4 2 5 cover 2 defense

/r/onions: Things That Make You Cry Tor Onion Routing Hidden Services

2009.08.19 01:37 miserlou /r/onions: Things That Make You Cry Tor Onion Routing Hidden Services

The Best Parts of the Anonymous Internet Tor Onion Routing Hidden Services .onions

2013.03.05 18:26 ANAL_QUEEN For things that are way too specific.

For things that are way too specific. Please see our list of [frequent reposts](https://www.reddit.com/oddlyspecific/comments/qpli3x/list_of_frequent_reposts_will_be_removed_without/), anything on that list will be removed without warning.

2011.08.12 06:29 Hands Counter-Strike

GlobalOffensive is a home for the Counter-Strike: Global Offensive community and a hub for the discussion and sharing of content relevant to CS:GO. Counter-Strike: Global Offensive is a game created by Valve Corporation and released on August 21st, 2012 as a successor to previous games in the series dating back to 1999. The latest installment to the Counter-Strike franchise maintains a healthy, ever-intensifying competitive scene alongside a growing casual playerbase.

2023.06.06 05:38 AutoModerator Iman Gadzhi Courses (Bundle)

Contact me if you are interested in Iman Gadzhi Courses by chatting me on +44 759 388 2116 on Telegram/Whatsapp.
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submitted by AutoModerator to QualityImanGadzhi [link] [comments]

2023.06.06 05:38 AutoModerator [High Quality] Iman Gadzhi - Agency Navigator

Contact me to get Iman Gadzhi - Agency Navigator by chatting me on +44 759 388 2116 on Telegram/Whatsapp.
I have Iman Gadzhi - Agency Navigator.
Iman Gadzhi - Agency Navigator course is one of the best products on how to start a marketing agency.
Iman Gadzhi - Agency Navigator includes over 50 hours of step-by-step training covering EVERY aspect of building an agency from scratch. This is almost a plug & play system with enough success stories to back it up! Signing clients, running Facebook ads, building out your team, on-boarding clients, invoicing, sales... this course has everything covered for you.
The topics inside Iman Gadzhi - Agency Navigator course include:
  1. Agency Navigator course Core Curriculum
  2. Custom E-Learning Platform For Agency Owners
  3. Financial Planner, Revenue Calculator, Outreach Tracker & More Tools
  4. Websites Templates, Funnels, Ads & More
  5. Template Contracts, Sales Scripts, Agreements & More
The lessons in Iman Gadzhi - Agency Navigator will teach you how to:
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Email: silverlakestore[@]yandex.com (remove the brackets)
submitted by AutoModerator to ImanGadzhiNewest [link] [comments]

2023.06.06 05:37 ConfusedAccountantTW CIO/Extinction Progress

Hi all! I’ve been following the guidelines found here, and in the precious little sleep book to help my 18 week old boy sleep better at night. Prior to CIO my poor wife was up every few hours, rocking and bouncing him to sleep for 30+ min every night, and resorted to co-sleeping once it got to 2am and he refused to go down.
We went cold turkey on his sleep associations (bouncing, swaddle, pacifier) and moved the crib into our room and have moved on from the bassinet. If we’re making a change we might as well get him to a place where we want him to end up. Eventually we will move him to a separate bedroom but he is EBF and still feeding twice at night.
His routine is fairly standardized, he takes between 2-3 naps of 1-2 hours during the day, and his last wake window is at least 3 hours with lots of stimulation until the final hour which is a calming wind down of bathtime, bottle with rice cereal, baby massage with lotion and calm reading in low light.
Day 1 Put down awake at 8pm, cried for 35min then fell asleep. Woke up after 45 min, cried another 20 min before falling asleep. Only woke up again to feed at 1:30am and again at 5am. He fell asleep pretty soon after the night feedings, no more than 10 min each time. One diaper change after one of the feedings. Woke up to start the day around 8am.
Day 2 Put down at 7:30pm, 30 min crying, stayed asleep until midnight. Fed at midnight, cried for 20 min and fell asleep. Woke again at 2:50am, we let him cry because he just fed, fell asleep at 3:10am. Woke up at 4:30, got fed again, went to sleep around 5 and went down immediately. Slept until 7:30am
Day 3 (today) Put down at 7:00pm, cried for 10 min before putting himself to sleep, slept for exactly 40 min before waking up and crying for 20 min. Went back to sleep around 8:15pm.
So far I’m very happy at the progress, as is my wife who no longer has to be his human pacifier! Overall are we on the right track? I think it will take a few more days for him to go down without fuss unless there’s an extinction burst. Big thanks to all of the information here, we couldn’t take much more of his sleep schedule before sleep training.
submitted by ConfusedAccountantTW to sleeptrain [link] [comments]

