Fatigue stomach upset body ache
Lump back throat
2024.05.19 12:48 proctactinium Lump back throat
Hi female 23 years old here! has anyone already had this kind of lump in the back of the throat behind the uvula? I had a tonsillectomy when I was a kid so I have no tonsils. I also have a sore throat and pain when I swallow!
I have a lot of other issues my doctor sent me to a rheumatologist because I have petechiae appearing anywhere on my body (under my eyes, in my mouth, back, arms, belly, legs…) as well as nausea sometimes vomiting and a lot of burping (feeling like air is blocked in my throat). Also I have some kind of hot flushes where I have the impression that my forehead, back and neck skin are burning and feel like I have fever but my temperature is normal (max 37,5°C)… I also am extremely tired, never feel rested and need to take a nap during the day even if I slept 10 hours. My doctor tested for vasculitis but it’s negative. I also had an endoscopy in my stomach everything is normal. I had anemia but got ferritin injection so now it should be normal but I have to go get it retested. If anyone has experienced something like this or if you have any idea of what it could be it would be great.
submitted by proctactinium to AskDocs [link] [comments]
I have a lot of other issues my doctor sent me to a rheumatologist because I have petechiae appearing anywhere on my body (under my eyes, in my mouth, back, arms, belly, legs…) as well as nausea sometimes vomiting and a lot of burping (feeling like air is blocked in my throat). Also I have some kind of hot flushes where I have the impression that my forehead, back and neck skin are burning and feel like I have fever but my temperature is normal (max 37,5°C)… I also am extremely tired, never feel rested and need to take a nap during the day even if I slept 10 hours. My doctor tested for vasculitis but it’s negative. I also had an endoscopy in my stomach everything is normal. I had anemia but got ferritin injection so now it should be normal but I have to go get it retested. If anyone has experienced something like this or if you have any idea of what it could be it would be great.
2024.05.19 12:46 Sin-God A New Chain: Routine
The church's earliest visitors on Sunday are a group of kind-hearted do-gooders. And Lucas is there too.
The group, including Lucas, is diligently doing last-minute preparations, carefully and skillfully tending to the food they expertly prepared yesterday. Every single person involved in the work does their part with impressive ease and earned confidence. Lucas's careful contributions, both his direct, visible work, and the boons conferred by his presence allow them to do their work with newfound ease, confidence, and remarkable luck. Lucas occasionally makes minor missteps, but those are due more to the drawbacks he is enduring than anything he actually does. And every time he makes a mistake it's so minor a few deft movements are enough for him to overcome them. All the while he is texting Hannah and is visibly excited to volunteer, even though his motives are still quite selfish.
Lucas wisely does not take a leadership role here. The diligent figure follows the lead of his more experienced peers, and his endless, untiring contributions are enough to allow the group to be ready in an hour, completing work that normally takes them two or three thanks to the various perks Lucas grants them, as well as his actual, material contributions. When the group is ready, Lucas suggests they all swap stories about what led them to volunteer here.
The five volunteers and the pastor encourage the newcomer to go first, and he deftly weaves a tale that incorporates bits and pieces of the backstory he constructed for himself at his job. He explains that he grew up as the only child of a family in a small town and that he has been volunteering in minor capacities his whole life. He tells his new friends the same fanciful lies he told his coworkers and is a bit shocked when he gets the "Storytelling" skill. After that, his companions share their own stories with him. The pastor goes first, explaining that when he took over the church not one charitable act was occurring here and in only a few short years the pastor has massively changed that. The others all share various stories about how they've needed food before, or known people who needed a meal, and so they wanted to make sure that if someone needed a meal they could get it. The stories stir Lucas's heart, and he feels a pang of sincere admiration for his new friends. That said the pragmatic figure is not someone who is so kind-hearted that he'd lose sight of his larger objectives here.
While his companions share their stories he activates "Rogue", but focuses the skill on his hands. This decision almost completely cloaks his hands, rendering them invisible just long enough for Lucas to pour healing magic into the soup. He pours all of his magical energy into the stuff, exhausting himself but that is a minor inconvenience given one of his handy toys and especially when he receives a notification alerting him that he has gained an "Overcharge" skill; the ability to empower something by putting more into it.
As soon as everyone finishes their stories there is just enough time for the group of volunteers to go and get ready for the first of the arrivals at the kitchen. When Lucas is out of view of everyone he reaches into his inventory and pulls out his nifty arcane potion and downs it. The instant that the golden liquid touches his lips his power begins to flow back into him, suffusing his very soul. Minutes later the lad is welcoming guests and visitors to the church. People excitedly greet him, stunned in two different ways by his appearance.
Firstly there is the fact that Lucas is stunning, aesthetically. No matter one's preferences, no one can honestly deny his wholesome movie star looks, and no one tries to. But here, in the soup kitchen, that's the less important part of his appeal. The more important aspect of his appearance is his newness. Many of the people who appear early are people who come to the church regularly, and they recognize everyone there but him. This gives the young volunteer a chance to make several new admirers, and he navigates these social interactions with aplomb. The figure, at this point, doesn't even rely on his perks, having grown accustomed to his new life and reality.
As the figure encourages the visitors to come and grab food he is extremely pleased when he feels time freeze the first time someone tastes the food he made. This is due to the fact that he is making progress towards his quest to become a "White Mage" the formal name given to the "Healer" class he received a quest to become earlier this week, The quest asks him to heal 100 people, and this marks one of the first times he has made progress towards it. The figure smiles internally as he deactivates the notification that froze time and continues the important work he's been assigned; welcoming guests and working to log in the information they're willing to give about themselves. To achieve this task the eager go-getter has a clipboard and is stationed near the entrance to the part of the church that houses the kitchen where the chefs made the food. Every time someone new eats the food he spelled to be restorative the figure has to deal with paused time, but only the first time someone lifts some of the ensorcelled food to their lips, and each time his excitement at the prospect of obtaining a new class grows more intense.
For the first hour only long-term, regular members of the church's congregation, and their hungry friends, come to the kitchen. The pastor is one of the figures serving them food, while Lucas continues the important work he was asked to do. During this time 22 people make their way through the kitchen, greeting Lucas with excited smiles and happily volunteering the same information they've volunteered before to other individuals tasked with doing Lucas's current work. The young jumper listens to distant conversations even as he writes down the information of various individuals. He smiles internally whenever he overhears someone saying that the food tastes different somehow, better than it has before. Such individuals also sometimes notice how immediately the pain they're in lessens, their old aches and pains fading and in some cases disappearing altogether. They don't know about the magic that is repairing their bodies, the sacred energies that course into them with every faint bite or spoonful of food they eat. Also during this time the chef gains more experience
Lucas doesn't consciously know this but his decision to pour all of his magic into the food has supercharged it. If not for his decision to infuse the food with healing magic again time, coupled with the diffuse nature of the soup would have weakened the healing properties of the magic, but Lucas's choice to suffuse the food with as much magic as he could in short order before the hungry congregants and community members began to arrive has sanctified the food and empowered it's naturally restorative and fortifying properties almost making it something like a potion of sorts.
More people begin to arrive during the second hour of the meal serving period. Some of these people are brand new, and of them a handful gawk at Lucas. These individuals, include homeless youth. teen parents, and college students can't resist the urge to take in the cool glass of water on a hot day that is the charming volunteer. His ability to feign kindness and his almost but not quite eerie sense of their emotional states is enough to allow them to develop crushes, platonic or otherwise, on the figure. And in the space of the hour 40 such individuals come through and eat more of Lucas's cooking, enough to allow him to level up his chef class one more time. He eagerly takes a new class ability, one that allows him to grant food he cooks very minor buffs, though he finds that it's not retroactive.
During this time the pastor gives a very brief address to the crowd of gathered individuals, and introduces Lucas to everyone though Lucas has already been social enough and diligent enough to do that himself. Lucas eagerly thanks everyone for joining them today, and during this time he experiences a very subtle glitch where he says a word but no one notices it. The young adventurer simply ignores the glitch, but not before noting that it's the first one he's experienced in a public situation.
During the last forty five minutes of the meal more people come through, and this group is the oddest and the largest. These folks are the irregulars; people who occasionally need the meals the kitchen provides but who don't love prospect of coming to the kitchen. This group numbers a total 45 of individuals, and by the time they eat the effects of the food are less miraculous, but still solidly strong. At the same time when the next to last person to eat grabs a spoonful of soup and lifts it to her lips she is unknowingly responsible for time freezing and Lucas gaining a new class, The excited hero immediately changes classes and gains a boost to his intelligence and charisma as a result of it as well as just enough experience to boost the power of "Support", making this the first time that a perk of his has been directly strengthened to a quantifiable extent.
"Support" is the most subtle of Lucas's perks other than "The Devil's Own Luck". This perk makes him a more effective leader and teammate, and boosts the efforts of his c;lose-by allies by the equivalent of a "+2", until just now, modifier in TTRPG terms and weakens the efforts of his c;lose-by enemies by "-2", or now "-3". In layman's terms all of the efforts of his allies by a tiny but noticeable margin and weakens the efforts of his enemies by an equal amount. The perk also allows for buffs or debuffs to affect all allies or enemies in close proximity to each other, but Lucas has not had many chances to buff allies or fight enemies. One effect this perk has had is that it allows his friends to cook food that is more delicious, more filling, and healthier than their past efforts. Another effect of it is that it has helped those who eat said food to ingest it more easily and thus allows them to eat it without fears of stomach pains. New spells also appear in the hero's mental grimoire, ones that offer minor buffs or debuffs to friends and enemies, targeting their attributes, but none that consider Lucas a viable target.
The hero delights in his new class and is excited to have the chance to grow as a healer and support provider but the day isn't done. When the last of the crowd leaves Lucas and the rest of his friends stay behind to clean up. Lucas is eager to put his newly enhanced perk to the test, and during these efforts Lucas gains the "Cleaner" class, a class whose initial benefits to him include a boost to his senses and to his skill with anything intended to be used to clean something. During the cleaning, Lucas does not quite gain enough experience to level up, but he knows that he will in time.
Eventually Lucas bids his new friends farewell and makes his way to the gym. He works out somewhat intensely during this time, gaining a series of new skills in the form of swimming and boxing, thanks to his time engaging in a decently stimulating jaunt around the lap pool, followed by his participation in a class that revolves around self-defense. Thanks to "Master of All" and his decision to swap classes to "Fighter" he manages to level up both his "Mage" and his "Fighter" class, opting to give himself a boost to his endurance as a class skill for "Fighter", and a boost to the rate at which he regenerates arcane energy as his class skill for "Mage". It is during this time that Lucas figures out that for his classes to level up he needs to gain class-based experience, but this is the first time that he has seen that he can level a class up without having the class equipped, there just seems to be some relative debuff to the experience gained by the classes he doesn't have equipped. This insight boosts his intelligence, the realization itself serving as a sort of training of the attribute.
