ELI5:Why does Glyceryl Trinitrate cause headaches?

Glyceryl Trinitrate is found in various medications. How does this cause headaches when applied to the skin or ingested?

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πŸ‘€︎ u/deptford
πŸ“…︎ Jul 05 2018
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Managing Refractor Tendinopathy: Topical Glyceryl Trinitrate sportsmedreview.com/blog/…
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πŸ‘€︎ u/DrPQ
πŸ“…︎ Jul 14 2019
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Use of Nitroglycerin/glyceryl trinitrate as a weapon and as medicine

I was watching Falling Skies recently and one of the characters was using nitroglycerin as a medicine. After a quick glance of the Wikipedia article, I was wondering which use came first, the weaponization or the medical treatment. No matter what the order is, I'm sure it was an interesting discussion.

Did a doctor give it as a medicine for heart disease and then someone caught it on fire or was it the other way around where someone was playing with their medication? Furthermore, is there a history of combustible compounds having other uses that are surprising or is nitroglycerin an anomaly?

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πŸ‘€︎ u/Slimy_Hog
πŸ“…︎ Nov 30 2013
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Long time listener, first time caller 8 WEEKS PAIN FREE!!

Hello everyone, I am 30 yr old male from the UK and this is the first time ive ever posted on this website at all.

First off, this thread helped me so much through the darkest, hardest days. I spent many an hour with my face in a pillow, screaming, arse in the air and when I could I would look up and scroll through the posts on this to reassure myself I wasn't the only one.

So, I am now 8 weeks tomorrow absolutely pain free and I know this because I kept a diary of literally everything that was going. I thought now would be a good time to make my first ever reddit post to offer some hope to those who are going through the same hell that I did.

My story started on 3rd November 2020. I had a horrible case of norovirus (chronic diarrhea) for about 5 days before, after that i was pretty clogged up and ended up passing a massive BM after not being able to go to the toilet for about three days. I properly forced it out, worrying that if I left the poo in me any longer, I would make myself ill again or something. How wrong I was. What followed was what we all here have been through, tear, blood, pain. I have had haemorrhoids pretty much on and off for the last decade or so, so at first I just thought I had a real bad case of that. A few days after the initial tear and still thinking it was haemorrhoids I went for a walk, which usually helps me with discomfort. This pain though was so bad that I had to run home and thus began the daily cycle of screaming into a pillow for 2 hours.

Another thing is the pain schedule was a little different for me. I felt a small amount of pain during a BM, say that was at 10am, but it wasn't until around 2pm that the real pain would kick in, rendering me immobile until about 8pm. The only silver lining of this was that due to the pandemic I wasn't in work, because having to serve people in a cafe and spending all day on my feet during this would have been horrendous. God bless my girlfriend for helping me through this as well. I literally couldnt do anything. The amount of times I would have to give up on walks, or leave her to do the grocery shopping is outrageous. It is 100% the hardest thing so far in my life I have had to get through medically. Basic things become such a horrible chore.

Anyway, sorry if this is a bit of a ramble, ill try and cut to the chase of what really helped me. I tried all sorts, aloe vera gel, vaseline, haemorrhoid cream etc, but over time and reading this website A LOT, I managed to figure o

... keep reading on reddit ➑

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πŸ‘€︎ u/pennetime
πŸ“…︎ May 11 2021
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Testosterone therapy worsens vascular health and function and attenuated improvements filtering exercise

