#I Am Not A Doctor

[benevolentwanderer]

Single use vials are safe to reuse on the same person for about 14 days after the first draw: two biweekly doses or three weekly doses, assuming aseptic technique. (Tl;Dr, the manufacturing is still the same but the manufacturer's guidance got way more conservative.)

From my experience with lab tech work, some safety measures: Get an airtight container to keep active-use vials in that's big enough you never risk touching anywhere but the sides of a vial and prop the bottle so it never tilts enough the meds are in contact with the rubber (except to actually draw a dose) - for example, by sticking the brand spanking new med info packet you have 657 copies of in folded into a U shape and using that loop to hold the vial. Wipe the container out with high-proof isopropyl alcohol and let it evaporate off before putting each vial in for the first time; be religious about wiping the rubber seal with that alcohol both before and after you draw, and slap that sucker back in the container and seal it before you even administer your dose.

Check the EXP date on the boxes when you receive them - always use soonest EXP first, even if you received them later

Stockpile HRT now.

Edit: so a lot of people are trying to be "helpful" and point things out, so here's some thoughts.

Yes, testosterone is a controlled substance. Yes, there are limits to how much you can have in reserve.

Does anyone on T not know that?

I'm not encouraging you to do anything illegal. Know those limits or your own safety. Store as many doses as you feel comfortable with to weather your through 1 or 2 temporary lapses. Know your own safety and laws.

I get mildly irritated at people pointing this out over, and over, and over again, because do you think that people don't know? Do you think that people aren't scared? All you're doing is twisting the knife that my transmasc brothers don't have access to security in their medication. Are you pointing this out because you legitimately think they don't know, or because the mere thought of people doing things outside of the "proper" mechanisms gives you an ick?

The other point of clarification (that I have said several times) is that no, I do not think that we will be put in camps. I do not think HRT will be banned.

I almost know for certain, however, that there will be protracted legal battles and bureaucratic BS that will disrupt access in a very practical sense.

"Stockpile HRT" is not me being some kind of trans doomsday prepper expecting everything to fall down. It's me telling you that things are going to be okay, but they're going to be complicated and inconsistent, and if you're on medication that needs to be taken as a steady state, you need to be able to bridge those gaps.

And yes, as I have also posted several times, this applies to birth control as well.

I'm probably going to write a more thorough list of my thoughts and advice on the matter soon, but both of these are popping up way too much in my notes to go unaddressed.

[drpoisonoaky]

i need people to know my user name is because this exact moment plus ivy having a phd

[rejectedbytheempty]

TRAPPED PT. 2

a/n: okay wow i didn’t think that many ppl would want a part 2 lmao. sorry, i’ve been busy w schoolwork but i finally got around to writing the second part 🙏🙏

previous part

tw: sewing up a wound? idk it’s not very graphic but i feel like it should be noted

“How could I be so stupid!” Villain cried out, running their hands up their face, then pushing the heels of their palms against their eyes.

They sighed deeply and let their hands fall to their sides before glancing over at Hero. They were just sitting there, staring at a random point on the floor. It shocked Villain to see how pale their face had gotten, “God, Hero. I’m- Christ, I don’t even know what to do. Say something, please. Yell at me, punch me, do something.”

Hero didn’t seem to even register that Villain was speaking, they just sat there, looking like a kicked puppy.

“Shit, I’m going to help you, you’re going to be okay. I promise, Hero,” Villain said, it felt almost like they were talking to the wall of their prison cell.

“Hello? Is there anyone there?” Villain called out, half expecting no one to answer but in a moment a face peeked around the corner, someone that Villain assumed was the guard Supervillain left to keep them in check. However, the guard looked scared half out of their mind.

“Yes?” They answered. Villain had to hold back a grin, it was good to know that they still had that effect on people.

“We need medical supplies in here, Hero is practically bleeding out.”

The guard swallowed nervously, “Um, I don’t know if I’m allowed to give you anything.”

Villain rolled their eyes, “Right, which would make sense if I asked you for a sword or something, but I doubt I could get very far with a roll of gauze.”

The guard bit their lip, running the options through their mind for a moment before nodding, “Okay, I’ll be right back. Don’t go anywhere.”

“Right, I’ll keep that in mind,” Villain muttered to themselves as the guard left.

“I-I’m sorry.”

Villain quickly turned to see Hero laying there, their eyes glistening with tears.

“I shouldn’t have come here, all I’ve done is mess things up. Escape while you have a chance, so both of us don’t have to be stuck here,” Hero managed to rasp out.