By the time Lucas returns to his apartment he is immensely satisfied with the day he has had. The moon is visible in the night's sky when he steps into his apartment he is ready to spend the rest of the day honing his skills and gaining valuable experience. He immediately starts this off by using some of his magic to mess with some of his possessions, positioning and repositioning them as he pleases with telekinesis. For the first time the figure shuts his eyes and practices his telekinesis by feeling alone, an exercise which results in the acquisition of a strange new skill: Extrasensory Perception, or ESP. The figure excitedly practices this skill, even as he levels up his "Spatial Magic" skill and gains an expensive new spell: "Minor Teleport". This particular spell lets him teleport objects he can see and hit with a small magical ray, causing light, small objects he hits to appear in his hand. The mage's skills with this are enough to allow him to hit a kitchen knife with it and teleport it to him without any issues. Lucas's mind fills with possibilities as he takes in the wicked potential of this spell. Still, the spell costs enough that he can only cast it once or twice without waiting for his pool of arcane energy to recover which limits it's usefulness somewhat but that's only a short term problem.
Monday rolls around and when it does Lucas is delighted to find that he is familiar enough with his surroundings that he settles into a routine. The jumper almost immediately throws himself into his work the minute he arrives at the office and he quickly grinds the day away. The only notable event is his realization that Amy is developing a crush on him, something he notices during lunch when he is eating with her and their small cadre of colleagues, when she eagerly asks him about volunteering. On Monday afternoon the lad goes to the gym and works out, taking another dancing class and leveling up the class partway through the workout. He gains a class skill which allows him to more easily persuade anyone who sees him perform a few dances, which he realizes probably won't be very useful in this jump but might mean something later on in his "Chain" as his employer called it several days ago.
The figure spends part of the night leveling his rogue class and gaining skills associated with it thanks in part to his "Rogue" perk and his new spells. He sticks to public places, and stays out just long enough for some shopping outlets and malls to close. He limits his targets to small objects like keys and wallets with his magic, and occasionally targets people with debuffs. He also levels "Observe" enough that he can learn the moods of living things just by using the skill, When his rogue class levels up he snags a new skill which boosts the effectiveness of his actions when he is unseen by the people he is targeting. He also snags a title: "Arcane Sneak", which boosts his magical regeneration when he is unnoticed by people or in the immediate aftermath of him using magic to take something that belongs to someone else.
The next month and a half passes in a blur, and Lucas develops a decently strict schedule he sticks to. On Mondays he trains a specific class, not necessarily rogue but definitely something. On Tuesdays he works out, including taking Zumba, a boxing class, and swimming. On Wednesdays he does meal prep and stays at home honing minor stuff. On Thursday he does some sort of volunteering, and on Fridays he actually relaxes and does something like writing or website design. The weekends are filled with volunteering and city exploration.
During this time his classes, other than chef, dancer, and mage, are slow to level up. He actively practices magic, he is a regular chef, and he turns a passive admiration he once had for dancers into something he is surprisingly passionate about. He also begins to volunteer at the hospital he visited, spending a few hours every Saturday in a small room in the back of the hospital looking through paperwork and doing stuff he didn't anticipate a hospital volunteer doing. Still, he quickly racks up trust and admiration from the few hospital staff members who know of him, thanks to his ability to just not complain, coupled with his stunning effectiveness at what he does.
As he begins to approach the two month mark he is a level 10 chef, level 12 dancer, and a level 6 mage, and a level 3 fighter, rogue, and white mage, as well as a level 4 cleaner. It turns out that each class levels a bit differently, which has inadvertently skewed his leveling but he's become an advanced enough chef that his food can be actively beneficial or detrimental and that there is now a 5% reduction in how long it takes him to cook something. He can also now gain modifiers to his interactions with people who've eaten several dishes he's made, provided they enjoyed them. His dancing is similarly useful, and he is a much better mage now than he once was. The figure can also cast spells and use an ability that prevents something from getting dirty, or magically cleanse objects. Despite all of this he remains a level 1 human, having not gained any experience that would level him as a member of his species; it seems that for him to gain such experience he needs to engage in combat and even when he's sparred with people he doesn't fight them to unconsciousness.
He leaves his apartment on the last Monday in October with a smile on his face, ready to begin a new work week.
submitted by Sin-God to JumpChain [link] [comments]
The group, including Lucas, is diligently doing last-minute preparations, carefully and skillfully tending to the food they expertly prepared yesterday. Every single person involved in the work does their part with impressive ease and earned confidence. Lucas's careful contributions, both his direct, visible work, and the boons conferred by his presence allow them to do their work with newfound ease, confidence, and remarkable luck. Lucas occasionally makes minor missteps, but those are due more to the drawbacks he is enduring than anything he actually does. And every time he makes a mistake it's so minor a few deft movements are enough for him to overcome them. All the while he is texting Hannah and is visibly excited to volunteer, even though his motives are still quite selfish.
Lucas wisely does not take a leadership role here. The diligent figure follows the lead of his more experienced peers, and his endless, untiring contributions are enough to allow the group to be ready in an hour, completing work that normally takes them two or three thanks to the various perks Lucas grants them, as well as his actual, material contributions. When the group is ready, Lucas suggests they all swap stories about what led them to volunteer here.
The five volunteers and the pastor encourage the newcomer to go first, and he deftly weaves a tale that incorporates bits and pieces of the backstory he constructed for himself at his job. He explains that he grew up as the only child of a family in a small town and that he has been volunteering in minor capacities his whole life. He tells his new friends the same fanciful lies he told his coworkers and is a bit shocked when he gets the "Storytelling" skill. After that, his companions share their own stories with him. The pastor goes first, explaining that when he took over the church not one charitable act was occurring here and in only a few short years the pastor has massively changed that. The others all share various stories about how they've needed food before, or known people who needed a meal, and so they wanted to make sure that if someone needed a meal they could get it. The stories stir Lucas's heart, and he feels a pang of sincere admiration for his new friends. That said the pragmatic figure is not someone who is so kind-hearted that he'd lose sight of his larger objectives here.
While his companions share their stories he activates "Rogue", but focuses the skill on his hands. This decision almost completely cloaks his hands, rendering them invisible just long enough for Lucas to pour healing magic into the soup. He pours all of his magical energy into the stuff, exhausting himself but that is a minor inconvenience given one of his handy toys and especially when he receives a notification alerting him that he has gained an "Overcharge" skill; the ability to empower something by putting more into it.
As soon as everyone finishes their stories there is just enough time for the group of volunteers to go and get ready for the first of the arrivals at the kitchen. When Lucas is out of view of everyone he reaches into his inventory and pulls out his nifty arcane potion and downs it. The instant that the golden liquid touches his lips his power begins to flow back into him, suffusing his very soul. Minutes later the lad is welcoming guests and visitors to the church. People excitedly greet him, stunned in two different ways by his appearance.
Firstly there is the fact that Lucas is stunning, aesthetically. No matter one's preferences, no one can honestly deny his wholesome movie star looks, and no one tries to. But here, in the soup kitchen, that's the less important part of his appeal. The more important aspect of his appearance is his newness. Many of the people who appear early are people who come to the church regularly, and they recognize everyone there but him. This gives the young volunteer a chance to make several new admirers, and he navigates these social interactions with aplomb. The figure, at this point, doesn't even rely on his perks, having grown accustomed to his new life and reality.
As the figure encourages the visitors to come and grab food he is extremely pleased when he feels time freeze the first time someone tastes the food he made. This is due to the fact that he is making progress towards his quest to become a "White Mage" the formal name given to the "Healer" class he received a quest to become earlier this week, The quest asks him to heal 100 people, and this marks one of the first times he has made progress towards it. The figure smiles internally as he deactivates the notification that froze time and continues the important work he's been assigned; welcoming guests and working to log in the information they're willing to give about themselves. To achieve this task the eager go-getter has a clipboard and is stationed near the entrance to the part of the church that houses the kitchen where the chefs made the food. Every time someone new eats the food he spelled to be restorative the figure has to deal with paused time, but only the first time someone lifts some of the ensorcelled food to their lips, and each time his excitement at the prospect of obtaining a new class grows more intense.
For the first hour only long-term, regular members of the church's congregation, and their hungry friends, come to the kitchen. The pastor is one of the figures serving them food, while Lucas continues the important work he was asked to do. During this time 22 people make their way through the kitchen, greeting Lucas with excited smiles and happily volunteering the same information they've volunteered before to other individuals tasked with doing Lucas's current work. The young jumper listens to distant conversations even as he writes down the information of various individuals. He smiles internally whenever he overhears someone saying that the food tastes different somehow, better than it has before. Such individuals also sometimes notice how immediately the pain they're in lessens, their old aches and pains fading and in some cases disappearing altogether. They don't know about the magic that is repairing their bodies, the sacred energies that course into them with every faint bite or spoonful of food they eat. Also during this time the chef gains more experience
Lucas doesn't consciously know this but his decision to pour all of his magic into the food has supercharged it. If not for his decision to infuse the food with healing magic again time, coupled with the diffuse nature of the soup would have weakened the healing properties of the magic, but Lucas's choice to suffuse the food with as much magic as he could in short order before the hungry congregants and community members began to arrive has sanctified the food and empowered it's naturally restorative and fortifying properties almost making it something like a potion of sorts.
More people begin to arrive during the second hour of the meal serving period. Some of these people are brand new, and of them a handful gawk at Lucas. These individuals, include homeless youth. teen parents, and college students can't resist the urge to take in the cool glass of water on a hot day that is the charming volunteer. His ability to feign kindness and his almost but not quite eerie sense of their emotional states is enough to allow them to develop crushes, platonic or otherwise, on the figure. And in the space of the hour 40 such individuals come through and eat more of Lucas's cooking, enough to allow him to level up his chef class one more time. He eagerly takes a new class ability, one that allows him to grant food he cooks very minor buffs, though he finds that it's not retroactive.
During this time the pastor gives a very brief address to the crowd of gathered individuals, and introduces Lucas to everyone though Lucas has already been social enough and diligent enough to do that himself. Lucas eagerly thanks everyone for joining them today, and during this time he experiences a very subtle glitch where he says a word but no one notices it. The young adventurer simply ignores the glitch, but not before noting that it's the first one he's experienced in a public situation.
During the last forty five minutes of the meal more people come through, and this group is the oddest and the largest. These folks are the irregulars; people who occasionally need the meals the kitchen provides but who don't love prospect of coming to the kitchen. This group numbers a total 45 of individuals, and by the time they eat the effects of the food are less miraculous, but still solidly strong. At the same time when the next to last person to eat grabs a spoonful of soup and lifts it to her lips she is unknowingly responsible for time freezing and Lucas gaining a new class, The excited hero immediately changes classes and gains a boost to his intelligence and charisma as a result of it as well as just enough experience to boost the power of "Support", making this the first time that a perk of his has been directly strengthened to a quantifiable extent.
"Support" is the most subtle of Lucas's perks other than "The Devil's Own Luck". This perk makes him a more effective leader and teammate, and boosts the efforts of his c;lose-by allies by the equivalent of a "+2", until just now, modifier in TTRPG terms and weakens the efforts of his c;lose-by enemies by "-2", or now "-3". In layman's terms all of the efforts of his allies by a tiny but noticeable margin and weakens the efforts of his enemies by an equal amount. The perk also allows for buffs or debuffs to affect all allies or enemies in close proximity to each other, but Lucas has not had many chances to buff allies or fight enemies. One effect this perk has had is that it allows his friends to cook food that is more delicious, more filling, and healthier than their past efforts. Another effect of it is that it has helped those who eat said food to ingest it more easily and thus allows them to eat it without fears of stomach pains. New spells also appear in the hero's mental grimoire, ones that offer minor buffs or debuffs to friends and enemies, targeting their attributes, but none that consider Lucas a viable target.
