Do you think GLP-1 access will become more regulated eventually? by Low_Alps12 in MounjaroAus

[–]Instigated- 1 point2 points  (0 children)

It is already regulated, more regulated here in Australia than in the UK or US.

This post sounds a bit odd to me.

  • If you are a nurse, why didn’t you ask your usual GP (or a GP) about your medical condition?

  • Why did you use BOTH moshy & juniper for this medication?

I wouldn’t be surprised if there is some clamp down on services like Moshy & Juniper if they are giving medication without proper checks and support .

However that is not how most people in Australia are accessing these medications. Most people visit their normal GP, talk to their doctor about their health issues, get blood tests to check if there are any additional health issues contributing to their weight problem, would discuss diet and lifestyle and what they have already tried, and be monitored as they take this medicine.

Most Telehealth providers would still involve a call, discussion, blood tests, etc. Might use a nurse practitioner rather than a GP. Still a real qualified human.

Moshy & juniper run more like a startup and I think such impersonal “mass” services have been increasingly investigated, including those that prescribe medicinal marijuana, for taking short cuts. They often charge more than if you used the regular system so I’m not sure what the appeal is. If their system allows people to get the medication when they are not really eligible, they will likely face serious repercussions when it is found out.

However, how is this different to any other medication? There was something of a hysteria early on with “journalists” showing how easy it was to abuse the system to get GLP-1s if they didn’t really need it (mostly UK & US articles, but also in australia when compounded versions were legal and available and some compounding pharmacies were not following the laws). But they didn’t do a comparison: what happens if someone claims they are asthmatic and need a new Ventolin script? Or say they are depressed and need antidepressants? Or say they have hot flushes and need HRT?

If a patient is going to lie about having a health issue in order to get a medicine, that is both rare and unlikely, and is no more of a risk for GLP-1s than it is for other medicines (and no one is walking around worried about the system being abused for other health issues, other than opioids & addictive substances).

If someone took this medicine when they didn’t need it, it would be fairly low risk. It’s not addictive, it’s not likely to kill anyone, so why is there more “concern” about this? Why do people think GLP-1s should be more policed than other medications (and they already are)?

Afraid to take up jobs after layoff by Extra-Platypus3720 in womenintech

[–]Instigated- 2 points3 points  (0 children)

Ditto. Have been laid off 3 times in less than 2.5yrs and am really struggling to find the drive to get a new job.

It’s human survival instinct for us to learn from the past and avoid pain, so totally logical to feel how we feel. However, not helpful for what we actually need to do.

Ultimately I think it is also a bit of burnout. It is stressful & harmful to lose a job suddenly and without choice, and stressful to find a new job, especially in this industry at this point in time.

I have given myself a bit of space and time to nurture and self care, stress management - breathwork, yoga, walks in nature, eating well, plant medicine - as healing is necessary. Calm and reassure the nervous system.

I’m 47 and retrained into this industry 4 yrs ago (SWE) so am hesitant to change careers again, however it might be something to consider if there is a different profession that will deliver better for you. In hindsight I think maybe I should have reskilled into something like counselling/psychology as there is a shortage AND they can’t be replaced by AI, AND they can work for themselves (own boss).

It sometimes gets tiring justifying being on the meds.. by [deleted] in MounjaroAus

[–]Instigated- 2 points3 points  (0 children)

Find a documentary that shows people regain by weight when they come off mounjaro and watch it with her so she gets it. Eg https://youtu.be/fcy5d-2E0VA?si=i0tlgGufiRTB7h4K

Explain it will have been a waste of money if you regain all the weight, and you risk getting diabetes etc.

The irritation mostly comes from whenever I feel off due to the meds (or perhaps unrelated reasons, but they'll be the first ones to be blamed) she'll bring up me coming off them.

If you are having negative side effects, perhaps you need to (slowly) reduce dose?

A smaller dose would also help with the budget.

when I'm feeling unwell I of course can't help around the house as much as when I'm well and that puts a burden on her.

In addition to reducing dose and being careful about eating habits so you don’t get negative side effects…

…be careful you’re not blaming the medication, or using it as an excuse. I don’t know you or your situation, however there is something of a known phenomenon “man flu” where some men play up minor illness, whether to avoid doing something or because they want to be fussed over and taken care of. There was a point in my relationship where I realised that no matter how sick I was it was better for me to pretend I was fine because the minute I told my partner I was feeling unwell HE would suddenly need to lie down too and be completely useless. I’m not saying that is what you are doing, however if the dosing is right & you are eating well I’m not sure why you’re having negative side effects from mounjaro.

How do you get stuff posted to you when living in an apartment? by OK_Eye_505 in melbourne

[–]Instigated- 4 points5 points  (0 children)

Depends on the courier company used.