Villain shook their head, “Don’t talk like that. I’ll get you patched up and we’ll find a way out of here, it was my fault we’re here in the first place.” Just then the guard came back with the supplies, opening the cell door and handing them to Villain. For a moment, Villain glanced at the open door, freedom was right there. All they had to do was subdue the guard and make it out before anyone notices they are gone. In the corner of their eye, however, lay Hero, shivering and pale. They ripped their gaze from the door and quickly snatched the kit from the guard’s hands and turned to Hero. The resounding sound of a lock clicking echoed through their cell and Villain sighed, their shoulders slumping. Well, no turning back now, they thought. They shook their head to dispel those thoughts and got to work. It didn’t seem to be too bad of a wound, it was deep, but it was a clean cut.

“Okay, I’m going to pour some alcohol on it to clean it out, it’s gonna hurt like a bitch, but we don’t want it to get infected.”

Hero nodded, smiling softly, “It’s not as bad as looking at your face.”

Villain chuckled, “Right, why did I think that you were ever capable of being serious?” They then poured the liquid over the cut as Hero gritted their teeth together, sucking in a deep breath.

“See, I knew you could do it,” Villain smiled down at Hero who gave an exhausted laugh. From then on it was easy work, sewing the wound closed and wrapping gauze around Hero’s midsection to soak up any more blood and protect it from the grimey cell they were in.

“There, all done.” Hero grunted as they attempted to sit up, but Villain was quick to put a hand on Hero’s chest and back, leading them back to a laying down position.

“Christ, Hero, you’re not invincible. Don’t try doing anything too drastic,” Villain chided.

“Oh, right, I forgot” Hero said in a dazed tone, their eyes half lidded.

Villain drew back their hands, Hero now laying down flat on their cot, their blinks getting longer and longer as their adrenaline had now faded.

“You know what?” Hero asked, staring at Villain through their eyelashes, “I always thought you were pretty.”

Villain stared down at Hero in disbelief, heat rising to their cheeks, “I- what?” But Hero had already fallen asleep, chest rising and falling in a steady pattern. Villain stood there for a moment, face contorted in confusion before they let out a sharp laugh.

“God, Hero, you are something else” Villain chuckled to themself.

Reaching over, they ran their hand through Hero’s hair before tucking a loose strand of hair behind Hero’s ear. Villain quickly pulled their hand back, feeling as if they were snapping out of a trance, “Fuck, what am I doing?” They couldn’t afford connections, especially not with Hero. They had to remember where they were, who they were. I need to get out of here, before I do anything else stupid, Villain thought.

[yeetmeoutthewindowdaddy]

Rolan's lisp headcanons:

Inspired by this post [alt]

A/N: I am not a doctor. I am not claiming that Rolan's voice actor has a lisp IRL, nor am I speculating on the causes of his lisp IF he has one, this post is nothing more than me reaching for angst for one of my blorbo's. Does Rolan have a lisp in-game? It sounds like he does to me, but maybe he doesn't have a lisp and that's just how his accent sounds to my uncultured US American yee-haw ears. --- This specific post is not a lore breakdown, it is pure speculation and conjecture. Some actual lore-breakdowns are linked to provide the canon sources that led me to these headcanons. I posited the information below as though it is factual because it is true for my headcanons, not because it is actually canon.

Content: Angst, a nonmedical-professional speculating on medical things.

TW: physical trauma, brain/head injury, anxiety/stress, child abuse, species-targeted violence*, orphans, homelessness, real-world parallels to discrimination.

*A/N: I am taking a page from WotC and using the term "species" instead of "race" because of the real world connotations that "race" has. And frankly using real-world terms like "racially targeted violence" when discussing a fictional world seems disrespectful to the very real people who must contend with it in their actual lives. And such terms hit too close to home— I'm ethnically ambiguous and pale enough that I don't have to worry about racially motivated violence in my day-to-day life, but many of my family members and loved ones don't have that privilege.

------------------------------------------------------------------------------

A/N: (Hard facts are in green, information bookended by green * is info that I'm fairly certain is factual— everything else is headcanon.)

● (Section 1) Possible reasons why Rolan has a lisp:

Rolan was was born with an articulation disorder:

Rolan's speech impairment was much more pronounced (pun unintended) when he was younger.

He taught himself how to speak Common despite his disability because he wanted to be a wizard, who needs to be able to properly pronounce the verbal components of a spell, and because he was severely bullied about it as a child— as it was yet another thing that othered him.

---

Rolan has a forked tongue that makes it difficult for him to speak Common:

(A tiefling specific physical reason why he has trouble speaking.)