The hero delights in his new class and is excited to have the chance to grow as a healer and support provider but the day isn't done. When the last of the crowd leaves Lucas and the rest of his friends stay behind to clean up. Lucas is eager to put his newly enhanced perk to the test, and during these efforts Lucas gains the "Cleaner" class, a class whose initial benefits to him include a boost to his senses and to his skill with anything intended to be used to clean something. During the cleaning, Lucas does not quite gain enough experience to level up, but he knows that he will in time.
Eventually Lucas bids his new friends farewell and makes his way to the gym. He works out somewhat intensely during this time, gaining a series of new skills in the form of swimming and boxing, thanks to his time engaging in a decently stimulating jaunt around the lap pool, followed by his participation in a class that revolves around self-defense. Thanks to "Master of All" and his decision to swap classes to "Fighter" he manages to level up both his "Mage" and his "Fighter" class, opting to give himself a boost to his endurance as a class skill for "Fighter", and a boost to the rate at which he regenerates arcane energy as his class skill for "Mage". It is during this time that Lucas figures out that for his classes to level up he needs to gain class-based experience, but this is the first time that he has seen that he can level a class up without having the class equipped, there just seems to be some relative debuff to the experience gained by the classes he doesn't have equipped. This insight boosts his intelligence, the realization itself serving as a sort of training of the attribute.
By the time Lucas returns to his apartment he is immensely satisfied with the day he has had. The moon is visible in the night's sky when he steps into his apartment he is ready to spend the rest of the day honing his skills and gaining valuable experience. He immediately starts this off by using some of his magic to mess with some of his possessions, positioning and repositioning them as he pleases with telekinesis. For the first time the figure shuts his eyes and practices his telekinesis by feeling alone, an exercise which results in the acquisition of a strange new skill: Extrasensory Perception, or ESP. The figure excitedly practices this skill, even as he levels up his "Spatial Magic" skill and gains an expensive new spell: "Minor Teleport". This particular spell lets him teleport objects he can see and hit with a small magical ray, causing light, small objects he hits to appear in his hand. The mage's skills with this are enough to allow him to hit a kitchen knife with it and teleport it to him without any issues. Lucas's mind fills with possibilities as he takes in the wicked potential of this spell. Still, the spell costs enough that he can only cast it once or twice without waiting for his pool of arcane energy to recover which limits it's usefulness somewhat but that's only a short term problem.
Monday rolls around and when it does Lucas is delighted to find that he is familiar enough with his surroundings that he settles into a routine. The jumper almost immediately throws himself into his work the minute he arrives at the office and he quickly grinds the day away. The only notable event is his realization that Amy is developing a crush on him, something he notices during lunch when he is eating with her and their small cadre of colleagues, when she eagerly asks him about volunteering. On Monday afternoon the lad goes to the gym and works out, taking another dancing class and leveling up the class partway through the workout. He gains a class skill which allows him to more easily persuade anyone who sees him perform a few dances, which he realizes probably won't be very useful in this jump but might mean something later on in his "Chain" as his employer called it several days ago.
The figure spends part of the night leveling his rogue class and gaining skills associated with it thanks in part to his "Rogue" perk and his new spells. He sticks to public places, and stays out just long enough for some shopping outlets and malls to close. He limits his targets to small objects like keys and wallets with his magic, and occasionally targets people with debuffs. He also levels "Observe" enough that he can learn the moods of living things just by using the skill, When his rogue class levels up he snags a new skill which boosts the effectiveness of his actions when he is unseen by the people he is targeting. He also snags a title: "Arcane Sneak", which boosts his magical regeneration when he is unnoticed by people or in the immediate aftermath of him using magic to take something that belongs to someone else.
The next month and a half passes in a blur, and Lucas develops a decently strict schedule he sticks to. On Mondays he trains a specific class, not necessarily rogue but definitely something. On Tuesdays he works out, including taking Zumba, a boxing class, and swimming. On Wednesdays he does meal prep and stays at home honing minor stuff. On Thursday he does some sort of volunteering, and on Fridays he actually relaxes and does something like writing or website design. The weekends are filled with volunteering and city exploration.
During this time his classes, other than chef, dancer, and mage, are slow to level up. He actively practices magic, he is a regular chef, and he turns a passive admiration he once had for dancers into something he is surprisingly passionate about. He also begins to volunteer at the hospital he visited, spending a few hours every Saturday in a small room in the back of the hospital looking through paperwork and doing stuff he didn't anticipate a hospital volunteer doing. Still, he quickly racks up trust and admiration from the few hospital staff members who know of him, thanks to his ability to just not complain, coupled with his stunning effectiveness at what he does.
As he begins to approach the two month mark he is a level 10 chef, level 12 dancer, and a level 6 mage, and a level 3 fighter, rogue, and white mage, as well as a level 4 cleaner. It turns out that each class levels a bit differently, which has inadvertently skewed his leveling but he's become an advanced enough chef that his food can be actively beneficial or detrimental and that there is now a 5% reduction in how long it takes him to cook something. He can also now gain modifiers to his interactions with people who've eaten several dishes he's made, provided they enjoyed them. His dancing is similarly useful, and he is a much better mage now than he once was. The figure can also cast spells and use an ability that prevents something from getting dirty, or magically cleanse objects. Despite all of this he remains a level 1 human, having not gained any experience that would level him as a member of his species; it seems that for him to gain such experience he needs to engage in combat and even when he's sparred with people he doesn't fight them to unconsciousness.
He leaves his apartment on the last Monday in October with a smile on his face, ready to begin a new work week.
2024.05.19 12:40 FingerGlittering1216 Idk what to do anymore
I’m sorry I don’t want to give too many details for the sake of remaining anonymous.
I’m a 27f and I’ve never had the pleasure of experiencing a first love romantically. My first serious relationship was 4 years long & Brandon (for the sake of this I’ll call him Brandon) put me through hell. I was 19 yrs old when I first met Brandon 21M. Brandon was absuive mentally, physically, & emotionally. Everything I experienced was manipulation & lies. Realizing that truly broke me even more than I already was after I had left Brandon & was on my recovery journey so to speak. Recently on Facebook I saw Brandon married & expecting his first child. I also saw Brandon is now a successful property manager. It kind of upset me knowing he’s living comfortably & happily after trying to beat me to death but whatever right?
After that relationship ended in 2019 for many reason I decided to stay single and I did my best to heal what I could with therapy. After visiting my family in 2022 bc I took on a job that required me to travel 75% of the time I went home for the holiday to see family. I met this guy Richard 27F on tinder I proceed to date for a short while. Turns out he was a drunk, physically, mentally, & emotionally abusive. After this I cut dating off completely for me as I felt it was no longer an option as that was the second time that happened to me.
Now it’s 2024 & I feel like I’ll never actually find anyone at this point in my life. Recently I’ve started being open to the idea of dating.
Because this is recent I am going to be vague and I apologize for having to be vague in regards to the information I’m giving. Someone I met back 10 years ago recently reached out to me. He apologized about past behaviors that weren’t a huge deal honestly but he took accountability for it so that was nice. He expressed interest in a serious relationship with me. Currently this is “LDR”. At first he messaged & called a lot. Now he doesn’t. Granted he did warn me that it would be like this most days but idk now it’s like I’ll hear from him once a day at the end of the day. He says he gets caught up talking but idk?? Like I get it but at the same time I don’t? He approached me saying he wanted to try something serious but I just feel like I’m possibly being bread crumbed???
Also stupid but I did go through his IG followers & likes & I truly wish I hadn’t bc I feel like this just confirmed my self esteem issues aren’t fully resolved. The women he follows & likes & that like his photos are just so beautiful. I don’t understand how exactly he is apparently attracted to me. These women are like beautiful Latin women with these perfect bodies and I’m literally the complete opposite.. I’m 195 pounds, stretch marks, no butt, black, curly hair, glasses.. like idk just the opposite.. I don’t say anything to him about this because although he says he likes me and I only have his attention I just feel it’s completely out of line to speak up about any of this but this is just bothering me and I really needed somewhere to say this.
As much as I want a relationship, as much as I do like him I just find myself about to turn completely cold toward him and I don’t feel this is the correct way to handle it but at the same time I just don’t know if I’m thinking rationally. I just not sure what I should do. Should I just express my concerns or just break things off before I end up hurting him or vice versa?? This is so stupid and childish I know but any sort of genuine advice would help.
Thank you for reading.
submitted by FingerGlittering1216 to Advice [link] [comments]
I’m a 27f and I’ve never had the pleasure of experiencing a first love romantically. My first serious relationship was 4 years long & Brandon (for the sake of this I’ll call him Brandon) put me through hell. I was 19 yrs old when I first met Brandon 21M. Brandon was absuive mentally, physically, & emotionally. Everything I experienced was manipulation & lies. Realizing that truly broke me even more than I already was after I had left Brandon & was on my recovery journey so to speak. Recently on Facebook I saw Brandon married & expecting his first child. I also saw Brandon is now a successful property manager. It kind of upset me knowing he’s living comfortably & happily after trying to beat me to death but whatever right?
After that relationship ended in 2019 for many reason I decided to stay single and I did my best to heal what I could with therapy. After visiting my family in 2022 bc I took on a job that required me to travel 75% of the time I went home for the holiday to see family. I met this guy Richard 27F on tinder I proceed to date for a short while. Turns out he was a drunk, physically, mentally, & emotionally abusive. After this I cut dating off completely for me as I felt it was no longer an option as that was the second time that happened to me.
Now it’s 2024 & I feel like I’ll never actually find anyone at this point in my life. Recently I’ve started being open to the idea of dating.
Because this is recent I am going to be vague and I apologize for having to be vague in regards to the information I’m giving. Someone I met back 10 years ago recently reached out to me. He apologized about past behaviors that weren’t a huge deal honestly but he took accountability for it so that was nice. He expressed interest in a serious relationship with me. Currently this is “LDR”. At first he messaged & called a lot. Now he doesn’t. Granted he did warn me that it would be like this most days but idk now it’s like I’ll hear from him once a day at the end of the day. He says he gets caught up talking but idk?? Like I get it but at the same time I don’t? He approached me saying he wanted to try something serious but I just feel like I’m possibly being bread crumbed???
Also stupid but I did go through his IG followers & likes & I truly wish I hadn’t bc I feel like this just confirmed my self esteem issues aren’t fully resolved. The women he follows & likes & that like his photos are just so beautiful. I don’t understand how exactly he is apparently attracted to me. These women are like beautiful Latin women with these perfect bodies and I’m literally the complete opposite.. I’m 195 pounds, stretch marks, no butt, black, curly hair, glasses.. like idk just the opposite.. I don’t say anything to him about this because although he says he likes me and I only have his attention I just feel it’s completely out of line to speak up about any of this but this is just bothering me and I really needed somewhere to say this.
As much as I want a relationship, as much as I do like him I just find myself about to turn completely cold toward him and I don’t feel this is the correct way to handle it but at the same time I just don’t know if I’m thinking rationally. I just not sure what I should do. Should I just express my concerns or just break things off before I end up hurting him or vice versa?? This is so stupid and childish I know but any sort of genuine advice would help.
Thank you for reading.
