What is the average dose of lamictal for

When They Do It Right

2017.09.11 00:39 HebrewDude When They Do It Right

PTCM is a hub for sharing above average, planned video camera operation; capturing calculated recording angles; maintaining good camera control, general perception, also properly controlling what's in the frame. Interesting content is not necessarily a solid ground for giving praise regardless of how good the content is on its own. Please dedicate a minute & read the rules before posting to make sure you don't violate them
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2018.03.21 04:16 ashmoreinc Tippy taps by excited people

This is a subreddit for happy and excited people who can no longer contain their excitement and let it out in the form of tapping their feet.. a lot.
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2008.03.31 21:45 /r/Vegan - the largest vegan community online!

Veganism: A philosophy and way of living which seeks to exclude—as far as is possible and practicable—all forms of exploitation of, and cruelty to, animals for food, clothing or any other purpose; and by extension, promotes the development and use of animal-free alternatives for the benefit of animals, humans and the environment. In dietary terms it denotes the practice of dispensing with all products derived wholly or partly from animals.
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2024.05.01 11:56 d_p_jones Critique my Automated Hot-Tub plan

I've had my hot tub for a couple of years, and, being a techy at heart (and fundamentally lazy) I've decided to automate it. I'm still a bit of a beginner when it comes to chemicals though, so I was hoping some more knowledgable people can fill in the missing steps in my plan!
My hot tub is around 1500l. It gets fairly light use. (2 people, once or twice a week) I want to use Bromine.
I'll do a fresh fill through a spa-stick, then add about 300g Boric Acid, and 200g Sodium Bromide. I'll let that pump for a couple of hours. I'll then do an initial shock with MPS.
Thereafter, I have an automated system which will read pH and ORP through a couple of lab probes. I want to make conservative adjustments, but I can always change the dose size if needed.
Between the hours of 2am and 4am, if the pH is above 7.5 the system will adjust pH down, by injecting 3ml Hydrochloric Acid 10%, every 30 minutes,. Double that dose if the pH is above 7.8. If the pH falls below 7.2, the system will send an alert to my phone for me to manually intervene.
Between the hours of 5am and 7am, the system will try to raise the ORP to 750mV by injecting 2.5ml sodium hypo 14% every 15 minutes. Double that dose if the ORP is below 650mV.

The system will chart these values, and the cumulative total chemicals injected. If the average Sodium Hypo required starts to trend up, the system will alert me to perform a manual MPS shock, but in any event, I'll do this every 2 weeks or so.

So my questions:
- Are the startup quantities right?
- What have I forgotten in the startup?
- Is it safe to do these small chemical additions with the cover on?
- What have I forgotten for ongoing maintenance?
submitted by d_p_jones to hottub [link] [comments]


2024.04.30 23:48 tacoparty37 7 DPO robotic laparoscopic myomectomy

I’ve seen so many posts on here that helped me pre-op, so I wanted to contribute. I’m 7 days out from my procedure and am feeling so much better.
I’m a 30-something of average health and mildly fit (I exercise regularly but am overweight). A lot of the posts I saw were written by younger and healthier women, so I wanted to share my experience.
I plan to write a longer post when I’m fully recovered but I did want to share a few of the major points/milestones:
Recovery time Days 1-2 were similar in that I was mostly in bed and struggled to get in and out of bed. I also had no appetite. But fortunately the pain wasn’t bad at all when I was lying down. I never took the prescription meds— just the max dose of Tylenol and ibuprofen was enough. I moved around to get the gas out, which was vitally important from a pain perspective.
Days 3-4 I was more mobile, walking around my bedroom more. Not a huge appetite but I was eating a little more. Finally pooped on day 4 (more on that later). Pain lessened a bit but still needed max doses to keep it at bay.
Day 5 was a turning point for me. I was able to sit for an hour at a time and I could walk around (very slowly) and stand for 1+ hour at a time. I had friends over and we played a long board game and I ate a normal portion of food, which was great. I cut my painkiller use by about 25%.
Day 6 was more of the same daily improvement. Cut painkillers by another 50%. Appetite was fully back! I went outside for a slow walk— took me 20 mins to do the 1/3 mile loop in my neighborhood. I probably could have been faster but it’s not worth the risk of falling. Slept like a baby!
Day 7 (today) my appetite is fully back, which is great. Also way less pain. I’m getting in and out of bed with relative ease and going up and down the stairs is 300% better than when I did it on day 4. I’m taking 500mg of Tylenol 3x a day now and that’s enough to manage it. My incision sites itch a bit but it’s easy enough to ignore. I’m able to sit up and work on my laptop for 1-2 hours at a time. I’m working (remotely) tomorrow but my boss knows I’m not going to be operating at full capacity. I’m taking it easy until I feel 100% again.
Pooping This is unrelated to my daily improvement but was my major anxiety. I am prone to constipation (IBS-C) but all my BMs have been easy breezy. I think that is due in part to not taking opioids after surgery, but also diet. I avoided anything that causes gas (dairy, beans, etc.) or constipation for me (meat, white rice, etc.) and instead had a healthy fat heavy diet. Avocados with brown rice and olive oil, vegan smoothies, and fiber rich fruits like figs and mangoes. And, my secret weapon of prune juice + psyllium husk at night. I haven’t had to push at all. If only I were willing to eat such a boring diet all the time… alas, I am not. A cup of coffee in the morning and the “moo” method is also helpful!
Gas GasX and Beano are your friends. They work differently so one or both will be useful. Gas pain was the most annoying pain after Day 1 so do what you can to avoid it. Diet plays a major role, but so does walking and these pills :).
That’s it from me for now! If you’re early in your recovery, rest assured that you’ll be feeling a ton better by the 1 week mark!
submitted by tacoparty37 to Fibroids [link] [comments]


2024.04.30 21:26 LivingEssence Mammograms should start at 40 to address rising breast cancer rates at younger ages, panel says

Mammograms should start at 40 to address rising breast cancer rates at younger ages, panel says
https://preview.redd.it/pod5adby3oxc1.jpg?width=320&format=pjpg&auto=webp&s=c80bcac513d2295bbde136870455952def4a1b9b
Regular mammograms to screen for breast cancer should start younger, at age 40, according to an influential U.S. task force. Women ages 40 to 74 should get screened every other year, the group said.
Previously, the task force had said women could choose to start breast cancer screening as young as 40, with a stronger recommendation that they get the exams every two years from age 50 through 74.
The announcement Tuesday from the U.S. Preventive Services Task Force makes official a draft recommendation announced last year. The recommendations were published in the Journal of the American Medical Association.
“It’s a win that they are now recognizing the benefits of screening women in their 40s,” said Dr. Therese Bevers of MD Anderson Cancer Center in Houston. She was not involved in the guidance.
Other medical groups, including the American College of Radiology and the American Cancer Society, suggest mammograms every year — instead of every other year — starting at age 40 or 45, which may cause confusion, Bevers said, but “now the starting age will align with what many other organizations are saying.”
Breast cancer death rates have fallen as treatment continues to improve. But breast cancer is still the second-most common cause of cancer death for U.S. women. About 240,000 cases are diagnosed annually and nearly 43,000 women die from breast cancer.
The nudge toward earlier screening is meant to address two vexing issues: the increasing incidence of breast cancer among women in their 40s — it’s risen 2% annually since 2015 — and the higher breast cancer death rate among Black women compared to white women, said task force vice chair Dr. John Wong of Tufts Medical Center in Boston.
“Sadly, we know all too well that Black women are 40% more likely to die from breast cancer than white women,” Wong said. Modeling studies predict that earlier screening may help all women, and have “even more benefit for women who are Black,” he said.

Here are more details on what’s changed, why it’s important and who should pay attention.

WHEN SHOULD I GET MY FIRST MAMMOGRAM?

Age 40 is when mammograms should start for women, transgender men and nonbinary people at average risk. They should have the X-ray exam every other year, according to the new guidance. Other groups recommend annual mammograms, starting at 40 or 45.
The advice does not apply to women who’ve had breast cancer or those at very high risk of breast cancer because of genetic markers. It also does not apply to women who had high-dose radiation therapy to the chest when they were young, or to women who’ve had a lesion on previous biopsies.

WHAT ABOUT WOMEN 75 AND OLDER?

It’s not clear whether older women should continue getting regular mammograms. Studies rarely include women 75 and older, so the task force is calling for more research.
Bevers suggests that older women talk with their doctors about the benefits of screening, as well as harms like false alarms and unnecessary biopsies.

WHAT ABOUT WOMEN WITH DENSE BREASTS?

Mammograms don’t work as well for women with dense breasts, but they should still get the exams.
The task force would like to see more evidence about additional tests such as ultrasounds or MRIs for women with dense breasts. It’s not yet clear whether those types of tests would help detect cancer at an earlier, more treatable stage, Wong said.

DOES THIS AFFECT INSURANCE COVERAGE?

Congress already passed legislation requiring insurers to pay for mammograms for women 40 and older without copays or deductibles. In addition, the Affordable Care Act requires insurers to cover task force recommendations with an “A” or “B” letter grade. The mammography recommendation has a “B” grade, meaning it has moderate net benefit.

___

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.
submitted by LivingEssence to Healthconcept [link] [comments]


2024.04.30 21:11 Rassul_KZ Chemothermia Turkey

Is cancer treatment good in Turkey?

Oncology treatment in Turkey has become popular both among patients from the CIS and among European patients, since the standards of treatment in Turkey are very high and prices are lower.

What is the metabolic treatment for cancer?

WHAT IS METABOLIC THERAPY? Cancer cells need sugar for replication. Metabolic therapy involves using a group of drugs called metabolic inhibitors. These metabolic inhibitors interrupt the production of energy in the cancer cells rendering them more sensitive to other cancer fighting approaches.

How much is cancer treatment in Turkey?

The average price of Oncology procedures in Turkey is $13494, the minimum price is $200, and the maximum price is $125000. The total cost is calculated individually.

Which is the best oncology hospital in Turkey?

Medipol University Hospital: Located in Istanbul, this hospital is known for its advanced cancer care department and experienced medical professionals. They offer a wide range of cancer treatments, including chemotherapy, radiation therapy, and surgical procedures.

Is Turkey a good place for cancer treatment?

Turkey has been emerging as a popular destination for medical tourism in recent years, particularly for cancer treatment. The country boasts advanced medical facilities, internationally trained doctors and reasonable costs compared to many Western countries.

What is metabolically supported chemotherapy?

Background: Metabolically supported chemotherapy (MSCT), is defined as the application of standard chemotherapy protocols concomitant to the administration of pharmacological doses of regular insulin and the development of hypoglycemia, and following fasting starting the previous day.

