abode and dwellings.
The water people do the same in their various places. Know also that the mountain people live in the caves of the mountains and this is why strange structures occur and are found in such places. These are their work. Know also about the fire people whose yelling, hammering and working can be heard in volcanic mountains. It can also be heard when the elements are incinerated. For all these things are the same as with us, but according to their secret quality. Those who travel through wild regions learn the reason for such beings and obtain information. There these beings are found. In the mines also, close to good ore, etc. they are found, and in waters the same also, and the vulcans near the Aetna. And there are many more marvellous things, about their coins, payments and customs, which would be too long in this connection, but will be described in their place.**
TRACTATUS III - HOW THEY COME TO US AND BECOME VISIBLE TO US
All that God has created, he reveals to man and lets come before him, so that man has and attains knowledge of all happenings of the creatures.
...
And in order that we may have a good knowledge of things, the water people have not only been truly seen by man, but have married him and have born him children. Thus also, the mountain people have not only been seen, but people saw them, and talked to them, and received money from them and blows and similar things. The same happened with the forest people, as was mentioned before, the people saw them and dealt and walked with them. Thus also, with the vulcans, who also, as mentioned before, appeared to man, and revealed themselves essentially, who they were and what had to be understood of them all.
...
The nymphs, namely, become apparent to us, but not we to them, except in what they tell about us in their world, as a pilgrim would, who had been in foreign lands. They do not need such rapture, the way the mountain people enrapture us, or the water people. For they have no power over man, and their world is not such that they could adopt us. Man is not subtile in body, but coarse in body and subtile in chaos, while it is the contrary with them. Therefore, they can well stand our chaos, but not we theirs. Their element also is in itself their chaos, which to us may not be chaos. Thus they appear to us, stay with us, marry with us, die with us, and also bear children.
...
This happens with the water people. They come out of their waters to us, make themselves known, act and deal with us, go back to their water, come again—all this to allow man the contemplation of the divine works. Now, they are men, but on the animal side alone, without the soul. From this it follows that they marry men. A water woman takes a man from Adam, and keeps house for him, and gives birth to children. Of the children, we know that they follow after the father. Because the father is a man from Adam, a soul is given to the child, and it becomes like a regular man, who has an eternal soul. ... Just as the condition of these people is, when they are in union with man, so is the condition of man, when he is in union with God.
From this it follows that they woo man, and that they seek him assiduously and in secret. ... they seek love with man, so as to be in union with men. With them all intelligence and wisdom are outside the qualities of the soul, and not the soul.
...
One must also know that not all of them may be married to us. The water people come first; they are the closest to us. Next after them come the forest people, then the mountain and earth manikins who, however, rarely marry humans and are only obliged to serve them. The vulcans never attempt to enter into union with humans, and yet are apt to serve them. Know also that two of them, namely the earth manikins and vulcans, are considered spirits and not creatures, being looked upon as a mirage only, or as ghosts. You must know, however, that just as they appear, thus they are, flesh and blood like another man, and with that, quick and fast like a spirit, as was told in the beginning. They also know all future affairs, present affairs and the past, which are not apparent but are hidden. In that they can serve man, protect, warn, guide him, and such like. For they have reason in common with man (except in regard to the soul). They have knowledge and intelligence of the spirit (except in regard to God). Thus they are highly gifted, and they know and warn, so that man may learn about such things, and see them, and believe in such creatures.
...
It is said of the nymphs, that they come to us from the water, and sit on the banks of the brooks where they have their abode, where they are seen, taken also, caught, and married, as we said before. The forest people, however, are coarser than they. They do not talk, that is, they cannot talk although they have tongues and enough of all that is needed for speech. In this point they differ from the nymphs, for the nymphs can speak in the languages of the countries; the forest people, however, cannot but they learn easily.
The mountain manikins are endowed with speech like the nymphs, and the vulcans speak nothing, yet they can speak but roughly and rarely. The nymphs appear, as was said before, in human clothing, with human features and desires. The forest people are like men, but shy and fugitive. The mountain people are like men, not tall, short; sometimes they reach about half the size of man or so, sometimes more. Thus and in the same way, the vulcans appear, fiery, and fire is all over their features and clothing.
