The difference there and with many other cows is that they're narcs who believe that they're extremely handsome/beautiful when they're not. Luna knows that she's a fatty watty with cellulite and stretch marks and seems to accept it. Her fucked up body isn't related to her cowish nature (aside from her current foray into sex work, but even then she chose extralunchmoney because of her 'unique' look).

Palm jaggery o palm asukal ay itinuturing na isang malusog na pagpipilian kaysa sa regular na puting asukal dahil sa pagmamay-ari nito upang kontrolin insulin at asukal sa dugo antas. Ito rin ay nagtataglay ng isang mababang glycemic index at magpapalaki enerhiya na antas. Ang mas mataas na mga antas ng insulin ay karaniwan sa mga PCOS pasyente, at ito hindi nilinis uri ng jaggery (o asukal) ay maaaring makabuluhang epekto sa iyong kalusugan kapag isinama sa iyong diyeta.
From a practical standpoint, the use of aromatase inhibitors may be an option before IVF/ICSI after counseling and the consent of the couple in specific cases of women with CC-resistant PCOS without other infertility factors and for whom the high-complexity treatment is cost-prohibitive 41. The recommended dose of letrozole is 5 to 10 mg/day for 5 to 10 days.
Losing weight. Healthy eating habits and regular physical activity can help relieve PCOS-related symptoms. Losing weight may help to lower your blood glucose levels, improve the way your body uses insulin, and help your hormones reach normal levels. Even a 10% loss in body weight (for example, a 150-pound woman losing 15 pounds) can help make your menstrual cycle more regular and improve your chances of getting pregnant.3 Learn more about healthy weight.
Moghetti P, Castello R, Negri C, et al. Metformin effects on clinical features, endocrine and metabolic profiles, and insulin sensitivity in polycystic ovary syndrome: a randomized, double-blind, placebo-controlled 6-month trial, followed by open, long-term clinical evaluation. J Clin Endocrinol Metab. 2000 Jan. 85(1):139-46. [Medline]. [Full Text].
A team approach involving care by primary care and subspecialist physicians can be helpful to address the multiple manifestations of the syndrome. Goals for treatment (e.g., treating infertility; regulating menses for endometrial protection; controlling hyperandrogenic features, including hirsutism and acne) must account for the patient's preferences because therapy selection may otherwise conflict with outcomes that the patient considers important. Metabolic complications should be addressed in every patient via a blood pressure evaluation, a lipid panel, and a two-hour oral glucose tolerance test. Patients who are overweight should be evaluated for signs and symptoms of obstructive sleep apnea. All patients should be screened for depression (Figure 119).

Many women with PCOS have decreased sensitivity to insulin, the hormone that regulates glucose (sugar) in the blood. This condition, known as insulin resistance, is a major risk factor for type 2 diabetes. Women with PCOS often have type 2 diabetes, which occurs more frequently in women with PCOS. Signs of insulin resistance include weight gain (especially around the waist), acanthosis nigricans (skin thickening around the neck, armpits, belly, button, and other creases), and skin tags.
To be quite precise (Gastroenterofag here): opioids do slow the metabolism and make you crave sugary crap. Weight gain versus loss depends on whether the dose is high enough to actually be too fucked up most of the day to eat (that's why virtually all thin heroin users who go on methadone or subutex end up ballooning: they're no longer taking astronomical doses of opioids that make them too zonked out to eat, as the cross tolerance allows us to give them about 40% less of the equianalgesic dose). Sage for medfagging.
Metformin has been tested in combination with cholesterol lowering medications. Pretreatment of obese PCOS patients with atorvastatin (20 mg per day for 3 mo) followed by 3 mo of metformin (1500 mg per day) resulted in more effective lowering of HOMA-IR than metformin alone[80]. Other similar data show that combined treatment with metformin and atorvastatin compared to metformin alone produced similar but significant improvements in IR. Combination therapy only showed successful reduction of hyperandrogenism and not IR[81].
One of the biggest challenges in reviewing the evidence for PCOS treatment is that many manifestations of the condition may be components of other disease processes. For example, there may be a study of medications that are useful for hirsutism, but the patient population in the study did not explicitly have PCOS. Thus, recommendations specific for treating symptoms of PCOS may be lacking. When reviewing a study of the treatment of insulin resistance in a general population, it cannot be assumed that the outcomes would mirror those in women with PCOS.

