#they also said something about possibly having hypoglycemia
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My parents: Aren’t you pre-diabetic?* It could be hyperglycemia/diabetes!!!!**
*I’m not, and I’ve told my mom this multiple times
**only two of my symptoms, achiness and fatigue, line up with the long list of diabetes symptoms, and idk but I don’t think either of those are as indicative of diabetes as some of its other, more unique, symptoms like excessive urinating or extreme hunger/thirst (neither of which I struggle with)
Me: I’ve been struggling with sleep for years. Some days I sleep all day without getting up at all to eat. Actually, oftentimes it takes me hours to get up and eat something. My joints are often so unbelievably achy I don’t want to move. I can’t think straight most of the time. When I do get around to exercising, which right now is about once a week but was much rarer in the past, I often feel just as tired as I was before, and equally as incapable of getting anything done. I want to do more, but I can’t because I can’t even get myself up to even try to get started on anything else.
Most doctors I’ve seen: hAVe you THOUGht aboUT LoSING wEIGHt??? EAt LeSS!!! MAGicaLLY GEt uP AND EXERCISE, THen you’LL HAve ALLLL THE ENERGY IN THE WORLD!!!
#they also said something about possibly having hypoglycemia#which is the exact opposite#and I’ve actually experienced that in the past and it is NOTHING like what I’m dealing with rn#ship makes a personal post#idk i just think it’s a bit strange that more than once my mom has tried to associate some symptom or another that I have#with excessive sugar consumption#as if she can’t believe that i’m fat and DON’T have diabetes#…idk maybe I’m thinking to much into that last part
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Can I request for a part 2 or your jiaqou x healer fem reader?
About when jiaqou is healed but fem reader is faint because she lost too much energy after healing him and what happened after that
Jiaoqiu x Reader ЧАСТЬ II
Part I