They are the ones of whom one says: a fire man or spirit is going through the house; there goes a burning soul, etc. It often happens that such figures are seen. They also are the flames that are frequently observed as glowing lights in meadows and fields, running through each other and towards each other. These are the vulcans, but they are not found living with man, on account of their fire. They are often found with old women, however, that is, with witches, wooing them.
...
You must know, however, that there is danger with the fire people, because they are commonly possessed, and the devil thus rages in them, which causes great harm to man. Know also that he equally takes possession of the mountain people and thus makes them subservient to him, and of the forest people also. He then can be found in the forest possessing sylphs and venturing to make love to women who live in forest regions. But they all become like lepers, scabby and mangy, and there is no help for them either.
When these beings are not possessed by the devil they are human and seek union as has been mentioned. But they keep the way of spirits, in that they disappear. One who has a nymph for a wife, should not let her get close to any water, or at least should not offend her while they are on water. And one who has a mountain manikin with him, should not offend him, particularly not at places where they get lost. But they are so much obliged to man and so closely bound to him, that they cannot get away from him, unless there is a reason for it, and this happens at the place from which they come. If one has a wife, she does not get away from him, unless she is provoked while they are on water. Otherwise she will not disappear and can be held. The mountain manikins also must keep their pledges, when they are in service and have been pledged.
But obligations to them must be kept also, in all that is due to them. If duties are kept as should be, they are honest, constant, and intent on their work. And one must know that they are particularly loyal to man and much inclined to spending money. For, the mountain people have money, because they themselves coin it. This is how it must be understood. What a spirit wishes to have, he has, and their wishing and desiring is thus: when a mountain manikin wishes or desires a sum of money, if there is need for it, he has it, and it is good money. Thus they give money to many people in the galleries of mountains, to make them get away; they buy them off. All this is divine order— that they thus appear to us and that we see what is incredible to tell. Man is the most earthbound of all creatures. What he must have and wants, he must make for himself, and he obtains nothing by wishing and desiring it. But those people have what they need and desire, and man does nothing for it. They have it without work.
TRACTATUS IV
As we came to the end of the treatise, we had sufficiently discussed the necessities of these beings, and how they come to man. You must now, furthermore, know about their disappearance from man, and about their doings with us, with many such tales and stories that have happened with them, in many queer ways.
...
It also happens that sirens are born. They are water women too, but live more on the water than in it. They are not split like fish, but are more like a virgin, yet their form is not quite that of a woman. They bear no children but are monsters, just as a strange human being can be born from two normal parents. I would like to put it thus: the water people reproduce themselves like humans, but when it happens that they produce a monster, these monsters are sirens that swim on the water, for they repudiate them and do not keep them. This is why they occur in many forms and figures, as it happens and is the case with all monsters.
Thus we marvel not only at the water people but also at the sirens, who have many strange features and are very different from people. Some can sing, some can whistle with reeds, some can do this and that. Monks are also born from nymphs, that is, a monster which is shaped just like a monk. This you must know, namely, that such growths that are comparable to men and are found in some places, come from men, that is, they come from water people, earth manikins and similar beings.
...
To continue the discussion of these beings, know that such people also convene and assemble in one place, where they may live together and seek intercourse with man, for they love him. ... There are more women than men in such groups, few men, many women; hence they are after men whenever they have a chance. From such people a group originated that is called the Venusberg. It consists of nothing else but a kind of nymphs, thrown together in a cave and hole of their world, yet not in their own chaos, in man’s chaos, but in their regionibus. Know about them that they reach a very old age, but you cannot notice it, because their appearance remains the same from beginning to end, and they die unchanged. Venus was a nymph and undine who excelled others and reigned for a long time, but she died and the succeeding Venus was not as endowed as she had been. She died in the course of time and her kingdom vanished. There are many tales about her.
...