A/N: (I don't think that any of the tiefling character models in game have a forked tongue. But based on what I know about tieflings, at least some of them should have a partially or fully forked tongue.)

"The speech of subjects with bifurcated tongues, while intelligible, shows a higher proportion of perceptibly atypical fricatives and significantly greater variance than seen in the control group." Source *Translated into layman's terms: While having a spilt tongue makes it noticeably harder to clearly enunciate and correctly pronounce words, people with a forked tongue are still able to be understood when speaking.*

Keep in mind that the test subjects in the above study were adults who had already learned how to speak. They already knew where and how to position their tongue when speaking, they just needed to adapt to speaking with their newly forked tongue.

Rolan had no one to teach him how to speak common with his naturally forked tongue.

A forked tongue is required to properly speak Infernal , so his lisp serves as yet another reminder of his infernal heritage.

---

It was caused by an improperly healed injury:

Unfortunately, prejudice against tieflings is very common in the realms. *Rolan grew up in* Elturel, a city that tolerated tieflings better than most (until the Decent into Avernus). *A combination of moral superiority and* strict laws enforced by the Hellriders meant that Elturel had a very low crime rate.

In a city where cursing in public could get one into legal trouble, who could ruffians take their aggression out on without penalty? Street children, specifically tiefling street children. Without any adults to look after or protect them, many orphaned/abandoned tiefling children have to resort to stealing to survive (like Mol)— which unfortunately feeds into the stereotype of tieflings being criminals.

Committing a crime against tiefling urchin would be easy to get away with. Because who is the city guard going to believe— a purportedly good and upstanding citizen who was simply defending themselves, or a gamin devil-kin thief?

Before descending into the hells overtly hateful prejudice against tieflings was kept behind closed doors and away from polite company— it would be uncouth to be openly intolerant. The holier-than-thou people of Elturel looked the other way when injustices were committed against tieflings.

After Elturel was retuned from the hells openly displaying anti-tiefling sentiments became socially acceptable and widespread amongst the non-tiefling populace of the city. *Before the tieflings were banished violence against them had dramatically increased in Elturel. (Which sadly meant that the general levels of violence tieflings faced in Elturel now matched Faerûn as a whole.)*

Rolan was abandoned by his human parents because he was born a tiefling. Even if Rolan wasn't a street urchin and had instead been taken in by an orphanage or a temple; his prospects there weren't much better, maybe even worse, than being on the streets. (Rolan was, at some point, thankfully adopted by Cal and Lia's mother.)

Rolan would have suffered because he is a tiefling— either at the hands of the orphanage's/temple's care-takers and/or from the other unwanted children (Rolan is intelligent and magically gifted, jealousy is a hell of a motivator for school-yard bullies), or from criminals/assholes who wanted an easy target, or all of the above.

All of this to say: Rolan was, likely repeatedly, subjected to species-motivated physical violence when he was a child, causing him to receive an injury that never properly healed or that permanently damaged a portion of his brain that controls speech/speaking.

"Neurological disorders, such as stroke, brain injury, or dysarthria, can affect the brain regions and neural pathways responsible for speech production. A disruption in the neurological pathways can lead to difficulties coordinating and controlling the muscles involved in speech, including those of the tongue and lips. As a result, individuals may struggle to produce specific sounds correctly, potentially manifesting as a lisp." Source "Dysarthria can be caused by conditions that make it hard to move the muscles in the mouth, face or upper respiratory system... [which] control speech. Conditions that may lead to dysarthria include... Brain injury... Head injury." Source "An injury to the tongue or teeth can also cause a lisp." Source

---

Rolan developed it as an adult due to stress:

Everybody responds to stress differently, and sometimes our bodies respond in strange and unexpected ways— such as developing a lisp.

"...anxiety and stress can cause a lisp. This is more common in adults than children." … "Stress and anxiety can surprisingly trigger or exacerbate lisping..." Source 1, Source 2

Reasons Rolan has to be stressed TF out before the events of BG3:

*Abandoned by his biological parents because he was born a tiefling.*

Grew up in an abusive orphanage/temple, in the streets, or both.

He is a tiefling, a species of humanoids in Faerûn that look like devils and are heavily discriminated against because of it.

*Rolan is the oldest and most responsible sibling.*

*His adoptive mother died, either before or during Avernus— leaving Rolan in charge of caring for his younger siblings.*

*Rolan and his family grew up poor, he knew that his magical talents could pull them out of poverty* and he trained incredibly hard to hone his skills without a teacher.

*Due to his lack of proper schooling*, and because his lisp prevents him from properly pronouncing the verbal components of spells, Rolan had to make his own versions of common spells.