Which is the best cancer hospital in Istanbul?

Anadolu Medical Center is a renowned oncology hospital in Istanbul that specializes in the diagnosis and treatment of various types of cancer. The hospital's multidisciplinary team of oncologists, surgeons, radiologists, and support staff ensures that patients receive comprehensive and personalized cancer care.

What is hyperthermia in oncology treatment?

Hyperthermia is a type of treatment in which body tissue is heated to as high as 113 °F to help damage and kill cancer cells with little or no harm to normal tissue. Hyperthermia to treat cancer is also called thermal therapy, thermal ablation, or thermotherapy.

How much does hyperthermia treatment cost?

As regards the cost-benefit problem, using the Rees formula it varies from 1112 US$ when hyperthermia is used as elective treatment to 3380 US$ when hyperthermia is used as palliative treatment. Conclusions: Hyperthermia is, in our experience, an expensive therapy.

What is the success rate of hyperthermia cancer treatment?

A combined response rate of 72% was reported at the end of NACT with four of the 43 patients achieving a complete response (CR). A 4-year disease-free and overall survival rate of 63% and 75% were attained, respectively.

What is the treatment for oncothermia?

Oncothermia is a form of heat treatment used on tumors. While surgery, chemotherapy, and radiotherapy are the standard cancer therapies, hyperthermia (heat treatment) has long promised to serve as a supplement to these therapies. Its fundamental principle is applying heat to cancer cells in order to kill them.
Recurrence-free survival at 2 years was 35% in patients receiving chemotherapy alone vs 80% in the chemotherapy-plus-hyperthermia group.

Is hyperthermia treatment good for cancer?

Whole Body Hyperthermia
This treatment raises a person's body temperature as though they have a fever. This helps chemotherapy work better to treat cancer that has spread (metastasized). Blankets, warm water, or a heated chamber are used to warm the person's body.

Which is the best cancer hospital in Turkey?

Anadolu Medical Center
Anadolu is accredited by the Organization of European Cancer Institutes for innovative and effective cancer treatment options.

How can breast cancer be treated?

People with breast cancer often get more than one kind of treatment.
Surgery. An operation where doctors cut out the cancer.
Chemotherapy. Using special medicines to shrink or kill the cancer cells. ...
Hormonal therapy. Blocks cancer cells from getting the hormones they need to grow.
Biological therapy. ...
Radiation therapy.
submitted by Rassul_KZ to u/Rassul_KZ [link] [comments]


2024.04.30 18:45 rosplosion For the first time in my life, I understand hunger.

Context: I'm a lifelong fat girl, and I come from a family of fat people. SW: 264 CW: 247 cGW: 175, 5'4". I'm currently on 35 units of 2.5 mg/ml, if my math is correct that's .875, which is not a "standard" dose from my lurking here. I've been using compounded sema from the beginning, with the help of a brick & mortar medspa. I am on week 11 of the medication, titrating up by 5 units only when I don't lose weight & don't have appetite suppression. Averaged out, I've lost 1.5 lbs / week. Of course the actual losses have not been as smooth, and having my period was a stall. I also had a week of vacation where I did take the medication, but drank alcohol and ate desert daily and did fuckall for exercise. I believe the method of slowly titrating up has saved me from most negative symptoms. I am experiencing daily constipation, which is easily remedied with magnesium citrate gummies. I don't really talk about taking this medication, but it's not a secret. No one has spontaneously commented on my weight loss.
All my life, breakfast has been out of the question. I didn't care to eat until well after noon on a normal day. Evenings would be my time to eat, and I would generally go nuts on the carbs. I craved sugar, and no matter how much I wanted to lose weight, I would struggle daily to eat in a balanced way. Now I have actual hunger! I know what it's like to need to eat. I know what low blood sugar feels like. I'm hungry in the mornings, at lunch time, and I eat a sensible dinner. It's easy to say "no" to junk, and I still allow myself to have weekly "cheat" days the day before injection.
I feel free of so much internal torment. So much of what I've blamed myself for and felt bad about for my entire life, is all of a sudden gone. I feel a (metaphorical and literal) weight lifted off my shoulders. I only wish this medication was not so expensive. I hope I can afford it for a long time. Because based on my cheat days, the moment I stop taking it the awful cravings and urges will come back.
submitted by rosplosion to SemaglutideFreeSpeech [link] [comments]


2024.04.30 18:06 autistic_bard444 so. anxiety and other stuff

im on a regiment of 200mg of zoloft, 350 lamictal, and 300 xl wellbutrin. it keeps most of my cptsd, depression symptoms away. i say most, depression can still be an issue. what it doesnt handle well is my anxiety. i have an appointment with my psychotherapist later today. no hypomania is not an issue.
now another thing is i will be geting married soon and zoloft is an issue with such marriage things :)
i've seeing if i can lower the zoloft dose and add in buspar for anxiety - im starting university again which will drive my anxiety up a wall. and buspar is supposed to be good for counter acting of the problems with zoloft the inability to climax that we all hate.
is it possible to work all this together effectively. im not looking for serotonin syndrome. i am looking for a little better quality of life, especially out in public, cause i hate public.
ty
submitted by autistic_bard444 to bipolar2 [link] [comments]


2024.04.30 13:01 Happy_Ad_4091 How to give titration a chance?

Does anybody have any advice on being patient with titration?
I've been started on Elvanse 30mg and we organised a meeting end of May with my psychiatrist to give me a month.
This is only the third day and I know it could be because of my poor sleep but how do I be patient because today I feel exactly like before? I feel like the first 2 days were placebic in terms of me forcing myself to work because I should since I'm on life-changing meds. I believed I did feel some changes in symptoms and yesterday I worked 7 hours straight without lunch or dinner in an echoey library without headphones. But I still felt like I kind of worked slowly, even slower than usual, and noticed myself zoning out? I don't know how much of this is down to my meds not being high enough or me not knowing how to use the meds effectively because I know they don't just give you life skills. I feel like I have a lot of expectations for my life changing instantly but obviously that's not the case. Honestly I just want to hear your experiences. My psychiatrist didn't really give me a lot of advice on what to look out for whilst on meds and I don't really know who to ask. I don't want to bother him constantly with this anxiety-driven panic?
Honestly I think it's a good idea to wait a month before upping the dose since I am apprehensive of side effects and maybe it'll start working as it should? But what if it doesn't? I don't know if I could deal with this dissapointment for a month, especially since I'm entering an important period in my uni degree where it's kind of my last chance to prove myself before being written off as average.
I guess I'm ranting here so I don't bother my family and friends (again) and I can't start my work until I get this off my chest. Honestly I don't even know what answers I want.
Am I only the one who felt like this? Does it get better?
submitted by Happy_Ad_4091 to ADHDUK [link] [comments]


2024.04.30 10:13 Throwaway_Flummery Every Word in a 2024 Song That Has Not Been Used in Eurovision Yet

