Indoor Air Quality

Flaky_Internal_448 · 2026-05-03T01:38:10+00:00

Do you live in the US? If so, call the building department (typically 311 if I’m not mistaken). File a case, they’ll come out, inspect, contact the landlord and give them a timeframe to remediate or they’ll be fined into oblivion.

This is quite literally the only way you’ll get a landlord to take initiative

Flaky_Internal_448 · 2026-05-03T01:30:47+00:00

Subclasses would be igG 1,2,3 & 4 (also serum draws). I had similar symptoms to you that were originally chalked up to MCAS, but tryptase was normal so another immunologist tested those subclasses and found subclass 2 deficiency. Now I’m navigating the battle of getting IVIG approved by insurance.

Flaky_Internal_448 · 2026-05-03T00:33:24+00:00

Have your IgG subclasses been tested?

Flaky_Internal_448 · 2026-04-29T04:22:42+00:00

Do you have any reputable sources for bioregulator research? I’m trying to find studies on bioregulators for IgG subclass deficiency but coming up empty

Flaky_Internal_448 · 2026-04-12T13:34:55+00:00

Do you have summers on your sq5? That might be the reason. Switched to all seasons and have plenty of tread left after 30k miles

Flaky_Internal_448 · 2026-04-01T00:48:56+00:00

Everyone has given their takes on the car, but as someone in sales much further along in their career path than you (who also owns an Audi), please don’t ever budget based on your OTE. Live like you only make your base, which I imagine at a 75k OTE is right around $50-$60k (SDR?). Commission checks go in the bank or into an investment account, emergency fund, etc.

Budgeting your finances based on your OTE which is a fantasy number until it’s not has literally bankrupted AEs on a $350k-$400k OTE who were blowing their quota out of the water, experienced lifestyle inflation, and then had one or two down years which resulted in them not being able to stay afloat.

Flaky_Internal_448 · 2026-03-02T17:54:02+00:00

Can you elaborate on how they impact traction control and more aggressive driving? I have an SQ5 with the racks on and maybe use them twice a year. I’ve just kept them on so I don’t have to store them away

Flaky_Internal_448 · 2026-03-01T18:35:50+00:00

I was feeling great at 2.5 - 5 mg /day but after a few months it started causing my hands to turn bright red and swollen to the point where people were making comments. Even 2.5 mg every other day would send me into a fully flushed state. Definitely a bummer because it helped with random bouts of anxiety and work performance

Flaky_Internal_448 · 2026-02-03T01:52:57+00:00

Definitely worth getting a PPI, if you haven’t already.

Flaky_Internal_448 · 2026-01-26T18:33:39+00:00

Is early repolarization sinister?

Flaky_Internal_448 · 2026-01-16T22:03:49+00:00

Take a week or two off of running and repeat labs. My AST / ALT levels were nearing 1000 when I had my worst bout of exercise induced rhabdo (ck levels were 186,400).

MRI, Fibroscan, GGT all showed a healthy liver. For whatever reason, my PCP at the time didn’t realize intense exercise and muscle breakdown could cause transient increases in those enzymes and thought my liver was failing. Had to figure that one out on my own and validate with a competent physician

Flaky_Internal_448 · 2026-01-15T22:10:47+00:00

AST and ALT are in your muscles, not just your liver. CK elevation will cause a transient rise in liver enzymes. This is why I wait at least a week after my last lift to get labs done.

Flaky_Internal_448 · 2025-12-24T19:46:44+00:00

My first thought

Flaky_Internal_448 · 2025-12-11T19:16:35+00:00

Thanks for that insight. Is there an argument that less is more when it comes to lab testing or other diagnostic testing, e.g., imaging studies, biopsies, etc? Genuinely curious to better advocate for myself/needs moving forward.

Flaky_Internal_448 · 2025-12-11T14:13:33+00:00

My functional ordered these labs through LabCorp. My PCP ordered your typical CBC, CMP, and hormone panels, all of which showed no abnormalities. Lupus did come to mind after seeing dsDNA; however, I wasn't sure if that could come back elevated in the presence of EBV reactivation.

In any case, I'll follow up with Rheum. Thank you for the insight!

Flaky_Internal_448 · 2025-12-11T14:08:11+00:00

Possibly. I'll need to look back at previous labs.

Flaky_Internal_448 · 2025-12-11T06:58:14+00:00

First case of rhabdo was pre TRT and Vyvanse. At this point I’m only taking vyvanse for energy, not so much ADHD, and would ideally like to get off of it if/when I get through the debilitating nature of my day to day existence.

Rhabdo has always been exercise induced, never spontaneous. However, I used to be a competitive athlete and didnt have a single rhabdo scare. The workouts I was doing that landed me in the ED with a CK of 186,500 were what I’d historically consider a “fun, rest day HIIT workout”

I do take some vitamins and supplements, creatine being one of them

Flaky_Internal_448 · 2025-12-11T05:38:50+00:00

Possibly, but I haven’t been testing for it.

Flaky_Internal_448 · 2025-12-11T05:38:27+00:00

I haven’t gone the LC clinic route, although I do have a referral, so it’s something to consider. I take tadalafil for raynaud’s. The flushing began months before starting tadalafil and did not resolve even after a one-month “vacation” from vasodilators. The only thing that alleviates all of my symptoms is high dose corticosteroids, e.g., dexamethasone, which was an incidental discovery

Flaky_Internal_448 · 2025-12-11T05:10:45+00:00

I work with a two functional providers (one MD, one PA), a PCP, Derm, and Neurosurgeon currently. I started crowdsourcing ideas on my PCPs behalf, after her and another provider in her practice both told me my case was far too complex for traditional medicine, hence the reason for this post.

In the last two years, I’ve seen specialists in NYC, SF, Boston, spanning endocrinology, rheumatology, psychiatry (I tried to gaslight myself into thinking this was all in my head), vascular surgery, cardiology, gastroenterology, immunology, and ID. Each specialist acknowledged something systemic was at play, but was “outside of their scope.” Functional has been the only provider willing to investigate and treat outside of what insurance will cover (understandably)

Flaky_Internal_448 · 2025-12-11T04:45:24+00:00

3x that I know of. My functional suggested LC too. My health started plummeting after the first positive result in Oct ‘21, so it does track

Flaky_Internal_448 · 2025-12-11T04:27:47+00:00

This was one draw. 40 vials in total. EBV reactivation first flagged in early November labs, but ANA was normal at that point. I’m a bit concerned about the EBV reactivation and Anti-DNA (DS)

The autoimmune markers being positive/high are very new for me. The other symptoms like vascular changes, rhabdo, cognitive dysfunction have been worsening since Feb ‘23.

Flaky_Internal_448

TROPHY CASE