A secondary analysis of two randomized, double blind, placebo-controlled trials that included 182 children of mothers with PCOS reported that children exposed to metformin had higher BMI and increased prevalence of overweight/obesity at 4 years of age. The study found that at 4 years of age, the metformin group had higher weight z-score than the placebo group; difference in means 0.38 (0.07 to 0.69), p=0.017, and higher BMI z-score; difference in means 0.45 (0.11 to 0.78), p=0.010. There were also more overweight/obese children in the metformin group; 26 (32%) than in the placebo group; 14 (18%) at 4 years of age; odds ratio (95% CI): 2.17 (1.04 to 4.61), p=0.038. More studies are needed to examine this association. [94]
The PCOS diagnosis is generally made through clinical signs and symptoms. The doctor will want to exclude other illnesses that have similar features, such as low thyroid hormone blood levels (hypothyroidism) or elevated levels of a milk-producing hormone (prolactin). Also, tumors of the ovary or adrenal glands can produce elevated male hormone (androgen) blood levels that cause acne or excess hair growth, thus mimicking the symptoms of PCOS.
Píldoras anticonceptivas orales. Contienen una combinación de hormonas femeninas. Estas pastillas pueden ayudar a normalizar el equilibrio de las hormonas y reducir o eliminar los síntomas. Esto reduce el riesgo de cáncer de endometrio para cuando la joven sea mayor. (No es necesario que una adolescente mantenga relaciones sexuales activas para tomar anticonceptivos orales).
Red Raspberry Leaf (Rubus idaeus) If you like black tea but do not want caffeine, red raspberry leaf tea is a perfect pleasant tasting alternative. It is one of the most beloved herbs for women in traditional herbal medicine because it strengthens the female reproductive system on many levels. This herb can help stop heavy menstrual bleeding, is high in iron and can strengthen the lining of the uterus which can aid in conception for women with PCOS.
Hirsutism is treated with a combination of approaches, including oral contraceptives with or without an antiandrogen, such as spironolactone, to lower levels or block actions of androgen on hair follicles. Oral contraceptives are often combined with antiandrogens to improve their clinical effect and to prevent pregnancy, since accidental exposure of the male fetus to antiantrogens can harm fetal development. A topical cream (eflornithine hydrochloride) also can be applied to treat facial hirsutism.
Randomisation for 206 women 12 were excluded due to failure to respond (treatment group n = 7, control n = 5). 2. Endometrial thickness monitored by ultrasound. Endometrial thickness in the clomiphene alone group was 8.5 mm (±1.9) compared to 12.9 (±2.3) in the clomiphene plus Cimicifuga racemosa group (p < 0.001). The miscarriage rate per pregnancy for the clomiphene alone group was 5 out of 33 (15.2%) and 6 out of 71 (8.5%) in the clomiphene plus Cimicifuga racemosa group.
Acne and extra hair on your face and body can happen if your body is making too much testosterone. All women make testosterone, but if you have PCOS, your ovaries make a little bit more testosterone than they are supposed to. Skin cells and hair follicles can be extremely sensitive to the small increases in testosterone found in young women with PCOS.
For once the shirt she's wearing looks clean.Maybe she's lucid enough to get some washing done although thats a far fetched theory. Also, I've tried following Luna on instagram to keep up with milk using two different accounts and she has declined both requests. With one being my art account I assumed that wouldn't look too sus. Is she very picky when it comes to who she lets follow her?
Aparte de preguntarte sobre tus antecedentes médicos, el médico te hará un examen físico, que incluirá pesarte y evaluar algunos signos específicos, como el acné, el crecimiento del vello y el oscurecimiento de la piel. Es posible que te haga un examen ginecológico para descartar otras posibles causas de tus síntomas, pero esto no siempre es necesario para hacer el diagnóstico.
What are the health benefits of cinnamon? Cinnamon is the second most popular spice in the U.S. But can it benefit the body? It has long been used to treat bronchitis, and research suggests that cinnamon can help to combat fungal infections, diabetes, and other conditions. It may also promote healing from chronic wounds. Learn about risks, types, and more. Read now
Removing or slowing the growth of excess hair.  Shaving, bleaching, plucking, waxing, and applying over-the-counter hair-removal creams are effective, albeit temporarily methods to get rid of unwanted excess hair. For more permanent results, you might try laser hair removal or electrolysis but these are expensive, require repeated treatments, and are not guaranteed to be successful.