2023.06.06 05:37 Spore0147 Fans not Spinning at max Speed

So i got a Silent Wing 4 Pro 140mm (RPM 2400) and 2 Fractal Case Fans (RPM 1500) built on a B660 DS3H DDR4 Motherboard. When i check into SIV and turn them to Max Speed the Silent Wing Spins at only 1050 RPM and the Fractal Case Fans at 1300R RPM.
Is that just a Read Issue from SIV or are they spinning way under their Performance. How do i fix it?
Thanks for anyone Helping!
submitted by Spore0147 to buildapc [link] [comments]

2023.06.06 05:37 Savings_Blueberry340 CR Touch: Firmware Not Updating

I am currently attempting to install CR Touch firmware onto my Ender 5 printer. I have followed the troubleshooting guidance on this thread: https://www.reddit.com/ender3v2/comments/ubg5al/trouble_with_cr_touch_firmware_installation/ and unfortunately renaming the bin file has not worked for me. I have tried wiping the SD card and reformatting it to FAT32 4096 but it still does not work. I've also tried using a different SD card and it didn't work. I downloaded the firmware from https://forums.creality3dofficial.com/download/ender-series/ender-5/ while verifying I was downloading the right file using https://img.staticdj.com/9492bcf1d6457b681a6ae305c4bed148.pdf?spm=..product_ca58ac35-a13e-45c9-9863-ffb9220605c5.download_support_2.1&spm_prev=..page_1934481.products_display_1.1. I've also tried downloading CR Touch software for the Ender 5 Pro from https://www.creality3dofficial.com/pages/firmware-files-download-troubleshooting but that didn't work either – the printer just starts up like normal whenever I switch it on with the SD card in (for the record, initializing the SD card on the printer doesn't seem to make a difference). Any suggestions about what I might be doing wrong and how I might be able to fix this issue would be much appreciated, thanks!
submitted by Savings_Blueberry340 to ender5 [link] [comments]

2023.06.06 05:37 Beneficial_Storage11 Need help

I got a second opinion and both endocrinologists are saying that my symptoms are not thyroid related.
I am on 150mg of Armour My TSH is currently 4.2 and my T4 is 11. My TPO is >1000 and my thyroid is enlarged, no nodules.
Symptoms: Exhaustion Swelling Hair falling out Periods have stopped (haven’t had one in a year) Hoarse voice and if talk too much completely lose my voice Brain fog and forgetfulness
They said there is no treatment for my swollen thyroid and my levels aren’t bad enough. Both endo’s have dismissed me and asked me to see my GP (who doesn’t know what to do) or a rheumatologist to discuss possible fibromyalgia.
I feel defeated! I am struggling to lose weight and I don’t want to live like this!
Any advise?? I’ve changed doctors already. The wait for a 3rd opinion for an endo is 12 months here.
submitted by Beneficial_Storage11 to Hashimotos [link] [comments]

2023.06.06 05:37 ChickenLordCV Disco Elysium Skills, part 2/4: Psyche

Disco Elysium is a roleplaying game in which players take on the role of an amnesiac detective who has been tasked with solving a murder in the midst of a heated labour dispute. Events are resolved through skill checks and dialogue trees via a system of 24 skills that represent different aspects of the protagonist.
I'm interested in seeing which skills people who peruse this subreddit gravitate towards and in what capacity ideology plays a part, though it's hard to discern the latter with only six options, so feel free to say which skill you chose and why in the comments.


Hold yourself together. Keep your Morale up.
Cool for: Sane People. Well-Adjusted Cops. The Non-Suicidal.
Volition urges you to be a good guy – to others and to yourself. It enables you to resist temptation: be it in a bottle, between a pair of legs, or at the end of an iron barrel which promises oblivion. Volition gives you the will to finish the investigation, improving your Morale – one of the two health pools in the game.
At high levels, Volition makes you hyper-sane. When you’re about to get funky, it keeps you normal. It’s a bit of a party-pooper. At low levels, however, you’ll have little Morale. Without it, you’ll be a profoundly unstable cop, falling apart at the seams as you make irreversible mistakes.

