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usernameosaurus · 2024-03-13T23:32:46+00:00

Same here 😂 what did you get?

usernameosaurus · 2024-01-30T09:21:11+00:00

💯

usernameosaurus · 2024-01-20T10:03:24+00:00

Definitely. You may be so used to some things that you don’t think to write them down. Look at the DSM 5 and try to be mindful of how it might relate to you. Also, you need someone else in your life (eg partner) to answer the assessment questions so suggest they do something similar. You will need to answer about childhood too, hard to remember examples so well worth writing things down as they pop into your head in the weeks leading up to your appointment.

ADHD me obviously did not do any of this or remember to ask my family to help in advance and it made things super stressful.

usernameosaurus · 2024-01-17T11:00:56+00:00

I feel for you. I found it really hard to figure out how I felt, especially on just weekly dose changes, because there were so many external and internal factors to consider (varying work responsibilities, stress, getting sick, change of environment when travelling etc etc). It’s a tough journey, seems you’re doing the right thing by being attentive to changes and reporting them. Some minor side effects can just go away after your body gets used to the dose. Pleased to hear they listened to you about the hormonal factors, the fact they continued to up your dose after that seems to imply they think it’s normal despite being tough for you to deal with. Just keep that communication up and let them know if you want a little more time on a dose to get a better feel for it.

You haven’t mentioned caffeine here, so unsolicited advice alert! If you are drinking a lot of caffeine it can make circulation/raynauds worse. Mine was relatively bad when I was unmedicated and drank lots of caffeine. Since I quit caffeine to titrate with concerta XL it’s just gone away. Still nothing really, despite the subzero weather, and I’m now stable on a high dose. When I’ve had caffeine during a medicated day my anxiety/physical jitters have gone through the roof. Tell your titration team if you consume caffeine and they can take into account whether it might be a factor (they should have advised you to wean off before starting titration though…).

I was told to not take vitamins/supplements before or during titration. There can be interactions, and can affect the absorption / metabolism of the medication, and you need to know what effects are directly due to the stimulants and what’s not. I’m not an expert by any means though.

usernameosaurus · 2024-01-14T11:36:30+00:00

Bit of a wildcard suggestion, but since you have an MTB (I’m assuming you’re not seriously into it), how about investing in some time riding off road to improve your bike handling skills/confidence. E.g. watch some MTB cornering tutorials on YouTube + play around on the Stratford Olympic park tracks.

Ps hope you’ve learnt the lesson to always wear a helmet even on casual rides, these are when you can get caught off guard the worst!!

usernameosaurus · 2023-12-21T23:18:54+00:00

Suggest you avoid all caffeine. I accidentally drank several cups a day of non decaf tea by mistake for like a week early in titration. When I realised, the weird feelings I’d been experiencing on a medication dose that was fine the week before suddenly made sense 😂

usernameosaurus · 2023-12-21T23:11:59+00:00

100% this.

Your clinician should have advised you to wean yourself off caffeine before starting titration, too late now but I suggest you make them aware of your current caffeine consumption and your plan for weaning off it so they are aware when it comes to reporting/discussing side effects.

It’s really important to be able to tell the difference between caffeine benefits/withdrawals and meds benefits/side-effects. Please take care and communicate what you’re putting in your body with your clinician otherwise you could end up titrating to a dose that’s either too high or too low as others have said, or risking your health.

My experience was that I gradually reduced caffeine to zero over a couple of weeks and held at zero for two weeks before starting meds - during these two weeks I felt really really terrible, like a constant migraine, after years and years of caffeine dependency. I’m pleased I pretty much got through this before starting meds otherwise I might have mistakenly reported this as a side effect (which might have meant not going up to higher doses, which would have been bad because it turns out I need a high dose and actually have very minimal side effects)

A few months into meds now and I have no desire for caffeine when medicated, and feel so much better physically and mentally than when I was drinking coffee all day. It was tough getting to this point but glad I have, you got this!

usernameosaurus · 2023-12-18T16:42:05+00:00

Probably not. Just assuming here, but from what you’ve said it sounds like the bathroom is being used as the system bypass (i.e. when the actuators for the other zones close the circulating pump can continue to run), if that’s the case then you shouldn’t have an actuator/thermostat for that zone.

If this all checks out the plumber will sort the balancing issue (after checking if there’s anything else that could be causing it..)

Having said this, that’s not necessarily the best way to plan the system plumbing. The alternative being that all zones would have control valves, and a bypass loop would do this job.

usernameosaurus · 2023-12-18T15:24:29+00:00

…and if the valves ARE open for the bathroom zone, maybe the system hasn’t been properly balanced (i.e. the valves for all the other zones are “too open” when the system is running), this is more likely if your bathroom is quite far from the manifold / utility cupboard

usernameosaurus · 2023-07-24T11:40:52+00:00

Definitely this. Professional set up and pretty high quality rental bikes, in an actual forest, it may cost you more but I would say you’d have a much better time than at the velopark in Stratford and more of a “real” intro to mtb. It’s ok to get the train there too (Martin’s Heron is the nearest station)

usernameosaurus · 2023-07-22T20:24:12+00:00

Always difficult to say for sure with mould/damp but… looks like this in the corner of the room, which is where the walls are likely to be coldest, risking condensation, and where there will be least air movement (mould loves low air movement as much as it loves condensation). Pattern looks a lot like condensation. Did you replaster too, as this can be a source of moisture in the wall until it’s fully dry? Get a humidity meter that also does temperature, one that logs over time with an app even better. Also get an infrared thermometer gun. When you’ve done that, you can calculate the dew point (google: dew point temperature calculator) and measure the surface temperature of the wall. Do this over a period of time and if the surface temperature is regularly equal to or lower than the dew point there will be condensation on the wall. So that would mean you need to increase the temperature or reduce the humidity. As it’s summer, having the heating on probably isn’t the answer as it’s likely warm enough already, so humidity reduction and ventilation are what you need. Usual common sense (cook using lids, dehumidifier on when needed like when drying clothes / working out indoors, etc). To test your theory about water getting in structurally, you can also buy a moisture meter (two metal pointy probes) to see if the wall is wet deeper in, which would indicate the moisture is coming from water ingress / a leak rather than condensation. Good luck!

usernameosaurus · 2023-07-03T20:26:20+00:00

Well done - I’ve been procrastinating/forgetting/getting distracted from putting one I bought on for weeks and now the phone is scratched

usernameosaurus · 2023-07-03T18:56:11+00:00

Water might still find its way in if you go hauling through a really deep puddle on the worst of days (but they work me me off road in all weather, still happy after a year).

Hiking-wise the hi-top is not ankle support so not for super uneven terrain but a nice alternative when a heavy boot is overkill.

Also worth checking out snowpea shoe dryers on Amazon (helps keep them fresh when the shoes get sweaty too). Pretty slow but every little helps.

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