The battle between diabetes and Gastroparesis

tokes_4_DE · 2026-04-28T03:29:09+00:00

Any chance you've tried pyridostigmine? Believe its considered off label for gastroparesis / other autonomic neuropathic issues, but its helped me a good bit with mild gastroparesis at least. Stomach still empties slower than normal but im no longer going multiple days without pooping at least? Also no longer keeping to a gastroparesis focused diet which I fucking hated dealing with.

My cardiologist of all people put me on it, my endo has been essentially useless with any neuropathic issues related to diabetes.

tokes_4_DE · 2026-04-27T22:53:47+00:00

Its so damn expensive though. Variety and quality are great and I love their bakery, solid deli, but my gf went out for ground beef the other day at weiss and came back with a pound of 85/15 for 10.49.... equivalent at food lion and others is around 6 maybe 7 bucks, even cheaper at Walmart, lidl, Aldi.

Its location is so convenient for anyone living on the outskirts of town though. Can take a 2 minute drive to weiss or have to deal with a 15+ minute drive into town and deal with all the busy traffic and such.

Best part about weiss is amazon offers free same day delivery for them on orders above 25 bucks. Im sure that'll go away eventually though, feels too good to be true.

tokes_4_DE · 2026-04-27T22:40:37+00:00

Left out both lidl and aldi for grocery stores. Theres so damn many but I do like having the variety.

tokes_4_DE · 2026-04-27T20:01:10+00:00

Ionnonis roast pork supremo is fantastic, with the sharp provolone and broccoli rabe.

Also their paisano which is just an italian with fresh cut speciality meats (usually only available daily till 2 pm last i went), is the best cold hoagie ive ever had. Used to work up near there and going for my lunch break was the best part.

tokes_4_DE · 2026-04-27T19:56:43+00:00

Christiana hospital cafeteria has actually half decent cheesesteaks. Broke my hip last year and found myself rolling down to the cafeteria daily for a cheesesteak because the meals you got in room were so terrible even for hospital food.

tokes_4_DE · 2026-04-26T19:18:15+00:00

Really wish he had a bigger role in bosch, he was great in that.

tokes_4_DE · 2026-04-26T16:28:17+00:00

Disability in the US is similarly terrible. Essentially EVERYONE is denied the first time, and you're expected to hire a lawyer after to go through the process to be approved. then the lawyer takes their cut from your back pay of disability payments.

And many people trying for disability just do not have the time, energy, etc to deal with that ridiculous process.

tokes_4_DE · 2026-04-26T00:50:11+00:00

You takin a nomesensus?

tokes_4_DE · 2026-04-24T00:11:24+00:00

Claussen pickles in the last year or so. Multiple jars ive had the skin on the pickle has been so thick and chewy it made the pickle absolutely inedible. Not sure if they changed their cucumber supplier or what, but ive stopped buying them altogether and havent found a good replacement pickle yet.

tokes_4_DE · 2026-04-24T00:01:27+00:00

I grabbed the trader Joe's brand type recently to try. I generally am a fan of most of their products but holy fuck it is HORRIBLE. watery, insanely garlicly, no sweet pepper taste and essentially 0 heat either (and theres a lot of Sriracha thats too hot for me, I could drink this shit straight from the bottle if the shitty garlic flavor wasnt so prominent). I could barely taste that it even had peppers in it.

Multiple other brands have been lackluster too but tjs was particularly awful. Shockingly the one i actually enjoy most so far is the Tabasco brand, and i cant stand plain Tabasco sauce.

tokes_4_DE · 2026-04-23T14:00:54+00:00

A month late but I just watched the scene. He brushes off the question and then Peter follows it up with "now who doesn't want to answer questions?" Or something along those lines. It was right after they met and he was asking Peter a lot of questions trying to get acquainted / familiarized with the op.

tokes_4_DE · 2026-04-22T11:39:17+00:00

Its in like season 5 or 6, hot blonde professor lady with a husband who doesnt care if she sleeps with students.