Inland Empire

Hunches and gut feelings. Dreams in waking life.
Cool for: Dreamers. Para-Natural Investigators. Mental Creators.
Inland Empire is the unfiltered wellspring of imagination, emotion, and foreboding. It enables you to grope your way through invisible dimensions of reality, gaining insight into that which sight can’t see. What’s really going? What do these enigmatic riddles mean for the world-fate?
At high levels, Inland Empire animates the inanimate. You’ll have conversations with your clothing, conversations that may change the course of the investigation if you’re not thrown in the loony bin first. With low Inland Empire, however, you’ll be void of imagination – and character. And then how will you shape the cosmos?


Understand others. Work your mirror neurons.
Cool for: Judges of Character. Interviewers. Interrogators.
Empathy breaks into the souls of others and forces you to feel what’s inside. It enables you to notice social cues others may miss: perhaps a hidden sadness you could coax out a little more, a strange joy from someone who should be bereaved, or a hidden resentment that could return to harm you later.
At high levels, Empathy really puts you in other people’s shoes. You’ll cry for their sorrows, punch walls to relieve their angers, and be an even more unstable cop. With low Empathy, however, you’ll be an ungainly beast unable to talk to anyone without upsetting them.


Intimidate the public. Assert yourself.
Cool for: Leaders. Experts of Psychological Warfare. Respect-Junkies.
Authority urges you to assert and reassert your dominance over those around you. It enables you to understand the power dynamics of groups of thugs, know how far you can push a perpetrator, and how to establish control of situations.
At high levels, Authority demands respect; even a perceived slight could send you into knee-breaking mode. With low Authority, however, you’re forever in awkward situations – like when you suffer psychological breakdowns after you yell at teenagers and they laugh at you.

Esprit de Corps

Connect to Station 41. Understand cop culture.
Cool for: Cops. Cop-Aficionados. Pretend-Cops.
Esprit de Corps is the very spirit of policing: the cop-geist. It enables you to understand your blue-souled sisters and brothers – not only by picking up subtle signals from your partner, but by witnessing flash-sideways scenes as they play out in your precinct.
At high levels, you’ll be the very heart of the police force: not only willing and able but obliged to take a bullet for your partner. However, without Esprit de Corps you’ll be flying blind, unable to understand discreet remarks colleagues make in high-stakes situations; remarks that might just save your life.


Charm men and women. Play the puppet-master.
Cool for: Diplomats. Charmers. Sociopaths.
Suggestion urges a soft-power approach. If people think they want what you want, you’ve already won. This skill enables you to implant ideas into the minds of others. You can make the citizens like you more. You can make gangsters turn on each other, too; many crime-rings have been broken by just a little doubt, after all.
At high levels, Suggestion makes you affable to everyone and more resistant to their charms in turn. But all that schmoozing and oozing charm will make you slimy. And you’ll know it, even if no one else does. With low levels of Suggestion, though, you’ll have difficulty getting any kind of rapport with others. You’ll be alone, both during the day and at night.
View Poll
submitted by ChickenLordCV to IdeologyPolls [link] [comments]

2023.06.06 05:37 10qwert23 Should someone with atrial fibrillation routinely get checked for clots?

This is on behalf of my 85F grandmother (height: 5 2, weight 100lb) who has atrial fibrillation. She heard that often blood clots can form due to afib. Since she is old, she was wondering if there are ways to get screened for this like ultrasound and if this is recomendable?
Thank You!
submitted by 10qwert23 to AskDocs [link] [comments]

2023.06.06 05:37 AutoModerator The Impact of Artificial Intelligence in Cybersecurity AISays.org

The Impact of Artificial Intelligence in Cybersecurity AISays.org submitted by AutoModerator to RandomInterface [link] [comments]

2023.06.06 05:36 Jumpy-Bluejay-8023 this game requirement just made me so mad. a 6800xt 30fps on high 1080p?? nah something is clearly wrong.

this game requirement just made me so mad. a 6800xt 30fps on high 1080p?? nah something is clearly wrong. submitted by Jumpy-Bluejay-8023 to u/Jumpy-Bluejay-8023 [link] [comments]

2023.06.06 05:36 ShreksToes24 Got this when downloading assetto corsa with fitgirl. i did confirm it is the official fitgirl in the megathread.

