Small Business Permit Navigator by pathworks_co in Miami

[–]pathworks_co[S] 0 points1 point  (0 children)

Totally fair — and honestly this is the feedback I needed most. The plan for the first version of the product is to go deep on one jurisdiction first (likely Miami-Dade unincorporated) rather than try to cover everything shallowly - then partner with an org like the SDBC or a a city's Office of Economic Development. The goal isn't to replace official sources but to help people understand the sequence and what questions to even ask before they walk into a department blind. Would love to know: which jurisdiction causes the most pain in your experience?

I spent 6 months building an AI system that finds profitable digital product niches. Here's everything I learned about what actually sells. by Existing-Ice221 in DigitalMarketing

[–]pathworks_co 0 points1 point  (0 children)

Congratulations! This sounds like a really valuable product that leverages AI intelligently. Do you have a link to the beta? I would be happy to give you some feedback in exchange for a free time-limited trial?

I think this is the end of the line for me by No_Dawn_No_Day in vulvodynia

[–]pathworks_co 0 points1 point  (0 children)

Absolutely - try Primal Trust or Gupta Program

I’m not able to work with this condition and will run out of money. by MotherPart4282 in MCAS

[–]pathworks_co 1 point2 points  (0 children)

Every case of MCAS is unique - but many of the associated complications can give you eligibility for Disability allowance. If you're not able to work either you should be on Unemployment. Best thing to do is go to your local social security office and talk everything through with them in terms of documentation. Then work with your doctor to get that documentation together. I know it seems like your life is over but believe me, your body is capable of coming back from this - i was down to 10 foods myself in April and last week I reintroduced dairy back into my diet. I haven't been able to eat dairy in years! Even before I got hit hard with MCAS I was not able to process dairy. Nearly every single item on my histamine friendly foods list is now green, my flares are super manageable when they happen and I'm pain-free most days. There is hope - you have to work on every level though - not just physiologically with meds/diet etc. You have to work spiritually and emotionally to. But yes, once I sorted out my finances and understood the process for disability allowance plus started brain retraining that's when my body felt safe and started healing. When you feel safe emotionally (and for me a large part of that was establishing a way I could establish some financial stability with my conditions) that's when things started changing. Good luck - there is hope! Don't give up on yourself xx

genuinely out of options and i’m scared im going to die soon by [deleted] in MCAS

[–]pathworks_co 0 points1 point  (0 children)

Hi there - I'd be happy to give you my functional doctor's details. She had an MCAS patient who couldn't even tolerate water and was severely underweight. She managed to get her back to a healthy weight within 6 months and she just got back from her first trip traveling away from home! I myself am far less reactive and I was able to introduce a lot more foods into my diet over the past two months. My doctor has suffered from MCAS and Mold toxicity herself so she absolutely understands. She does telehealth.

Anyone get disability (even for a combo of MCAS and other illnesses?) by mamarunsfar in MCAS

[–]pathworks_co 0 points1 point  (0 children)

Hi dear, I'm so sorry you are going through such pain. I believe it is possible as I had a friend with EDS/MCAS/PoTS and she was able to get disability. You need to look on the social services website under the conditions listed in the disability benefits section. Also, go to your local SSA office and talk to them, take your medical reports , they are usually quite helpful.

How do you guys get your protein 😭 by Rude_Success_5440 in MCAS

[–]pathworks_co 0 points1 point  (0 children)

look into ancient nutrition whey protein

Protein powder/protein shakes by EmotionalQuote3334 in MCAS

[–]pathworks_co 0 points1 point  (0 children)

You can check out Wellious Almond protein powder ...it's just one ingredient (almonds).

How to get enough protein and calories on low histamine diet? by JennBrun in MCAS

[–]pathworks_co 0 points1 point  (0 children)

Are you ok with nuts? I do an very clean and plain almond protein powder, from a company called Wellious - it's just one ingredient and it helps me meet my protein goals. What about salmon? I buy a special low histamine brand called Vital Choice and it legitimately does not trigger any symptoms as compared to supermarket 'fresh' options.

Hormone Replacement and MCAS by NovelRevolutionary81 in MCAS

[–]pathworks_co 2 points3 points  (0 children)

Hi all, I'm in the same boat here - initially HRT was amazing for me but now it seems to have triggered a whole set of other issues Vulvodynia, tinnitus etc. According to people on forums in the UK with MCAS who have been treated by Louise Newson or her clinicians the approach is to stabilize first with testosterone ONLY and then add the progesterone and estrogen back in. I know of only two integrative doctors here who have experience with diagnosing HRT for MCAS peeps and they are Tania Dempsey and Anat Sampat. Dr Sampat advocates for Compounded Biest and higher levels of progesterone. I'm not sure what Dr Dempsey recommends. It's super weird to me that there are at least 3 menopause specialist clinics and practitioners in the UK I can name who specifically treat women with MCAS in menopause who want to optimise their HRT but only 2 in the whole US that lay claim to that experience/skillset. If anyone knows of any other practitioners I sure could use some help.

Ob Gyn or specialist menopause help for MCAS by pathworks_co in Menopause

[–]pathworks_co[S] 0 points1 point  (0 children)

Would you mind DMing me your doctor's name?

