Also, the results of my big blood test have confirmed this isn't diabetes or a thyroid thing.
Sorry snake_in_the_ass.
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Also, the results of my big blood test have confirmed this isn't diabetes or a thyroid thing.
Sorry snake_in_the_ass.
I am guessing the Anxiety is coming from the LPR because the LPR is something you cannot "control" .
Most of the times when we get sick or any type of health problem there is a fix or an answer. The LPR doesn't really have much of an answer.
So my guess is this is very stressful which causes the anxiety to ramp up.
When did you start getting the anxiety again? Was it before or after the LPR symptoms?
Anxiety came about 5 days after the LPR symptoms. So yes, it's very likely the anxiety was brought on by the LPR, especially because I had a very difficult time sleeping that week, constantly feeling a choking sensation when I'd lie down.
You are also correct that the uncertainty with the LPR is very stressful. If I knew this would resolve in, say, 2 months, I would tough it out and get past it. A good example was when I broke 3 ribs in 2014. The first 2 weeks were awful, and the following weeks were also no picnic. Took 11 weeks to heal completely, but I knew that I had 3 months at most until I was all better. So I could look forward to that.
With this LPR, I don't know if I might be better next month, or if 10 years down the road I'll still be dealing with it.
Adding to the stress are some other possible (serious) health issues which I've been testing for, though those are looking less likely because of the normal blood test I just took.
The super-rapid weight loss is also a little scary, but since its timing exactly matched the onset of the anxiety, and since anxiety is known to cause weight loss (especially in men), there's a high chance it's only from that.
I'll be honest. Right now I feel a fairly high anxiety at this moment. Just came on earlier tonight for no apparent reason.
Also , how is your appetite? Are you eating like Normal?
Have you reintroduced caffeine?
I would look into some marijuana gummies and brownies etc or any edibles.... Start with low dosages and ramp it up as need be.
Might help you sleep , and might help with anxiety, and not really addictive
THC is said to worsen anxiety.
At very small doses, it is said to possibly help with anxiety, but otherwise it will often worsen it, leading to the infamous paranoia which is known to come with pot smoking.
Here's a good article on the subject: https://www.menshealth.com/about/a19...-your-buddies/
I do have some CBD oil -- two different brands. I've only tried one. Both have no THC.
The first brand gave me diarrhea and made me drowsy. I quit it at that point, especially since I noticed no positive effects except perhaps a better ability to fall asleep.
I might give the second brand a try in early October. I can't do it right now because I have some tests coming up, and I don't want to introduce unknown substances which can screw up the results.
There have been short spurts where I the anxiety noticeably lessened.
Exactly 4 weeks ago, the anxiety completely lifted for one night, for no apparent reason. I felt great and thought momentarily that everything was about to go away. I woke up the next morning with a heavy and stressful feeling, and that was that.
On the night of Sunday, September 9th, I felt the anxiety also lifting, and the following 4 days, I was significantly better. Wasn't perfect, but it was a major improvement, and it happened for no apparent reason. The LPR wasn't gone, and I wasn't taking any meds or supplements. I was taking 100mg caffeine again, since September 7th.
Unfortunately, my LPR symptoms flared up worse on September 14th, and that was the end of that anxiety recovery. The anxiety came right back, and any progress which seemingly had been made was lost.
Then there was the one time I took the Xanax. Was only 0.25mg, and I felt weird and kind of overly sedated at first, but 45 minutes in, that sedated feeling lifted and I just felt... normal. Not high, not overly energetic, but no more anxiety and everything was great. This lasted for another 2.5 hours before the effect abruptly wore off, and the anxiety returned. However, I had a massive feeling of lethargy the following day, which I hated, so I have been avoiding Xanax for that reason.
I am still convinced that the anxiety would mostly go away, or perhaps completely vanish, if the LPR could be handled.
My appetite is mostly back to normal. Less than before, but that's a good thing. But for a regular human being, it's normal.
For the first 3 weeks of this, my appetite was very low, and my anxiety was very high.
This 1-2 punch was what caused the weight to melt off so quickly -- 17 pounds in 2 weeks, and then 8 pounds in the following 2 weeks. It is believed that the "fight or flight" mechanism activated by anxiety puts your metabolism into overdrive, and if you feel heavily anxious the entire day, you're going to lose a lot of weight.
Reportedly anxiety-related weight loss is indeed said to be very rapid. One site I read mentioned that it "will sometimes cause weight loss faster than any diet or exercise program", which was 100% true for me. Interestingly, it was reported that the weight loss is more associated with anxiety in males, whereas females more commonly gain weight.
This cold I have right now was something I dreaded and tried so hard to avoid catching, but now that I have it, I think it might actually be useful.
