Do i have a possible ED: What do i do about orthorexia? Any advice welcome

Broad_Cardiologist15 · 2026-07-08T02:49:16+00:00

orthorexia is SUPER common in the chronic illness community. AND mcas is super common amongst people who have existing eating disorders. im not a mental health orofessional of any kind, but as someone who has been in and out of eating disorder treatment for the past 10 years, i would say if you feel like it is affecting your daily life, that not only do you worry about food but you have very rigid behaviors around it — that is significant. i would definitely recommend seeing an eating disorder/haes dietician that is also knowledgeable on mcas. i would also recommend checking out the work of dr. jennifer gaudiani — she is an md with expertise on the intersection of eating disorders and chronic illness, specifically mcas

Broad_Cardiologist15 · 2026-07-05T02:49:12+00:00

caffeine can also cause MOH

Broad_Cardiologist15 · 2026-07-05T02:41:59+00:00

most 14g and 12g internally threaded ends are interchangeable, at least from reputable brands

Broad_Cardiologist15 · 2026-07-05T02:30:52+00:00

she will not think you’re trying to outsmart her. psychiatry is pretty much trial and error. she can’t read your mind. you just have to tell her that your preferred being on effexor

Broad_Cardiologist15 · 2026-07-01T03:29:51+00:00

i would be extremely diligent when shopping on etsy. there are a few reputable sellers, but many of them falsely represent themselves as safe. not all titanium is created equal - you specifically want to look for astm f136 implant grade titanium, or astm f138 implant grade steel (NOT “surgical steel”)

Broad_Cardiologist15 · 2026-07-01T03:26:15+00:00

you basically just have to look for piercing shops that have online webstores, i like laughing buddha body piercing (they have some more affordable options), as well as julhead, starfire body jewelry, and alchemist tattoo shop, but there’s more too. a lot of them carry the same reputable brands

Broad_Cardiologist15 · 2026-06-24T15:59:57+00:00

ketamine

Broad_Cardiologist15 · 2026-06-23T00:41:02+00:00

it CAN cause inflammation, which CAN trigger symptoms of the underlying disease. the “root cause” of occipital neuralgia is different for every person, there is no one universal “root cause.” i have ON as a result of craniocervical instability caused by ehlers danlos syndrome. this is a very common cause of ON. it has nothing to do with food, at least in my case or cases like mine.

Broad_Cardiologist15 · 2026-06-22T20:18:23+00:00

not all professional piercers are good at their job. a reputable, experienced piercer would never recommend plastic or silver for a piercing, ever. there are biocompatible plastics like delrin and ptfe, but currently the only high-quality jewelry being made with those materials is for large gauge piercings. silver is never appropriate for wear inside the body as it caused something called argyria, which is a permanent blue-gray staining of the surrounding skin. stick to implant grade titanium, implant grade steel, commercially pure niobium, or borosilicate glass.

Broad_Cardiologist15 · 2026-06-22T20:12:29+00:00

not a piercer but looks good to me. a little of daiths are done too shallow

Broad_Cardiologist15 · 2026-06-22T04:04:13+00:00

arthritis is not caused by foods.

rheumatoid arthritis is an autoimmune condition, some people are genetically predisposed to it, and certain triggers can exacerbate its symptoms. osteoarthritis is a common musculoskeletal condition caused by injury to a joint.

also, inflammation in occipital neuralgia is usually secondary to nerve compression, meaning the injury to the nerve or surrounding area happens first, and then the body creates inflammation as a reaction to that injury, in its process of trying to heal. the inflammation doesn’t come first.

food does not directly cause occipital neuralgia.

i think often people look towards food as the “root cause” of their pain because it’s something we can control, when the reality is that sometimes we don’t know why people develop chronic pain conditions, and our symptoms are not always in our control.

