Benadryl allergy plus congestion non drowsy

If you’re allergic to gadolinium, is there a way to get an MRI with contrast?

2023.06.05 05:12 wloveandsqualor If you’re allergic to gadolinium, is there a way to get an MRI with contrast?

•37 •female •5’4” •180 lbs •history of asthma and several allergies/adverse reactions to antibiotics •Non-smoker •Vaporize cannabis with a medical marijuana card •take singular 10 mg nightly, vitamins, and albuterol inhaler as needed
I am seeing a neurologist in a month due to frequent migraines and nerve issues (burning, pins and needles, electric shocks, itching).
I had an MRI done six years ago (first and only), and I had a delayed reaction where I felt burning all over my skin. At first I thought the machine had somehow burned me, as my face turned red and swollen like a sunburn. But then hives showed up on my arms and especially my back. They were so huge, they combined to form large red welts.
I have had several CT scans, and never had a reaction to that contrast dye.
Yes, I know gadolinium allergies are rare, but I did not consume, use, or come into contact with anything out of the ordinary that day or even that week. There is no other explanation other than it was the contrast. My having asthma and other medication/chemical allergies also makes it a bit more likely.
So my questions are:
  1. Are there other contrast dyes for MRIs that don’t have gadolinium?
  2. Can they give me Benadryl or something else beforehand to anticipate and combat the allergic reaction?
  3. Can they detect MS without contrast?
submitted by wloveandsqualor to AskDocs [link] [comments]

2023.06.04 20:59 CONDINGOSINGUS Health Insurance Advice

I recently adopted a ~1 year old cat and I want to get health insurance for him, I am looking at a couple options and I could use some advice. The two options I am leaning towards are ASPCA and Pumpkin, as both are fairly affordable for me (broke college student), Pumpkin get good ratings from various websites and ASPCA is non-profit which I like, plus is one of the cheapest options I've found. However, I can't find a lot of information on Pumpkin, specifically how hard I have to fight for them to cover bills, and after searching online it seems that the consensus on ASPCA is VERY mixed, some people didn't have to fight at all and some never got their bills covered even if their claim was within what they'd cover.
I can't do much over $20/month, but want to get the best plan I can find, so if anyone is willing to share their experiences with their pet health insurance please let me know! I'll note that he has no health conditions except some gingivitis and itchy skin (probably seasonal or food allergies) in case that's relevant.
submitted by CONDINGOSINGUS to CatAdvice [link] [comments]

2023.06.04 18:59 sad_rotten_tomatoe Experience applying for jobs

I'm not diagnosed with OCD but I know I it. I currently tutor online but I don't make much from that. I've been trying to find a full time job for the past 2 years but I've only limited myself to certain types of jobs. The following are non negotiable for me.
Food Service: I'm terrified I will accidentally kill someone via allergy or something similar Finance: had experience in a finance position but hated it, plus ppl take finance extremely seriously bc you deal with ppls money and I can't deal with that responsibility. Waiter: I'm not going to get paid enough for the work I do. I don't want to rely on commissions plus I have bad social anxiety Sales rep: I'm terrible about convincing people to do things plus I had a bad experience with a cash register. Although I am open to try to learn how to use a cash register again if necessary.
The only jobs I apply for now are administration assistant, teaching (I don't have a teaching certificate but I have a TEFL AND TOESL cert) or veterinary assistant.
Anyone experience these feelings?
submitted by sad_rotten_tomatoe to OCD [link] [comments]

2023.06.04 17:21 idc_kay Can I take these pills with an ileostomy ?

I’m unsure if having an ileostomy even affects what pills (besides Nsaids) that I can take. But I just know that I’m cautious with new things because I don’t wanna ever have a blockage. So, does anyone know if it’s okay for me to take these ? Or have any advise on how to know which pills to avoid ?? Thank you :)
submitted by idc_kay to ostomy [link] [comments]

2023.06.04 17:14 facetime010101 Aveeno Baby Calming Comfort Moisturizing Lotion with Relaxing Lavender & Vanilla Scents

Aveeno Baby Calming Comfort Moisturizing Lotion with Relaxing Lavender & Vanilla Scents
Caution: It's important to remember that these evaluations are guides to potential health concerns and not definitive measures of a product's safety or efficacy. They are based on individual ingredients rather than any negative effects the final product may have. The way ingredients interact in a formulation can influence their potential impact, and the presence of a specific ingredient does not automatically equate to harm when used in a product. It's always crucial to do your own research, consider the product as a whole, and keep in mind that personal reactions can vary greatly. When making decisions about personal care products, it is recommended to consult with healthcare professionals.

Brief: This baby lotion contains Dimethicone, a type of silicone that creates a protective barrier on the skin, helping to keep it hydrated. However, it's also formulated with Benzyl Alcohol and Fragrance, which may cause irritation or allergic reactions in sensitive babies. The inclusion of Petrolatum, a petroleum derivative, might be of concern to some parents due to potential impurities. Avena Sativa (Oat) Kernel Flour is generally soothing, but could pose an issue for babies with gluten intolerance or sensitivity. Sodium Chloride (salt) in the formula could lead to dryness with overuse. As always, it's advisable to perform a patch test to rule out any potential adverse reactions.

Ingredients: Dimethicone, Water, glycerin, distearyldimonium chloride, petrolatum, isopropyl palmitate, cetyl alcohol, avena sativa (oat) kernel flour, benzyl alcohol, fragrance, sodium chloride.

Typical ingredients description and side effects

  • Dimethicone
    • Dimethicone is a type of silicone used in many skin and hair care products, including baby lotion, due to its smoothing properties and ability to form a barrier on the skin, which can help keep it hydrated.
    • Potential Side Effects:
      • Skin Irritation: Some people may experience skin irritation from products containing dimethicone, especially if they have sensitive skin. This can include symptoms like redness, itching, or a rash.
      • Allergic Reactions: Allergic reactions to dimethicone are rare, but they can occur. Symptoms of an allergic reaction can include hives, swelling, itching, or difficulty breathing.
      • Acne and Skin Congestion: While dimethicone is non-comedogenic (meaning it shouldn't clog pores), some people find that it can contribute to skin congestion or acne, possibly due to the barrier it forms on the skin, which may trap dirt or oil. This is more likely to be a concern for individuals with acne-prone skin and less of a concern for infants.
    • EWG Skin Grade: 4

  • Distearyldimonium Chloride
    • Distearyldimonium Chloride is a quaternary ammonium salt that's often used in personal care products such as lotions, creams, and hair conditioners because of its anti-static and conditioning properties. It helps to soften and soothe the skin and to reduce or prevent static electricity, improving the feel and manageability of hair. Like any ingredient, Distearyldimonium Chloride can potentially cause side effects in some individuals, but it's generally considered safe as used in cosmetics and personal care products.
    • Potential Side Effects:
      • Skin Irritation: This is the most common potential side effect. While Distearyldimonium Chloride is generally considered safe and non-irritating for most people, individuals with sensitive skin or allergies may experience irritation. Signs of irritation can include redness, itching, burning, or discomfort at the site of application.
      • Eye Irritation: If a product containing Distearyldimonium Chloride comes into contact with the eyes, it could potentially cause irritation.
    • EWG Skin Grade: 4

  • Petrolatum
    • Petrolatum, commonly known as petroleum jelly, is often used in baby care products including lotions due to its excellent moisturizing properties. It forms a barrier on the skin, preventing moisture loss and protecting the skin from external irritants. This makes it particularly beneficial for treating dry or chapped skin.
    • Potential Side Effects:
      • Skin Irritation: Some babies might experience minor skin irritation from products containing petrolatum. This could present as redness, rash, or a slight stinging sensation.
      • Potential for Breakouts: Petrolatum forms a barrier on the skin that could potentially trap dirt and oils. While breakouts are less common in babies than in teenagers and adults, this could potentially lead to minor skin issues.
      • Potential Contaminants: There has been some concern about impurities present in petrolatum, such as polycyclic aromatic hydrocarbons (PAHs), which have been linked to health issues. However, the petrolatum used in cosmetics and personal care products is highly refined and must meet strict safety standards.
    • EWG Skin Grade: 4

  • Benzyl Alcohol
    • Benzyl Alcohol is a type of alcohol used as a solvent and preservative in many types of cosmetics and personal care products, including baby lotion. In small amounts, it is generally safe for use in these types of products. However, like any ingredient, it can potentially cause side effects in some individuals.
    • Potential Side Effects:
      • Skin Irritation: In some individuals, particularly those with sensitive skin or allergies, Benzyl Alcohol may cause skin irritation. Symptoms can include redness, itching, burning, or discomfort at the site of application.
      • Allergic Reactions: While uncommon, some people might have an allergic reaction to Benzyl Alcohol. Symptoms of an allergic reaction can include severe skin redness, hives, swelling, and in severe cases, difficulty breathing.
      • Eye Irritation: If a product containing Benzyl Alcohol comes into contact with the eyes, it can potentially cause eye irritation.
      • Toxicity in High Concentrations: High concentrations of Benzyl Alcohol can be toxic, especially in premature newborns. However, the concentrations used in cosmetics and personal care products are generally low and considered safe.
    • EWG Skin Grade: 4

  • Fragrance
    • Fragrance in baby lotion can provide a pleasant smell and enhance the experience of using the product. However, "fragrance" is a broad term that can refer to any one of thousands of ingredients used to scent personal care products. Because the specific ingredients used in a fragrance are often not listed, it can be difficult to know exactly what's in a product and how it might affect your baby.
    • Potential Side Effects:
      • Skin Irritation or Allergic Reactions: The most common issue with fragrances is that they can irritate the skin or cause an allergic reaction. This is particularly a concern for individuals with sensitive skin or known allergies. Symptoms can include redness, itching, swelling, or a rash.
      • Respiratory Distress: Some people may experience respiratory issues such as difficulty breathing, wheezing, or coughing when exposed to certain fragrances, particularly if they have asthma or other respiratory conditions.
      • Headaches or Dizziness: Some people may be sensitive to strong smells and can experience headaches or dizziness due to fragrances.
      • Contact Dermatitis: This is a red, itchy rash caused by direct contact with a substance or an allergic reaction to it.
    • EWG Skin Grade: 8

The grading system used by EWG in the Skin Deep database is as follows:
1 to 2: Low hazard
3 to 6: Moderate hazard
7 to 10: High hazard
submitted by facetime010101 to ChoosyParents [link] [comments]

2023.06.03 19:59 confusedwithlov3 Suggestions for allergies?

