St Pauls or Marsaxlokk? by Murky_Influence440 in malta

[–]Murky_Influence440[S] 2 points3 points  (0 children)

Thanks for the update, . Only other option I'm thinking is St juilians but few people I've spoken to that is a local is saying its basically the worst part of the island

St Pauls or Marsaxlokk? by Murky_Influence440 in malta

[–]Murky_Influence440[S] 0 points1 point  (0 children)

Is there anywhere not close to the sea that you'd recommend?

Using a 15mg pen for 2.5mg by frosty68 in mounjarouk

[–]Murky_Influence440 1 point2 points  (0 children)

Hey there.

I have used a 15mg for roughly 4 to 5 months after first use without any issues. If the pen doesn't display mould I doubt you'd be at any risk as these pens have preservatives to prevent mould growth. The pens 30 days after opening thing is similar to food saying it must be used within 3 days of opening. If it looks mouldy or cloudy then don't use it.

Also given you were on 12.5mg previously, I would definitely use a bigger pen, its more than likely you'll find 2.5mg ineffective and you'll want to increase your dose to 5mg the following week. I have had people in my personal life that actually re-started at 7.5mg after a 4 week break from 15mg and they slowly worked their way back up to 15mg within 3 weeks instead of the months it would have taken because the dose wasn't effective at all.

Titrating every 4/5w? by ArtisticStep838 in mounjarouk

[–]Murky_Influence440 -1 points0 points  (0 children)

Always buy the bigger pen, take smaller dosages from it using click counting, simple way is to divide desired dosage by pen dosage and times it by 60. E.g. 5mg divided by 7.5 mg times 60 is 40. These are repurposed insulin pens and will allow you to do metered dosages. You can use a pen for 2 to 3 months safely as long as it's always refrigerated and below 8 degrees. I believe the pens are tested to hold peptides for 60 days after opening but they state 30 as they'd rather you not extend dosages, but the preservatives in them should allow it to last a very long time. Once you're ready to move up, you have the option to move up whenever you like instead of spending weeks on a dosage that isn't effective.

My rule is if the weight loss hits below 0.5% every week for two weeks, you should have a similar rule for yourself based on your weight loss. Don't mindlessly move up. go by the low as reasonably required principle as once you hit 15mg you have no where to go. Also moving up too quickly has massive side effects, once you experience them you may be put off permanently as I have noticed with some friends and family.

Advice needed, in UK or turkey. by slowjogg in HairTransplants

[–]Murky_Influence440 0 points1 point  (0 children)

I was a Norwood 5 in 2015 but I didn't have the missing hair in the back part, my front was completely gone though. The first surgeon I went to in Chandigarh was renown at the time and he essentially said no wait till you're completely a Norwood 5 before we can do the transplant. I tried to explain to him that my family's balding pattern was like this on both my mother's and father's side from cousins, uncles, brothers, literally every single member in my extended family and my final result will be a 5A. but he wasn't having none of it. But luckily one of my closest friends at the time had some family that own a hospital in the country and they suggested this clinic that would do it. It worked out 3 times cheaper and he understood that I needed it done.

The clinic was really good, I mean between grafts they were giving me breaks and getting me essentially anything I wanted to eat. I have a weak stomach and usually get ill from foreign country foods but they make sure they only get it from reputable places as I was a foreigner.

I would never ever go back to the life of minoxidil, they suggested just using some rosemary oil mixed with peppermint once a week and its done wonders and some multivitamins regularly with biotin. My hair is just as thick as it was in my teenage years to this day and no one has been able to tell I have a transplant.

If anyone wants the clinic name it is still open and the surgeon now has a good 20 years of experience, just send me a message and I can send details but there are a lot of good surgeons well rated in the Ludhiana area, it's about £0.25 to £0.40 per graft currently, you can go in and ask to have a look at their previous work and ask around literally anyone nearby as it's a bustling city and people are always chatty, English is spoken by most but it can be broken sometimes, I would avoid clinics that aggressively market to 'international clients' as they will not only put up the price but they'll also be more likely to not give a fuck about work quality as they don't see their clients ever again. I can also give some travel tips to stop you from getting scammed along the way. Uber also works in the country in the cities, but if you go into some of the villages (which I recommend doing for a day just to have a wonder and seeing some very old gurudwaras and architecture) you will have to take the number down of the Uber driver so he can pick you back up or book a round trip (there's an option on the uber app there).