He feels responsible for Cal and Lia's wellbeing, and is willing to go to extreme lengths/endure extreme things if it means he can provide a better life for them.

He doesn't truly believe that they consider him their brother/family.

Elturel, his home, was pulled into Avernus for at least a tenday.

He and his siblings had to survive actual hell.

Tieflings were blamed for the city falling into the hells because they look like devils, *leading to violence against them.*

He, his family, and all the other tieflings were exiled from Elturel because they were tieflings.

*He had to leave behind almost everything he had worked so hard to acquire.*

Reasons Rolan has to be stressed TF out during the events of BG3:

He has been roughing it with the other refugees for gods knows how long.

If he takes too long to get to Baldur's Gate he risks his apprenticeship, *his one and (thus far/possibly) only chance to learn how to become a powerful enough wizard that he can support his siblings.*

The druids are threatening to kick them out of the grove.

If they are forced from the grove everyone will be slaughtered by goblins.

Some meddling adventurer convinced his siblings to stay and help protect the other refugees instead of making a break for it on their own.

Wyll is a devil now!?

They traversed through the Shadow-Cursed Lands.

Insane, murderous, cultists attacked the tiefling caravan intent on slaughtering them.

Zevlor (seemingly) betrayed them.

His siblings were captured by said insane, murderous, cultists *because he wasn't strong enough to protect them and the children at the same time.*

That asshole adventurer is back, and they save him and his siblings again.

Baldur's Gate is refusing the refugees entry into the city.

Lorroakan doesn't let Lia and Cal stay in the tower.

Lorroakan is an abusive fraud.

He has to help the Nightsong and the adventurer fight Lorroakan.

He is suddenly the master of Ramazith's Tower and owner of Sorcerous Sundries.

A Netherbrain is set to attack the Gate and take over the Sword Coast.

He promised his help in the fight against said Netherbrain.

He has to figure out how to get the tower's arcane cannons, *which Lorroakan had neglected and allowed to fall into disrepair,* up and running before the final fight.

Just to name a few.

● (Section 2) Rolan's lisp misc. headcanons:

Rolan's lisp gets worse when his is tired or stressed.

It is ironically easier for him to speak clearly when he's drunk (up to a point) because he's used to struggling to pronounce words.

His adoptive mother taught him where to position/how to move his tongue when speaking common with a forked tongue.

Part of the reason he speaks in such a haughty tone is because doing so makes his words more clearly pronounced/enunciated.

His siblings only teased him about his lisp once when they were children, Rolan was so distressed that they vowed to never tease him for his speech impairment again.

Lia got into several fights when she was younger with kids who made fun of Rolan's lisp.

He might as well be a wild magic sorcerer with how often his spells have gone awry because he mispronounced a verbal component.

He is deeply self-conscious about his lisp.

He holds the forks of his tongue together, even when his mouth is closed, which gives him persistent tension headaches.

Once he gets comfortable enough around a romantic partner he stops (actively) trying to suppress his lisp around them and his siblings in private.

● (Section 3) Rolan's lisp forked tongue NSFW headcanons:

Because he has adapted to speaking common with a split tongue he is able to independently control both sides of his tongue.

His tongue is strong because he constantly flexes it.

His tongue is long. While this makes it harder for him to speak, it also leaves his partner very satisfied.

You know you're fucking him real good when his begging words start to slur together.

His ahegao face is top tier.

The amount of time it takes him to recover his ability to speak after an orgasm is increased by how mind-blowing said orgasm was.

[chaotic-orphan]

Whumptober No. 11

Seeing Double

Convenience Store // Loneliness // “Leave no trace behind, like you don't even exist.” (Taylor Swift, Illicit Affairs)

*~*~*~*~*

Whumpee stared blankly at the wall ahead of them. More specifically at the door of the basement, waiting for Whumper to return.

It was such a strange sensation; longing for the person who was torturing them to return so they wouldn’t have to feel this heavy, aching loneliness. This air-filled vacuum of nothing in their chest, in their bones, flooding them with absence. It chilled them to their core and left them wanting any semblance of human contact.

Even if that human contact was violent and terrifying.

Whumpee lifted their hands in front of their face. Their eyes acclimated to the darkness long ago, which meant they could see the thick, heavy cuffs locked around each wrist that was chained to the wall. It meant they could see the blood from their fingertips where Whumper pulled out their nails with a pliers for fun one day. The nail had only started to grow back recently.

It also meant they could see the spot of blood pooling around their bandage in their hand. Whumper would have to come down and change the bandage, right? Right?