Feixiao entered Jiaoqiu's room after the young healer restored his sight. The fox was confused, surprised, and a little scared, but she could see that he was happy through this storm of emotions.
- How are you feeling? - the woman asked.
- Honestly, I'm confused, but also happy...
At that very moment, Moze's screams were heard from the hallway.
- Lady (Y/N), what's wrong? Lady!
Feixiao and Jiaoqiu rushed into the hallway and saw Moze unsuccessfully trying to bring the girl to her senses.
At that moment, something clicked in the fox's head. Grabbing the girl from his friend's arms, he led her to the same room where she had healed him, laying her on the bed.
The man instantly rushed to her, his face petrified with concentration. He carefully lifted her head, checking her breathing and pulse.
- Weak, but there, - he muttered, feeling the carotid artery. - Tell them to bring drugs to raise the pressure.
Feixiao nodded and shouted to the healers who were in the corridor to bring what was needed. The healers quickly rushed to get the necessary drugs, and Feixiao remained standing by the door, anxiously watching what was happening. Jiaoqiu, concentrating on checking the girl's condition, took her wrist, feeling for her pulse. His eyes flashed with a cold light of determination.
- Hold on, - he said quietly. - She is too exhausted. Possibly hypoglycemia.
At that moment, the healers ran into the room with a small tray on which there were ampoules, syringes and vials with solutions.
- Do you have glucose? - he asked without looking up.
- Yes, sir, - one of the healers responded, handing him an ampoule with a 40% solution.
The fox deftly opened the ampoule, drew the liquid into the syringe and injected it into the girl's vein. His movements were quick, precise, as if there was a honed habit in this.
- Now we wait. If the condition does not improve in a minute, we will act further, - the fox said, wiping the sweat from his forehead and carefully watching the girl's face.
A minute passed that seemed like an eternity. Her eyelashes trembled, and her breathing became a little deeper. Everyone in the room breathed a sigh of relief, but Jiaoqiu still didn't relax.
- Can you hear me? - he asked.
Her lips parted slightly, and in a barely audible voice, she whispered,
- What... happened to me...?
His face softened for a moment, but he immediately became collected again,
- You need to rest. You're too exhausted.
She nodded weakly, and after he was sure that her condition had stabilized, he turned to the others,
- Leave us. She needs to rest. I'll look after her myself.
The healers and his friends nodded and left the room silently, leaving them alone. The man sat down on a chair next to her, crossing his arms over his chest, and said quietly,
- You helped me, now it's my turn to help you.
He watched as her breathing became more and more even, and her skin color gradually returned to normal.
The girl spent the next week under Jiaoqiu's observation. You could say that she personally tried out the Yaoqing School's method of healing through food. However, she wondered why the healing food was so spicy. The girl was not against spicy food, but the fox really liked to add it to food.
Every day began with Jiaoqiu bringing her a plate with another dish, which, as he assured her, was a "special medicine". The girl, looking at the bright red sauce and suspiciously shiny pieces of pepper, only sighed, but, under the fox's gaze, she did not dare to refuse.
- You did this on purpose, right? - she asked once, carefully trying a spoonful of soup, which immediately stung her tongue.
Jiaoqiu, sitting opposite, grinned:
- On purpose? You're insulting me! Spicy food helps to disperse the blood and improves energy recovery. And you, by the way, quickly got used to it. You're not complaining anymore.
- I'm just afraid that if I complain, you'll add even more pepper,- she snorted, causing the fox to laugh quietly.
Despite the jokes, the girl really did feel better. Her strength was returning, and even her complexion became healthier. In the evenings, they would sit together in the garden or by the window, and the fox would tell her stories from Yaoqing's life.
- You're not at all like the people I imagined when I heard about your school,- she once said, examining his profile in the moonlight.
Jiaoqiu smiled, his ears twitching slightly at her words:
-And did you think we were all gloomy and grumpy, who only do what they brew potions?
- Well... Yes, something like that,- she admitted honestly.
- We brew, and heal, and prepare dishes,- he answered with a smile, but then his gaze became a little more serious. — Actually, we just believe that the body and the spirit are connected. Food is a way to heal, too. And you are proof that it works.
She wanted to answer, but froze when she saw the genuine concern flicker in his eyes.
- You’ve risked a lot for others. Now it’s your turn to let someone else take care of you,- he added, his voice softening.
They had truly become closer during this week. She had learned that behind his sharp jokes and easy smile lay loyalty and warmth. And Jiaoqiu, in turn, valued her honesty, strength, and tenacity.
- You know,- she said one day when they were watching the sunset together. - If it weren’t for this week, I would never have realized how important it is to stop sometimes. Thank you for everything.
Jiaoqiu merely nodded, then added with his usual slyness in his voice:
- Then to thank me, you must eat another serving of my spicy soup.
- Save me, mighty Aeons…
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gynecological stuff/health updates
1. bilateral hydrosalpinx still there after course of antibiotics but didn't have same bad pain as last time (possibly bc i've been taking the BC pills straight through, no sugar pills.) i still got pelvic pain and the weird aches and pains in my left leg but not the sciatica-like pain i was getting that made it hurt to walk. doc said continue taking the BC pills continuously and see if the hormone regulation continues to improve the pain and other symptoms (like the migraines) but if the hydrosalpinx still doesn't go away at all at 3-month follow up we'll still need to find what's causing it which this time prob requires surgical intervention.
2. gyn also said the pre-menstrual(?) hypoglycemia stuff doesn't sound normal so if it continues i prob will try to get PCP to investigate. zero clue what the cause could be.
3. i get anemic once bleeding is over or something even though i don't bleed nearly as bad as i used to (i would get anemic during menstrual phase and have really bad constant PVCs along with it, barely able to get out of bed) thinking it's anemia and not POTS flaring because i'm also getting mouth sores. have iron gummies at home with vitamin C tablets but dunno if those are working (yet.) messaged gyn about it. this is why i feel so fucking ill after my period and also it happened to coincide with finals week in this semester and last semester :/
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Random headcanons on my oc
(i am so sorry if I don't make any sense in any of this)
Kaida had always felt uncomfortable about herself in her past life, in early middle school, she developed an eating disorder and ended up having hypoglycemia (low blood sugar). The reasons on why is because of Stephanie (the blonde, popular bitch), she had made her life into hell. She would always blame her for whatever she did, the whole cliche bully thing. Stephanie would make fun of her eating habits and how she was starting to 'show' her stomach.
Kaida's hair got dyed turquoise because of Kaz, Oliver, and Gus. They just thought it would've been a cool, fun prank but when they found out that only half had only came out and the other half is just turquoise, they thought something was wrong. It had turned out she just actually liked it that way.
Kaida's fashion sense is a pastel goth type of thing. She always loved emo/goth/punk/scene culture, the music, the style, etc. But, she also loved pastel colors, and as she did like the hair-do's, she'd rather not have hair in her face. Over the years like in elite force, she started wearing graphic t-shirts/hoodies or literally anything that has a sarcastic comment in it or mother-like outfits with ripped jeans
Kaida always kept her hair up in anyway possible, mostly in braids, she would usually pick at her hair to help her concentrate on writing. When her hair got dyed, she had stopped and started on bouncing her leg or pick at her fingers.
Kaida was the mother hen of the friend group, she would always make sure her friends are happy with themselves and with the others that she forgets to take care of herself sometimes. Usually when that happens, someone in said friend group (from either mighty med or from school) would make sure she is happy with herself.
Kaida would get nightmares, she would get them about her and Kaz's parents, her both emotionally or physically killing Oliver or her own twin.
Kaida sometimes got angry, she would get angry at herself for anything, or she would get angry and possibly punch someone because said someone is being mean to her friends or twin brother.
Kaida was obsessed with Tank Girl, she worshipped the comics and the movie. She had always loved waky love stories and apocalypse stuff, Tank Girl had both.
Kaida liked Martin Short, Mike Myers, Jim Carry, and Adam Sandler. She LOVED Happy Madison movies and the actors that are in the movies, Kai would get excited whenever she watched the Austin Powers trilogy, The Santa Clause 3, or The Truman Show. That got her into making impressions and voices.
Kaida had been in love with Oliver since life started. In all honesty, their love story is kind of like that one ship that is just cluless about them being in love (*cough* byler *cough cough*).
Kaida knows German and elvish, she's been knowing German because Kai and Kaz have a German grandmother. She knows elvish because she just like to confuse peopl
I hope you guys like this, I just thought I should give whoever has been reading the story a bit of a fun fact list about Kaida : }
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Hi back on my bullshit once again, you followed me and now you have to deal with me
In talking to a Chi breeder while conducting my research, we got on the topic of hypoglycemia and what steps they take to avoid it. While I spoke briefly about the topic in this post, the breeder also gave me some tips that I wouldn’t have otherwise known. Remember that while I’ve always liked the various terriers of the world, I’ve never personally owned one. My grandfather’s JRTs never needed anything like this, nor did my sister’s (admittedly large at 12lbs) chihuahua, nor did any of the small dogs owned by various roommates prior to this.
I had always sort of rolled my eyes when warned about the risk, thinking that the problem would be easily mitigated if only the owner was feeding a proper high protein diet to make up for the higher metabolism and not feeding their dog so much junk... until a client dog of mine was given plenty of sugary, fruit-based, carb-heavy treats during class and sugared out at home. He was thankfully okay- after his owner spent several thousand dollars at the emergency vet to figure out why his dog had a seizure and then went completely unresponsive (that dog also later developed diabetes according to an update sent to me from his owner, could have been related considering he was a “teacup”) but that was the first time I saw an otherwise-healthy tiny dog go through a sugar crash. When I got Tiki, one of the first things we did was swing by my store to grab some Nutri-Cal, so I could pull her back from that abyss if need be.
We chatted a bit about that, and then the breeder said something I’d never even thought of. They said they don’t ever wean the puppies onto mush or canned food, because they find that both of those are fairly sugary and are more likely to make one of their young weanlings crash. They wean directly to kibble supplemented with fresh eggs and veggies from their garden and chickens, and at the pup’s own pace. This creates puppies that are not picky, that are hungry for their food, and that have significantly less chance of sugaring out. They do keep sugary syrup on hand just in case, but since starting to do things that way they’ve noticed they don’t have to worry about it as much. They try to keep treats as meaty and low-sugar (and low-starch) as possible, and their chews are generally things like horns and hooves rather than kongs filled with (sugary!!) peanut butter.
While I do have some leftover cans and (frozen) freshpet that I plan to stuff into kongs, this makes sense to me. I’m a big fan of lower carb, higher protein foods anyway as a carnivore’s diet is going to emulate that- regardless of grain in or grain free (and this breeder feeds grain in) a carnivore’s stomach is adapted to eating more meat-based proteins than anything plant based. Even the taurine-deficient DCM is causing an issue because of a lack of digestible taurine, an essential nutrient found in red meat, not carbs and starches and sugars. Regardless of what form of food I feed, I always choose meat-heavy foods with as minimal starches as possible (unless feeding raw, certain canned foods, or certain dehydrated foods, zero starch and carbs is impossible because meat powders in the processing and so something must be added to create a “solid” appearance) (this is where you see the prevalence of grain-free foods having absurd amounts of peas, legumes, lentils, and potato come into play- cheap ways to artificially boost the protein percentages and an added bonus to use it as a starch) (also why I have always sought foods with low starch percentages, as these have been known problem ingredients well before the DCM crisis hit)
This is interesting to note for me, because I genuinely had not been sure what “the best” thing to feed Tiki would have been. She ate kibble, canned food, freshpet, the various fresh foods from various companies, and never really seemed to have any complaints about any of them. Towards the end she was canned only as she wouldn’t eat anything else, but how much of that was due to the fact that she was literally dying rather than anything to do with her personal preference? And I would have never connected the dots, though it definitely makes sense as quite a few canned foods are quite heavy on the carbs and starches (so are some kibbles, though not the particular kibble this breeder feeds).
It also, idk, just sort of made me happy to know that these folks treat their dogs like... dogs. They’re definitely more of the dress up the tiny dog and tiny dogs belong on laps and carry my tiny dog around everywhere with me type of people on the surface that I would initially be comfortable with, but in actually speaking to them it was nice to hear them say how they hate the stereotype of picky little dogs and won’t feed into that, they give their dogs chews and toys, they temperament test and are constantly out training and competing (when covid’s not happening), their more drivey higher energy dogs they go out and compete in performance sports even if they just do fun-runs and don’t actually title just to do stuff with them. The amount of people who come into my job who, when I suggest something correctly sized for their tiny breed, say “oh my dog is a chihuahua they can’t do that” makes me nuts, even more so now, because I spoke to someone with more than a decade of experience breeding chis and their dogs chew bones and play fetch and compete just like any other breed out there.
Just, something about the “oh we don’t do sugary snacks just in case with hypoglycemia, so we give the dogs hooves instead” made me so happy to hear strictly because so many people at my job won’t even consider buying a chew for their tiny dogs. I have to argue with people that greenies and fresh kisses are not going to break their little dogs’ mouths if they chew on them unless that dog has a pre-existing dental issue, meanwhile this hoard of chihuahuas gets a whole hoof each to gnaw at when they’re being terrible monsters.
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Paul Blart Essay Two: Electric Blartaloo (an essay by Red)
American Thanksgiving has come and gone, and with it, Paul Blart Mall Cop Two season. A lot of little things clicked this watch, so this essay will not be a massive theory explanation. It will go into each individual point that came together this watch. For a full explanation of the Blartverse as I see it, I wrote an entire other essay about it. Go read it here to not be confused.
On my most recent watch of PB2, I came to the conclusion that Donna was under the Shadowman’s influence. The scene where she is first introduced she deliberately misleads Paul Blart and punches him in the throat. There is no reason for this other than the Shadowman’s shadowy schemes. Then there’s the fight scene, where she is not knocked over by a solid kick to the whole body, this is fucking weird. Frankly, Donna is superhuman. She definitely has been magically protected by something, The Shadowman. This causes issues in the fight scene specifically, if we assume that both Donna and Vince’s gang are under the Shadowman’s control. Option one is that only Vince is directly touched by The Shadowman, and this is why his lackey could fight Donna instead of Vince fighting Donna. The second option is that The Shadowman’s schemes are becoming too complicated even for him to keep separate. He has a lot of pawns in his grasp and it’s only fair to cut him some slack in that department. There is a tiny chance that she is instead under Paul Blart’s protection or the angels’ protection. However, this is astronomically implausible. Paul Blart is not shown to be willing or capable to give some of his power to non-Blarts. Being around a Blart is not an automatic path to invincibility, as shown by everyone else around him. Specifically his mother, who did not hold the power and is thus bested by a milk truck. The angels would have very little to do with Donna, there’s no evidence for them interfering with her one way or another. Granted, there’s very little focus over all on the angels because the writers are cowards so I work with what little I’ve got.
So the contemplation garden is a portal to the shadow dimension. When Paul Blart exits the green room before his big speech through a door marked “Showtime” he is shown immediately going into the Contemplation Garden. This is weird. Later, the entrance to the contemplation garden is shown to be somewhere completely different. This garden is the only place where the shadowman can be near Paul Blart because it’s a little piece of his own home dimension. This also explains the bird thing. Why is there a Grey Crowned Crane in a Las Vegas hotel? Who brought it here? Who is letting it attack guests? Who is feeding it? Why isn’t it leaving the Contemplation Garden? These plot holes can be solved with a simple theory of a shadow plane and a few portals scattered around the hotel.
This viewing I also picked up on a key piece of evidence to support the core of all my theories, Paul Blart’s imperviousness to physical harm. “My body’s fine, it’s my ego that took the hit,” Paul says, eating peanut M&Ms while laying on his back. This simple line validated my entire theory. Paul’s body is unable to be harmed. I, personally, am shocked that a car hitting him was the point at which his ego became injured. It somehow wasn’t the stupid little segway dance he did just seconds before. Although, his entire life is about as humiliating as that so maybe he’s used to it. Perhaps he’s immune to embarrassment after years of being Paul Blart: Mall Cop.
The reason that Divinia is so horny for Blart despite having a boyfriend is that she sensed his immortal power. There’s no other reason for this sudden abandonment of Eduardo for this stink man. I cannot fathom that she felt any genuine attraction to Paul Blart’s horrible soul. Divinia must just be sensitive to his powers.
One interaction that bugged me until this watch happened when Maya and Lane were kidnapped.
“Maya: They’re stealing art from the hotel!
Lane: From the what?
Maya: From the hotel!”
This exchange is fucking wild. In canon, Lane works at the hotel. He spends all his days at the hotel. He is currently in the hotel. Either Lane is that hard-of-hearing representation that I so dearly crave, or he is only in the hotel to do his angelic business or protecting Maya. It can be both.
I believe I have solved the hypoglycemia debacle. In case you didn't know, the way that PB2 portrays hypoglycemia is “If my blood pressure drops, so do I.” which is massively incorrect. I struggle to comprehend the thought process of the writers of this movie most times, but here I’m one hundred percent sure neither of them knew what hypoglycemia was and refused to look it up. When Paul Blart passes out because of “lack of sugar” he consumes the droplets of a little girl’s melting ice cream. That ice cream that Paul Blart slobbers up can’t just be ice cream, it’s magical, because he springs up immediately after. The family’s conversation is absolutely buck-wild, there’s no way they’re humans. The daughter says “Look at the pretty flowers, Daddy, can I draw on them?” which can’t possibly be a thing that a human says. The younger daughter’s ice cream must be supernatural in origin along with the family to have reinvigorated Paul so quickly. If we follow this logic, the audience can confirm once and for all that Paul Blart definitely doesn’t have hypoglycemia. That’s not how it works, Kevin James. You need to stop.
All in all, this movie sucks ass. I, Red, formally challenge Kevin James to an interview/interrogation. I have so many questions and want to look at the man who willingly made this dumpster movie in the eyes. I hope Paul Blart stubs his toe every day forever. This being said, I will probably watch this movie again before next thanksgiving.
#paul blart#paul blart mall cop 2#the shadowman#til death do us blart#kevin james fight me challenge
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WHY you shouldn’t feed these 10 foods to your dog
Dogs might think they’re human, but their physiology is not like ours. Humans might eat a wide variety of foods with little concern, but there are some very common human foods which you should not feed to your canine companion. You’ve probably seen the foods on this list before, but this is WHY these foods should not be fed to dogs.

Chocolate, Theobromine and Caffeine:
Everybody’s heard that chocolate is bad for dogs, and it’s true. Chocolate contains a compound called Theobromine. Theobromine is a type of compound called a methylxanthine, and another methylxanthine you might be more familiar with is caffeine. We know quite a lot about these compounds, as humans use them both medicinally and recreationally. The long version is that they all inhibit phosphodiesterase and antagonise adenosine receptors. The short version is that they increase muscle activity, including the heart, and stimulate the central nervous system.
This presents as dogs that have fast and irregular heart rates, high body temperatures and increased muscle activity that can progress to seizures.
It takes a reasonable amount of chocolate to poison a dog. One M&M isn’t going to do it. For a 35kg dog it’s going to take at least 3500mg of theobromine, which is about 5kg of typical milk chocolate. But only 1.2kg of dark chocolate or 600g of cooking chocolate, which is possible.
A 10kg dog needs much less. 1.5kg of milk chocolate would do it, which is only about 3 large Easter Bunnies, or 300g of dark chocolate, which is one packet from the cooking isle.
Chocolate is super tasty, dogs will absolutely gorge themselves on all chocolate available, so it’s not too difficult to poison smaller dogs with it.
And even if you get the dog through the toxicity, the high fat content of chocolate can go on to cause other gastrointestinal problems.