I stupidly chose an exam date during peak allergy season and I get them pretty bad. I can take medication but even the non-drowsy hinders me. Pretty sure I won't be able to bring in tissues into the exam so I was wondering if anyone has any suggestions. I could push back the exam but I'm looking for advice first. My worst case (grossest case) idea is to wear two shirts, take off one, and use it as a rag throughout the exam.
submitted by confusedwithlov3 to PE_Exam [link] [comments]

2023.06.03 01:24 Fabiann_02 can you possibly solve this or provide insight? (Long) (Very interesting case)

First and last post here!
This may be a long read, but I truly, truly appreciate it if everyone would stick around and add their insight to this.
Background: 21 male, 5'10, Caucasian (Scottish, Slovakian, French) Location: Canada
I have 2 sisters, 2 nephews, and 1 niece, which is important to factor in, and I'll explain why briefly.
When I was just little used to light up bright red only on my face and neck typically only in stressful or public situations (terrible social anxiety), it wasn't itchy, just hot and red and I would sweat a lot. According to my mom (54), she used to get the same thing in front of people but eventually grew out of it.
Now regarding my niece and nephews, they also get red in the face and have trouble regulating body temperature but not due to any type of anxiety, as it stands we could call it idiopathic and it resembles Lupus or maybe rosacea however - my oldest nephew also has some skin problems and my youngest often gets fevers and hives from many things but treats it with things like advil.
The above is important in MY case I believe because when I was around 13 I was put on 20mg of cipralex (2014), in October 2019 (17) I went into anaphylaxis for the first time due to amoxicillin which I took due to sinus congestion (mom also has chronically) and I had it lying around from a previous infection, the anaphylaxis scared me into not taking any medication so I abruptly cut down my cipralex and for some reason believed I wouldn't need them anymore.
After doing this, I one day woke up with the most severe depersonalisation and derealisation anyone could ever have alongside a gross number of other discontinuation symptoms which lasted over 3 months and eventually subsided after reinstating 10-15mg of the same medication, the most IMPORTANT part of this is I had developed Tinnitus and anisacoria after this AND I couldn't take the meds anymore because I developed symptoms of seratonin toxicity so I had to get off all together and just deal with it.
Fast forward to 2021-2022 and now things are serious, my body is behaving terribly since I've changed things up and it's worth mentioning that the rash / redness I used to only get on my face and neck had began to progress down to my chest and eventually to my legs but it's not itchy and only happens in the sun, in stressful situations/ conditions. That's the least of it, I began getting constipated by almost ALL foods and chicken and rice were my only tolerable foods (until they weren't), I wasn't getting rashes but it's like I developed this hypersensitivity in the signals from my stomach, it began feeling tight and caused me to be severely constipated for over 33 days (not exaggerated), my blood sugar was 1.3, you could say I was intolerant to almost everything but not allergic.
This is where things got weird, at this point I've seen almost all of the BEST specialists in Canada and been to the best hospitals which costed me a lot of money that I just happened to coincidentally have (now I don't) and a lot of time, as I mentioned I had been extremely constipated UNTIL I received saline solution VIA IV injection overnight, I got home a day later and had the most excruciatingly painful poop ever and it was disgusting - I know it was from the saline IV because this happened more than once and that was the only thing I was issued other than the mix of vitamins (Please explain this if possible!)
Now, I got the blockage out and still continued to have serious issues and kept myself near the hospitals (in Toronto), I had more needle holse in my arm than any addict ever (painful) due to the amount of blood work done but now I was down to 98 lbs from 184 (I was kind of overweight prior to all of this) and I had given up so I decided (f it, I'll have what I want) and started to intake calories again by what I thought was healthier (Boba, cauliflower bites etc) than what I used to have thankfully toronto had these options.
Anyway, this is what leads us to the most current circumstances/ situation - everything I ate / eat lots of carbs, sugar or fibre my body temperature increases and I get really gassy, my veins dilate massively, I become lethargic, low blood pressure and I have a red face BUT when I take things like vitamin C, D, Zinc, Dandelion, Burdock Root, Reishi (yes I taught myself natural medicine because I had to), the symptoms reverse BUT I get this 'tight' feeling in my stomach which is why I describe the whole hypersensitivity thing because I can feel almost everything. I get the tightness, the gas gets trapped, and my body temp decreases.
Now I'll give a brief on the important tests I've done due to suspicions I and few doctors had about specific diseases: HATS(tryptase and genes), MASTOCYTOSIS(c-kit), POLYCYTHEMIA VERA (jak 2), LEUKEMIA (bcr-abl), MYELOPROLIFERATIVE NEOPLASMS(calr), PORPHYRIA, ANEMIA (MANY TYPES), C3, C4, CRP, INR, ANTI DNA, LEUKOCYTES, PROTEIN (urine), IMMUNOGLOBULINS, THYROID ANTIBODIES AND FUNCTION, DOUBLE STRAND ANTIBODIES, RHUMATOID FACTOR (10 >14), VITAMIN D,MRI'S, CT'S(brain amd stomach), ECHO'S, ULTRASOUNDS (of everything), ALLERGY SKIN TESTING, SERATONIN(urine) and maybe more that I didn't see.
The results that were 'positive' and stood out + dates discovered:
•Thyroglobulin antibodies >184 (2023) •Thyroperoxidase antibodies >135 (2023) •C3 >89 (2021) •Bilirubin >30 (2021) •Albumin >53 (2021) •Urate >192 (2021) •Between 2021-2022, at my worst, I had consistently low wbc and neutrophils, whether from malnutrition or something else. I'm unsure •Sinus arythmia (2021) •Slight pericardial effusion (2022) •Head CT w/o contrast >scattered bilateral white matter lesions on brain? (2021) •Renal / Abdominal ultrasound >Mild hydronephrosis (2021) •Cardiac / Abdominal ultrasound >Trace right pluerual effusion, pericardial effusion, hydronephrosis (2021) •Spinal x-rays and mri's >consistent disc degeneration (2019-2023) and idiopathic thoracic scoliosis. •Endoscopy and colonoscopy >Clear (2022-2023) •Abdominal CT with contrast >jujenum distention and embelical hernia (2023) •Swollen lymph nodes in my neck simultaneously to rash (2023) •Idiopathic scoliosis (2014) •Undigested food in stool (2020-2023) •Heat rash from the sun (2020-2023) •Dermatographism (Childhood - now)
Very few food allergies or allergies all together. Dad had Graves disease Mom's mom has hashimotos Mom gets bumps from the sun Nephews get frequent fevers and hives (unexplained currently) Other nephews have red cheeks and nosebleeds frequently Niece has red cheeks frequently and is insensitive to extreme cold or heat My oldest sister has non celiac gluten intolerance Younger sister has bipolar and systemic Cystitis No other info
Test I've NOT had: TNF-A plasma levels Il-1 through il-6 Skin biopsy Bone marrow biopsy
I've ran my own dna test from 23 and me through several third party companies and didn't find anything serious or relating other than what I've already been diagnosed with (ectodermal dysplasia) which Noone else in my immediate family seems to have - I've been over my family history as much as possible and nothing alike OTHER THAN my mom, sister, niece and nephews have somewhat similar symptoms EXCEPT FOR the odd stomach sensations like the tightness or the joint problems.
For context, the ONLY drug use history: Smoked Marijuana when I was 13 a few times Drank hard liquor a few times between the ages 13-16 (bad, I know) and regularly drank red wine for a while when I was 17 prior to the reactions. I also want to mention that I had some very, very hard environmental circumstances during my childhood years that were out of my control as well, which contributed to the 'anxiety'.
Through all of this, I had many doctors blaming anxiety, even sending me to see psychiatrist when in reality I was a scared kid - this started when I was 18 (mostly) and I have no reason to make anything up AT ALL, this has been a long, uncomfortable, near death for a while, isolating situation. I'm dying to know what's going on and I haven't given up, I've had one person be there with me through the entirety of this and they know good and well it's not like me, all of that just made things worse but I understand.
I used to be into modifying cars (i had 4 already), boxing, weight lifting, bmxing, jogging, etc.
Yet people still thought I simply went mad.
The ONLY relief I've had through this is when I did strict carnivore diet, had the sedation for my colonoscopy AND when I ate a Scotch bonnet pepper - it relived everything for about 30 seconds (oddly) and I kid you not, I'm not sure the mechanism behind these things but they're which makes me think it's neurological? Nothing has remissed me to my old self completely.
I've also taken several different medications, including (mostly under the suspicions of mast cell disease) •Prednisone •Diphenhydramine •Famitodine •Ceterizine •Compounded cromolyn Sodium •Compounded hydroxyzine •Aspirin •Alka seltzer A few more I can't remember None of which provided relief and had rather strange side effects such as clicking in my jaw and tight stomach. +Meditation, Chiropractors, Accupresure etc.
Main symptoms: •Gassy 24/7 no matter what! •On empty stomach (after colonoscopy prep, for example). My stomach was burning but no gas. •Increased body temp on an empty stomach (100+) •Increased body temp (external), lethargy, shortness of breath, diarrhoea(at worst) typically from carbs even healthy ones, caffeine (dark chocolate & green tea), empty colon, external heat and now from almost everything. •'Tight' stomach sensation or squeezing from specific substances / supplements and decreased external body temperature. •Bones or joints popping / cracking too much •Tinnitus •Unequal pupils size (anisacoria)
NOTE: I become lethargic / fatigued and weak when my body temperature increases and my veins get larger.
When I take/ took said supplements (vitamin D, C, Zinc , Reishi, Turkey tail) My finger nails actually used to go purple at the same time my stomach felt tight and my body temp decreased and gave me some energy.
NOTE: My joints have been consistently popping and cracking more frequently than before, too, regardless of my nutrition or supplements.
As you can probably tell, I'm pretty desperate for ideas, I am / was supposed to have my whole genome sequenced and be reffered to a geneticist weather or not that's actually happening but until then, I need to hear from the community what I can do, I don't think I can get to the U.S either if that's even necessary.
I'm not here pity, I'm just messed up from all of this and appreciate any ideas from any individuals.
My ideas (neurological / hypothalamic disorder? thyroid disorder? Increased TNF? Metabolic acidosis?)
Thank you very much for reading this far and taking the time to think over this if you have! I really appreciate it!.
The only 'good' that has come from this from my perspective is that I learned an abundance about body functions, natural health, psychology, and I was capable of making a few books out of it. None of it has been easy and I wish I could feel 'normal' again, I don't care if some doctors disbelieve me anymore, I know it's hard to figure out due to clean looking tests but I couldn't be more serious.
submitted by Fabiann_02 to AskDocs [link] [comments]

2023.06.03 01:21 hannibal-rectal General Questions (birth control, anti diuretics, allergy medicine)

Female. Age 22. weight 149. height 5''8. currently only taking allergy medication. non-smoker. no current medical issues.
  1. my main question was pertaining to anti-diuretics. To save this from being a long post I would like to know if there is any reason I should NOT take an anti-diuretic for one day so I may drink some water at a general admission concert without having to urinate. I usually have to urinate a lot and consequently if I need to hold it I tend to not drink anything for many hours which I know is not good.
  2. I am currently on hydroxyzine for allergies but was recently told by an NP that this typically makes people drowsy, is this generally true?
  3. I had been on depo for about 5 years and had gotten off for personal reasons. I was also told by the same NP that this has been associated with early onset osteoporosis. I was looking to get back on birth control so she prescribed me pills. Is there anything important I should know about the pills? As in the best way to take them?
submitted by hannibal-rectal to AskDocs [link] [comments]

2023.06.02 20:08 Appropriate-Paint560 Weird website

Weird website
So I was trying to figure out what the jelly mucus was coming out of my nose, LOL, long story.
then I came across this website. clicked on it and then it came up with a message saying you are the new 1000 something search, you can be in for a prize I clicked off it instantly but it made a weird beep beep noise when I clicked on it, and I’m worried my phone is now hacked or virused?
submitted by Appropriate-Paint560 to antivirus [link] [comments]

2023.06.02 09:38 onoell Went to the ER last week for shortness of breath/tachycardia and was told blood work was normal other than high WBC, but I see lots of “abnormal” results on my online patient portal. Seeking peace of mind here

