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Cake day: June 10th, 2023

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  • What’s fascinating is that Cuba also has the most medical doctors per capita (IIRC), they also provide more Drs to the third world than any western nation.

    Essential preventative healthcare which is particularly effective during childhood;

    Fluoridated water (teeth are pretty essential, also don’t rinse your mouth after brushing as you want that fluoridated toothpaste being in contact for a while)

    Iodized salt (Iodine deficiency in pregnant women and young children can massively effect IQ, it causes a specific goiter around the neck)

    Essential multivitamins and minerals, and fish oil.

    (There’s also an argument to be had here for supplementing lithium at about 1mg daily, as it reduces violent crimes, depression rates and suicides)





  • So there’s two lines of thought here;

    1 is that the first time you take it, the meds have the best effect and you finally have a functional day, but better, it almost feels like Felix felicis from Harry Potter. Some view it as what should be striven for, which unfortunately can end up with people chasing that first time feeling again, leading to increasing the dose more and more despite side effects.

    2 is that after taking the meds for a few months, you’ve gained a tolerance, its less euphoric but actually more functional because you aren’t chasing the euphoria (or the dopamine from starting a different task).

    Personally I find IR meds to up and down for my day to day, XR is a lot more comfortable long term



  • Obviously I am unfamiliar with your personal situation, but a friend experienced a similar thing in her relationship:

    She got diagnosed with vaginismus, which is basically involuntary muscle spasm around the vagina, which makes penetration painful to impossible.

    I believe what helped her (alongside talking therapy), was using a dialator set/kit (basically very soft, untextured dildos that start very small (a few mm, and go up to about the size of a penis), which are explicitly made to help with Vaginismus.

    She initially was treating more it a bit more like physio than intimacy; according to her BF, she didn’t realise you are supposed to effectively masturbate with them, apparently she would just lay there with one in and then wonder why there wasn’t much improvement, her therapist corrected her regarding this.

    I also found out that her BF didn’t like sucking/playing with her nipples (also correctly guessed he was bottle fed from that, haha). Told him to stop being an idiot and engage with that bit and it’s no longer an issue for them; turns out getting your partner turned on and really in the mood can help - who’d have thought!

    Another suggestion that has a much more immediate impact, but is less conventional and does carry some risks so I’ll mention it for the sake of covering all bases;

    Poppers as in Alkyl Nitrites, the things that are popular in the gay clubbing scene, help massively with this by reducing the constriction of smooth muscles in the body/abdomin… (Meaning it loosens the muscles in the wall of your vagina, and also your butt), it also has secondary affects on blood pressure and makes you feel slightly drunk and mild euphoric



  • Uranium 🟩@sh.itjust.workstoADHD@lemmy.world•vent?
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    4 months ago

    Asia or middle east or Russia?

    You might be better off trying to find some effective nootropics (though seriously do your research, and accept that they basically wont be perfect replacements, but they may be better than nothing)

    Modafinil, Saffron Extract, and Noopept are the three that I would say have been the closest to my actual ADHD meds for me (taken individually, not together).

    Huperazine A, can also be useful for some people.

    But yeah actual meds can are gold standard, Atomoxetine can be life changing for some people so don’t right it off entirely, but it does suck that its expensive.


  • Elvanse is my daily driver, initially started at 30mg and went down to 20, stayed on that for a few years, eventually back up to 30mg where I’m at now.

    I have been on it something like 8 years total. And I think 66KG starting weight.

    Remember everyone’s dosage is different.

    You want the medication to be barely perceptable for long-term stability, you don’t want to chase any rush you have the first time you use it, as that will just end up being higher and higher doses.



  • The first half is reasonable, the 2nd bit is paranoid.

    People take drug, drug does thing, body/brain react and over time produce long term tolerance so honeymoon period with med ends.

    Surprised Pikachu face

    You see it in other drug using communities; it’s really common to see people say that the modern drug is nothing like what they took years prior, whilst ignoring their own neural pathways will have changed in that time.

    Personally I’ve found NAC helps, where it didn’t before when my meds still add their “magic”



  • How do you deal with any other languages aside from English? Even if a product is destined for an English only market (which let’s be honest are basically small toys with English on them and English language books), anyone manufacturing will likely be using components manufactured in multiple different countries, with different languages and different ways of structuring names etc.

    This is basically how you used to get Chinglish names and instructions for stuff on cheap products from China

    If you want to see the outcome of what your currently suggesting, lookup longest car names, there’s a lot more English in them, as well as abbreviations yet they’re still a mess to understand/interpret from a layman’s perspective



  • I’m gonna be frank with you friend, it sounds like you’re experiencing something close to a manic episode.

    When was the last time you ate/drank water and slept?

    Have you recently consumed any drugs/substances which may have brought on this feeling?

    How long have you been feeling like this?

    Do you have someone you can communicate the way you’re feeling to in person that can go with you to get checked out if needs be?

    Changes in the psyche such as feeling oneself is God or Jesus is normally a sign that you want to get something checked out, you’re probably right that if there is a God they would be incomprehensible/ineffable, which also means that you’re probably not God.

    Don’t worry this is almost certainly not your new permanent state; it’s likely that your neurochemistry has gone a little bit out of wack and you probably need some rest possibly to see a doctor as they can help work out what’s going on.

    The most useful phrase I have found for coping with any difficulties with how I’m feeling, both in terms of mood and when having a difficult time after taking a psychedelic is:

    “This too shall pass”, it’s a useful phrase for bringing you up when you feel down, and to keep your ego in check when you feel like your on top of the world.


  • What is your standard dose?

    And out of curiosity are you American?

    For some reason Americans seem to be way more adverse to having generic versions of medications, I don’t know if it’s to do with how the FDA does things, or to do with the amount of medication advertising there, but in the UK no-one typically cares if a medication is generic as long as delivery mechanism and dose are the same.

    So I’ll almost certainly get a different brand of sertraline each month, and a different brand of dexamphetamine. The only medication which is brand name that I get is Elvanse, but even then that’s produced by different manufacturers but branded all the same, just under licence from the patent owner.

    Tbh the hypothermia sounds like vasoconstriction and/or possibly low blood sugar.

    The vasoconstriction can be caused by the higher dose, especially if you consume caffeine.

    I had to quit coffee for 8 months due to the horrible vasoconstriction/chills I’d get with it, after those 8 months I eventually started drinking tea, without getting chills anywhere near as much, now when I do it’s an indicator that I need food, especially if my hands have a slight jitter.

    In all honestly higher doses of methylphenidate can leave you feeling somewhat depersonalised/disassociated, even changes in dose-timings can cause it, taking more smaller doses can also change the methylphenidate/blood concentration which you may be subconsciously picking up on…

    Other things that can throw blood concentrations off: Grapefruit (fruit or juice) Vitamin C Excessive coffee/soft drinks