Onions & Garlic:
Yes, I said onions AND garlic. All allium species contain the same potentially toxic compounds, whether raw or cooked. That goes for spring onions too, it’s just really difficult to convince a dog to eat enough of them to be poisoned. These plants cause a Heinz body anaemia by inducing oxidative damage to the surface of the red blood cells, and for some reason breeds of Japanese origin like the Akita and Shiba Inu seem particularly prone to this toxicity.
It usually takes 10 to 15g per kg of body weight to poison a dog, but those breeds can be affected by as little as 5g per kilo. So for a big, 35kg dog, that’s about three medium sized onions.
Poisoning can happen all in one go, or it can happen by eating small amounts over a longer period of time, which is why it’s infuriating to see garlic being suggested as a natural remedy for things.
Bad cases will have to be treated with a blood transfusion as there is no direct antidote. And for interest, there are other things that can cause Heinz body anaemia too, like zinc.

Macadamia nuts:
You know how everything in Australia has a reputation for being deadly? Well the Macadamia is the one native Australian plant that has successfully become a mainstream agricultural crop. And it’s poisonous to dogs. Legitimately, for some weird reason Macadamia nuts cause progressive paralysis in dogs. We don’t know what the active toxin is, but we do know it’s present in both raw and cooked nuts, and as little as 5 nuts can cause paralysis in a 20kg dog. Sometimes the dogs develop vomiting and joint swelling in addition to paralysis, but most recover well with supportive treatment.

Grapes, Raisins and Sultanas:
This is another weird toxin when it comes to dogs, and it’s especially weird in that we don’t know what the toxic compound actually is. Grapes, raisins, sultanas and foods that contain them can cause idiosyncratic (unpredictable) reactions which result in kidney failure by ischaemic injury (lack of blood flow). It’s completely unpredictable which dogs will develop the reaction, and it’s independent of dose with as little at 10 grapes causing the toxicity.
In addition to being unpredictable, you really don’t want to mess around with it. Grape toxicity when it happens has approximately a 50% mortality rate.

Yeast dough:
A dog can absolutely eat cooked bread, but raw dough with yeast in it to make it rise presents some interesting problems. First is that the fermenting yeast produces ethanol, which can be toxic on its own. Second is that the yeast can and will continue to ferment inside the dog’s stomach where it’s nice and warm. This produces more ethanol, but can also cause bloating and the sticky dough is very difficult to remove by vomiting.

Chewing gum and Xylitol:
Xylitol is a sugar substitute used in many ‘sugar free’ products, of which chewing gum is the most common, but more and more foods contain it these days. It’s found naturally in many plants such as berries, but ingesting a large amount of it, about 75mg per kg, will cause profound hypoglycemia. Larger doses can also cause liver failure, and it’s only about 50:50 whether treated dogs will survive that. Dogs with hypoglycemia can look drunk with symptoms like vomiting and difficulty walking.
For a 35kg dog, 10 to 15 pieces of sugar free gum could cause this toxicity, and they will happily eat the entire packet if given the chance.

Alcohol (ethanol):
While humans indulge in this recreational plant toxin, we have spent a considerable amount of our history adapting to its use and some human populations have evolved a higher tolerance than others. Dogs have not done this, but they will consume it either in alcoholic beverages that humans give them for a laugh, or by consuming rotting fruit that’s fallen off trees. Yeast dough can contain it too.
Signs are more or less what you would expect for a drunk dog - sleepy and wobbly, but can progress to low body temperature, metabolic acidosis and some will stop breathing.
The median lethal dose of alcohol for a dog is about 1 standard drink for 2kg of body weight, orally. That’s an average, but some dogs will be more severely affected than others, and complications can still occur at lower doses.
And remember, wine is made from grapes, which can and will cause unpredictable kidney failure, so that’s an extra No.

Stone Fruit:
The flesh of fruits like apricots, peaches and cherries are fine to feed in moderation, but it’s the large seed inside the fruit that causes most of the problems. These seeds do contain cyanide if cracked open, but the more common problem we see is not a toxicity, but gastrointestinal obstruction.
Some of these seeds are small enough to swallow, but large enough to cause a blockage either at the pylorus, where the stomach empties into the intestine, or in the small intestine itself. This will obviously vary with the size of the pip and the size of the dog. A cherry pit isn’t going to cause much drama, and a large dog like a labrador might poop out a series of peach pips, but a small dog like a terrier may not be so lucky.

Avocado:
Avocados deserve a special mention because not only are they a stone fruit with a large stone that would cause an obstruction in most dogs if eaten, the flesh of the fruit also contains a toxin caused persin. Persin is very toxic to some species of birds and herbivores and will cause inflammation, swelling and cardiac arrhythmias. In dogs, it would be unlikely to see more than vomiting from this toxin. However, avocado is also relatively high in fat for a fruit, and fatty foods are also not ideal to feed most dogs and cats.