20F, white, 190 lbs., 5’3”, non-smoker, history of anemia and prior use of phentermine (been off this medication for ~2-3 months). TLDR: went to ER for shortness of breath/tachycardia possibly caused by allergies and taking too much cough syrup (respectively), told blood work was normal, but I am worried it might not be
Hi all. This is my first time posting so if this doesn’t adhere to the rules, please correct me. Last week, I went to urgent care because I was having extreme difficulty catching my breath. This started at 4 AM that day and progressively got worse till I went to urgent care at around 7:45 pm. I figured it was just allergies (undiagnosed but pretty sure) because I had had similar episodes (I have cats, moved away for college, came home and saw cats). What’s interesting though is that the onset of symptoms was very sudden, I had not had hardly any contact with my cats the day before/leading up to the symptoms. After being away from the cats for long periods of time, my symptoms get much worse (used to be sneezing/congestion, now it’s painful coughs and shortness of breath). To counteract the coughs, I take brompheniramine-pseudoephedrine-dm 2mg-30mg-10mg/5 mL oral syrup (after this incident, I threw this medication away, it was also 6 weeks past expiration date if that’s relevant). At 4 AM I took 7 mL, at noon I took 5 mL, and at 5 pm, I took 10 mL. I had no appetite that day, so the only thing I had ate was a 12 oz chocolate peanut butter smoothie around noon and 7 cough drops around 6-7 pm. The tachycardia started around 6 pm, I had a resting heart rate around 120-125 bpm for an hour and a half. When I went to the urgent care, they gave me a rocephin shot and a steroid shot, then a breathing treatment. Breathing treatment made the tachycardia worse and my heart rate went up to 140-150 bpm resting rate, with no indication it was gonna decrease. I suspected the medication was the cause of the tachycardia because of what I had read about with side effects, my blood pressure was also 159/~82 and I typically have normal blood pressure. Since my heart rate was not returning to normal, they suggested we go to the emergency room to be safe, so we did. There they monitored me for a while, did an EKG (was normal other than tachycardia), and did multiple blood tests. They never told me the definite cause of the shortness of breath (urgent care: negative chest X-ray, negative for COVID-19, possibly negative for other common viruses but I cannot remember which ones) nor the tachycardia, as the ER doc said the dosage was normal (bottle said 5 mL every 6 hours). They prescribed me with 5 20 mg prednisone pills (took 4 of 5), Z-pak (took all of those), 200 mg benzonatate as needed, and an albuterol inhaler. I am feeling much better and am pretty much asymptomatic other than an occasional cough. Based on the blood results below, I wanted to know if it’s possible the shortness of breath might not have been allergies and could have been something else? Additionally, I am quite worried by the morphology, D-dimer, and troponin results. Is my anemia more severe than I thought? Could I possibly have a small blood clot? Is there a little bit of heart damage? I apologize for all of the questions, I am a worrier.
Abnormal results: Morphology: Polychrome 1+, Hypochrome 1+, Microcytes 1+, Aniso 1+, Macryocytes 1+, Tear Drop 1+ (but it also said “not seen” so not sure about this one) D-Dimer: 0.57 Glucose R: 105 mg/dL (is it possible I have prediabetes given I had only had that smoothie + cough drops to eat that day, 4 hours in between the blood draw and cough drops, 9 hours in between smoothie and blood draw) Troponin 1 HS: <3 CBC: WBC 13.7, Neut% 87.8, Lymph% 5.2, Neut# 12, Lymph# .7, MCV 75.7 fL, MCH 24.2 pg, MCHC 31.9 gm/dL
Thank you so much for your help <3
submitted by onoell to AskDocs [link] [comments]

2023.06.01 18:02 katefeetie Trip Report: 2 Weeks in Tokyo, Hakone, Kyoto, Nara, Osaka, Koyasan and Kanazawa

Since this sub was so helpful in planning, I wanted to share my itinerary and trip report! We had an incredible first time in Japan and I can't wait to go back.
Couldn't fit our (very detailed) itinerary in this post, but if you'd like to download it's here.
Medium article version with photos + itinerary is here.
And our shareable Google map is here.
About us:
Some overall learnings:
Hotel Reviews:
Tokyu Stay Shinjuku Eastside (Tokyo): This was a great basic hotel, close to plenty of transportation and right on the edge of Kabukicho. The buffet breakfast was the highlight - a great mix of Western and Japanese breakfast options, including a great miso soup.Hakone Airu (Hakone): Mixed review here. On the one hand, the in-room onsen and public onsen were both wonderful, and the service was extraordinary. On the other hand, the mix of Balinese and Japanese didn’t quite work, and dinner and breakfast were more confusing than enjoyable.Hotel Alza (Kyoto): By far our favorite stay. I can’t recommend this place enough, and it was definitely worth paying a little extra. They brought us an amazing bento breakfast in our rooms every morning, they had every amenity we could need (they even re-upped the free sheet masks every day), and the micro-bubble bath at the end of a long day of walking was amazing.Koyasan Syukubo Ekoin Temple (Mt Koya): This was a great temple experience. Koyasan in general is obviously pretty tourist-y, but Eko-in still made it feel authentic, and dinner and breakfast were both amazing. Your stay includes a meditation class, morning prayers and a morning fire ritual, and you can pay to attend a cemetery tour, all of which were great.Utaimachi (Kanazawa): We were only here for two nights, but this place was pretty good. Very close to the Higashi Chaya area, where we didn’t actually end up spending much time. Always love tatami mat flooring, and the washedryer was a nice bonus, but we were also right next to the lobby and right under another room so there was some noise.The Gate Asakusa (Tokyo): A great and very Westernized hotel with amazing views of Shinso-ji and the surrounding area. It’s on the top floors of a building right in the middle of all things Asakusa, but is still pretty quiet. And has a wonderful, deep soaking tub with free bath salts.

Tuesday: Arrival, Shinjuku

1 PM: Arrival at Haneda
We got customs and immigration forms to fill out on the plane and everything went fairly quickly. Picked up some cash and Suica cards, went to see about taking the Airport Limousine bus ($10/each) but we should have booked in advance because there wasn’t one for another hour. We ended up taking a taxi (about $50) to our hotel in Shinjuku.
4 PM: Arrival at hotel - Tokyu Stay Shinjuku East Side
We dropped our luggage and went to a nearby eel restaurant, Shinjuku Unatetsu. The eel was incredible and not too filling. Wandered Kabuki-cho for a bit, I dragged my bf through all 4 floors of Don Quijote (I had a list of beauty items to pick up), then rested at the hotel.
7 PM: Dinner in Shinjuku (Tsunahachi)
We went to Tsunahachi for dinner and got some amazing tempura (I wish we had sat at the bar to watch it being made!) and then crashed by 9 pm, because we are young and cool.

Wednesday: Harajuku, Meiji, and Shibuya

7 AM: Hotel breakfast
Up early for hotel breakfast, which has convinced bf to start making miso soup every morning.
9 AM: Shinjuku Station - Pick up JR Passes
We went to Shinjuku station to pick up our JR passes, then spent 30 minutes finding the place where we could get them before 10 AM. There was a long line (staff shortage) so we waited about an hour but we got them and headed to Harajuku.
11 AM: Meiji Shrine & Yoyogi Park
We walked to Meiji Shrine, stopping at the gardens along the way (well worth the 500y entrance fee, especially on a beautiful day). We were lucky to come across a wedding at the shrine. Then we walked around Yoyogi Park a bit.
1 PM: Lunch (Gyoza Lou)
Walked into Gyoza Lou and were seated right away. Incredible gyoza as well as beer and bean sprouts with meat sauce - maybe 10 bucks total for 2 people.
1:30 PM: Shopping/museums in Harajuku
We split up so I could do some shopping in vintage stores - Flamingo, TAGTAG and Kinji (my favorite), and bf could go to the Ota Memorial Museum for their Cats in Ukiyo-e exhibit (which he loved). I walked down Takeshita street to meet him and managed to get a green tea, strawberry and red bean paste crepe from Marion Crepes.
3 PM: Shibuya Scramble & Hachinko Statue
We grabbed the train to Shibuya, saw the scramble and the Hachinko statue, then entered the maze that is Tokyu Hands. I got some onsen powders for gifts and some more cosmetics. My boyfriend checked out the Bic camera store and I went to Gu, which is like the love child of Uniqlo and Primark. I immediately undid all the “light packing” I did with new clothes.
7 PM: Dinner Reservation - Shinjuku Kappu Nakajima
I got us a reservation a few months ago at Shinjuku Kappu Nakajima. It was probably one of the best meals of my life. The omakase came out to less than $100usd each, which felt like a steal.
9 PM: Golden Gai bar (Bar Araku)
We wandered Golden Gai and went into a bar where the entrance fee was waived for foreigners called Bar Araku. It was very small but had great vibes, highly recommend. I drank too much sake, which will be a theme.

Thursday: Shinjuku

4 AM: Earthquake
The phone alerts are insanely loud! We rushed down to the hotel lobby and the only other people there were fellow foreigners - apparently Japanese people at the hotel knew a 5.1 is okay to sleep through.
9 AM: Shinjuku Gyoen
We strolled around in the sun taking photos for about 3 hours. Today is a lot less planned than yesterday - I kind of wish I’d switched the itineraries after how long getting the JR Pass took. We did go to the fancy Starbucks, of course.
12 PM: Lunch (Kaiten Sushi Numazuto)
We tried to go to a nearby sushi place but it was full, so we walked up to Kaiten Sushi Numazuto. We were a little disappointed it wasn’t actually conveyor belt sushi (the conveyor belt was for show and you ordered from the staff). Stopped in Bic camera afterwards for a bit.
2 PM: Ninja Trick House
We tried to go to the Samurai museum but learned it closed a few weeks ago. A good excuse to go to the Ninja Trick House instead. You’re thinking: “Isn’t that place for children?” Yes. Yes it is. And we loved every minute. I now have a camera roll full of myself being terrible at throwing stars. The dream.
3 PM: Don Quijote
More Don Quijote, mostly to get out of the rain. Got my last few beauty products I really wanted and a few souvenirs. An overstimulating heaven.
6 PM: 3-hour Shinjuku Foodie Tour
We signed up for a 3-hour “foodie tour” of Shinjuku that stopped at a sushi place, a Japanese bbq spot with insane wagyu beef, and a sake tasting spot. It was great, and we loved our guide, but wished it had stopped at a few more spots to try more things.
9 PM: Walk around Shinjuku
We attempted to play pachinko, got very confused and lost $7. Tourism!