2024.05.19 12:40 Blazingzurafa Don’t know what to think or do neuroendocrine tumour
M26 I was diagnosed with a neuroendocrine tumour in my appendix after appendectomy for possibly appendicitis when I was 21. After going through a multitude of test I was told that the cancer was what they call stage 0 and very slow growing and I didn’t need any further treatment. Since then I’ve had nothing but health issues, was on antipsychotics for a year for my anxiety which was out of control, have had stomach pain constantly, horrible cramps and bloating, etc. around 3 years ago I started having bouts of severe diarrhea with blood/mucous was sent for a a colonoscopy and ct which showed nothing so why was told it was ibs and possibly crohn’s. for the past 2 years I’ve had chronic fatigue, horrible acne and skin infects, last year I started getting what appears to be tonsil stones/tonsillitis (it’s been rough). After my most recent bout of diarrhea I got another ct along with stool sample, 24hr urine and blood test. My 24hr urine showed a highish 5-HIAA and just found out my ct showed a nodule on my liver, I know I’m jumping to conclusions and still need to wait for more information but can’t help feel that this and potentially carcinoid syndrome could explain everything I’ve been going through. Don’t know to be relieved or upset, I’m filled with anxiety and barely able to sleep. Does anyone here have or know anything about appendix cancer or carcinoid syndrome.
submitted by Blazingzurafa to neuroendocrinetumors [link] [comments]
2024.05.19 12:34 AestheticallyAnn Chronic Pain & other Neurological symptoms
Since roughly 2013 I have been going through some pretty severe health issues. It began with my body hurting all over, mainly my hips, legs and knees. At this time I had no idea what was causing the symptoms & had basically become strictly bed ridden from 2013-2020, and even then I still preferred to stay in bed because my pain is so overwhelming some days, but due to my living situation at that time I had no other choice & had to learn to live with the pain. I will say moving around a lot more did help, but also not being in a toxic stressful situation helped me a lot as well. I've noticed stress is my major flair up symptom.
Anyways, in about 2020 I was diagnosed with Lyme Disease. It took me multiple, countless attempts to even get a doctor to do this test on me because prior to this all the doctors I saw regarding my pain would just shrug it off due to my age, I am currently 29/yo F. They also would constantly just say that I was overweight, when majority of my weight gain was due to the fact I am constantly in so much pain. Prior to this condition I was very lively, walked everywhere & just overall enjoyed life. This disease has changed me into someone completely different....
Another common reason doctors refused to do testing on me was because "You have a big chest so majority of your pain is coming from that" (my bra is literally a size 38B..... So sorry doc, but don't think that's the case either)
Anyways, after finally finding a doctor to take me seriously she began me on an antibiotic for a month. After that month, no resolve in my symptoms, so she went to Doxycycline. Sadly, my symptoms still didn't get better so she referred me to the Lyme specialist in the city 30min away from where I currently live. Sadly, due to my situation I didn't have a way to get to the specialist until mid 2023.
After seeing the specialist he put me on 2 more rounds of antibiotics with no resolve & stated if I came back with no improvements he would want to do a spinal tap to ensure the Lyme disease had not gotten to my brain. This was extremely terrifying to hear.
After this I went though a dark period in my life due to my family doctor refusing to help treat my pain. My previous Dr had me on Gabapentin, but sadly moved locations and my new doctor denied continuing to keep me on that medication even though I stared it worked well for my condition.
I currently am now on 120mg methadone, but that is not even helping the pain sadly. Shit heroin didn't even help the pain, so now I'm left feeling crippled, slowly feeling my abilities to walk drifting away & then to top that off since being on methadone I've developed new GI symptoms, as well as an increase in my neurological symptoms.
Does anyone know any other ways to help with this pain? I just want to live a normal life, do normal things & be happy, but right now that seems impossible. It makes me so upset because I don't even recall ever being bit by a tick, constantly have people telling me I am too young to be in so much pain & overall find people are highly inconsiderate of my issues due to my physical appearance. It leaves me hopeless & feeling completely alone. It's the worst having family and friends argue with me and just call me lazy, when I am really just in so much pain that even the slightest pressure on my legs, hips or spine makes me almost go into tears. Sometimes it even feels like cold water running down my leg or tingly. Occasionally I feel this in the back of my head & the left side of my chest as well, which is new and highly concerning, yet my doctor didn't seem to care about that one either.
I feel like I'm going to end up dying if I can't find some way to resolve this pain & stop the progression of my Lyme disease :( anyone have any natural ways to heal myself?
submitted by AestheticallyAnn to lymedisease [link] [comments]
Anyways, in about 2020 I was diagnosed with Lyme Disease. It took me multiple, countless attempts to even get a doctor to do this test on me because prior to this all the doctors I saw regarding my pain would just shrug it off due to my age, I am currently 29/yo F. They also would constantly just say that I was overweight, when majority of my weight gain was due to the fact I am constantly in so much pain. Prior to this condition I was very lively, walked everywhere & just overall enjoyed life. This disease has changed me into someone completely different....
Another common reason doctors refused to do testing on me was because "You have a big chest so majority of your pain is coming from that" (my bra is literally a size 38B..... So sorry doc, but don't think that's the case either)
Anyways, after finally finding a doctor to take me seriously she began me on an antibiotic for a month. After that month, no resolve in my symptoms, so she went to Doxycycline. Sadly, my symptoms still didn't get better so she referred me to the Lyme specialist in the city 30min away from where I currently live. Sadly, due to my situation I didn't have a way to get to the specialist until mid 2023.
After seeing the specialist he put me on 2 more rounds of antibiotics with no resolve & stated if I came back with no improvements he would want to do a spinal tap to ensure the Lyme disease had not gotten to my brain. This was extremely terrifying to hear.
After this I went though a dark period in my life due to my family doctor refusing to help treat my pain. My previous Dr had me on Gabapentin, but sadly moved locations and my new doctor denied continuing to keep me on that medication even though I stared it worked well for my condition.
I currently am now on 120mg methadone, but that is not even helping the pain sadly. Shit heroin didn't even help the pain, so now I'm left feeling crippled, slowly feeling my abilities to walk drifting away & then to top that off since being on methadone I've developed new GI symptoms, as well as an increase in my neurological symptoms.
Does anyone know any other ways to help with this pain? I just want to live a normal life, do normal things & be happy, but right now that seems impossible. It makes me so upset because I don't even recall ever being bit by a tick, constantly have people telling me I am too young to be in so much pain & overall find people are highly inconsiderate of my issues due to my physical appearance. It leaves me hopeless & feeling completely alone. It's the worst having family and friends argue with me and just call me lazy, when I am really just in so much pain that even the slightest pressure on my legs, hips or spine makes me almost go into tears. Sometimes it even feels like cold water running down my leg or tingly. Occasionally I feel this in the back of my head & the left side of my chest as well, which is new and highly concerning, yet my doctor didn't seem to care about that one either.
I feel like I'm going to end up dying if I can't find some way to resolve this pain & stop the progression of my Lyme disease :( anyone have any natural ways to heal myself?
2024.05.19 12:33 PackageMysterious569 75mg to 100mg advice
Hi all!
So the past few weeks my sertraline hasn’t been as effective fect as it used to be (75mg). I’ve been in this dose since last November and it’s worked great but lately I’ve gotten a lot of physical symptoms(brain fog, upset stomach, lack of energy, increased anxiety).
My therapist didn’t know whether an increase or decrease of the medication was needed but my doctor said to increase do 100mg and see if that works. I also had my bloods done and everything came back clear.
I’m on sertraline for just anxiety but lately I am struggling to leave the house again as I feel so physically bad when I do(dizzy, brain fog, nausea).
Does anyone have any advice? How was it going from 75mg to 100mg? Did it reduce physical effects?
submitted by PackageMysterious569 to zoloft [link] [comments]
So the past few weeks my sertraline hasn’t been as effective fect as it used to be (75mg). I’ve been in this dose since last November and it’s worked great but lately I’ve gotten a lot of physical symptoms(brain fog, upset stomach, lack of energy, increased anxiety).
My therapist didn’t know whether an increase or decrease of the medication was needed but my doctor said to increase do 100mg and see if that works. I also had my bloods done and everything came back clear.
I’m on sertraline for just anxiety but lately I am struggling to leave the house again as I feel so physically bad when I do(dizzy, brain fog, nausea).
Does anyone have any advice? How was it going from 75mg to 100mg? Did it reduce physical effects?
2024.05.19 12:30 Simpleladycs Erythema Nodosum as side effect
Unfortunately after 1 year of Pembro immunotherapy, my first scans after treatment showed cancer in lymph nodes. I had surgery on March 21 and I started Mekinist and Tafinlar meds (BRAF+) on May 13. First few days were ok, just some fatigue, but then the fever, vicious body shakes, chills and sweats started on May 16. Extra Strength Tylenol seems to be helping with the fevers, which I am taking every 4 hours or so. The part that I am having trouble dealing with is the large, angry, hot and very painful red welts that seem to have started appearing all my body, including the bottoms of my feet. They are so painful, it feels as though I have bruises all over my body. It hurts to walk and to sit on anything, sitting on a pillow or my bed is more tolerable.
I started noticing a few red bumps on my legs on May 16 but I didn’t really think anything of it. My skin has been really sensitive, so I thought it was just irritated. But then on May 17 I noticed more of them and I called my hospital cancer care clinic and spoke with a nurse. She said she has never heard of this side effect and to continue taking the meds and monitor over the weekend. It’s a long weekend here in Ontario, so I will call again on Tuesday.
Searching the internet, I found this may be Erythema Nodosum. Has anyone experienced this while taking Mekinist and Tafinlar? If so, can you share your experience?
submitted by Simpleladycs to melahomies [link] [comments]
I started noticing a few red bumps on my legs on May 16 but I didn’t really think anything of it. My skin has been really sensitive, so I thought it was just irritated. But then on May 17 I noticed more of them and I called my hospital cancer care clinic and spoke with a nurse. She said she has never heard of this side effect and to continue taking the meds and monitor over the weekend. It’s a long weekend here in Ontario, so I will call again on Tuesday.
Searching the internet, I found this may be Erythema Nodosum. Has anyone experienced this while taking Mekinist and Tafinlar? If so, can you share your experience?
2024.05.19 12:29 worldwonderer16 Thyroid Newbie - symptoms, blood results & FNA
Hi all! I’m a newbie to the world of thyroid issues. I’ve been reading a lot of posts to get more of an understanding - but I’m really hoping to share my journey to see if anyone else has been in a similar boat (excuse the essay)
I got covid in November last year for the second time. Everything was fine, then at the very end of the week of it I got a feeling of pressure in my chest that lasted for 24 hours. I had an ecg done and cardiac markers tested and nothing.
This feeling would come and go. At the time I had my thyroid tested after a previous high TSH over 1.5 years prior - but it came back normal.
The last 6 months has been a series of blood tests & questioning whether I just have anxiety. I got tested for celiac which one marker came back slightly positive, had an endoscopy - it was negative. The dr told me my results could be from inflammation in my body but didn’t bother to keep insisting on finding where it’s coming from.
Fast forward to the last few weeks I’ve since seen a new dr who’s amazing. And found some new interesting results: • TSH: 12.6 (3x the range) • TPO antibodies: positive - came back as 84 • ANA serology: 1:640 Titre (was 1:320 a few months ago but has increased). • moderately suspicious nodule on my thyroid - just had an FNA doctor explained it was calcified.
