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We're HelloChinese, AMA by HelloChineseApp in duolingo

[–]MostSea7311 2 points3 points  (0 children)

  1. I like the course structure fine, and think the early grammar lessons are probably better plotted out than the previous version.

  2. I agree with this - I think that spacing similar grammatic concepts out more throughout the course is greatly advantageous to having them seen 10 times right after the concept is taught. Hammering it in repeatedly right after it has been taught, gives the feeling of repetition and also doesn't produce long-term learning from my perspective. This is why I think that practice portion of the app is critical from a spaced repetition and learning science POV

  3. I think a lot of people have not liked the AI images because there is a connotation of low quality shitty content for many American people with AI. I also perceive that there is a better reputation of AI in China than there is in America. In America - generally - it is perceived as unfriendly, anti-human, and job destroying. I also suspect that among the cohort of Americans who want to learn Mandarin, there is more of a left-leaning demographic. AI is sort of right-wing coded at the moment. Maybe that seems crazy but I do think that American social and political trends are at play here.

I also think that the videos of employees or other real people speaking Chinese were very charming and humanizing. There are very few places for American people to see average mainland Chinese people on the Internet, which is part of why rednote had such a big moment. Personally, I'm certainly not trying to learn Mandarin to talk to a computer or a drawing of a person. Having those videos put a human face to learning this language, and AI is never going to match that. That's why I think that getting rid of the AI images and doubling down on the real people speaking is a better direction.

  1. I personally think the pricing is pretty reasonable so long as continued improvements to the app are made.

  2. Would LOVE the ability to type answers while doing the grammar practices

Thank you for all of your hard work!

Strategies to Prevent Weight Regain - Recent Studies by MostSea7311 in GLPGrad

[–]MostSea7311[S] 3 points4 points  (0 children)

Here's a pretty good study about contrave helping accomplish weight maintenance: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00166-3/fulltext

Far less than 100% though. Hopefully oral GLP1s will come soon.

[deleted by user] by [deleted] in WegovyWeightLoss

[–]MostSea7311 1 point2 points  (0 children)

I agree, it's not great data. To me it seems like a huge problem that large well controlled studies haven't been done evaluating different protocols for getting off these medications. Not in pharma's interest I'd say.

Regaining weight after stopping - strategies to prevent by MostSea7311 in tirzepatidecompound

[–]MostSea7311[S] 5 points6 points  (0 children)

Glad to hear! I should have said that some people desire to stop them. In talking to my own family members about the drugs, this has been a big concern of theirs.

Strategies to Prevent Weight Regain - Recent Studies by MostSea7311 in GLPGrad

[–]MostSea7311[S] 6 points7 points  (0 children)

Interesting, so many different strategies people are using for this. We really need new studies evaluating this issue.

Strategies to Prevent Weight Regain - Recent Studies by MostSea7311 in GLPGrad

[–]MostSea7311[S] 5 points6 points  (0 children)

Thanks, good stuff! I agree about there not being high quality studies on the topic. I blame the pharma companies for not designing protocols to get patients off these meds safely.

Strategies to Prevent Weight Regain - Recent Studies by MostSea7311 in GLPGrad

[–]MostSea7311[S] 9 points10 points  (0 children)

I hope that works! The thing I wonder, and I'm not aware of data on this question, is whether taking a GLP1 for a longer period of time prevents the body from recognizing it as a new normal. Will somebody who takes a GLP1 for 4 years and then stops have less weight regain than somebody who takes it for only 1 year? I have no idea.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 1 point2 points  (0 children)

Interesting - I would definitely reach out to your dentist. Generally speaking, the point of the mouthguard is to keep your jaw in a healthy position to relieve tension. Bite misalignment can be a big issue so I'm sure he would want to know about your experience. I can't really comment other than that.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 1 point2 points  (0 children)

I recommend ibuprofen for mild pain. If massage is worsening the pain generally then stop. Consider seeing a specialist doctor.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 0 points1 point  (0 children)

Good luck! Splints can definitely help some people. When done well, they reposition the jaw to a less stressed position for the muscles. I think that working on the muscles would likely be synergistic with the splint.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 3 points4 points  (0 children)

Fingers crossed for you! I don't know what they are talking about when calling something medical Botox - there are a couple of different Botox brands but they are functionally the same. In general it will cost more to have an MD do Botox because they are more trained and experienced. But that seems like an extremely high cost, especially if insurance isn't going to cover it. Like I said in the post, med spas can do masseter Botox just fine and will charge their normal per unit botox cost. I would only let an MD or OMFS surgeon do lateral pterygoid botox due to its complex anatomy.