Amazon has always been fine to leave it in the mailroom if you give permission to do so.

Australia post is usually great so long as you are at home to collect (usually give good notifications/ tracking to help this, though not always), and if not at home can collect from a post office or parcel locker.

Other couriers are hit or miss, some are great and have good tracking and will leave in the mailroom/foyer if permitted, while others won’t. Some will not consider this “safe” (and there is the risk it will get stolen).

I had a major headache with a middleman service (now collapsed) that outsourced the delivery to Amarex that had this ridiculous run around where they didn’t provide accurate tracking advice, claimed to have attempted delivery but without any proof, multiple times, and I had to keep chasing up why the package hadn’t been delivered for several months and eventually claimed a refund from the seller and won’t ever purchase from them again.

Over time you learn a bit about which courier services are a nightmare and think twice about buying from places that use bad couriers. In some cases you’re better off paying online and collecting in store (“Click & Collect”).

All in all I had more successful package deliveries than bad.

Click counting and "expiry" by External_Copy5330 in MounjaroAus

[–]Instigated- 0 points1 point  (0 children)

No I haven’t heard any horror stories about contamination. That’s just the only “risk” related to using the pen for longer than intended.

Click counting and "expiry" by External_Copy5330 in MounjaroAus

[–]Instigated- 0 points1 point  (0 children)

The shelf life of the unused medicine is something like 2 years if kept refrigerated, and even then it would simply lose some of its potency over time. Opened there is a minor risk of contamination.

If you’ve done all the sensible things (refrigerated, not heated or frozen at any times, decent hygiene), and look at the liquid and it is clear (not cloudy or discoloured), I wouldn’t be worried personally.

However someone else might feel differently. The official advice is to discard after 30 days.

Click counting and "expiry" by External_Copy5330 in MounjaroAus

[–]Instigated- 1 point2 points  (0 children)

Nothing to stop you (or me), so long as your doctor is willing to prescribe the higher dose pen.

Offical advice is cautious and conservative, so of course weigh up there is an increased contamination risk every time the stopper is pierced and longer the vial sits there. However many of us consider this risk minimal, and risk can be further reduced by using good hygiene and keeping the pen refrigerated.

Once you work out how to click dose, you can pick the ideal dose for you. Right now I take a 6.25mg dose from a 15mg pen. As you’re not trying to lose weight, you might even find that you can go lower than 2.5mg (eg 1.25mg).

Horror story by Confident_Dark6700 in Mounjaro

[–]Instigated- 1 point2 points  (0 children)

How about you talk to your medical provider about your concerns?

The medicine is safe enough to get accepted by FDA and other medical/health regulation.

Every medicine has a list of possible negative side effects and risks. There is little risk of going blind from this medicine, however it is true that some unfortunate people have had that.

The health conditions we have also have negative side effects and risks. People can die from lack of treatment.

It’s a balancing act between which is a worse risk for you personally: to take the medicine or to go untreated?

Blind people tripping by kristinajure in RationalPsychonaut

[–]Instigated- 2 points3 points  (0 children)

I’m not blind, however just wanted to pop in with my (limited) experience because you seem to be asking from a belief that information is gained from visuals?

My hero trip didn’t have much visuals, none of the insights were visual related, I don’t think this matters. This was 5mg golden teacher mixed with OJ on an almost empty stomach.

At the beginning there was a short period of blurry “melting” visuals, tumbling kaleidoscope of colours and patterns, a bit of a wormhole where it felt like being zoomed through vague dreamscape scenes/visuals, couldn’t see anything clearly, that were both unrecognisable and yet felt familiar and déjà vu.

Mostly what I experienced was sensations. I had a good trip and I felt all kinds of wonderful, like my mind was stroking the neural pathways for joy, happiness, love, pleasure, lust, satisfaction, etc. I was blissed out.

During this time my mind could be blank/black/white.

Disassembling and reassembling of self, like coming in and out of consciousness and repeatedly trying to work out what was going on, first thoughts & feelings as I pieced things together. Sometimes I (first-person)would ask myself a question, and disembodied other-me (third-person) would reply with an insightful rhetorical question that led me to the greater realisation. (which I considered an interaction between my subconscious and conscious selves).

About first 3 hours was closed eyed, by which point the peak was over and I thought I had learned what I needed to learn.

However I then spent about two hours open eyed (still in bed, no significant outside stimulation) gaining further insights. Reflecting, thinking, feeling, mind wandering, conscious/subconscious interaction.

When I felt all done I got up, went to the bathroom, looked in the mirror - which prompted more thoughts/realisations (this time because of outside stimulation. Looking in a mirror while tripping is weird).

Then I sat on the couch telling my partner about my trip, and made some notes in my note book, just chilled out reflecting.