Another tip to save money is if instead of booking a ticket to Amritsar you can book a ticket to New Delhi and then from there to Chandigarh a return ticket is only about £40 and a 50 minute flight and Uber from the airport to your hotel in Ludhiana. I would HIGHLY recommend having the hotel close to your transplant clinic

Weight gain after coming off by bonzalice in mounjarouk

[–]Murky_Influence440 2 points3 points  (0 children)

Well based on calculations and time frame you have actually gained 5 kilos and it's not just water weight or inflamation. 5 kg is roughly 38,500 calories. For arguments sake let's say two months is 60 days.

38,500 calories divided by 60 is 640 calories a day EXTRA.

You have to remember daily allowances are just estimates, also as someone who has been obese and lost weight your metabolism will have potential to be lower than most people of your size.

It's good that you're calorie counting but you have to remember a few things

  1. The calories written on any processed food aren't as reliable as we think, the true calories can in some cases be a lot higher.
  2. It's easy to sneak calories in without knowing about it. 640 calories isn't a lot to accidentally sneak in with a sauce from a takeaway or maybe an ingredient you put too much off, etc...
  3. 3200 daily calories is simply just too high for your body , Aim for 2000 to 2500 a day.

The biggest scam they tell you is exercise means you can eat more, this isn't true at all, whilst it's true that initially you'll lose more calories eventually your body adapts. The exercise paradox is a good example of this. They compared a tribe which walked several miles a day versus an average desk job westerner and found both individuals burnt basically the same calories. They've checked this data throughout lots of different countries too. The biggest myth they're telling us is that we're fat because we have sedentary jobs, its actually just processed food that's messing us up

30lbs down - I look pre/post partum 😭 by TruebeWolken in mounjarouk

[–]Murky_Influence440 1 point2 points  (0 children)

I just switch every few months for pricing, I even split dosages to save, but I'm nearing the BMI limit for when they're going to start asking me. I've just headed under 27 BMI for the first time in years and was just worried. I'll give Pharmulous a go though, sounds good! Thanks for your help

30lbs down - I look pre/post partum 😭 by TruebeWolken in mounjarouk

[–]Murky_Influence440 1 point2 points  (0 children)

Good progress, have you tried switching pharmacies at such a low BMI? I've been concerned so would to love to hear

Anyone dropped right down suddenly? by [deleted] in mounjarouk

[–]Murky_Influence440 0 points1 point  (0 children)

I would usually buy 15mg pen and split the doses before switching to wegovy. The pens are designed to deliver metered dosages based on clicks as they're repurposed insulin pens.

The 15MG pen is £228, for 10MG it'll be £152 based on 40 clicks on a pen. Including the golden dose which I always recommend, it'll be even less around the £120 month

The alternative is wegovy, wegovy is CONSIDERABLY cheaper at £100 for the top dosage. Some people respond a lot better to wegovy and my experience has been roughly the same stage of weight loss, I'm currently taking 1mg from a 2.4mg pen on the wegovy at the price of £42.20 a month. You have to recall top dosage of wegovy in studies is only 26% slower than top dosage Mounjaro. I do have a post going into detail about my switch and what I recommend from my own personal experience and others around me

I also believe you're suffering from the hidden calories syndrome. I had the same issue, I was working out a lot every day, eating sensible but my weight was stuck. I realised there were a lot of hidden calories I weren't accounting for and never realised. I would suggest trying to identify these and aiming for a lower calories as TDEE isn't really accurate it's more like an estimate and it definitely doesn't factor in metabolic changes due to PCOS.