Friday: Hakone

7 AM: Set up luggage forwarding to Kyoto with hotel
Luggage forwarding is brilliant. We did it twice and it went so smoothly, for about $10 USD per bag. Highly recommend.
9 AM: Transit to Hakone
We got to experience Japanese transit at rush hour. I can’t believe I have to go back to the MTA after this. We took the subway to Tokyo station and then the Shinkansen to Odawara, then a train to Hakone-Yumoto. The hotel was only a 20-minute walk away, so we decided to take a more scenic route - which turned out to be a forest hike straight up switchbacks most of the way.
11 AM: Lunch in Hakone (Hatsuhana)
We stopped in a soba place called Hatsuhana with a system of writing your name down and waiting outside to be called in. They skipped our names because they weren’t in Japanese, but let us in when they realized their mistake. The soba was made and served by old aunties so of course it was insanely good and well worth it.
1 PM: Hakone Open Air Museum
We took the train down to the Hakone Open Air Museum, which lived up to the hype. I’m not normally into sculpture, but seeing it in nature, and the way the museum is laid out, made it incredible. And obviously the Picasso exhibit was amazing.
3 PM: Owakudani, Pirate Ship, Hakone Checkpoint
We took the train to the cable car to Owakudani, then the ropeway to Togendai, then the pirate ship ferry to Motohakone. We were running behind so unfortunately had to rush through the Hakone Checkpoint, which was empty but very cool.
6 PM: Dinner at hotel
Back to our hotel for our kaiseki meal. The staff spoke very little English and Google struggled with the menu, so we had no idea what we were eating half the time, but overall it was pretty good.
9 PM: Onsen time
Experienced my first public onsen, followed by the private onsen in our room. The tatami sleep did wonders for my back.

Saturday: Travel to Kyoto, Philosopher’s Path, Gion

8 AM: Breakfast, travel to Kyoto
Took the train to Odawara and then the Shinkansen to Kyoto station. We booked all of our Shinkansen seats about a week in advance but you can also book them on the day, I believe.
1 PM: Lunch in Gion
Our Kyoto hotel let us check in early, and then we went looking for lunch. Quickly learned that most every place in the Gion area has a line outside and closes at 2! We eventually found a tiny spot with insanely good ramen. It also had chicken sashimi on the menu but we weren’t brave enough.
2 PM: Philosopher’s Path, Ginkaku-ji
We took a bus over to the Philosopher’s Path, which was not busy at all because of the rain. It was pretty, and I could see how great it would look in cherry blossom season. We had to kind of rush to Ginkaku-ji, which was gorgeous nonetheless.
4 PM: Honen-in, Nanzen-ji
Stopped by Honen-in (which we had completely to ourselves, thanks rain!) and then Nanzen-ji. My bf is a big history guy and he went feral for the Hojo rock garden. It was very pretty and I’d love to see it in better weather.
6 PM: Food Tour of Gion & Pontocho
This food tour stopped at two places (an izakaya and a standing bar) with a walking tour of Gion and Pontocho in between. We also stopped at Yasaka shrine and caught a rehearsal of a traditional Japanese performance.
10 PM: Pain
My feet hurt so bad. Bring waterproof shoes, but make sure they don’t have 5 year old insoles. I tried some stick-on cooling acupuncture foot pads I picked up at Donki and they were bliss.

Sunday: Arashiyama, The Golden Pavilion and Tea Ceremony

8 AM: Arashiyama Bamboo Forest
The forecast was for heavy rain all day, but we lucked out and only got a few drizzles here and there. We headed to Arashiyama Bamboo Forest in the morning and it wasn’t too crowded. We did have an amazing bamboo dish at dinner last night so now bamboo makes me hungry.
10 AM: Tenryu-ji, Iwatayama Monkey Park
Headed over to Tenryu-ji, which was very nice but very crowded, and then to one of the things I looked forward to most on the trip, the Iwatayama Monkey Park. It’s a 20 minute hike up there but it is worth it. Oh my god. Getting to feed a baby monkey made my whole week.
12 PM: Lunch near Arashiyama (Udon Arashiyama-tei)
Headed back down to the main road and got duck udon at a little place called Udon Arashiyama-tei. I know I keep calling everything incredible but… yes.
1 PM: Ginkaku-ji
Ran into some bus issues (the first time we experienced anything public transit-wise not running as expected!) but eventually got over to Ginkaku-ji. It was also very crowded (seems like Japanese schools are big on field trips, which I’m jealous of) and not my favorite temple, but beautiful nonetheless.
3 PM: Daitoku-ji
We were ahead of schedule so we got to spend some time at our meeting place for the tea ceremony, Daitoku-ji. It ended up being our favorite temple, especially Daisen-in, a small and very quiet spot with a great self-guided tour. The monks showed us a section normally closed to non-Japanese tourists with beautiful calligraphy.
4 PM: Tea Ceremony (90 mins)
The tea ceremony we booked said it was in groups of up to ten, but it ended up being just us. It was very nice and relaxing, plus we got a little meal.
6 PM: Dinner (Gion Kappa), Pontocho Alley
We both nearly fell asleep on the bus back so we took it easy for the night. Went to an izakaya called Gion Kappa which had the best tuna belly we’d ever eaten, then did a quick walk around Pontocho Alley, got treats at 7-11 and went to bed early.

Monday: Fushimi Inari, Nishiki Market, Kyoto Imperial Palace (kinda)

9 AM: Fushimi Inari
Our plans to get up super early to beat the crowds to Fushimi Imari were hampered by the fact that we are no longer in our 20s. It was packed by the time we got there, and the amount of littering and defacing done by tourists was a bummer.
11 AM: Tofuku-ji
We had planned to go to the Imperial Palace at 10:30 for the Aoi Parade, but decided instead to get away from crowds by hiking from Fushimi Inari to Tofuku-ji, which was beautiful (I’d love to see it in the fall).
12 PM: Nishiki Market, lunch (Gyukatsu)
Grabbed lunch first at Gyukatsu (wagyu katsu - delicious) then wandered Nishiki a bit. It’s touristy, but fun.
2 PM: Kyoto Gyoen, Kyoto Handicraft Center
It was supposed to rain all day but ended up sunny, so we went back to the hotel to drop off our rain jackets and umbrellas. Stepped back outside and within ten minutes it was raining. We went to Kyoto Gyoen and saw the outside of the imperial palace; it was closed because of the parade earlier and half the garden was blocked off because the former emperor was visiting. Without the palace, Kyoto Gyoen is kind of meh. We walked over to Kyoto Handicraft Center which was also meh, but we picked up some nice lacquerware.
7:30 PM: Dinner at Roan Kiku Noi
We had a reservation at Roan Kiku Noi where we had maybe the best meal of our lives. Amazing that it only has two Michelin stars, honestly. Had fun trying to decipher the pain meds aisle at a Japanese pharmacy afterwards and then called it a night.

Tuesday: Day Trip to Nara

8 AM: Travel to Nara
We took the subway to the JR and were there in about an hour.
9 AM: Nara Deer Park
Two things about the Nara deer. One: if you bow to them, they bow back, and it’s very cute. And two, if you buy the 200y rice crackers to feed to them, do it somewhere where there aren’t very many of them. I got mobbed by like 15 deer and bitten 3 times. My fault for having skin approximately the shade of a rice cracker.
10 AM: Kofuku-ji, Nara National Museum
We saw Kofuku-ji and then the Nara National Museum, then stopped at a random little cafe for rice bowls with some kind of regional sauce (I can’t find it now!).
12 PM: Isetan Garden
We spent a long time finding the entrance to the Isetan garden only for it to be closed on Tuesdays.
2 PM: Giant Buddha
Saw Nandaimon Gate and the Daibutsu (giant Buddha), which are both every bit as enormous and glorious as advertised, as well as very crowded.
3 PM: Kasuga-taisha Shrine
Wandered over to Kasuga-taisha shrine, which is famous for its hundreds of lanterns and thousand-year-old trees. There’s a special inner area (paid) where you can see the lanterns lit up in the dark.
4 PM: Wait for the emperor
We got held up by a procession for, guess who, the former emperor again. Stalker.
5 PM: Nara shopping and snacks
Walked around Higashimuki Shopping Street and Mochiidono Shopping Arcade, bought a nice sake set and an amazing little hand-painted cat, ate some red bean paste pancakes and headed back to Kyoto.
7 PM: Dinner in Kyoto
Walked around Pontocho searching for dinner and landed on Yoshina, where we got even more kaiseki. Finished the night at Hello Dolly, a gorgeous jazz bar overlooking the river.

Wednesday: Day Trip to Osaka

7 AM: Depart hotel
Started by taking the subway to the JR. Took us about an hour altogether, though it would have been faster if we’d caught the express.
9 AM: Osaka Castle
We got to Osaka Castle in time for it to hit 85 degrees out. The outside of the castle is gorgeous, but the line to get in was long and I don’t know if the museum parts were worth the wait, especially with the crowds. The view from the top is nice, though.
12 PM: Okonomiyaki lunch (Abeton)
We went to an okonomiyaki spot in Avetica station called Abeton that was full of locals and absolutely bomb as hell.
1 PM: Shitteno-ji, Keitakuen Gardens
We headed to Shitteno-ji (our oldest temple yet) which was nice, though the climb to the top of then 5 story pagoda wasn’t worth the sweat. Then we walked over to Keitakuen Gardens, a small but gorgeous garden in Tennoji Park. Had a nice sit in the shade to digest and plan our next moves.
3 PM: Ebisuhigasbi, Mega Don Quijote
I am a crazy person, so I had to go to the Mega Don Quijote. We walked around Ebisuhigasbi for a while first, and while I was buying gifts in Donki, my boyfriend entered a sushi challenge for westerners (which turned out to just be “can a white boy handle wasabi”) and won a bunch of random crap! Now we own Japanese furniture wipes.
5 PM: Dotonbori & America-mura
We took the Osaka Loop to the Dotonbori area, which was super crowded as expected. We walked around America-mura and enjoyed seeing what they think of us. There are great designer vintage clothing shops here if that’s your thing.
6 PM: Dinner (Jiyuken)
We tried to get into Koni Doraku, a crab restaurant, but they were booked up, so we went to a tiny spot called Jiyuken for curry instead. I would do things for this curry. It was the platonic ideal of curry. It was served by old Japanese aunties from a very old recipe, so we knew it was going to be good, but it exceeded our wildest expectations… for <1000y each.
7 PM: Return to Kyoto
My feet were feeling real bad (the Nikes may look cool but they cannot support 25k steps a day) so we headed back to Kyoto and packed for our early morning tomorrow.

Thursday: Travel to Koyasan, Temple Stay

8 AM: Bus from Kyoto to Koyasan
The transit from Kyoto to Mt Koya is complicated, so we ended up just booking a bus directly from Kyoto Station to Koyasan (which barely cost more than public transit!). We got there bright and early for the 3 hour trip - if you take a bus out of Kyoto Station I definitely recommend giving yourself extra time to navigate to the right bus.
11 AM: Arrive at Eko-in, lunch
We arrived in Mt Koya and checked in to our temple, Eko-in. The quiet and the beauty hit me hard and I fell asleep for a few hours. We got a nice lunch at Hanabishi in town.
4 PM: Meditation class, dinner
The temple offered a meditation class, which was lovely, followed by a vegan dinner in our rooms. I can’t explain how peaceful this place was.
7 PM: Okuno-in Cemetery
We signed up for a monk-led tour of Okuno-in, which was definitely worth it. Came back for some public baths and fell asleep to the sound of rainfall.