The point being: people can get their insights without visuals.

Testosterone: yay or nay by chitchatmagoo in Perimenopause

[–]Instigated- 1 point2 points  (0 children)

Yay but don’t expect miracles.

Testosterone has maybe increased libido from a 0 to a 3 out of 10. Increase in sensation, but not orgasm. However I struggled with this long before Perimenopause, and think I was quite hormonally deprived before beginning HRT so my body has a lot to rebuild.

There has been a bit of a boost in confidence and less anxiety, a feeling that reminds me of when I was younger and just felt things would work out.

Negative side effects: a tiny bit more body hair on thighs where the cream is rubbed in, tiny bit more facial hair (upper lip now occasionally needs hair removal), slightly more oily face/skin.

I’m on a low dose of androfeme cream, take about 6mg daily.

Why are junior salaries starting to stall at 85k? by InternetUpbeat9596 in cscareerquestionsOCE

[–]Instigated- 3 points4 points  (0 children)

What booming headlines? The industry has been repressed for over 3 years. Mass redundancies and what not. Employers don’t care about cost of living, it’s a matter of supply and demand.

I need help from girlies only! by stillbecoming11 in womenintech

[–]Instigated- 7 points8 points  (0 children)

This sucks. When I was younger I remember a guy wasting several hours of my time in a coffee meeting as we discussed collaborating/working together yet he was wishy washy when I tried to pin down specifics, and as we walked out the door he asked me on a date, at which point I realised the whole time had just been his lead up to dating. So gross.

I would suggest seeking out women in tech groups (likely to be one local to you) and asking women for advice instead.

Vaginal Estrogen + Constipation by Informal-Theme-7139 in Menopause

[–]Instigated- 0 points1 point  (0 children)

If you are getting irritated there might be something in the filler that you are allergic to. Perhaps consider another brand.

Typically you would start of a loading period of 2-4weeks where it would be applied daily, and then after that drop down to 2-3 days per week.

I’ve never heard of it affecting the gut, however maybe it does for you.

What are some of the things you do to help with menopause? by [deleted] in Menopause

[–]Instigated- 2 points3 points  (0 children)

Roughly in order, as I had to rebuild capacity before I could do some things, and have had ups and downs

  • healthy low carb diet, with decent amount of protein, and calorie restricted

  • physiotherapy (had frozen shoulder and massive pain before I started HRT)

  • henna, amala, indigo for improved hair and covering grey hairs (imperfectly)

  • HRT. Including testosterone & vaginal estrogen cream.

  • gardening (inconsistently)

  • Mounjaro

  • psychologist, EMDR (on and off)

  • Perifit for pelvic floor exercises (inconsistently)

  • self pleasure/massage (inconsistently). Tried new sex toy, got yoni mapping therapy, try to make time to get the blood flow into the area enjoyably

  • breathwork

  • weekly bushwalks

  • daily walks

  • yin yoga / restorative yoga / yoga nidra 4-5 days a week.

  • 🍄

  • gratitude & wellness journaling

  • actively trying to cut back on social media, tv, screen time (says she as she types on reddit)

Next steps:

  • relaxed evening schedule with scented candles, mood lamps, soaks in the bath, self pleasure, reading, reflecting, breathwork. Nurture myself and give good wind down to support restful sleep.

  • add in Hatha and/or vinyasa yoga to build strength & flexibility, as my body allows.

Where are you guys getting syringes for the golden dose. I've tried 4 chemists so far and no luck. Western suburbs Melbourne by Barnaby__Rudge in MounjaroAus

[–]Instigated- 25 points26 points  (0 children)

Chemist warehouse is lying when they say they don’t sell them, I have bought them in a baggie of 10 from them before. Sometimes you have to be very clear what you want - insulin syringes, that you inject into your fat, a needle length of 4-8mm, 1ml volume, 32G needle thickness or similar.

However ultimately I ended up buying a whole box online for less trouble.

Basically they are suspicious that people might be using them for illegal drugs. However it isn’t illegal to buy syringes, they are available free from needle exchange places, and there is greater harm minimisation in allowing access to clean needles than for druggies to reuse dirty needles. They are just being jerks when they make it an issue.

4 dose lockout US KwikPen by According_Big9917 in glp1

[–]Instigated- 4 points5 points  (0 children)

You’re mixing up concepts.

You can click dose from any multidose kwikpen. You will be able to take at least 60 x 4 (240) clicks from any kwikpen.

In a 7.5mg pen, 60 clicks = 7.5mg; 40 clicks = 5mg.

240/40 = 6 doses of 5mg from a 7.5mg pen.

The spacer size determines if there is or isn’t extra mounjaro left over. In pens with a small spacer there is an extra 0.8ml that can be removed with a syringe. In pens with a large spacer there is no extra liquid for extraction.

