Posts by Adam Rogers2

Looks like the flu to me... except for that kidney stuff. How’s the bathroom situation? Any burning, going more often than usual, or changes in the color or smell of the urine?

Look, if you're going in for a colonoscopy, your system has to be completely clear so they can actually see the intestinal wall. If there's any leftover debris in there, they aren't going to spot any actual issues.

I was just referring to what they said about the wall looking healthy. That's only because during a colonoscopy, everything is properly cleared out🙂.

The intestinal lining you're seeing on this colonoscopy is perfectly clean.

At our hospital, here’s how we prep for a colonoscopy:

You don't eat anything the day before.

Take five Dulcolax tablets.

Then at 5:00 AM, right before the procedure, you drink two liters of Gatorade and a few more liters of some clear electrolyte solution.

And that’s why the lining looks so great.😁.

I’ve actually seen our endoscopist lose his mind when the bowels aren't properly cleared.
It just looks gross.

I'll give it a read!

rustymoose54, I found some info suggesting progesterone works by blocking calcium receptors, here's the link
I guess I still need to figure out how this all connects logically 🤔.
If you're managing your blood sugar this well, honestly, you're probably living healthier than most people 😉, which likely keeps your cardiovascular risk lower too.

If every patient were like you... educated and actually paying attention... doctors wouldn't have jobs 😁. Kudos to you 👋.

As for what specific tests you should run, I don't know—I haven't really dealt with that side of things. It's probably better to just ask an endocrinologist or a gynecologist 🙂.

Reading!

Cortisol, growth hormone, estrogen, placental lactogen, thyroid hormones (I actually went looking for this in my Physiology textbook 😁).

It just says it antagonizes insulin action.

I'll dig into this a bit more; I'm not entirely sure yet, but I want to give you a solid answer on whether it's a receptor issue or something else. Give me a little time (even though I'm out sick today, I'll still try to look it up).

Why not use OHC for diabetics? Because they already have an elevated risk of cardiovascular events from diabetes, and if you add OHC to the mix, you increase the chance of thromboembolism. It all adds up.

And yeah, you're right—you can't compare apples to oranges. My bad.

Do you have an insulin pump?

Maybe we’re both just barking up the wrong tree here 😁.

Go ahead, walk me through it. Maybe I'll actually see your point. I guess I'm pretty easy to convince if the logic holds up.

Matthew Sullivan32 said:Bruises just mean your circulation is working. That’s basically how those pills function. I guess that's why so many women end up with cellulite after being on birth control.

Well, if that's how you want to look at it.

I don't really see it that way.

In my opinion—and maybe I'm wrong here🙂—bruises happen when you bump into something and bleed under the skin. If your blood actually clots the way it's supposed to, the vessel should seal up before you even get a hematoma.

I get bruised pretty often, but I had them long before I ever touched any medication. I guess I'm just clumsy.

And people who actually have clotting issues, like someone with liver cirrhosis or someone on heavy anticoagulants, they are covered in bruises. Like, seriously, dozens of them all over their arms.

Honestly, the constant blurring of those two conditions just gets on my nerves.

Nobody was mixing them up; people were just talking about them in general.

because they require different treatments.

Not really... I mean, you've got Type 2 diabetics on insulin too.

with Type 2, it’s highly individual. Some patients can manage by losing weight, while others struggle to regulate blood sugar even when using insulin combined with oral sensitizers.

That’s because the underlying causes are different.

Progesterone, along with a few other hormones, bumps up insulin production (in healthy people) to increase the demand for insulin in peripheral tissues. So, I guess you're right—if that applies to you, your demand is higher, so you need more insulin. Progesterone levels peak in the second half of the cycle and then drop at the start (which is what triggers menstruation).

They just draw some blood and check your liver enzymes. It’s really not a big deal. Mine came back perfectly normal 👋.

Regarding the physiological release of sex hormones...

Robert Alvarez was acting like managing someone's blood sugar was some kind of Mission Impossible, but I just told him I didn't really feel that way.

It’s probably not 100% the same as it would be for healthy people, but I guess you can still see pretty good results.

We weren't even considering any type of diabetes, nor the issues with regulating glucose during IVF. Diabetes is actually one of the relative contraindications for IVF anyway.

Oh, I just remembered this while looking some stuff up.

Regarding diaphragms—they actually carry a risk of toxic shock syndrome. Yeah, you could actually die from using one. Plus, they increase the chances of UTIs and hemorrhoids (I didn't even know that part! By the way, it's a pain to find one at a local CVS in this town).