Friday: Travel to Kanazawa, Higashi Chaya District

7 AM: Service & ritual at Eko-in
The day started with a religious service and a fire ritual at the temple. Both were stunning. I did wish that my fellow tourists had been a bit more respectful by showing up on time and following directions, but luckily, no one has more patience than a Buddhist monk.
9 AM: Travel to Kanazawa
We took a taxi through some sketchy mountain roads to Gokurakubashi Station, took two trains to Osaka Station, and then the JR Thunderbird to Kanazawa.
1 PM: Arrive at Kanazawa, Lunch (Maimon)
We got into Kanazawa station and went straight for a sushi spot called Maimon, which was delicious. Struggled a bit with the bus system and eventually got to our hotel, Utaimachi.
4 PM: Higashi Chaya District
Wandered the Higashi Chaya district a bit. It seemed kind of dead, but maybe we are just used to the hustle and bustle of Tokyo/Kyoto.
7 PM: Korinbo, dinner (Uguisu)
Walked down to the Korinbo area southwest of the park and found a tiny ramen spot called Uguisu. Incredible. Some of the best broth I’ve ever tasted plus amazing sous vide meats.
9 PM: Bar in Korinbo (Kohaku)
Went to a little upstairs whiskey bar called Kohaku. Boyfriend got Japanese whiskey and they made me a custom cocktail with sake, pineapple and passion fruit that was just insane. They were very nice and talked baseball with us for a while.

Saturday: Omicho Market, Kanazawa Castle, 21st Century Museum

9 AM: Kenroku-en Garden
We walked over to Kenroku-en Gardens, which were as beautiful as advertised. I was hurting pretty bad (crampy ladies, just know Japanese OTC painkillers are much weaker than ours, BYO Advil) so we’re moving slowly today.
12 PM: Omicho Market, lunch (Iki-Iki Sushi)
Walked to Omicho Market and ate little bits from different stalls, then waited about an hour to get into Iki-Iki Sushi. It was worth it. Some of the best, freshest sushi of my life.
2 PM: Kanazawa Castle, 21st Century Museum of Contemporary Art
We walked around Kanazawa Castle a bit, then walked over to the 21st Century Museum of Contemporary Art. It was packed and the line to get tickets to the special exhibits was crazy, so we looked at the free ones and then headed back. Along the way we stopped in a few little stores and bought some handcrafted lacquerware from a local artist.
6 PM: Onnagawa Festival, dinner (Huni)
As we walked towards the restaurant, we came upon the Onnagawa Festival on the Plum Bridge, which included a beautiful dancing ceremony and lantern lighting. We went to Huni for dinner, our first “westernized Japanese” restaurant, and it was fantastic. 9 dishes served slowly over 3 hours at a table overlooking the river. Highly recommend if you’re in Kanazawa.
10 PM: Why does the bathtub have a phone
We went back to our hotel, struggled with the automated bathtub, and enjoyed our last night on tatami floors.

Sunday: Travel to Tokyo, Tokyo Giants Game, Ueno Park

7 AM: Travel to Tokyo
Grabbed a taxi we arranged the night before to Kanazawa Station - it would have been an easy bus journey but our number of bags has increased - and boarded the Shinkansen for Tokyo.
12 PM: Travel to Tokyo Dome and Tokyo Dome Park
Dropped our bags at our hotel in Asakusa, then headed for Tokyo Dome. We got there a little early to look around - there’s basically a full mall and food court and amusement park there. We grabbed some beers and some chicken katsu curry that was delicious.
2 PM: Tokyo Giants vs Chunichi Dragons
Japanese baseball games are so. much. fun. This was a random mid season game, and the stadium was full and people were amped. I’ve been to many American baseball games and never seen fans this excited. We also scored some fried cheese-wrapped hot dogs on a stick and a few more beers and had the time of our lives cheering for the Giants.
5 PM: Ueno Park
After trying and failing to find the jersey we were looking for, we walked to Ueno Park and looked around a bit. It was lovely, but we were exhausted and full of too many beers, so we headed back to Asakusa.
7 PM: Dinner in Asakusa
There was a festival all day around Shinso-ji and there were a ton of street vendors and day-drunk people when we arrived in the afternoon (as a native Louisianan, I approve) and it seemed like the partiers were going on into the night. We ducked into a restaurant for some buckwheat soba (never got the name, but it was only okay) and tucked in early.

Monday: Tsukiji Food Tour, Kapabashi Dougu, Akihabara

8 AM: 3-hour Tsukiji Food Tour + lunch
We started the day with a Tsukiji food tour, which ended up being my favorite food tour of the 3 by far. The guide was great, and we stopped by a dozen food stalls and sampled everything from mochi to fresh tuna to octopus cakes. We finished with lunch at Sushi Katsura, where our chef prepared everything in front of us.
12 PM: Imperial Palace, Don Quijote
We were planning to spend the afternoon exploring the Imperial Palace and Edo Castle Ruins, but it was hot and the palace was closed, so we walked to Taira no Masakado's Grave, then headed back to Asakusa for, you guessed it, Don Quijote. I did not intend for this trip to be “guess how many Don Quijotes I can visit” but here we are. We bought another suitcase and I filled it with food and gifts to bring home.
3 PM: Kappabashi Dougu
We walked Kappabashi Dougu and browsed kitchenwares while wishing we had a bigger kitchen, an unlimited budget and a way to get a hundred pounds of porcelain home in one piece.
6 PM: Akihabara dinner + games + drinks
We took the train to Akihabara, got dinner at Tsukada Nojo, then played games in a few arcades and ended the night at Game Bar A-button, which lets you play vintage handheld games while you drink.

Tuesday: Senso-ji, Flight

9 AM: Breakfast, Senso-ji
We got breakfast pancakes at Kohikan, then walked around Senso-ji and the surrounding shopping streets for a while.
12 PM: McDonald’s
Look, I couldn’t leave Japan without doing it, okay? I got the Teriyaki Chicken Burger (too sloppy and sweet) and bf got the Ebi Filet-O (he said it tasted exactly like a Filet-O-Fish). It was not great but I deserve that!
3 PM: Cab to the airport
I caught the flu on the flight home and have now been in bed for a week! Welcome back to America, baby.
submitted by katefeetie to JapanTravel [link] [comments]

2023.06.01 14:30 mofu_mofu No allergies on skin/blood tests, but multiple anaphylactic reactions and ongoing, strange allergy issues. Testing show normal mast cell markers. Beyond frustrated...does this sound like a possible mast cell disorder to you? Any advice/input appreciated!

Preface: first anaphylactic reaction in ~2017, ended up in ER wit face/throat swelling, severe diarrhea, full-body hives; all of this starting 4-5 hours after last meal. ER doctor assumed bc last meal contained shrimp that it must have been an allergic reaction to shrimp despite having had shellfish in my diet since young childhood (I'm Asian, some form of shellfish is in literally everything). A few months after, very very stupidly had some shrimp without any reaction - not even a mild one. Felt safe, so continued to have shrimp, shellfish, and other seafood without any issues afterwards until recently.
Medical history/issues: hypothyroidism, PCOS, migraines (no known cause, since high school). Dx'd ADHD and ASD, on medication (Vyvanse) for ADHD as well as Levo for hypothyroid. Caught COVID 3-4 times between 2019 to 2020 (sadly not joking), 3/4 times were confirmed via PCR or antigen testing, fourth suspected but not tested. Masked and was vaccinated & boosted but alas...the germ had gotten so brilliant (lol)
Bg info: Current diet is mostly comprised of meat (chicken > beef >>> pork), white rice, vegetables (peas, lettuce, cabbage, carrot, corn, soy sprout, spinach, bok choy, garlic). Seasonings are exclusively salt, sesame oil, and/or soy sauce - experimenting with miso paste at the moment as I've had intermittent issues with it. I don't use herbs or spices. I cook most meals from scratch and don't eat out. If I don't cook, my "cheat" foods are usually Lunchables Turkey & Cheddar (shoot me) or Special K + fairlife or soy milk. For the most part I have fairly bland taste, thankfully. I don't touch seafood period anymore.
Odd Reaction Notes (dunno what to call this, most of this is just a page in my notes app for my allergist lol):
Some Foods I've Reacted To (Intermittently):
Phew. Sorry for the insanely long post. I'm at my wits end. It's been coming on three years now that I've been trying to get to the bottom of this and my allergist seems to be at the end of her rope too which honestly scares me a bit.
I'll admit that I've been extremely stupid about my "allergy" in the past (obviously if you're allergic to a thing, don't eat the damn thing!!!) but knowing now that I apparently have no food allergies, I feel like an idiot for the trouble my family has gone to in avoiding shellfish for my sake (especially with how hard it is to do that with Asian food). My family won't even eat it outside by themselves because of how severe my reactions have been the past two years. It feels really bad to think that all this stress and caution could've been for nothing.
I also feel so confused, because if I have no food allergies...why on earth am I reacting to food? Why are my reactions to food so inconsistent??? I don't know of anybody with food allergies whose allergies come and go. When I read the description of mast cell disorders or histamine intolerance, they seem to line up more or less with my symptoms, but having the test results come back negative and having inconsistencies with the low histamine diet does make me pause.
If it weren't for the fact that my reactions result in physical symptoms that are externally observable (hoarse voice, hives, swelling, low BP on monitor, etc.) I'd think this was all in my head/anxiety/panic attacks at this point. With my blood work and skin test results, it scares me that my allergist may just leave it at IA which doesn't answer anything for me. The way she explained it is that there isn't any known trigger (hence the "idiopathic" bit) which is 1000000x worse to me than any allergy.
To my knowledge IA isn't "supposed" to be tied to food-related triggers but what worries me is that, increasingly, my reactions aren't food-tied. But it does give me a (messed up?) sense of hope that much of my reactions do seem to be related to food and specifically eating it, so it might just be an allergy to something I don't know yet (🤞)?
I'd appreciate your input at all. Thanks for reading this huge wall of text :")
submitted by mofu_mofu to MCAS [link] [comments]

2023.05.31 20:49 Avalolo Cetirizine Triggering Dysautonomia?

I’ve been having some rough allergies and have been taking cetirizine for it. I’ve noticed it seems to affect me in a similar way that anticholinergics do (specifically: seroquel, benadryl, TCAs). I’ve been extremely drowsy, have worsened orthostatic intolerance, any exertion at all leaves me out of breath, have brain fog, my head feels full, and I overall just feel weak and heavy. I’ve been having flu-like fatigue and joint pain. My mood is also kind of low but I just chalk that up to feeling shitty overall.
It’s only been about 36 hours since I’ve stopped taking it and switched to fexofenadine, and I’m feeling a bit better but still having symptoms. I can’t tell if the fexofenadine also has this effect on me but do a lesser extent, or if my remaining symptoms are still from the cetirizine I took 36 hours ago.
Has anyone else had this experience?
ETA: I also take midodrine and propranolol
submitted by Avalolo to dysautonomia [link] [comments]

2023.05.31 10:03 Competitive_Injury7 The only thing that reliably manages my seasonal allergies

My seasonal allergies have gotten worse and worse over the years. Grass is the worst but ragweed and some trees really set it off too. The months of April-June the last few years have been debilitating. I’ve tried everything throughout the years. Allegra, Zyrtec, Claritin, Flonase, Astepro, Benadryl, Hydroxyzine, Netty Potting, HEPA air filters in the house, you name it. This past year I was taking Claritin, Flonase, and Astepro daily and Hydroxyzine as needed. It was god awful and still didn’t provide relief for my symptoms most days.
This year I began wearing N95 masks around the clock. The only time it comes off is when I am eating/drinking, showering, or when I first fall asleep at night. I have experienced my allergy symptoms at about 10% of their normal severity. A few sneezes, dry and itchy eyes, some body aches, bit of a scratchy, sore throat- but I can function. I can be outside. I can sleep at night. It’s fabulous. And I stopped taking most of the meds I used to take daily so I’m not loopy or irritable anymore. My hunch is that wearing an N95 has got to be better for my body than taking Hydroxyzine and Benadryl every other day. But something tells me it’s probably not great to wear an N95 alllll the time. Does anyone know if that poses any health issues long-term? If anyone’s talked to their Dr. about it I would love to hear what they had to say. I’ve been doing this for about 2 weeks as allergy season ramps up in Oregon, and I can’t actually believe how well it works. Fully went from non-functional puff ball constantly sneezing and wheezing with a low grade fever to being outside gardening for 5 days out of the week.
submitted by Competitive_Injury7 to Allergies [link] [comments]

2023.05.30 16:31 Pyrostones Je fais quoi ?