Got this when downloading assetto corsa with fitgirl. i did confirm it is the official fitgirl in the megathread. submitted by ShreksToes24 to PiratedGames [link] [comments]

2023.06.06 05:36 Ok-Needleworker-2141 CAS 1451-82-7 2-Bromo-4'-methylpropiophenone

CAS 1451-82-7 2-Bromo-4'-methylpropiophenone submitted by Ok-Needleworker-2141 to u/Ok-Needleworker-2141 [link] [comments]

2023.06.06 05:36 Old_North8419 Does the Russian translation for the abilties in Tears of the Kingdom still convey the same message as the original Japanese name?

For me, I play the game in japanese. I've come to notice that there are differences in translation with 5 abilities Link gets in TOTK:
日本語 Русская версия
ウルトラハンド Комбинкинез
スカラビルド Чаромонтаж
トーレルーフ Чаропортал
モドレコ Автореверс
ブループリント Реконструктор
If translated from Japanese it'll instead be like:
Literally "Ультра Рука" but it was renamed as Комбинкинез.
Portmanteau from 2 words in: スクラップ ("лом") and ビルド ("строить") which can be literally "строительство из лома" - so why was it reworded as Чаромонтаж?
Cognated from 2 terms: トーレル ("проходящий через") and ルーフ ("крыша") - so from JPN it'll be literally something amongst the lines of "проходя через крышу" - I'd guess it's a mouthful, but why was it localized as Чаропортал?
Derived from 2 words: モドレ ("перемотка") also including レコード ("пластинки") so in relation to the fact in JPN that モドレ in combination with レコード which literally means something amongst the lines of "Перемотать [виниловую] пластинку" - in real world terms. But in terms of the ability itself in the game, loosely can be explained from the dev's viewpoint as "вернуть объект к предыдущей записи (точке во времени)" - It kind of makes sense since this ability does take note of Link's actions when reversing time as it retraces previous steps. Do you think Автореверс still conveys the message from the original name in JP?
Literally "чертеж" or "схема" as it's a collection of previous creations the player has made and keeps a log on them, but does Реконструктор still make sense?
submitted by Old_North8419 to russian [link] [comments]

2023.06.06 05:36 Gek_Lhar Reddit's API Change, and why it should matter to you.

Hey Legends,
If you are around on Reddit (not just /apexlegends) you might have heard that Reddit is changing their API policy. This threatens to kill off many widely used third-party mobile apps (Apollo, Reddit is Fun, Narwhal, BaconReader), apps which have a lot of many quality-of-life features not seen in the official app, effectively rendering them permanently inaccessible to users. The developer of Apollo has been charged 1.7 million dollars per month for API requests. This change will affect all users and moderators alike.
What's happening
On the 12th of June, many subreddits will be going dark to protest this change in policy, some subreddits will return after 48 hours: others will go away permanently unless the issue is adequately addressed.
The broader moderator community has been discussing this and has released an open letter here.
What can you do?
  1. Complain. Message the mods of /reddit.com, who are the admins of the site; message reddit; comment in relevant threads on /reddit, such as this one and sign your name in support, and leave a negative review on their official iOS or Android app.
  2. Spread the word. Rabble-rouse on related subreddits. (Don't spam on unrelated subreddits/threads)
  3. Boycott and spread the word to Reddit's competition! Stay off Reddit entirely between the 12th-13th of June. Instead, maybe touch some grass, call your grandma, or go out and eat something good instead of that microwave crap all the time.
  4. Don't be a jerk. As upsetting this may be, threats, profanity and vandalism will be worse than useless in getting people on our side. Please make every effort to be as restrained, polite, reasonable, and law-abiding as possible.
/ApexLegends and you
The blackout happens on a Monday which is a day that doesn't tend to have any updates for Apex Legends (Those take place on Tuesdays EU time). We do not expect a large update to hit on the 12th. The mod team does not wish to inconvenience our community by disabling the subreddit for audience that largely exists outside of Reddit. Historically we've never participated in subreddit blackouts, but we're open to make an exception in these circumstances.
Should /ApexLegends participate in the protest?
We've created a poll here for you to all to decide, and please feel free to voice your opinions in the comments. We have a week to make this decision; regardless of the outcome, this post will remain pinned until that time.
In case you're not exactly aware of what restricting the subreddit and going private means, you can read here to find out exactly what they mean.
Thank you for your time.
/ApexLegends Mod Team.
View Poll
submitted by Gek_Lhar to apexlegends [link] [comments]