Your health care provider will ask you a lot of questions about your menstrual cycle and your general health, and then do a complete physical examination. You will most likely need to have a blood test to check your hormone levels, blood sugar, and lipids (including cholesterol). Your health care provider may also want you to have an ultrasound test. This is a test that uses sound waves to make a picture of your reproductive organs (ovaries and uterus) and bladder (where your urine is stored). In girls with PCOS, the ovaries may be slightly larger (often >10cc in volume) and have multiple tiny cysts.
Herbal remedies can be a very effective treatment option for PCOS because they are usually quite gentle on the body and have fewer side effects than medication.3 You can usually use PCOS herbs longer with fewer problems which is important because PCOS does not go away over time. The reasons you might want to consider using herbs for your polycystic ovarian syndrome is they can be very successful in treating the contributing factors of PCOS, providing relief for symptoms and healing the body by boosting your immune system.
This thread fucks me up. I feel so much pity and sadness for this poor girl. Sort of hits close to home, when I turned 18 I moved in with a boy and got really sick and hooked on drugs for 2 years. I left him and got better, never did I ever get as bad as Luna but it could have happened had I been complacent like she is. I hope she finds the courage to leave. I think there's still beauty and potential underneath all the grime and illness, I even like her art sometimes and wish she'd spend more time on her paintings instead of on drugs. Lurch should be in prison for destroying this poor girl before she even had a chance. Sage for blog post.(USER HAS BEEN PUT OUT TO PASTURE)

El primer paso es consultar con un médico que sepa sobre PCOS. Elija un médico especialista en problemas hormonales (endocrinólogo) o un médico especialista en la salud de las mujeres (ginecólogo o de cabecera). Recuerde que cuanto antes obtenga ayuda para tratar el síndrome, menor es el riesgo de tener problemas de salud relacionados con PCOS, como la diabetes.

Píldoras anticonceptivas orales. Contienen una combinación de hormonas femeninas. Estas pastillas pueden ayudar a normalizar el equilibrio de las hormonas y reducir o eliminar los síntomas. Esto reduce el riesgo de cáncer de endometrio para cuando la joven sea mayor. (No es necesario que una adolescente mantenga relaciones sexuales activas para tomar anticonceptivos orales).
Key terms for the first search included: title or abstract CONTAINS ‘herbal medicine’ OR ‘herbal extract*’ OR ‘phytotherapy’ OR ‘botanical’ AND title or abstract CONTAINS ‘androgen*’ OR ‘oestrogen*’OR ‘follicle stimulating hormone’ OR ‘luteinising hormone’ OR ‘prolactin’ OR ‘insulin’ OR ‘glucose’ OR ‘polycystic ‘ovar*’. Search terms for the second search included the following key words in the title or abstract, CONTAINS; ‘menstrual irregularity’ OR ‘oligomenorrhoea’ OR ‘amenorrhoea’ OR ‘hyperandrogenism’ OR ‘hirsutism’ OR ‘acne’, OR ‘polycystic ovary syndrome’ OR ‘PCOS’ OR ‘polycystic ovar*’ OR ‘oligo-ovulation’ OR ‘anovulation’ OR ‘fertility’ OR ‘infertility’ OR ‘pregnancy’ AND ten herbal medicines identified from the laboratory search; ‘Cimicifuga racemosa’ OR ‘Cinnamomum cassia’ OR ‘Curcuma longa’ OR ‘Glycyrrhiza ‘ OR Matricaria chamomilla OR ‘Mentha piperita’ OR ‘Paeonia lactiflora’ OR ‘Silybum marianum’ OR ‘Tribulus terrestris’ OR ‘Vitex agnus-castus’. Truncation was used to capture plural key words and synonyms, and acronyms were used for some hormones (FSH and LH).
Consulte a su proveedor de atención médica si tiene periodos mensuales irregulares, dificultades para quedar embarazada o exceso de acné o de crecimiento de vello. Si le dicen que tiene SOP, los cambios de estilo de vida como la pérdida de peso (si tiene sobrepeso) y el aumento de actividad física pueden reducir la resistencia a la insulina, lo cual puede ayudar a controlar el SOP.
Side effects: Since licorice is one of the most widely used herbs there is a great deal of research into the possible side effects as well. It is definitely not recommended for long-term use because extended exposure may cause fluid retention, high blood pressure and potassium depletion. Some minor side effects may include upset stomach, headache, missed periods and fatigue. You should not take licorice if you are pregnant, breast feeding or have high blood pressure.
According to a recent study published in the Endocrine Society’s March 2015 issue of Journal of Clinical Endocrinology & Metabolism, women diagnosed with PCOS are twice as likely to be hospitalized for heart disease, diabetes, mental-health conditions, reproductive disorders, and cancer of the uterine lining. The cost of evaluating and providing care to women with PCOS is approximately $4.36 billion per year.
Polycystic ovarian syndrome (PCOS), also known by the name Stein-Leventhal syndrome, is a hormonal problem that causes women to have a variety of symptoms. It should be noted that most women with the condition have a number of small cysts in the ovaries. However, women may have cysts in the ovaries for a number of reasons, and it is the characteristic constellation of symptoms, rather than the presence of the cysts themselves, that is important in establishing the PCOS diagnosis.
Mean platelet volume (MPV) is a marker associated with adverse cardiovascular events, and women with newly diagnosed PCOS appear to have significantly elevated MPV levels. [47] Kabil Kucur et al reported that use of ethinyl estradiol/cyproterone acetate or metformin for the treatment of women with PCOS seemed to have similar beneficial effects in reducing MPV. [47]