This is a repost from eurovision originally created by u/CrewOtherwise4005. Since we all know what eurovision mods are like, I decided to repost it here.
A while ago I was thinking about how cool the inclusion of the word 'ammonites' in Switzerland's song is and wondered how many words in the 2024 songs have been used before in Eurovision, so I spent way too long going through the lyrics of every Eurovision song since 1956 (lyrics taken from Eurovisionworld) to find out. Only spelling was taken into account, so for example 'love' and 'amour' count as separate words. I was actually surprised to see how many words had not been used yet, they are as follows.
Cyprus
Ooh-la-la, La-la, O'clock
Serbia
Teško, Onom, Vodom, Vrištim, Iza, Gora, Nazirem, Ranjene, Svetle, Danice, Nestale, Lila, Ramonde, Ramonda, Zaspale, Pomažu, Diže, Pepela
Lithuania
Diena, Viena, Vėl, Tarytum, Čia, Sustojo, Šen, Sutems, Naujo, Rytoj, Pažadu, Mylėt, Laboj, Surasi, Nakty, Gyvas, Tebepažįsti, Saulė, Nepakyla, Pasakyk, Liksi, Šalia, Luktelk, Vieną, Minutę, Visada, Stovime, Tyloje, Grojančio, Radijo, Nebenoriu, Šokt, Reikia, Jei
Ireland
Avada, Kadavra, Twisted, Hex, Deployed, Pretties, Overestimate, Hoodoo, Doomsday, Visions, Bind
United Kingdom
Redefined, Stillness
Ukraine
Dzhere-dzhere-dzherelo, Probyva, Sobi, Shliakh, Shcho, Yiyi, Plechakh, Mani-mani-manivtsi, Zvyvysti, Skeliasti, Znai, Tvoyiy, Rutsi, Vlasne, Shchastia, Davai, Palai, Namy, Tereza, Bosi, Lezu, Ishly, Zemli, Teresa, Divas, Beings, Navit, Zmalia, Shukaly, Zhyttia, Petlia, Dlia, Tykh, Khto, Padaie, Svoikh, Divcha, Nese, Boliu, Vbacha, Znovu, Miaka, Odiah, Kistkakh, Holiaka, Chy, Pid, Vinets, Tvoie, Dytia, Roky, Letiat, Zatiam, Kinets, Khai, Khtos, Khoche, Aby, Zlamalys, Buva, Zariadu, Likot, Palets, Khova, Posmishkoiu, Nenavyst, Zazdrist, Koly, Puskayesh, Hniv, Liubovi, Zamist, Sviati, Yikh, Bachyly, Zemlyu, Znayesh, Tviy, Ternystyi, Strashno, Chasom, Lehko, Toboyu, Budut, Sliduvaty, Predky, Yshly
Poland
Scattered, Tiger's, Reading
Croatia
Cow, Decompress, Tim, Tagi, Digi, Mostly, Cat, Prance, Presence, Advanced, Meow
Iceland
Risks, Heart-shaped, Rational, Unlearn, Good-bye
Germany
Average, Privilege
Slovenia
Skrila, Odšla, Glasnimi, Koraki, Klici, Valovih, Iščem, Svetlobi, Prepustim, Najdi, Zapustiš, Dvigni, Lovi, Zatajiš, Podoba, Ogledalo, Robov, Odsev, Strahov, Veronika, Tvojo, Resnico
Finland
Windows95man, Slay
Moldova
Tarara…
Sweden
Prey's, Chew, Venomous
Azerbaijan
Chaos, Mysteries, Unsolved, Burdens, Guided, Gates, Hurricanes, Gəl, Özünlə, Apar, Sənsiz, Göy, Mənə
Australia
Billion-iIlions, Title, Atoms, 0.618, Milkali, Kutju, Fleetwood, Macs, Janets, Entertaining, Gravitron, Tangles, Dismantles, Borders
Portugal
Carregar, Seguimos, Aviso, Entrego-me, Passos, Largos, Presa, Largar, Ferida, Faça, Transformei, Entregue, Chama, Perdoar, Enganam, Tamanho, Pequena, Sonhava, Largo
Luxembourg
20, D'élan, Défaite, Sirène, T'emmène, Répète, Nan, J'avoue, J'finirai, Complètement, D'rester, Combats, Freines
Malta
Honeypot, Slow-oh-oh, Got-got-got, Bla-bla-blame, M-m-m-move, Cinnamon, Skip, Ra-pa-pa-bam-ba
Albania
Titan, Tear's, Ricochet, Unshakable
Greece
Pónos, Érthei, Makári, Péfto, Kyliémai, Zári, Káno, Xechnáo, Ónomá, Óla, Allázoun, Gýro, Apótoma, Ánemos, Párei, Áromá, Myaló, Bainovgaíno, Giatí, 'Doses, Oúte, Piastó, Kápote, Eícha, Póno, Séna, Kryfó, Afíno, Vgoúne, Óti, Ítane, Pséma, Ríxe, Teleftaía, Forá, Áse, Férei, Ó,ti, Thélei, Metá, Eínai, Thymithó, Óres, Kónteva, Trelathó, Písteves, Kárma, Alithinó, Móni, Méno, Pánta, Periméno, Trémo, Flóga, Spírto, Anamméno, Ótan, Charázei, Tróei, Marázi, Pethaíno, Eísai, Alloú, Apótomа
Switzerland
Bohème, Ammonites, Pumped, Psyched, Hyped, 0's, 1's
Czechia
Pedestal, Irony
France
Rejoue, L'impossible, Fais-le
Austria
Rave, Ra-a-a-a-a
Denmark
Armenia
Jako՛, Khelok', Pahi՛, Shat, Mi՛, Khosa, Nsti, Hagi՛, Bats'i՛, P'aki՛, Aghjka, Pahi՛, Aghjik, Azat, Kparem, Nayi՛, Ari՛, Miats'i՛, Mek, Ov, Inch', Kasi, Eli, Zhamin, Ch'enk', Nayi, Heli՛, Boyid, Matagh, Ve՛r, Katѕ', Pari՛
Latvia
Cruelly, Disease
Spain
Zorra, Devora, Oveja, Negra, Incomprendida, Desespere, Pereza, Cuestión, Vientos, Salgo, Divierto, Alargo, Todavía, Esté, Comiendo, Valora, Reconstruida, Temías, Empoderando, Postal, Lapídame, Pongo, Visceral, Pasaré, Chacal, Habrás, Metido, Zarzal
San Marino
Irónico, Romántico, Trágico, To', Usted, Sáquenlo, Saltar, Esas, Unas, Mienten, M-E-L-A-P-E-L-A, Querrá, Lobo, Feroz, Patético, Menor, Piensas, Abatirme, Prendimos, Benidorm, Ilógico, Mágico, Daré
Georgia
Firefighter, Tigers, Fighters
Belgium
Face-to-face, Roofs
Estonia
Narkomaanid, Midagi, Teind, Kleidid, Seljas, Prügikastileid, Politseikroonika, Suvilas, Reid, Ainus, Kott, Näha, Täis, Pandipudeleid, Vormis, Mehed, Külas, Väga, Okei, Uuuu, Yeeee, Huugama, Kuulda, Täna, Narkootikume, Limpsi, Siidrit, Vahet, Suudaks, Teha, Vitamiinil, Spiidil, Pilvikud, Šampinjonid, Teie, Niidid, Teema, Käivitate, Keha, Köögipliidi, Plaani, Aineid, Pardikesed, Väikesed, Moonid, Pikad, Mõnuaineid, Väldime, Teevad, Rikkad, Kohal, Varahommikul, Kirevad, Kikkad, Viisid, Kommid, Kurva, Näoga, Plikad, Viiriana, Vikkaa, Sest, Tarekese, Tagatoas, Laual, Ainult, IPA-d, Prillid, Pupilli, Eino, Pulli, Läbi, Näevad, Kõigest, Kes, Jõudnud, Esiritta, Vait, Ümber, Aint, Tants, Käind, Jeaa, Näind
Italy
Disegni, Pigra, Preziosa, Indosso, Collo, Collana, Saggezza, Dato, Perline, Colorate, Bimbe, Incasinate, Traumi, Snodare, Pasqua, Drammi, Cambio, Muoio, Usati, Ridere, Bruciate, Corona, Dress-code, Cumbia, Iniziano, Dico, Parli, Intanto, Firmare, Contratti, Smettila, Lavare, Piatti, Scrivi, Annoiare, Deve, Ballo, Rischio, Inciampare, Almeno, Modo, Rende, Gioie
Israel
Empowers, Tzarich, Gdolot, Tfilot, Afilu, Mash'ir
Norway
Møy, Stimoder, Moder, Døy, Skapte, Eit, Svær, Nål, Sende, Gård, Vreida, Kjende, Gillaste, Ulve, Svor, Skogjen, Drukkje, Broderѕ
Netherlands
Euro-pa-pa, Welkom, Doodga, Bezoek, Benen, Wenen, Paspoort, Visum, Nodig, Polen, Trein, Gebruik, Eurootje, Behalve, Euro-pa-pa-pa-pa-pa-pa-pa, Euro-pa-pa-pa, Eu-ro-pa, Deutschland, Italia, Vluchten, Helpt, Hoef, Es-car-gots, Fish, Chips, Paella, Stromae, Papaoutai, Stoppen, Doet-ie, Euro-pa-pa-pa-pa-pa-pa, Jongen, Vader, Fluister, Geluiѕterd
submitted by Throwaway_Flummery to nilpoints [link] [comments]


2024.04.30 09:14 CronicCanabis88 4 Wheel Thunder HD Texture Pack RomRevival

4 Wheel Thunder HD Texture Pack RomRevival

As a kid growing up, I still remember my birthday where I got my Dreamcast and Sonic Adventure, and Speed Devils. This would forever be one of my favorite systems of all time. I have been using emulation for 12+ years....back when in order to play a library of 10 or so DC games, you needed 5 different emulators. Well look where we are now with DC emulation. Flycast has been so kind to provide us with the ability to dump and load custom textures.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Saddly, There are very, VERY few DC texture packs, and I can understand as the graphics in DC games tend to be brighter colors, less realistic, and more cartoony/arcade type graphics which was its charm. I have decided to change this. I will have a few projects going at once, and every day i will release updated packs for the games I am currently working on. This is my very first pack ever. Everything is set, you simply make a folder called Textures, (only if one dose not exist here \flycast\data\Textures), Extract the folder in my archive in to this Textures folder, I have the original img for every one i remade in the folder. the names are the same except the original file has 'OR" before the name ( NEW: 123abc.png / OLD: BKP123abc.png)
NOTE:Leaving "BKP" files shouldn't effect anything, as they are not the named files that the game is looking to pull, so you can leave them there, or delete them, as they are just for refrence and will bened up in future updates.,.
TIPS TO MAKE SURE THINGS RUN PERFECTLY.
UPDATE FOR DIFFERENT REQUIREMENT PACKS....
Low Powered Devices, Low Storage Situations, Or Just Smaller Screens...
UPDATE*. Today I realized, I got my new 32 in 4k g7 neo samsung oddessy monitor, and i needed MORE. More resolution. More pixels, just MORE. So I decided, "not everybodys devices can handle MORE", so I decided to make 3 resource levels of packs for potatos thru Gaming Rigs. I am going to go thru the packs I currently have, and make 3 different packs for every game. They will all be updated in sync, so one "Quality level" will always have the same textures across the board, but this way, users on low end/mobile devices can enjoy the packs as well! You dont need reolutions this high on small screens, and thoes devices might have trouble loading in textures that are bigger then needed on a tiny screen, so I took all the textures, and compressed them depending on their size.. I did this seperate, So its not like I just said "take all textures, and cut them in half." No. Then the smaller, already acceptable textures would lose quality, so Depending on the original sizes, every files was changed independently. Keeping the best image overal, while making it easier to load, and take less space ondeviecs with smaller storages, as some of these packs get very large.. so watch for these updates over the next couple days in all the games. Now, Every pack will have 3 characters you must remove from the packs after uncompression. Just edlt the "_LQ", "_MQ", or the "_HQ" from the end of the packs inorder for flycast to see the pack,This is simply a sorting method for me and users that have multiple versions in case you wanted to test multiple packs this way they can be sorted and organized better.\*
HQ- This will be the standard you have known to come to love from me. Now I might use some slghtly higher res textures then I currently do, but as long as my 2070 mobile can play it, Then That is my goal for the HQ packs. Best image, largest size packs, and most resources needed but tthese are ment for users playing on large 1080/4k devices with a little more horsepower under the hood then the average emulator. Usually, if your device tends to play games at 3-5x resolution, using these packs SHOULDN'T make things to much harder for anydevice already playing on that level, worst case is you maybe bump the Internal Resolution down a step or so, and go from there. JUST REMEMBER, if you have any issues, try one of the other 2 pack versions, MQ or LQ.... I would try things like making sure you have your render buffer size is as large sas you can get, and remember, the new textures are what is taking the most resources to load. some times, relaoding a level or Giving 'er the good ole "Savestate,Loadstate" to reload, I find some levels, Just wait a few moments for everything to not only render NORMALLY, but then get replaced, then enjoy your gaming.
MQ- In these packs, Anybody on a laptop, or similar set up will be more than happy and might not even NOTICE the difference between HQ and MQ packs. This is not to say this wont look good on a 85in screen, all my packs, even MQ and LQ versions, are specially designed to give you the most prestine and sharp image you can get, while at times, just toneing it down becuase many users are not on large 4k displays playing in 4k, so if that is not how you enjoy your gaming, now these packs will help you get the perfect mix of quality, size, and performance based on your specific setup. You do not need anything crazy to run these, and can be used in any set up and will not fail to impress!
LQ- Now do NOT let the tiny size, Lower resolutions, and name "LQ" Fool you. There is NOTHING "Low Quality" about these packs. You still get the upscales you have come to love, and the new, much larger images have been toned down a little bit is all. This is PERFECT if you are on a portable device, or even smaller screen laptops! These are much smaller in both size, and resolution, but STILL looks great on thoes devices, and even on large screens, this is STILL a great looking pack, just now people with less then perfect setups can now enjoy Flycast HD Texture packs.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
\NEW\***,I PAY EXTRA SO ALL MY LATEST RELEASES ARE NOW ALWAYS MAX SPEED,NO WAIT TIMES BEFORE DOWNLOAD, AND NO WAIT TIME FOR GB LIMIT REACHED, EVEN FOR NON PREMIUM USERS ON FILE HOST SITE. I PAY PER GB SO PLEASE, DOWNLOAD SMART TO KEEP MY COSTS DOWN.* \NEW\**
LINKS:
4 Wheel Thunder R.R HD Texture pack v 0.50
\NOTES\**
This was a port of an arcade game, and like the arcade games I do I am going to keep more so original, with maybe a hand ful of rep[lacements. I used the textures from the Naomi 2 Version,which were higher quality to start, and I Just bought a new model set for my AI upscailing ( IF YOU CAN/WOULD WANT TO HELP ME TRAIN MODELS DM ME PLEASE, THIS IS A HUGE NEED, I WILL REWARD. So I will change out some, but not many so expect this to be done for now.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Years ago when I first got in to private torrent sites, before I opened my own, I had a small movement called the Rom Revival, where we made perfect and complete rom packs for every console... and made Retro Arch type packs for the older systems... and over the years, I have continued to keep these packs and torrents avaiable on my own tracker to keep allowing the public to be able to access any and every rom they could ever want, without having to go google, digging around the sketchy, very slow sites to be able to download what ever rom one at a time. So I feel this is he best time, to bring back the ROM REVIVAL, and now implement the DREAMCAST HD TEXTURE PACK part of the project. So look out for my R.R tag, and keep up with all my hard work as the texture packs start to roll out.
ONE LAST BIT HERE.... These packs, are done out of my love for the Dreamcast, and all of you guys. There is no other reason to do this.. I see the community is lacking in this content, NO BODY ELSE IS DOING WHAT I AM DOING, and for others that love this system like I do, well, This is for you. NOW, If you would like to buy me a cup of coffee, or a pack of smokes, check out my Donation options here!. There is an option to get YOUR pack pick moved up to the next pack as well as other options, so if you want a pack done fast, or maybe you just want to say THANKS for all my hard work, ncheck it out here please and thanks guys!
submitted by CronicCanabis88 to Flycast_texture_packs [link] [comments]