2023.06.06 05:36 triggered_bait Tiffany Clock Flip

Tiffany Clock Flip
Fun story with this clock and bunch of learning experiences!
1: Found it in a pawn shop! They priced it as a regular Tiffany clock ($100), I saw the WB logo, and negotiated it down to 70$. I was super happy with my find. 2: I put it up on auction on eBay. I was super disappointed when it sold for only 150$... But the buyer cancelled! Yay. I learned from my mistake and listed it for 300$. 3: After having the clock sit with barely any views on ebay, I decide to try and post it on a watch collectors group on Facebook... It sold in literally 5 minutes for 300$ cash.
So yeah, 3 lessons. Look for unique stuff in pawn shops, don't put very rare stuff up for auction, and look into collectors groups!
submitted by triggered_bait to Flipping [link] [comments]

2023.06.06 05:36 Dukester619 Picanha Smoked, Sous Vide and then Pan Seared

First time doing Picanha this way. Got a killer deal on Picanha at my local Vons for $4.99LB. They will cut these for you on request when they have Top Sirloin on sale. Perfectly trimmed with a nice fat cap. Cross hatched the fat cap through the membrane and then smoked at 185°F for about 2 hours with Traeger Special Blend in the hopper and a Mesquite filled smoke tube until it reached 110 internal temp. I seasoned one with straight sea salt and one with Meat Church Holy Cow, rubbed all around and into the fat slices.
Into the Sous Vide bags
Sous Vide for 2 hours at 130°F
Out of the bath, I also did a Ribeye for about half of the time I did on the Picanha. I have done Ribeye using this method before and it was delicious.
Patted it dry and then let it air dry for about 2 more hours.
I basically sliced them with the grain on the same line as the cross hatch, and then seared them in smoking hot avocado w/ butter and garlic.
After the sear I was actually a little worried that I had over done them. Especially the steak on the bottom middle left, it looked pretty dark after the sear.
The end result was fantastic. All of them were perfectly medium rare and the fat caps were like smoked candy to any meat lover. So good, and got rave reviews from the family.
submitted by Dukester619 to Traeger [link] [comments]

2023.06.06 05:36 AutoModerator The Impact of Artificial Intelligence in Cybersecurity AISays.org

The Impact of Artificial Intelligence in Cybersecurity AISays.org submitted by AutoModerator to RandomInterface [link] [comments]

2023.06.06 05:36 BroMandi [Amazon] 24-Oz Lysol Bleach Free Toilet Bowl Cleaner Gel (Ocean Fresh Scent) 2 for $4.88 ($2.44 each) w/ S&S + Free Shipping w/ Prime or on $25+ [Deal: $4.88, Actual: $6.98]

[Amazon] 24-Oz Lysol Bleach Free Toilet Bowl Cleaner Gel (Ocean Fresh Scent) 2 for $4.88 ($2.44 each) w/ S&S + Free Shipping w/ Prime or on $25+ [Deal: $4.88, Actual: $6.98] submitted by BroMandi to ShoppingDealsOnline [link] [comments]

2023.06.06 05:36 DuncanStudios2000 I need you to give your honest opinion... (I forgot to add a flair last time...)