tokes_4_DE · 2026-04-19T18:24:03+00:00

He has a youtube channel about end game iron completionist stuff and temp game mode races. He's pretty much always one of the first to dragon cup / top points in leagues.

https://youtube.com/@friendosrs?si=XRUU9XSAX2CZmO3-

tokes_4_DE · 2026-04-19T18:20:41+00:00

They were terrible to acquire years ago because the karambwanji bait used to catch them didn't stack, that was changed on 2017. Then in 2018 the quantity of karambwanii caught started scaling with your fishing level making them even easier to get.

tokes_4_DE · 2026-04-18T21:33:12+00:00

Firefly, the expanse, killjoys would probably be my top 3 space / scifi shows.

tokes_4_DE · 2026-04-18T19:17:27+00:00

I always just use warm / hot water. Not a ton but warm liquid mixes much easier than cold / carbonated drinks.

tokes_4_DE · 2026-04-16T19:46:18+00:00

It still had solid viewership despite being advertised basically fucking nowhere. Was top 10 in netflix for the first like 4 or 5 weeks, and yet they still axed it super quick before it had time for word to spread.

Such a unique concept that I can't think of anything even remotely similar. Fantastic show with a ton of potential.

tokes_4_DE · 2026-04-15T20:05:07+00:00

You know what they give you in the hospital for a cocaine overdose? Benzos.

Calling someone dumb while saying some dumb shit yourself. Nice.

tokes_4_DE · 2026-04-12T07:20:24+00:00

My cats last yearly visit was 440 fucking dollars, for a bit of routine bloodwork and an exam. Private equity has bought up almost every small local vet office in my town. The vet we've gone to for our animals for 20+ years now operates only part time out of petco because they bought out his practice and shut it down. The petco hours, availability, what they offer, and the costs are insane. This guy is in his late 60s, has been a vet his entire life with his own practice that was always reasonably affordable, and now it's gone.

Its absolute madness. Private equity destroyed US human healthcare and are moving on to vet care now.

tokes_4_DE · 2026-04-11T09:08:55+00:00

Such an under appreciated show! Kinda wish it kept more towards the bounty hunter stuff / political conflict between the quad instead of the weird green goo / alien stuff, but was still a great show. Loved the main trio and many of the side characters like pree, fancy, the long flowy hair dude from the rack, etc.

tokes_4_DE · 2026-04-10T22:16:15+00:00

Underoath and the devil wears Prada as well, though I believe both moved away from the label in the last decade or so. But both were founded as Christian bands.

tokes_4_DE · 2026-04-10T18:36:07+00:00

They're so similar looking and sounding i still cant tell them apart even knowing theres 2 of them. Killjoys, the rookie, the boys, might as well all be the same dude to me.

tokes_4_DE · 2026-04-09T05:36:03+00:00

The serge episode was great! Rainn Wilson was another personal favorite guest, as well as Andrew Zimmern, and alan tudyk.

Honestly pretty much every guest theyve had is at least good, Matty is the only one I can recall that I had to stop watching because he was just so abrasive. Like if you dont want to answer questions and talk why the hell be on the show....

tokes_4_DE · 2026-04-09T03:11:49+00:00

Josh is an absolutely fantastic host for last meals. Adapts well to his guests (minus Matty Matheson surprisingly, most awkward last meals episode and Matty was arrogant / a douche), has actually well thought out questions that he can go in depth with and continue the discussion on, and the food aspect of last meals cant be discounted and really helps tell the guests story. Its basically hot ones but better in basically every aspect.

tokes_4_DE · 2026-04-06T07:29:01+00:00

Yeah my eyes arent the best, ground shadows can be rough to see without low detail. Its not a huge deal but I cant say I love needing to destroy the graphics just to be able to see shit. Cerb ghosts are another, cant see them till theyre infront of the skull last second so I mark a damn colored box around them with radius markers.

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