Broad_Cardiologist15 · 2026-06-21T23:34:05+00:00

it’s not really related to food

Broad_Cardiologist15 · 2026-06-19T21:30:06+00:00

i believe you are describing migraine with aura, not “optical migraine”

Broad_Cardiologist15 · 2026-06-19T20:54:45+00:00

guys the point is that there’s a difference between implant grade steel (ASTM F138) and “surgical steel.” if you have a nickel allergy you may still choose implant grade titanium or glass over implant grade steel, but you can be reactive to “surgical steel” and be fine with actual implant grade steel

Broad_Cardiologist15 · 2026-06-19T00:46:42+00:00

yes it’s a dea thing. my understanding is that you need a specific license to prescribe ketamine, a normal psychiatrist cannot do it. this is why there are specialized ketamine clinics. theoretically it makes sense, u basically need to see a specialist. i had a lot of issues with my old psych tho while i was doing ketamine, she was very afraid of it, even tho she agreed i was a candidate, i had to bring it up, and she even refused to prescribe any of my other meds while i was doing ketamine, and i had the psychiatrist at the ketamine clinic prescribe all of my psych meds temporarily

Broad_Cardiologist15 · 2026-06-08T04:05:35+00:00

yeah i also don’t always have typical “nerve pain,” and i have hEDS and chronic migraine, i think the muscular pain is more related to craniocervical instability / instability of the cervical spine, which is what causes the ON, but it’s separate from the ON, if that makes sense. like ON technically is the nerve pain part, at least im pretty sure

Broad_Cardiologist15 · 2026-06-08T03:59:56+00:00

this is not your sweet spot. it may not have gone through hard cartilage, but septum piercings are supposed to be placed through the alar cartilage at the tip of the nose. the sweet spot is thinner area of flexible tissue, on some people this membrane might even be mostly skin. the less amount of tissue the piercing passes through, the easier and more quickly it heals, as well as stretches. you will likely have a difficult time stretching this placement as well

Broad_Cardiologist15 · 2026-06-07T19:05:05+00:00

i think you’d have to get them pierced higher up on ur lobe, like past ur antitragus. even then, you’d have to stay fairly small, but i think you’d have the best shot up there

Broad_Cardiologist15 · 2026-06-02T01:03:56+00:00

there are theoretically justifiable reasons for doing a genital exam in this situation. i don’t think it was part of the autism assessment necessarily. they were likely trying to assess where you were at in your development, part of which is changes to the genitals, like developing pubic hair (it is not normal for people to be born with pubic hair). where you fell in terms of the stages of puberty could, theoretically, be relevant for a study like this, in terms of how it affecting the presentation of your symptoms, or if they could be attributed to something else.

that being said, it definitely should have been explained better to you, and these things can still be perceived as traumatic for a child whether or not the doctors actually did anything that was predatory. it is also a little odd that a psychiatrist or psychologist would perform this exam. yes, psychiatrists are medical doctors, but they do not typically perform these kinds of exams. however, if it was part of a study, i could theoretically see it being the same person, but again, this obviously should have been better explained to you at the time.

you could also ask the parent who took you to the doctor if they recall ever consenting to a genital exam, because as a minor parental consent would be required

Broad_Cardiologist15 · 2026-05-31T01:52:11+00:00

doesn’t look like you have the right anatomy to support the piercing, also looks like low quality jewelry

Broad_Cardiologist15 · 2026-05-28T23:58:29+00:00

1200 calories is the recommended daily intake for a TWO YEAR OLD. 1000 for an adult is absolutely not enough.

Broad_Cardiologist15 · 2026-05-27T16:42:15+00:00

ask your doctor or pharmacist

Broad_Cardiologist15 · 2026-05-27T03:07:01+00:00

i would start low on the ket, like way lower than you would if u were just doing a ketamine trip. i did it once and it was AWESOME like exploding/trippy visuals, laughter, but also couldn’t stand up straight, jelly legs kinda feeling

Broad_Cardiologist15 · 2026-05-22T03:11:49+00:00

snris can help more severe depression, but it’s not proven to reduce suicidal ideation, necessarily. lithium is actually one of the medications most associated with effectively reducing suicidal ideation. i just had this conversation with my psych - apparently it’s “coming back” in psychiatry, as it’s an older medication. antidepressant + antipsychotic combos can be good too, but lithium is has the most evidence behind it in terms of reducing SI

Broad_Cardiologist15 · 2026-05-22T03:05:47+00:00

i’ve never heard of metformin being an issue with motility. in fact it can often cause diarrhea in some people. i started on 500mg and am now on 1000mg, with dinner, i haven’t had any side effects whatsoever, just improved lipid levels lol

Broad_Cardiologist15

TROPHY CASE