ça y est, c'est officiel, mon corps me le dit : l'été approche.
Je suis très allergique aux pollens (principalement graminées) et hier, je me suis retrouvé en crise généralisée, après avoir passé deux heures dehors. Éternuements explosifs en rafales, démangeaisons sur tout le corps, yeux gonflés et irrités qui pleurent, coup de chaud, et crise d'asthme sévère qui m'a durée jusqu'à ce matin. J'ai des médicaments que je prend tous les jours, mais les antihistaminiques ne me font plus rien, que ce soit la desloratadine le matin (Aérius) ou la cétirizine le soir (Zirtek). On m'a prescrit de la cortisone "en cas de crise" mais les effets secondaires me font vraiment redouter d'en prendre sur le long terme.
A coté de ça, je bosse sous les combles, et la température commence déjà à monter. Cet après midi, alors que je commençais à avoir chaud, j'ouvre la fenêtre pour faire un courant d'air, ce qui me remonte immédiatement ma crise d'asthme.
Et j'en suis là. Aujourd'hui, il ne fait que 23°. J'appréhende les vraies températures estivales, qui je le sais vont monter à du 30-40, et sous les combles à 35-45. Donc qu'est ce que je fais ? Je meurs de chaud, ou d'allergie ?
Au final, la seule option qu'il me reste, c'est la désensibilisation. j'en ai parlé avec mon allergologue, qui me propose de commencer en octobre, après ma période d'allergies (normal). Et il me dit que le traitement prendra... trois ans. Trois ans pendant lesquels je devrais prendre un cachet tous les jours, hors période d'allergie, qui potentiellement vont me provoquer des réaction atroces. on avait essayé quand j'étais gamin, et je le vivais tellement mal que mes parents m'ont ramené voir le toubib, qui leur a dit d'arrêter immédiatement le traitement. Donc c'est ma seule solution : espérer qu'un traitement de trois ans me sauve de mes allergies, traitement qui va potentiellement me torturer non stop pendant tout le temps que je le prendrais. Mais c'est soit ça, soit je m'enferme d'avril-mai à juillet-août, et ce jusqu'à la fin de ma vie. J'avais jamais pris le recul sur ce sujet, mais ça m'a frappé aujourd'hui, à quel point le rhume des foins peut être une entrave majeure à la vie normale.
Enfin voilà, rien de spécial à dire sur le sujet, juste un constat sur un problème de santé pourri que tout le monde oublie parce qu'il est pas bien méchant. Certains disent qu'avec le réchauffement climatique, la période des pollens va s'étendre sur beaucoup plus longtemps et provoquer de plus en plus de cas d'allergie dans les populations. Bon courages, futurs allergiques...
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2023.05.30 08:45 Supplementlivenews VisioRax Capsule – Formule Santé Oculaire Naturelle Prix en Côte d"Ivoire ! Acheter

Visiorax est un complément 100% naturel qui renforce les muscles de la rétine. Le supplément se présente sous forme de pilule. La capsule réduit l'inflammation, atténue la sécheresse et atténue l'inconfort, vous permettant de voir mieux et plus clairement. Selon l'entreprise qui les fabrique, ils sont tout aussi populaires en Amérique du Sud qu'en Côte d'Ivoire. Déjà, plus de sept millions d'exemplaires ont été distribués aux clients du monde entier. Il est simple pour les clients de placer un commander hors taxes à un prix comparable dans tous les pays du monde. Sur les forums de discussion en ophtalmologie, les gens ont des idées positives, des commentaires, des critiques et des témoignages sur Visiorax. Il n'y a aucune indication d'effets secondaires nocifs ou de contre-indications dans aucun des témoignages, ni aucune plainte concernant le produit.
Les capsules d'amélioration de la vision sont fortement recommandées par les experts de l'industrie du monde entier, y compris le Dr Arun Kumar. La formule originale de Visiorax n'est pas simplement un médicament ; c'est plutôt une thérapie naturelle qui atténue la fatigue oculaire. Cela atténuera les symptômes de myopie et de myopie et les maîtrisera. En plus de réduire la probabilité de développer des maladies chroniques telles que le glaucome. Le renforcement actif des muscles oculaires et la réduction de l'inflammation sont des avantages apportés par Visiorax. Sa composition organique se compose d'éléments tels que la lutéine et la zéaxanthine, en plus de vitamines et de minéraux. Son certificat de qualité affirme qu'il est efficace à 95 %, ce qui a été démontré dans un certain nombre de tests cliniques. Il aidera les personnes de tout âge à retrouver naturellement leur niveau de vue habituel.

Où peut-on obtenir Visiorax au prix le plus abordable en Côte d'Ivoire ? Y a-t-il beaucoup de faux produits améliorant la vision vendus sur Mercado Libre, Watson, Mercury Drug, Shopee, Lazada et Amazon ? Si oui, quelle est leur diffusion ? Quel est le problème, à quoi servait la formulation originale de Visiorax, comment prendre la gélule pour respecter le mode d'emploi ?

En quoi la zéaxanthine est-elle si bénéfique pour la santé des yeux ?

La zéaxanthine est un pigment jaune qui appartient au groupe des xanthophylles. C'est un isomère de la lutéine et appartient au groupe des caroténoïdes qui contiennent de l'oxygène. On le trouve dans les chromoplastes des cellules des grains de maïs, des baies de nerprun et des fleurs de souci, entre autres. Les plantes produisent l'élément afin d'absorber la lumière et de se défendre contre les dommages causés par les rayons ultraviolets. La zéaxanthine est absorbée par le corps humain par la consommation d'aliments et est stockée dans la région maculaire de l'œil. Il est également possible que les tissus oculaires le génèrent eux-mêmes à partir de la lutéine. La majorité des sources alimentaires naturelles de zéaxanthine sont des fruits et des légumes jaune vif, en plus de ceux qui sont vert foncé et feuillus. Il est fortement recommandé de vous rendre fréquemment au bar à salade et de consommer autant de piments rouges de Cayenne, de safran, de carottes et de melons que possible.

Voici une liste des principaux avantages que la consommation de zéaxanthine confère à la santé oculaire :

Pour ce faire, il réduit le risque de dégénérescence maculaire liée à l'âge dans la macula de l'œil, ainsi qu'en augmentant la densité optique du pigment maculaire.
Le composant réduit la probabilité d'acquérir des problèmes de vision associés au vieillissement.
La zéaxanthine atténue les dommages causés par les radicaux libres aux membranes des cellules dans lesquelles ils se trouvent.
En absorbant la lumière bleue et en fonctionnant comme une paire de lunettes de soleil interne, il atténue les effets potentiellement nocifs du rayonnement ultraviolet.
En renforçant les muscles oculaires, le remède entièrement naturel améliore à la fois la capacité de voir dans l'obscurité et la clarté visuelle globale.

Acheter maintenant!! Cliquez sur le lien ci-dessous pour plus d'informations et obtenez un rabais aujourd'hui !! Dépêche-toi!!

Qu'est-ce que Visiorax exactement et quelles sont certaines de ses principales fonctions ?

La capsule Visiorax est un médicament d'amélioration de la vision entièrement naturel qui a pour but de renforcer les muscles de la rétine. L'entreprise craint que le produit ne soit pas disponible dans tous les pays dans la même mesure. De ce fait, elle vend les gélules de restauration de la vision au même prix partout dans le monde, y compris en Côte d'Ivoire. La formulation originale de Visiorax est autre chose qu'un médicament. Les ophtalmologistes attestent de l'efficacité de ce complément alimentaire entièrement naturel. pour aider les patients de tout âge à atténuer les problèmes de vision. Le certificat de qualité indique qu'il est efficace à 95 % pour atteindre ses objectifs.

Les capsules de guérison de la vision ont été couronnées de succès dans tous les essais cliniques indépendants qui ont été menés. Ils ont été jugés sans risque de toutes les manières possibles et appropriés pour une utilisation par des personnes de tout âge. La fonction principale de Visiorax est d'améliorer activement la force et la flexibilité des muscles oculaires. Il renforce le système immunitaire tout en détoxifiant en douceur les tissus délicats qui entourent les yeux. Il n'y a eu aucun rapport d'effets indésirables ou d'indications de danger potentiel. Visiorax s'efforce d'éliminer les problèmes visuels d'une manière entièrement non invasive et naturelle.

Les capsules d'amélioration de la vision ont un certain nombre d'avantages et d'avantages

Des ophtalmologistes du calibre du Dr Arun Kumar ont étudié les capsules et sont arrivés à la conclusion que Visiorax possède une grande utilité et utilité. Il traite les problèmes de vue avec douceur, y compris ceux associés à la myopie et à la myopie. Les médicaments qui améliorent la vision servent également à prévenir le développement de maladies chroniques comme le glaucome.

Les ophtalmologistes sont d'avis que la cure Visiorax est supérieure au traitement médical traditionnel. Par rapport à d'autres articles qui améliorent la vision, ils présentent une multitude d'avantages et d'avantages qui les distinguent.

AVANTAGES : La composition naturelle améliore la santé du système musculaire oculaire, ce qui se traduit par une force accrue du système ;

Les capsules sont efficaces dans la restauration active de la vision normale et l'amélioration de la capacité de concentration, et elles ont un taux de réussite de 95 % dans la prévention du glaucome.

Il n'y a eu aucun rapport d'effets indésirables ou de contre-indications associés à la formulation originale de Visiorax ; si vous êtes curieux de savoir où vous pouvez acheter Visiorax au prix le plus bas possible au Costa Rica ou au Népal, vous devez vous rendre sur le site Web du fabricant.

CONTRE : Les femmes enceintes sont tenues de consulter un médecin avant de les consommer sous quelque forme que ce soit ;

L'utilisation doit être soutenue par une augmentation de la consommation de liquides ; prendre note! Les individus peuvent vivre des expériences très différentes !

Acheter maintenant!! Cliquez sur le lien ci-dessous pour plus d'informations et obtenez un rabais dès aujourd'hui !! Dépêche-toi!!

Effets secondaires, contre-indications et risques associés à Visiorax

Vous n'avez pas à vous soucier des plaintes relatives aux effets indésirables de Visiorax, aux allergies ou aux contre-indications. Vous pouvez les prendre sans problème le matin, en respectant les indications fournies dans la brochure. La capsule ne présente aucun risque pour la santé et il a été démontré qu'elle améliore considérablement le flux sanguin à la fois vers et hors des yeux. Pour cette raison, le nerf visuel et le muscle sont assurés de recevoir les quantités appropriées de nutriments.

La lutéine et la zéaxanthine sont deux des composants qui composent ce produit.