Condoms are also less reliable in practice than they are on paper. I don't mean the statistical failure rates; I mean when you factor in everything—how they're actually used, how they're stored, all that stuff—the real-world safety is much lower than what the packaging claims.

With an IUD, you’re looking at potential pelvic infections, abscesses, ruptures... even ectopic pregnancies.

I just wanted to point out that absolutely nothing is 100% safe. You can get a pulmonary embolism just by flying on a plane.

So, if I just stay home and don't do anything, I guess I'll be fine. Wrong. I could get a pulmonary embolism just from being sedentary. 🙂.

nimblesurfer20 said:used to everything being padded out because otherwise no pharma company is going to buy you anything, not even a car or an apartment... long live the healthcare system...

Offtopic:
So why isn't anyone buying me a house and a car? Or maybe, why won't a hospital even cover my $250 registration fee, let alone travel and lodging—and I'm not talking about some fancy hotel, just basic stuff since I was there with kids who were attending some nature school or whatever. Plus, the $500 symposium fee where I was actually the speaker came right out of my own pocket. I guess I miscalculated something somewhere 🤔 . But I have plenty of company swag lying around at home if anyone wants it 😁 . And some pens, too.

Ontopic: Robert Alvarez, you're being a bit dramatic. Metamizole can cause aplastic anemia, so it’s a drug we really have to watch carefully in surgery for up to 8 hours.

Standard Aspirin can cause Reye's syndrome in children, which has serious consequences, especially for the liver and brain.

And we could go on forever
.
I didn't get the impression that managing blood sugar was that difficult? Our diabetes specialist does a great job 🙂.

Finally; I take Logitech (not an ad, I don't even have any of their swag, honest word), they have ten times less hormone concentration than some other brands.

And I'll have to check with Robert Alvarez regarding the incidence of pulmonary embolism in women on birth control. I don't know off the top of my head 🙄.

It sounds like PCOS is messing things up... Amenorrhea and those lab results are typical for that condition.

Too bad your OBGYN didn't give you a better explanation...
Maybe try searching online; here are some links
http://health.discovery.com/encyclopedias/3245.html

http://www.4woman.gov/faq/pcos.htm

http://www.pcos.net/ (Note: I just realized this one isn't working right now—it looked okay at first glance. Just keep looking; if you Google PCOS, you'll find a million resources)

There have been threads about this before.

I hope everything turns out alright 👋 .

And regarding the pills, that's just my two cents, nothing personal 🙂 .

Chloe Nguyen3, I’m like 99% sure it’s not from those pills. When you finally make it to an endocrinologist, you should probably just ask them—they actually know what they're talking about, whereas I'm just guessing. I don't recall reading anywhere that it was caused by medication when that's being treated.

Wait, so you're saying fat levels mean she's bleeding more? If her blood is clotting better because of the pills, she shouldn't have high fat levels, right?

From what I've seen, people with liver disease often have tons of fat buildup because their clotting isn't working properly. Basically, their blood is too "thin," if you want to put it that way.

I'd suggest getting some liver function tests, a lipid panel, and checking those clotting factors.

Emily Castillo81 said:Yeah, true... but now I'm wondering why they dropped the age limit from 35 down to 30? I was just sitting here thinking I had another 5 years and a month of breathing room. 🙄

Probably just so they don't get sued if some woman under 35 ends up with deep vein thrombosis.

Chloe Nguyen3, are you sure all of that actually came from the pill? Everything you mentioned usually goes hand-in-hand with PCOS—meaning you don't have ten separate issues, you just have PCOS, which causes those symptoms. I doubt Cilest caused this. There are way more factors involved in developing PCOS, like genetics, weight, and insulin levels.

You can manage it with hormonal contraceptives or other medications (one common method). Or even pregnancy. 😉

LET'S SHARE SOME USEFUL INFO.

Recommended reading: Velimir Simunovic et al.: Gynecology.

Just study it.

Arguing... please, no. 🙄 . Once someone actually gives you the right facts, then we start bickering.

Alright, alright, you mentioned reproductive systems...

It lowers the risk of endometrial and ovarian cancer, plus there’s less colorectal cancer, but it actually bumps up the risk for breast cancer and liver adenomas.

That goes for combined pills.

Robert Alvarez said:especially if there’s a history of reproductive system tumors in your family... basically, if anyone in your bloodline dealt with that kind of thing...

Actually, you've got that wrong... unless we're including breasts in the equation, the risk is higher there.