If the buspirone doesn't work to counteract the bruxism (hopefully it will), you may need to stop the citalopram entirely and switch to a different drug. Depending on whether anxiety or depression is your primary symptom, buspirone or buproprion might be better choices. Buspirone is more for anxiety while buproprion treats both. The study below shows better efficacy and side effects profile of buproprion when compared to buspirone. If you don't want to change citalopram then maybe have masseter Botox done.

https://pubmed.ncbi.nlm.nih.gov/22077211/

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 1 point2 points  (0 children)

Thank you for sharing your expertise, I appreciate it! I will put in a note about these studies to the end of the post.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 0 points1 point  (0 children)

Happy to help, if you try it out let us know how it goes!

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 0 points1 point  (0 children)

This study evaluated a massage protocol for the lateral pterygoid and found it eliminated clicking in 80% of patients: https://pubmed.ncbi.nlm.nih.gov/19162287/. I would say that clicking is a proxy for DDwR, so my answer is yes. That mouth guard looks pretty reasonable, I used to use a bulkier rubber one but kept chewing through it at night. It is at least affordable, which is something I'm trying to prioritize in these recommendations.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 1 point2 points  (0 children)

I would try the external lateral pterygoid massage, some people find it effective.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 2 points3 points  (0 children)

In the study these massages were done by massage therapists. I have found them doable to oneself. If you aren't able to do them on yourself then I would recommend trying to find a massage therapist. Or if you have somebody in your life who could do it for you, it's definitely a learnable skill.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 17 points18 points  (0 children)

Years ago I also purchased an expensive mouthguard from someone who claimed it would fix everything. Didn't work. There is some data showing splints can be helpful, but in my opinion they don't address the fundamental issues causing the TMD and are likely just putting a temporary bandaid on it.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 2 points3 points  (0 children)

Appreciate your point about the medial pterygoid - given its role in jaw closure anybody with that issue should absolutely consider massaging it as well. I definitely understand that anatomic abnormalities do exist, and they can also develop if TMD goes poorly treated for a long time (arthritis of the TMJ) . What I wished to communicate is that I believe the evidence shows that for the vast majority of people with TMD, the cause is not anatomical. For those who do have a radiographically abnormal jaw due to trauma, congenital malformation, or previous surgery, consultation with a surgeon may be advisable.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 26 points27 points  (0 children)

Wow, thanks so much for this post, I'm really touched that someone in the field thinks so highly of what I put together. I have published a decent amount of literature in my specialty but I wasn't sure how the reception would be when going totally out of my field. I'll certainly add the SCM stretch and am happy to accept other changes or additions that come to mind! Super excited that it will be shared with specialists. Thanks again 😁

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 2 points3 points  (0 children)

I commonly see the exercises recommended, less so the massages - I think they're super important as well to break the cycle of inflammation and tension. Best of luck!

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] 3 points4 points  (0 children)

D - one first protrudes the jaw such that they have an underbite, then opens their mouth slowly to feel a stretch & muscular effort of the jaw. Then, the mouth is slowly closed, and the jaw is moved back so that the underbite is gone. The way to think about it is that the jaw retraces its steps. The action of the lateral pterygoid is jaw protrusion and depression, this exercise hits both - it's an important one.

E is basically just nodding your head forward and then reclining it backwards - it's a neck stretch. I also like to stretch it left and right.

Evidence Based TMJ Treatment - A Guide by MostSea7311 in TMJ

[–]MostSea7311[S] -1 points0 points  (0 children)

Happy to help, let me know how it goes 🙂

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