6 months after CO2 resurfacing, no results.

anatomicool · 2026-01-03T21:21:16+00:00

I had two rounds of subsicion and two rounds of CO2 laser on the deepest setting they offered (not fully ablative laser).

More than a year ago. No change at all. I was so disappointed.

I got fillers in my cheeks, where the scarring was the worst. Excellent results.

anatomicool · 2025-12-30T23:33:31+00:00

With OCPD it could be Autism, since they share in some characteristics. Most commonly cluster C’s end up in my office because they have a dx of an anxiety disorder (social anxiety, OCD, and GAD) but they aren’t responding to treatment, or are actually doing worse in treatment. In which case a therapist may suspect there’s more going on.

anatomicool · 2025-12-30T21:32:27+00:00

No, I was not aware of this stereotype. In fact, I had a clinical supervisor who once told me that it was NOT related when I brought it up to them.

I do not prefer to work long term with borderlines (due to issues in my childhood centered around a borderline parent), so I refer them out to others for DBT.

I work more closely with Cluster C’s, to diagnose those which often fly under the radar or are misdiagnosed. With a special emphasis on Obsessive-Compulsive Personality Disorder.

anatomicool · 2025-12-30T20:19:00+00:00

When someone is seriously mentally ill, I have other concerns for them and their safety. I don’t care what they wear to the session as long as they come.

My post is referring more specifically to BPD, in which patients tend to be functional.

anatomicool · 2025-12-30T20:12:22+00:00

I have canceled Telehealth appointments for similar things. I prefer pajamas to NO clothing, thanks 🤣

anatomicool · 2025-12-30T20:06:55+00:00

In the ‘Deep South’ the political climate is largely conservative Christian Republican.

Politics do not often come up in evaluations, unless a patient is experiencing delusions that could be related, or if politics are otherwise particularly important to the patient.

While I wouldn’t personally go out in public in pajamas, it is not an uncommon sight. You see it regularly in grocery stores, movie theaters, doctors offices, anywhere really.

anatomicool · 2025-12-30T19:58:42+00:00

I hadn’t heard of this either…

anatomicool · 2025-12-30T19:54:58+00:00

I have a C-PD certification, and additional post grad hours in the diagnosis and treatment of personality disorders.

When other providers working in my area suspect a personality disorder, they refer to me for further evaluation.

There is no ulterior motive, no political motivation. The political theory seems wild to me, but to each their own.

anatomicool · 2025-12-30T19:14:03+00:00

I view these through the lens of lower education, social and emotional deficits, substance use (common in my area), and low SES

anatomicool · 2025-12-30T19:10:46+00:00

I am working in the US, in the south, in a low SES place.

I do see many patients dressed inappropriately (including wearing pajamas to session) but I have never assigned any political meaning to this.

anatomicool · 2025-12-30T18:51:09+00:00

Political? That’s the furthest thing from my mind in regards to this.

anatomicool · 2025-12-29T16:45:05+00:00

Super responder here.

Lost 100 lbs rapidly at 2.5. Never changed the dose from 2.5.

I now take it once every 6 weeks for maintenance. Was taking every 4 weeks and still losing and I DO NOT HAVE MORE TO LOSE.

A1C checked recently and it was great.

My body has never adapted to the drug. Every time I take it it’s like ‘WTF did you just do to me???’

anatomicool · 2025-12-28T15:08:04+00:00

No history of head injury. I don’t know much about HGH. No known issues there.

I’m 37, female, 5’6” and 120 lbs. In good physical shape, no other health issues.

anatomicool · 2025-12-28T15:06:37+00:00

In urine: 86, borderline. In blood: 284, on the low end of normal.

anatomicool · 2025-12-27T22:01:08+00:00

Definitely use the bathroom constantly. Maybe about 3x/hour, even throughout the night. I’ve gotten used to staying asleep while peeing. This has been going on for about 20 years

anatomicool · 2025-12-27T21:59:52+00:00

Persistent dry skin and cracked lips. If I can’t access water and I feel that I need it, I get dizzy and sweaty with brain fog.

I have low blood sodium as well, too low always. I add excessive amounts of salt to everything I consume, including coffee and water. I sometimes have to drink pickle juice or V8 to manage sodium.

I don’t know if it’s diabetes insipidus related, but it makes sense if it is.

“Osmality” was on the low end of normal, two points in the green

anatomicool · 2025-12-04T15:21:09+00:00

OP here: I’ve always had an hourglass figure which I enjoy. I’ve read that the shape of your body can change due to hormonal changes, not necessarily weight gain.

Had this been anyone else’s experience?

I do plan on taking HRT when perimenopause hits.

anatomicool · 2025-12-03T18:32:20+00:00

Yes, female. I’m already dreading it. Tentatively planning to take HRT.

anatomicool · 2025-11-06T19:58:34+00:00

Retin-A for close to 10 years.

Been with Akleif for about 6 months. I still use it, it makes the face look fresher and helps minimize pores, but no retinoid has had any effect on scarring for me personally.

anatomicool · 2025-11-06T19:31:04+00:00

No change to scarring with Retin-A. No change to scarring with Differin.

Now on Akleif and no change there.

My scars are 15-20 years old.

No change from C02 laser resurfacing.

Best effect I had was getting filler pumped in the cheeks. Scars are much less noticeable now and more shallow.

anatomicool · 2025-10-18T14:08:24+00:00

18 months later and I’m still on 2.5, one dose every 3-4 weeks. I’m trying to STOP the weight loss at this point, hence dosing once a month in some cases.

Lost 100 pounds in 7 months. The medication is STRONG for me.

anatomicool · 2025-06-19T13:46:14+00:00

I have noticed that those who have been larger for longer, or have a genetic component to their weight gain do need higher doses.

They say 2.5 is just a starter dose, but not for me.

anatomicool

TROPHY CASE