Shouldn’t be surprising that TRT isn’t healthy

β€œ The endothelium is integral to the maintenance of vascular health in humans, and advancing age and low testosterone levels are associated with endothelial dysfunction in men. We compared the impacts of testosterone and exercise training, alone and in combination, on endothelium-dependent flow-mediated dilation % and endothelium-independent glyceryl trinitrate % responses. In this 2Γ—2 factorial 12-week randomized controlled trial, 80 men aged 50 to 70 years with waist girth β‰₯95 cm and low-normal serum testosterone levels (6–14 nmol/L) were randomized to transdermal AndroForte5 (testosterone 5.0% w/v, 100 mg/2 mL; testosterone), or matching placebo; and to supervised centre-based exercise or no additional exercise. Testosterone increased serum testosterone levels (testosteroneΓ—time, P=0.003) to the extent that 62% of subjects in testosterone groups increased levels to >14 nmol/L, whereas placebo treatment had no impact on testosterone levels. Exercise training increased flow-mediated dilation % (exerciseΓ—time, P=0.033; testosterone+exercise: +0.5, placebo+exercise: +1.0 versus testosterone+no additional exercise: βˆ’0.7, placebo+no additional exercise: +0.2%), whereas testosterone did not impact flow-mediated dilation, nor was it additive to exercise (all P>0.05). There were no significant exercise or drug main effects on glyceryl trinitrate responses (all P>0.05). Exercise training improved endothelium-dependent vasodilator function, whereas administration of testosterone at therapeutic doses did not impact flow-mediated dilation % or add to the exercise benefit. Vascular smooth muscle sensitivity to nitric oxide was not modified by exercise, testosterone, or their combination. In middle-to-older-aged men with central adiposity and low/normal testosterone levels, we observed no evidence that testosterone added to the beneficial impact of exercise on vascular function and health.”

https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.120.16411

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πŸ‘€︎ u/Only8livesleft
πŸ“…︎ Feb 23 2021
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Misdiagnosis, Laser Surgery, Anal Sex

Hey guys! Last Tuesday I woke up with the worst pain in my butt and pelvic region, scheduled an appointment for the next day, and the surgeon diagnosed it as an anal fissure. I have all the symptoms you guys are describing, including now after a few days some constipation and dysuria due to being so scared to have BM, and honestly it feels like I’m constantly being stabbed. The doctor said it was so bad that it wouldn’t be worth it to go down the glyceryl trinitrate / Rectogesic route although I’d be free to do so if I wished.

LASER SURGERY: He suggested I get a new kind of treatment which is laser fissurectomy. It doesn’t even touch the inner sphincter so chances of incontinence are zero. I’ve read a research paper on it and the results sound amazing. The pain would immediately improve (please!) and over a few months the fissure would completely be healed. I’m gonna go through with it, considering the alternative is a recurring chronic fissure that never fully heals.

LIS VS Sphincteromy: By the way, from what I’ve gathered, the lateral internal sphincterotomy (LIS) and procedures which involve cutting the inner sphincter have pretty much been phased out in most western countries. To quote a research paper, β€œin countries like France, the fissurectomy has been the standard of care for a chronic anal fissure for a long time”. So even without the β€œlaser” component of the surgery, a fissurectomy seems to be a better choice than an LIS.

Thankfully I live in a country with a relatively great, but importantly free healthcare system. I don’t know what I’d do if I lived in the US, and I feel so sorry reading all your posts. :(

INITIAL MISDIAGNOSIS: Around last November I noticed a skin tag on my butthole, went to a surgeon who said it was nothing at all and gave me a hemorrhoid creme which probably made things worse. NEVER use hemorrhoids creme on fissures, it restricts blood flow. I also frequently suffer from diarrhea and my eating habits have not been the best. Other than the skin tag and discomfort during anal play, the fissure gave me absolutely no symptoms. So really the misdiagnosis made things worse because I assumed everything was fine with my butthole and just went ham with it.

ANAL: I’m bisexual 21M. I’ve only started properly trying anal a year ago, never got through with it more than a few times cause I always had pain during sex and bleeding post-anal which I attributed to just being normal (not true, anal is not supposed to hur

... keep reading on reddit ➑

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πŸ‘€︎ u/fissure-throw
πŸ“…︎ Feb 21 2021
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DAD JOKES ARE NOT DIRTY.

