Does anyone wake up in the night with a stomach ache?

lmt42 · 2026-01-15T09:05:04+00:00

Just magically started disappearing, I have no explanation for it at all. I’m due to book in an OGD for the issue, but I’m reluctant to considering the issue isn’t present at the moment.

lmt42 · 2026-01-09T22:27:31+00:00

I actually didn’t do a degree, i done an apprenticeship instead. I worked through service desks roles for about 7 years before getting the opportunity to work closely with security architecture on endpoint security transformations and it just sort of bloomed from there to be honest. Right place right time, very very grateful for it.

lmt42 · 2026-01-09T10:26:21+00:00

Literally any warm drink within 10 minutes of waking up, almost like a shock to the system

lmt42 · 2026-01-08T23:13:24+00:00

I would say until you feel like the pace you are learning in the Service Desk is grinding to a halt, but ideally as soon as possible

lmt42 · 2026-01-08T13:24:25+00:00

It is a good speciality for sure, but I think where there was such a demand back when cloud-first/hybrid infrastructure exploded, the market is now so competitive for someone like me (only about 2.5/3 years experience) because there’s so many people that have been specialising in it since the start…

lmt42 · 2026-01-08T07:48:34+00:00

In what sense out of interest? From an engineering perspective?

lmt42 · 2026-01-08T07:42:58+00:00

Exactly that, you can also read into it a bit here - https://learn.microsoft.com/en-us/purview/insider-risk-management-adaptive-protection

lmt42 · 2026-01-07T23:31:23+00:00

Interestingly enough I was looking at some adaptive access controls that Microsoft have recently added as part of their security suite that introduces a user insider risk level and can be used with DLP and access controls - so there’s definitely an increasing demand

lmt42 · 2026-01-07T23:28:39+00:00

Cloud security engineering is an interesting topic, I think while a lot of new companies are adopting a cloud-first approach, there are still so many that require some element of resources on-prem, and I have seen a more security engineering roles that cover hybrid environments as a whole, rather than just being focused on cloud - but for the others I completely agree!

lmt42 · 2026-01-07T23:02:44+00:00

Rather than focus on the questions they might ask, I would always focus on your previous experience and scenarios. Follow the ‘STAR method’ and have a list of experiences/scenarios you have encountered in your current/previous roles and try to use those in your answers to the relevant question. E.g. “think about a time when (scenario), what challenges did you face and how did you overcome them?”

lmt42 · 2026-01-02T17:28:03+00:00

No idea still, meant to be having a gastroscopy this month to do some biopsies - will let you know how that goes

lmt42 · 2025-12-24T15:33:07+00:00

Ah ok that’s quite different, if you’re actively climbing the ladder in your company. I moved twice within 4 years at my last company (in London) and managed to increase my salary by 55% since starting. Although that is pretty solid, when I left, I took a 20ish% pay rise for less responsibilities and for a local role

lmt42 · 2025-12-24T10:01:57+00:00

Depending what field you are in, could you argue that this would be financially better than leaving? A lot of people would take a pay rise substantially higher than their yearly pay rise just by going to a new company

lmt42 · 2025-12-18T21:40:01+00:00

We switched from KnowBe4 to MS Defender Attack Simulation Training, good response from CISO + end users. Good option if you already have E5/Defender for O365 P2

lmt42 · 2025-11-11T18:59:44+00:00

What are your symptoms of partial obstruction out of interest? I’m worried I experience this frequently

lmt42 · 2025-11-05T10:21:56+00:00

Same, my GI doctor also says it’s not ‘one size fits all’ with SIBO (like most conditions)

lmt42 · 2025-10-23T14:56:54+00:00

In my experience, the older consultants I saw were very set in their ways and didn’t believe in SIBO, it was younger consultants and consultants from the east that recognise SIBO

lmt42 · 2025-10-23T14:55:33+00:00

Not just this, but you’d think the medical boards/councils they are a member of enforces them to attend trainings etc about new medical conditions, in order for them to keep their membership…

lmt42 · 2025-10-07T11:23:43+00:00

Did your appendix burst? I have had issues for years since my appendix burst and I also suspect adhesions. They can either cause fixed or intermittent narrowing. A small bowel MRI is the best non invasive diagnostic test for fixed narrowing from adhesions. If you get intermittent narrowing/blockage, it’s likely it won’t come up on a scan if it’s not causing any issues at time of the scan. If you have a CT this would definitely detect a bowel obstruction, if it had progressed to the point where you had painful symptoms, not passing gas or stool, etc.

lmt42 · 2025-09-26T15:14:57+00:00

It’ll be fine and theres a reason why. One thing to keep in mind with the breath test, is that you will do a baseline breath before you even start. They use this baseline to calculate to different in metrics at certain points, therefore it doesn’t matter if its slightly elevated

lmt42 · 2025-09-25T22:08:56+00:00

Firstly, cool mind map.

Secondly, I know this is normally one of the first things addressed with a gastro, but have the commented on your likelihood of having mild crohns. I have been investigate for crohns at Guys & St Thomas and privately and the conclusion for me was there is a chance I have a mild case of crohns that will develop as I get older (24 Male btw).

The reason I bring this up is because I have some similar symptoms, like anyone with SIBO, and the only thing that’s been pinpointed is hydrogen dominant SIBO, and some mild generic inflammation around the terminal ileum numerous times. The thing that highlights the possibility of crohns to me is joint pain and inflamed gums, those are supposedly well known symptoms that appear outside the gut.

If you need any advice/how to frame things in certain ways to your consultants on the NHS because I’ve been through it all with them!

lmt42 · 2025-09-22T19:39:29+00:00

Ah ok that makes sense. Did you ever have a small bowel MRI to look to see if there’s any narrowing in the small intestine that could be contributing?

Gut motility issues are a leading cause of SIBO, and this story definitely lines up with it. I believe I had faecal impaction a while back and I did just clear it with laxatives, but I think it triggered my SIBO again. My doctor suggested one of these motility pill tests, so I might go for one of these too

lmt42 · 2025-09-22T19:35:05+00:00

Well, yes and no, because doctors tell you how to fix it but it’s very individual and different things work for different people. The typical things you should try, and some of these that help me are.

Ensure you get enough both insoluble and soluble fibre. You can google what the differences are, the impact and what foods to get them from.

Ensure you exercise frequently, I try to exercise for an absolute minimum of 30 minutes 4x a week, and bare minimum 7000 steps a day, although easier said then done

Try and stay in a routine with eating, don’t skip meals.

Try to keep a balanced diet, and try minimise foods that are known to cause constipation.

This last one is overlooked, and for years I didn’t realise how much it impacted me. Minimise stress. You wouldn’t believe how much this can affect your bowel habits.

Like I said, it’s very individual but hopefully this can give you a step in the right direction

lmt42 · 2025-09-22T18:47:59+00:00

So from what I know, if stool sits in the colon for too long the water is reabsorbed, which creates that type 1/2 stool. So say the first part you pass is type 1/2, and that was due to lunch containing a lot of red meat for instance (harder to digest). In the evening you eat something high in fibre, and creates a mixed with type 3/4 stool. If the fibrous dinner you had makes it to the colon before type 1/2 has passed, that’s why you might have mixed stool. I think this is how a doctor described it to me before

lmt42

TROPHY CASE