I think half the time she actually does have the money to spend on bullshit (like magazines, dunkin donuts) but she has to keep up the ~uwu im a poor gurl~ shit so she says that strangers bought it because she was "counting change". She got that one magazine right after visiting her dad.. And im pretty sure she gets/takes money from him. Its not enough to buy dope, so she just goes and spends it on dumb shit.

A stroll around the block with your dog (spouse/significant other, neighbor, or exercise buddy), your favorite exercise class at the gym, following a video at home, or peddling on an exercise bike while you watch TV…whatever you choose to get you moving will be good.14 Aim to fit in at least 30 minutes, five times a week – the basic recommendations from the US Centers for Disease Control and Prevention.15


PCOS es un complemento que ayuda a equilibrar los niveles hormonales (exceso de testosterona) en las mujeres con SOP. Esos desequilibrios hormonales provocan en la mayoría de los casos signos externos de hiperandrogenismo como exceso de vello, caída excesiva del cabello y acné. Al regular tus niveles hormonales, conseguirás suavizar y mejorar esos signos externos 🙂
>>411167 Tuna if she got sent this: "someone drew me and my mans. my heart is truly filled with love. Currently eating ice cream the snails sadly got into, just eating around the slime lol. Matthew's leg is healing and just fell asleep cuddling the snails, he cried when I let them go and said he truly loved my big heart. heading to my evil dads lol wish me luck. at least I can try out my new lipstick for the trainride. Eating the non-slime ice cream until I fall into a peaceful sleep. just trying my best <3"
Análisis de sangre. Los análisis de sangre sirven para realizar un conteo de los niveles de andrógeno, a veces conocido como "hormona masculina". El médico también buscará otros problemas de salud comunes relacionados con las hormonas que se pueden confundir con el SOP, como la enfermedad de la tiroides. El médico también puede controlar tus niveles de colesterol y hacerte pruebas para detectar o descartar diabetes.
Reglan Active ingredient: metoclopramide $0.37 for pill Reglan is used for short-term treatment of gastroesophageal reflux disease (GERD) in certain patients who do not respond to other therapy. It is used to treat symptoms of a certain digestive problem in diabetic patients (diabetic gastroparesis). Prilosec Active ingredient: omeprazole $0.49 for pill Prilosec relieves symptoms of gastroesophageal reflux disease decreasing the amount of acid in the stomach.
Often, women with PCOS tend to put on weight easily and have difficulty losing weight. This is because women with PCOS are thrifty with calories. If they eat too much, extra insulin is needed to dispose of the extra sugar. Sadly, this tendency can also increase the risk of diabetes. This is more likely in those with a family history of adult-onset diabetes. Women with PCOS are more likely to develop high blood pressure and diabetes during pregnancy, particularly if they are overweight and have higher than normal insulin levels.
There's also a good and bad way to go about nitpicking, imo. For every person laughing at Momo's dimpled ass, there are ten anons going 'ewwwwww look at _____'s potato nose i'd kms if i had it' or 'omg she needs surgery on her chin' and other ridiculous overreactions to normal photos/facial features that seem like they're made by young teens who want to make themselves feel more attractive.
A lot of people only know things about post-junkie Luna and think that it was the drugs that turned her into a bad person. Can't really blame them; the vast majority of pre-Luna discussion/posts consist of pictures of her and her friends, her upbringing, and her short-lived college career. How are they going to know that she was a cunt prior to getting hooked?
This is A LOT of benzodiazepines. I remember the last batch she got too, and it wasn't that long ago. She's using more than I am, and I'm using them legally for a partial spinal cord injury. The FUCK, Luna. Being dependant on heroin isn't enough for you or something? This bothers me more than the heroin, honestly. The withdrawal from benzos can actually kill you, unlike heroin. Not to mention that using multiple CNS depressants together is dangerous af. Narcan won't bring you back from that shit.
