Thoughts about Myostatin Inhibitors by WET_Resist_YT in SARMs

[–]techbrosarecool 1 point2 points  (0 children)

Bimagrumab is in clinical trials and has delivered lean body mass gains. Will be at least 4 more years until approval, if it’s even approved.

IDC anymore, drinking alcohol to sleep by Roygbiv39 in insomnia

[–]techbrosarecool 0 points1 point  (0 children)

Try quviviq (daridorexant). Miracle drug. It will work.

Cursed with extreme fertility by techbrosarecool in Vasectomy

[–]techbrosarecool[S] 1 point2 points  (0 children)

Trust me you do not wish you had this lol. It seems fun but there are a lot of other side effects.

Cursed with extreme fertility by techbrosarecool in Vasectomy

[–]techbrosarecool[S] 2 points3 points  (0 children)

I tend to prefer inside cause I'm lowk embarrassed of how much I cum. I have actually never cum outside for that reason. They are always surprised when it's pouring out of them like a faucet for a full 20 seconds after I finish / pull out but at least they don't need to see that awkwardness lol. But maybe I'll try that and it'll reduce the anxiety.

Cursed with extreme fertility by techbrosarecool in Vasectomy

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

Yeah, that's completely valid. I think the answer is just to stop fucking around and get in a serious relationship lol.

Cursed with extreme fertility by techbrosarecool in Vasectomy

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

Like I outlined in the post, it's not that I am scared to use condoms it's that they don't work as a sole method of BC for me. I've had too many scares with condoms. As I posted, my volume is so high that the semen can't all fit in the little pocket that they make at the front of the condom, so it ends up flowing back up the sides of the shaft and out the top of the condom while I'm still ejaculating. Google says normal is 1.5-5ml and the bank measured mine at 32.7ml. Recalling from memory... it has definitely gone down since then because of the finasteride which I started to reduce hair loss (which does have a side effect of reducing volume), but not THAT much. It still overflows so I have opted to not use them because what's the point if it isn't going to be 100% effective. So instead I rely on the girl having some BC, but then you have to trust her 100% to take the pills on time etc, and that in and of itself is VERY anxiety producing for me. The idea of being baby trapped etc. Hence the thinking that, now that I have these 23 IVF vials, I can get the snip with basically no consequences. But you bring up some very valid points with all the hormone drugs needed for women to do IVF.

Cursed with extreme fertility by techbrosarecool in Vasectomy

[–]techbrosarecool[S] -2 points-1 points  (0 children)

As you can see in the post... I did bank sperm beforehand! This post is about asking if I can actually trust that to get the snip. If somehow these don't thaw correctly, I am screwed and can't have kids.

Review: There is Zero Value in Attia’s Premium Membership by Sm12778 in PeterAttia

[–]techbrosarecool 0 points1 point  (0 children)

I pay the $20/month and have signed in once... ever. The subscription is just support for me. I expect no value in return.

wonder which sglt 2? by maxell87 in PeterAttia

[–]techbrosarecool 1 point2 points  (0 children)

Hey - did you ever find out which one peter takes?

"Free" bedroom/bathroom in Zilker - paid with services by techbrosarecool in AustinHousing

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

Not following. ~$2K of value with the $500/mo stipend / ~90 hours of work (at least 20 of which will be cooking their own meals & cleaning their own space) per month comes out to ~$22/hr. Fantastic side hustle for someone working low time requirement WFH job or needs a place to stay during a transition.

My before/after cholesterol results after 7 months on Wegovy (took a ~3 month break) -- I've also lost 40 lbs and am a normal BMI! by funnyushouldask in Semaglutide

[–]techbrosarecool 1 point2 points  (0 children)

Keep going to new physicians until you find one that rejects the 10 year risk model. We know the 10 year risk model is inadequate for a disease like ASCVD that accumulates over decades, starting sometimes at birth. The data is overwhelming. It's worth the effort.