Whumpee shuddered to remember how they got that wound. Whumper had come down in a particularly bright mood yesterday, or was it the day before? Time seemed to all meld into one continuous loop of moments in pain, without pain, recovering from pain. There were no seconds, minutes or hours for Whumpee anymore. Whumper had evolved that way of thinking long ago.

Whumper had clipped their cuffs together and unchained them, dragging them to their feet and over to an old school table. The ones that Whumpee had only seen in American television shows, where the table and chair are one unit. Whumper strapped Whumpee to the chair at the waist and then strapped their wrists down individually to the table.

“What— what are you doing today, sir?” Whumpee asked, voice hoarse, but not quiet enough to be able to hide their fear.

Whumper winked at Whumpee. “You’ll see.”

Whumpee watched as Whumper turned his back and walked to the cabinet that had all of Whumper’s favourite torture tools on hand to hurt Whumpee with. Whumpee tried in vain to pull their hands free from the leather straps locking them to the table. If they could get free… they’d still be too weak to escape Whumper. Whumper only fed them every once in a while. Enough to survive, but not enough to have energy to stay awake all day, nevermind escape.

Whumper came back with a hammer and a five inch nail. Whumpee realised that, looked down at the table, at their hands and back up to Whumper shaking their head.

“No, no. Sir, please! Please wait! Don’t, please.”

Whumper smiled his horrible smile. “Whumpee, come on. I learned today that apparently there’s a sliver of space between your nerves and bone in your hand and I want to try and make it through. It shouldn’t cause any harm, you shouldn’t need any physio after.”

“No, Whumper. Please. Not my hands.”

Whumper held up a finger. “Hand. Singular. I’ll do it on your non-dominant hand because I am so reasonable, how’s that?”

Whumpee wanted to protest. They wanted to cry and scream and call Whumper crazy, but a nail going through only one hand was actually a mercy for Whumper, one they weren’t about to spit back in his face.

“Whumpee.”

Whumpee winced at the tone, nodding like a bobblehead on a rickety road. “Yes sir. Thank y-you sir, that is so generous of you.”

Whumper smiled. “I know. Now, you’re a lefty right?”

Whumpee swallowed. “Y-yes sir.”

“Okay. Perfect. Now, just sit still and let me do all the work okay? And don’t tense cause then you could close up the hole and this won’t work.”

Whumpee nodded. They couldn’t suppress the violent shivers that tore through their body though, no matter how hard they tried. Whumper splayed Whumpee’s fingers and lined the nail up in the back of their hand, just down wind of the knuckles of Whumpee’s two middle fingers.

Whumpee bit their lip and screwed their eyes shut. “Whumpee,” Whumper chided and Whumpee’s eyes flew open. Whumper caught their terrified gaze in his, grinning at them. “I want you to watch.”

“But, but sir, I—” Whumpee screamed as Whumper slammed the hammer down on the nail, jerking their entire body forwards as they cried out in agony. White hot pain flashed behind their eyes as they jerked in the chair, their waist catching the strap keeping them tied to the seat with a gasp.

Whumper slammed the nail with the hammer again and Whumpee screamed until they descended into harsh sobs of pain mixed with begging, pleading for Whumper to stop.

“You can go more, Whumpee. Wiggle your fingers.”

Whumpee looked up at Whumper with a tear stained eyes, shaking their head. “Please, ple— please, no.”

“Whumpee,” Whumper said, his voice commanding. Whumpee flinched at the change in tone, their entire body trembling. “Wiggle your fingers so I can make sure you have full range of motion, or else I’ll have to recheck on your other hand.”

Whumpee bit their lip to stop themselves from crying out as they obeyed Whumper. They moved their index finger first and bone rub against bone that was beside the nail and they almost got sick, gagging instead as they forced the digit up and down.

Whumper grinned and nodded. “Good. Now the middle finger.”

“Whumper—” Whumpee began, but cut themselves off when Whumper shot them a hard look. They swallowed the plea and looked down at their hand, sucking in a deep breath. They got the middle finger a fraction up before a shriek of white hot pain flashed across their vision and their body bucked in their restraints.

Whumpee ripped their hands back on instinct, which would have torn their hand in two if Whumper didn’t grab their wrist and pin their hand down to the table. Whumper used the claw of the hammer to tilt Whumpee’s chin up so Whumper could look into their eyes.

“If you want to lose your hand Whumpee, that’s fine by me. Just keep disobeying me and you’ll get your wish.”

“I don’t— I can’t— it hurts,” Whumpee stammered, a cold sweat consuming their body and making their teeth chatter.

“It will hurt a whole lot more if I have to amputate it, won’t it?”