Anecdotally, oral contraceptives are among the most common agents used to treat menstrual irregularities in women with PCOS. However, there are few studies examining their effect on menstrual cycles in women with PCOS. Cyproterone acetate plus ethinyl estradiol has been extensively studied, but it is not available in the United States. Studies suggest that the following agents may improve menstrual irregularities (e.g., oligomenorrhea): spironolactone (in an open-label study),22 acarbose,24 rosigli-tazone,32 and metformin.10,11,32,47,51 Metformin is probably the best choice because it may improve insulin resistance in addition to improving menstrual irregularities.
Ya que PCOS causa un alto nivel de glucosa en la sangre, puede ser útil que las embarazadas con el síndrome se hagan pruebas de diabetes gestacional antes de lo que normalmente se prescribe. La diabetes gestacional ocurre cuando se ve afectada la capacidad de la mujer de procesar glucosa. El alto nivel de glucosa en la sangre de la madre puede hacer que el bebé sea grande y tenga pulmones inmaduros, como también que madre e hijo tengan problemas durante el parto. Por lo general se usa una dieta minuciosamente balanceada, inyecciones de insulina o ambos para controlar la diabetes gestacional.
Niveles elevados de insulina. La insulina es una hormona que contribuye en el procesamiento de los alimentos hasta convertirlos en energía. La resistencia a la insulina se da cuando las células corporales no responden normalmente a la insulina. Como consecuencia, los niveles de insulina en sangre están más elevados de lo normal. Muchas mujeres con SOP tienen resistencia a la insulina, en especial aquellas con sobrepeso y obesidad, que tienen hábitos alimenticios poco saludables, no realizan suficiente actividad física o tienen antecedentes familiares de diabetes (por lo general, diabetes tipo 2). Con el paso del tiempo, la resistencia a la insulina puede desencadenar diabetes tipo 2.
About Blog Natural treatment for better hormones and better periods. With this blog, I strive to assemble some truths, and to dispel some myths. I always want to better understand what works for hormones, and why, so I strive to keep abreast of current research, and my main motivation is always to help the patient sitting across from me. Blog by Lara Briden.
In the case of Polycystic Ovarian Syndrome, excess insulin causes the ovaries to produce excess testosterone, which can prevent ovulation and result in infertility. High insulin levels can also increase the conversion of testosterone into estrogen, which affects weight gain and the formation of ovarian cysts.5 Excess glucose is stored in fat cells that continue to pump out excess estrogen, further destabilizing the hormone system. In the vascular system, insulin increases the risk of heart disease and it is a known precursor to diabetes.6 Unfortunately, these risks increase as a woman ages.
Azziz R; Woods KS; Reyna R; Key TJ; Knochenhauer ES; Yildiz BO. The prevalence and features of the polycystic ovary syndrome in an unselected population. J Clin Endocrinol Metab 2004 Jun;89(6):2745-9. Rotterdam ESHRE/ASRM-Sponsored PCOS Consensus Workshop Group. Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome. Fertil Steril. 2004 Jan;81(1):19-25.
Herbal medicine may present a treatment option for women with oligo/amenorrhoea, hyperandrogenism and PCOS as an adjunct or alternative treatment to pharmaceuticals with a high degree of acceptability by women with PCOS [6]. Preliminary evidence for equivalent treatment effects were found for the two pharmaceuticals and three herbal medicines. These were bromocriptine, in the management of hyperprolactinaemia andVitex agnus-castus and clomiphene for infertility and ovulation induction and Cimicifuga racemosa and Tribulus terrestris. Herbal medicine had positive adjunct effects with the pharmaceuticals Spirinolactone in the management of hyperandrogenism (Glycyrrhiza Spp.), and clomiphene for PCOS related infertility (Cimicifuga racemosa). It is important however to highlight that evidence was provided by a limited number of clinical studies, some with significant risks for bias; particularly Tribulus terrestris, Glycyrrhiza glabra alone and in combination with Paeonia lactiflora and Paeonia lactiflora in combination with Cinnamomum cassia.