So I'm writing this novel called Dragons of Fireborne... It's about a young woman named Draco (Latin for dragon, love Latin language...)... She's trying to end the Eternal Winter on her planet Terragyn... (this is a Fantasy/Si-Fi/Superhero based novel)... It's set in my superhero universe but 500+ years ago on another planet... Draco is part of a humanoid race called Terragans, who live around 5-9,000 years... So she's about 2,400 years old in this novel... Here's part of the chapter... Give your honest opinion on what you think of it, what I should change, what I should add, etc...
They've been walking for a few days now, and Dagon is looking sick. Draco was walking beside Zorr-EL and they conversed with each other. They reach a forest on the path and a sign brandishing the name 'Mors Valley '. They continued on. After a while of walking, they got tired and rested in a small clearing. As they sat Keith scoped the area. Then he heard it. A low rumbling sound. Then he felt it. The low rumbling sound was traveling through the air, he could feel the vibrations in his spine. Draco noticed it too. "Everyone down!" Keith called out. The guards and Draco and the others got behind some rocks and trees. Out stepped a large drake. It was a Death Eater. The creature walked a few feet toward the group and stopped short of where Draco and Zorr-EL and Dagon were. Draco sat behind the rock silently. Then the drake started gagging. Dagon covered his mouth. The drake kept gagging and hacking, then it regurgitated some slimy bones. The skull rolled in front of Draco. It was a person. Dagon saw it and gagged. Draco rolled her eyes. The drake finished hacking and sniffed around. It stopped and turned around and walked away. Draco sighed in relief. The guards breathed. Keith poked his head out from behind the rock, nothing. Suddenly, the drake burst from beside him, grabbing his leg with its jaws. Keith yelped. The guards tried freeing him from the beast's grasp, some guards started stabbing at it. Finally, it let go of Keith, and he rolled down to the ground holding his leg. "GET THE ROYALS OUT OF HERE!!!!" The commander yelled. Some guards grabbed Draco, Dagon, and Zorr-EL and lead them away from the drake. "WHAT ABOUT KEITH!!" Draco yelled. Some guards grabbed Keith and dragged him from the fight. His leg was wounded and bleeding. He clenched his leg in pain. Zorr-EL took off her belt and made a tourniquet and wrapped his leg with it. Draco watched as the guards fought off the Death Eater. The drake grabbed a guard and bit him, the guard yelled in pain. The drake snapped him in half. The guards kept swinging their swords at it, cutting it in several places. But this just angered the beast. It became irate and slashed at the guards cutting several of them and gashing a few guts out of some. After a while of the guards stabbing the beast, it ran away. The guards helped the fallen and regrouped near Draco and the others. Draco saw all the blood and guts all over the snow. There were a few guards in half. The commander dragged a guard to the group, the guard was bleeding profusely. "We need to get out of here!!" The commander said. Draco agreed. They made their way through the woods dragging fallen soldiers with them. Then suddenly the same Death Eater appeared out of nowhere and snatched up a guard helping his comrade. The guards surrounded Draco and the others, with their swords pointed out. Then two more Death Eaters appeared. "You gotta be kidding!!" Dagon said. The guards clamored around looking for shelter, the commander pointed out a small cave that was low to the ground. They made a run for it as the three drakes snatched up guards and devoured them. They slid into the cave and stood back as the drakes were nowhere to be seen. One guard was crawling towards them. "HELP!! HEEELLLP!!!!" He called out. The commander ran out and dragged him back to the cave. He looked back to see if any other guards were left, then he started to crawl into the cave. Then he stopped. "Aw, shit..." He said quietly. Suddenly he was dragged out of the cave, he rolled onto his back and screamed. A foot with a sickle claw came down on his chest. Then the drake's head came down and ripped his arm off. The commander screamed in agony. The drake swallowed his arm and came down again. Draco and the others watched. The drake closed its jaws around his upper torso and bit down violently, muffled screaming, then a loud crack, and the field fell silent. Other than the drake crunching on what was left of the commander. Draco looked away. The drake finished its meal and sniffed around the cave, after a moment it roared and sauntered off. They lay there for a while to make sure no other Death Eaters were around.
submitted by DuncanStudios2000 to KeepWriting [link] [comments]

2023.06.06 05:35 SPTCTBP Years of hct above 49, hgb above 16.5 (with some under) but Labcorp has different range? Low platelets. Hematologist not interested because spleen is only "top class in size" & has a cyst but not considered enlarged yet & epo normal, he decided against jak2 test.

