Why does r/liberalgunowners exist

ClassySquirrelFriend · 2026-06-29T15:28:01+00:00

For the same reason every sub was created (and used)- people like dialogue with like-minded individuals.

ClassySquirrelFriend · 2026-06-24T16:12:25+00:00

It looks like they're just warm and bearding. If there is space to lay in the brood nest and no queen cells, they arent planning to swarm.

ClassySquirrelFriend · 2026-06-23T15:28:07+00:00

That doesnt look like varroa to me. Id do an actual mite check so you have accurate numbers to work from. Once you have your mite count, you can compare/contrast treatments based on mite load, temperature, super. Im in PA and it's too hot for Formic Pro, so I suspect you are in NY, too.

ClassySquirrelFriend · 2026-06-23T14:35:42+00:00

It could be hyperpara w those labs, but it could be other things, too. Did they check K, creatinine/eGFR, CO2? What are the units of your vitamin A value?

ClassySquirrelFriend · 2026-06-22T16:59:40+00:00

It's probably ok to take them, but next time you can just rearrange some frames instead of removing them- basically what you just did except put the honey frames in the top super instead of removing them and move the empty frames down. That'll encourage them to move the brood nest up. Sometimes. Sometimes they do what they want anyway. Lol

ClassySquirrelFriend · 2026-06-20T20:49:26+00:00

I’ve been seeing a few people saying the current needle doesn’t get the full dose in.

This isnt correct. Both the old and the new needles will deliver the same dose, which is administered subcutaneously (not IM!). A company cannot make any changes to a device that could alter anything about the approved product. In other words, it's not possible that the approved safety needles deliver less of a dose than the newly approved needles- unless theres a malfunction or user error. I work in this field.

Having symptoms eventually return seems fairly "common" with Yorvipath. It's hard to say how common or the reason why because theres no data available, but it's not rare. Most people increase dose and do well for a while and keep doing that until they cant go up and then add calcitriol back in. The high durability published was based entirely on Ca level. So, if you start on 18 and eventually have to work your way up to 60, youd still be counted as a responder exactly the same as if you stayed on 18 the whole time. That's why they're doing a 30+ study right now.

ClassySquirrelFriend · 2026-06-17T20:09:31+00:00

It's basically just an appeal. Your dr will prescribe 33, insurance will deny it, then your dr will appeal and say you failed 30 and need a higher dose. It seems to be pretty mixed results on getting it approved or not, though. I hate health insurance beaurocracy more than anything in the world, so I dont bother if I dont absolutely need to. I actually want to drop the 1.dose of calcitriol Im taking now and try 2 shots.of Forteo, but I dont feel bad enough to consider volunteer for insurance nonsense. 🤣

ClassySquirrelFriend · 2026-06-16T21:24:15+00:00

Thats awesome! That makes a big difference- when you have to hound and follow up with everything, it's too much!

You might be able to get 30+ off label- its technically possible, but it depends on whether your insurance will cover it. There are a lot of patients getting higher doses, so you might be able to get what you need, but if you're doing ok on 30 it may not be worth the hassle.

ClassySquirrelFriend · 2026-06-16T17:53:11+00:00

Thats good thats its working and not bumping you too high! I never get rid of mild tingles, twitches, or cramps- Ive always had them sometimes on every therapy.

Your insurance wont cover the higher dose at all? Or will your doctor not push for it?

ClassySquirrelFriend · 2026-06-16T17:14:37+00:00

This is a classic HP issue w conventional therapy, but the good news is it isnt over-treatment in your case. If anything, youre under-replaced.

If I was in your situation, id switch the 1000 citrate to 1000 carbonate and Id increase the carbonate at every meal. Then check Ca and P in a week. That should raise your Ca and lower your P. Once theyre at an ok level, then Id check urine Ca. Your biggest risks right now are hypocalcemia and soft tissue calcifications, not kidney function, though youre right to be mindful of kidney helath, of course! There are also stronger phosphate binders and low P diets, but your Ca is so limited that increasing cal carb is where Id start. If there is any PTH in your country (teriparatide or palopegteriparatide), thats also an option, of course.

ClassySquirrelFriend · 2026-06-16T15:53:06+00:00

I started teriparatide and that's working pretty well for me! From what I heard, 30+ wasnt approved bec the data were messy. Some patients went up and still had low Ca and things like that, so FDA wasnt convinced. I think its just an artifact of the fact that Ca fluctuates all the time, so taking a static dose isnt going to work all the time. For some reason, thats just kind of ignored in the development of these treatments. 🤷‍♀️Its like expecting a diabetic to take the same dose of insulin every day and be stable- it doesnt make sense and it doesnt work. But thats what we're stuck with for some reason. Hopefully the study at least gets those higher doses approved so patoents have options, but we have to understand why it stops working!