Now I’m going to a rheumatologist in 5 weeks to figure out whether I have an autoimmune disease causing my autoimmune thyroiditis, and also trying to determine whether it’s just hashimotos.
These are my current symptoms - •dull ache in my left side under rib cage when I lie down at night • increased acne •hair thinning around hairline and dry hair • chest pain on left side almost under armpit on side of chest. • fatigue - can sleep 8 hours and feel unrested/struggling to open my eyes in the morning. • joint aches and body aches especially when I’m inactive all day. • frequent brain fog • previous insomnia - now better thanks to magnesium • itchy dry skin • intensified TMJ jaw pain, had Botox but it’s still there
There’s been other stuff but those are the most obvious. I’ve been reading loads of posts like I said and it’s been great to see the community that exists online providing support. Just wanted to share my journey so far.
submitted by worldwonderer16 to Hashimotos [link] [comments]
I got covid in November last year for the second time. Everything was fine, then at the very end of the week of it I got a feeling of pressure in my chest that lasted for 24 hours. I had an ecg done and cardiac markers tested and nothing.
This feeling would come and go. At the time I had my thyroid tested after a previous high TSH over 1.5 years prior - but it came back normal.
The last 6 months has been a series of blood tests & questioning whether I just have anxiety. I got tested for celiac which one marker came back slightly positive, had an endoscopy - it was negative. The dr told me my results could be from inflammation in my body but didn’t bother to keep insisting on finding where it’s coming from.
Fast forward to the last few weeks I’ve since seen a new dr who’s amazing. And found some new interesting results: • TSH: 12.6 (3x the range) • TPO antibodies: positive - came back as 84 • ANA serology: 1:640 Titre (was 1:320 a few months ago but has increased). • moderately suspicious nodule on my thyroid - just had an FNA doctor explained it was calcified.
Now I’m going to a rheumatologist in 5 weeks to figure out whether I have an autoimmune disease causing my autoimmune thyroiditis, and also trying to determine whether it’s just hashimotos.
These are my current symptoms - •dull ache in my left side under rib cage when I lie down at night • increased acne •hair thinning around hairline and dry hair • chest pain on left side almost under armpit on side of chest. • fatigue - can sleep 8 hours and feel unrested/struggling to open my eyes in the morning. • joint aches and body aches especially when I’m inactive all day. • frequent brain fog • previous insomnia - now better thanks to magnesium • itchy dry skin • intensified TMJ jaw pain, had Botox but it’s still there
There’s been other stuff but those are the most obvious. I’ve been reading loads of posts like I said and it’s been great to see the community that exists online providing support. Just wanted to share my journey so far.
2024.05.19 12:28 AstronomerOk108 I don’t know how to be happy
I sit up every night if thinking about my shitty job. Everything makes me upset. Even my boyfriend. I want to give up, I want to go to the highest building and jump off. I haven’t been genuinely happy since I was a kid and that makes me so angry.
Everytime I’m happy I think about everything that I gave up. My fucking dreams were crushed no money straight out of high school. My parents didn’t even care what I did with myself, but my mom advocates that she wants me in school, but never cared when I was in school trying to go to college.
I hate the life I was born into and I hate what I ended up doing with it. Now I have a bf of 1 yr, two dogs and an apartment, but I’ve never felt so awful in my life. I’m not at a point in my life where I can be happy with what I got bc I have a bunch of bullshit.
I hate my life and I just want it to end. I hate my life and I just want to end it. I hate my life and I just want to go. I hate my life and I just need to go. I want to bang my head against the wall until I stop breathing. I want stab myself in the face, shoot myself in the stomach, drink drain cleaner, run under a semi truck, drive my car into deep waters, I want this all to end.
I want to go back to when I was genuinely happy. Now I have to fake it all for the rest of my life. No one else could’ve guessed I felt this way, but at the same time that’s what I wanted k
submitted by AstronomerOk108 to confessions [link] [comments]
Everytime I’m happy I think about everything that I gave up. My fucking dreams were crushed no money straight out of high school. My parents didn’t even care what I did with myself, but my mom advocates that she wants me in school, but never cared when I was in school trying to go to college.
I hate the life I was born into and I hate what I ended up doing with it. Now I have a bf of 1 yr, two dogs and an apartment, but I’ve never felt so awful in my life. I’m not at a point in my life where I can be happy with what I got bc I have a bunch of bullshit.
I hate my life and I just want it to end. I hate my life and I just want to end it. I hate my life and I just want to go. I hate my life and I just need to go. I want to bang my head against the wall until I stop breathing. I want stab myself in the face, shoot myself in the stomach, drink drain cleaner, run under a semi truck, drive my car into deep waters, I want this all to end.
I want to go back to when I was genuinely happy. Now I have to fake it all for the rest of my life. No one else could’ve guessed I felt this way, but at the same time that’s what I wanted k
2024.05.19 12:28 SeekingHealth78 Help and Advice Sought if possible (UK)
Hello
Could I get some advice and guidance on what all these tests might mean and what I need to learn and know should my Endocrinologist head down the route of TRT, which is where she has indicated over the past couple of months whilst doing tests?
I apologise for the length, but I have tried to cover it as much as possible, as I accept nothing is simple. If more information is needed that I have missed, please ask.
Thanks
Stats
I was overweight for a good 20 years; we think this was when my thyroid started causing issues, and it took many years for the NHS to even consider that a problem. I also had no morning erections for a good ten years. I honestly cannot remember the last time I felt hungry, and that was after either an hour of weight lifting or hiking for a full day in the Austrian Alps (the longest one was a 10km round trip and a 1200m climb and then descent).
It took several years to sort the thyroid, and I was still unable to lose weight, although other things had resolved themselves. My GP refused to investigate further, saying simply I was too young. Plus, back in 2019, my Testosterone level was 17.1nmol/L, and now it is down to 7.5, and apart from being a few years older, nothing else has changed weight-wise or fitness, etc. I have had many Covid jabs as my father was extremely vulnerable, and I was his carer.
I am now under a different GP practice that started from scratch and said that, in their opinion, something underlying was causing the myriad of symptoms. They started testing and thought she knew what was wrong. It was agreed that, in computer terms, there was a tick box that needed ticking, but finding which one would take time.
However, their final idea saw her ask for guidance from Endocrinology; they said to do nothing and that they would take over. This was in 2023. However, Testosterone issues are an ultra-low priority in my area, so my expected appointment is in 2025.
For the past few months, I have seen an Endocrinologist privately with the agreement of my GP, who has done all the requested tests and agreed that if any prescriptions are needed, they will do it.
In addition to the above, dieticians have cleared me, having seen them privately and on the NHS.
I spent a year with a personal trainer at a bodybuilder gym, working out with him three times a week with no results and stopped through no results but with growing mental and physical fatigue. Walking 10,000 steps a day is not a problem for me.
I have had this all on hold for a while, what with COVID-19 and then a relative's very poor health. It is now time to focus back on myself, I think. I sleep a good 8 hours a night and get up feeling worse than going to bed – although randomly, I do have bouts of insomnia.
As mentioned to my GP and Endocrinologist, I have no problem putting in the hard work at the gym, but when that hard work does absolutely nothing for muscle mass or body shape, etc., it gets very depressing. I guess that does give me one direct question: How long do I need to leave it before going back if my Endocrinologist prescribes TRT—do I need to let my body recover a bit before stressing it by doing weights, etc.?
Tests (Using UK NHS Scales)
Testosterone has been done now 6 or 7 times, always within 0.2 or below and always done between 08:50 and 09:10 in the morning.
In addition, she requested an ultrasound, and the results came back as 29mm AP diameter and 19mm AP diameter, respectively, for the testes.
submitted by SeekingHealth78 to Testosterone [link] [comments]
Could I get some advice and guidance on what all these tests might mean and what I need to learn and know should my Endocrinologist head down the route of TRT, which is where she has indicated over the past couple of months whilst doing tests?
I apologise for the length, but I have tried to cover it as much as possible, as I accept nothing is simple. If more information is needed that I have missed, please ask.
Thanks
Stats
- Age: 45
- Height: 6ft 7
- Waist: 50 inches
- Weight: 25 stone / 159kg
- Body fat: 29.3% (using https://www.calculator.net/body-fat-calculator.html)
- BMI: 39.7
I was overweight for a good 20 years; we think this was when my thyroid started causing issues, and it took many years for the NHS to even consider that a problem. I also had no morning erections for a good ten years. I honestly cannot remember the last time I felt hungry, and that was after either an hour of weight lifting or hiking for a full day in the Austrian Alps (the longest one was a 10km round trip and a 1200m climb and then descent).
It took several years to sort the thyroid, and I was still unable to lose weight, although other things had resolved themselves. My GP refused to investigate further, saying simply I was too young. Plus, back in 2019, my Testosterone level was 17.1nmol/L, and now it is down to 7.5, and apart from being a few years older, nothing else has changed weight-wise or fitness, etc. I have had many Covid jabs as my father was extremely vulnerable, and I was his carer.
I am now under a different GP practice that started from scratch and said that, in their opinion, something underlying was causing the myriad of symptoms. They started testing and thought she knew what was wrong. It was agreed that, in computer terms, there was a tick box that needed ticking, but finding which one would take time.
However, their final idea saw her ask for guidance from Endocrinology; they said to do nothing and that they would take over. This was in 2023. However, Testosterone issues are an ultra-low priority in my area, so my expected appointment is in 2025.
For the past few months, I have seen an Endocrinologist privately with the agreement of my GP, who has done all the requested tests and agreed that if any prescriptions are needed, they will do it.
In addition to the above, dieticians have cleared me, having seen them privately and on the NHS.
I spent a year with a personal trainer at a bodybuilder gym, working out with him three times a week with no results and stopped through no results but with growing mental and physical fatigue. Walking 10,000 steps a day is not a problem for me.
I have had this all on hold for a while, what with COVID-19 and then a relative's very poor health. It is now time to focus back on myself, I think. I sleep a good 8 hours a night and get up feeling worse than going to bed – although randomly, I do have bouts of insomnia.
As mentioned to my GP and Endocrinologist, I have no problem putting in the hard work at the gym, but when that hard work does absolutely nothing for muscle mass or body shape, etc., it gets very depressing. I guess that does give me one direct question: How long do I need to leave it before going back if my Endocrinologist prescribes TRT—do I need to let my body recover a bit before stressing it by doing weights, etc.?
Tests (Using UK NHS Scales)
Testosterone has been done now 6 or 7 times, always within 0.2 or below and always done between 08:50 and 09:10 in the morning.
