jestergal

[jestergal]

[jestergal]

my lovely mutuals and followers and circle of dykes. i am BEGGING YOU to stop reblogging that "NSAIDS while on spiro damages your liver" post. there have been MANY additions in the comments expanding on the risk factors of mixing these medications (and i HIGHLY recommend looking in the comments. @/boringkate assesses the risk beautifully in there, and many others are in the reblogs expanding on the interactions and risks as well). all those aside - the major risk of mixing NSAIDs and any diuretic (not limited to, but including ibuprofen snd spiro) is RENAL (KIDNEY) PROBLEMS!!! NOT LIVER!!! and the most frequent version ive seen to that post does Not do a good enough job clarifying that "renal function" is related to your kidneys, not your liver. there are some effects that will happen on the liver eventually of course, but the premise of the interactions is wrong in and of itself and this kind of misinformation is kind of dangerous to just take at face value/without curiousity

i encourage you to read the actual drugs.com summary on the interactions between NSAIDs and spiro that keeps being referenced in that post (more on this under the cut). it is a moderate interaction manageable with increased hydration (your kidneys love water!) and, if you're taking spiro under the supervision of a doctor, monitoring of your renal function via blood tests. and i understand feeling betrayed learning there are potential interactions between all NSAIDs and diuretics because these risks are often not clearly communicated by doctors themselves, but in the pharmacy and usually in that packet that comes with your meds that most people are more likely to toss than read - but please do not make sudden rapid changes to your healthcare plans or work yourself into a panic on ever taking a pain med ever again based on that post and PLEASE fact check things you read on the internet before spreading it as Health Facts, even if its just looking up what different words mean to understand more of what you're reading. i also really do encourage y'all to read on how kidneys work and this is a really nice overview

the risk of kidney problems mostly occurs if you are (1) taking regular doses of both medications (2) NOT drinking enough fluids (3) not communicating with your doctor about all the medications you are taking. if you are taking spiro as a treatment provided by a doctor and are worried about kidney problems after that post, by all means talk to them and ask about getting a blood test to check your kidneys function/health!! im not discouraging this!! your doctor likely isnt bringing this up in the first place though because (in my cursory glance over the sources) many of these studies cited even in the drugs.com article "specific" to ibuprofen and spiro are about a variety of diuretics interactions with a variety of NSAIDs. the ones that arent paywalled are also either acute case studies about elderly patients on diuretics (so who Already have kidney problems/elimination issues) who developed heart issues after diuretics treatement or observational studies specifically on men in good health ages 20-38 to specifically look at drug interactions in the body. in the more acute cases, with proper management/alternative medications almost every single case was reversible and resolvable. many of these medications in these papers also are ones I have not heard of or taken, so i did look up every single drug i didnt recognize by name references to confirm my initial assumption that the reason this is labeled a Moderate instead of low risk interaction is because All NSAIDS and diuretics have potential interactions (confirmed also that the major effect is that NSAIDS have the potential to reduce the efficacy of diuretics, which leads to fluid and salt retention, which can lead to other issues - namely heart issues in the most extreme cases) with variable effects based on specific combination of the drugs used, the patients specific health, and the dosage (not just the size of dose, but the timing as well).

as an aside: if you habitually are taking frequent (read: daily/scheduled, not a one off for a headache or other body pains) doses of OTC NSAIDs, Regardless of taking diuretics, you NEED to tell your doctor because even though its available over the counter (at least in the US) it is still a major medication in your life/relevant to your physiochemistry!! OTC medications are often overlooked by doctors and people alike because they are seen as ubiquitous and to many doctors OTC pain meds, like NSAIDS, are assumed be used in acute pain situations where the dosage is minimal/infrequent enough it will likely have little to no long term effect with other medications.

[jestergal]

Thinking about the almost $500 markiplier doll someone bought from a drop shipper on esty and how it doesn't look remotely like markiplier

[jestergal]

that man wont be a twink by the time im done with him

[jestergal]

i think they shouldve taken me on a polar expedition not because i would be useful or especially resilient but because my preexisting mental health conditions would have made me an interesting wildcard

[jestergal]

got hacked again on twitter. I dont know what to do anymore, i changed my shit and it keeps getting compromised.

[jestergal]

[jestergal]

my fear of abandonment? well that comes from my experience of being abandoned

[jestergal]

[jestergal]

apologies to anyone who ever thought i was cool and reached out to me only to discover i am just a weird little hermit who can't carry on a conversation to save my life

[jestergal]

It is now more important than ever that you become even more jaded and hopeless and cynical. Try to be on your phone even more, see your friends less if at all, get all of your nutrients from McDonald's Sprite, rant and rave about everything but do nothing. I hope this helps.

[jestergal]

Knuckles giving Amy hammer training/tips YES YES YESSS

[jestergal]

day 189 - cat soup

[jestergal]

[jestergal]

Mexicans in the United States now have a direct line to consular assistance at their fingertips. Juan Ramón de la Fuente Ramírez, Mexico’s Foreign Minister, has introduced “ConsulApp Contigo”, a mobile application designed to provide immediate support in emergencies, including detentions. The app connects users to consular services, offering legal guidance and critical resources in real time.

Los mexicanos en Estados Unidos ahora tienen a su disposición una línea directa de asistencia consular. Juan Ramón de la Fuente Ramírez, Ministro de Relaciones Exteriores de México, presentó "ConsulApp Contigo", una aplicación móvil diseñada para brindar apoyo inmediato en situaciones de emergencia, incluidas las detenciones. La aplicación conecta a los usuarios con los servicios consulares, ofreciendo orientación legal y recursos críticos en tiempo real.

[jestergal]

Mr j my cat has a crush on you and he is a boy

That's how things are these days

[jestergal]

TRANS WOMAN STILL DISABLED, UNEMPLOYED, IN NEED OF HELP

i've got some updates since my last post. bad news first, my mother is cutting me off from her phone plan and will no longer be helping me to pay for my car insurance, both by the end of february. i still don't know what my plan is in regards to either.

as for good news, i finally had my rheumatology appointment but have yet to start any medication or receive a diagnosis — though the rheumatologist did say my symptoms sounded to him like rheumatoid arthritis. furthermore, my therapist is going to help me look for jobs that might be workable in my present condition.

hopefully, this marks a turn for the better for me. one thing is certain though, and that is that i still need help. i need 500 USD by the end of the month to make rent. please donate if you can and share if not. thank you.

KO-FI

VENMO

CASHAPP

0/500 USD