... In this PCOS model, spontaneous ovulation occurs after the bilateral section of the SON and the androgens concentration in the ovary is normalized [20][21][22]. Parra et al. [26] showed that in addition to ovarian NE concentration increases, EV-treated rats also show an increase in VIP concentra- tion, which could stimulate the onset of PCOS. This is possible, since ovaries of rats with PCOS cultivated in the presence of VIP release higher amounts of androgens and oestradiol than ovaries of rats without the syndrome. ...
One time when I was in a&e this junkie was having withdrawals and literally shitting and puking everywhere. The stench was unreal to the point they had to move other patients out of the area, as it was making people sick. The nurses were fucking pissed off and disgusted, of course they couldn't say anything in front of him, but they were bitching about it when they came into my room. The world is not there to entertain and 'ooh' and 'aww' over your projectile shit, Tuna. Stop being a disgusting adult baby.
6. Azziz R, Carmina E, Dewailly D, Diamanti-Kandarakis E, Escobar-Morreale HF, Futterweit W, et al. Task Force on the Phenotype of the Polycystic Ovary Syndrome of The Androgen Excess and PCOS Society. The androgen Excess and PCOS Society criteria for the polycystic ovary syndrome: the complete task force report. Fertil Steril. 2009;91(2):456–88. http://dx.doi.org/10.1016/j.fertnstert.2008.06.035 [PubMed]

Weight loss achieved through dietary changes and exercise can help women with PCOS in several ways. Like men and women without PCOS, losing weight reduces a person's risk of cardiovascular disease and non-insulin dependent (type 2) diabetes. Weight loss also helps to lower the level of insulin in the body which, in turn, reduces the ovaries' production of testosterone.
PCOS is the most common cause of anovulatory (pronounced an-OV-yuh-luh-tawr-ee) infertility, meaning that the infertility results from the absence of ovulation, the process that releases a mature egg from the ovary every month. Many women don't find out that they have PCOS until they have trouble getting pregnant...Read more about PCOS NIH - National Institute of Child Health and Human Development
There is no cure yet, but there are many ways you can decrease or eliminate PCOS symptoms and feel better. Your doctor may offer different medicines that can treat symptoms such as irregular periods, acne, excess hair, and elevated blood sugar. Fertility treatments are available to help women get pregnant. Losing as little as 5% excess weight can help women ovulate more regularly and lessen other PCOS symptoms. The ideal way to do this is through nutrition and exercise.
Approximately 15% of women with PCOS do not respond to the maximum dose of CC and are considered resistant to this medication. Due to the anti-estrogenic effect of this drug, endometrial proliferation may be inappropriate, which decreases the chance of embryo implantation. Moreover, this effect can also change the cervical mucus characteristics with a consequent reduction in sperm penetration 17,23. If the patient does not ovulate after the use of CC, gonadotropins for timed intercourse or ovarian drilling are the next steps to manage anovulatory infertile women with PCOS 9.
Además de los medicamentos, hacer ejercicio regularmente y llevar una dieta sana pueden ayudar a controlar el PCOS. Aunque el PCOS dificulta mucho la pérdida del peso, adelgazar aunque sea un poco puede ayudar a reducir algunos de sus síntomas. Hable con el proveedor de atención médica de su hija para obtener más información sobre el adelgazamiento y el PCOS.
Metformina. La metformina se utiliza normalmente para tratar la diabetes tipo 2 y puede mejorar los síntomas del SOP en algunas mujeres. No está aprobada por la FDA para tratar los síntomas del SOP. La metformina optimiza la capacidad de la insulina para disminuir el azúcar en sangre y además puede reducir los niveles de insulina y andrógeno. Luego de varios meses de uso, la metformina puede ayudar a reactivar la ovulación, pero normalmente solo tiene un efecto mínimo en el acné y en el vello excesivo en el rostro o cuerpo. Estudios recientes demuestran que la metformina puede tener otros efectos positivos, como la disminución de la masa corporal y la optimización de los niveles de colesterol.
Combination birth control pills — those with estrogen and Prometrium (progesterone) — are frequently prescribed to women with PCOS not looking to get pregnant. If the main concern is irregular periods and the resulting potential health risks, this is a great option. “Birth control pills are very good for protecting the lining of the uterus in women who are chronically anovulatory,” says Dunaif.