In addition, she requested an ultrasound, and the results came back as 29mm AP diameter and 19mm AP diameter, respectively, for the testes.
| Test | Result | NHS Reference Range |
|---|---|---|
| Testosterone | 7.5 nmol/L | 8.6 – 29.0 |
| Calculated Free Testosterone | 180 pmol/L | |
| SHBG | 25 nmol/L | 18.3 - 54.1 |
| Free T4 level | 21.7 pmol/L | 11 - 23 |
| TSH level | 0.49 miu/L | 0.27 - 4.5 |
| Haematocrit | 0.419 | 0.387 – 0.492 |
| Creatinine level | 71 umol/L | 59 - 104 |
| Urea level | 3.9 mmol/L | 2.5 - 7.8 |
| Potassium level | 4 mmol/L | 3.5 - 5.3 |
| Albumin level | 39 g/L | 35 - 50 |
| Total Protein level | 74 | 60 - 80 |
| Sodium level | 142 mmol/L | 133 - 146 |
| Insulin-like growth factor 1 level | 11.5 nmol/L | 11.1 - 27.7 |
| Growth hormone level | 0.1 ug/L | |
| Prolactin level | 241 mu/L | 86 - 324 |
| Cortisol level Dexamethasone suppression test | 19 nmol/L | |
| Cholesterol level | 5.0 mmol/L | |
| Triglyceride level | 2.4 mmol/L | |
| HDL | 1.1 mmol/L | |
| LDL | 2.8 mmol/L | |
| Cholesterol / HDL ratio | 4.5 mmol | |
| B12 | 63ng/l | 197 – 771 |
2024.05.19 12:18 No_Stock_8448 Looking for guidance on how to best work with doctor to get a diagnosis after 4 years of symptom management.
Hi. I am looking for guidance on how best to work with my doctor to get some clarity on the cause of some symptoms I’ve been dealing with for the last four years. If this is something I should go directly to a specialist to, please let me know.
Background: Four years ago I had a health episode, which was characterized as a hypothyroid episode a year later by an endocrinologist. (The episode happened during the pandemic and thus it took a long time to see a specialist. Had it not been for the pandemic and how overwhelmed the hospitals were I would have called an ambulance). The episode was me waking up suddenly in the middle of the night with a racing heart and inability to move due to sudden muscle weakness. I was eventually able to lift myself out of bed after 4 hours but remained in bed for the day. Heart was racing for the next three days and didn’t start coming down until day three. I lost about 15 pounds over the week following. I became super emotional and started crying easily (which was very uncharacteristic for me) and started experiencing low blood pressure and hypoglycemia as well as intense fatigue. My sleep was wrecked. I couldn’t sleep for more than an hour or two before my body would suddenly wake me up. My doctor at the time sent me for blood work (CMP) and I tagged on a order for CRP (in the state I lived at the time you can order your own test) due to the irregular heart activity and both came back normal. My PCP at the time could not identify a diagnosis and did not provide any recommendations for treatment. (Again this was mid-height of the pandemic so doctors were overworked and burning out, so I get it, but it was hard to not have an answer.) Ultimately I self managed by leaning on my healthy eating and lifestyle habits (whole foods based diet, avoiding sugar and process foods and prioritizing rest and stress reduction). I also got a therapist to help me deal with anxiety caused by the lack of sleep and got a psych evaluation just to be thorough given the sudden crying fits. Psych evaluation came back clear. In the end I quit my job and moved back in with my parents because management of my symptoms became a full time job. After nine months of diligence I was able to put back on 10 of the 25 pounds I lost in total the 2-3 weeks following the episode. After a year and a half I was able to stop the (non-diabetic) hypoglycemia, and got a diagnosis of POTS which explained the low blood pressure and some of the exercise fatigue. After two years I was finally able to hit six hours a night of sleep and within six months was back to eight.
For the most part I’m okay now. I’ve put all my weight back on, my sleep in restored, no random crying fits, my exercise intolerance continues to improve and I’ve even been able to expand my diet after being put on a low-FODMAP, gluten-free dairy free diet 10 yes ago after food poisoning. However every six months or so, the symptoms start to creep back in. Sleep disruption is usually the first sign. I’ll find myself waking up after 4 hrs, usually with a racing heart and after an intense vivid dream. The weirdest part is the time distortion. The four hours feels like eight. Then the exercise intolerance starts to creep and the weight starts dropping.
A bit more context: this most recent episode (what spurred this post) is happening while I take a break from animal-based protein. (I have painful monthly periods due to endometriosis and noticed last month a reduction in pain and that I didn’t eat meat a few days leading into the period.) I’ve been eating beans and rice to get a complete protein and each meal has carbs, fat, veg protein and fiber. I may have a problem breaking down fat (just based on my own observation of what I notice with bowel movements, the color turns orange/yellow after my period and for the first half of my cycle), and I noticed yesterday that the internal chatter we all have (you know that worrying and nagging part of us) has gone quiet. That part has been nice actually but it’s uncharacteristic for me. I’m usually more driven and results focused. Currently just meh, not depressed (feel good about self and life) just apathetic. I’m also the most active I’ve been since the episode. Currently walking 20 mins/day 5/days per week with no exercise fatigue!
I can usually self manage but I’d love to work with my doctor to get to the bottom of this. I’m in a different state now (NY) and have a new PCP, but I’m wondering what testing should I be asking for to get answers and if I should instead ask for a referral to a specialist and if so which one. I thought it was an endocrinologist but my endo related bloodwork always comes back normal, so not sure if that specialty still makes sense. Four years is a long time to self-manage and I’m appreciate any guidance in pointing me in the best direction.
submitted by No_Stock_8448 to AskDocs [link] [comments]
Background: Four years ago I had a health episode, which was characterized as a hypothyroid episode a year later by an endocrinologist. (The episode happened during the pandemic and thus it took a long time to see a specialist. Had it not been for the pandemic and how overwhelmed the hospitals were I would have called an ambulance). The episode was me waking up suddenly in the middle of the night with a racing heart and inability to move due to sudden muscle weakness. I was eventually able to lift myself out of bed after 4 hours but remained in bed for the day. Heart was racing for the next three days and didn’t start coming down until day three. I lost about 15 pounds over the week following. I became super emotional and started crying easily (which was very uncharacteristic for me) and started experiencing low blood pressure and hypoglycemia as well as intense fatigue. My sleep was wrecked. I couldn’t sleep for more than an hour or two before my body would suddenly wake me up. My doctor at the time sent me for blood work (CMP) and I tagged on a order for CRP (in the state I lived at the time you can order your own test) due to the irregular heart activity and both came back normal. My PCP at the time could not identify a diagnosis and did not provide any recommendations for treatment. (Again this was mid-height of the pandemic so doctors were overworked and burning out, so I get it, but it was hard to not have an answer.) Ultimately I self managed by leaning on my healthy eating and lifestyle habits (whole foods based diet, avoiding sugar and process foods and prioritizing rest and stress reduction). I also got a therapist to help me deal with anxiety caused by the lack of sleep and got a psych evaluation just to be thorough given the sudden crying fits. Psych evaluation came back clear. In the end I quit my job and moved back in with my parents because management of my symptoms became a full time job. After nine months of diligence I was able to put back on 10 of the 25 pounds I lost in total the 2-3 weeks following the episode. After a year and a half I was able to stop the (non-diabetic) hypoglycemia, and got a diagnosis of POTS which explained the low blood pressure and some of the exercise fatigue. After two years I was finally able to hit six hours a night of sleep and within six months was back to eight.
For the most part I’m okay now. I’ve put all my weight back on, my sleep in restored, no random crying fits, my exercise intolerance continues to improve and I’ve even been able to expand my diet after being put on a low-FODMAP, gluten-free dairy free diet 10 yes ago after food poisoning. However every six months or so, the symptoms start to creep back in. Sleep disruption is usually the first sign. I’ll find myself waking up after 4 hrs, usually with a racing heart and after an intense vivid dream. The weirdest part is the time distortion. The four hours feels like eight. Then the exercise intolerance starts to creep and the weight starts dropping.
A bit more context: this most recent episode (what spurred this post) is happening while I take a break from animal-based protein. (I have painful monthly periods due to endometriosis and noticed last month a reduction in pain and that I didn’t eat meat a few days leading into the period.) I’ve been eating beans and rice to get a complete protein and each meal has carbs, fat, veg protein and fiber. I may have a problem breaking down fat (just based on my own observation of what I notice with bowel movements, the color turns orange/yellow after my period and for the first half of my cycle), and I noticed yesterday that the internal chatter we all have (you know that worrying and nagging part of us) has gone quiet. That part has been nice actually but it’s uncharacteristic for me. I’m usually more driven and results focused. Currently just meh, not depressed (feel good about self and life) just apathetic. I’m also the most active I’ve been since the episode. Currently walking 20 mins/day 5/days per week with no exercise fatigue!
I can usually self manage but I’d love to work with my doctor to get to the bottom of this. I’m in a different state now (NY) and have a new PCP, but I’m wondering what testing should I be asking for to get answers and if I should instead ask for a referral to a specialist and if so which one. I thought it was an endocrinologist but my endo related bloodwork always comes back normal, so not sure if that specialty still makes sense. Four years is a long time to self-manage and I’m appreciate any guidance in pointing me in the best direction.
2024.05.19 12:10 alclbrk 1 week update
Hi all, just checking in for my 1 week update! 29, 6ft 1, female. SW: 103kg/227lbs. CW: 99.6kg/219.5lbs TW: 80kg
Side effects: not really had much- felt a tiny bit nauseous and experienced body aches for the first 2 days. The biggest difference for me has been the lack of food noise. I’ve always had an issue with binge eating and even when I’ve dieted in the past, I break the diet and just binge because all I can think about is food. I can’t see this happening with Mounjaro.
The other day I went to Alton towers and normally I’d order a large everything and some sides for lunch, spending a fortune to add, but I went for a kids portion and was so satisfied. I genuinely didn’t know it could be this freeing to not really care about food. This really does feel quite miraculous and I’m actually hopeful that I’m going to finally meet my target weight, something I’ve been trying to do for 9 years.
Really hope the next few weeks are as smooth, reading other people’s experiences on this sub has been so helpful so I just wanted to add mine!
submitted by alclbrk to mounjarouk [link] [comments]
Side effects: not really had much- felt a tiny bit nauseous and experienced body aches for the first 2 days. The biggest difference for me has been the lack of food noise. I’ve always had an issue with binge eating and even when I’ve dieted in the past, I break the diet and just binge because all I can think about is food. I can’t see this happening with Mounjaro.
The other day I went to Alton towers and normally I’d order a large everything and some sides for lunch, spending a fortune to add, but I went for a kids portion and was so satisfied. I genuinely didn’t know it could be this freeing to not really care about food. This really does feel quite miraculous and I’m actually hopeful that I’m going to finally meet my target weight, something I’ve been trying to do for 9 years.
Really hope the next few weeks are as smooth, reading other people’s experiences on this sub has been so helpful so I just wanted to add mine!
2024.05.19 11:57 Blazingzurafa Don’t know what to think or do neuroendocrine tumour
M26 I was diagnosed with a neuroendocrine tumour in my appendix after appendectomy for possibly appendicitis when I was 21. After going through a multitude of test I was told that the cancer was what they call stage 0 and very slow growing and I didn’t need any further treatment. Since then I’ve had nothing but health issues, was on antipsychotics for a year for my anxiety which was out of control, have had stomach pain constantly, horrible cramps and bloating, etc. around 3 years ago I started having bouts of severe diarrhea with blood/mucous was sent for a a colonoscopy and ct which showed nothing so why was told it was ibs and possibly crohn’s. for the past 2 years I’ve had chronic fatigue, horrible acne and skin infects, last year I started getting what appears to be tonsil stones/tonsillitis (it’s been rough). After my most recent bout of diarrhea I got another ct along with stool sample, 24hr urine and blood test. My 24hr urine showed a highish 5-HIAA and just found out my ct showed a nodule on my liver, I know I’m jumping to conclusions and still need to wait for more information but can’t help feel that this and potentially carcinoid syndrome could explain everything I’ve been going through. Don’t know to be relieved or upset, I’m filled with anxiety and barely able to sleep. Does anyone here have or know anything about appendix cancer or carcinoid syndrome.
submitted by Blazingzurafa to cancer [link] [comments]
2024.05.19 11:56 carettarogue How to wean off olanzapine after 1.5 year taking it?