There is a story about a different beginning. It tells of a queen who resided there and sank into the earth. It was a water woman who resided there. She went into the mountain, under the pond that was above her, in her region. There she took her abode, and for making love, she built a gallery, for her to get to the lads and they to her. Such strange things happened there that nobody was able to report about these beings, what they were or where they were from, until it came to an end. It is quite possible that this could happen again should another nymph come, equal to her.
...
There is also a true story of the nymph in Staufenberg who sat on the road in all her beauty and served the lord she had chosen. ... Our nymph was a water woman. She promised herself to von Staufenberg and stayed also with him, until he married another wife, and took her for a devil. Taking her for a devil and considering her such, he married another woman and thus broke his promise to her. Therefore, at the wedding, she gave him the sign, through the ceiling, during the banquet, and three days later, he was dead.
...
We must pay equally great attention to Melusine, for she was not what the theologians considered her, but a nympha. It is true, however, that she was possessed by the evil spirit, of which she would have freed herself if she had stayed with her husband to the end. For such is the devil that he transforms these beings into different shapes, as he also does with the witches, transforming them into cats and werewolves, dogs, etc. This happened to her also, for she never was free of witchcraft but had a part in it. A superstitious belief resulted, that on Saturdays she had to be a serpent. This was her pledge to the devil for his helping her in getting a man. Otherwise, she was a nympha, with flesh and blood, fertile and well built to have children. She came from the nymphs to the humans on earth and lived there. But then, as superstitio seduces and vexes all beings, she went away from her people in her superstitious belief, to the places where the seduced people come who are bewitched in superstitionibus and spell-bound. Mind you, she remained the same serpent to the end of her life, and God knows how long it lasted.
...
TRACTATUS V - DE GIGANTIBUS - On Giants
You must know further that there are two more kinds that belong to the kind of nymphs and pygmies, namely, the giants and dwarfs, who are not born from Adam. Although it is a fact that Saint Christopher was a giant, yet he took birth from human seed, and hence we shall not write about him. But we shall write about the other giants, referred to in the stories of Bern, Sigenott, Hiltbrant, Dittrich, etc., also about the dwarf Laurin and others. Such stories are frequently rejected, but you must know that the same people who reject them, reject also much more important truth.
...
To come to an end, know that such people, giants and dwarfs, may well make women from Adam pregnant, because same likes to meet same, and nature may permit it. Yet you must know that the monsters are not fertile, although they are monsters only so far as their strength and size is concerned; they are not misbuilt. But they have only one seed available, that is, they do not attain the third, fourth, etc. generation. Know also that when they get into man’s kind, the result is uncertain. If the child’s body takes after the mother it falls into her kind; if not, it becomes a beast like the father. It is not possible for it to become a mixed being because the seed of one of the two always prevails. It happens otherwise that both become one seed, but here not. And if it were one seed it would have to be qualified by the one partner who gives the soul. More is said about this subject in other philosophical treatises, and there is no need to tell it here. Their kind, however, has died out and they have left no descendants to replace them.
TRACTATUS VI - ON THE CAUSES OF SUCH CREATURES
Now that we must reflect in terms of natural philosophy about the causes of these creatures we must remember the facts, all the points, many of which have been discussed in the previous treatises. We need not repeat them here. Further causes that may be explored are these: namely, that God has set guardians over nature, for all things, and he left nothing unguarded.
Thus gnomes, pygmies and mami guard the treasures of the earth, the metals and similar treasures. Where they are, there are tremendous treasures, in tremendous quantities. They are guarded by such people, are kept hidden and secret so that they may not be found until the time for it has come. When they are found, people say: in times-of old there used to be mountain manikins, earth people here, but now they are gone. This means that now the time has come for the treasures to be revealed. The treasures of the earth are distributed in such a way that the metals, silver, gold, iron, etc., have been found from the beginning of the world on, and are being discovered by and by.
...
[Now of] the fire people. They too are guardians, of the fireplaces, in which they live. In these places the treasures, that others guard, are forged, prepared, made ready. When the fire is extinguished, it is the earth manikins’ turn to be on guard. And after the earth manikins’ guard, the treasures are revealed. It is the same with the air people. They guard the rocks that lie on the surface, that have been made by the fire people, and put at the place where they belong, from where they get into man’s hands. They guard them so long, until the time has come. Wherever there are treasures, such people are on hand. These are hidden treasures that must not be revealed yet.