40 male, lean, live at sea level, never smoked etc. At 35 at the end of 2016 I did some basic blood work and had a hemoglobin of 17, hematocrit of 49.1, platelets just above range at 152, a few months later I did a testosterone test that came with hct and my test level was at the very low end of normal, hct was 49.9. I was also only 122lbs at this point (later to 140's, now ultimately 160's). Labcorp's range for hgb is 12.6-17.7 but was later changed to 13.0-17.7, hct range is 37.5-51.0 and still is today.
I look into testosterone replacement therapy and do more bloods throughout the year as I am starting to lift, do cardio, change diet, eat more calories etc, platelets start going lower down to 138, I find low vitamin d and b12 and start working on that, and keep lifting. Hgb at 15.8 & hct at 47.7. Still low end of normal test levels but starting to trend up during "noob gain" phase of lifting.
Early 2018 I have 16.1 & 48.6, platelets down to 126. Later 2018 I get bloods through Quest at Dr during std checkup etc right before I got super sick with something that was never diagnosed (neg for strep, all std, epstein barr, flu, tb etc) and my hct was 49.9 on range of 35.0-45.0 & hgb was 17.1 with range cutoff at 15.5 but nothing was said about it. Also had a separate testosterone that was lower than my original in early 2017, it's starting to trend down here.
Home sleep study in 2019 shows ZERO sleep apnea.
Jan 2020 I get a 15.9 & 46.9, platelets down to 128 (cutoff is 150). Nothing else odd but Testosterone has been creeping down, so it's not a driver of erythrocytosis.
Later in 2020 I see a hematologist (seemed out of date, he had been an MD for over 20 years already) after an hct of 51.1, hgb of 17.4 and an rbc of 5.87 (out of range), and platelets at 138. B12 was insane at 1700 He says I likely have immune thrombocytopenia and said "they don't look at hematocrit". Was fighting some weight loss issues here despite lifting and counting calories etc, and no longer having a job where I would walk 27k steps a night was confusing.
He said do more CBC's and I had weird cholesterol on this one so I did another one a couple of weeks later and my hct was 50.1 and hgb 16.1, platelets 132. I get a referral for in lab sleep study (like all of my bloods, this will be out of pocket). End of the year I get a 48.9 and 16.4, but platelets are now at new low of 121. Had a CBC with 48.9 & 16.3, platelets at 127, B12 is through the roof at 1732 when it had previously not responded to shots or supplements. I stopped the supplement, months later b12 still high at 1275. Follow up with hematologist was basically just keep doing cbc often to monitor platelets, no concern with hct or hgb even when elevated the same year and in the past.
Early 2021 I get a 49.2 hct and 16.5 hgb and platelets now down to 110. In lab sleep study in mid 2021 revealed no sleep apnea at all, just zero stage 3 sleep, same as home study from 2019. Testosterone has been trending down, now free test levels are below range and estrogen is too, feeling bad, do two more blood panels before going on TRT in mid 2021. First one shows HCT at 52.1 & HGB at 17, platelets at 116. I do bloods one more time that year (at this point blood work is cheap as hell and I am REALLY trying to avoid going on TRT) and get hct 51.7 and hgb at 16.5, platelets at 116.
I go on TRT expecting hct to go up, it goes to 55 by the end of 2021. I donate blood in early 2022 and right after hct starts going to 59.2, and stays at 59 for 2022 on a few tests, platelets now alternate between just above normal at 160 and low at 140. I donate at end of 2022 and it goes down to 52.5 but climbs right back to 55, then 57.8. Different hematologist's NP says she is sure she felt my spleen and I cringe in pain upon palpation. He comes in and orders complete abdominal ultrasound. I asked with my bloods trending UP over the years, is it possible they would have kept going up anyway if I never went on trt, he went on rant about trt and said we can not know. He was not concerned about PV because epo was normal, I said "TRT drives up epo, we never tested BEFORE trt, so we dont know if it was low before". He said if my spleen is enlarged, he will order jak2. He keeps focusing on current trt blood work showing high counts, but ignores the ones before going on. He's also been an md for years and didnt seem to know the updated WHO criteria.
Spleen comes back as top class in size with a small cyst and a splenule, liver, kidneys, pancreas all look good. He blows it off, doesn't order a follow up and his nurse tells me he doesn't like people doing homeopathic things or taking hormones etc.
Had two weird occular migraines in 2018, I have been itching after a shower for YEARS and it gets better after I donate but still occurs (even if I just wash my feet, my legs light up itching at night), had it before trt. Have a big toe issue that wont heal, started as a foot injury at old job in 2019, it wont heal, 7 months ago it flared and cannot get it under control. MY DPT is baffled as to what to do, MRI shows erosive changes in first mtp joint of big toe, and said to rule out Gout at bottom of report. I started having crazy acid reflux around the time toe flared and am now on meds for it, dr wants me to do upper GI test to rule out ulcers etc. I dont eat garbage that would cause an ulcer, nor take things that would cause an ulcer but get BLOATED TO HELL and back anytime I eat, and this makes it harder to bulk. Fatigue is unreal, without TRT I would be down for the count, I still stay active and lift 4-5 times a week but it's a major struggle, stay in shape (no cardio now with foot problem, used to run hills and climb in the woods) but am run down at work, fall asleep driving etc.
I am not sure if I should just pay for a jak2 out of pocket, and if positive, drive 8 hours to an MPN specialist, or if I could come up with a reason for every single symptom that has occurred over time. The random normal counts in between high counts, which ultimately went higher and higher make me think it's something else.
submitted by SPTCTBP to polycythemiavera [link] [comments]