I started having sleep issues after my serious thyroid disease and was prescribed zopiklone. Slowly my body became addicted to it, and my sleep quality became worse and worse. I felt weaker and weaker on it, and needed more for the same effect. Then once I just couldn't fall asleep, so I was prescribed mirtazapine which ruined my liver enzymes, Trittico didn't work. I took instead zolpidem(another sleeping pill) and developed psychotic depression and was hospitalized.
In the hospital they gave me olanzapine which I took for a year and I had the best sleep ever on it. I woke up refreshed, I could go back to college and live my life, so I became more or less functional again, it saved my life too after taking zolpidem for too long.
My psychiatrist changed it to quentiapine after a year because of serious metabolic side effects of olanzapine. My sleeping became non existent after a month, it was much worse than before olanzapine. The quentiapine didn't do the trick, and I went for days wothout sleep, I lost my job, I was in bed all day, and couldn't even open my eyes the fatigue from insomnia was so bad.
I was hospitalized again and was given back olanzapine. The problem is that I already have type 2 diabetes, and metabolic syndrome(high cholesterol, high blood pressure and I'm just 26). I also have thyroid problem and PCOS. I feel like I can't live with the fact that this medication will ruin my body forever and my diabetes and metabolic syndrome worsened by olanzapine will kill me eventually. Even my doctor said that I shouldn't take this medication because of high risk developing serious metabolic issues and heart problems.
What would you do in my situation? I was thinking of slooowly decreasing the olanzapine every month by 2.5 mg and see which is the smallest dose I can still sleep. Or take Xanax beside quentiapine for sleep? But I heard horror stories about Xanax too and it is not reccommended for long term.I feel like I've exhausted my options for medications and I'm left with the medication with the worst side effects for me.
Can you share your story related to sleep and these medications? How should I get rid of olanzapine? What medication have you tried to fall and stay asleep besides olanzapine and quentiapine to battle the olanzapine withdrawal effects like insomnia?
submitted by carettarogue to insomnia [link] [comments]
In the hospital they gave me olanzapine which I took for a year and I had the best sleep ever on it. I woke up refreshed, I could go back to college and live my life, so I became more or less functional again, it saved my life too after taking zolpidem for too long.
My psychiatrist changed it to quentiapine after a year because of serious metabolic side effects of olanzapine. My sleeping became non existent after a month, it was much worse than before olanzapine. The quentiapine didn't do the trick, and I went for days wothout sleep, I lost my job, I was in bed all day, and couldn't even open my eyes the fatigue from insomnia was so bad.
I was hospitalized again and was given back olanzapine. The problem is that I already have type 2 diabetes, and metabolic syndrome(high cholesterol, high blood pressure and I'm just 26). I also have thyroid problem and PCOS. I feel like I can't live with the fact that this medication will ruin my body forever and my diabetes and metabolic syndrome worsened by olanzapine will kill me eventually. Even my doctor said that I shouldn't take this medication because of high risk developing serious metabolic issues and heart problems.
What would you do in my situation? I was thinking of slooowly decreasing the olanzapine every month by 2.5 mg and see which is the smallest dose I can still sleep. Or take Xanax beside quentiapine for sleep? But I heard horror stories about Xanax too and it is not reccommended for long term.I feel like I've exhausted my options for medications and I'm left with the medication with the worst side effects for me.
Can you share your story related to sleep and these medications? How should I get rid of olanzapine? What medication have you tried to fall and stay asleep besides olanzapine and quentiapine to battle the olanzapine withdrawal effects like insomnia?
2024.05.19 11:53 DianeWillis991 Sonya punishes Sasha’s midsection until her body gives out and is finished from a simple kick to the stomach.
You need to start realizing, jacking off is wasting your life. Your chances of meeting a model you see online is close to none. Aren't you just lying to yourself? If you perhaps want to start actually dating a human being, you can Sign up on Ice Offensive 943 to find someone else who's just as horny as you are.
submitted by DianeWillis991 to SashaBanks_Stomach [link] [comments]
2024.05.19 11:47 NervousDadPleaseHlp9 18M starting to miss milestones - Scared dad is starting to see red flags
The title says most of my current situation, but I’ll provide details as I don’t know what is relevant anymore. Feel free to skip to the bottom!
My 18M son has had a number of hurdles to overcome in his life so far.
He was born three weeks early, with a small body (7th percentile) and a big head (90th percentile), which may have contributed to some gross motor delays.
He hated tummy time in his first few months and had bad reflux, which we later learned was likely because he is allergic to eggs AND dairy which he was getting from breastmilk. His stomach likely hurt quite a bit in his first 6M and we were unfortunately slow to diagnose these allergies.
We had a total of 6 Nannies not work out for us, all due to health/careemisc reasons unrelated to our son, resulting in repeated shifts to his routine.
He had a terrible case of double ear-infections that lead to him reverting from nursery to cosleeping for comfort for several months, leading to poor sleep for everyone.
Most recently, it looks like he has a posterior tongue tie, that will be released in the coming weeks.
With all of the above, when our sweet boy qualified for Early Intervention Colorado (for gross motor delays), we were nervous but not entirely surprised. From 9M onwards we met with an OT and PT biweekly who provided advice and exercises that helped us in a number of ways, but during his annual review it came out that he is between 12-15M in all areas, with his weakest area being language development, where he is at the level of a 9M old, (he was 17M at the time).
This lead to a real rabbit-hole of googling and research and all of a sudden red flags starting popping up.
-He doesn’t consistently look when his name is called. -He loves to open and close doors over and over. -He enjoys playing with his peers at daycare, but gets overwhelmed and often seeks out alone time. -He sometimes gets upset and NEEDS to breastfeed to finally calm down. -He is very nervous in new environments and doesn’t seek out new things the way his peers do. -He does not seem to understand what we are saying most of the time and only knows a couple simple instructions that he will acknowledge.
He had always made good eye contact and showed empathy to my wife and I, and so ASD never really came to mind until recently.
We were recommended to take a look at the ASQ-SE, at home where he fell on the border of ‘Monitor’ and ‘Refer’. We’ll be meeting with his doctor for his 18M check up soon, and I plan on requesting that he be screened.
I will always unconditionally love my son and am willing to do anything and everything to help him live a happy normal life. I hope he just has development delays that we’ll look back and laugh on, but I feel like I am no longer able to enjoy parenting as I am scrutinizing and analyzing every single thing about him looking for signs that something is wrong.
How aggressively should I pursue screening at his age? Are there better options available to us than the free State-run Early Intervention Colorado? Is there a best way to prepare for a potential positive diagnosis?
Any shared experiences or advice is appreciated.
submitted by NervousDadPleaseHlp9 to Autism_Parenting [link] [comments]
My 18M son has had a number of hurdles to overcome in his life so far.
He was born three weeks early, with a small body (7th percentile) and a big head (90th percentile), which may have contributed to some gross motor delays.
He hated tummy time in his first few months and had bad reflux, which we later learned was likely because he is allergic to eggs AND dairy which he was getting from breastmilk. His stomach likely hurt quite a bit in his first 6M and we were unfortunately slow to diagnose these allergies.
We had a total of 6 Nannies not work out for us, all due to health/careemisc reasons unrelated to our son, resulting in repeated shifts to his routine.
He had a terrible case of double ear-infections that lead to him reverting from nursery to cosleeping for comfort for several months, leading to poor sleep for everyone.
Most recently, it looks like he has a posterior tongue tie, that will be released in the coming weeks.
With all of the above, when our sweet boy qualified for Early Intervention Colorado (for gross motor delays), we were nervous but not entirely surprised. From 9M onwards we met with an OT and PT biweekly who provided advice and exercises that helped us in a number of ways, but during his annual review it came out that he is between 12-15M in all areas, with his weakest area being language development, where he is at the level of a 9M old, (he was 17M at the time).
This lead to a real rabbit-hole of googling and research and all of a sudden red flags starting popping up.
-He doesn’t consistently look when his name is called. -He loves to open and close doors over and over. -He enjoys playing with his peers at daycare, but gets overwhelmed and often seeks out alone time. -He sometimes gets upset and NEEDS to breastfeed to finally calm down. -He is very nervous in new environments and doesn’t seek out new things the way his peers do. -He does not seem to understand what we are saying most of the time and only knows a couple simple instructions that he will acknowledge.
He had always made good eye contact and showed empathy to my wife and I, and so ASD never really came to mind until recently.
We were recommended to take a look at the ASQ-SE, at home where he fell on the border of ‘Monitor’ and ‘Refer’. We’ll be meeting with his doctor for his 18M check up soon, and I plan on requesting that he be screened.
I will always unconditionally love my son and am willing to do anything and everything to help him live a happy normal life. I hope he just has development delays that we’ll look back and laugh on, but I feel like I am no longer able to enjoy parenting as I am scrutinizing and analyzing every single thing about him looking for signs that something is wrong.
How aggressively should I pursue screening at his age? Are there better options available to us than the free State-run Early Intervention Colorado? Is there a best way to prepare for a potential positive diagnosis?
Any shared experiences or advice is appreciated.
2024.05.19 11:42 RelationshipNice1035 Feeling confused and not enough
I (23F) have struggled with depression and anxiety officially for 6 years. I should be happy. I have recently returned home from exchange and was planning to chill out whilst I finish off my degree (online) until I recover from burnout/fatigue that I had built up from working to save for my travels. But since I was so exhausted for months (got blood tests and everything was fine) I couldn't leave my bed much and I felt so guilty I wasn't making use of my free time at home. I deleted a lot of my social media because I was feeling FOMO but as a result I think I might have unintentionally isolated myself. It was during my time overseas that I had an opportunity to reflect more on my life and started to realise the possibility that I could be austistic. I have started to see a new psych in order to figure this out and it turns out the masking I have been doing may also be a result of childhood issues. For context, my parents always fed me and provided for me financially, they are not drug addicts nor would I consider them abusive other than the 'typical' boomer domestic discipline, and I believe they love me, but unfortunately they have fucked my sister and I up emotionally. One of the main issues I struggle with is feeling like I'm overreacting when something upsets me. but I can't help but feel like I am. I'm not austistic enough to be discriminated against or perhaps even diagnosed yet I still feel like an alien. I haven't been abused enough to have significant trauma yet I'm a mess. Because of executive dis function I struggle to even grow my hobbies while at home which makes me feel even more worthless. I have foundmyselft wishing I was never born because I feel like I haven't been able to help and add to people in my life. especially since in the past I have definitely leened on my friends too much for support when I was struggling mentally and no one has lent on me in a way. I'm getting very close to graduation and some friends have even reached out to me to hang out but I justfeels too ashamed to leave my house. I should be job searching but I feel like I'm not good enough and I'm scared people will pin me as weird and exclude me like they have in previously. I want to see my friends but idk what to say if they ask what I've been up to. In the past I tend to just say everything that's on my mind because it takes a lot of effort for me to lie so I like to plan things to say before hand. I'm so scared of saying something wrong when I don't mean to. I feel stuck and stupid for letting myself slip into this spot because I know it's because I don't have a routine. I just feel so pathetic that I can't seem to ever be normal and am so fucked upwheni there is nothing that has happened to me that seems to warrant it. maybe I am as dramatic as I am afraid of.