La composition organique de Visiorax est composée de composants dérivés de sources naturelles. La majorité d'entre eux sont des extraits de plantes et d'herbes qui peuvent traiter diverses affections oculaires, notamment la myopie, l'hypermétropie, la cataracte, le glaucome et le syndrome de l'œil sec. Le remède soulage les maux de tête ainsi que la fatigue oculaire et agit 24 heures sur 24. Sans parler du fait que vous serez de meilleure humeur grâce à cela.

Voici une liste des résultats les plus importants qui sont possibles grâce à la composition de Visiorax Original : les composants et la composition générale

Votre vision s'améliorera, vous ne souffrirez plus du syndrome des yeux fatigués, votre vue sera plus nette et plus claire, vous aurez moins de maux de tête et votre humeur s'améliorera.

Voici les principaux composants de la formule :
Complexe Vitaminé,
Complexe Minéral, et
Autres composés

Mode d'emploi, posologie et notice des gélules Visiorax, y compris comment les prendre

Lisez le mode d'emploi de Visiorax si vous ne savez pas comment administrer le médicament. La brochure complète vous fournira des informations sur tout ce que vous devez savoir pour assurer votre sécurité. Ces suppléments améliorant la vision vous aideront à voir plus clairement, en soulageant toute tension qui aurait pu être exercée sur vos yeux. Ne prenez pas plus que la quantité recommandée de Visiorax qui est incluse dans le manuel d'utilisation. 15 à 20 minutes après l'ingestion, le composé commence à exercer ses effets. Incorporez également des boissons, des fruits et des légumes supplémentaires dans votre alimentation.

Les capsules de vision Visiorax doivent être prises dans l'ordre suivant, en commençant par la première étape

Prendre une gélule le matin, environ 15 minutes avant le petit-déjeuner.
Maintenez une alimentation riche en liquides et en minéraux.
Pour terminer le programme et obtenir les résultats souhaités, vous devrez effectuer la tâche décrite ci-dessous chaque jour pendant un mois civil complet.


Des critiques, des opinions et des commentaires sur Visiorax peuvent être trouvés sur de nombreux forums en ligne.

Si vous prêtez attention à la majorité des avis et avis sur Visiorax que l'on peut trouver sur les forums, vous remarquerez qu'ils sont majoritairement positifs. Peu importe si vous recherchez des commentaires ou des recommandations en Côte d'Ivoire, la réponse est toujours la même. Dans les avis Visiorax que nous avons vus, les consommateurs de tous âges affirment que la capsule d'amélioration de la vision a amélioré la clarté et la netteté de Les ophtalmologistes ayant des années d'expérience, comme le Dr Arun Kumar, conviennent que Visiorax est efficace et ne présente aucun risque pour la santé.

Une autre chose que les clients mentionnent dans leurs témoignages, commentaires, critiques et opinions Visiorax sur les forums en ligne est la rapidité avec laquelle le produit fonctionne. La consommation des capsules est une simple question de les manger. Ils augmentent activement la souplesse des muscles rétiniens tout en renforçant les muscles. Cela renforce non seulement l'immunité naturelle des tissus mous autour des yeux, mais les protège également des infections en les désinfectant. Visiorax original est un complément alimentaire naturel qui s'est avéré plus efficace que la médecine conventionnelle à haute teneur en produits chimiques.

Où acheter Visiorax et combien ça coûte en Côte d"Ivoire

Les clients en Côte d"Ivoire qui souhaitent acheter Visiorax au prix le plus bas possible sont invités par le fournisseur à consulter le site Web officiel du produit. Les utilisateurs auront la tranquillité d'esprit de savoir qu'ils achètent l'article authentique au plus coût abordable possible avec Visiorax.Afin de maintenir le prix des capsules d'amélioration de la vue pour tous les clients, la société les vend exclusivement via son site Web sous licence.

Cependant, il y a des nouvelles encore plus encourageantes ! Le site principal de Visiorax vous donnera en outre accès à des réductions de prix en cours. Suite à la promotion en cours, les prix en Côte d'Ivoire ont été réduits de cinquante pour cent par rapport au prix catalogue. Pour en profiter, vous devrez saisir vos informations dans le formulaire correspondant sur le site et puis confirmez l'adresse de livraison par téléphone.En sept jours, le colis vous sera livré, et vous pourrez le payer en espèces à la livraison !

Attention! Le processus de commande de Visiorax est comparable à celui de tout autre produit numérique. Les clients remplissent le formulaire sur le site Web avec leur nom et leur numéro de téléphone actuel, et ils ont ensuite la possibilité de confirmer leurs informations par téléphone. Leur commande est livrée en une semaine et ils paient comptant à la livraison.

Visiorax est disponible en pharmacie et Amazon en Côte d"Ivoire

Visiorax est-il disponible à l'achat dans les pharmacies Mercado Libre, Watson, Lazada ou Shopee ?
Dans aucun des pays où le traitement des problèmes de vision n'est disponible dans le commerce, vous pourrez acheter Visiorax à la pharmacie locale. Parce que le fabricant souhaite maintenir le prix le plus bas possible, il n'est disponible à l'achat que sur le site officiel. Vous ne devez mettre aucune action sur les canulars Visiorax qui ont circulé sur Mercado Libre, Shopee, Watson, Mercury Drug, Lazada ou Amazon. Ils n'ont rien en commun avec les médicaments améliorant la vision qui ont été développés pour la première fois !

Le yoga des yeux est un excellent moyen d'améliorer votre vision.

Les exercices d'amélioration de la vision doivent être effectués de manière cohérente si l'amélioration de la vue est l'un de vos objectifs. Le yoga des yeux est une excellente recommandation. De plus, gardez à l'esprit à quel point il est essentiel de maintenir une alimentation nutritive. Maintenez une alimentation riche en protéines et en vitamines.

Les gélules Visiorax sont largement considérées comme l'un des traitements actifs d'amélioration de la vision les plus efficaces disponibles en Côte d'Ivoire. Dans les pensées, les commentaires, les critiques et les témoignages des clients trouvés sur les forums, ils ont reçu une grande approbation. Les ophtalmologistes du secteur médical domaine apprécient également leur composition organique.Ils affirment que la prise de gélules est préférable à la prise de médicaments afin d'améliorer leur santé oculaire.Il n'y a eu aucun rapport d'effets indésirables ou de contre-indications dangereuses potentielles.

Acheter maintenant!! Cliquez sur le lien ci-dessous pour plus d'informations et obtenez un rabais aujourd'hui !! Dépêche-toi!!

Autres recherches

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2023.05.29 23:18 AsicJungle Unveiling BRC-20: Understanding Bitcoin Tokens and Introducing Ordinals

Unveiling BRC-20: Understanding Bitcoin Tokens and Introducing Ordinals
Exploring the Inner Workings of Bitcoin Tokens and a Decentralized Protocol for Ordinal Collection Verification
BRC20 tokenization of Bitcoin
Classified as a commodity, one might think the Bitcoin community would be in a state of Zen, singing “Kumbaya.” However, an update to the Bitcoin blockchain has sparked controversy over the past few months.
Some would compare it to the 2017 Segwit saga. Pepe memes are blocking the network as the community faces internal ructions about whether Bitcoin should give space for permissionless NFTs.
Bitcoin Ordinals, popularly referred to as Bitcoin NFTs, the latest development in the original blockchain ecosystem, is the source of this drama. With the first Ordinal minted in December 2022, in less than six months, almost 5 million Ordinal inscriptions are clogging up the mempool and driving network fees through the roof.
Suffice it to say Bitcoin’s base layer has hit a bump in the road, and the community stands divided. Without getting tangled in the technical weeds, this article discusses the latest developments on the Bitcoin base layer, explores why jpegs are jamming up the mempool, and how Ordinals originated. Finally, we dive into BRC20 tokens, what BRC-721 is all about, and what the future of Bitcoin may look like.

JPEGs jamming up the mempool

As of May 2023, the Bitcoin mempool (short for memory pool) currently has 400 000 plus unprocessed transactions. The network fees for a single transaction stand at around $10, and the total number of daily transactions has reached an all-time high.
Due to congestion issues and the large volume of pending transactions, Binance halted Bitcoin withdrawals. Soon after, they announced they are working to enable BTC Lightning Network withdrawals, which will help to prevent a similar recurrence in the future.
Meanwhile, the Crypto Twitter community echoed conflicting sentiments about the unusual activity. One camp maintained that the hyperactivity was due to nefarious behavior, spamming the blockchain to cut out small players. Others blamed the rise of meme coins and the popularity of the Ordinals protocol for driving the demand for block space.

How did the Ordinals originate?

Inspired by the Ethereum NFT craze in 2021, Casey Rodarmor, a former Bitcoin developer and artist, inscribed the first Bitcoin Ordinal in December 2022. He created a black-and-white pixel artwork of a skull and embedded it on the Bitcoin blockchain using Taproot. Later in January 2023, he launched the Ordinal Theory Handbook, a guide to help other users build NFTs on the Bitcoin blockchain.
Rodarmor devised a framework for indexing and tracking each satoshi on the Bitcoin blockchain. In addition, he created a method for inserting each one with media, such as text, video, or jpegs, to create what he called 'Bitcoin-native digital artifacts.' This gave inscribed satoshis, Ordinals, NFT-like properties. Their unique identifiers made them non-fungible and they could be held in Bitcoin wallets, being transferred using Bitcoin transactions.
Launching the Ordinal protocol did not require a sidechain, token, or drastic Bitcoin improvement proposal (BIP) to augment the network. His idea was to create content inscriptions, or NFT artwork, that benefit from the existing characteristics of the protocol, which had been boosted by the relatively recent SegWit and Taproot upgrades.
Rodarmor seemingly injected some fun into Bitcoin. Ordinals swept the NFT community by storm in just a few months due to its simplicity and accessibility.

BRC20 tokens

Building from the success of Ordinals, a pseudonymous on-chain analyst named Domo created Bitcoin Request for Comment (BRC-20) tokens using the Ordinals protocol. In early March 2023, Domo conducted a 'fun experiment' demonstrating that users can create fungible tokens on the Bitcoin blockchain using the Ordinals protocol.
The name 'BRC-20' is inspired by Ethereum's ERC-20 token standard. As its name suggests, it aims to compete with the ERC-20 Fungible Token Standard, with core features including token deployment, minting, and transfer. However, although BRC-20 tokens are gaining popularity, they are far from perfect and do not have anywhere as many features as their advanced counterpart.
Even Domos admitted that his Bitcoin Fungible Token Protocol, BRC-20, still required a lot of work and should not remain as a blueprint for Bitcoin tokens of the future.

What is the BRC-721 proposal?

The Bitcoin Ordinal ecosystem has been facing challenges with standardization in collection creation and verification. Currently, Bitcoin Ordinals lack a standardized method for grouping items into collections, as this relies on specific, often centralized, services and wallets.
BRC-721, also called the Ordinals Collection Protocol, is under development by Poyo, a pseudonymous developer. Inspired by Ethereum's ERC-721 standard for NFTs, BRC-721 aims to provide a decentralized method for creating and verifying collections.
The protocol eliminates the need for upfront payments, streamlines the process, and enhances overall security and reliability through verification rules and a manifest data structure. The BRC-721 protocol offers advantages, such as a more secure and robust ecosystem, enhanced security, a streamlined process, and proven success.

