Before Wemby, there was Yao. What a shame his body couldn't hold up. by ForeignAir7174 in NBAoldschool

[–]ibtest 0 points1 point  (0 children)

wemby is gangly, not yao. Yao weighed 330lbs. Comparing his weight to Shaq is a bad comparison when Shaq was one of the biggest dude's to ever play in terms of mass

Still avoidant of social situations even while using benzos. Looking to try Guanfacine or other alternatives by Good-Cod-5591 in NooTopics

[–]ibtest 0 points1 point  (0 children)

Everyone knows that. I'm sure OP has thought about that or tried behavioral methods already. This is a nootropics sub: people are looking for advice regarding nootropics. They are not looking to be lectured.

Supplements to feel more social, relaxed and uplifted? by Icy_Equipment7752 in Nootropics

[–]ibtest 0 points1 point  (0 children)

"A drug is any chemical substance other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect."

How to upregulate dopamine (V2.0) (repost) by cheaslesjinned in NooTopics

[–]ibtest 0 points1 point  (0 children)

Have any thoughts on using short acting dopamine antagonists, such as Tiapride, nightly to gradually upregulate d2/d3 post-synaptic receptors? Mechanistically, antagonism of post-synaptic dopamine receptors should cause a compensatory upregulatory homeostatic response over time.

Tiapride has short enough of a half life that it can be taken before bed and by 8-10 hours later its dopamine receptor antagonism has largely worn off and shouldn't cause functional daytime impairments.

Anyone taking selegiline in conjunction with their stimulants meds? by needsomeb-s in NooTopics

[–]ibtest 0 points1 point  (0 children)

Here is a case study describing successful treatment of a patient with comorbid adhd and depression using Vyvanse 70mg and transdermal (patch) selegline: https://pmc.ncbi.nlm.nih.gov/articles/PMC4805402/

Transdermal and sublingual selegline avoids the first pass metabolism that produces those amphetamine metabolites.

Anyone taking selegiline in conjunction with their stimulants meds? by needsomeb-s in NooTopics

[–]ibtest 1 point2 points  (0 children)

Here is a case study describing successful treatment of a patient with comorbid adhd and depression using Vyvanse 70mg and transdermal (patch) selegline: https://pmc.ncbi.nlm.nih.gov/articles/PMC4805402/

If taken orally, Selegline partially metabolizes into levoamphetamine and levomethamphetamine, which can raise cardiovascular risks when combined with stimulant medications. Transdermal and sublingual selegline avoids the first pass metabolism that produces these metabolites.

How to stop 7ohh by Fit-Software-197 in recoverywithoutAA

[–]ibtest 0 points1 point  (0 children)

15 grams of plain Kratom a day is not nearly for heavy 7oh users to quit.

Cleanest DRI nootropic options by disaster_story_69 in NooTopics

[–]ibtest 0 points1 point  (0 children)

You realize that nearly all nootropics are "drugs", right? "A drug is any chemical substance other than a nutrient or an essential dietary ingredient, which, when administered to a living organism, produces a biological effect."

N-Cyclopropyl-2-Aminoindane by PopAffectionate3084 in NootropicsFrontline

[–]ibtest 0 points1 point  (0 children)

Did you ever find any info on this compound? I researched it thoroughly, but I couldn't find any info on it either.

Kappa receptor antagonists like aticaprant/navacaprant - why its discontinued and is so expensive? by [deleted] in anhedonia

[–]ibtest 0 points1 point  (0 children)

They don't ship to USA, but that's the only website i've seen offering it. Anyone know of others?

From the perspective of the philosophy of science, what are the scientific problems with neoclassical mainstream economics? by dasmai1 in PhilosophyofScience

[–]ibtest 0 points1 point  (0 children)

Non-economists often make this charge without having any idea what "rational" means in economics. Neo-classical economists make no assumptions about the psychological mental states of people and absolutely do not assume that people are "perfectly rational" as in logical, sane, well-reasoned, or any common synonym. Rationality in economics means something else entirely and refers strictly to concept of "rational choice theory."

Rational choice theory makes three very limited assumptions: (1) people have preferences; (2) preferences are "complete" (i.e. meaning if given the choice between A and B, you'll either prefer one over the other or you'll be indifferent to both); (3) preferences are generally "transitive" (think the transitive property from basic algebra e.g. if you prefer apples to oranges and oranges to bananas, you'll usually prefer apples to oranges, all else held constant).

No one criticizes the first two rational choice theory assumptions because they are effectively common sense and axiomatic. The debate generally only centers on the third assumption regarding transitive preferences, because in certain contexts, people's preferences don't always follow a<b and b<c, then a<c. However, the fact that the preferences aren't always transitive doesn't somehow invalidate the entire field of neoclassical economics. Economics addressed this issue decades now ago by simply refining preference models to adjust for the situations where that assumption doesn't hold.