Fatty Foods:
The most common reason for me to see gastroenteritis in the vet clinic is a dog eating too much fatty food, but it will also potentially cause pancreatitis and that’s even more of a concern. We can tolerate dogs with some diarrhoea or a single vomit after eating something unusual - even humans do that sometimes - but pancreatitis will cause significant pain as well as nausea, and can progress to sepsis, disseminated intravascular coagulation, diabetes or death.
Dogs vary in terms of how much fat they can handle in their diet, with some being much more sensitive than others, and this sensitivity usually increases with age. For most dogs, moderation is the key, not gorging on fatty scraps that the humans didn’t want to eat or barbeque leftovers.
So now you know why these foods aren’t recommended for dogs. We’re not just saying it for no reason, even for the unexpected ones like grapes and macadamias.
This post was sponsored by Fluffy on Patreon. Thank you so much for your ongoing support.
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Medifast Diet What Number Of Carbohydrates Or Perhaps In Medifast Foods?
Despite Dr .. Atkins protestations to the contrary, ought to also possible to lose weight on high carbohydrate, restricted calorie diets, particularly if those diets are full of complex carbohydrates instead of simple ones (think whole-wheat and brown rice instead of takeout and white bread). Nowhere in Dr. Atkins' book was there any mention among the dietary habits of the remainder the world, where high carbohydrates normally a necessity, and obesity is not rampant. Given a choice, low fat may be safer, and long term studies have shown that consistent replacement of high fat snacks with low fat snacks (day-glow chips with air popped popcorn) provides each most consistent long-term weight.
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Not only did I lower my carbohydrate intake, but after i ate carbohydrates, I only ate complex carbohydrates and therefore i ate all of them fat.and along with of that, I eliminated all refined foods from my diet, all easy and starchy carbohydrates, sugars, caffeine and wine. Not eating overall is important to you getting Reactive Hypoglycemia under control. So the Atkins Dishes are all discussion? Not at all. The Atkins weight loss plan is an efficient way to manage their weight. Under the Atkins diet, these immediately lose ten to fifteen pounds of water weight given that the liver loses all its stored carbs. Then you will switch to ketotic fat burning, with protein providing some glucose inefficiently. When protein is burned for fuel by the body, only 55% converts to energy, the rest converts to heat. Add to that the two hormones that slow down your urge to eat whenever high quantities of fat are present, plus you've got a recipe for rapid weight loss. The trouble will be the keto diet facts when you travel off Atkins you'll gain it returning. He is quite clear about that, in case you haven't it is so very important for Atkins to protect his diet plan as an insurance plan for life, not short-run weight grief. Do some cardio. It isn't mandatory, nevertheless it will develop a big impact. Try one 30-minute session at moderate intensity and one 15-minute HIIT session per week. While you're on the Ultimate Advanced Keto Review diet, it is recommended that you group on carbohydrates for a good 3 day cycle. On top of the third day, consume 1000 calories property value of carbs over two hours before your training for that day. You can pick between two options of car-loading. Determine 1) eat anything that you require or 2) start substantial glycemic carbs and then switch to low glycemic carbs. If you eat may you want during this phase, then you can certainly should stick to low-fat sugar. The whole purpose behind the carb-loading is to boost the glycogen in your muscles which will allow you to endure you will need workout. Proteins give you amino acids the body needs to build muscle and repair system needs. A diet deficient in protein are going to deteriorate without protein delivering the amino acids the demands. An ounce of chia seed provides 4.43 grams of protein which is a lot more protein than found a good ounce of eggs. Chia provides two-thirds the protein found in salmon. Yes, it is entirely easy to replace animals as a protein source with a crop grown by the Mayans. Recent numerous researches on gut bacteria reveal that by governing the composition of bacteria the guts, effortlessly raise the volume of of good quality bugs in guts that can us regulate our fat loss. Having said that, only few those who take probiotics have seen remarkable brings into play their automatic weight reduction after taking yogurts or fermented milk, or even the probiotic natural supplements. That said, not all folks will lose weight the particular manipulation of gut bacteria by way of consuming probiotics. Dr. Atkins ability to offer a high protein/high fat diet will make him a cult figure, and he encourages this by writing about his diet as "doing Atkins." Atkins didn't "invent" his diet program. A Banting diet from 1863 pushed high fat and protein. In the 1920's uncontrolled epileptics were put on a ketogenic (60% fat) diet, a practice that is once again popular in medical circles. More recently, a horde of high protein diets have poured onto the bookstore drawers. Atkins was the beginning of this horde, having tried a reduced carbohydrate diet himself in 1963. Correctly Diet book dates from 1992, but he is peddling comparable ideas since 1972 (the first 1972 "revolution" sold 10 million copies). Dr. Atkins has left the building. We have lost our fatty guru, so available to be a foil for any tofu munching, arugula crunching, low-fat health fanatics. Who'll champion the causal agent for the all-you-can-eat lard smorgasbord actually? Fear not, his legacy lives on, a person can still consume a chocolate cheesecake in front of your mates while mumbling something about doing The atkins diet.
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Hi, my name is Mary Grace and I’m new to Tumblr. I made this blog because nobody I know has Tumblr, so it feels like I can be more open about my struggles without drawing attention to myself. Anyways, here goes nothing. This is my story thus far. It’s a long one, so buckle up!
I was diagnosed with POTS last month after two increasingly difficult and perplexing years. You could think of me as being sorta athletic and very ambitious normally if you like. I’m a perfectionist and I have anxiety. I began really feeling and noticing the POTS symptoms about two years ago. For a year, I just always assumed I was out of shape or everybody felt the same way and I was just being a wimp. I was super tired all the time and would get very dizzy with standing up and running. I would get spotty vision and feel the familiar “hot ice” feeling you get when you might faint. These symptoms were not incredibly severe or anything, so I just always hid them so that people wouldn’t label me as “dramatic” or “lazy.” I played basketball, softball, ran track, did marching band, football cheer-leading, scholar bowl, FCA, and FCCLA at the time of the onset of symptoms. I always assumed that I was just stressed out or had a really bad cold and it was nothing to give a second thought about. If anything, hiding my symptoms made me feel like I was in control or tough.
Another thing you must know about me to understand my story is I am a Christian and Jesus plays a big part in my life each and every day. Come summer 2019, I was a helper/counselor at the 5th and 6th grade week at the local Church Camp. That’s when some things really clicked for me spiritually. I realized that my life had been fairly easy. I have a loving family, live in an awesome community, have been blessed with friends and talents all my life, and for the most part, I’d been healthy and hadn’t had to deal with many terrible things. Most of all, I’m free to live for and worship my LORD and Savior.
It’s a life that many crave and would give anything to have. But that week at Church Camp initiated a thought process in me. I realized I had never really depended on GOD because everything in my life had seemed so... easy I guess. I was incredibly thankful for my life, but there came a time when I realized that I didn’t really live by faith or trust or hope. I didn’t completely even understand what they mean! How can you live for GOD without knowing what it is like to completely trust Him with every aspect of your life? My life story was (yes, comfortable and safe) but also a bit empty. It was shallow where it could be deep. And after lots of prayer and some soul searching, I realized my story was shallow because I had hardly ever struggled. So then I began praying dangerously. I asked (or begged) GOD to break me if He had to.
And oh my, He sure answered that one. The symptoms got worse, but I didn’t think much of them considering I had quit (or retired (; ) from softball. (There’s a whole separate story to why I quit softball that I just can’t possibly fit in this post. It was a big developmental step in my life and something that I still am learning from.) I assumed I was just getting out of shape and I should exercise and live healthier. More water, more sleep, better food, etc. Running was getting harder and harder. I was always exhausted, which I blamed on stress and lack of good sleep. Basketball season is what really did it in for me. The first real “attack” or “episode” happened during conditioning week. I almost fainted. I got a migraine and was so dizzy that I couldn’t walk straight. My vision was seriously messed up and that “hot ice” feeling you get before passing out kept washing over me. (I had passed out/ almost passed out before this but always blamed it on being squeamish or something else unconcerning.) I eventually sucked up my pride and told my coach, “I gotta lie down!” It was humiliating. I used to be able to run like nobody’s business. I mean, some people were jealous of my exercising capabilities. It seemed like my fault since I had quit softball and seemingly was so out of shape that I almost passed out. I felt like a quitter. There was so much shame and guilt. I must have forgotten it was actually an answer to my prayers.
The season progressed and I repeatedly had to lie down when it came to conditioning and running. It didn’t help that I got mono for the second time in my life that winter (no, not from kissing) and was so stubborn that I refused to stay home or go to the doctor. I had mono, pharyngitis, and a double ear infection for months, but I didn’t want to rest because I thought people would think I was lazy. We began trying to figure out why I would get the POTS symptoms as well, because my mom started to think that something really was going on. In the end, we decided to blame it on blood sugar. I told people I was hypoglycemia. I brought juice to basketball practice, and when I would drink it, I would trick myself into thinking that I felt better because I was sick of having no idea what was going on.
Finally, when basketball season was wrapping up and track season was beginning, I began believing that maybe I wasn’t “just out of shape.” I had been running and exercising for months, but I still had my POTS symptoms. I was praying and trying really really hard to get past the shame and be grateful for my struggles. The thing is, I LOVE track (and was pretty good at it too.) Running and racing has always been, dare I say, fun for me. I was really looking forward to the first practice of the season. My dreams were crushed to say the least. After running the first 400 meters of a mile, I nearly fainted again. I finished the mile, but was not doing so hot. I remember all my teammates and coaches staring at me with worry and surprise. I was so embarrassed. The headache from it didn’t go away until I went to bed that night. What made things worse, was I still didn’t know what was wrong with me. Doctors said “blood sugar?”, “asthma?”, “hormones?”, “anxiety?”, “arrhythmia?”, “stress?”. When people asked, I didn’t have a definite answer, so just I listed all of my symptoms and the possible diagnoses. I got tired of that real quick.
Now that my track season was in jeopardy, I decided that we really needed to figure out what was happening to me. My mom said to take it easy at practice, but I didn’t want to look “lazy.” (You can tell that my mind runs in a useless circle around the concepts of weak and lazy.) I told my coaches that I needed to take it easy, but then just continued to go hard as I could. I mentally could not get past the mindset I had adopted. I didn’t want anyone to think I wasn’t trying and I was making things up, so without really noticing it, I told myself that it was in fact all in my head and I was weak. Then came the pandemic.
This is becoming way too long, so I’m going to continue it in a part 2. It sounds crazy, but I’m actually pretty thankful for the mess I’ve been through. More explanation later, but I know there is some growth happening in me that never would have begun if I hadn’t gotten these struggles. GOD has shown me so much through these experiences and He’s made room in my busy schedule for the things that actually matter in life. I don’t chase people’s opinions or expectations so much anymore and have learned to be kinder to myself. Again, this blog is kind of going to be like a way to figure some things out and hopefully become part of the community of people who’ve gone or are going through similar experiences. Maybe then I’ll even be able to help someone else in return.
-Mary Grace
June 4, 2020
#potsie#postural orthostatic tachycardia syndrome#my story#jesus is the answer#christianity#a written testimony#break me#savedbygrace#POTS
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Radio Popstand Broadcast 27 is available now!
Go to your favourite podcast player and search for Radio Popstand.
First item on this broadcast is me looking back to my 32 years with diabetes.
Here’s a transcript of the article:
My life with diabetes
Let’s start by saying that I am not a health care professional. The following words are my own experiences of dealing with my diabetes over the past 32 years. They should not be taken as a comprehensive manual in dealing with the condition. If you have any concerns about your treatment of diabetes or that of a family member or friend you should always consult your GP or practice nurse. We are all different and the way you need to treat your diabetes may be different to that which I mention in this article.
A few days after my 28th birthday, way back in the year of 1987, I found myself sitting in the surgery of my doctor. I was attending an appointment I’d made, hoping to rid myself of what I considered, at the time, to be a minor complaint, but what in essence turned out to be a much more serious problem than I realised, a condition was to be diagnosed that I still suffer from to this day, and will do so for the rest of my days.
My immediate concern at this time was the appearance of some boils on the lower part of my back. After living with these for what must have seven to ten days I decided, especially seeing they were becoming rather uncomfortable and would not go away, to see my doctor. Before this time I’d very rarely had cause to see the doctor, but things were about to change.
“Hello Jeffrey, don’t see you here very often, how can I help you today?”, said my GP as he shook my hand and ushered me to a seat. I explained the problem and doctor examined these troublesome boils. “I see, well I can prescribe some antibiotics, which will clear up these little fellas for you, but what we really do need to find out is exactly what has caused these to appear”, the doctor explained.
I was given a specimen container and asked to go to the toilet to provide a urine sample. This I duly did, and on returning to the doctor he went over to a corner of his massive room with my urine sample. In a few moments he walked back over to me and uttered those words that I’ll never forget “This is most interesting Jeffrey, there would appear to be a rather high sugar content in the sample you’ve provided today”, which he spoke to me in the matter of fact style just like Mr Spock from the TV series Star Trek.
It took a while to sink in, but this was the start of my life with diabetes. In those early days it didn’t create too much of a problem. I was diagnosed as having type 2 diabetes, and my doctor referred me to a specialist at the local hospital. Apart from the antibiotics prescription to clear up the boils I wasn’t prescribed any other medication at this time.
Whilst waiting to see the specialist, which must be have been ten to fourteen days after my initial GP appointment, I took it upon myself to refrain from eating anything that contained sugar. This was not easy, but I had no sugar in my tea and coffee, ate no pudding after dinner, and certainly ate no confectionery, cake, fruit or anything else that I considered contained sugar or anything resembling sugar.
I was certainly very strict with myself over those few days, so much so that when I did see the specialist, and he carried out his own tests, it appeared my diabetes condition was hardly noticeable. Unfortunately, over the months that followed the condition got worse. Despite taking various medications to coax my pancreas into producing insulin, the magical hormone that I was sadly lacking, the insulin was not being produced and I was diagnosed as having type 1 diabetes, this was less than 18 months after the initial diagnosis.
A whole new set of rules and a steep learning curve to take in about taking injections of insulin, a more stringent regime of testing my blood glucose levels and how to treat the affects of hypogljycaemia, which is often referred to as a hypo or a sugar low. The biggest hurdle encountered on a daily basis by diabetics is achieving a balance between the insulin taken and the carbohydrate value of your food intake, but these are not the only two components to achieving a satisfactory balance of blood glucose levels, what you are doing in way of activity is another thing that can very much affect this delicate balance.

So what is this hormone called insulin, what does it do, and why is it so important. I’m not an expert on the workings of the human body, so my following explanation is very much simplified, but put quite simply insulin stores away the glucose content in your blood until it is needed. Glucose is an essential commodity, as it is the fuel or energy needed by the brain to function, without glucose the brain can not function, but with too much glucose many serious problems can soon occur if your condition is not treated, and indeed can occur over time even if your diabetes is treated, that is why it is so important to keep a close watch on those glucose levels and try to keep them as close as possible to normal to reduce the chance of problems.

Some of the problems that could occur due to excessive glucose in the blood stream include a blurring of vision due to a change in shape to the eye lens, in extreme cases sight loss can occur, skin infection - remember my original problem with boils, urine infection, lung and other infections, nerve damage to hands and feet, kidney damage, excessive urination which can result in excessive thirst and tiredness and weakness, serious weight loss if body can’t use glucose correctly as your stores of fat are used, dehydration is another serious problem that can cause foot infections and maybe gangrene resulting in amputations of toes, feet or lower legs. I myself suffer with problems to my lower legs often becoming swollen, discoloured and aching, so need to take extra care to avoid the possibility of ulcers developing. This is just a few of the potential problems that diabetes can cause.
Ideally a carbohydrate count of your food has to be made, food that is high in fibre is desirable, as this will be absorbed into the blood steam slowly and help to avoid those blood glucose highs. Each meal should contain approximately the same carbohydrate value each day, to match the amount of insulin you take. This way the chance of the blood glucose level becoming too high or too low is greatly reduced, but of course, as already indicated, the activity you will be engaged in during the day can have an impact on the amount of energy required, and hence can cause problems, as can being ill with something as simple as a cold or even being stressed, these can all affect your glucose levels, as can the weather. Yes, that’s right even the weather can affect those blood glucose levels.
The affects of a low sugar situation can occur at any time, sometimes you become aware that they are occurring, test your blood glucose level using the test equipment available to confirm your suspicions and take glucose orally in the form of dextrose tablets or some other form to remedy the low sugar episode. Unfortunately, it’s not always that easy, there are occasions when the low sugar situation can take you by surprise, so much so that you can find it difficult to concentrate and take the appropriate action required to get you out of this predicament. It is always most important to carry with you some form of fast release carbohydrate such as dextrose tablets and carry some form of identification explaining you are are a ‘type 1 insulin dependent diabetic’. I also have a wrist armband which has these exact words, something that let’s others immediately know in moments of crisis that you are a diabetic.

