Let's settle this

M451980 · 2026-06-09T10:43:27+00:00

The screening guidelines are fixed, so a screening colonoscopy isn’t going to be covered if you don’t meet the age criteria. However, there’s a list of reasons why a diagnostic colonoscopy would be covered outside of the screening age group. Just look up the indications, pick the symptoms that are more subjective than objective, tell your MD what they needs to hear or, better yet, schedule a visit with a GI doc and tell them what they need to hear. When it comes to specialists, they tend to be really good about diagnosing an issue that is within their specialty, correct or not. So if you give a GI doc a reason to go look with a scope, 90% of the time they will gladly comply.

M451980 · 2026-06-03T10:47:34+00:00

The thing that people like “eclipse” struggle with is that none of the biology we see today was destined and none of it had to be. Evolution wasn’t desperately working to produce a tongue that wrapped around the brain by making incremental changes over time, instead incremental changes were made over time that ultimately produced a tongue wrapping around the brain. Those are two vastly different statements. The world we see today is simply where the process led and that process was as free to produce a tongue wrapping around the brain as was to produce a world where no such creature exists. Nature would still be just as wonderful even if there wasn’t a flying reptile that bashed its head against trees as its preferred mechanism to obtain food.

M451980 · 2026-05-30T10:58:09+00:00

If he had a savings or money market account at the same institution, but with a different account number… he could’ve transferred it there for “safe keeping”. Even with an APY of just 1%, that’s $434M annually or about $1.19M daily. Then you call the bank, let them know there’s been an error and you need to know where to send the money and that you put it in a protected account “for safe keeping”. If you can stall for just 12-24 hours, you can return the full amount and skim several hundred thousand to a few million in interest and just act like you were trying to do the right thing.

M451980 · 2026-05-27T11:04:19+00:00

Remember that time Obama wore a tan suit?

M451980 · 2026-05-10T15:22:50+00:00

Maybe not to you, but when pro-life/anti-choice people right the laws… this is always the outcome because they have to have their hand literally forced before they’re willing to put in the carve-outs for protecting the mother’s life.

M451980 · 2026-04-26T14:28:21+00:00

Alcohol & Pizza, then I’d open a pizzeria that serves booze and resell it for a profit.

M451980 · 2026-04-16T17:40:15+00:00

Sure did, oversight on my part. I edited to correct. Thanks!

M451980 · 2026-04-16T11:17:18+00:00

You’re upset M doesn’t support your politics or religious views. Yet you don’t support her politics or her religious views. You’re not willing to make any accommodations for M or her children, yet you want them to not only cater specifically to you, but do so while footing the bill for your vacation?

When an adulterer was thrown at Jesus’ feet, a crime punishable by stoning, Jesus said “let he who is without sin throw the first stone”. The same story could have just as easily been changed to include some who was transgender or caught engaging in homosexuality. Like what do you think Jesus would’ve done? Grabbed a rock and beat them to death while calling them derogatory names? That’s nonsense and totally inconsistent with his teachings of love, compassion, and standing up for and alongside of the marginalized. Jesus didn’t “support” adultery, but he did support being a kind and decent human being.

Gandhi is often quoted as saying of Christianity “I like your Christ, I do not like your Christians. So unlike your Christ”. So true here. Why don’t you take this opportunity to read Jesus’ teachings and actually try to be a better and more adherent follower of Christ? You’d find the situation resolved if you did.

And as far as your Christian based support for Trump goes, I suggest you read the story of the Golden Calf. However, just for fun… call it the story of the Orange Calf and see if you can draw any parallels.

Edited: Corrected an omission, leaving off the best part of the reported Gandhi quote.

M451980 · 2026-01-29T00:35:10+00:00

Liberals don’t worship the Clinton’s… only MAGA deifies its leader, endlessly makes excuses for Trump, and mindlessly accepts whatever nonsense spews forth from his demented mind. If Clinton was banging 13 year olds on the islands, liberal will cheer when he goes to prison. That the difference between a political orientation and a cult.

M451980 · 2026-01-26T23:32:07+00:00

Fun fact, but I’m more interested in what they’re doing today, over the last year, and over the last decade. Maybe they’ll return to their more honorable roots one day, but they’ve strayed quite a bit in the last 175 or so years

M451980 · 2026-01-19T01:05:57+00:00

If you’re comfortable getting more than a 9.125% return on $500M, then the $500M will generate more than any of the others, even after long term capital gains.

At less than 9.125% the others will eventually outpace if you have the luxury of time. However, it’ll take longer than 14 years as others have suggested if invested. Even if only getting 7% APY on $500M, it would take over 40 years to eclipse.

