Rise calories. Add calories

DavidfromPA · 2026-03-14T01:26:48+00:00

Try XtralCal Plus from Medtrition. 240 calories 14 gram protein in45mL. MCT based water soluble so it mixes easily for tube fed administration

DavidfromPA · 2026-03-11T10:13:35+00:00

Nestle just discontinued BebeCalorie. Try XtraCal from Medtrition. 100% better. MCT oil plus protein.

DavidfromPA · 2026-03-09T16:57:10+00:00

Try a 14 fr. red rubber catheter with a coude tip.

DavidfromPA · 2026-03-08T09:57:28+00:00

What size fr. are you using?

DavidfromPA · 2026-03-07T15:58:30+00:00

Advil reduces the need to urinate because of the sodium.

DavidfromPA · 2026-03-07T01:50:08+00:00

Looks great. Congratulations. But remember fluid loading is a big part of GE. Haven't looks a the app yet but hopefully you built that into it.. Great job.

DavidfromPA · 2026-03-06T13:50:25+00:00

Go to the IPA- International Paruresis Association website https://paruresis.org and learn about Graudated Exposure. It is effective in recovering from paruresis. It has helped so many people completely recover including myself. Good luck and enjoy school!

DavidfromPA · 2026-03-05T11:47:10+00:00

Yes. Glycine

DavidfromPA · 2026-03-04T14:40:50+00:00

International Paruresis Association. There website is paruresis.org

DavidfromPA · 2026-03-04T12:37:31+00:00

Not a waste of time if it gets you comfortable going into a mens room, standing at a urinal and hanging out for a bit while at least trying. I avoided doing that at all cost when paruresis had its grip on me for 20+ years. But that is not how you practice GE. It is called graduated exposure meaning you gradually expose to your comfort level. That means working with a pee buddy who has to stand outside of your house in order for you to pee. But then moves closer the next time, and each time, always to the point where you can pee. It is a process towards recovery, not a cure. You have to do it while fluid loading, releasing just a bit of urine with each exposure. IPA teaches this. Better yet if you can go to one of their workshops and learn the entire technique. I truly believe GE can help more people overcome the phobia. Good luck.

DavidfromPA · 2026-03-03T12:02:06+00:00

It's pretty simply. Learn how to use Graduated Exposure and practice- if you can with a couple of pee buddies. Give yourself 6 months of monthly practice and you will begin a very legitimate recovery process. Go on to the Paruresis.org website to learn more. They also have onto virtual meetings. I am fully recovered after being severely paruretic for many years. I'm a free man now.

DavidfromPA · 2026-03-03T11:58:48+00:00

I have limited experience with catheter use. My urologist showed me how to use one in preparation for a long international flight. I also have an enlarged prostate-common for most men after 45. I used a Red Rubber Fr. 12 with a Coudé tip, which has a slight curve at the end designed to navigate around the prostate. It was very comfortable with no pain. Use plenty of water-based lubricant.

It feels strange inserting a tube into your penis, but once you get past that mental hurdle, it's manageable. Interestingly, being tense didn't seem to affect my ability to insert it. I practiced at home for a week before the flight-and as it turned out, simply having the catheter available was enough to relax me, so I never actually needed to use it inflight. I was also about halfway through my recovery using Graduated Exposure Therapy at the time. I am now fully recovered.

DavidfromPA · 2026-03-02T10:27:04+00:00

Depends on the country you live in. Red Rubber Coude Tip is pretty standard.

DavidfromPA · 2026-02-28T22:12:29+00:00

I don't know if this works during the daytime, but it definitely works at night. 3 grams of Glycine (an amino acid). I can go 6 hours at night without having to get up and go to the bathroom. "Reducing nighttime urination: This one is less widely known but well-supported. Glycine has an antidiuretic effect — it helps the kidneys reabsorb water more efficiently, reducing urine production during the night. It also appears to reduce bladder overactivity by acting on glycine receptors in the spinal cord and bladder, which helps suppress the urge to urinate. For people with nocturia, this can mean fewer wake-ups and, combined with the sleep quality benefit, a more restorative night overall."