Whumpee’s eyes widened in panic. “Please, please no. Pl— please!”

“Then do as I say and calm — The fuck — down.”

Whumpee nodded because they couldn’t do much of anything else. Whumper waited patiently as Whumpee got their breathing under control. Their body still trembled slightly, but other than that they were as calm as could be expected.

“Good,” Whumper praised and patted Whumpee’s sweat soaked hair. “Very good. Now your ring finger.”

Whumpee’s eyes snapped open, but they knew there was no point in arguing the moment they met Whumper’s gaze. They just needed to get this over with so Whumper would take the nail out and bandage them up.

That was always their favourite part. When Whumper took the time to look after them after hurting them. When Whumper spoke like a human being and not an inhumane doctor. When Whumper would tell Whumpee about current events, or people he hated in work and Whumpee would listen and ask questions and Whumper wouldn’t chastise them for asking.

Whumpee moved their finger up and down and bit their tongue as they felt the bone scrap against metal and they tasted iron in their mouth as they struggled to keep their screams down in their chest.

“Good, Whumpee. Very good. How interesting.” Whumper murmured and pulled away. Whumpee let out a sigh of relief at that, because that meant Whumper’s curiosity was sated and that they would look after them now. They would het nice Whumper instead of the monstrous Whumper.

Surely he would come down and hurt Whumpee today, right? How long had it been? Hours? Whumpee tightened their hands into fists, lowering them to their side again to the jingle of chains. For now, all they could do was wait, and try to not let the toothy loneliness consume them.

*~*~*~*~*

Whumptober masterlist here

[specialagentartemis]

Wait if the human body needs fats for protein absorption, do you have any idea what someone who can't process fat at all is supposed to do? I'm currently being evaluated for all kinds of possible diagnoses but so far my physician isn't sure what's wrong with me and if it's curable, but the gist is that I literally can't eat anything even slightly fatty without becoming severely sick and immediately having to run to the bathroom. So I can't eat any meat that isn't lean, I can't eat cheese, can't drink milk, I can't eat yoghurt that isn't advertised as 0 fat, and I can't use oils at all either.

From what you're saying about fats, that sounds...less than ideal. Considering I don't know for how long I'll be forced to live this way or if there's anything that can fix it at all, do you know if there's anything I can do to prevent the rabbit starvation you speak of?

(referring to this post) Oh, wow! I’m sorry, that sounds frustrating and stressful.

I want to be clear: I’m an archaeologist, and my primary understanding of this comes from an archaeological and evolutionarily perspective, not a modern nutritional one. Your doctor and your nutritionist will know a lot more about your case than I do.

That said, rabbit starvation/protein poisoning is only really a concern when lean meat makes up the majority of your diet. Not the majority of the meat in your diet, the majority of your diet, period. It’s a topic of interest among archaeologists in particular because it would have been a perennial concern in the winters during the Ice Age: when hunting animals with lean meats would have made up a large portion of early humans’ and Neanderthals’ diets during a Paleolithic winter. Historically, this tends to happen only in the winter in tundra and subarctic regions when grains, fruits, vegetables, nuts, and fish aren’t available. There’s a reason it’s also called mal de caribou.

Carbohydrates, sugars, fruit, and vegetables give you a much more balanced diet and help make up for deficiencies in other areas. And modern nutritional supplements, fortified foods, and multivitamins also help stave off many historical areas of malnutrition. If you are eating a modern spread of foods, even without fat, you are very unlikely to get protein poisoning. You might get constipated when you eat the meat, though.

My understanding is: proteins get digested faster than fats. So if you eat high-protein lean meats, they can move through your system quickly, without your body having time to extract all the amino acids and all the nutrients from them. And then the undigested bits can build up in your colon and make you feel constipated. Fat is digested more slowly, and when eaten with protein, allows your body more time to extract more and fuller suite of nutrients from the protein. Possibly there is also an emulsification aspect going on as well, I’m not positive and it’s hard to find good explanations that aren’t diet-culture-focused. (Fat also does other important things in your body with providing long-term slow-burning energy, padding your organs so they don’t impact against other parts of your body, and absorbing fat-soluble vitamins and such; again, I’m not a nutritionist, and I don’t super understand the details.)

But dietary fiber can also slow down digestion, and can help give some of those same digestive effects. (Nixtamalized) corn+beans+squash is a very traditional diet of the Americas because it gives the whole suite of necessary amino acids without requiring a whole lot of external additions. Also, I get the sense that fish like salmon work differently because of omega-3 fatty acids? So there are for sure things you can supplement with.