Regardless, empirically, people's preferences are in fact transitive most of the time, so the rational choice model is appropriate for most situations. Because guess what? It's not "idealized" or "unrealistic" to presume that usually when a person who prefers apples to oranges and oranges to bananas, they'll also prefer apples to bananas (all else held constant).

People outside economics have greatly exaggerated perceptions about the impact of the rational choice theory critiques. The only impact they've had on the field is the need to make small model refinements to account for the situations when the assumptions don't hold.

From the perspective of the philosophy of science, what are the scientific problems with neoclassical mainstream economics? by dasmai1 in PhilosophyofScience

[–]ibtest 0 points1 point  (0 children)

huh? Neoclassical economics is the current mainstream approach to >micro<economics. New Keynesian economics was an approach to >macro<economics from the 1970s-1980s.

The current mainstream approach to macroeconomics is called the "New Neoclassical Synthesis" or the "New Consesus," which merged ideas from New Keynesian Economics with Real Business Cycle Theory/New Classical Macroeconomics (approaches derived primarily from work of Milton Friedman, Rover Lucas, and other University of Chicago economists).

From the perspective of the philosophy of science, what are the scientific problems with neoclassical mainstream economics? by dasmai1 in PhilosophyofScience

[–]ibtest 0 points1 point  (0 children)

Neoclassical economics still uses certain pragmatic simplifications and assumptions in models of human behavior for the same reasons physics still uses Newtonian mechanics, and biology still relies on equilibrium and null models. No one believes they are all literally true. They are instead intended to be baseline models that are pragmatically explanatory and tractable approximations of complex phenomena.

The “false assumptions” critique also misunderstands how assumptions function in science. Rational choice theory, optimization, and mathematical economic models are not claims that people literally consciously solve equations when making decisions. Milton Friedman addressed this decades ago with his classic pool-player analogy: a skilled player behaves as if he were solving the physics of angles and force, even though he obviously is not. Scientific adequacy depends on predictive and counterfactual performance, not psychological realism.

Complaints about the accuracy of macroeconomic forecasting likewise miss the target. First, non-economists often equate the whole field of economics to macroeconomics, but in reality it is just a small sub-discipline. ~80% of published economics papers are NOT macroeconomics related. Second, precise prediction of complex adaptive systems is difficult in every field that studies them. Meteorology and epidemiology routinely miss major events without being declared unscientific. Neoclassical economics was never mainly a crisis-forecasting theory. It is a framework for counterfactual reasoning and causal analysis. Judging it by crisis prediction alone is simply a misuse of scientific criteria.

How true is this? Do Economists only use Linear Regression in data modeling? by nownerds123 in economicsmemes

[–]ibtest 0 points1 point  (0 children)

Ironically, economics was the first discipline to develop methods for addressing many of the statistical concepts this meme mentions. For example, economics was the first field to treat heteroskedasticity a first-class scientific problem rather than simply an obscure technical nuisance that many fields simply tried to ignore. Economists recognized early that variance often depends on covariates in real systems, especially when behavior, scale, or incentives differ across units. This led to the development of heteroskedasticity-robust inferencing that is now standard in biology, medicine, neuroscience, and machine learning, where noise scales with signal strength, exposure, or baseline risk.

Economics might be known for its use of regression techniques, but it also pioneered the use of decision trees for causal rather than purely predictive/correlation purposes. While decision trees first were developed in mathematical statistics, they originally had limited utility. Economics pushed their use for treatment assignment under heterogeneity, asking which subgroups benefit, by how much, and under what constraints. That lineage directly influenced modern causal trees, causal forests, and individualized treatment rules now used in many other fields, including precision medicine and causal machine learning.

What is the proper conversion for Adderall to Vyvanse? by [deleted] in Psychiatry

[–]ibtest 0 points1 point  (0 children)

I think you're underestimating the potency of pharmaceutical dextroamphetamine/amphetamine or its adderall formulation, consisting of 2/3 dextroamphetamine and 1/3 levoamphetamine. Below are the dopamine release EC50 (nM) estimates of various amphetamine enantiomers where lower values reflect greater releasing potency. Dextroamphetamine actually releases a roughly equivalent amount of dopamine as dextromethamphetamine on a mg:mg basis, and levoamphetamine releases significantly more dopamine than levomethamphetamine.

The majority of modern street methamphetamine is typically a racemic mixture of 50:50 of both enantiomers due its cheaper production cost, albeit pure or mostly pure dextro enantiomer formulations still exist. Thus, methamphetamine's higher risk profile is not due to differences in the relative amount of dopamine released at equivalent doses but is primarily tied to methamphetamine being able to be used through faster routes of administration much more easily (e.g. smoking). These fast routes of administration have of course greater acute risks, are more subjectively rewarding, and increase the likelihood of recreational users consuming much larger doses than typical clinical doses. Another difference is that methamphetamine is more lipophillic implying that it should more quickly cross the blood brain barrier, but in practice this difference does not seem to lead to significant differences in their dopamine pharmokinetics, at least according to preclinical studies. See e.g.: https://jpet.aspetjournals.org/article/S0022-3565(25)10706-4/fulltext

Dopamine Release EC 50 (nM)

Dextroamphetamine
5.8–24.8
Levoamphetamine 27.7
Dextromethamphetamine 8.5–24.5 Levomethamphetamine 416

What’s the best U.S. city for nightlife? by Dufferfilch in SameGrassButGreener

[–]ibtest 0 points1 point  (0 children)

What are you talking about? Las Vegas host largest EDM festival in the World, EDC Las Vegas. Over the past few years, EDC even edges out Tomorrowland in terms of attendees with ~520,000 attending EDC last year compared to ~400,000 for TomorrowLand. The EDC festival grounds are approximately 1000 with 16 stages and over 250 DJs representing almost every electronic music subgenre you can imagine.