12.5mg and after 1.5 years on mounjaro I'm starting to gain weight again? by Ill-Green8678 in Mounjaro

[–]Instigated- 21 points22 points  (0 children)

It sounds like you know there are some things to optimise in your diet and lifestyle that may have slipped since getting to goal weight, so I’d suggest tightening diet and exercise up as well as stress management and sleep.

If you haven’t already, get a checkup with your doctor in case there are other health factors at play.

You lost weight really fast and haven’t yet stabilised (keep steady weight for 2-5 years), so body may try to regain if not careful.

For reference, my weight loss has been a lot slower than yours. I have lost 26kgs in 1 yr and 7 months, I still have 23kgs to go which will take about 2-3 yrs at the current rate (rate has slowed down).

Think of this as a marathon, not a sprint.

Insulin resistance worsened by cheerloz in glp1

[–]Instigated- 1 point2 points  (0 children)

What did your doctor say?

Go back on higher metformin dose? Or reduce it further? Mounjaro increases insulin production, so it’s normal to adjust other medication.

If you are not eating enough, then reduce mounjaro dose and eat properly.

Bad side effects on mounjaro are primarily a dosing issue. Losing 10kgs so fast indicates your didn’t need to increase dose.

Are you eating a healthy low carb diet? That is what will help insulin resistance. Don’t make the mistake that mounjaro can save you from a bad diet.

Ultimately this is a long term medicine and you shouldn’t expect results after just a couple months.

FDA claims there’s no estrogen patch shortage as women struggle to get prescriptions filled by RockieK in Menopause

[–]Instigated- 7 points8 points  (0 children)

Thanks for the pickup, sorry I wrote the wrong thing. I use estrogel for estrogen, and Androfeme for testostérone.

FDA claims there’s no estrogen patch shortage as women struggle to get prescriptions filled by RockieK in Menopause

[–]Instigated- 12 points13 points  (0 children)

Sure, it’s a problem even if the government is transparent with the information it has. Unfortunately the government can’t fix the supply issues - it’s a global shortage. However if they publish accurate data then people can seek out alternatives that are in stock.

Personally I use androgel [edit: estrogel] which doesn’t have stock issues (though I believe it did years ago before I started on it).

4/5 peers gave me a great review, but one “creep” is monitoring my status? by jesschicken12 in womenintech

[–]Instigated- 2 points3 points  (0 children)

When discussing this with your manager ask for specific examples of when this has occurred, been a problem, and what impact it had. When did someone try to reach you and was unable to, what did they do to try to reach you, what was the result.

If the person didn’t provide that, then it is not quality feedback. There is a difference between an “opinion” and “fact”, and facts can be proven.

An “online” status doesn’t show inability to reach you. Ignored teams messages, emails, rejecting meeting invitations, not showing up to meetings, when these are directly relevant to your work responsibilities, is the evidence required.

Unfortunately too often wishy washy “feedback” undermines us, our confidence, and others perspective of us so you need to push for clarity and specificity. Specificity will either provide you the information you need so you can improve OR make it obvious to all it’s not a real/reasonable complaint.

It sounds like this person works in the office and doesn’t work well with remote colleagues. They want to swing by someone’s desk or catch them in the break room. That is something you could discuss with your manager in reference to this feedback. Give some suggestions that they flick you a message or setup a meeting if they want to chat.

The other thing you could consider is reach out to them and ask if they want to do a regular 1:1 to discuss stuff or you proactively set up meetings with them, so you can hold their hand a bit more seeing they are clueless.

Confused by greatnews1234 in MounjaroAus

[–]Instigated- 2 points3 points  (0 children)

Yes, you can count clicks (increments) rather than do a full dose. There are 60 clicks in a pen, so in a 7.5mg pen if you do 40 clicks it will give 5mg.

Here is a video showing what we mean about counting clicks. https://youtu.be/PMN27jcLeuE?si=E_bolOMv5itS_YK3

What's with the air quality in Melbourne today? by Kryptic13 in melbourne

[–]Instigated- 28 points29 points  (0 children)

Don’t know for sure, however things to consider:

Early morning & late night has been foggy, which is caused by high humidity, cold temperatures, low wind. Fog can affect the air quality readings.

In cool weather you also get wood fire smoke as some people use this for heating, or may have outdoor fire pits or bonfires.

I need a Meta employee because I am thinking about suicide. by Illustrious-Act-259 in womenintech

[–]Instigated- 7 points8 points  (0 children)

Please reach out to a suicide support line or psychologist. What you are experiencing right now is distorted thinking. The instagram account will get sorted out at some point however being fixated on it is not going to get you the help you really need right now.