The routine use of OGTT is advocated by some in all PCOS women[15]. In teenagers, abnormalities in glucose metabolism manifest prior to dyslipidemia, suggesting that assessment of glucose metabolism is even more important in younger women[16]. DM is diagnosed by an 8 h fasting plasma glucose ≥ 126 mg/dL, 2 h glucose value ≥ 200 mg/dL after oral glucose tolerance test (OGTT) or random glucose ≥ 200 mg/dL with symptoms of DM confirmed by either fasting plasma glucose or OGTT. Hemoglobin AIC > 6.5% may also be issued to diagnose DM[17]. Impaired glucose tolerance (IGT) is defined by a 2 h cutoff of 140-200 mg/dL on OGTT[18].The prevalence of IGT in obese adolescents is surprisingly as high as 15%[19].
Kung gusto naman uminom ng gamot kasabay ang PCOS natural treatment na nabanggit, mayroon ring pwedeng ireseta ang doktor. Malamang, magbibigay siya ng contraceptives o birth control pills. Ang gamot na ito ay may lamang estrogen at progestin, kaya dadami ang female hormones sa katawan habang kakaunti ang male hormones. Makakatulong ang birth control pills hindi lamang sa pagiging regular ng dalas at dami ng pagregla, kung hindi pati na rin sa pagbabawas ng excessive bleeding, ng labis na hair growth, at ng acne.
Metformin, an antidiabetic drug, improves insulin resistance and decreases hyperinsulinemia in patients with PCOS. [68] This drug also has a small but beneficial effect on metabolic syndrome, as well as potentially causing a modest reduction in androgen levels (11%). [4] Note that women with a body mass index (BMI) greater than 37 kg/m2 may not have a good response to metformin. [4] An Italian study of 33 patients with PCOS demonstrated that metformin affected thyroid hormone by lowering thyroid-stimulating hormone (TSH) in hypothyroid patients with PCOS, regardless of whether these individuals received levothyroxine or were untreated. [69]

PCOS's principal signs and symptoms are related to menstrual disturbances and elevated levels of male hormones (androgens). Menstrual disturbances can include delay of normal menstruation (primary amenorrhea), the presence of fewer than normal menstrual periods (oligomenorrhea), or the absence of menstruation for more than three months (secondary amenorrhea ). Menstrual cycles may not be associated with ovulation (anovulatory cycles) and may result in heavy bleeding.
In addition to assessing signs and symptoms of PCOS, medical providers take a medical history, perform a physical exam, and check blood hormone levels (including testosterone). They may also perform an ovarian ultrasound. Other tests looking for complication of PCOS may also be done, such as glucose tolerance test or a mental health screening survey. 
Lifestyle interventions are usually required for long term sustainable results. PCOS women who smoke have higher free androgen levels and IR as measured by HOMA-IR, QUICKI and the insulin sensitivity index following 75 g OGTT[104]. Thus PCOS women who smoke have an additional reason to stop smoking. In more general population studies (non-PCOS) comprised mostly of middle-aged women, lifestyle intervention is more effective than metformin in preventing the progression to DM. Dietary and exercise intervention decreased the 4 year progression to DM in patients at risk (non-diabetic, elevated fasting and/or OGTT glucose) by almost 50%[105]. Realizing the limitations of applying this population sample to young PCOS women, it still highlights the benefit of non-pharmacological treatment. PCOS women randomized to both metformin and lifestyle interventions (compared to placebo) showed improvements in HOMAIR after 4 mo[106]. In European adolescents with PCOS who failed to achieve improvements in HOMA-IR after 6 mo of lifestyle intervention, both metformin and placebo reduced IR over 6 mo, although metformin offered no benefit over placebo[107]. Lifestyle modification in adolescents has been successful in reducing hyperandrogenism[103]. Modest weight loss of about 5% bodyweight has also been shown to lower hyperandrogenism[108] which may ultimately improve IR.