2024.04.30 09:06 CronicCanabis88 Sega Rally 2 HD Upscale and Replacement Texture Pack R.R

Sega Rally 2 HD Texture Pack R.R

As a kid growing up, I still remember my birthday where I got my Dreamcast and Sonic Adventure, and Speed Devils. This would forever be one of my favorite systems of all time. I have been using emulation for 12+ years....back when in order to play a library of 10 or so DC games, you needed 5 different emulators. Well look where we are now with DC emulation. Flycast has been so kind to provide us with the ability to dump and load custom textures.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Saddly, There are very, VERY few DC texture packs, and I can understand as the graphics in DC games tend to be brighter colors, less realistic, and more cartoony/arcade type graphics which was its charm. I have decided to change this. I will have a few projects going at once, and every day i will release updated packs for the games I am currently working on. This is my very first pack ever. Everything is set, you simply make a folder called Textures, (only if one dose not exist here \flycast\data\Textures), Extract the folder in my archive in to this Textures folder, I have the original img for every one i remade in the folder. the names are the same except the original file has 'OR" before the name ( NEW: 123abc.png / OLD: BKP123abc.png)
NOTE:Leaving "BKP" files shouldn't effect anything, as they are not the named files that the game is looking to pull, so you can leave them there, or delete them, as they are just for refrence and will bened up in future updates.,.
TIPS TO MAKE SURE THINGS RUN PERFECTLY.
UPDATE FOR DIFFERENT REQUIREMENT PACKS....
Low Powered Devices, Low Storage Situations, Or Just Smaller Screens...
UPDATE*. Today I realized, I got my new 32 in 4k g7 neo samsung oddessy monitor, and i needed MORE. More resolution. More pixels, just MORE. So I decided, "not everybodys devices can handle MORE", so I decided to make 3 resource levels of packs for potatos thru Gaming Rigs. I am going to go thru the packs I currently have, and make 3 different packs for every game. They will all be updated in sync, so one "Quality level" will always have the same textures across the board, but this way, users on low end/mobile devices can enjoy the packs as well! You dont need reolutions this high on small screens, and thoes devices might have trouble loading in textures that are bigger then needed on a tiny screen, so I took all the textures, and compressed them depending on their size.. I did this seperate, So its not like I just said "take all textures, and cut them in half." No. Then the smaller, already acceptable textures would lose quality, so Depending on the original sizes, every files was changed independently. Keeping the best image overal, while making it easier to load, and take less space ondeviecs with smaller storages, as some of these packs get very large.. so watch for these updates over the next couple days in all the games. Now, Every pack will have 3 characters you must remove from the packs after uncompression. Just edlt the "_LQ", "_MQ", or the "_HQ" from the end of the packs inorder for flycast to see the pack,This is simply a sorting method for me and users that have multiple versions in case you wanted to test multiple packs this way they can be sorted and organized better.\*
HQ- This will be the standard you have known to come to love from me. Now I might use some slghtly higher res textures then I currently do, but as long as my 2070 mobile can play it, Then That is my goal for the HQ packs. Best image, largest size packs, and most resources needed but tthese are ment for users playing on large 1080/4k devices with a little more horsepower under the hood then the average emulator. Usually, if your device tends to play games at 3-5x resolution, using these packs SHOULDN'T make things to much harder for anydevice already playing on that level, worst case is you maybe bump the Internal Resolution down a step or so, and go from there. JUST REMEMBER, if you have any issues, try one of the other 2 pack versions, MQ or LQ.... I would try things like making sure you have your render buffer size is as large sas you can get, and remember, the new textures are what is taking the most resources to load. some times, relaoding a level or Giving 'er the good ole "Savestate,Loadstate" to reload, I find some levels, Just wait a few moments for everything to not only render NORMALLY, but then get replaced, then enjoy your gaming.
MQ- In these packs, Anybody on a laptop, or similar set up will be more than happy and might not even NOTICE the difference between HQ and MQ packs. This is not to say this wont look good on a 85in screen, all my packs, even MQ and LQ versions, are specially designed to give you the most prestine and sharp image you can get, while at times, just toneing it down becuase many users are not on large 4k displays playing in 4k, so if that is not how you enjoy your gaming, now these packs will help you get the perfect mix of quality, size, and performance based on your specific setup. You do not need anything crazy to run these, and can be used in any set up and will not fail to impress!
LQ- Now do NOT let the tiny size, Lower resolutions, and name "LQ" Fool you. There is NOTHING "Low Quality" about these packs. You still get the upscales you have come to love, and the new, much larger images have been toned down a little bit is all. This is PERFECT if you are on a portable device, or even smaller screen laptops! These are much smaller in both size, and resolution, but STILL looks great on thoes devices, and even on large screens, this is STILL a great looking pack, just now people with less then perfect setups can now enjoy Flycast HD Texture packs.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
\NEW\***,I PAY EXTRA SO ALL MY LATEST RELEASES ARE NOW ALWAYS MAX SPEED,NO WAIT TIMES BEFORE DOWNLOAD, AND NO WAIT TIME FOR GB LIMIT REACHED, EVEN FOR NON PREMIUM USERS ON FILE HOST SITE. I PAY PER GB SO PLEASE, DOWNLOAD SMART TO KEEP MY COSTS DOWN.* \NEW\**
LINKS:
Sega Rally 2 R.R HD Texture pack v 0.50
\NOTES\**
This was a port of an arcade game, and like the arcade games I do I am going to keep more so original, with maybe a hand ful of rep[lacements. I used the textures from the Naomi 2 Version,which were higher quality to start, and I Just bought a new model set for my AI upscailing ( IF YOU CAN/WOULD WANT TO HELP ME TRAIN MODELS DM ME PLEASE, THIS IS A HUGE NEED, I WILL REWARD. So I will change out some, but not many so expect this to be done for now.
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Years ago when I first got in to private torrent sites, before I opened my own, I had a small movement called the Rom Revival, where we made perfect and complete rom packs for every console... and made Retro Arch type packs for the older systems... and over the years, I have continued to keep these packs and torrents avaiable on my own tracker to keep allowing the public to be able to access any and every rom they could ever want, without having to go google, digging around the sketchy, very slow sites to be able to download what ever rom one at a time. So I feel this is he best time, to bring back the ROM REVIVAL, and now implement the DREAMCAST HD TEXTURE PACK part of the project. So look out for my R.R tag, and keep up with all my hard work as the texture packs start to roll out.
ONE LAST BIT HERE.... These packs, are done out of my love for the Dreamcast, and all of you guys. There is no other reason to do this.. I see the community is lacking in this content, NO BODY ELSE IS DOING WHAT I AM DOING, and for others that love this system like I do, well, This is for you. NOW, If you would like to buy me a cup of coffee, or a pack of smokes, check out my Donation options here!. There is an option to get YOUR pack pick moved up to the next pack as well as other options, so if you want a pack done fast, or maybe you just want to say THANKS for all my hard work, ncheck it out here please and thanks guys!
submitted by CronicCanabis88 to Flycast_texture_packs [link] [comments]


2024.04.29 21:02 CarnaDF Hello, cross post to reach both communities. How do you know when to stop titrating up?

I guess this question goes for any type of psychiatric medication where you have the titrate up slowly. Like I didn't feel good on 25, bt then when I went up to 50 I felt good. And then 75 a little worse and then 100 a little better, not as good as 50 though.
I'm wondering is there a threshold that you reach where just know? Like its weird that I can feel okay at a low dose then bad on slightly higher then good again. I haven't had any major side effects. I take it in the morning, doesn't make me sleepy. Does keep you regular though, lol.
So my question is, do I just need to keep titrating up until I suddenly feel amazing? Or keep going up until I don't feel Im getting any further benefits? How do you know when to push through, I guess?
By which I mean, say I increase 3 more times in the next few months and don't feel any better, I should just call it quits and go back to when I felt good?
My doctor and I hypthesize that since I have parkinsons in my genetics it could be a reason I'm responding so well to it. And i'm one of those "ultra hyper mega whatever whatever" metabolizers, so if I get any bad effects from a medication I'll know almost immediately, like within a couple days.
I'll ask my doctor too, but I have to schedule a follow up first.
(I know alot of people say Lamictal isnt really for depression. It usually takes a combination. So I'll mention my doctor also prescribed an SSRI (Fluvoxamine) for OCD, but the plan is to get on a stable dose for Lamictal first and then try that, so we know what's doing what. SSRIs also exhaust me when I first start them, wack.)
submitted by CarnaDF to Lamotrigine [link] [comments]


2024.04.29 20:59 CarnaDF How do you know when to stop titrating up?