Varying views

The crypto investment firm, Grayscale, believes Ordinals are an overall positive for the Bitcoin network in two key ways. The first is that the increase in Bitcoin transaction fees helps miners earn fees. Second, the rise of NFTs on Bitcoin contributes to a cultural transformation within the community, a so-called “cultural layer” of the Bitcoin network.
Adam Black, CEO of Blockstream, also commented. He acknowledged that Bitcoin is censorship resistant and that the Ordinals Protocol is unstoppable. Black tweeted, “[It] doesn't stop us from mildly commenting on the sheer waste and stupidity of an encoding. At least do something efficient. Otherwise, it's another proof of the consumption of block-space thingy.”
Michael Saylor seems to accept the inevitability of rising transaction fees. When asked about Ordinals, he indicated that the resulting spike in on-chain transaction fees is a short-term sign of a long-term trend. He continued by stating that, “this is going to definitely catalyze the development of layer 2’s and 3’s, no doubt”, arguing that there’s no reason why anyone should want to wait 30 minutes for a transaction when the Lightning Network can process it immediately.
One might argue that Bitcoin’s base layer is not an efficient or cost-effective method for storing large amounts of data. After all, according to Satoshi, the primary purpose of Bitcoin is to record and verify financial transactions, not arbitrary memes. While it is possible to encode small amounts of data into Bitcoin transactions by embedding data in the transaction's outputs, it generally has not been advisable because it can cause congestion issues in the mempool and higher fees.

CryptoKitties moment

Some have compared the Ordinals saga to the CryptoKitties Congestion Saga. CryptoKitties, much like Ordinals, launched as a playful experiment. However, when the game became viral, the prices reached six figures, and gained mainstream media coverage. The game's popularity caused a surge in transactions on the Ethereum network, causing concerns about the network's ability to handle the traffic.

A new era for Bitcoin

The introduction of Bitcoin Ordinals has created controversy within the Bitcoin community. Their exceeding popularity, along with BRC-20 tokens, has led to undeniable congestion issues in the Bitcoin mempool.
Despite a variety of views, the rise of this new era seems to be benefitting the Bitcoin network in terms of growing development activity and “cultural” engagement. Regardless of lasting outcomes, Ordinals are being inscribed on the base layer of Bitcoin, and that will likely never change.
What are your thoughts on the Ordinals conversation? Be sure to tune into the latest coverage of the Bitcoin 2023 Miami conference where Ordinals are expected to be a hot topic. With Asic Jungle in attendance, Bitcoin mining will also be garnering special attention amongst the drama of Ordinals.
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2023.05.29 22:58 thisoldbrokenhouse Ongoing Heart Concerns

54 female, 330#, 5'10" white, Canada non smoking, occasional drink, would love to start CBD dummies again for sleep if I know it's not going to mess with my heart :) No other drug use. Heart health concerns
I have a desk job, not super active due to spinal stenosis, overweight and almost pre-diabetic (was PD, now controlled). Controlled asthma (maybe one flare up a year), food allergies, environmental allergies, medicine allergies, chronic hives. Thyroid levels have been well controlled for years. Chronically low on Vit D even when I used to work outside. Current meds Levothyroxine 88 mcg daily Amlodipine 5 mg daily Candesartan 4 mg daily Bisprolol 2.5 mg daily Vit D 2000 iu daily Vit B12 1200 mcg daily Zomig when needed (migraines) Blexten when needed (allergies)
Ok here's the details: Late last year I had two episodes where I had stabbing pain in my left upper quadrant - my shoulder, my chest, kind of behind my ribs, and since then I have had some intermittent shouldearm/finger tingling on the left side. I still sometimes have a pain in my chest, but it's just a dull ache. It feels almost 'heavy' somehow, not actually painful - just uncomfortable/unfamiliar. (I tend to completely spiral and hyperfocus on things (in a negative way, with much anxiety) so I immediately went to the doctor.). Bloodwork was all fine except for low B12 and very very low Vitamin D. They did chest xrays which were clear and a full abdominal ultrasound which showed nothing. She did notice I have always had a bit higher than normal blood pressure so she started me on 5mg Amlodipine. My primary doc then referred me to a cardiologist for a stress test. In Jan I did a treadmill test but could not keep my heart rate up as long as they needed to due to an old ankle injury and the incline on the treadmill. They just said it was 'not enough information to diagnose'. Then I had a nuclear stress test and that showed a small percentage of my heart 'does not work properly' (less than 5%). Cardio doc referred me for a CT scan but it's not until Sept. Cardiologist started me on the following meds (in addition to the amlodipine) Asprin 81 mg daily Atorvastatin 40 mg daily Bisprolol 5 mg daily Ramipril 5 mg daily I started Atorvastatin and Ramipril on the same day and had an allergic reaction to one of the meds then had to wait for my system to calm down to try both again, one at a time. (I have severe food allergies and chronic idiopathic urticaria, so it set me off for a couple weeks). Ramipril was fine but Atorvastatin caused a reaction so we stopped that. By March I was on Asprin 81 mg daily Bisprolol 5 mg daily Ramipril 5 mg daily Had an anaphylactic episode on April 8 to (probably) food and ended up in the hospital on a Saturday night. They monitored my heart rate and bp there and they said nothing about my heart rate or my blood pressure (it seemed to be what they expect for the medical issue I was experiencing). The monday after the episode I was unable to regulate my heart rate or my blood pressure (both were high) so I went back to emerg. The doc said sometimes that happens, plus with my anxiety he was not surprised. Had the heart wires (ecg?) and blood pressure cuff on the whole time, said BP was high but not out of range for what he would expect. He gave me a few ativan and told me to just give myself a few days to even out again. I relayed the episode to my cardiologist and the next week she changed my meds to: Amlodipine 5 mg (no change from before) Candesartan 4 mg (new med) And instructed me to stop taking the bisprolol, the ramipril and the aspirin. One week after the med change I noticed my heart rate had gone from an approx 74-77 rhr to 85-89, and I wasn't sure why. Cardiologist said the bisprolol was the one that reduced my HR so it's fine to see an increase, and I need not be worried unless it's hitting 100 or higher with regularity. Had a follow up with my regular doc for a shingles vax two weeks ago, mentioned that my anxiety was a little worse than the past month or so, she advised it's likely because the bisprolol was a 'beta blocker' and was helping to keep me in a calmer state. I am super hesitant to try yet another new pill I could be allergic to (for anxiety meds) so she put me back on bisprolol, but at half the dose. So 2.5 mg. I have a blood pressure machine at home and am trying to do more regular readings. I have had a notification for an irregular heartbeat twice now, once on Saturday and once today. So now I am completely spiralling again and sort of need to know what is normal and 'acceptable' or when I need to be concerned. Full disclosure, my anxiety is VERY high when I don't have all the information. I have been trying to learn as much as I can so that I don't keep ramping myself up with worry. I know that the irregular heartbeat could be just because I moved or because it's just a consumer machine from costco. But then, I'll get the tiniest little flutter or weird feeling and will be crazy obsessed with watching my heart rate on my fitbit (or even wearing my pulse oximeter for hours). I know things fluctuate, etc., but I am waaaay high up on this here ledge of anxiety, which does not help my damn heart. Thank you for your time.
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2023.05.29 19:57 Mrslawlshark Sudden Allergic Reactions to Something?

I'm 33 years old and I've never really had allergies to anything, although I occasionally get some congestion due to seasonal allergies. I haven't changed any soaps, lotions, detergents, introduced any new foods, no change in environment, etc.
The last 2 evenings I have developed hives on my arms after spending short amounts of time outside. The first time it happened, I showered and took a Zyrtec and was fine. The second time, we were away from home. About 45 minutes to an hour after I noticed the hives, they started to get itchy. About 15 minutes after that, my throat became scratchy. About 10 minutes later, while driving home (my husband was driving, I was the passenger) my throat suddenly became very tight and I wasn't able to breathe well.
Stopped at urgent care and was given Benadryl and a steroid shot and sent home. Dr advised to take a Zyrtec when I got home as well.
I'm still noticing some spots on my arms today that look like hives, experiencing some itching on my arms, watery eyes.
Is it possible I've suddenly developed a moderate allergy to something in the air? I have a young child that loves to spend time outside. I'm so dumbfounded by this experience!
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2023.05.29 13:04 LabProfessional128 sleep and travel?

i’ve been noticing some strange things about my sleep ever since i left for my vacation. i’m not really falling asleep until 4am local time and it’s kinda stressing me out. there’s a few things it might be but i’m not totally sure. 1. i’m very congested rn (allergies?) and i can only breathe through my mouth or not breathe at all 2. i’m aware jet lag is a very real thing. i’m 5 hours ahead of my normal time zone and have been on my vacation for about a week so i should be more adjusted than i already am. 3. i’ve tried things like melatonin, benadryl and asmr videos (which all usually help) and none have worked. i’ve only had like 2 good sleeps. i’m not really tired at night. any kind of advice would be appreciated!
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2023.05.29 12:24 IsaacTheCrusader Est-il possible d’avoir accès à de la Ventoline sans ordonnance ?

Il y a deux ans j’ai fait une pneumopathie, j’ai été hospitalisé pour et j’étais en crise d’asthme pendant 1 semaine.
On m’a prescrit 4 « tube » de ventoline en sortant de mon hospitalisation.
Quand je vais dans des villes ou l’air est très pollué que je suis exposer pendant des heures à des fumeurs ou comme dans mon cas présent à de grosse allergie, j’ai souvent des débuts de crise d’asthme mais avec un coup de ventoline le tour est joué.
Le problème c’est qu’aujourd’hui est un jour férié, je n’ai plus de ventoline et mon médecin traitant n’est pas disponible avant mercredi. Je n’ai pas d’ordonnance non plus.
Est-ce que je peux me pointer à une pharmacie montrer mon inhalateur et expliquer ma situation ? Ou je suis condamné à pas respirer pendant 3 jours.
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2023.05.29 11:53 kanag7078 ENT Specialist in Meerut

ENT Specialist in Meerut
Do you frequently get sinus infections, face pain, or persistent nasal congestion? These signs could point to sinusitis, a condition that millions of people experience globally. This article will examine the function of anENT specialist in Meerutthe management of sinusitis, with a particular emphasis on Sinusitis Surgery in Meerut, India. We will go through all you need to know about your sinus health, from comprehending the disease to looking into your surgery options.
Sinuses are air-filled cavities in the skull that are positioned around the nose. Sinusitis is an inflammation of the sinuses. It can be brought on by a number of things, including infections, allergies, and structural abnormalities. It becomes imperative to seek the advice of an ENT professional when sinusitis develops into a chronic condition or does not improve with conservative therapies.
Knowing about Kanag and sinusitis
Kanag, commonly referred to as sinusitis surgery in Meerut, is a common medical ailment marked by irritation of the sinus lining. It may cause symptoms like nasal congestion, facial pain, headaches, and breathing difficulties. Acute sinusitis lasts only a brief time, but chronic sinusitis lasts longer than 12 weeks.
Your quality of life can be substantially affected by sinusitis, but with the help of an experienced ENT professional, you can get relief. ENT experts in Meerut, India are capable of identifying sinusitis, treating it, and offering surgical remedies. Their knowledge can assist you in overcoming discomfort and regaining control over your sinus health, whether through non-surgical treatments or sinusitis surgery.

ENT Specialist in Meerut
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