Go post NSFW jokes somewhere else. If I can't tell my kids this joke, then it is not a DAD JOKE.

If you feel it's appropriate to share NSFW jokes with your kids, that's on you. But a real, true dad joke should work for anyone's kid.

Mods... If you exist... Please, stop this madness. Rule #6 should simply not allow NSFW or (wtf) NSFL tags. Also, remember that MINORS browse this subreddit too? Why put that in rule #6, then allow NSFW???

Please consider changing rule #6. I love this sub, but the recent influx of NSFW tagged posts that get all the upvotes, just seem wrong when there are good solid DAD jokes being overlooked because of them.

Thank you,

A Dad.

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πŸ‘€︎ u/Von_Bostaph
πŸ“…︎ Jun 18 2021
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There are only two white people in the movie Black Panther

Martin Freeman, and Andy Serkis.

They also play roles in Lord of the Rings.

I guess that makes them the Tolkien white guys.

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πŸ‘€︎ u/jzagri
πŸ“…︎ Jun 24 2021
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Rational
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πŸ‘€︎ u/mainhoonmadrasi
πŸ“…︎ Jun 30 2021
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My 3 yr old daughter made her first pun today and I almost cried. She was eating an apple and I asked her if she liked apples.

She said apple-lutely

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πŸ“…︎ Jun 29 2021
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What did the left eye say to the right eye when they got married?

'Eye-do'

This is my first post pls don't kill me lol.

The people in the comment section is why I love this subreddit!!

Cred once again my sis wants credit lol

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πŸ‘€︎ u/tieyz
πŸ“…︎ Jun 27 2021
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List of 150 Pharmaceutical Drugs that may have shortages due to being sourced from China

Hey Gang. I've mentioned before that most drugs contain APIs (Active Pharmaceutical Ingredients) produced in China.

Also, here is a current list of Current and Resolved Drug Shortages and Discontinuations Reported to FDA. This list is actively updated by the FDA:

https://www.accessdata.fda.gov/scripts/drugshortages/default.cfm

If you rely on any of these medications, please talk to your Doctor and make sure you have enough to cover yourself for 60 days. Supply chains are starting to have issues. In a few weeks you may not be able to get your medication when you need it.

This is a list of 150 drugs that are sourced from China:

Aciclovir – (Zovirax) – antiviral drug

Advair – asthma medicine

Adrenaline Hcl – treatment for cardiac arrest

Albendazole – treatment for worms

Alfuzosin – (Uroxatral) treatment for enlarged prostate

Allopurinol – gout treatment

Alprazolam – (Xanax) – treatment for anxiety disorders

Amikacin sulfate – treatment for bacterial infections

Aminophyline -treatment for cerebral ischemia

Amiodarone Hydrochloride -treatment for irregular heartbeat

Amlodipine – treats high blood pressure & angina

Ampicillin – antibiotic

Amodiaquine – treatment of malaria

Amoxicillin – antibiotic

Aniracetam – (Draganon, Sarpul, Ampamet) a congnition enhancer

Artemether – treats drug resistant malaria

Artesunate – malaria treatment

Aspirin – anti-inflammatory painkiller

Artemether – treats malaria

Atenolol – high blood pressure medicine

Atropine – antidote against nerve agents

Avandia – (Avandia) treatment of diabetes

Budesonide – (Entocort) treatment of allergy & asthma

Bupropion (Wellbutrin) antidepressant

Calcifediol – treats vitamin D deficiency

Candesartan – (Blopress, Atacand, Amias, Ratacand) treats hypertension

Captopril – (Capoten, Inhibace) treatment for hypertension & congestive heart failure

Carbamazepine – treatment of epilepsy, ADD & ADHD

Carnosine – treatment for autism

Cefixime – antibiotic

Cefotaxime – (Claforan) antibiotic

Cefsulodin – also, cephalosporin – antibiotic

Cephealexin – (Keflex, Keftab) – antibiotic

Chloramphenicol – antibiotic

Chlorpheniramine Maleate – (Chlor-Trimeton, Piriton) Antihistamine

Chlorpromazine Hydrochloride

Chloroquine Phosphate – treatment of malaria

Cilexetil – (Atacand) treats high blood pressure

Cilostazole – (Pletal) treats peripheral vascular disease

Cimetidine – (Tagame

... keep reading on reddit ➑

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πŸ‘€︎ u/DadExplains
πŸ“…︎ Mar 10 2020
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What was a very common name in the middle ages?