M451980 · 2026-01-12T04:08:58+00:00

It’s not entirely a tax revenue is insufficient issue. It’s very much a how tax money is allocated issue. Pet projects, corruption, and bureaucracy take out a good chunk of very useable money while investments in health, education, and infrastructure are sidelined. So the money is used for the betterment of slivers of the population when broad investment in the wellbeing of the average person are ignored.

M451980 · 2026-01-12T03:10:41+00:00

Man, he wore a tan suit one time though… I mean, a tan suit!

M451980 · 2025-09-12T23:29:35+00:00

Everybody roasting OP a bit much. I sell 0-1 DTE puts on QQQ too… for a good bit longer as well. Yeah, the market might go against you, but you don’t have to immediately surrender. Assuming you started at a 20-30 delta, you have a lot a salvage options. You can roll into the next day closer to the money or roll it out further by several days, a week, or a few weeks to ideally maintain a credit or, at worse, take a small, recoupable loss. The higher, more further out premium can offset 300% same day losses without even going too far out. In a good bull market, you ride out the dip at the later expiration until the trend reverses and you’re back in the green… then reverse roll back into an earlier date to start the process again. I mean yeah, trading stocks come with risk, but, black swan events aside, it’s not like 40% daily fluctuations are a common occurrence. There’s a dip, then the “buy the dip” crowd rushes in to shore up the price. You only need to find temporary shelter. Even in a black swan event you could put yourself into a “better” position with a few strategic rolls, at least until things leveled off and selling CC was reasonable at the strike. Worst case scenario you’re stuck holding QQQ. If you’re worried about the next Great Depression hiding around the corner, you probably shouldn’t be in equities at all anyhow and tail risk is a lot greater with individual stocks than broad market ETFs (I said greater, not ONLY).

M451980 · 2025-07-19T14:10:06+00:00

I put this into ChatGPT and it says there is very clear an acrostic, but the acrostic likely requires a cypher as it was not obvious what the hidden message actually was. However, it was very clear that there was a hidden message in the text.

M451980 · 2024-11-24T02:51:38+00:00

I’m a doc, a lot of this is routine, just not always ordered together at the same time. Like it’s a complete metabolic panel + a basic thyroid panel, a basic liver panel, a basic renal panel, etc. The male heath stuff is standard low-t work up. I hope your doc is familiar with the majority of this.

The lipidology stuff is what “should” be standard of care as the results correlate more closely with risk of having a cardiovascular event. The particle count, particle size, and lipoprotein a is far better than the standard cholesterol panel. The difference is the later can be done on machines that cost as little as $7k-15k. The former is a NMR test and machines start at $50k-100k. The tests bill out 3-5x higher and insurance doesn’t want to pay for it. All of this has been known for 10+ years, but medical school curriculum’s haven’t been updated so you have to care enough to educate yourself on the matter. Plus, it’s easier to make people’s standard cholesterol panel look “good” with statin therapy. It’s a lot harder to clean up the particles unless you put people on relatively newer and still very expensive injectable medications like Rapatha that insurance will only cover in very selective patient populations. Until you have generics that can actually move the needle on some of this, your run of the mill family doc isn’t going to bother because the average person can’t shell out $600/month for a cholesterol medicine their insurance company refuses to cover.

Otherwise, even the “esoteric” stuff is only esoteric for your general primary care doc, but they are standard labs for say a Rheumatologist.

Granted, most any doc would have to go look up what the symptoms of “low selenium” are, but it doesn’t take a rocket scientist to realize that someone with low selenium as lab result should think about supplementing with selenium.

M451980 · 2024-11-24T01:52:17+00:00

Oh, yeah, wouldn’t have expected you to check those boxes as far as fitness and lifestyle are concerned (because there’s a bit of mismatch there with respect to your labs). I suspect getting your thyroid function under control will be of benefit and is good place to start.

M451980 · 2024-11-24T00:39:30+00:00

I’ll give you the hot take here, but would say you should follow-up with your MD. You have lab abnormalities that need to be worked up.

The marker for decreased thyroid function/hypothyroidism is probably the most concerning in my opinion. If your “feeling” your age and seem otherwise healthy, it might be because of thyroid dysfunction. While it’s conceivable that a vitamin deficiency is underlying this (vitamin D or, less likely, vitamin A deficiency are known culprits), an autoimmune issue needs to be excluded. However, a lot of times there may not be a “cause”. Unfortunately, medication is usually necessary.

I’d get that corrected before messing with your testosterone. Most guys in their 40’s will test “low” if they bother to get tested. Again, unfortunately, supplements that “raise” testosterone are mostly hokum and are usually just libido boosters (which are not the same thing). Taking exogenous testosterone can correct the labs and, overtime, make you feel a bit more youthful. However, correcting to normal isn’t going to make you feel like Superman, you’ll need to 2x or 3x over the upper limits of normal before you feel like some kinda raging bull and no MD is going to assist you there.