LEE RADOSH, MD, FAAFP, is associate director of the Family Medicine Residency Program at The Reading (Pa.) Hospital and Medical Center; a clinical assistant professor in the Department of Family, Community and Preventive Medicine at Drexel University College of Medicine, Philadelphia, Pa.; and a clinical assistant professor in the Department of Family and Community Medicine, Penn State College of Medicine, Hershey, Pa. He received his medical degree from Temple University School of Medicine, Philadelphia, Pa., and completed a family medicine residency at Lancaster (Pa.) General Hospital and a faculty development fellowship at Michigan State University, East Lansing....
For assisted reproduction cycles, metformin use prior to or during ovarian stimulation with gonadotropins in IVF/ICSI cycles is also not associated with better clinical pregnancy or live birth rates; however, metformin may reduce the risk of OHSS 38,39 and miscarriage and improve the implantation rate because metformin may act directly on the endometrium 39 and promote better reproductive outcomes (data not confirmed) in women with PCOS 40. However, as previously mentioned, the use of a GnRH antagonist combined with ovarian stimulation with gonadotropins in women with PCOS and the induction of final ovarian maturation with a GnRH agonist with subsequent embryo cryopreservation are more effective strategies to prevent OHSS regardless of metformin use 33. Thus, the routine use of metformin in cycles of ovarian stimulation for IVF in women with PCOS is not recommended except in the presence of a disorder in glucose metabolism 9.
Progestin therapy. Taking progestin for 10 to 14 days every one to two months can regulate your periods and protect against endometrial cancer. Progestin therapy doesn't improve androgen levels and won't prevent pregnancy. The progestin-only minipill or progestin-containing intrauterine device is a better choice if you also wish to avoid pregnancy.
Medical therapy inhibits hair growth without eliminating hair already present. Therefore, medical therapy usually is combined with mechanical methods of hair removal, such as electrolysis or lasers. Electrolysis refers to the insertion of an electrode to destroy individual hair follicles. It is ideal for removing small areas of sparse hair of any color. Laser hair removal is a common, safe and effective cosmetic procedure that also is performed for removal of unwanted facial and body hair. Laser therapy is more expensive than electrolysis but is faster, less painful, and requires fewer sessions. Laser therapy destroys hair by targeting the pigment (melanin) in the hair follicle and is ideally suited for dark-haired, light-skinned individuals. Longer-wavelength lasers with cooling devices can be used for individuals who have red, true blond, or white hair and for dark-skinned people. With appropriate therapy, there is up to a 70% reduction in hair density in treated areas, with remaining hairs becoming thinner in diameter within 3-6 months of treatment. Most patients then require some degree of maintenance treatment, usually every 6-12 months.
This therapeutic modality is also considered a second-line treatment for the infertility of women with PCOS. However, because it is an invasive method that requires general anesthesia and has a higher cost and potential complications, this technique should be used in cases of anovulatory women with CC-resistant PCOS who require laparoscopy for another reason (pelvic pain, adnexal mass, etc.). This technique can be performed using monopolar electrocautery or laser techniques, with both exhibiting a similar efficacy and the goal is between 4 and 10 punctures because a larger number may favor the development of premature ovarian failure 25,29. The mechanism of action of ovarian drilling in the treatment of infertility in women with PCOS is suggested to be based on the decreased secretion of androgens and consequent reduction of peripheral aromatization of these compounds into estrone. Furthermore, the follicular microenvironment becomes more estrogenic, which facilitates follicular growth 30. Regarding the efficacy of ovarian drilling, observational studies demonstrated that the ovulation rate was between 54 and 76% in the 6 months after the procedure and 33 and 88% in the 12 months after the procedure. During these periods, the spontaneous pregnancy rate ranged between 28 and 56% and 54 and 70%, respectively 31.
PCOS is due to a combination of genetic and environmental factors.[6][7][15] Risk factors include obesity, not enough physical exercise, and a family history of someone with the condition.[8] Diagnosis is based on two of the following three findings: no ovulation, high androgen levels, and ovarian cysts.[4] Cysts may be detectable by ultrasound.[9] Other conditions that produce similar symptoms include adrenal hyperplasia, hypothyroidism, and high blood levels of prolactin.[9]
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