I guess this question goes for any type of psychiatric medication where you have the titrate up slowly. Like I didn't feel good on 25, bt then when I went up to 50 I felt good. And then 75 a little worse and then 100 a little better, not as good as 50 though.
I'm wondering is there a threshold that you reach where just know? Like its weird that I can feel okay at a low dose then bad on slightly higher then good again. I haven't had any major side effects. I take it in the morning, doesn't make me sleepy. Does keep you regular though, lol.
So my question is, do I just need to keep titrating up until I suddenly feel amazing? Or keep going up until I don't feel Im getting any further benefits? How do you know when to push through, I guess?
By which I mean, say I increase 3 more times in the next few months and don't feel any better, I should just call it quits and go back to when I felt good?
My doctor and I hypthesize that since I have parkinsons in my genetics it could be a reason I'm responding so well to it. And i'm one of those "ultra hyper mega whatever whatever" metabolizers, so if I get any bad effects from a medication I'll know almost immediately, like within a couple days.
I'll ask my doctor too, but I have to schedule a follow up first.
(I know alot of people say Lamictal isnt really for depression. It usually takes a combination. So I'll mention my doctor also prescribed an SSRI (Fluvoxamine) for OCD, but the plan is to get on a stable dose for Lamictal first and then try that, so we know what's doing what. SSRIs also exhaust me when I first start them, wack.)
submitted by CarnaDF to lamictal [link] [comments]


2024.04.29 19:34 Significant_Ask5258 What the absolute flip is going on?

Edit: DO NOT OFFER DIAGNOSES! this may seem like an open invitation for diagnoses but I’m really just trying to explore other people’s opinions about my experience stated as clearly as possible. Also I just needed to get this off my chest and Im trying to relieve the stress of waiting for my therapy appointment tomorrow without doing anything rash that could start this whole pattern over again before I even get the help I need. Thanks and blessings :) 🙏 EDIT 2: I also hope anyone that has a similar experience will use this story as motivation for seeking help with a doctor!
Hi! Im 21 and have been in therapy for my entire life off and on. I’m going back into now after having completed an hour assessment for what might possibly be wrong with me. Backstory no one asked for: I grew up as a missionary kid, going overseas with my family at 8 years old. My life there is a blur. I was bullied and outcasted for seemingly no reason of my own. My acedemic career was all over the place. I had developed a schema that “I’m stupid,” at the age of six when we first moved and started our lives in Chittagong Bangladesh. I was succumbed to a very unhealthy environment of weirdly abusive teachers. I felt singled out in the class and would single other people out sometimes to get the Don off my ass. At 7 I was threatened by a European kid with a heavy Slavic accent that he would slaughter me. I was genuinely afraid of this because yeah, he could if he wanted to. I don’t know his backstory. Anyways after suffering those 2ish years in Chittagong with the crazy teachers and social isolation, (aside from Christian fellowship), we moved to sylhet. The boonies. I made my first memorable group of friends there. I reminisce playing badminton on the street during Ramadan and trying to throw a Kricket ball the right way. Life was good for the 2 1/2ish years here. Unfortunately, all the kids on my street moved out of town. I was alone again aside from Christian fellowship and my two friends across town and hour away. I found solace in drawing and eventually skateboarding during my time there. When I was about 12 or 13 we moved to Dhaka. Things got really bad. Going into middle high at a new place excited me, so I was happy to get to know everyone, but I think that some form of tight-nit brotherhood of the dudes kept me from assimilating into their lives. Which this is where I started to see a pattern. I came in with one other kid and we were cool, until I didn’t want to learn French I guess. Somehow he became friends with everybody, and alternatively gave me a cold shoulder. I feel like during this time I can closer to the realization that I just didn’t know what to say or how to act around people. I suffered through those years with my only friend at the time who took a stabbing with a pencil for me. I remember when he came and we became friends, I thought that everything would finally change, but it only got worse for both of us. Up until this time I feel like I only knew being: outcasted, fearful, and when Isis started invading around 2016, complacency and unrest. I vocalized my issues to my parents a lot but they didn’t believe me. I hate to say it, but thank god for isis cause otherwise we wouldn’t have moved to Thailand. This is where shit just amalgamated I guess, and I refer to the pattern of the outcasting again. See, when I started school in Thailand I was given a fresh start. It was the ending semester of eighth grade, and I came into things pretty abruptly I guess. I came in with another kid, this Russian guy, and I felt like we kind of hit it off for a little while. Unfortunately because of my past up to this point I really didn’t want to be around anybody. My part in my isolation here was giving up. People would say “hi” but I’d have a million transcendental arguments going on in my head about everything. Let’s call this transcendental bias, because everything I was thinking and feeling, for the most part, were not exactly true. I became very uncontrolled in my emotions. Lashing out at teachers, disrespecting authority, and being an overall distressful annoyance. This was a very high performing school and nobody had really seen anything like it. The majority of accolades were trying to shoot for big goals, and I don’t have any. During the end of living in Dhaka I forgot to mention that I had picked up guitar and found more peace just sitting there and playing, learning licks all around the fretboard to pass time, etc. So during my time in Thailand I could just not care about all these problems and either sketch, play guitar, or skateboard. I really did used to want to be a professional skater. I started getting confused more and more with what I genuinely wanted that I could dedicate my life to. I’ve heard you consider this as the wanderlust gene. I ended up taking a psych evaluation because my parents thought that I had ADHD. Which we’ll get to the diagnosis things later. But basically I was diagnosed with severe depression and got out on the medication Zoloft and depakote. This stuff was not helping. I remember either being more confused, anaphoric, or just even more depressed, crying myself to sleep every other night after having to deal with all the stress and pressure from my peers and authority. It seemed like there was no way out except to move again. So I went to my parents and told them that I wanted to kms. For my tenth grade year we moved back to America and shit. Hit. The. Fan. I started forming relationships with everybody. There was literally no one I couldn’t hang out with. I was popular, I felt accepted, I started to get better, even had some character building drama during the second to last year. Unfortunately it was short lived. I got on marijuana and became severely dependent. I had to do an extra year of school, I started to not care about absolutely anything. I even got a job where my dealer worked at so that I could work and get high after school. My parents started drug testing me and I entirely stopped, tried to get into the army, couldn’t pass the drug test so I gave up, and went to an audio engineering school in Tennessee. I think this is where my overall dogma on life started to shift. I became callous to emotions and crueler, and lonelier than ever. Living on my own I got addicted to Benadryl and took it with LSD, causing a psychotic break in me. Long story short, despite my exceptional performance being an engineer I dropped out and drove 3 days straight all the way to colorodo, where EvEryThiNg would change. After sweating out in my trailblazer, I think my mind started to think a little bit straighter. I called my mom and told her what I’d done, and they agreed to let me come home . First night I was there I started using again, psychs and marijuana. They found out and I got kicked out. So I moved in with my Aunt first removed in Cleveland GA. This lasted only 4 months and I went back home again, got a job at a bar, started getting heavily fixated on drawing and trying to get a job as an animator, (we’re talking 7 hours a day doing studies here), and I think that because I wasn’t getting the results I was expecting I started to feel more hopeless and stressed. Shit at this time I even started working out and taking cold showers after my job. I fucked up again. I’d stolen a bottle of tequila and nearly drone myself to death. That was the last straw for my parents. I got sent to a detox clinic and was referred to a rehab center. I did 6 months inpatient and moved into a sober living in atl. I think I started to feel an acceptance of my reality, but once I started doing an IOP program I was prescribed pristiq. (Which is says a lot about the inconsistent healthcare system because I was diagnosed bipolar which has really bad reactions to pristiq.) I started to digress. I wasn’t doing any substances, but my subconscious callous nature came back. I stopped paying rent and flat out disrespected all my friends and bonds that I had made at sober living. I was literally going insane and doing things for no viable reason except that they “felt right”. I had even gotten into deep studies of philosophy (as many books as I could read) and created these strange thought patterns that didn’t actually make sense. It was like a cognitive bias overload. My roomate’s at the time relapsed and I was left with this new guy who said some pretty hurtful things to me. He really shot my ego. I couldn’t do this anymore so I finally moved back with my parents AGAIN. I’ve been here the past 6 months. Thankfully they intervened with me. We had a one on one and they vocalized how my actions were odd and not making sense. I did research on pristiq, leading me to the decision to go full throttle into therapy. After my therapy assessment, I’ve been given the working diagnosis of complex trauma and BPD. I need to mention something I’m worried about though. I’ve decided as of a couple days ago to try my hand at psylocibin therapy. Which like okay, it did what it was supposed to do, I got super introspective and all that. But I was afraid that just like many times before, I was going to fall back into my old ways again somehow. I’m positive that this specific mushroom trip has helped me at least a little bit. I may still be an average nicotine smoker, but when it comes to substances nowadays I don’t feel dependent on getting high. I can pace myself and after having stopped pristiq for 3 weeks now, can think critically about what is right and wrong. In my mind now, I know it is wrong to get high in 95% of situations. After the trip I feel myself moving forwards at an accelerated rate (granted along with stopping the pristiq and giving control back to people and institutions who can help me.) I’m being honest and feeling real again. However…. For the couple weeks coming off pristiq I started diving deep into Freud’s anthology and discussing in depth psychology with my mom who is a substance abuse counselor. I’m in here now writing this because I’m at odds with myself. When I got my mushrooms, the guy I bought them online from sent the box to the wrong location. So he was “kind” enough to be like “hey I sent extra it’s otw my bad.”🤦‍♂️, and what he sent was not more mushrooms but, guess what!?, adderal! Dextroamphetamine! My initial reaction was wtf dude nobody needs to be taking 30mg of that stuff. But I was curious… so I cut the pill in half (keep in mind I really really do not want to get high), and tested it out. whoever’s reading this, PSA, pleaaaase for the love of god do not do this. I’m just some dumb redditor like you. And it worked! Unfortunately I did get a tad bit of blurred vision as a result of such a goddamn high dose. But the clarity and calmness after taking it was not euphoric (trust me as an ex addict I know euphoria), it was just like all the sudden I reached the imaginary baseline everyone’s been so talkative about! I chopped the pill into a fourth the next morning and this morning. I started researching specifically into ADHD and your take on trauma + ADHD, BPD, and the latter. I just don’t understand why this drug is working. Not only that but the legal chokehold I’m putting myself in by talking about it to anyone. I’m not telling my family because I know the reaction I’ll get. Now I just don’t want to go back any steps. I want to move on with my life. My parents are so happy with me as of the past couple days. I’m even happy with myself. I’m not having over-exhaustive crashes and procrastination throughout the day, and I can talk myself out of doing the wrong thing instead of thinking, “fuck everybody im gonna be lazy and do what I want.” I dare say I’m the happiest and most consistent than I’ve ever been. I just know how illegally taking a substance looks and I pray that I can get some unbiased opinions and side help in the midst of this.
submitted by Significant_Ask5258 to Healthygamergg [link] [comments]


2024.04.29 16:04 Careless-Difference6 Darren Hardy - Daily Mentoring (Download)

Darren Hardy - Daily Mentoring (Download)
Darren Hardy - Daily Mentoring

Darren Hardy - Daily Mentoring Reviews: Is it worth it?