In the thirty two years I’ve suffered with diabetes I’ve had three instances where I’ve collapsed into a coma due to a low sugar hypoglycemia situation. On the first occasion my father was still alive and he called our own doctor, who immediately came to the house and dealt with the situation, on the other two occasions an ambulance was called. There have been several close calls over the years, on one occasion hitting my head on the side of the cooker and giving myself a black eye. More often than not a low can be quickly treated and I’m back to my normal self quite quickly, on other occasions the affect can take several hours to recover from with intense shivering and sweating being a side affect and also the dreaded muddled head.
Apart from the falling into a coma incidents, the next worse state I’ve been in several times is waking up in the morning where I’ve obviously been low on sugar during the night and I awake with a totally muddled head, after working out how to cure the sugar low, the muddled head then stays with me all day. A very unstable way to spend a day, especially if it’s a work day. I’ve had days where the blood glucose level has returned to normal, but the muddled head can stay until after I’ve had my evening meal, which can, putting it mildly, be most disconcerting and ruin one’s day.
Obviously, if you get several days of low or high sugars you need to make adjustments to your insulin dosage or food intake to try to combat the situation. I currently take four injections a day of insulin, one before breakfast, one before lunch and one before my evening meal, this is a quick acting insulin, after taking I immediately have my food. There is then a final injection of insulin before bed, which is a more slow acting insulin to see me through the night and acts as a base insulin throughout the day. I can often go for weeks or months were my sugar levels are well behaved and everything stays within required parameters, then without warning several occurrences of either high or low levels happen, this can be one of the greatest headaches trying to get things back on course. This is one of the things I find most difficult to make the majority of people around me understand, I’m sure they just think my whole diabetic control is poor and I don’t know what I’m doing.
This whole process of insulin injections, carrying out continuous blood glucose tests by pricking one’s fingers, counting the carbohydrate value of foods, sticking to a schedule of eating meals without missing any, making sure you’re carrying dextrose tablets with you at all times, inspecting your feet to make sure they are not damaged, dealing with the muddled head situations and dealing with the tiredness and general lethargic feeling when sugars go too high can all over time put quite a toll on your well being and frame of mind.
Added to that those mundane illnesses that we all suffer from time to time, now appear to be twice as worse, as you’re not only battling with that but you’re also dealing with your diabetes, that always wants to play up at the same time making you feel appalling and not wanting to do anything. You must keep testing the blood glucose levels and KEEP TAKING THE INSULIN, as although you might not be able to eat, or only eat very little, those blood glucose levels still tend to rise during an illness. It is important to keep hydrated, all that glucose can cause serious dehydration, which can be a very serious situation. Try to drink as much sugar-free fluid as possible. Diabetes is difficult enough to deal with on it’s own, but when you have another illness raise it’s ugly head it’s always best to consult your GP or practice nurse for advice.
Something all diabetics have to deal with at some point is the strange attitude some people seem to have of diabetics, in many cases considering the condition to be a preventable self inflicted disease caused by carelessness of those that suffer with the disease. The truth of the matter is type 1 diabetes is definitely not a lifestyle caused condition, whereas type 2 diabetes can be caused, but not in all cases, by lifestyle. During my 32 years as a diabetic I’ve encountered my fair share of ridiculous, comical, hurtful or just plain silly comments about this condition that I suffer from. Most people make comments with the best of intentions, but some can be really quite rude and disrespectful. I try by best to ignore the majority of the ridiculous comments but the odd remark/criticism can, on occasion, be unkind.
Comical remarks include:
“Do you have a special hole that’s been made to put the insulin into yourself”
Hurtful remarks include:
“This whole problem has got to be your own fault, you must have been a real piggy in your younger days”
“Do you not think it’s about time you got this balance with food and insulin correct, for goodness sake Jeffrey you’ve had this problem for over 30 years now”
Ridiculous remarks include:
“It’s only diabetes, it’s not going to kill you”
“Jeffrey, why drink that diet drink, you need to drink this full sugar Coca-Cola, it’ll do you the world of good”
I’m going to be very boring now and repeat what I said at the start, please excuse me, but it would me very remiss of not to say this. This article has attempted to highlight some of my experiences of dealing with diabetes over the past 32 years. My remarks shouldn’t be taken as the correct or only way to deal with the condition. If you have any concerns about your treatment of diabetes or that of a family member or friend you should always consult your GP or practice nurse.
One event that seems amusing now although wasn’t funny at the time was during a low sugar episode when my head bowled down and I went for a swim in a plate of baked beans, my then teenage niece who was there at the time often reminds me of this incident and we both have a chuckle. You’ll have wait till she writes her memoirs for the full story.

Jeff Wright, 4th August 2019
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Introduction to Neuropathy – Diabetes Daily
New Post has been published on https://depression-md.com/introduction-to-neuropathy-diabetes-daily/
Introduction to Neuropathy – Diabetes Daily

