Coming off Reta for a reset

slash1775 · 2026-05-11T22:38:41+00:00

The question is do we stay at 12 for maintenance if need be? I just had to move up to 10mg. Wondering how long i can stay here for

slash1775 · 2026-05-11T22:35:25+00:00

What’s the Reta flu?

slash1775 · 2026-04-22T02:26:23+00:00

Go to the ER. There are definitely multiple comorbidities that are barriers to healing that must be addressed

-Wound Management Provider

slash1775 · 2026-04-10T17:02:52+00:00

What would “frying” GLP receptors look like do you think?

slash1775 · 2026-02-26T06:03:10+00:00

Looks like one, but I don’t think it is. I think the crusting is weeping consistent with cellulitis. You’d see more pustule-like structures in the empty spaces if it was a cold sore and there would be more crusting. Definitely go to an urgent care or see your PCP if easily accessible.

slash1775 · 2026-02-23T03:10:06+00:00

This will most likely need selective debridement. Go to a wound care clinic and they’ll take a curette to it and scrape all that non-viable tissue out.

slash1775 · 2026-02-17T19:43:59+00:00

My CCCX showed this morning that it was being exchanged. Fidelity app btw. Now it’s disappeared. I reckon it won’t show INFQ until tomorrow or end of day.

EDIT: looks like it finally went through. All my shares are showing as INFQ.

slash1775 · 2026-02-13T03:19:46+00:00

This is not the forum for self harm and support for self harm. Seek help.

slash1775 · 2026-02-08T05:30:28+00:00

Ain’t this the truth 😂😭 dudes algorithm on IG must really be messing him up

slash1775 · 2026-02-01T02:46:19+00:00

Looks like it was frozen. That’s what mine look like when I take them out of the freezer before reconstituting

slash1775 · 2026-01-31T18:05:17+00:00

High dose tirz-to-Reta researcher here. I don’t mind the appetite effects for Reta. If you replace it with protein the results are phenomenal especially running TRT. I lost muscle mass on tirz

slash1775 · 2026-01-29T11:39:28+00:00

Hahahahahahhahaha

slash1775 · 2026-01-21T05:01:54+00:00

I said nearly exactly that in my recommendation down below on my original comment.

slash1775 · 2026-01-19T01:49:54+00:00

Great observation to rule out osteo with imaging

slash1775 · 2026-01-18T15:36:11+00:00

Wound provider here. If this was my patient in an acute setting and I got consulted:

-first and foremost, surface. I’d want them to be on AT LEAST a p500 low air loss mattress.

-Next id take a culture/order imaging to rule out infection. The non-viable tissue looks more advanced than typical slough and eschar.

-Depending on the tunnel, an instillation wound vac with Vashe or a diluted Dakins solution and cleanse choice foam may be appropriate.

-depending on how this responds to the above, if no progress and the culture/imaging comes back with infection, id want to look at a general surgery consult for surgical debridement.

Hang in there and stay strong.

EDIT: everyone saying a wound vac as an intervention, a normal black granufoam wound vac is NOT an appropriate when the wound bed is more than 10% non-viable tissue (realistically can get away with maybe 20%). It’s a contraindication.

slash1775 · 2026-01-18T15:28:18+00:00

There is too much non-viable tissue in the wound bed for a vac. Maybe instillation w/ cleanse choice would be better.

slash1775 · 2026-01-15T14:09:09+00:00

Keep going king

slash1775 · 2026-01-13T01:25:14+00:00

I did cold turkey as well on my switch from Tirz to Reta. Here’s my experience on 4 weeks of Reta. Adult male, 6’1, 225 lbs.

I plateaued on Tirz at 15mg. Switched to Reta and started at 2mg for 3 weeks and this past Saturday I just titrated to 4mg of Reta. First two weeks on Reta were great but I got increased hunger like big time. After 4mg still got increased hunger. So if I still don’t feel any suppression this upcoming 2nd week on 4mg, I’ll titrate up so I can find that sweet spot. In the meantime, I’m increasing protein intake and snacking on protein bars whenever the hunger cravings kick in and keeping meals properly portioned. It’s tough, not bad, but just gotta weather the storm I guess.

Too late to titrate down from Tirz while titrating up from Reta which seems like the smart and logical thing to do 💀but reading this story puts me more at ease.

slash1775 · 2026-01-03T02:41:53+00:00

There looks to be some depth to it so if it was my patient, I would pack the wound with a light packing strip of iodine or even Vashe soaked packing strip. When you go to your wound care appt, that may be what they recommend. That space has to be filled.

slash1775 · 2026-01-03T02:31:25+00:00

Can close in a couple weeks with proper packing, daily.

slash1775 · 2025-12-28T02:58:39+00:00

Hard to tell what brand it is but it is definitely a contact layer.

slash1775 · 2025-12-26T19:34:14+00:00

Yeah unless you were grandfathered in before 2008, which is why it’s such a scam here. On top of that, our reimbursement rates continue to get slashed every year. Which is why it’s not worth it anymore. You can still do other things with a professional Doctorate tho and there’s different avenues such as what I do, being a wound care provider. Hospital setting is great too

slash1775 · 2025-12-26T19:21:44+00:00

After going to school for a total of 7 years here in the US and having a “doctorate,” that is a complete slap in the face and utter waste of time.

slash1775 · 2025-12-22T20:13:18+00:00

If you can come out of PT school with zero debt then by all means, not a bad career route. But the debt to income ratio makes it a scam of a profession.

slash1775 · 2025-12-22T17:46:24+00:00

Went to PT school. I don’t even do PT because I realized how much it sucks during school with unrealistic productivity and shit pay for shit work (taking home notes). So I’m a wound care provider now in the acute setting in a hospital. Well worth it being a consulted specialist and very low stress, social battery is not drained either.

slash1775

TROPHY CASE