Ever felt like you're just a step away from achieving something great, but you're not sure what that step is? Well, enter Darren Hardy - Daily Mentoring, your daily dose of motivation and insight packed into a short, punchy video. It's like having your own personal success coach in your pocket, ready to fire you up and propel you towards your goals every single day.

What's the Buzz About?

If you haven't heard about Darren Hardy's Daily Mentoring, where have you been hiding? With over 350,000 high-achievers worldwide jumping on board, it's a global movement for a reason. It's not your average self-help spiel either; it's about real, actionable strategies delivered straight to your inbox every morning. Think of it as your secret weapon for staying ahead in the game of life.

One Big Idea, Every Day

In a world overflowing with information, it's refreshing to find something that cuts through the noise. Each video from Darren Hardy is like a little nugget of gold, focusing on one big idea that you can implement right away. And the best part? It's all packed into a bite-sized five-minute video, perfect for those hectic mornings when you need a quick boost to kickstart your day.

The Compound Effect in Action

Ever heard of the compound effect? It's the idea that small, consistent actions over time lead to significant results. Well, that's precisely what Darren Hardy - Daily Mentoring is all about. By committing just five minutes a day, 260 days a year, you're setting yourself up for massive transformations. It's the power of consistency in action, and trust me, the results speak for themselves.

Joining the Tribe of High-Achievers

One of the best things about DarrenDaily is the community it fosters. When you sign up, you're not just subscribing to a newsletter; you're joining a tribe of like-minded individuals who are all on the same journey towards success. It's a supportive environment where you can share your wins, ask for advice, and cheer each other on. After all, success is sweeter when it's shared.

Why You Need It in Your Life

So, why should you jump on the Darren Hardy - Daily Mentoring bandwagon? Well, for starters, it's a game-changer. Whether you're looking to level up in your career, improve your relationships, or simply become the best version of yourself, this daily dose of inspiration will keep you on track. Plus, with just five minutes a day, there are no excuses for not investing in your own growth.

Final Thoughts

In a world where time is precious and distractions are plentiful, Darren Hardy - Daily Mentoring is a breath of fresh air. It's a reminder that success is not just about big leaps; it's about the small, consistent actions we take every day. So, if you're ready to unlock your full potential and become #BetterEveryDay, then what are you waiting for? Sign up now and join the movement!
submitted by Careless-Difference6 to LifeLongLearnings [link] [comments]


2024.04.29 10:07 milkbog1998 what the end goal of being medicated?

i'm newly (last few months) diagnosed and i don't know if i just haven't found the right med yet or if i'm not managing my expectations for treatment appropriately or what. i'm on a combo of lithium/lamictal/risperidone. in the months that i've been on this particular combo, i've had a few good weeks in a row before things get bad again. it's JUST the psychotic symptoms that flare back up. my psychiatrist is baffled every time, doubles my dose of risperidone, and tells me to come back in a few weeks.
right now, the symptoms are toeing the line between tolerable and intolerable. i still see and hear and feel things. my car still talks to me and something still lives in all the mirrors in my house and something is still outside my window at night. but i can mostly ignore them. i was able to sleep with the lights off for a night. or with a mirror uncovered for another. right now i can't sleep because i'm too scared of every little noise. the psychotic symptoms never truly resolve. is that something i need to come to terms with? do i need to explore different antipsychotics? i'm more functional now than i ever have been, but i also had to take a medical leave of absence & am likely moving back to my hometown for more familial support.
i just don't want to feel like this forever. i know that i can't/won't. but i am overwhelmed right now. i have an appt with my psychiatrist in the morning and i don't even know what to say, you know?
edit: title should read "what IS the end goal of being medicated?" you can tell i hadn't slept yet lmfao
submitted by milkbog1998 to CrazyNicePeople [link] [comments]


2024.04.29 09:00 CronicCanabis88 Zombie Revenge (REV 2) HD Texture Pack R.R * FIXED*

As a kid growing up, I still remember my birthday where I got my Dreamcast and Sonic Adventure, and Speed Devils. This would forever be one of my favorite systems of all time. I have been using emulation for 12+ years....back when in order to play a library of 10 or so DC games, you needed 5 different emulators. Well look where we are now with DC emulation. Flycast has been so kind to provide us with the ability to dump and load custom textures.
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Saddly, There are very, VERY few DC texture packs, and I can understand as the graphics in DC games tend to be brighter colors, less realistic, and more cartoony/arcade type graphics which was its charm. I have decided to change this. I will have a few projects going at once, and every day i will release updated packs for the games I am currently working on. This is my very first pack ever. Everything is set, you simply make a folder called Textures, (only if one dose not exist here \flycast\data\Textures), Extract the folder in my archive in to this Textures folder, I have the original img for every one i remade in the folder. the names are the same except the original file has 'OR" before the name ( NEW: 123abc.png / OLD: BKP123abc.png)
NOTE:Leaving "BKP" files shouldn't effect anything, as they are not the named files that the game is looking to pull, so you can leave them there, or delete them, as they are just for refrence and will bened up in future updates.,.
TIPS TO MAKE SURE THINGS RUN PERFECTLY.
UPDATE FOR DIFFERENT REQUIREMENT PACKS....
Low Powered Devices, Low Storage Situations, Or Just Smaller Screens...
UPDATE*. Today I realized, I got my new 32 in 4k g7 neo samsung oddessy monitor, and i needed MORE. More resolution. More pixels, just MORE. So I decided, "not everybodys devices can handle MORE", so I decided to make 3 resource levels of packs for potatos thru Gaming Rigs. I am going to go thru the packs I currently have, and make 3 different packs for every game. They will all be updated in sync, so one "Quality level" will always have the same textures across the board, but this way, users on low end/mobile devices can enjoy the packs as well! You dont need reolutions this high on small screens, and thoes devices might have trouble loading in textures that are bigger then needed on a tiny screen, so I took all the textures, and compressed them depending on their size.. I did this seperate, So its not like I just said "take all textures, and cut them in half." No. Then the smaller, already acceptable textures would lose quality, so Depending on the original sizes, every files was changed independently. Keeping the best image overal, while making it easier to load, and take less space ondeviecs with smaller storages, as some of these packs get very large.. so watch for these updates over the next couple days in all the games. Now, Every pack will have 3 characters you must remove from the packs after uncompression. Just edlt the "_LQ", "_MQ", or the "_HQ" from the end of the packs inorder for flycast to see the pack,This is simply a sorting method for me and users that have multiple versions in case you wanted to test multiple packs this way they can be sorted and organized better.\*
HQ- This will be the standard you have known to come to love from me. Now I might use some slghtly higher res textures then I currently do, but as long as my 2070 mobile can play it, Then That is my goal for the HQ packs. Best image, largest size packs, and most resources needed but tthese are ment for users playing on large 1080/4k devices with a little more horsepower under the hood then the average emulator. Usually, if your device tends to play games at 3-5x resolution, using these packs SHOULDN'T make things to much harder for anydevice already playing on that level, worst case is you maybe bump the Internal Resolution down a step or so, and go from there. JUST REMEMBER, if you have any issues, try one of the other 2 pack versions, MQ or LQ.... I would try things like making sure you have your render buffer size is as large sas you can get, and remember, the new textures are what is taking the most resources to load. some times, relaoding a level or Giving 'er the good ole "Savestate,Loadstate" to reload, I find some levels, Just wait a few moments for everything to not only render NORMALLY, but then get replaced, then enjoy your gaming.
MQ- In these packs, Anybody on a laptop, or similar set up will be more than happy and might not even NOTICE the difference between HQ and MQ packs. This is not to say this wont look good on a 85in screen, all my packs, even MQ and LQ versions, are specially designed to give you the most prestine and sharp image you can get, while at times, just toneing it down becuase many users are not on large 4k displays playing in 4k, so if that is not how you enjoy your gaming, now these packs will help you get the perfect mix of quality, size, and performance based on your specific setup. You do not need anything crazy to run these, and can be used in any set up and will not fail to impress!
LQ- Now do NOT let the tiny size, Lower resolutions, and name "LQ" Fool you. There is NOTHING "Low Quality" about these packs. You still get the upscales you have come to love, and the new, much larger images have been toned down a little bit is all. This is PERFECT if you are on a portable device, or even smaller screen laptops! These are much smaller in both size, and resolution, but STILL looks great on thoes devices, and even on large screens, this is STILL a great looking pack, just now people with less then perfect setups can now enjoy Flycast HD Texture packs.
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\NEW\***,I PAY EXTRA SO ALL MY LATEST RELEASES ARE NOW ALWAYS MAX SPEED,NO WAIT TIMES BEFORE DOWNLOAD, AND NO WAIT TIME FOR GB LIMIT REACHED, EVEN FOR NON PREMIUM USERS ON FILE HOST SITE. I PAY PER GB SO PLEASE, DOWNLOAD SMART TO KEEP MY COSTS DOWN.* \NEW\**
LINKS:
Zombie Revenge (REV 2) v 0.80 HQ
Zombie Revenge (REV 2) v 0.80 MQ
Zombie Revenge (REV 2) v 0.80 LQ
Zombie Revenge (REV B) Image Comp Album IMGSLI
\NOTES\**
This was a port of an arcade game, and like the arcade games I do I am going to keep more so original, with maybe a hand ful of rep[lacements. I used the textures from the Naomi 2 Version,which were higher quality to start, and I Just bought a new model set for my AI upscailing ( IF YOU CAN/WOULD WANT TO HELP ME TRAIN MODELS DM ME PLEASE, THIS IS A HUGE NEED, I WILL REWARD. So I will change out some, but not many so expect this to be done for now.
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Years ago when I first got in to private torrent sites, before I opened my own, I had a small movement called the Rom Revival, where we made perfect and complete rom packs for every console... and made Retro Arch type packs for the older systems... and over the years, I have continued to keep these packs and torrents avaiable on my own tracker to keep allowing the public to be able to access any and every rom they could ever want, without having to go google, digging around the sketchy, very slow sites to be able to download what ever rom one at a time. So I feel this is he best time, to bring back the ROM REVIVAL, and now implement the DREAMCAST HD TEXTURE PACK part of the project. So look out for my R.R tag, and keep up with all my hard work as the texture packs start to roll out.
ONE LAST BIT HERE.... These packs, are done out of my love for the Dreamcast, and all of you guys. There is no other reason to do this.. I see the community is lacking in this content, NO BODY ELSE IS DOING WHAT I AM DOING, and for others that love this system like I do, well, This is for you. NOW, If you would like to buy me a cup of coffee, or a pack of smokes, check out my Donation options here!. There is an option to get YOUR pack pick moved up to the next pack as well as other options, so if you want a pack done fast, or maybe you just want to say THANKS for all my hard work, ncheck it out here please and thanks guys!
I SPEND ABOUT 5-12 HOURS PER UPDATE RELEASED. I PAY FOR PROGRAMS AND AI SCRIPTS TO GENERATE IMAGES. I PAY EXTRA TO MAKE MY DOWNLOAD LINK HAVE MAX SPEEDS AND NO WAIT TIME EVEN THOU THATS USUALY BASED ON YOUR ACNT BEING PREIMUM AND YOU PAY TO HAVE NO WAIT TIMES OR DL LIMITS. THIS WAY RATHER THEN THE 2 GB EVERY 6 HOURS, 60 SECOND WAIT TIME, AND ONE DL AT A TIME, I PAY SO YOU DONT HAVER TO PER GB USED TO GIVE THIS TO YOU GUYS THE BEST WAY I CAN. .CLICK HERE TO DONATE, AND ALSO YOU WILL GET TO SEE OPTIONS TO GET YOUR PACKS DONE ASAP!!!
submitted by CronicCanabis88 to Flycast_texture_packs [link] [comments]