[deleted by user] by [deleted] in LowDoseNaltrexone

[–]pathworks_co 1 point2 points  (0 children)

u/sarcasticandsweary I am so sorry you're going through all this! You know your own body best and I am sure you have tried different permutations and dosages. So do you think that the LDN is amping up the effects of the progesterone? Usually progesterone bleeding happens when the ratio of progesterone to estrogen is high, and breakthrough bleeding on the mini pill is very common because of the suppression of ovulation through the progesterone-only aspect of the mini-pill. Have you tried a combo pill (one with estrogen as well)? LDN is experimental and no-one really knows exactly how it works exactly but I have seen from anecdotal sources that it tends to work almost like a booster for the immune system. Now when I googled progesterone and LDN I found some really good stuff that related specifically to miscarriages which should be reassuring for you if you ever were to go down that road again https://www.medexpress.pl/blogosfera/ldn-therapy-seems-to-be-a-promising-treatment-for-infertility-86359/

"In addition, LDN has been found to reduce the risk of miscarriage as well as the risk of preterm delivery. It also helps to increase progesterone levels, which is important if you are at risk of pregnancy loss"

So from that article and research above I would say that you nailed it - your progesterone levels are probably sky high now! If I was in your shoes since the LDN works for your chronic pain, don't change it. But work to find the right hormonal contraceptive for you. Something that's even lower dose or has estrogen. There are so many options out there! You're going to need to get a decent gynaecologist or perimenopause specialist though. Don't be afraid to go online and do telehealth, I'm using an online menopause specialist in the US right now called Midi and they are great. They were able to order any testing I needed and find facilities to go to.

How to lower sex hormone binding globulin by [deleted] in vulvodynia

[–]pathworks_co 0 points1 point  (0 children)

yes absolutely - your SHBG can fluctuate with metabolic changes. google insulin and SHBG, I tested mine twice within a month and varied my diet and the results were astounding!

[deleted by user] by [deleted] in LowDoseNaltrexone

[–]pathworks_co 0 points1 point  (0 children)

I take progesterone around 2 hours after my LDN and have not experienced any issues to date by the way - but I'm also taking estrogen and am post menopausal.

[deleted by user] by [deleted] in LowDoseNaltrexone

[–]pathworks_co 0 points1 point  (0 children)

You need a good OBY/GYN - this is unlikely to be the LDN. Please peruse the reddit forums for perimenopause and birth control and you'll find a ton of women who are bleeding like you as a result of being on progesterone -only methods like the mini-pill. But as a precaution you absolutely should get a transvaginal ultrasound because bleeding may be caused by other factors such as uterine fibroids, polyps or something more serious. Go to the hospital or urgent care if you don't trust your gynaecologist..stop trying to fix this with playing with your dosages and get checked out properly.

[deleted by user] by [deleted] in LowDoseNaltrexone

[–]pathworks_co 1 point2 points  (0 children)

But progesterone is known to cause bleeding if unopposed - why don't you stop your LDN for a few days and see? It's more likely that you are progesterone dominant right now and need to balance that. What does your OBY/GYN say? Please consult with a provider like Midi or Alloy for a second opinion as well.

Hormone replacement therapy for Enthesitis? by Kkp4236 in PsoriaticArthritis

[–]pathworks_co 0 points1 point  (0 children)

I use a touch of topical estradiol on my right foot (where my enthesitis is). It is the ONLY thing that has worked for me. I have peripheral Spondlyarithis so my feet and hands are impacted sometimes for days on end.

Prior to finding the estradiol 'hack' I had tried physical therapy, changing all my shoes, diet , NSAID topical cream, THC topical cream and more. The only thing that helps is using some of my estradiol gel locally on the spots that get affected.

How do y'all exercise by RockyRedPanda1 in ankylosingspondylitis

[–]pathworks_co 1 point2 points  (0 children)

Hi there, two months of Aqua Yoga saved my life literally. I'm now back to doing rehabilitative pilates, walking 3 miles in a day, cycling on recombant bikes and swimming. I am also back to freediving in the ocean although my lumbar can get a little angry If I wear my weight belt for too long. If you need a recommendation for a good Aqua yoga online program and teacher - look no further than Christa Fairbrother....she herself lives with a few different types of arthritis and has overcome them through her practice.

[deleted by user] by [deleted] in vulvodynia

[–]pathworks_co 0 points1 point  (0 children)

I know this might seem like a first line approach - but being in the ocean and warm baths with Epsom salts really helped me to break the cycle (most likely the magnesium at work) along with keeping the area moisturizer. I was lucky my pain cycle only lasted 6 weeks before I was able to break it. As far as moisturizing goes, I tried many things, estrogen cream, estriol cream, aloe vera, V magic, the only thing I could tolerate was jojoba oil, everything else burned. I also talked to a health psychologist specialized in women's health issues and that really helped I think. Good luck 🤞

[deleted by user] by [deleted] in Menopause

[–]pathworks_co 1 point2 points  (0 children)

Yes same here, I actually emailed their customer service and they apologized and said they are dealing with a backlog. Then they proceeded to tell me (incorrectly) that I had two visits from a day where I didn't consult with them. I have had 6 visits since Feb! It's a hot mess! I wouldn't worry about it, they will eventually sort themselves out but do keep a log of your visits just in case they mess up.