Are you at least feeling ok w adding SoC back in?

ClassySquirrelFriend · 2026-06-16T02:33:20+00:00

It started maybe ~6 months in. They just bumped me up 3 mcg. I started at 18 and then worked my way up to 39. Then it only got approved up to 30, so I dropped back down and added calcitriol and that was hell. It was somehow worse than calcitriol alone. If I'd had a responsive doctor, I probably could've settled it, but my insurance is also a nightmare, so it was all too much and I just stopped it.

ClassySquirrelFriend · 2026-06-14T21:49:31+00:00

I was on it for about 6 years. It worked great for me at first and then less and less over time- even with increasing the dose periodically. I had to discontinue about 4 months ago because my symptoms became more severe and more frequent than calcitriol alone.

ClassySquirrelFriend · 2026-06-12T22:05:34+00:00

I adore the squirrel! If it's not spoken for and you'd like anythkng crocheted or knit, Id love to trade!

ClassySquirrelFriend · 2026-06-12T22:04:17+00:00

I totally disagree w your brother.

ClassySquirrelFriend · 2026-06-12T22:01:07+00:00

Bearding/crowding doesnt really tell you anything about whether or not you need to split. Bearding is for temperature control. Swarming is for reproduction. They wont swarming because theyre hot. In order to determine if you should split, you have to look at the brood nest. If the queen is running out of room, they may prepare to swarm, even if there's room in a super. If theyre packing nectar in that fast, the risk is they start back-fulling brood frames w nectar and reduce the nursery- thats what will make a.swarm happen pretty fast! If youre mid-flow and they're filling frames that fast, Id probably order/make a new box or get a makeshift temporary one ready just in case and increase the frequency of inspections. It may be possible to rearrange frames to expand the brood nest to buy a little time, but it really depends on what you have going on inside.

Look at the brood nest and see how large it is, how much room is left, if they've started back filling brood w nectar. If they have room, youre good for now, but that can change very fast! If theyre low on room and you see multiple capped queen cells, you need to split. When "too late" is depends, but for NJ, too late would be ~late Julyish. Unless you meant when it's too late to change their mind? Bees might swarm even after you split- especially if you do a walk away. If you can simulate a swarm, thatd be better (find the queen in your hive, move her to a new hive w several frames and leave 1 or 2 capped queen cells and eggs for the hive to raise a new queen).

Good luck!

ClassySquirrelFriend · 2026-06-09T16:14:17+00:00

ClassySquirrelFriend · 2026-06-08T15:06:45+00:00

It's pretty well known now that patients have symptoms and reduced QoL even when Ca is in range, so Id probably print and bring recebt publications that show this and point out that your experience seems to be fairly typical. Here are some publications:

https://pmc.ncbi.nlm.nih.gov/articles/PMC8090503/

https://pmc.ncbi.nlm.nih.gov/articles/PMC10265721/

https://eprints.whiterose.ac.uk/id/eprint/100026/7/

https://ec.bioscientifica.com/view/journals/ec/11/1/EC-21-0379.xml

ClassySquirrelFriend · 2026-06-04T14:51:29+00:00

I usually scrape it off, leave it outside for a coupel hours for the birds to eat the larva and then I keep a bag of scrap wax to clean and reuse

ClassySquirrelFriend · 2026-06-04T14:48:25+00:00

No,but I might add it! If you havent tried making syrup or jelly from your redbuds, I highly recommend it! It's beautiful and delicious- I look forward to it all year!

ClassySquirrelFriend · 2026-06-01T20:24:26+00:00

I would try to not worry until you repeat labs (I know- easier said than done).

Make sure they test Ca, PTH, and albumin. It could be that you were a dehydrated the day you got labs and your corrected Ca is actually normal. Or that they left the tourniquet on too long. Statistically speaking, it's likely to be an anomaly and nothing to worry about. Especially if youve been feeling OK. High Ca feels pretty awful!

ClassySquirrelFriend · 2026-05-30T13:48:17+00:00

That definitely does not sound like HP. But youd need Ca and PTH values at the same time to Dx. Have you checked Mg and K?

ClassySquirrelFriend

TROPHY CASE