2023.06.06 05:35 Caillou-The-Kaiju I'm (22M) skeptical to move in with my GF (22F) because of her cat

My GF and I have been together almost 2 years now. In about another year we plan on moving in together in a different state. However, we both have cats, I've had my cat for almost 15 years, she's had hers for a year and a half. We also both live with our parents, I just graduated college and am staying here to save money and pay off loans for a year.
I'm skeptical to move in with her not because I'm afraid our cats won't get along, but because her cat doesn't use the litter box fully. It took my GF almost a full year to get her cat to stop peeing everywhere at her parents home however, he still doesn't use his litter box fully. The cat has puppy pads surrounding the litter box because he won't pee in his box only poops in it. Atleast, as far as my GF is aware. Her cat pees all over her bathroom floor so her bathroom smells of straight cat urine. He use to pee wherever he pleased, but seems to consolidated it only in her bathroom. My GF also tried to move out and into her friends apartment a while ago (she was there maybe 4 months) but had to move back to her parents cuz her friend had to move (family issues in a different state). Also, while living with her friend her cat peed EVERYWHERE so she thought her cat was unhappy so another reason they moved back into her parents... where her car started peeing all over her bedroom and bathroom, but has since (it's been maybe 6 months?) consolidated it back to just the bathroom but not strictly the litter box.
I haven't said much because 1. It's at my GF parents house so I don't have much of a say and 2. I know it bothers my GF, she says she's tried everything but the only things she's actually tried (from what I've seen, and what she's told me she's tried) was clean the pee spot and put a puppy pad down where he peed which IMO only reinforces the behavior.
I have brought it up as a concern to her when we first started talking about moving in together, I said that if we move in together we HAVE to find a solution to have him only use his litter box. She just got mad and irritated and started like half yelling that I can't expect perfection and that she's tried everything so I'd just have to put up with it if he doesn't use his litter box.
This is a huge concern for me for a few reasons. One is I have to bring my cat with too (parents said, plus she's my cat), if my cat sees and smells that my GF's cat is going outside the litter box my cat will most likely start doing the same and having 2 cats not use the litter box would be nightmare fuel because of how bad cat pee smells, plus living like that is totally unacceptable! I can hardly stand it when I go over to her house and use the bathroom, because her cat just pees all over her bathroom floor. And another reason being, it's VERY unhealthy and gross.
It's been a while since this initial conversation. I'm also planning on having a BIG conversation before we move in together once we closer to the actual date, but I still want to try and talk about it sooner then later.
How should I bring this up to her again without trying to sound like I'm being rude? I just really won't be able to handle living with a cat that is going to pee all over, I also am not expecting my GF to give up her cat because I own my own cat so I know how rude that is. I just want to be able to have a civil conversation and actually feel heard about my concerns with her without being yelled at and cutting off every other word!
submitted by Caillou-The-Kaiju to relationship_advice [link] [comments]

2023.06.06 05:35 Jadittmar2ligit Hone Test results…

39 M Got my test results back from Hone and all the numbers are super low. Should I just go ahead and skip Hone and go to my Primary Doc for a script. Or any other suggestions would help.
submitted by Jadittmar2ligit to trt [link] [comments]