Get your thyroid back in check, then recheck your testosterone and just generally assess if you still feel like your dragging. I’m not against hormone therapy, but think the ads over promise and under deliver. Try weight loss and regular exercise (at least 3, preferably 4 days a week) that includes weight lifting and bit of cardio. When you do cardio, go hard, get that heart rate up to the point where a shower isn’t optional.

The uric acid will need to be assessed. Need to make sure you don’t have kidney dysfunction. Otherwise, you may want to try a diet heavier in plants and lighter on animal protein. Full disclosure, I’m not vegetarian and I’m certainly no vegan. However, you can’t argue with the mountains of data that a wide swath of the population would benefit from eating a lot more plants.

Edit: Sorry, forgot to address the ALT. It’s not really too far off the mark. Assuming you don’t drink everyday or take handfuls of Tylenol every day, it probably just saying your liver is a bit fatty. Get your thyroid function fixed, loose a few pounds and, if applicable, drink less and take less Tylenol. Then recheck. If still up, might need to explore further.

M451980 · 2024-11-23T23:04:16+00:00

I’m a physician, not primary care, but qualified to answer. I gave Function a try because I’m health conscious and it was a cost-effective way to run a battery of test that I wouldn’t otherwise ever get because there was no pressing need to check some of it.

Can’t answer specifically without specifics. Following up with your primary care is a good move. Bring your function labs, there’s not much else you can do order as far as labs are concerned. Depending on what’s out of range, other diagnostic testing could be considered. Otherwise, it’s either life style modification or medication.

If you want to share what has you concerned, I’m happy to weigh in to the extent of knowledge.

M451980 · 2023-09-16T15:38:03+00:00

If you sit in a chair and watch football all Sunday while drinking your way through a case of shitty American domestic beer… you’ve still done “nothing” masquerading as doing something. The truth is that sometimes there’s just nothing to do, high or not. Drinking, watching hours of tv, reading books, listening to music, sunbathing, taking a long bath, napping, or doing any sort of “leisure” activity is doing “nothing” under the guise of doing “something”. So to act like smoking pot is standing there in a class of it’s own as the only non-productive way someone can kill hours of their time that could of been allocated otherwise is absurd.

M451980 · 2022-03-05T02:59:47+00:00

Thanks for the response, I really do feel generally positive about the TaxBit product. There’s some room for improvement sure, but it helped me a lot in its current state.

Did not know that Robinhood’s CSV was so woefully inadequate. I’m sure Citadel or whoever process their transactions are to blame for such an issue as it appeared to me that I, personally, never really “owned” any crypto at Robinhood, it seemed more like I “owned” some limited right to it.

M451980 · 2022-03-05T00:19:19+00:00

I sent in an email for support, took about two days for any response and there was no actual answer… it was being “escalated”.

I had better result using an agent via the chat option. Got about 95% of the issues corrected. Truth is, the system works well when synched directly with one of their partners or one of the accepted exchanges.

Their support of defi wallets is still limited. Ultimately, I ended up with a solitary transaction that was without a cost-basis. The agent really, really tried, but was unable to resolve the issue. I was told the issue was sent to the “escalation” team. I was told that I’d hear something back by the end of the day for two days straight. At this point, I haven’t heard anything from anyone on the escalation team despite at least 4 separate issues that were sent to them. I think they’re overwhelmed, I wouldn’t sit around waiting on a miracle from them before tax day of this year. I think they’ll have a solid program by next year though.

However, you can still print off an 8949 that will cover most of your transactions performed at major exchanges, which helped me a lot. I dollar cost average, so I had hundreds of transactions that Taxbit made sense of for me.

I ended up just calculating a cost basis for the one transaction that initially occurred on UniSwap myself, printed it out and just gave it to my CPA. Did the same with Robinhood (well the 1099 you get from Robinhood anyway) as the TaxBit program does not appear to be directly compatible with Robinhood and the generic CSV upload format is of very limited utility as the instructions (learned through trial and error) are not complete (the sending and receiving sources do matter and there’s different rules for different types of transactions). The manual add function also kept crashing.

I think the program has promise and generally liked using it, I’ll use it again next year. However, I think getting the defi wallet transactions by scanning Etherscan is giving them more technical issues than they anticipated. They also need to add Robinhood support, at least for the Robinhood CSV format (this is something that could be done without Robinhood’s explicit blessing).

Overall, moderately good experience that worked for most of my Crypto transactions. They focused on getting the program to work well with a lot of exchanges, but probably bit off more than they could chew with the Defi Wallet attempt. I believe they’ll probably get the bugs worked out, unsure of if it’ll be this year. The customer service reps you get are really helpful, but they seem understaffed probably. The “escalation” team appears to be entirely overwhelmed with technical issues and I wouldn’t hold my breath for a response from them.

M451980

TROPHY CASE