I heard parents named their children lance a lot.

First post please don't kill me

Edit: i went to sleep and now my inbox is dead, thank you kind strangers for the awards!

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πŸ“…︎ Jun 24 2021
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My wife blocked me on Facebook because I post too many bird puns.

Well, toucan play at that game.

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πŸ‘€︎ u/Zayan-ali
πŸ“…︎ Jun 30 2021
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Apologies if it's a bit corn-y
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πŸ‘€︎ u/mediashiznaks
πŸ“…︎ Jun 26 2021
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so many choices
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πŸ‘€︎ u/SailorNebula
πŸ“…︎ Jun 07 2021
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Gottemm
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πŸ‘€︎ u/Un_FaZed211
πŸ“…︎ Jun 29 2021
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Well that didn't cross my mind
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πŸ‘€︎ u/JasonPetreasCoach
πŸ“…︎ Jun 11 2021
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He knows too much
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πŸ‘€︎ u/Potato_salad123
πŸ“…︎ Jun 24 2021
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where do pirates get their hooks?

second hand stores!

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πŸ‘€︎ u/bigus-_-dickus
πŸ“…︎ Jun 25 2021
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My 6 year old wanted me to share his joke with you all. What is a horses favorite store?

Old Neeeeiiiiighvy

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πŸ‘€︎ u/WantedDadorAlive
πŸ“…︎ Jun 28 2021
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I've spent all morning trying to think of a quality pun, just to come up with THIS otter rubbish.
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πŸ‘€︎ u/awesome_smokey
πŸ“…︎ Jun 28 2021
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I've just deleted all the German names off my pre owned iPhone..

it's Hans free now..

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πŸ‘€︎ u/HugoZHackenbush2
πŸ“…︎ Jun 28 2021
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3.14159265387279 snek
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πŸ“…︎ Jun 20 2021
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Did you know 10+10 and 11+11 are the same?

10+10 is twenty and 11+11 is twenty too

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πŸ“…︎ Jun 27 2021
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How much does it cost for a pirate to get his ears pierced?

A buck-an-ear!

I Thank ye kind Matey for the booty! I be truly overwhelmed! Thank you!

Holy cow! Thank you everyone for the upvotes and awards! I wasn’t expecting this!

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πŸ‘€︎ u/motherduck5
πŸ“…︎ Jun 25 2021
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Rock bottom
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πŸ‘€︎ u/Theo19555
πŸ“…︎ Jun 23 2021
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My Son Ate a Bunch of Scrabble Tiles. My Wife is Scared but I'm not...

He should have a good vowel movement. His next diaper change could spell disaster though.

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πŸ‘€︎ u/hypeaze
πŸ“…︎ Jun 23 2021
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Chinese takeout: $11.77. Price of gas to get there: $3.00

Making it all the way home and realizing that they forgot one of the containers:

Riceless

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πŸ“…︎ Jun 28 2021
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Two drunk guys were about to get into a brawl. One of the guys grabs a stick and draws a line in the dirt and says "If you cross this line, I'll hit you in the face"

That was the punchline

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πŸ“…︎ Jun 29 2021
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I threw up in the toilet
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πŸ“…︎ Jun 25 2021
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Hot
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πŸ‘€︎ u/AlexxFruit
πŸ“…︎ Jun 22 2021
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How long should I wait after a tear?