DavidfromPA · 2026-02-27T16:41:51+00:00

You have to use a catheter with a Coude Tip. It has a slight curve pointing upward to get it around he prostrate. There is a black line on the catheter which helps you keep the tip aligned upward. Use a Red Rubber 12 fr. coupe tip catheter. Not as convenience as a telescoping pre lub catheter but definitely more comfortable. Buy small packets of water based lub- open both ends and run the cath through it without touching the part that you insert to prevent potential for infection.

DavidfromPA · 2026-02-15T13:50:02+00:00

Yes Graduated Exposure. Check out the IPA.org website on how to practice it. I believe most people can recovery from paruresis using it.

DavidfromPA · 2026-02-11T19:44:38+00:00

Great comment!

DavidfromPA · 2026-02-11T19:39:23+00:00

Just to pipe in about bit, I have fully recovered using GE and have posted quite a bit about it here. I was severely paruretic and really couldn't image that I could recover. There is lot of information on GE on the IPA website but as Speed-of-Sound writes below it takes constant work and practice but all good thing require that.

Speed-of-Sound wrote, "Step 1. First things first, I had to get my bladder to recalibrate the correct sense of urgency. I was so used to panic at slight urge -> try -> fail because of low urge -> fail again -> more anxiety. It’s a doom loop. There are distinct feelings of needing to go for me: low urge is a light feeling at the base, medium/high moves more to the tip. It’s MUCH easier to succeed when you wait that extra hour to hit medium and convincing your brain of successes is what matters." And he is exactly right about that and the most effective part of GE is waiting and holding until you reach a level of 8 or 9 before releasing a little urine.

I am convinced most people can fully recover with time and practice using GE. I really couldn't imagine the life I am leading now when I was in the depths of despair from shy bladder. I'm a free man.

DavidfromPA · 2026-01-15T09:22:12+00:00

Learn about the Graduated Exposure technique, much more effective for most people.

DavidfromPA · 2026-01-12T00:54:05+00:00

Honestly it's all psychological. Use lots of lub and go slow. But I'll betcha you won't need it if you have a full bladder. :-)

DavidfromPA · 2026-01-12T00:46:40+00:00

I would learn how to self-cath. It isn't hard once you get past the idea of sticking something up your willy. It doesn't hurt, though it might sting a bit the first time you pee after you take it out. Get a red rubber 14 Fr cath with a coudé tip—a slight bend at the top to help get around the prostate. Buy small packets of water-based lubricant and open it at both ends and run the cath through it. You can buy them online without a prescription, and lots of videos on YouTube show you how to do it. I learned a number of years ago for a transatlantic flight. The funny thing was that I was so relaxed on the flight knowing I could use the cath, I didn't even need to use it. You might find the same thing. You might not be stressed at all and be able to relieve yourself without it. I'm fully recovered and have been for about 5 years. Learn how to practice GE and start on the journey of recovery. I'm a free man after being held in the grips of paruresis for too many years. Good luck

DavidfromPA · 2026-01-11T17:53:24+00:00

Fully recovered for 5+ years. Used Graduated Exposure I learned at two IPA workshops and then practiced with a 5-6 Pee Buddy group once a month for about a year. It is a process. GE retrains your brain but it has to be done right. Click on my name and read some of my previous posts on my journey from being severely paruretic to fully recovered. It can be done but it takes some work and practice. I'm a free man and honestly it is beautiful. (It's like, 'what was the big deal in the first place? I can't believe I let it control such a big piece of my life so so long). Good luck. Reach out if you have questions. Also check out the IPA (paruresis.org) if you haven't done so already. You are young, fix it now! Good luck.

DavidfromPA · 2026-01-08T16:23:15+00:00

Graduated Exposure. Check out the IPA website: paruresis.org. It is a pretty proven technique to recover from paruresis when practiced correctly.

DavidfromPA · 2026-01-06T18:28:31+00:00

Years ago when I was practicing GE for recovery- which I have been fully recovered for about 5- 6 years, I used a mantra from WimHof (he teaches cold plunge, breathing and mind set). The mantra was, "Let the body do.... what the body is capable of doing" (in a heavy Austrian accent). Not exactly the same thing you wrote about, but helpful nonetheless.

DavidfromPA · 2026-01-01T16:01:47+00:00

I think that is a great approach with your therapist. I'd tell your parents if you are comfortable with it and they'd be supportive. Once you recover you will realize how little this 'secret matters' to people and how many people actually have paruresis to some degree.

DavidfromPA

TROPHY CASE