2024.04.28 23:57 Glittering-Lion2340 help and advice needed I’m so lost!

Helloooo I’ve been on so many antidepressants: zoloft, lexapro, prozac, celexa, luvox, tried others like lamictal buspar. I even tried them 2-3 times to give them more chances. Every time I cannot bear the side effects. It sucks because they work well for me but I get SO lightheaded standing up-black out, hearing loss, sweaty hands feet night sweats etc. the main thing I cannot tolerate is the worsening hypotension I already get that because naturally I have lower bp and possible pots hr shoots up when standing, but I can’t up my ssri doses because it makes the Orthostatic hypotension even worse and inhibits my workouts/lifting it’s really unfortunate. I’ll have to stop and sit down or bend over because I’m almost fainting. This is on the lowest doses too like 25 mg zoloft. I also get worsening tinnitus with each dose increase. I don’t know what to do. I need something to help but low doses do nothing for my pure ocd (works for gad and panic), I need to go over max dosage for it to help but I can’t get there because of these side effects and don’t want to supplement any antipsychotic. Any options to try? I got perscribed anafranil but I can’t even handle low ssri dosages so idek if I could handle this tca, I know it will help a lot but it’s so much more potent and stronger on seretonin I feel like my side effects will be really bad and I’m really scared to start.
There’s some options left like cymbalta, effexor, pristiq, trintellix, viibryd, paxil idek I just don’t know what to do and the outpatient np I’m currently seeing doesn’t know what to give me and says it’s up to me. I’ll ask her questions about something and she won’t know, has to look it up like I asked if there’s weight gain with the tca meds and she didn’t know so had to look it up when it’s a pretty common thing to know about those meds. I asked what she thinks I should try and what would be best for me to do based on side effects and my history and she literally goes “u tell me” and asked me if I researched anything like what ? It’s ur job to help me that’s what u went to school for, I’m literally only 20 I have no idea what to do. I’m just so lost so if anyone could help me on what to do I’d appreciate that so much thank you😭😊
I started outpatient to get help with therapy and my meds figured out specifically but no luck again so I’m just upset because I can’t make these decisions myself I really don’t know what to do. I’m just so sick of the med roulette but I need something to stabilize me before college in fall if I attend which I ahve to so I don’t have time to do this on and off stuff again it sucks after 3 years of this.
submitted by Glittering-Lion2340 to antidepressants [link] [comments]


2024.04.28 22:27 Ok_Holiday3814 Can one’s body shut down from stress? Also have POI.

46F, 175 lbs. History: - diagnosed with ADHD, anxiety, mild depression. On Vyvanse 30mg, bupropion 300mg, escitalopram 10mg. - diagnosed with premature ovarian insufficiency at age 36, on HRT (Estradot 50 and Prometrium 100) for that - had partial thyroidectomy at age 38 due to 4cm oncocytoma (Hurthle cell). - all blood tests including TSH, iron, liver panel, urinalysis normal at last annual physical 5 months ago. - non-smoker, non-drinker (maybe 3 glasses wine per year), no recreational drugs.
I took on a new job last year as I was promised more work-life balance (had done 60-70 hour weeks for years before that). It worked for the first month, but as I’m in a role that’s not easy to fill, I have again been doing 70-hour weeks consistently since November. My life is basically get up, go to work, go home late, grab something quick to eat, finish going through the day’s e-mails, drop into bed, and repeat.
I think I’ve been managing really well, but my eating habits have become horrendous (like, grab a muffin for lunch and dinner with some caffeine inbetween). As I’m so exhausted when I get home, I haven’t been exercising. On average I’ll have 2,000 steps in a day, when normally I’d be sitting at 10,000+. I used to head to the mountains (only an hour away) every Saturday for big elevation and long distance hikes/XC skiing year-round. Now I literally haven’t even been on a walk around the neighborhood since Christmas. Brushing my teeth has become a chore, same for showering, though as soon as I’m in the office I can somehow just go go go.
What concerned me now is that this weekend it feels like I had nothing left in me. Yesterday for lunch and meal prepping I made some chicken, rice and veggies, and just a few fork fulls of that made me nauseous. Everything felt gross. I’ve been holding on to furniture just for some strength when moving around. Last night I felt I needed food so bad, but getting to the kitchen and quickly warming up a prepped meal from early and put together a salad was so daunting that I felt I’d have to crawl to the kitchen. Instead I ordered in a burger with caesar salad and actually managed to eat half of that.
I’ve given up my weekend outings, haven’t seen family and friends in months (except for my dad whom I saw for an hour twice), gave up a hobby (took skating lessons with a coach, but she dropped me as I couldn’t make evening practice 3x a week). I have been speaking with a counselor for three years every 6 weeks as I used to have horrible health anxiety (mom had breast cancer, died of ovarian cancer, had a stroke, both of my parents have had emergency brain surgery within a year of eachother, etc). I don’t have a family of my own, so sometimes feel that maybe work has been an escape or coping mechanism of some sort.
I don’t cry, or feel happiness/sadness - everything is just kinda neutral - but yesterday was different. Almost like my body was telling me I can’t keep living like this. Rational me can see how this is abusing my body, and I know I need to do better (statistics aren’t in my favor either - we have BRCA1 in the family, and the generics clinic who went through generations of family history indicated that about 90% of the women on my mom’s side of the family passed away from ovarian cancer and/or breast cancer around age 52-53). I tested negative and do not have that specific mutation (duplication of exon 13, 6kb). But I digress.
So apart from this complete exhaustion this past weekend, I have also noticed quite significant hair loss. I understand that it’s normal to lose ~80 hairs a day, but I get quite full hair brushes, plus lots of shedding on clothes. It seems all concentrated in one big path in the top of my head. My hairdresser also commented on this. I do not use any harsh hair products or color my hair (last time I had colored my hair was pre-pandemic) and this hair loss really picked up 4-5 months ago.
So, does this sound like it’s only stress? Or could this be something hormonal? I had seen an endocrinologist (years ago now) who referred me back to my family doctor (I’m in Canada) to manage my HRT. From what I have been reading, those of us with POI need higher doses, but have never had my doctor agree to that. I do have extreme vaginal dryness and literally zero libido these last 7-8 years.
Would really appreciate any insight.
submitted by Ok_Holiday3814 to AskDocs [link] [comments]


2024.04.28 14:39 HandFantastic6847 What am i not doing right?

Hello everyone,
Long story ahead, please stay with me.
I am a 36-year-old female with a height of 5ft 2in. I have been on a weight loss journey for the past few months but seem to have hit a plateau and could really use some insights or advice.
Two years ago, after a traumatic experience that led to deep depression, I lost a significant amount of weight and was classified as underweight by BMI standards, averaging 47 kg (103.617 pounds).
Concerned by my family, I started a weight GAIN journey and eventually lost control, gaining 22 pounds due to overeating junk food and being on Quetiapine—an antipsychotic drug that exacerbated my hunger pangs.
Additionally, during that period of mental crisis when I was trying to gain weight (April 2023), I received progesterone shots in my backside in a bid to look curvier and feel better about myself.
In January 2024, I decided to take control, and by February, I had started tracking my calories using the Omo app, aiming for a deficit. Six weeks ago, I introduced physical activity into my routine and currently manage about two sessions per week, which I plan to increase to three. I have a sedentary job, so I try to move around when I can. I also had a short stint with Ozempic but discontinued it after one dose due to extreme side effects.
Initially, I noticed a weight loss of 2 kg between February and March 2024.
However, despite my efforts, my weight has been stagnant at 60.6 kg for the past month. I have been consuming 1,200 calories daily, with a significant portion coming from carbs, which are hard to reduce in my country where rice is a staple.
I stopped taking Quetiapine in February 2024, just before embarking on my weight loss journey.
I am now questioning whether the previous medications or progesterone shots have impacted my metabolism and could now be hindering my weight loss progress. If not, what could be impeding my progress? In the past, I had no issues shedding weight.
Are there any tests I could undergo to identify potential factors affecting my ability to lose weight? I believe that with my current calorie intake and the elimination of sugar, I should have seen more significant progress by now.
Additionally, I'm considering signing up with the James Smith Academy program. Are they any good?
The weird thing, though, is that I look slimmer now and my arms are slimmer, and I feel some inches off my waist and back. So it is confusing and frustrating.
Any advice or insights would be greatly appreciated.
Thanks so much for your support and suggestions.
submitted by HandFantastic6847 to WeightLossAdvice [link] [comments]


2024.04.28 14:38 HandFantastic6847 What am i not doing right?