So I’ve had a few small tears in the past, one requiring some treatment by a proctologist to help the healing. It’s been a while but I got another one at the start of December because I didn’t take it slow enough when bottoming.

I laid off it for a few weeks and tried again with a mate on New Years but it seems to have triggered the fissure again. It’s gotten me pretty depressed because I can’t do something I really enjoy and feel pretty isolated not knowing if it’s a shared experience with other 20-something year olds.

Anyway, how long should I wait before I try again? Does anyone have much experience with fissures? This one seems pretty β€˜up there’ so I can’t see anything or feel a sting, just a bit of an ache from time to time... but that could be because I train legs a lot too.

Frustrating af...

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πŸ‘€︎ u/sp___ce
πŸ“…︎ Jan 28 2019
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Saw this on insta @PunHubOnline
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πŸ‘€︎ u/Haidi7
πŸ“…︎ Jun 26 2021
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Had a good chuckle
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πŸ‘€︎ u/LittleBigOwl
πŸ“…︎ Jun 21 2021
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At what point does it stop being grave robbing and start being archaeology?
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πŸ‘€︎ u/Unholy_Jer
πŸ“…︎ Jun 28 2021
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Today on a walk my son was asking about a bunch of plants and stuff, he pointed to one and I said it was a fungi.

Without missing a beat he asks "Daddy, do you know how much room you need to grow Fungi like that?"

I did not know.

So he tells me "as Mushroom as possible!"

So proud.

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πŸ‘€︎ u/smoffatt34920
πŸ“…︎ Jun 26 2021
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What did Jay-Z call his wife before they got married?

Feyonce

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πŸ“…︎ Jun 22 2021
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So my dad just died because he needed blood and we didn’t know his blood type.

He was so brave and even tried to encourage us, the family around him, with his last breaths. He kept whispering to us to Be Positive.

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πŸ‘€︎ u/BritishTeeth11
πŸ“…︎ Jun 14 2021
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The elderly wife in church turned to her husband and said, β€œI’ve just done a silent fart. What should I do?”

He said, β€œChange the batteries in your hearing aid”.

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πŸ‘€︎ u/BritishTeeth11
πŸ“…︎ Jun 19 2021
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My wife told me to pick up 8 cans of soda on my way home from work

She was pretty mad when I only picked seven up

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πŸ‘€︎ u/eamonn_russell
πŸ“…︎ Jun 27 2021
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Oh the tangled web we weave ...
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πŸ‘€︎ u/RogueDisciple
πŸ“…︎ Jun 27 2021
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I have been asking everyone what LGBTQ is?

So far no one has given me a straight answer.

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πŸ‘€︎ u/awesumit
πŸ“…︎ Jun 02 2021
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What is your favourite breakfast food?
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πŸ‘€︎ u/FabricioPezoa
πŸ“…︎ Jun 27 2021
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Grandma is always saying to me ' Hey what's the name of that German guy again who keeps taking my stuff '

Alzheimer, Grandma, it's Alzheimer.

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πŸ‘€︎ u/HugoZHackenbush2
πŸ“…︎ Jun 23 2021
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Testosterone and Exercise in Middle-to-Older Aged Men Combined and Independent Effects on Vascular Function

