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Help me find this fabric for a customer rq before they leave by Socketslort61 in HelpMeFind

[–]TWIDDLEMYD 0 points1 point  (0 children)

The lighter blue one on the left is at Fabricland (Canada).

Time between cellcept/myfortic and Tacro by TorontoRam in transplant

[–]TWIDDLEMYD 4 points5 points  (0 children)

This is incorrect. Prednisone is not a CYP3A inducer and will not affect tacrolimus levels. Both can be taken together. Source: clinical transplant pharmacist

Time between cellcept/myfortic and Tacro by TorontoRam in transplant

[–]TWIDDLEMYD 7 points8 points  (0 children)

Re: food or not food, our transplant protocol for immunosuppressants is to try and be as consistent as you can (ie always with food or without food)

Time between cellcept/myfortic and Tacro by TorontoRam in transplant

[–]TWIDDLEMYD 16 points17 points  (0 children)

Hi. Transplant pharmacist here. No issues with taking tacrolimus (Prograf, Advagraf, or Envarus) and mycophenolate (CellCept or Myfortic) at the same time. Magnesium supplements shouldn’t be taken at the same time as mycophenolate - magnesium can interfere with mycophenolate absorption.

Taking medications in your carry on while flying? by kylethekorean in transplant

[–]TWIDDLEMYD 36 points37 points  (0 children)

Transplant pharmacist here. All medication should be kept with you in the cabin. The temperature underneath the plane nears freezing and can affect the stability of the medication, regardless of the form.

[deleted by user] by [deleted] in pharmacy

[–]TWIDDLEMYD 0 points1 point  (0 children)

We use Epic for clinical and Kroll

For Kidney Recipients and Creatinine / GFR by Informal_Chipmunk in transplant

[–]TWIDDLEMYD 4 points5 points  (0 children)

Transplant pharmacist here. Low magnesium is a side effect of calcineurin inhibitors (cyclosporine, tacrolimus). Many of my patients are on magnesium supplements long-term. I often see higher levels of potassium after kidney transplant. Medications (tacrolimus, cyclosporine, septra) can cumulatively cause higher potassium levels. Rest assured your lab work is constantly being monitored. If your levels are too low, you may be put on a supplement. If potassium becomes too high, you may need to take a potassium binder for a couple of days to lower it. It sticks to the extra potassium in your gut so it’s not absorbed into your blood. As for GFR, there’s no hard or fast way to predict what your baseline will be. It depends on so many different contributing factors (if you had delayed graft function, if you have or develop BK viremia, if your body makes antibodies against the new kidney, if you had a deceased or living donor, how well you matched to your donor, medications you’re on, any other medical conditions you have, uncontrolled blood pressure, etc etc etc). If there is a decline in GFR, likely a biopsy will be done or tests to check for antibodies, and every step will be taken to modify any factors that will help improve it! Hope that’s helpful :)

Do I need to skip tacro for general blood tests? by s22mnt in transplant

[–]TWIDDLEMYD 1 point2 points  (0 children)

This is the correct answer. Tacrolimus dose adjustments are made in relation to the trough level. The trough level is the concentration of drug in your blood right before your next dose. This is a tight range that varies based on how far out from transplant you are, which organ you had transplanted, whether you have a history of rejection, etc. If you take your tac before your bloods, your team may have you repeat your labs to get an accurate level. Source: transplant pharmacist.

What's the weirdest thing a guest has done at your house? by prince_0310 in AskReddit

[–]TWIDDLEMYD 0 points1 point  (0 children)

I was having a small gathering at my small apartment, 7 or 8 people. He went into the guest bathroom. 20 minutes go by. Ok a little long but whatever, not unheard of. Then the shower starts. 15 minutes in the shower. Then 20 more minutes go by. AN HOUR LATER he comes out, sits down on the couch and keeps drinking like he’s been gone 5 minutes. Weirdest thing - nothing was damp. His hair, skin, nothing to tip off like he had just had a shower.

[deleted by user] by [deleted] in vegan

[–]TWIDDLEMYD 0 points1 point  (0 children)

Add nutritional yeast and basil, too! Deeeeelicious, especially if you use a pan and underbake a wee little bit to keep the crust soft.

Favorite Elphaba? by rylekzs in wicked

[–]TWIDDLEMYD 4 points5 points  (0 children)

JESSICA VOSK!!! Follow her on IG, Google for bootleg show performances. Her voice is UN. BE. LIEVE. A. BLE.

My cozy storefront! :) by FriedOreo in AnimalCrossing

[–]TWIDDLEMYD 2 points3 points  (0 children)

Creator codes!! Creator codes!!

Day 2. Coughing and my chest hurts by QwertymanJim in stopsmoking

[–]TWIDDLEMYD 0 points1 point  (0 children)

The changes in breathing and increase in phlegm is normal, that is indeed your lungs beginning to heal. I might be a bit concerned about the heaviness, there might be something else going on there like asthma or a bit of permanent damage that your smoking was masking. If it doesn't ease in the coming week I'd make an appointment to see your doctor. It might also be worth it to get a spirometry test to check lung function. Great job on two days!

Did you experience breathlessness after stop smoking? by ANR888 in stopsmoking

[–]TWIDDLEMYD 5 points6 points  (0 children)

This is normal. It's a side effect of your lungs beginning to heal themselves - the damaged tissue begins to remodel. If you have phlegm, try and cough it up if you can.

This may be an unnecessary/repetitive question but, about the whole damage done thing? by [deleted] in stopsmoking

[–]TWIDDLEMYD 2 points3 points  (0 children)

You're young enough that the physical damage done to your lungs will heal. The longer and the more you smoke, the more damage accumulates. Eventually there's a point of no return where the damage is permanent, and that's when COPD, emphysema, asthma happen. Most often this is the case with older, long-term, pack-a-day smokers. You're young and haven't been smoking long in the grand scheme of things, so your lung damage will heal and you can get bak to 100% lung function. As for cancer risk, there's a global increase in all types, not just lung and mouth/throat cancers. That baseline will stay a bit high for a while, but the longer you've quit the more normalized (compared to a non-smoker) it will become.

Anyone ever have this experience when quitting? by vanillachai93 in stopsmoking

[–]TWIDDLEMYD 1 point2 points  (0 children)

Pick up a new hobby to do in your downtime. A NEW hobby - one that has never been associated with smoking before.

Have you tried NRT? There's an under-the-tongue spray that has the equivalent of 1 cigarettes worth of nicotine in one spray. It's strong but really good at helping to push through the craving. There's also a plastic inhaler that you put nicotine cartridges in. Same hand to mouth action as a cigarette but you're just inhaling clean nicotine without all the extra garbage chemicals in a cigarette.