...
The nymphs in the water are guardians of the great water treasures, that lie in the sea and other waters, that have also been melted and forged by the fire people. It is, therefore, commonly understood that where nymphs are, there are considerable treasures and minerals and similar matters which they guard. This is apparent in many ways.
...
The cause of the sirens, giants, dwarfs, also of the will-o’the-wisps, who are monsters of the fire people, is that they predict and indicate something new. They are not on guard, but signify that misfortune is threatening people. ... when this is going to happen, signs occur. These beings are such signs, as has been said, but not they alone; there are many more. You must know that the signs change each time. They do not appear in one way, but are hidden to our eyes.
And, finally, the last cause is unknown to us. But when the end of the world will come close, then all things will be revealed, from the smallest to the largest, from the first to the last, what everything has been and is, why it stood there and left, from what causes, and what its meaning was. And everything that is in the world will be disclosed and come to light. Then the fake scholars will be exposed, those who are highly learned in name only but know nothing by experience. Then, the thorough scholars and those who are mere talkers will be recognized for what they are, those who wrote truthfully and those who traded in lies, the thorough and the shallow ones. And to each will be measured according to his diligence, earnest endeavor and truth. At that place, not everyone will be or remain a master, or even a doctor, because there the tares will be separated from the wheat and the straw from the grain. He who now cries, will be quieted, and he who now counts the pages, will have his quills taken away. And all things will be revealed before the Day of Judgment breaks, order that it be found of all scholars, from the past to that very day, who had knowledge and who not, whose writings were right and whose wrong. Now, in my time, this is still unknown. Blessed will be the people, in those days, whose intelligence will be revealed, for what they produced will be revealed to all the people as if it were written on their foreheads. For that time I also recommend my writings for judgment, asking that nothing be withheld. Thus it will be, for God makes the light manifest, that is, everyone will see how it has shone.
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2024.05.22 00:38 Ballbusttrt 19 year old gym bro update + question about sugar intake

Hello guys, so a few months back I got diagnosed with CKD. Here are my updated diagnoses, hypoalbuminemia, CKD stage 3, focal segmental glomerulosclerosis, acute kidney injury, glomerulonephritis, nephrotic syndrome, and hyperuricemia. I did my kidney biopsy a few weeks ago, those are the results. Now I’m on a bunch of meds and we’ll gonna wait and see how everything goes. My kidney doctor told me to keep potassium low, sodium and protein normal, and there was no mention of phosphates. So that’s what I’ve been doing the past week for so. My diet is almost all Whole Foods and I’ve made some tasty recipes (lmk if you guys want to hear some recipes, I’m still new to this tho and theirs a chance my recipes still ain’t the best for a renal diet).
My concern with sugar is how much I’m eating. My fitness pal recommends me to eat a max of 76 g of sugar a day. My breakfast alone gets me 50! Today even tho my sodium, potassium, protein are all good I’ve ate my 76 grams of sugar already! I still have 1,200 cals to go 😂. I get most of the sugar from fruit (strawberry, black berry, açaí, blueberry). Then the next big sugar source is bread and croissants (enough for a sandwich or two depending on how hungry I am). Given prednisone can cause insulin resistance, and I’m eating lots of sugar, fats and carbs what do you guys think? As long as my labs are fine keep the fruits the same?
I want to say I appreciate everyone who even reads this post. You guys all know how tough kidney problems can be. Given my plethora of conditions to does not make this diet stuff easy. One condition says I should limit protein and the next says to eat more protein . People always say Americans don’t eat enough fruit, veggies and fiber but then they say it’s too much sugar! (If you wanna see all the different opinions go on my last post about sugar on a different sub! It’s outrageous how different each persons advice is)
None the less I’ll be back once I learn more about renal diet and I’ll come back and give some damn good recipes. It might be hard but if theirs a will to eat good delious food then theirs a way and I’ll show y’all.
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http://rodzice.org/