Hello everyone,
Long story ahead, please stay with me.
I am a 36-year-old female with a height of 5ft 2in. I have been on a weight loss journey for the past few months but seem to have hit a plateau and could really use some insights or advice.
Two years ago, after a traumatic experience that led to deep depression, I lost a significant amount of weight and was classified as underweight by BMI standards, averaging 47 kg (103.617 pounds).
Concerned by my family, I started a weight GAIN journey and eventually lost control, gaining 22 pounds due to overeating junk food and being on Quetiapine—an antipsychotic drug that exacerbated my hunger pangs.
Additionally, during that period of mental crisis when I was trying to gain weight (April 2023), I received progesterone shots in my backside in a bid to look curvier and feel better about myself.
In January 2024, I decided to take control, and by February, I had started tracking my calories using the Omo app, aiming for a deficit. Six weeks ago, I introduced physical activity into my routine and currently manage about two sessions per week, which I plan to increase to three. I have a sedentary job, so I try to move around when I can. I also had a short stint with Ozempic but discontinued it after one dose due to extreme side effects.
Initially, I noticed a weight loss of 2 kg between February and March 2024.
However, despite my efforts, my weight has been stagnant at 60.6 kg for the past month. I have been consuming 1,200 calories daily, with a significant portion coming from carbs, which are hard to reduce in my country where rice is a staple.
I stopped taking Quetiapine in February 2024, just before embarking on my weight loss journey.
I am now questioning whether the previous medications or progesterone shots have impacted my metabolism and could now be hindering my weight loss progress. If not, what could be impeding my progress? In the past, I had no issues shedding weight.
Are there any tests I could undergo to identify potential factors affecting my ability to lose weight? I believe that with my current calorie intake and the elimination of sugar, I should have seen more significant progress by now.
Additionally, I'm considering signing up with the James Smith Academy program. Are they any good?
The weird thing, though, is that I look slimmer now and my arms are slimmer, and I feel some inches off my waist and back. So it is confusing and frustrating.
Any advice or insights would be greatly appreciated.
Thanks so much for your support and suggestions.
submitted by HandFantastic6847 to loseit [link] [comments]


2024.04.28 09:35 JollyPollyLando92 Looking for tips

Hi, I'm debating between making this super detailed or very current/general. I'll see what I manage to do.
I'm looking for advice from anyone who might have experienced something similar.
What I'm dealing with - I fall asleep easily, then wake up having like a bigger hypnic jerk that shakes me awake - As I'm jerked awake, I feel like I've been gasping for air - This is followed by heart racing, fierce to moderate depending on the night - I wake up to this 2-5 time in the span of my first hour or two of sleep, sometimes it makes me so angry I give up on sleeping for a while - when I fall asleep, I sleep through the night though not necessarily 7/8h or enough to my liking, but I wake up with back pain, regardless of my position or props I'm trying to use to keep my spine aligned - this started 12 days ago approximately, but I had noticed I was inexplicably very tired already a month/month and a half back.
I have an appointment with a sleep specialist in 2 weeks, so I'm hopeful, I'm also looking to get a sleep study of course.
THIS POST COULD END HERE SO IF YOU GOT HERE AND CAN THINK OF SOMETHING THAT MIGHT HELP PLEASE COMMENT.
What I've tried - sleep hygiene of course. I see things are slightly better when I go to bed at 10pm than 11pm, but it's marginal - supporting my spine! The side sleeper pillow, but also placing a pillow in between my legs and arms to avoid misalignment and constricting my chest with my arms. - sleeping in the safety position, which is what comes natural to me when I sleep on the side (laying on the right side, with the left leg in front of me and my right hand under my cheek) - changing which side I sleep on - I've been doing physical therapy for my hip joint, which includes exercises for the spine. I do exercises most day, about 20min. - I went to the osteopath, to release my hip joint. This is in collaboration with my physical therapist so that, now that the joint is released a bit, we can exercise it and build strength/mobility - I went to my Dr who prescribed specialist visit + sleep study - I tried taking half a Xanax, it didn't make a difference
Recent changes - end of March I decided to stop sleeping on my stomach. It's generally not a great position plus I have very large breasts (please pervs stay away I beg you) and it was causing me a lot of lower back pain. As I already have issues with a hip joint, this was most unwelcome. - I changed my pillow to a side sleeper pillow. Pillow is perfection. - I changed job from a stressful one to a less stressful one. I love my new place of work, my colleagues, the job content. The first few weeks I didn't have much to do but it's picking up now and it's exciting. My job is an office job. - I started making kombucha. I like it and it might help a bit with my health conditions, I thought why not. However, my stomach has been a bit upset the last week so I haven't been drinking it. - I've been taking Coq10 for a month and a half, this is also something I'm trying out. - on Easter day my brother told me his GF is pregnant. I have a condition linked to infertility, I fear infertility a lot, but this announcement only filled me with joy. I have not felt jealous or worried, I've journaled about it and talked it over with friends as I was "waiting for the other shoe to drop", but it didn't. I just can't wait to be an aunt.
About me - I'm 33F - I am fulfilled in my relationships and personal life, I am the best I've ever been in terms of mental health - I'm anxious by nature, but I've had years of therapy about it and have learned great techniques to cope with it, including the extremely occasional (less than 5xyear) half pill of xanax - I've had insomnia due to anxiety or to a lot of travelling in the past, which resolved either through xanax, or plant supplements, or high dose melatonin for a few days - I'm hypersensitive, there's a chance I'm Autistic but I can't be bothered to get evaluated as an adult woman - I'm overweight. Even in my best lifestyle times (great diet, perfect meds, 7hs of sports a week) my BMI was around 25/26. It's currently at 29.5. My previous job hours and travel (consulting) were hindering my efforts to improve my lifestyle, that's why I changed jobs. - I had started exercising more regularly again about mid march (strength training to support my hip joint + jogging) but I keep injuring myself despite PT and warm ups, so I'm thinking of subscribing to a gym to do low impact courses, including swimming. - I walk an average of 5k steps a day, I try to aim for 7/8K steps by taking a walk after work. I go to the office 2 days a week and my commute includes 30min walking. - I have PCOS and insulin resistance, I take Metformin 1700mg/day for it. I also supplement with Vitamin D, I've been doing this for years. I've started making kombucha not only because I like it, but also because it can potentially help with IR. - I have Hashimoto's disease, with hypothyroidism. My thyroid levels are regulated with meds, I just got it checked and numbers are perfect. - I have a weak stomach, but I just eat accordingly. I like simple food anyway. - I have an irritable colon, everyone in my family does, I take a probiotic and the kombucha was an attempt to help with this too. - My diet doesn't include a lot of processed foods, I have occasional small binges, as my ED therapist says. Dieting with undiagnosed IR brought me to build some bad food habits, brought back some food scarcity trauma from my childhood, I'm trying to address that. I know how to eat for my health, I've worked with good dietitians/nutritionists in the past, and I keep to their advice 80% of the time. - I drink alcohol in moderation. I rarely have more than 2 drinks in one sitting, and rarely have drinks more than 2 days a week. When I drink, it's usually wine with lunch/dinner when I eat out. I've been avoiding alcohol the last two weeks, but the one night that I drank I didn't feel it made a difference. - for my PCOS, I have to take BC otherwise I have a constant period, which is debilitating. However, the only pill that works for me is a high estrogen pill and in the withdrawal week the estrogen drop causes migraines. I read Coq10 might help with both this and IR, that is why I decided to try it. - from my last blood panel (Feb) it appeared I was deficient in folic acid, so my doctor prescribed it. I finished the box and am not going to take any more, as per her recommendation. - I have eczema. It appeared during a burnout (thanks consulting) and has gotten massively better since I changed jobs, but these sleep issues are making it worsen again. - I have respiratory allergies, but my allergens are not present in my environment yet. This spring it's very cold here. - I was born with misaligned hips. The right hip is 1,5cm above the left hip. This started to cause pain in my late twenties and got worse after my second burnout (sitting 14h a day was not ideal) but what I'm doing with my PT helps and I don't think this has anything to do with my sleep issues.
IF YOU READ UNTIL HERE, THANK YOU.
I'm just really tired, I'll take any advice up until snake oil.
submitted by JollyPollyLando92 to sleep [link] [comments]


2024.04.28 08:29 luzulaa Reaching out for the first time and looking for advice

Hi. I have never really had the space to talk to people about this before. I had one good psychiatrist years ago, but I moved. I am in my early thirties and was diagnosed 6 years ago after getting on Celexa for depression put me in a hypomanic state. I took various meds until I landed on Lamictal being effective and took that for three years. I stopped taking it two years ago because I had been on hormonal birth control, ADHD meds, and lamictal (I think around 150 or 200mg) for a while and I was feeling stable and began to feel like I didn’t know what my normal way of feeling/being was, so I quit all of it (there were times when I was solely on lamictal). The past two years off meds haven’t been easy (many stressful events happening) but I dealt with it. However,I got some pretty real SI a couple months ago followed by what I think is hypomania (I’ve always kind of been confused by what it is bc I have never had many people I could talk to this about and psychiatrists seem to just throw the idea of more meds at me and not help me understand what’s happening to me). The SI got to the point where I was getting mad at my dog for being here because he is sensitive and so bonded to me and would struggle, so I felt a pressure to stick around longer via my pet. Anyways, I tried to be completely sober and thought maybe that would help, but I ended up just getting into what I think are hypomanic and mixed episodes again before I decided to go back on lamictal. I’m titrating up from 25mg. Last night I went from 25 to 50 and I woke up feeling very awful. What I think is a mixed episode awful but it didn’t last as long. Like when I feel like I’m burning from the inside and feel like I need to rip my body open to let it out (I don’t do that - just describing the feeling). It went away after maybe 6 hours, but it was shitty and I was not well and I’m scared to keep taking lamictal and increasing my dosage. I took another 50mg dose tonight in the hopes that it is temporary. I’m also scared of other meds bc I got some pretty significant weight gain with abilify and auditory hallucinations with Vraylar (which is hard to get insurance to cover anyways).
Is this normal for lamictal to work for you but to react poorly to it later in life? I really want to feel more stable but so far I feel like restarting meds is destabilizing me. Looking for advice on whether this is normal and if I should wait it out or if this is a red flag and I should stop taking it. Also looking to see what mixed episodes feel like to others and if you have an idea of what triggers them?
Sorry for the long rant and thank you for any feedback. Also thank you for all the understanding and support I have found by lurking here for years.
submitted by luzulaa to bipolar2 [link] [comments]


http://rodzice.org/