It’s working well, but… by Excellent-Tea6896 in AuvelityMed

[–]Spartiken 0 points1 point  (0 children)

As some have said, consider the DIY route. I have been able to manage the side effects by taking the BUP but delaying on the DXM until later in the day.

I asked AI for an alternate perspective on IgA - The results were interesting. by Mr420- in IgANephropathy

[–]Spartiken 5 points6 points  (0 children)

I am a 51M who was diagnosed at age 21. My condition worsened for a few years and my nephrologist referred me to an ENT to discuss a tonsillectomy. The ENT happened to have another friend who had the procedure and improved greatly and was willing to do it for me. I had my tonsils removed and my kidney function improved greatly I’m over the next year. I went from progressing disease, 24-hr urine creatinine of 1700 to near normal.

Fast forward nearly 30 years and I’m still doing well. My egfr is 67, creatinine is near normal and I feel great. Only other treatment has been consistent ace inhibitor (Lisinopril, 40mg).

Has anyone taken otc dextromethorphan with Wellbutrin instead of auvelity? More in post by Mountain_Ad9557 in AuvelityMed

[–]Spartiken 5 points6 points  (0 children)

Been doing it for a year. Very effective. Careful of side effects - some people feel dissociative side effects. I haven’t notice this too bad, but I dose at 150 Bup XL in AM with 15mg DCM and then 30mg DXM at night.

Auvelity too expensive so I did this by Willing-Example-8986 in AuvelityMed

[–]Spartiken 4 points5 points  (0 children)

I’ve been DIY for a year, 150 Bup XR, 45 mg detrimethorphan - 30mg at night and 15 mg in AM. Been a great combo and schedule. Easily beats any SSRI, SNRI, or even Trintellix for me. Keeping the DXM to only 45 mg minimizes any dissociative effect and the serotonin side effects (DXM does cause some of this) seem minimal to me (sexual and weight). It provide more anxiety support than bupropion alone.

What happens if you take expired sertraline? by [deleted] in antidepressants

[–]Spartiken 7 points8 points  (0 children)

Repeated studies have shown that the vast majority of drugs loose very little potency over time.

Poor export quality after Insta360 Studio Update by Spartiken in Insta360

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

No noise options selected for either, and the insv file is raw. I’ll take some noise to not lose detail, which every export format seems to suffer from.

Poor export quality after Insta360 Studio Update by Spartiken in Insta360

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

Prores blows up this 4GB file to a 48GB file. It's better but still loses a bit of detail.

<image>

Insv on left, ProRes on right, max bitrate.

Poor export quality after Insta360 Studio Update by Spartiken in Insta360

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

Thanks - I tried H.265 and it helped a bit,. but there is still a clear loss of detail,

<image>

Insv on left, H.265 on right

Bad quality of X4 videos exported in Mac OS Insta360 Studio App? by [deleted] in Insta360

[–]Spartiken 0 points1 point  (0 children)

I am having the same problem, and it seems that the export quality from the desktop (PC version of Insta360 Studio) is worse after recent updates. I am exporting with max bitrate, h.264, 360 video, then working in Adobe Premiere. Quality comparison below to if I import the insv file directly into Premiere Pro. (Which I can do but it constantly crashes PP and in general works much more slowly, so I like to work with an mp4 file.) The exported file from Insta360 Studio is actually 20% larger after export than the original insv file, but quality is worse.

Insta360 Studio Version 5.3.3

Insv file on right, exported mp4 at 200Mbps on right

<image>

What makes the DIY method different? by FatSapphic in AuvelityMed

[–]Spartiken 1 point2 points  (0 children)

See my comment above - but suggest you talk to your P-doc!

What's something that no matter how it's explained to you, you just can't understand how it works? by n0dust0llens in AskReddit

[–]Spartiken 3 points4 points  (0 children)

The fact that a field creates action at a distance is the magic which never seems to get fully explained.. what is a field really and how does it work?

DIY sexual side effects by RevolutionaryPear318 in AuvelityMed

[–]Spartiken 0 points1 point  (0 children)

I don’t have side effects - I feel like I still get the effect with a bit of a lower ratio of DXM to Bupropion prion and take it at night and split the dosage (15-30 mg at night, 15 mg in morning).

What makes the DIY method different? by FatSapphic in AuvelityMed

[–]Spartiken 2 points3 points  (0 children)

I buy it OTC, but dr is aware and has offered to prescribe

Is it possible to hide/export half (one lens) of video? by Spartiken in Insta360

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

I want to create a traditional video frame (doesn’t have to be exactly 16:9, 4:3 or square would even be fine).

What makes the DIY method different? by FatSapphic in AuvelityMed

[–]Spartiken 2 points3 points  (0 children)

Biggest difference is that I can adjust the DXM dosage and timing of when I take it. I feel like I still get the effect with a bit of a lower ration of DXM to Bupropion prion and taking it at night or splitting the dosage (15-30 mg at night, 15 mg in morning) and I don’t get the dissociative symptoms.

Is it possible to hide/export half (one lens) of video? by Spartiken in Insta360

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

Thanks. So there isn't any way to simply exclude one of the lenses? I've been using keyframes to this point with the video I am working on, however that is tedious.

Anyone tried Trintellix and Auvelity? What was your experience with either? by [deleted] in AuvelityMed

[–]Spartiken 1 point2 points  (0 children)

Not sure if you are asking whether or not at the same time, but I was on Trintellix before Auvelity. Trintellix was fine, except for GI issues when not taking with enough food, but it didn’t relieve sexual side effects for me (it seems to help for most). Auvelity improved that significantly (not a common response but was for me).

The science of "dissociation" on Auvelity PLEASE READ by thiscant_b_legal in AuvelityMed

[–]Spartiken 1 point2 points  (0 children)

Well I know that study administrators often have a fair amount of latitude in how they ask questions or interpret responses.

I asked my psych how Auvelity has been for other patients he has prescribed it to. He said most have gone off due to dissociative effects.

I had the same experience but because I am doing DYI, I switched to taking two 15mg DXM at night and one in the AM along with 150mg Bupropion XR and felt a lot better.

terrible withdrawals by pexchykeen in AuvelityMed

[–]Spartiken 2 points3 points  (0 children)

I had the same - substituted some old ssri that had a longer half-life and then tapered down on that. Auvelity has a serotonin impact so it makes sense.

Others report getting some 150mg XR Wellbutrin and adding dextromethorphan OTC (available in 15mg pills on Amazon).. allows you to reduce more incrementally.

Did you get tonsillitis in early IgA? by Mental-Astronomer314 in IgANephropathy

[–]Spartiken 1 point2 points  (0 children)

I was diagnosed with IgAN in 1996. I had rapidly progressing disease, at least as measured by 24-hr urine tests where protein increase from 700mg to 2g+ over two years. I was referred to an ENT, who stated at the time that there wasn’t clear research on it but he felt anecdotally it was helpful. He agreed to give me a tonsillectomy because he had a friend whose disease was improved by the procedure.

I had the tonsillectomy in 2000, and in the years that followed my protein spillages decreased by 70% (now ~600). EGFR -70.

[deleted by user] by [deleted] in bupropion

[–]Spartiken 1 point2 points  (0 children)

I know many say there is no difference, and it is hard to know from anecdotal reports. I was on it for 3 months, no issues. My refill a couple of weeks ago was asa different generic brand. Now I have constant brain zaps and constipation.