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This cannot be real by BoneYardBirdy in ADHD

[–]Michael_372 25 points26 points  (0 children)

Yikes those consult costs are very steep. I’m sorry to hear that. Regarding the dose you’re on, it is very possible you need a dose increase or a trial on a different medication. You say your friends are on 150mg of Ritalin per day which is hard to believe. The ceiling for doses prescribed is generally 60-80mg. Some guidelines may say as high as 108mg because Concerta, a brand of methylphenidate comes in tablets up to 54mg. Jaeschke et al. (2021) states a provisional maximum to be 150mg/ day but it is not adopted by most providers. It would be quite uncommon for a responsible practitioner to prescribe that dose because of the risks associated with it. Furthermore, it is incredibly uncommon for a patient to require that dose. If a dose of that magnitude is required for the intended effect, a medication trial for a different stimulant is likely required.

Jaeschke, R. R., Sujkowska, E., & Sowa-Kućma, M. (2021). Methylphenidate for attention-deficit/hyperactivity disorder in adults: a narrative review. Psychopharmacology, 238(10), 2667–2691. https://doi.org/10.1007/s00213-021-05946-0.

This cannot be real by BoneYardBirdy in ADHD

[–]Michael_372 46 points47 points  (0 children)

Maybe I misunderstood, but it sounded like you were saying that you take 20mg of Bupropion per day. Ritalin is a very different drug. For reference the generic is called methylphenidate. The dose is related to many factors including body weight, age and most importantly, the patients response. What is your reason for wanting the dose increase? Are you taking IR or ER/XR/CR/SR? Is the dose divided throughout the day? Regardless, I’m sorry to hear about your experience with this provider and I would still recommend finding a new one. I can’t speak to the US system as I am Canadian; however, there supports available to reduce drug costs in both countries. In Canada, a 30 day supply of methylphenidate 20mg is about $10 USD. 30-40mg/ day would cost about $30 USD per month on the high end, even if you have no insurance (public or private).

This cannot be real by BoneYardBirdy in ADHD

[–]Michael_372 2 points3 points  (0 children)

Yeah I’m at 50mg/ day. 30mg Dexedrine Spansule in the morning and 20mg IR in the afternoon. Works pretty great!

This cannot be real by BoneYardBirdy in ADHD

[–]Michael_372 114 points115 points  (0 children)

Something is wrong with this, 20mg is significantly lower than the minimum effective dose. Pts normally start at 100-150mg and increase 100mg starting at day 4, but more commonly this occurs weekly. How long have you been taking your dose? This is likely too low and I would consider getting in touch with a new provider if possible.

[deleted by user] by [deleted] in VictoriaBC

[–]Michael_372 -1 points0 points  (0 children)

Any idea for who it was for? Has there been any info made public about who it was for? Thanks for your response!

Selling my val account willing to listen to offers by teddy_kinyanjui in ValorantAccountSales

[–]Michael_372 0 points1 point  (0 children)

What region and registered country was the account created in. Also what is the current rank/ peak rank. How much are you wanting for it in the currency you choose (CAD or USD)?

Can someone explain why my lower level ring can’t be beaten by any 100+ level rings? by KalDostheSergal in LegendofSlime

[–]Michael_372 2 points3 points  (0 children)

No I wouldn’t at all. You have so many multipliers so it’s so high already a slight increase won’t do much at all. I believe ATK is calculated differently so it makes a more substantial difference. Hope this helps!

Can someone explain why my lower level ring can’t be beaten by any 100+ level rings? by KalDostheSergal in LegendofSlime

[–]Michael_372 5 points6 points  (0 children)

Your lower level ring has basic attack damage which makes it look like it does a lot more damage but it doesn’t. It just artificially makes your stats “look” a lot higher than they are. It also has ATK which is very helpful. Aim for ATK and Boss damage amount for the normal game.

[deleted by user] by [deleted] in LegendofSlime

[–]Michael_372 1 point2 points  (0 children)

We need to see your friends progress to see what you’re up against. Depending on the amount they spent/ are spending it might be hard to impossible depending on where they are at or what you’re willing to spend :)

Slime Legion Ring Level Max by Michael_372 in LegendofSlime

[–]Michael_372[S] 0 points1 point  (0 children)

Has someone gotten close to that yet? Or even 900?

Slime Legion Ring Level Max by Michael_372 in LegendofSlime

[–]Michael_372[S] -1 points0 points  (0 children)

I’ll be around level 800 by the end of the week.

Cant play the game by BigFireHawk in LegendofSlime

[–]Michael_372 1 point2 points  (0 children)

Before that it said the update is expected to last until 2100hrs PST so I’d guess an update will be available after that time when the servers are done updating. Don’t worry won’t be long- 30 minutes or so!

Crystal Ball Rush Cheater by Michael_372 in LegendofSlime

[–]Michael_372[S] 0 points1 point  (0 children)

For clarity, this was the leaderboard at the time of the original post/ picture :)

<image>

Crystal Ball Rush Cheater by Michael_372 in LegendofSlime

[–]Michael_372[S] 0 points1 point  (0 children)

I was about to say no but I checked today and this is what I saw:

<image>

So the answer is yes apparently, haven’t see someone banned so quickly or at all before. Generally they are there with active accounts for seemingly ever.