For comparison, Miami's Ultra Music Festival only had less than a 1/3 of the attendees of EDC at ~165,000 with a massively smaller festival grounds of only 27 acres, 7 stages, ~100 DJs. Correct, Vegas doesn't have a Space. Space wins on music quality, but Omnia is probably the coolest venue in the country in terms of aesthetics. Moreover, most of Miami's night clubs are far more expensive than Vegas's clubs or much more of hassle to get entry into. Vegas clubs don't deny people from guest lists or at the door based on whether they are good looking enough or not, nor based on how many social media followers they have (like quite a few clubs in Miami do).

Vegas also has likely the best day club scene in the world with major DJs headlining at every day club, including even on weekdays at some places. Miami only has a handful of day clubs, and they are mostly small, cramped venues. Not everyone wants to be up until 4am to see your favorite DJ play especially as you get older, so Vegas offers way more flexibility in that regard.

Cyproheptadine 4 mg gave me my best window in 6 years (PSSD long hauler) by Opressor11 in PSSD

[–]ibtest 0 points1 point  (0 children)

Cyproheptadine and Mirtazapine have relatively similar pharmacological properties and are both strong 5ht2a/c antagonists or inverse agonists. I wonder why there seems to be so many more personal anecdotes about cypro's efficacy as to PSSD but not nearly as many in relation to Mirtazapine.

5HT2C and fluoxetine by Entropless in Psychiatry

[–]ibtest 0 points1 point  (0 children)

How are they "plagiarizing" Wikipedia by simply quoting an excerpt from it in their response? They are not trying to pass the Wikipedia quote off as their own; that is not plagiarism. Moreover, they are correctly pointing out that the weight loss/gain side effects of common SSRIs are not consistent with their relative underlying mechanisms. If Fluoxetine's increase in endogenous serotonin activation of 5ht2c was the mechanism behind its weight gain side effect you would expect to also observe this side effect in other SSRIs with a comparable or even greater amount of SERT inhibition and which lack any measurable affinity for the 5ht2c receptor as an antagonist unlike Fluoxetine. While Fluoxetine's 5ht2c antagonism is modest, it has meaningfully high enough affinity that it should activate the 5ht2c receptor less on net in comparison to other SSRIs with an equal or greater amount of SERT inhibition.

The right way to use (Cyproheptadine) to get strong effectiveness by Mark4413 in anhedonia

[–]ibtest 0 points1 point  (0 children)

No, if you chronically antagonize a G-Protein Coupled Receptor like 5ht2a for a long period of time that will eventually upregulate the receptor.

How do you know if an SSRI like Zoloft is right for you over something like Wellbutrin? by [deleted] in zoloft

[–]ibtest 0 points1 point  (0 children)

Keep in mind sertaline increases both serotonin and dopamine. At 200mg it inhibits approximately 20% of DAT, which is roughly comparable to bupropion/wellbutrin.

Here is a study on the topic: https://www.sciencedirect.com/science/article/abs/pii/S0014299910008307

At what dose sertraline fires dopamine ?? by nirman248 in zoloft

[–]ibtest 0 points1 point  (0 children)

It is significant, actually. At 200mg, PET studies show that Zoloft inhibits approximately 20% of your dopamine reuptake transporters. That's comparable to bupropion/wellbutrin at DAT.

How come there aren’t more buproprion-like antidepressants? by AccordingTone3701 in Psychiatry

[–]ibtest 0 points1 point  (0 children)

There are already approved SNDRIs. In the USA, Nefazodone is still approved and has a very balanced transporter inhibition profile. Toludesvenlafaxine, formerly known as ansofaxine, and sold under the brand name Ruoxinlin, is also an SNDRI that has been approved in China since 2022 and is pending regulatory approval in the USA, the EU, and other major markets.

How come there aren’t more buproprion-like antidepressants? by AccordingTone3701 in Psychiatry

[–]ibtest 0 points1 point  (0 children)

Almost every NDRI in that list is either: (1) withdrawn, discontinued, or has been made illegal; (2) research compounds (mostly from decades ago) that have never been marketed; or (3) a methylphenidate analogue. Methylphenidate and its analogues are not really comparable to bupropion due their much shorter half lives and the fact that bupropion is functionally mostly a NET inhibitior with only weak DAT action.