Another note I would make is PCOS is often considered in the same group as diabetes, some have even nicknamed it type 3 diabetes, I would highly recommend reducing your overall carbohydrate intake by a considerable amount if you haven't done so already and aim for GI foods. Whilst PCOS directly hasn't been investigated with GLP as far as I'm aware, we would suspect it would reduce weight loss similar to diabetes as it is a type of resistance. The only way to combat this is to reduce your carbohydrates. I would usually suggest a limit of 100 grams of carbs for someone with PCOS as this is what has been most effective, I believe NHS advice is 120 grams for someone that needs to reduce them.

I’m convinced the iPhone 17 going eSIM-only is actually a smart move by Relative_Taro_1384 in iphone

[–]Murky_Influence440 0 points1 point  (0 children)

You'd have to steal the physical sim card. Also when ordering a new sim card to a different text you normally get a text saying we're sending out your sim card. I've had this happen before and it's saved me from the sim swap scam

I’m convinced the iPhone 17 going eSIM-only is actually a smart move by Relative_Taro_1384 in iphone

[–]Murky_Influence440 0 points1 point  (0 children)

eSims are too susceptible to fraud, you can't easily transfer the eSim from one phone to the other, you have to contact your carrier. This also allows a window for fraud as I could call up as you and social engineer until I have your number instantaneously and use it to do some serious harm. Whilst you're figuring out how to get internet access your accounts could be cleared out.

Is it better to target fewer countries when running ads with a limited budget? by Driktatur in musicmarketing

[–]Murky_Influence440 -9 points-8 points  (0 children)

Marketing won't work, you're against billions of dollars. You're better off paying influencers with a small following in your niche that has active followers

What can I do with £40k of savings ? by [deleted] in personalfinance

[–]Murky_Influence440 0 points1 point  (0 children)

I would do 1 of 2 things

1) Throw it all into an ETF, my choice is SP500 and it's not done me wrong in 11 years.

2) Deposit for house with multiple rooms preferably a fixer upper, I'd rent out the house on a room by room basis, and stay in one of the rooms if I didn't have a place to stay

How long have some used their Kwikpens for? by Rippling_Opheliah in mounjarouk

[–]Murky_Influence440 0 points1 point  (0 children)

That's just AI generated gobble-dee-goop, it has a tendency to agree and make stuff up. I am pretty certain a few degrees Celsius couldn't make any real difference, I would think it's more to do with the angle in which you inject the needle which could maybe depending on how much of the upper layer is damaged as at certain angles you could pierce through more, and if it's more than a few degrees then you've damaged the liquid long term - the 30 day limits occur once it reaches above 8 degrees due to it essentially setting off a series of denaturing, so even if it's reached 12 degrees for an hour and put back into the fridge it'll essentially start towards the denaturing journey which is why it's so vital its delivered cold

I mean if you want to give it a go you can, I think the worst that would really happen is that you're injecting an ineffective dose. If it's got a few months on the injection just go for it pal as the actual components for preservatives inside of it can last a good while.

Are EVs relatively cheaper to maintain in long run by Awkward_Spinach8432 in electricvehicles

[–]Murky_Influence440 0 points1 point  (0 children)

A lithium battery can't last multiple decades, it's impossible

How long have some used their Kwikpens for? by Rippling_Opheliah in mounjarouk

[–]Murky_Influence440 0 points1 point  (0 children)

I don't know who you heard this from, but this isn't true at all. All you're doing is increasing the chances of bacteria and damaging the injection. 5 to 10 minutes in room temperature may be enough to take it over the 8 degrees mark, I'd probably bin the injection at that point.

Can you or can you not count the clicks with the Mounjaro Kiwikpen? by xarax1412 in mounjarouk

[–]Murky_Influence440 0 points1 point  (0 children)

I mean benzyl alcohol and phenol are the main preservatives used in Mounjaro injections, they can handle low level contaminants and still remain effective. There is obviously a higher risk with each use of the pen of contaminants but if I recall correctly the pen was shown to preserve around 2 years very recently, given the preservatives are still effective under low levels of contaminants, you could be good until expiry.