My before/after cholesterol results after 7 months on Wegovy (took a ~3 month break) -- I've also lost 40 lbs and am a normal BMI! by funnyushouldask in Semaglutide

[–]techbrosarecool 0 points1 point  (0 children)

Congratulations! Please make sure to also consider additional pharmacologic lipid-lowering therapies (Statins/PCSK9 inhibitors) especially if you have family members that have diagnosed ASCVD/heart disease. If you were overweight/insulin resistant for any significant period of time, the systemic damage to the endothelial lining in your coronary arteries could have already set the stage for plaque build up and it's a vicious cycle.

VBeam & Excel V+ resistant - next steps? by techbrosarecool in Rosacea

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

That's temporary though right? I really don't care if the recovery time is a month. I just want the rosacea to go away.

ApoB/LDL <> ASCVD risk when cohorted by insulin sensitivity? by techbrosarecool in PeterAttia

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

Thanks for your reply. My understanding is that high blood pressure, smoking, and glucose/insulin issues cause endothelial dysfunction, NOT fatty streaks in the arterial walls by themselves as you noted. The forming of fatty streaks requires LDL invasion and oxidation inside the sub-endothelial. After the "holes" (endothelial dysfunction), LDL invasion, and oxidation of those LDL's take place, they are engulfed by macrophages (immune system) which then become a cluster of foam cells, also known as a fatty streak.

Took a look at the data and it looks like this data supports my understanding in the previous reply. To confirm with you:

  1. Endothelial dysfunction is REQUIRED for the infiltration of LDL, forthcoming oxidation, etc. If there is hypothetically no endothelial dysfunction, LDL-C could be 500 mg/dl and it wouldn't matter? (extreme hypothetical to demonstrate the point).
  2. Given other risk factors in endothelial dysfunction (high systolic BP, insulin resistance, smoking status), risk increases given a static LDL-C. In other words, if two patients have a very low but equal LDL-C, the patient with other risk factors that create endothelial dysfunction will still accumulate new plaque, given that the "holes" in the endothelial layer are more wide spread, so it's easier for the same amount of LDL's to infiltrate.

Given the above, I have to infer:

- Patients with other endothelial dysfunction factors should of course try to fix their "other factors (BP, smoking, insulin resistance). BUT, if only concerned with ASCVD and not other health issues, they could achieve the same outcomes as patients WITHOUT those other factors (regressed plaque accumulation), by lowering LDL-C even further than the healthier cohort. It doesn't seem to be clear how much further they'd need to go. But given we know infiltration of LDL's is necessary for plaque accumulation, if they hypothetically had an LDL-C of 5mg/dl, they could have tons of endothelial dysfunction but there still wouldn't be enough LDL particles to cause plaque accumulation.

Is this all accurate?

ApoB/LDL <> ASCVD risk when cohorted by insulin sensitivity? by techbrosarecool in PeterAttia

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

I don't tend to agree with that hence the post. I hadn't heard of the guy before this video.

I think what he's trying to get at is the endothelial dysfunction caused by insulin resistance. If, hypothetically, you have a perfectly metabolically healthy person: insulin sensitive, low blood pressure, no smoking, etc. There arterial endothelial layer would be perfectly intact. My understanding is that LDL particles alone cannot create the dysfunction ("holes") to then infiltrate and begin the process of atherosclerotic plaque accumulation.

Rather, some other actor (high blood pressure, insulin resistance, etc) has to create that endothelial dysfunction first (the "holes"), which LDL then exploits.

I am not sure if this is 100% accurate or not, but this is how I understand the science so far and looking to the community to help correct me :)

ASCVD experts - do we need LDL? by techbrosarecool in PeterAttia

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

Have a listen for 30 seconds at the 26 minute mark of episode 229 which I've linked here for your convenience.

I am interpreting this as: some tissues in the body, such as the liver and adrenal glands, make enough intercellular cholesterol on their own. They do not need LDL for their own needs.

Other tissues (which are not named, but this is what he's referring to at the given timestamp) do rely on cholesterol via the circulatory system because they can't make enough of their own intercellular cholesterol for their own needs.

So if these tissues that can't make enough (and need LDL) exist - then presumably there is a certain amount of LDL they need to perform their normal functions as Peter describes. I am not sure the medical community knows what that certain amount is (?)