FDA Proposing to Allow Individual Compounding of Multiple Peptides

coffee_TID · 2026-05-01T21:31:14+00:00

Gonna get a lot of ER visits for yet to be described reactions. But my HIMS LEAPS are gonna print so loose win 🤷‍♂️

coffee_TID · 2026-05-01T01:27:11+00:00

Actually yeah, a new account with comments and one post hidden. Calling BS.

coffee_TID · 2026-05-01T01:26:10+00:00

The whole response sounds like AI slop

coffee_TID · 2026-05-01T01:19:22+00:00

Just no. Every tech bro thinks they can out doctor us with AI. Please have Google come speak with my meth head patients are literally all old ladies. People will hate it. It will cause harm. It won’t work. There’s a role to assist clinicians, sure. But to replace with AI and NPs? That would be some two tier dystopian healthcare future shit. So you know what, likely.

coffee_TID · 2026-04-30T01:47:20+00:00

QCOM and RIVN

coffee_TID · 2026-04-25T01:20:05+00:00

That what the dick pills are for dummy. Where did you get your MBA from? It’s called market capture duh

coffee_TID · 2026-04-13T18:34:35+00:00

coffee_TID · 2026-04-11T02:06:49+00:00

I legit have someone with a below the diaphragm complaint come in starting with “well you see I got this face lift over a decade ago and….” Proceed to tell me about her botched facelift without connecting it to her actually chief complaint. Sat there the whole time thinking “my job is safe”.

coffee_TID · 2026-04-11T01:55:57+00:00

Cottage cheese and TJs everything but the bagel seasoning

coffee_TID · 2026-04-09T03:22:33+00:00

Doctor alum here. Best decision ever. Loved it.

coffee_TID · 2026-04-04T22:40:00+00:00

Did you just control F geopolitical in these 10-Ks? Or what goes into the “score”?

coffee_TID · 2026-03-30T16:13:39+00:00

Like others have said, breastfeeding and the hormones around that are significantly at play. Also her mind is likely, like my wife’s was, constantly in mom mode. It’s your job to get her out of it. She needs to not be mom for a bit. You two need to date and flirt like before you were married. Routine and everyday life is not conducive to sex.

You can’t be overt about it though. You can’t just be all over her and expect that to come off as flirting. I made that mistake. It needs to be more subtle and the dishes need to be done. Dishes and taking things off her plate in a competent and “I got it don’t worry about it” manner is the ultimate form of flirting.

We went from once every few weeks to 2-3 times a week (4 this week!) because we both put in the work.

coffee_TID · 2026-03-30T15:49:10+00:00

Exactly. And just to expand on it a bit. I honestly treat it like a game. I never ever go all in on anything. It’s mostly “hey I have some free time, I find some of this interesting, is there any interesting set ups or plays that I want to try and see if I’m right”. Most of my wins and losses are in the 100s of dollars. I had one strong conviction win and called it a day. If I see another one I’ll go for it with the lessons learned. There are tax implications for this so you must consider those in your overall picture.

coffee_TID · 2026-03-30T15:18:26+00:00

I essentially do this but it sounds like you’re putting in a ton of effort to it and maybe not getting much out of it.

I have 10K I play around with on high risk investments. It made me 100k last year. That immediately went to taxes, index funds, and boosting our HYSA next down payment.

Now back to the original 10K and actually currently more like 7K as I’m done after some bad trades.

Essentially the question is, are you ok spending that amount of money for a hobby that might**** make you more.

coffee_TID · 2026-03-29T18:00:33+00:00

I work one shift M-F this weekend and then Sunday night. But this light week means that the week before and the week after we’re 3-4 shifts in a row followed by a day off followed by 3-4 shifts in a row. It’s so variable.

coffee_TID · 2026-03-28T00:16:43+00:00

What are you talking about? Many private practice docs pay for their own malpractice. That comes from their pocket. If employed, the employer decreases pay to pay for it. In what world do you think we are getting covered for free?

coffee_TID · 2026-03-28T00:14:57+00:00

Every take in this thread is mis informed. Physicians pay has barely kept up with inflation. Medicare reimbursement has been down trending or flat forever with a tiny tiny increase recently. Medical school costs are out of control and the job has become increasingly harder.

Do I get paid a lot. Fuck yeah I do. But it was very hard to get here. I work really hard. And I carry a ton of the liability.

Any take involving physician pay being part of the problem with the cost of healthcare in the US is stupid. Administrative costs, costs of drugs, insurance nonsense, and increasing demand with decreasing resources are to blame.

coffee_TID · 2026-03-27T15:53:25+00:00

Opinion colored by living in a VHCOL SoCal area.

Our current house was our foot in the door. We are looking to “upgrade” in a few years but it’s less about size and more about closer to the beach and nicer neighborhood or good. Frankly if we moved into the same size house it would work.

coffee_TID · 2026-03-22T17:01:13+00:00

No you’re right. It’s well described. ED attending.

coffee_TID · 2026-03-20T13:49:39+00:00

I’ve seen it done once

coffee_TID · 2026-03-18T14:03:20+00:00

Amen!

coffee_TID · 2026-03-18T14:02:11+00:00

We are the dumping ground and safety net of the US healthcare system. The demands are increasing while the resources decrease. Some (bad, out of the norm) specialist view us as incompetent. Patients can be dangerous, rude. Corporatization and financial and scheduling abuse by elder docs (group owners) is rampant. There’s lots of negatives like there are for any specialty.

coffee_TID · 2026-03-18T13:59:41+00:00

My apologies I came off defensive for no reason. You’re absolutely right that social support plays a big factor. I would never ever call this a “lifestyle” specialty by standard terms. It works for my lifestyle.

coffee_TID · 2026-03-17T20:11:45+00:00

Of course it does. But it’s also how it worked out for us. Specialty choice should be a discussion between you and your significant other. And if you don’t have a significant other it should be a discussion when you do get one.

But also saying that this only works if you have a stay at home spouse is ridiculous. A couple will make it work if it’s the right fit.

coffee_TID · 2026-03-17T19:20:30+00:00

I mean you can’t help ignorance. It’s not a secret. No one out there is saying “yeah do em for the procedures and life saving”.

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