What is neuropathy? And more specifically, what is diabetic neuropathy? What are the symptoms and how can you prevent and treat neuropathy?
When someone hears about the long-term complications of diabetes, problems with the feet, foot ulcers, and even amputations are often brought up and can be some of the scariest outcomes. What leads to these issues is something called neuropathy, or damage to the nerves.
But neuropathy, and those subsequent complications, aren’t by any means a given – and prevention is possible. What is neuropathy and what can you do to avoid it entirely, or minimize it so that you can keep your feet, and the rest of your body, as healthy as possible?
What is the difference between neuropathy and diabetic neuropathy?
Neuropathy is the term used to describe any damage to nerves in the body (for example, an injury from a car accident can damage the nerves). Diabetic neuropathy, or diabetes-related neuropathy, is the term used to specifically describe the nerve damage from high glucose levels (hyperglycemia) over the long term.
Diabetes can cause three main types of neuropathies: peripheral neuropathy (medically referred to as distal symmetric sensorimotor polyneuropathy), autonomic neuropathy, and focal neuropathy.
Peripheral neuropathy affects the nerves outside of the brain and spinal cord, and often leads to symptoms involving the hands and feet. “This is what most people associate with diabetes-related neuropathy,” said Chris Memering, a nurse and inpatient diabetes care and education specialist at CarolinaEast Health System in New Bern, North Carolina.
Peripheral neuropathy involving the feet is the most common form of diabetic neuropathy. Loss of function in particular nerve fibers can change sensation and reduce strength in the foot. Loss of sensation can lead to injury from shoes that don’t fit, stepping on sharp objects you can’t feel, or not knowing the sidewalk is too hot. Neuropathy can also lead to pain, burning or other unpleasant sensations which may respond to medication.
But diabetes isn’t the only condition that can cause peripheral neuropathy. Other conditions that can lead to peripheral neuropathy include heavy alcohol consumption, trauma, nerve entrapment (such as that which occurs in carpal tunnel syndrome), vitamin B deficiency, chemotherapy, and an autoimmune process that attacks the nerves.
Neuropathy can also affect the functioning of the autonomic nervous system (which controls things like blood pressure, heart rate, digestion, and bowel and bladder function). This is called autonomic neuropathy. Autonomic neuropathy can lead to a variety of complications.
“In diabetes care, many people are familiar with hypoglycemia unawareness, erectile dysfunction or female sexual dysfunction, gastroparesis [when the stomach can’t empty properly and digestion slows], neurogenic bladder [when the nerves that tell your brain to tighten or release the bladder muscles don’t operate properly], or orthostatic blood pressure changes [dropping blood pressure when you stand up],” Memering said, adding that all these could be a result of neuropathy.
Finally, focal neuropathy results from issues with one or more nerve roots and usually happens suddenly. Focal neuropathies often involve both motor functioning – such as weakness – and sensory deficits, which can cause discomfort and pain.
What causes neuropathy?
Chronic hyperglycemia can damage both small and large nerve fibers. Over time, elevated glucose levels, often made worse by high triglycerides (a type of fat that can be found in the blood) and associated with inflammation (the body’s natural way of fighting infection) can cause damage to the nerves. That damage disrupts the way nerves interpret sensory information and how the messages about sensation are transmitted to the brain.
Usually, nerve damage from high blood sugar levels happens in the long nerves first (which run from your spine down to your toes), which is why the symptoms of peripheral neuropathy occur first in the feet. “The length of time someone has lived with diabetes increases their risk of developing neuropathies, as does that person’s level of blood glucose, in terms of A1C, Time in Range, and glucose variability,” Memering explained.
In essence, higher glucose levels over time increases your risk for developing neuropathy. This was confirmed by the famous Diabetes Control and Complications Trial (DCCT) and Epidemiology of Diabetes Interventions and Complications study (EDIC). The studies showed that the prevalence of confirmed peripheral neuropathy was 64% lower among participants in the intensive management group (those who managed their blood glucose carefully with treatment and kept their levels as close to normal as possible).
What does neuropathy feel like?
Symptoms of neuropathy usually start in the toes and progress upward. The sensations experienced with peripheral neuropathy differ from person to person. Some describe the feelings they have as numbness or tingling, while others say it feels like burning. Some say they are sensitive to being touched and cannot bear the feeling of a sheet or blanket covering their feet, while others describe it as feeling like they are always wearing a sock or a glove.
“Ultimately, you could end up losing protective sensation – which can be very dangerous and puts you at risk of not realizing when a part of your body is hurting or being injured,” Memering said. “While you may be able to still feel pressure – you know you are stepping on the ground with your foot – you may not be able to feel pain if you step on something sharp or hot.” This means you might not withdraw your foot from the unsafe environment, harming it further, and without realizing the extent of the damage.
The biggest concern about peripheral neuropathy involving the feet is that the loss of normal pain sensation can lead to greater skin and tissue damage. “Injury can result in the formation of a foot ulcer, which, if infected, can progress to ongoing tissue damage that can lead to amputation,” said Dr. Robert Gabbay, the chief scientific and medical officer for the American Diabetes Association. That’s why it’s so important to prevent, recognize, and treat any symptoms of neuropathy.
How is neuropathy diagnosed?
To assess for neuropathy, your healthcare team should do a thorough examination of your feet looking for sores or ulcers, changes in skin color, diminished pulses and any abnormality or injury to your foot. They can test for diminished strength, a change in your ability to know the position of your toes, and a change in sensation or sensory perception.
A foot exam will always involve taking off your socks and shoes, and your healthcare professional will inspect your feet to check for color changes, pulses, open areas, redness, rashes, and the overall condition of your feet, said Dr. Cecilia C. Low Wang, a professor of endocrinology, diabetes, and metabolism at the University of Colorado Anschultz School of Medicine.
A monofilament test uses a soft fiber to test for sensation in various parts of the feet and body, and a tuning fork can also help healthcare professionals understand how much sensation a person has lost. The monofilament test, as well as a pinprick test, can check to make sure you have good sensation, while other tests will evaluate vibration and position sense (whether you are aware of where your foot is). “The main question I would suggest asking your diabetes provider is whether they notice anything concerning about your foot exam, and whether they think you need to do anything different, or see an additional specialist, such as a podiatrist,” said Dr. Low Wang.
In this age of telehealth visits, some podiatrists have been sending a monofilament (a small strand of nylon attached to a piece of plastic) to a person’s home and teaching them how to use it to determine if they have reduced sensation in different areas of the feet. Podiatrists might even examine a person’s foot onscreen during a video visit and ask questions about how the foot feels or looks. “If there’s something of concern, they will schedule an in-person visit,” added Memering.
If someone is experiencing symptoms of autonomic neuropathy, a healthcare professional may recommend a specific test depending on what the autonomic symptoms are. For example, if there are issues with blood pressure control, taking your blood pressure as you change positions from lying to sitting to standing or using a formal tilt-table test, may show loss of autonomic control of how your body regulates your blood pressure. If you have symptoms of delayed gastric-emptying (stomach-emptying), specialized radiology tests might be ordered that show the time it takes for food to exit the stomach. The Mayo Clinic has an informative list about many of these tests. If you have any symptoms of autonomic neuropathy, such as bladder or erectile dysfunction, feeling faint on standing up, or bloating and fullness, talk to your healthcare professional and explain what you are experiencing.
What are the best treatment options for neuropathy, especially in the hands and feet?
Although it is not always possible to prevent neuropathy completely, the best way to slow its progression (as shown in the DCCT) is to closely manage your blood sugar levels and try to stay in range as much of the time as possible. If neuropathy does develop, medications can decrease the burning and tingling sensations, said Dr. Gabbay.
“Diabetes is a leading cause of neuropathy, and the higher someone’s blood sugar levels are over time, the more likely they are to develop neuropathy,” Dr. Gabbay said. “The good news is by managing blood sugar levels, one can significantly reduce their risk of developing neuropathy.”
With painful neuropathy, “treatments are generally to try to manage symptoms,” Memering said. “Medications such as Neurontin [gabapentin, a drug used for pain and seizures], Lyrica [pregabalin, a drug used for pain and seizures], or Cymbalta [duloxetine, a drug used for chemical balance in the brain] may be used to help with pain associated with painful peripheral neuropathies. These medications can be very effective, but it may take a few weeks to adjust and find the right dose. However, people should know that the medications can also be somewhat sedating.” Other drugs that may be effective include drugs used for mood disorders such as venlafaxine, nortriptyline, or amitriptyline, said Dr. Low Wang, but they may have side effects at higher doses and with older age.
Dr. Gabbay added that neuropathy “is a very active area of research to identify new and effective treatments.”
There are also various treatments to help improve the symptoms of autonomic neuropathy:
For Postural Blood Pressure Changes:
If you have a significant decrease in your blood pressure on standing, your healthcare professional can teach you how to get up slowly to allow your body to regulate your blood pressure with positional change.
You can also wear an abdominal binder, which Memering described as “a big elastic girdle that puts more pressure on the big blood vessels in the body,” so that they have more support when changing positions.
Other treatments include adjusting salt intake, using compression stockings, doing physical activity to avoid deconditioning, and staying hydrated, said Dr. Low Wang.
For Neurogenic Bladder:
If you are experiencing a neurogenic bladder, urinating at regular intervals during the day and night can help the bladder empty even if you no longer feel the urge to urinate. You might also undergo a urinalysis or a bladder scan, said Dr. Low Wang. Medications can also help.
For Gastroparesis:
Eating low-fiber, low-fat foods in smaller and more frequent meals and getting a greater proportion of calories from liquids might help, said Dr. Low Wang.
Sometimes the drug metoclopramide (Reglan) may be prescribed and gastric electrical stimulation might be used in severe cases.
For Erectile Dysfunction:
You may be prescribed one of the medications – sildenafil, tadalafil, avanafil, or vandenafil – but you may also need to undergo a physical exam, or other tests.
If you are experiencing any of the symptoms of neuropathy, you should speak with your healthcare professional to determine what diagnostic tests need to be done and what treatment course might be best for you.
Can you reverse diabetic neuropathy?
Currently, neuropathy can’t be reversed, but its progression may be slowed. Keeping blood sugar levels in the recommended targets is the key to doing so, Memering said. “The use of diabetes technology may be very helpful – especially continuous glucose monitors – for keeping your blood sugar in range, along with eating a varied diet, including vegetables and fruits, and exercising regularly,” she said.
Tips for living with diabetes and neuropathy
The two best things someone with diabetic neuropathy can do are to:
Manage their blood sugar levels to keep the neuropathy from getting worse.
Check their feet regularly, both at home and during healthcare appointments.
Check your feet at home
Dr. Gabbay, Dr. Low Wang, and Memering each recommended that all people with diabetes, whether young or old, newly diagnosed or not, should regularly check their feet. Dr. Gabbay advised, “Use a mirror to see the bottoms of the feet and make sure there are no cuts or ulcerations” that would need immediate attention to ensure they don’t worsen. If need be, ask someone in your household to help you inspect your feet. To help avoid foot injury, Dr. Low Wang recommended: “Always wear socks and well-fitting shoes, avoid going barefoot, and look at shoes before putting them on to be sure there is nothing in them.”
No matter where you are in your diabetes journey, daily foot checks “partly establish the habit before there are any problems, but are also a way to get to know your body so you can understand what is normal for you and what is not,” Memering said. “That way, when there is a change, you can all your healthcare office right away. Don’t wait until your next appointment – call,” she said, adding that they should be able to tell you if you need to make an appointment right away.
Remember, as with many complications of diabetes, for neuropathy prevention is key! To learn more, view or download our infographic on preventing neuropathy.
About Cheryl
Cheryl Alkon is a seasoned writer and the author of the book Balancing Pregnancy With Pre-Existing Diabetes: Healthy Mom, Healthy Baby. The book has been called “Hands down, the best book on type 1 diabetes and pregnancy, covering all the major issues that women with type 1 face. It provides excellent tips and secrets for achieving the best management” by Gary Scheiner, the author of Think Like A Pancreas. Since 2010, the book has helped countless women around the world conceive, grow and deliver healthy babies while also dealing with diabetes.
Cheryl covers diabetes and other health and medical topics for various print and online clients. She lives in Massachusetts with her family and holds an undergraduate degree from Brandeis University and a graduate degree from the Columbia University Graduate School of Journalism.
She has lived with type 1 diabetes for more than four decades, since being diagnosed in 1977 at age seven.
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Your Diet And Reactive Hypoglycemia
NutraPharmex Keto - http://nutrapharmex.org/. Read about various low-carb diets and thereafter zero in on people. Avoid drastic diet plans that enable no vegetables or fruit - depriving yourself of fiber is definitely not healthy and obviously boring! Just how can long can you eat meat, day in and weekend day?
This associated with diet heats up drastically draining your water mass initially due for the burning of glycogen, that turn scales down your weight, giving you the wrong impression that you are currently losing weight due to fat loss, which the truth is in order to not. That's how persons got tricked into following such weight loss diet. What's a lot more, diets that make use of principle could come about in ketogenic effect, which exposes to be able to side effects like poor breath, headache, constipation, prospective kidney failure, heart attack and stroke due to arterial plaque formation and more. You want eliminate weight and gain well being, this way of eating habits are absolutely not for you. Low or even otherwise any fat diet plans may be the wrong way to proceed whenever seeking diminish fat. Healthier fats are a significant portion of fat burning diets. Low fat foods usually include an enhanced sugar message. Sugar alone is a low-fat food, obviously consuming sugars can which will cause keto diet facts you to be unsightly fat. This is usually a big point of failure regarding many this kind of well-known weight loss applications. For all eating plans that hold point plans, NutraPharmex Reviews it might be possible to consume just high sugar food products. All these useless unhealthy calories will not help weight-loss. The action is to execute a gut check guarantee your compliance to your program may be the it need to be. If you weren't 90% compliant then stop reading impressive selling points and get back to focusing on doing make use of actually said you were going to do. Now, automobile gone "x" period of time on the keto diet (amount of time depends on individual), start having some small levels of complex carbohydrates in the morning while raw oatmeal (quarter to half cup with butter and/or coconut oil those who are weight training). The crucial thing here would be to eat this with butter, some heavy cream and/or a tablespoon of coconut necessary. This will slow down the absorption of the carbohydrates and NutraPharmex Keto Review make your levels of insulin from spiking. This important to avoiding a reactive hypoglycemic herpes outbreak. So remember that as a general rule; an individual eat complex carbohydrates, make certain that you eat these with fat. Walking programs will help build some belonging to the muscles their legs and also the lower anatomy. This is where people typically will experience something called "shin splints" some often if no walking for greater times and distances has been done prior to now. Start with a simple walking program and then you progress into something which could incorporate a light weight jog interspersed with going on foot. This may go on for a couple of to 1 month. Then you can steps for success it a person build up a good level of endurance. Conventionally, minimizing gum pain been getting our fuel from carbohydrates (aside from dieting). Frequent symptom from people enduring "carb withdrawal" is a reduction in energy. This is exactly what happens an area to eliminate carbohydrates. Right here is exciting purpose. there is a way to inform your body to be able to fat for energy instead of carbs! Whether your eyes smoke as you read that last sentence then keep reading. Drunkorexia diet: Why waste your calories on food when you'll guzzle beer and wine beverage? That's what supporters of that particular so-called diet believe. Hiccup. Step out of the bar and belly up to Dr. Oz's body type diet.
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Yeah like I said I’m not a vet and can’t diagnose over the internet but given the description it certainly sounds like a case of hypoglycemia. Which is good and bad because on one hand it means that provided you make sure he is eating good, nutrient-dense food you shouldn’t see it again but on the other hand it’s SUPER SCARY to witness and you should always have something sugary and safe for dogs on hand if you know you have a dog prone to these episodes. There’s a product in the US called Nutri-Cal which is pretty easy to get at basically any pet store and I always have a tube on hand, actually I have one tube that lives in my house and another tube that lives in my dog travel bag just in case. I’ve never needed it but pretty much every good breeder of chihuahuas here recommends that or similar and to always have easy access to it because of this problem. Basically if your dog is mid-episode or unconscious, smear a bit on their gums and tongue and if it seems to bring the dog back around, you’re definitely in the middle of a sugar drop and you need to get protein into that dog right away as well as call a vet and see what you need to do from there. Any dog under 20lbs should have this consideration and the smaller the dog the more likely this will happen.
If you can’t get ahold of Nuri-Cal in your country, there are similar products with various names but you can also use honey or karo syrup or even plain sugar water you make yourself in a pinch. I prefer the tubes because if I’m out on a hike or at a dog show with my dogs there’s less options for me available than when I’m at home, and if I have someone dogsitting it’s easier to just tell them to grab the tube and smear some of the product all over my dog’s mouth than it is to get them to mix sugar water.
A lot of vets are really weird about treating hypoglycemia and I don’t understand why. I’ve seen this play out over and over on chihuahua groups where someone has a dog with pretty classic signs, goes to the vet, spends oodles of money on trying to figure it out because the vet is resistant to the idea it was blood sugar related, the dog crashes again because no one is changing to food or feeding schedule to prevent a second crash, the owner insists this time the vet check the blood glucose level prior to treatment, and what do you know it’s a sugar crash. The vets I’ve worked with have all been very aware of this problem but I’ve seen other people whether clients (I had a morkie client go through almost exactly, he spent something like 6000USD before he figured out it was a sugar crash and fixed with a 9USD bottle of corn syrup) or folks on chihuahua-specific social media experience this again and again and it really baffles me. We know that the smaller dogs have higher metabolisms and so it’s important to watch sugar vs protein intake, so I don’t understand why it becomes an afterthought when a dog has symptoms of this problem. Maybe because my parents are diabetics so I’ve watched a sugar crash in humans so many times that it seems obvious to me to at least check for it in breeds prone to crashing.
As for syringomyelia and chiari malformation, a lot of non-neurologist vets will confuse it with hydrocephalus which becomes a problem because they’re looking for the cause in the wrong place. Hydro is usually towards the front of the skull and SM/CM is at the back. Hydro is largely not survivable without treatment and most hydro dogs are dead by their first year. It would be amazing that Tofu has lived this long with no symptoms if he has hydro. Not saying it’s not possible, I’ve seen humans live for decades with only the more subtle symptoms of hydro, but it would be well out of the norm. You should have been seeing all sorts of neurological symptoms, aggression, and pain by now and he shouldn’t have gone back to normal after the episode. That’s not really hydro’s MO. I understand why they want to check and be sure it’s not but I think it’s less likely than any of the other options.