β€œ The endothelium is integral to the maintenance of vascular health in humans, and advancing age and low testosterone levels are associated with endothelial dysfunction in men. We compared the impacts of testosterone and exercise training, alone and in combination, on endothelium-dependent flow-mediated dilation % and endothelium-independent glyceryl trinitrate % responses. In this 2Γ—2 factorial 12-week randomized controlled trial, 80 men aged 50 to 70 years with waist girth β‰₯95 cm and low-normal serum testosterone levels (6–14 nmol/L) were randomized to transdermal AndroForte5 (testosterone 5.0% w/v, 100 mg/2 mL; testosterone), or matching placebo; and to supervised centre-based exercise or no additional exercise. Testosterone increased serum testosterone levels (testosteroneΓ—time, P=0.003) to the extent that 62% of subjects in testosterone groups increased levels to >14 nmol/L, whereas placebo treatment had no impact on testosterone levels. Exercise training increased flow-mediated dilation % (exerciseΓ—time, P=0.033; testosterone+exercise: +0.5, placebo+exercise: +1.0 versus testosterone+no additional exercise: βˆ’0.7, placebo+no additional exercise: +0.2%), whereas testosterone did not impact flow-mediated dilation, nor was it additive to exercise (all P>0.05). There were no significant exercise or drug main effects on glyceryl trinitrate responses (all P>0.05). Exercise training improved endothelium-dependent vasodilator function, whereas administration of testosterone at therapeutic doses did not impact flow-mediated dilation % or add to the exercise benefit. Vascular smooth muscle sensitivity to nitric oxide was not modified by exercise, testosterone, or their combination. In middle-to-older-aged men with central adiposity and low/normal testosterone levels, we observed no evidence that testosterone added to the beneficial impact of exercise on vascular function and health.”

https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.120.16411

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πŸ‘€︎ u/Only8livesleft
πŸ“…︎ Feb 23 2021
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Pharmaceutical Supply Chain Concerns: Allopurinol

Hi all, I am a global supply chain exec at a electronics manufacturing firm and a fellow gout sufferer. I don't want to cause undue concern, I just want to inform. If you have been paying attention, you all know about the Coronasvirus pandemic (it's not really a pandemic yet) and the effects that it is having on the global supply chain. Gout suffers should be aware that China is a major producer of allopurinol for the world market and cannot and will not be shipping for at least another month possibly longer. If you prescription is low, I would consider refilling now.

edit: I SHOULD HAVE INCLUDED THIS TO BEGIN WITH, SORRY:

Here is a list of some of the drugs manufactured in China; this list does NOT include drugs that simply require ingredients made in China, but please understand that that supply chain will also likely be impacted. While any prescription drug may fall victim to shortages in the coming months, these are the most likely candidates. If necessary, please speak to your doctors if you require any of the listed below. If you know you depend on any of the OTC listed, the time to stock up is NOW.

Also, people with diabetes: Insulin is made in Europe and the US, however, the syringes, needles, pens, and pumps are made in China. Plan accordingly.

Aciclovir – (Zovirax) – antiviral drug

Advair – asthma medicine

Adrenaline Hcl – treatment for cardiac arrest

Albendazole – treatment for worms

Alfuzosin – (Uroxatral) treatment for enlarged prostate

Allopurinol – gout treatment

Alprazolam – (Xanax) – treatment for anxiety disorders

Amikacin sulfate – treatment for bacterial infections

Aminophyline -treatment for cerebral ischemia

Amiodarone Hydrochloride -treatment for irregular heartbeat

Amlodipine – treats high blood pressure & angina

Ampicillin – antibiotic

Amodiaquine – treatment of malaria

Amoxicillin – antibiotic

Aniracetam – (Draganon, Sarpul, Ampamet) a congnition enhancer

Artemether – treats drug resistant malaria

Artesunate – malaria treatment

Aspirin – anti-inflammatory painkiller

Artemether – treats malaria

Atenolol – high blood pressure medicine

Atropine – antidote against nerve agents

Avandia – (Avandia) treatment of diabetes

Budesonide – (Entocort) treatment of allergy & asthma

Bupropion (Wellbutrin) antidepressant

Calcifediol – treats vitamin D deficiency

Candesartan – (Blopress, Atacand, Amias, Ratacand) treats hypertension

Captopril – (Capoten, Inhibace) treatment for hypertension & conge

... keep reading on reddit ➑

πŸ‘︎ 19
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πŸ‘€︎ u/Fanmann
πŸ“…︎ Feb 28 2020
🚨︎ report

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