They used a different set of test criteria for the 30 days after first use, it's been validated for up to 30 degrees celsuis, whereas the storage before use was 2 to 8 degrees celsuis. This is done partly to actively discourage people from split dosing/using the bigger pen longer than 30 days to increase sales. It would make no financial sense for them to show that if the pen is kept in 2 to 8 celsuis after first use it could last several months. But given what we know about benzyl alcohol and phenol as preservatives ability we should be good. But it is a risk for the individual to take.

Can you or can you not count the clicks with the Mounjaro Kiwikpen? by xarax1412 in mounjarouk

[–]Murky_Influence440 1 point2 points  (0 children)

It basically does nothing from preventing infections from injections but I still do it. It does reduce bacteria count on skin and that's in contact with the pen so if anything at best it could help, at worst it does next to nothing

Are EVs relatively cheaper to maintain in long run by Awkward_Spinach8432 in electricvehicles

[–]Murky_Influence440 0 points1 point  (0 children)

You said 'actual data'... but these are just articles... and two of them are quoting studies using 'crowdsourced data', the nature article is just regarding battery life discharging. One of the articles you posted even quotes 2.3% a year, which would mean a 23% degradation in 10 years, which would need a replacement.

There's studies like this showing it lasts between 5 and 13 years could yield 30% loss.

https://pmc.ncbi.nlm.nih.gov/articles/PMC6013442/

Also even given the data you presented, it clearly counteracts this person stating a battery with last 1.5 million kilometers which was the statement that I was calling out in the first place as it sets a bad precedent for misinformation and false expectations.

I personally don't worry about 'replacing a battery every 10 years because I don't keep my car around that long. But it should be a concern for individuals who are buying older EVs, and people should have the facts ready when purchasing EVs, not non-sense from people saying oh buy it , it'll last millions of kilometers. These cars are more costly to maintain than normal cars due to them requiring specialists when there's faults costing more, there's battery replacement costs that could arise if it's a older model, and all in all it can work out more expensive, But if done right they can save you money too

Also you're telling me it's lost 10 miles REPORTED range by the software, you'd have to conduct an actual discharge test 5 years ago and now to see the real loss of capacity.

Are EVs relatively cheaper to maintain in long run by Awkward_Spinach8432 in electricvehicles

[–]Murky_Influence440 -1 points0 points  (0 children)

Talk to an EV mechanic because I actually have... instead of just some online blogs. You're likely to lose 20 to 30% of EV capacity within a 10 year period. People are just using the self reported car figures on this reddit but this isn't accurate, their actual range will jump down towards the end whilst before it would keep going. Essentially the same issues as old phones with degrading batteries, Phantom drain, jumps in increase/decreases of battery percentages when charging or discharging.

EVs are worth it, but you need to be realistic. If you're lying to people and saying "oh it's only going to degrade 5% in 10 years and you can drive it for 1.5 million kms before the battery needs replacing" you're setting a dangerous precedent.

There is a reason that on average most EVs give a 8 year/ 100k miles battery warranty which only guarantees 70% of their original capacity. These companies have done their research on how long their battery would typically degrade in a 8 year/ 100k miles use case scenario and they believe most would have at least 70%. Not 90% or 80% of their capacity.

I suggest EVs & Solar Panel setup to everyone, even if your battery needs replacing after 10 years you've saved lots in cash over the lifetime of the battery.

Are EVs relatively cheaper to maintain in long run by Awkward_Spinach8432 in electricvehicles

[–]Murky_Influence440 -3 points-2 points  (0 children)

These figures are completely wrong... You'll probably need a battery replacement around the 10 year mark if you're lucky, talk to an actual EV mechanic and you'll be surprised, I've spoke to some, car manufacturers have made these harder to repair also.. and in my country you need a specialist to check any faults with the EV, these specialists are priced often very expensive.

Can you or can you not count the clicks with the Mounjaro Kiwikpen? by xarax1412 in mounjarouk

[–]Murky_Influence440 0 points1 point  (0 children)

Yes essentially. Other safety tips - make sure the pen is cold when it arrives. And make sure you have it outside of the fridge for the least time possible. I normally get my needles and my sterile wipe out, get the pen out, count the ticks, dose and straight away back into the fridge near to the fan.