But it CAN be SM/CM, as those are episodic in nature depending on the fluid buildup day-to-day on the spinal cord. In the US it’s treated with omeprazole (and sometimes gabapentin if the dog has a lot of pain too) which seems to relieve the pressure but reducing the buildup of fluid. Omeprazole is fairly cheap here, not sure about your country, but our neurologist did say most primary care vets aren’t willing to consider this as a treatment option for neurological concerns as it’s actually an antacid used to treat nausea and heartburn. I’m not sure if you have specialist vets there but if you do, if you were to spend a large amount of money trying to find a neurological cause I would highly recommend finding specifically a neurologist to help you rather than a primary care/general practice vet. Could explain why your vet jumped to hydro and didn’t even consider SM/CM.
Something else not to discount is that it could be regular old idiopathic epilepsy. @kangals‘s Boone has this- seizures without a cause. I’d talk directly to her if you want to learn more about that as a possibility. Chihuahuas can have epilepsy- seizures more commonly have a findable cause within the breed but sometimes it’s this too.
very frustrating trip to the vet today as i have once again paid loads of money for virtually zero useful information
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Frustrated & Stressed part 2
The overflowing motivation and inspiration was dwindling down by day 4 and was completely gone by day 5. I managed to finish the nervous system the other day and as I was starting on the muscular system the following day, our group from another course had an emergency meeting. Apparently the script that I had made for our short film was lost. Although we were able to recover it, half of the script was gone. So I had to look up the file and resend it again. Day 4 seemed to be an unlucky day for me. I was summoned all day by various group activities and by the time it was all over, the sun has set and my time was running out. As soon as I got back to my apartment, I immediately went straight to my drawings which I had left on my floor a couple hours ago in my mad dash to other committments. I haven't felt as busy as today in my entire life. But Day 5 proved me wrong. Last night, I have finished colouring the nervous system and have managed to do a quick outline for the muscular before I literally passed out on the floor. So now I wake with a kink in my neck and lower back due to the uncomfortable position I was in all night. I eventually got up and looked around the mess I had made. Scattered all over the floor were art supplies, sketches, notebooks and I had various medical books open in front of me. I couldn't remember how much studying I got last night so that meant I have to re-read them again. "Later," I muttered. It was only a little after nine in the morning so I have enough time to finish everything before immersing myself in this again. I decided to take a quick shower to help ease my sore muscles. After that somewhat relaxing shower, I shut the water off and stumbled back to my room, putting on the most comfortable clothes from my closet. I think it's Harry's shirt because of the holes in it and I do not own any band shirts. And judging by the massive KISS printed in front, it's his. I went to the kitchen to start up the percolator and noticed the half-eaten sandwich that was starting to spoil on the table. The coffee pot made a noise and I walked over to make myself some. As I took a sip, I thought about my plan for today. The only thing left for me to do was the muscular system visuals then it's all readings for me. Thinking about the pending work made my shoulders slump. I was so tired. I have poured all of me into this study week plan to get my grades on a good start because I had the awful habit of procrastinating -- like any other college student -- but when I get spurts of motivation, I take advantage of it. It was the only way I could actually finish things. So to kind of put the impending at the back of my mind, I decided to do a bit of cleaning because my flat needed it. I started with the kitchen then the bedroom, avoiding the living room so as not to disturb the calm that had blanketed my work space. I finished everything in two hours and I guess that was enough avoiding the inevitable. I dragged myself to the living room where I sat back down on the floor and gave one last sigh to my school works but as soon as I grabbed my pencil and sketchpad, all thoughts of fatigue, dread and hopelessness vanished and once again I was immersed in a world of colour and curiosity that made me forget about reality for a couple of hours. I don't know how long it had been but somewhere between sketching the rectus femoris and the hamstring group, I felt a pang of pain in my midsection. My mind immediately thought of its place as the rectus abdominis and I was sucked back into the system. I had this thought at the edge of my mind that I was forgetting something but I brushed it off and continued to draw the last of the muscles. After a few more lines, I was finally done. I laid all of them neatly on the floor and admired them. The only thing left to do was to color them in. Knock. Knock My head snapped to the direction of my door and I stood up, hearing my bone crack in the process. Yikes. How long have I been sitting there? Another round of knocks sounded as I stalked over the door. I didn't bother looking through the peephole as I swung the door open. And there revealed a tall man wearing all black with bags on his hands. I didn't get the chance to fully inspect him before I was engulfed in a warm hug. But I didn't need to see him, though, because his familiar scent told me all I needed to know. That he was here, in the flesh and that this was real. "Hey," he whispered in my ear and pressed a kiss to my head as we both held each other. I hadn't realized how much I missed him until now. I felt my muscles relax as he held me tighter and breathed me in. He has been gone too long. "Hi," I finally said, after releasing each other and I got to get a good look at him. He was wearing his dark peacoat -- my favorite -- over his YSL shirt and some skinny jeans with his tan boots, of course. Slung over his shoulder is his leather duffel bag. He looked more broader, his hair a lot longer and more handsome than before he left for tour. Tour. Wait. "What are you doing here? You have tour." He raised an eyebrow at me and smiled amusedly. "It ended months ago, love. Don't you remember?" I smacked my head as my mind cleared up a little bit from all those terms I have managed to get stuck in my brain. "Right, right. Of course. You were in LA with Jeff." I said mostly to myself. I opened the door wider to let him in. "Why didn't you text me, though? I would have picked you up at the airport or something," I followed him to the living room where he placed his bags beside the couch where my things were still strewn across the floor. He spun around and laughed at me, "or I could've cleaned in here to make the place more presentable." Harry gestured for us to move our conversation to the kitchen. "I don't mind the clutter, it's nice to see you actually study plus I did text you." "You did?" Now that I think of it, I haven't checked my phone for days. I silently followed him again and as soon as I stepped into the kitchen, I was blinded by the fluorescent. "Jesus, (Y/N)," Harry muttered and grabbed both my shoulders. I looked up at him, confused but he just stared at me. His eyes flitted between my own, a crease had formed in the middle of his forhead, and his lips were pressed into a tight line. "When was the last time you slept?" I rolled my eyes at him. "I just woke up a couple hours ago, Harry." "Are you sure?" I nodded at him. "How about the last time you ate?" I was going to roll my eyes at him again but I stopped and really thought about it. Harry's hands left my shoulders and wound them across his chest when I was taking too long to answer as if proving a point. If I remember correctly, when I woke up this morning I had coffee but that was it. "Uh, I had coffee for breakfast." "Breakfast?" He looked at me incredulously. Not this again. I am in no mood to have this conversation with him. I am overly tired and as if the universe was suddenly against me, my stomach grumbled reminding me I still haven't had lunch. "If it makes you feel any better, we can go grab lunch now." I offered. "It's too late for that now, isn't it?" He scoffed. Seriously, what the hell is his problem? Sure I missed a meal, it's not like we couldn't grab one right now. And here I am volunteering to eat and yet he's still mad at me. What on earth does he want me to do? I can feel the slight irritation crawling on my skin at the tone of his voice. "What?" I asked through gritted teeth. "Look out the window." I looked to my right expecting to see something significant but all I could see was pitch black, I could barely see over my backyard. What was I supposed to be looking at exactly? Everything is dark. Then it hit me. Dark. That meant the stars were out and possibly the moon. Night. It was already night time. It was too late for lunch. I glanced back at Harry and grabbed for his wrist where a gold watch was strapped. The tiny clock read 11:45pm. It was almost midnight. It was too late for dinner too. Wow. Time flew by without me noticing. A lot of things seemed to slip my mind lately. "Baby, are you okay?" Harry's voice broke through my thoughts. He was now holding my face, his expression soft and his previous anger was replaced with worry. "You're shaking," on cue, my senses returned to me and I could feel my body was indeed shaking. "I--" I didn't know what to say. I suddenly felt dizzy and I could feel my body go limp, my knees weakening. "Woah," Harry immediately caught me, wrapping both arms around my waist before I hit the ground. He half-carried me over to the bar stool and sat me there. My head lolled forward, landing on his shoulder. "Love, talk to me. What's wrong?" I blinked a few times and tried to assess myself. I pulled away from Harry's shoulder weakly and tried to hold it there as I attempted to speak. He snaked a hand to my cheek where I leaned in for support. "I think I'm h-having hypoglycemia... you know... when... blood sugar is low because of..." I paused, my head spinning. "... and I think I'm dehydrated." I furrowed my eyebrows at him. I squinted as my vision became a little bit blurry. I tried to make out his face, his eyes. His eyes that were once so vibrant and full of life was now dull and full of worry. Because of me. Because of my carelessness. "Do I need to bring you to the hospital?" "No, no," I shook my head weakly and winced as the world tipped slightly. "There's a juice box in the fridge, I think, and I also think there's a chocolate bar, too." He looked like he was going to protest about my food choices, probably going to say it wasn't healthy or some shit so I quickly added, "I need those, first, Harry. Don't fight me on this one." And with that, he gently positioned me to lean on the table as he went to the fridge and got what I asked him. He popped the straw in the box and placed it on my lips. I reluctantly took a sip and was grateful for the liquid as it entered my system but all too soon, it was pulled away from me and was replaced by a bar of Snickers. I took one bite and took my time chewing it. It really bewilders me how I didn't realize how much time I was spending in my studies so I came to the conclusion that: College is toxic. Harry waved the candy bar in front of me again but I shook my head to say that I only needed a bite. He pushed back the juice box towards me as he put the chocolate in the fridge and grabbed a water bottle before closing the door. "How are you feeling?" He asked. I only shrugged in response because I didn't know if the food had worked its magic on me yet. I brought my hand up to see if I was shaking and still, I was. I sighed to myself and held the juice box between my hands, no longer feeling like drinking it. Harry had his massive hands on my back, rubbing smooth circles on it. The next few minutes were spent in silence, me sipping here and there, and Harry never ceasing his gentle gestures. He patiently stayed by my side humming things that came to his mind. "I'm sorry," I finally said after deciding that I was okay now. Harry snapped his head to my direction with furrowed eyebrows. Oh, how I want those lines to go away. "I'm sorry I forgot to eat. I didn't mean to. I'm sorry for getting mad at you, I was just really stressed. I know that's not an excuse but--" I was cut off by Harry engulfing me in a tight warm hug. "Shh, are you okay?" Were the first words that flew out of his mouth. He was so kind and it made me feel more guilty than I already am. "What matters is that you're fine now and that I'm here to take care of you." He kissed my head before pulling away and looking into my eyes. "You're okay now, right?" I nodded. "Do you still want to get some dinner or midnight snack?" I smiled at him. "No, let's stay here. I'll cook us something to eat." And finally, the dimple that I adored so much, made its appearance on his cheek. To be honest, I was really glad he didn't want to go out because I still felt weak and I didn't trust myself to walk, let alone stand up. "Do you wanna go up to your bed?" I shook my head. "I like watching you cook." And with that he stood up and started grabbing everything he needed, not before planting another kiss on my forehead. I momentarily forgot about the school works that were silently calling for my attention from the living room. I'm too tired to go back and face them again, so I let my mind wander over to the curly haired boy in my kitchen who was shaking his bum and dancing to a tune only he could hear. I laughed at him and settled further into my seat with only one thought in my mind: I deserve this little break but I would probably regret this tomorrow.
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"Being strong"
(I’ve been waiting a while for this one…)
So, about 11 months ago I decided to walk out of the life of a person I call “Virgo♍” or “My Virgo♍” its also around the time I decided to let everything out, I told my mother about everything I’d ever thought about her. Now before that, I’d like to add that my mother had never been a good mother, not even a respectable one, she gave me up to my grandmother when I was 1, all because the man I’m supposed to call my “father” walked out on her after telling her to either abort me or have me as a single mother. After I was given up to my grandmother, my “father” came back and hooked up with my mother, they created my 2 beautiful sisters, 3 and 4 years younger than me. As a kid, I’d always begged my mother to be with her, I’d always wanted to know her, but she would always answer with “I’ve got no room for garbage.” As the years passed, the insults on her part became worse, she’d never allow me a chance to know her, never seemed at all interested in me, I grew hatred for her, respect was never something present in my life towards her, she was nothing but a stain in my messed up life.
When I turned 8, she allowed me the chance to live with her, only catch was, it had to be in the US, away from my grandmother, I, like the idiot I was, accepted. 4 years I spent with this devil of a woman, 4 miserable years, it was hell, I wasn’t allowed anything, no friends, no help with school work, no fun whatsoever, I was to be quiet at all times and never question her “authority”, this started backfiring real soon. I developed an even deeper hatred for her, everyday I’d pray to God to take her in the most distasteful ways, that never came to be. At the age of 12 we moved back to my old island, I immediately went to my grandmother, whom I hadn’t heard anything from in 4 years, I did everything to stay with her, but in the end, I ended up living with mom, so my hell continued. I started getting into fights at school, long before I’d moved back to my island, I developed a habit of having partners I really didn’t feel much for.
(did that till I was 17, but that’s for another day.)
I started getting physical with mom on most occasions, whenever I received ANY type of criticism, I’d respond with “you want something done your way, you do it yourself”, it went from that to pushing her against the wall when she tried to put her hands on me, putting my hands around her neck, I got so fed up, I really didn’t care whether I was hitting a woman or not. By the age of 15, I had put hands on my mother a good 15 times, maybe more, it goes without saying that I was thrown out every one of those times, grandma was always there though. 17 was when I met my father, horrible man with nothing but bad wishes for all, I still don’t see him as my “dad” I like to think my “dad” died the moment he gave my mother an ultimatum about my life.
(I don’t fell like writing about that experience again, just scroll down and you’ll eventually find a post with the story.)
So when I return to my old island, I break things off with “little miss Colombian” (also mentioned in the same experience) and meet someone new, Virgo♍. I grew attached to her quickly, because she came at a point of my life where I was looking at suicide as the only possible way and she changed that without even knowing it. Now me and Virgo♍ were as close as close can be, I still think we are, we were together for about a year and 9 months, happiest time of my life, sadly, things ended, my heart was broken, but again, in the past, don’t care for writing about that now. Instead of leaving things as they were, I decided to try and get her back, it was cruel and unsuccessful and in the end, on October of last year, I decided to walk away from her, leaving her with her problems to herself, the problem with this move was that I only did it because I had began realizing I was toxic for her and that she needed to grow, for that, I needed to be out of the picture. The same day I did that, I went home, angry at what I’d done, but even more angrier at the fact that I had given up so easily. Little things set me off, anything set me off that day actually and it was all made worse when mom came back from work. That day, I hadn’t eaten, I went to her school, told her I was leaving completely, both from her life and from my island and upon arriving home I locked myself in my room and waited to fall asleep, mom got home and started interrogating me;
“did you eat?” “why were you at Virgo’s school today?” “Why haven’t you been out of here since you got back.”
(I suffer from hypoglycemia and often forget to eat, so the first question, as stupid as it seems, is always necessary.)
When she walked in, I was crying and as soon a I heard her nagging voice, I snapped. I got up from my bed and held her by the collar of her work shirt. I bit my lips, as an avalanche of words began trying to escape me, words I knew would hurt her and they did. I still remember what I said, word for word…
“I hate you… I’ve always hated you, from the moment I realized what a bitch you are, you have no idea how many times I wanted to snap your neck with my own hands, how many times I wanted to stab you in the heart, how many times I wanted to see you bleed out and laugh at you as you slowly left this world. You call yourself a mother, YOU! You ain’t a mother, you’re a slut that got pregnant at 16, was left by her spouse and threw her child away as a result, I could care less about what kind of “trauma” you went through, whether it was his leaving that forced you to become the bitch you are today or something totally different, you gave me away, like if I was a lifeless object, I’M NOT DAMN OBJECT, I’M A FUCKING HUMAN BEING, I FUCKING FEEL EVERYTHING YOU THROW AT ME, MY HEART AIN’T MADE OF STONE… I just want to be loved, I want someone to hold me, to tell me everything’s gonna be OK, I want someone to really mean it when they say they’ll never leave me, that they’ll never stop loving me, I DESERVE THAT MUCH, AFTER ALL THE SHIT I’VE BEEN PUT THROUGH, THAT MUCH I DESERVE! Why is that so hard to ask for… Why is it that when I find someone who actually makes me feel loved, they leave, why is it that my own mother could care less whether I live or die, why is it that my life has been an endless cycle of hatred, an endless cycle of loneliness… Would the world just be better if I disappeared? If I’d stopped existing… WHY WONT ANYONE LOVE ME DAMMIT!!!“
… I broke down then and there, on my mother’s shoulder and as I slowly fell to my knees and cried like I’d never cried before, for the first time ever, I felt her embrace… I felt the warm, loving hug of my mother… That broke me even more, I curled myself up, pathetically, a 19 year old, curled up at his mother’s side, crying like he’d never cried before, just letting out ALL THOSE PENT UP FEELING I’ve held throughout my life. From that day on, I made a mends with my mom, I forgave her, for everything, I broke my grudge for her and accepted that living with hatred, was never gonna get me anywhere. While at it, I forgave everyone, my father, the people who called themselves my friends, those people who cheated me, Virgo♍, but the most satisfying of all… My mom… After all that, I decided a change was in order, I decided I no longer gave a fuck, I don’t care about what people say/think of me, don’t care if I’m cheated, don’t care if I’m liked or not. I started forming a new relationship with my mom, I can’t really say I love her yet, but I totally tolerate and respect her now, living without hate, without jealousy, without that constant fear of not being loved… It feels good.
( I forgot to fit the title in with the context😅. It’s good to be strong, but people make it seem like being strong is holding all their feelings in and living with whatever it causes them, whether its pain or despair, this is wrong, being strong is knowing its time to stop bottling up your feelings and talking about them to someone, whether you have bad feelings for someone of something, its important to let your feelings be known, don’t live with the pain inside, let it out, be strong in a way that doesn’t cause you suffering.)
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Can You Overdose On Vitamin C