GlucX is a combination of natural fibers designed to help regulate the absorption of glucose into the bloodstream while helping to maintain healthy cholesterol, triglycerides, blood pressure, and insulin levels.* Because high insulin levels promote PCOS, this product is essential to reducing insulin spiking.* Additionally, research demonstrates the benefits of high fiber intake on weight management and cardiovascular support.* GlucX contains fenugreek, a botanical, that decreases the absorption of carbohydrates into the bloodstream as well as prevents insulin spikes that occur with carbohydrate intake.* Fenugreek also has specific benefits for blood sugar balancing.

Mammalian ovary development undergoes important changes during the perinatal period, moment when follicles are assembled and start to develop in a process not well known, involving endocrine and paracrine factors. In order to investigate the effect of two different hormonal environments on the early development of the ovary, we used an autologous transplant model in which Syrian hamster fetal ovaries were grafted under the kidney capsule of males hosts previously unilaterally or bilaterally orchidectomized. After 35 days of graft, ovaries and kidney parenchyme of the host male did not present signs of rejection. Ovaries contained primordial, primary follicles, secondary follicles and few tertiary follicles with morphological features similar to ovaries of control females of 35 days of age. Healthy primary and secondary follicles of experimental groups had frequency distribution and size similar to control ovaries but tertiary follicles were scarce in control as well as in grafts where they were mainly atretic. PCNA, marker of proliferation, was immuno detected in granulosa cells of growing follicles and the marker of apoptosis, Caspase 3 active, was evident mainly in secondary follicles. Immunoreactivity for steroidogenic proteins, StAR, 3-βHSD and aromatase detected in the follicular wall cells and the decreased serum levels of FSH without important changes in testosterone in bilateral orchidectomized males that received ovarian graft, and testosterone decreased without changes in FSH levels in unilateral orchidectomized males (UO) with ovarian graft, all together suggest the effect of steroid hormones produced by the ovary. In conclusion, the experimental model of autologous transplant presents evidence of early ovary development under the kidney capsule and its functional integration to the endocrine axis of the host male.
oh ok thanks I didn't see that. wow he got that fast! maybe the bronx is faster at processing them. and yeah you'd think so. but especially with public defenders, they get paid by NY state, not the defendant obvi. the more hours they spend on a case, the more they get paid. also, the courts go on vacation usually for summer and Christmas/New Year's. Lurch got arrested in May but wasn't seen til July, prob due to summer vacation(s). one of my cases was still going on during the winter and I went to court in November and then didn't have to go again until mid January due to the holidays. so for a dopehead, that's 3 whole months of getting high without worrying about having to stop anytime soon.
Endometrial hyperplasia and endometrial cancer (cancer of the uterine lining) are possible, due to overaccumulation of uterine lining, and also lack of progesterone resulting in prolonged stimulation of uterine cells by estrogen.[53][102] It is not clear whether this risk is directly due to the syndrome or from the associated obesity, hyperinsulinemia, and hyperandrogenism.[103][104][105]