Sorry for the brain dump, any advice would be appreciated
submitted by RelationshipNice1035 to depression [link] [comments]
Sorry for the brain dump, any advice would be appreciated
2024.05.19 11:39 musclecactus26 M24 181cm (5'11) 69kg (152 pounds). Please check profile for more pics and read description.
 | For some reason I can't upload more pics to this post so please check my profile for the rest of my pics thank you submitted by musclecactus26 to BulkOrCut [link] [comments] Been cutting since the end of last year but have been much more consistent with it since about Feb this year. I was around 80kgs (176 pounds) when I started my cut. Definitely gotten a lot weaker in the gym since I started cutting, I train 5 days a week. I've always wanted to be lean and have a flat stomach, didn't care too much about abs just wanted the flat stomach, no love handles, no skin folds kind of look going. But now I've gotten to the point where I'm not really dropping anymore weight or body fat, yet I still have this last layer of fat remaining. I have clear protruding hip bones, visible vertebrae, visible pubic veins, abs visible in certain lighting yet I still have that last layer of fat that's really bugging me. I'm eating 2000 calories a day, sometimes slightly less and have been very consistent with it and track everything, weighed as well. I've gotten to the point now where I'm constantly hungry and have to fill myself up with water. I really wanna know what I should do, I feel like losing more weight would make me underweight for my height. I had gotten to 62 kgs before on a keto (before I worked out) yet I still had the same issue with the last fat layer. Should I bulk up, maintain or keep cutting? |
2024.05.19 11:38 leticiaapm Stairs at home and PEM
For whose depending on stairs, to move around the house.
Is it better to go down/up seating and crawling or normal standing? What is the least impact?
I am afraid my body understands stairs as an workout and then get PEM from that.
My main symptoms is chronic fatigue, pem and exercise intolerance.
So if I am getting crashes from the stairs, then I will always be on this loop
submitted by leticiaapm to covidlonghaulers [link] [comments]
Is it better to go down/up seating and crawling or normal standing? What is the least impact?
I am afraid my body understands stairs as an workout and then get PEM from that.
My main symptoms is chronic fatigue, pem and exercise intolerance.
So if I am getting crashes from the stairs, then I will always be on this loop
2024.05.19 11:34 BeautifulLiterature Amiwrong for not considering a relationship that I kept secret from my wife inappropriate?
My husband and I are in a headlock. We will both be reading the comments. My husband wrote the main bulk of this and I've read and added where I thought appropriate.
2021 I just started a new job, colleagues are great. Joined a gym to use lunch time. Getting fit, kicking goals at work. I mentioned to my new colleagues that I used to be a personal trainer and they're more than welcome to join me for a session. So one of the female colleagues took me up on the offer. She is objectively attractive (all my colleagues are objectively attractive) but I'm not attracted to them.
After work, I tell my wife about my day which included my gym session with this girl, let's call her C. (My edit: My wife was a Stay at home mum with 2 kids under 2 years old and didn't get much help from me or anyone else. She was isolated, dealing with body insecurities from the pregnancy and was at a low point mentally). After I tell my wife, she blows up and says "I don't want to hear about you going to the gym with your hot colleagues". This upset me as I was just sharing my day.
There's a bring a friend to gym day on Wednesdays so sometimes people take me up on my offer, sometimes not. Most of the time, it's just me. But eventually, H started coming with me and we would go to the gym together maybe 2-4 Wednesdays a month.
At some point I thought maybe I should mention it but I remember the blow up and C, and figured my interaction with H is purely professional, So no harm no foul. But again, objectively H is also an attractive female so I was definitely not keen to get shouted at again for telling my wife stories of going to the gym with my hot colleagues. So I actively decided to keep this a secret because I didn't want to deal with any negative reactions from her.
Anyway my wife found out after I had been gymming with H consistently for 1 year. And it became a big thing mostly because she felt I was actively hiding my relationship with H - which I was. (My edit: I've never heard the name H before, ever. I didn't even know there was a girl called H in his office).
This argument was more than 6 months ago and my wife and I eventually got over it. She has no issues with me going to the gym with girls or H as long as she feels that I will be open and honest with her and not gatekeep informatkon.
But we had an argument today because she was showing me a FB post of a husband who wrote a self-reflecting letter about his inappropriate relationship with a female co-worker. (We were laughing about it because it was so extreme) But She said jokingly "where's your letter to me about your inappropriate relationship?" I said I never had an inappropriate relationship because I never flirted or had an affair with the coworker but she said she still considers it an inappropriate relationship because I actively hid it from her.
I don't think my relationship with H was inappropriate at all.
Please chime in on this situation and help us resolve the argument: WAS MY RELATIONSHIP WITH H INAPPROPRIATE?
Edit to add: my second was a newborn when the original blow up happened.
submitted by BeautifulLiterature to amiwrong [link] [comments]
2021 I just started a new job, colleagues are great. Joined a gym to use lunch time. Getting fit, kicking goals at work. I mentioned to my new colleagues that I used to be a personal trainer and they're more than welcome to join me for a session. So one of the female colleagues took me up on the offer. She is objectively attractive (all my colleagues are objectively attractive) but I'm not attracted to them.
After work, I tell my wife about my day which included my gym session with this girl, let's call her C. (My edit: My wife was a Stay at home mum with 2 kids under 2 years old and didn't get much help from me or anyone else. She was isolated, dealing with body insecurities from the pregnancy and was at a low point mentally). After I tell my wife, she blows up and says "I don't want to hear about you going to the gym with your hot colleagues". This upset me as I was just sharing my day.
There's a bring a friend to gym day on Wednesdays so sometimes people take me up on my offer, sometimes not. Most of the time, it's just me. But eventually, H started coming with me and we would go to the gym together maybe 2-4 Wednesdays a month.
At some point I thought maybe I should mention it but I remember the blow up and C, and figured my interaction with H is purely professional, So no harm no foul. But again, objectively H is also an attractive female so I was definitely not keen to get shouted at again for telling my wife stories of going to the gym with my hot colleagues. So I actively decided to keep this a secret because I didn't want to deal with any negative reactions from her.
Anyway my wife found out after I had been gymming with H consistently for 1 year. And it became a big thing mostly because she felt I was actively hiding my relationship with H - which I was. (My edit: I've never heard the name H before, ever. I didn't even know there was a girl called H in his office).
This argument was more than 6 months ago and my wife and I eventually got over it. She has no issues with me going to the gym with girls or H as long as she feels that I will be open and honest with her and not gatekeep informatkon.
But we had an argument today because she was showing me a FB post of a husband who wrote a self-reflecting letter about his inappropriate relationship with a female co-worker. (We were laughing about it because it was so extreme) But She said jokingly "where's your letter to me about your inappropriate relationship?" I said I never had an inappropriate relationship because I never flirted or had an affair with the coworker but she said she still considers it an inappropriate relationship because I actively hid it from her.
I don't think my relationship with H was inappropriate at all.
Please chime in on this situation and help us resolve the argument: WAS MY RELATIONSHIP WITH H INAPPROPRIATE?
Edit to add: my second was a newborn when the original blow up happened.
2024.05.19 11:32 Outrageous-River5987 [25M] Medical mystery, neuro and skin symptoms post infection
My crazy symptoms after strange infection - neurological and flushing
In august last year I had strong infection, I was sweating by month, extreme fatigue, swollen lymph node under armpit.
Since then I have tons of symptons:
https://ibb.co/album/WWw7VS
Bloodwork is ok. Is it some kind of long covid? Taking gabapentin, doesnt help too much. Antihistamines doesnt work (ketotifen too) so not MCAS..Please, tell me which lab tests should I take. Please, I feel like a living dead.
submitted by Outrageous-River5987 to AskDocs [link] [comments]
In august last year I had strong infection, I was sweating by month, extreme fatigue, swollen lymph node under armpit.
Since then I have tons of symptons:
- neuropathic pain in back, deep pain in spine
- right shoulder blade is painful and deep itching, extremely weird tingling pain deep, when I move my arm
- my back feels so messed up I feel asymetric when I walk, when I breathe I feel pain in lot of different places in body
- redness on face, flushing, red ears, heatwaves and warm feeling (mostly at night) - when my face is flushed, symptoms of pins needles burning are the worst
- electric, neuralgic pains in face, head, scalp, pain when I move my eyes deep in face
- body itching, itch deep inside ears, face
- skin on face, scalp, eyelids twitch randomly, like electric shocks
- fatigue, brain fog
- brain zaps
- pins needles in feet, body for example when I put my clothes on
- random warm feelings in legs like hot water in legs
- hives which disappeared mostly
https://ibb.co/album/WWw7VS
Bloodwork is ok. Is it some kind of long covid? Taking gabapentin, doesnt help too much. Antihistamines doesnt work (ketotifen too) so not MCAS..Please, tell me which lab tests should I take. Please, I feel like a living dead.
2024.05.19 11:30 SapphireWellbeing What scenario do you think is more likely for severe flare up?
TLDR: A) histamine liberator, avocado B) Bleach + mold
I seem to react more to histamine liberators more than histamine itself, strawberries and mango make me feel suicidal?!
Today I tried to reintroduce avocado, but now I'm thinking maybe it wasn't just the avocado... I had sprayed down my shower with bleach as there was a bit of mold in the corner, and left it. I came back to my bathroom after having dinner, to wash my hands in the shower (chlorine free shower filter), and then got ready to leave to go to a friends house.
Cut to 10 minutes later and the worst flare up I've had in a while. Had to turn around and come home.
I'm recovering from topical steroid withdrawal on one hand, and it blew up bright red, itchy as hell, and my fucking finger bones hurt. My elbow on the same arm was flushing and itching too. My gums ached and throbbed, I'd recently had them hygenically cleaned so they were still inflamed. And a burn I had a few weeks ago became bright red. Then the psychosomatic symptoms hit, panic, anxiety etc.
I had to take an antihistamine, and it calmed right down. I don't like taking them frequently as I'm trying to recover from adrenal fatigue, but thank god I had one on hand.
submitted by SapphireWellbeing to MCAS [link] [comments]
I seem to react more to histamine liberators more than histamine itself, strawberries and mango make me feel suicidal?!
Today I tried to reintroduce avocado, but now I'm thinking maybe it wasn't just the avocado... I had sprayed down my shower with bleach as there was a bit of mold in the corner, and left it. I came back to my bathroom after having dinner, to wash my hands in the shower (chlorine free shower filter), and then got ready to leave to go to a friends house.
Cut to 10 minutes later and the worst flare up I've had in a while. Had to turn around and come home.
I'm recovering from topical steroid withdrawal on one hand, and it blew up bright red, itchy as hell, and my fucking finger bones hurt. My elbow on the same arm was flushing and itching too. My gums ached and throbbed, I'd recently had them hygenically cleaned so they were still inflamed. And a burn I had a few weeks ago became bright red. Then the psychosomatic symptoms hit, panic, anxiety etc.
I had to take an antihistamine, and it calmed right down. I don't like taking them frequently as I'm trying to recover from adrenal fatigue, but thank god I had one on hand.