My post wasn’t intended to make people worry; modern nutrition and food availability means that there is a lot of flexibility you can have in your diet if you’re allergic to one aspect of it. It was meant to say, even “unhealthy” fats have an important place in a balanced diet, and can do good things for you besides just tasting good, and that craving it may well mean there’s something in there that your body wants. But if fat genuinely isn’t good for you for medical reasons, there are absolutely ways of dealing with that. Ultimately, variety is the most important part.

[marjoree]

There are so many windows and there is so much natural light in this house that you could stay inside all day and still get your vitamin D.

[rachelbethhines]

Things That I Use To Help Manage My ADHD and Executive Dysfunction

1. To Do Lists

I know, I know.

Making a list is boring. I lose the paper. I forget to make the to do list.

Believe me, I know.

I've been there, but trust me it does help once you get into the habit.

Here's some tips on how to get started

Try making your list in a digital app or a document file so you don't lose it

Sticky notes in a place you're sure to see them

An erasable board like a marker board or a chalkboard that you keep up in a specific place and never move. Like on the wall or the fridge.

Put "make 'to do' list" on the to do list so you don't forget to do it

Set aside a certain time to fill out or check off the list each day. Consistency is key.

Use calendars, alarms, and timers liberally to keep track of appointments and to manage your time so you don't hyper-focus on something to the determinant of more important things

But be flexible for things that don't have deadlines or appointments. Don't beat yourself up if something doesn't get done, just add it back onto the list for next time

2. Randomizers

Part of the problem with executive dysfunction is being overwhelmed by choice. So I keep a few randomizer websites booked marked that I use regularly

Wheel pickers

List randomizers

Random number generators

Like I keep my list of projects on a wheel picker app. And my chores that I don't have deadlines for on another. When making my to do list I'll spin the wheel to pick the project or chore that I'm going to work on that day.

I do the same when picking out albums to listen to or movies to watch so I don't go doom scrolling while wasting time deciding.

3. Meal Planning

Similar to the above, I take one day out of the week to draw up my meal plan for the next week.

Use this time to take stock of your pantry and fridge. What needs to get used up?

Anything special you want to fix over the week or weekend? Save the recipes to a document or leave a bookmark in your cookbook

Overwhelmed with choices or just don't know what to do with certain ingredients? Try a randomizer or an app like supercook to come up with ideas.

After you've taken inventory of your kitchen and figured out any special recipes you want to make, go ahead and fill out your grocery list

Set aside time on your to do list for shopping, meal prep, and cooking through out the week.

Pre-plan what days/times you are going to eat out or get takeout and work that into the meal plan/budget

Budget not only your money but also your time. How long will this recipe take to prep/cook? How much effort will it require of me? Is there any shortcuts I can take to make things easier, like buying my veggies already diced?

Try using an app to keep track of your meal plan, grocery list, and recipes so that they're all in one place

4. Mental Health Apps

I like Booster Buddy, but it's no longer supported for newer devices. I have also used Finch. But at the end of the day it doesn't matter which app you choose.

The point of having a program dedicated for mental health is to have a handy way to check in on yourself and see how you are feeling. Many apps will offer visual cues to allow you to break down your motivation and energy levels.

This will help give you a guideline for the day so you don't stretch yourself too thin.

A good app will also offer little suggestions and tips to help improve your mood or provide genteel reminders for small things that help with self care.

But most importantly it will help you spot patterns over time so you can better notice ongoing problems or see gradual changes as you get better.

5. Finding and Avoiding What Triggers My Dissociation

This is the hardest one.

I suffer from Maladaptive Daydreaming on top everything else which only makes my ADD and Executive Dysfunction even worse.

For others it maybe obsessive compulsion or a tendency to hyper-focus.

Things that I found that can be triggers are boredom, anxiety, isolation, health/dietary complications, and even the weather.

So here's some things I noticed that help

Set aside a certain time during the day to read/watch the news and then ignore it for the rest of the day. Yes be informed, but don't obsess.

Get your news from actual reputable news sources and not social media! Avoid algorithms feeding you negativity.

If you want to be more politically active schedule time for it, get involved with actual charities or political organizations, and then go about your regular business afterwards

Limit social media time. For me it's mornings before work for about 30mins, and then maybe an hour after work.

Curate your online experience. Block what you need to. Unfollow who you see fit. Social media should be fun not stressful.

Talk to other people! Make plans to hang out on weekends or call/text someone during the weekday. Try to make contact with another human being in some form everyday for at least a few mins, even if it's just online in a discord chat.

Have a book or notepad handy for when you get bored at work. Read, write, or draw during your downtime so you don't start staring off into space.