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Senior editor Alex Beggs OD-ed on Vitamin C for the sake of science … I could …
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Vitamin C. Infection-fighting prowess is often attributed to vitamin C, as well. From orange-flavored chewables to Emergen-C packets, mega-doses of vitamin C are …
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But do we really need all these pills and can we be harming … idea that this will keep you well. "The scientific evidence is pretty clear that in the absence of a diagnosed deficiency, long-term use of vitamin and mineral supplements have …
Too much vitamin C or zinc could cause nausea, diarrhea, and stomach cramps. Too much selenium could lead to hair loss, gastrointestinal …
Vitamin C Overdose. Signs of a Vitamin C Overdose. Although it might be hard to believe, vitamin c overdose can be a serious illness to deal with. The people most at risk for this type of vitamin overdose are ones who consume vitamin c supplements on a …

Vitamin C is a water-soluble vitamin that is found in many fruits and vegetables. Vitamin C plays an important role in collagen formation, and it also functions as an antioxidant, boosting the immune system. Although you need to consume vitamin C every day, too much can be toxic.
While some supplements can be beneficial to your health, both Cording and Hensrud warn that it’s possible to take too many vitamins — and the fallout of that overdose depends on what kind of vitamins you take. Many water-soluble …
Myth: You can’t overdose on vitamins. Reality … excess vitamin B6 can cause nerve damage; and too much vitamin C can turn the famous antioxidant into a pro-oxidant (which damages body cells), not to mention the diarrhea. 4. Myth: …
Minor Symptoms of Vitamin C Overdose. Vitamin C Overdose can take form in a number of ways. If you are currently taking Vitamin C, and notice any of the following symptoms, decrease your dosage immediately, as these are all minor signs of a small Vitamin C Overdose: Nausea. Strong smelling Urine. Mouth ulcers.
For instance, despite the hype, a megadose of vitamin C will not prevent a cold. In fact, if you consistently take too much, you can actually overdose on vitamins and have a dangerous reaction to some. That said, there are instances when …
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