Keep a short list of fun things to do handy if you feel bored at home.

Set aside time to daydream/worry/plan/meditate/decompress. You need to mentally unwind at some point. The goal is to have that time per-planned so that it doesn't distract from other needed tasks. Getting into a routine with that time will also help.

Eating enough iron/vitamin C/protein ect. Food is energy and you need energy to focus. Meal planning will help with this.

TAKE YOUR MEDS!!!

Sometimes the weather will make you groggy, irritated, or anxious. There's not much you can do about this other than to accept it and just try your best.

You can however plan for bad weather ahead of time. Go to the National Weather site to find out about upcoming weather in your area and to figure what you need to be prepared for it. Try getting into the habit of doing this regularly.

[sandays]

Attempting to write a KimChay medical fic that is also post canon. I have a vague idea where I want it to go. It’s going to have my special brand of angst. My search history is really interesting right now, that I’ll say 😂😂😂

[ghostinthegallery]

space wolves all hail from montana

tragic incident where leman russ gets caught up in the missoula pride parade. thousands overcome by uncontrollable thirst.

Victims required saline solution IVs and 50ccs of firefighter calendars as they were treated. All made a full recovery but were diagnosed as 30-40% gayer after the experience.

[grrl-bubble-acid]

Moloko - I Am Not A Doctor

[judgement-marshmallow]

yoooo heres some ways i make qsmp streams more accessible as someone who has overstimulation problems!

one! usually if i know theres going to be a Big Lore stream (or just any stream im really excited to watch) I'll make sure i take a nap before hand. because in my experience being tired makes everything so much worse,

two! i give myself 5 minutes breaks every hour or so. i just find a relatively chill time and go to the bathroom or fill my water bottle or something. since its just a short break, when i come back its pretty easy to figure out what has happened since i left. and if i did somehow miss something insane, i just spend about 2 seconds on twt and find someone who's already clipped it PFFFFT

three! i only wear one earbud/side of my headset. i feel like this one is pretty much what it says one the tin, less earbud/headphones = less noise :D

four! streamers that are generally less overstimulating:

Phil!!! Philza minecraft!! Both he and tallulah get overwhelmed by noise, so he'll turn the sound down or just go takes breaks himself. also when he's not around other people his streams have got the perfect mix of music and talking that is just right (at least for me).

Cellbit is also the same way with his qsmp streams! (great music taste and more chill talking) However when he's playing with other people -especially during big events- his streams are usually very loud. super fun, but very loud!

(note: this is in no way a comprehensive list, there might be other povs that are really good too! I'm just speaking from my own experiences but i'd love to hear if any other the other ccs are similar)

for me personally i love watching roier's streams, even though they are SO loud and very chaotic. I just use my break system and i still have a really great time! :D

five! make sure you've got all other senses covered. room brightness, right temp room, comfy clothes + comfy chair, etc. basically just trying to eliminate anything else that could overwhelm you!

and in closing, just remember its okay to miss out on a stream if you arent feeling well, you can always catch the important stuff later! take care of yourself, cuz you're important! <3

[hvlthgxth]

Hey. Look me in the eyes. Trust me. You can pull that chicken at 150°. I know, I know. I know you're scared. I was scared too. I was scared the whole time.

But that's because they made you scared. Made us scared. But we don't have to be scared anymore. Hell, we stopped being scared after the 5 day old pizza. But we know who those rules are for and we're built different. We deserve better.

Don't you deserve to taste the juices that ran off onto the baking sheet? Of course you do! They're all in there, but they scurry like white rabbits at 162°, and you don't got the finesse to pull that off. But what you do have is a stomach lining that is practically irradiated from living like your name is Kyle.

And today that's a win for you.

[dna-d2]

Oh it's go time

(Fun fact, some ADHD meds take a few days to fully kick back in if you were off them for even a little while)

[pwecie]

To people who take any stimulant medication for (but not limited to) ADHD, remember to have a big breakfast before you take your meds, because that shit is gonna fuck up your appetite. Oh and take a shit before you leave the house. Trust me. Most meds also double as an unwanted laxative and it’s best to go in your own house than at a public restroom, especially in America where the stall doors don’t go all the way down.

If you can’t, make friends with Poo-Pourri and line the surface of the water with toilet paper so that the sound is minimized and the bathroom doesn’t smell.

[tlaquetzqui]

Tip: instead of pulling your head to the side, when you need to stretch your neck, pull the arm on the side you want to stretch, across your body. Always safer to stretch the muscles on the sides of your neck from the shoulder end not the head one.