My LPR symptoms before the cold:
Choking when lying down: Bad
Lump in throat: Bad
Need to clear throat: Moderate
Voice hoarseness: Occasional
Cough: None
Heartburn: None
My LPR symptoms right now, during the cold:
Choking when lying down: Occasional
Lump in throat: Moderate
Need to clear throat: Bad
Voice hoarseness: Moderate
Cough: Moderate-Bad
Heartburn: None
So I look at this, and wonder, "How has the cold IMPROVED two of the symptoms?" The lump in throat is less noticeable, and the choking sensation when lying down is happening much less.
At the same time, I have the need to clear my throat way more often, and the hoarseness has increased.
I also have a cough now, though that feels related to the cold.
Another improvement is to my ability to talk. Prior to the cold, talking to someone for awhile (such as on the phone) would cause the LPR sensation to worsen. With the cold, it does not worsen. So that's another improvement.
Well, putting it all together, my theory is this:
My throat/larynx area is red and irritated for some reason. This was seen in August during the flexible laryngoscopy I had at the ENT doctor.
It is known that when one gets LPR, sometimes the body will send thick mucus over there as a defense to the irritation. Some believe that the mucus is what causes the unpleasant lump-in-throat sensation, along with the other symptoms.
I believed that, too. I thought that if I could control the mucus, perhaps thin it out, I could control the LPR.
Now I think that may be partially incorrect.
I believe this cold has increased the amount of mucus in my throat, as colds tend to do.
I think that's the reason for the change in symptoms -- better for some, worse for others.
Why?
I think the mucus soothes the irritaion/redness/dryness in the throat/larynx area, and the lump in throat sensation and choking feeling have decreased because the area is soothed by the mucus from the cold.
At the same time, with more mucus present, I feel the need to clear my throat more often, and I'm coughing now.
This would also explain why the Biotene Dry Mouth rinse, which is not made to help with LPR, seems to soothe the symptoms somewhat, and lessens both the lump and choking sensations. The Biotene (which is kind of slimy, made with glycerine) probably has a similar mechanism to the mucus, when it comes to my reaction to it.
So, in absence of the cold, i think the symptoms are for the following reasons:
Lump in throat: Irritation/redness/dryness
Choking sensation: Irritation/redness/dryness
Voice hoarseness: Excess mucus
Throat clearing: Excess mucus
So what might be the solution?
Since I can't seem to figure out what's irritating my throat in the first place, and since it may need time to heal from whatever happened to it, maybe the best approach going forward would be attempting to sooth the throat as much as possible. That is, once the cold goes away, and the mucus levels decrease, find things I can swallow which are made to sooth and perhaps coat the throat.
Then do this for awhile and see if it can heal itself.
Of course, if there's a persistent problem irritating the throat, such as pepsins, this won't work, and I'll need to solve the underlying problem.
But I think this cold just gave me a clue.
Next time I see the ENT doctor, I will float this theory to him and see what he thinks.
Please text me the name of the miracle cream you used for eczema. Mrs. Pooh been dealing with it for years and nothing seems to work for her. Thanks.
One of the employers around here requires their employees to go spend a night in the sleep lab, not take the home equip.
Quote:
An evaluation often involves overnight monitoring at a sleep center of your breathing and other body functions during sleep. Tests to detect sleep apnea include:
Nocturnal polysomnography. During this test, you're hooked up to equipment that monitors your heart, lung and brain activity, breathing patterns, arm and leg movements, and blood oxygen levels while you sleep.
Quote:
Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts. If you snore loudly and feel tired even after a full night's sleep, you might have sleep apnea.
The main types of sleep apnea are:
Obstructive sleep apnea, the more common form that occurs when throat muscles relax
Central sleep apnea, which occurs when your brain doesn't send proper signals to the muscles that control breathing
Complex sleep apnea syndrome, also known as treatment-emergent central sleep apnea, which occurs when someone has both obstructive sleep apnea and central sleep apnea
The signs and symptoms of obstructive and central sleep apneas overlap, sometimes making it difficult to determine which type you have. The most common signs and symptoms of obstructive and central sleep apneas include:
Loud snoring
Episodes in which you stop breathing during sleep — which would be reported by another person
Gasping for air during sleep
Awakening with a dry mouth
Morning headache
Difficulty staying asleep (insomnia)
Excessive daytime sleepiness (hypersomnia)
Difficulty paying attention while awake
Irritability
A couple months ago i was talking to dude that went thru the lab he was telling me he had iirc 700 incidents or events or whatever their terminology per night. He was given one of those breathing gadgets and retested and he had 2 events. I asked what that device did he said it blows air but there's different volumes for dif people. He said it was annoying the first couple nights but once you get used to it he won't go without it. He said he feels wayyy better in the mornings.
Around here there's all kinds of people that slept in the lab, it's pretty common they find something.
https://www.mayoclinic.org/diseases-...s/syc-20377631
I don't believe I have sleep apnea because I stay asleep sort of normally once I'm asleep. The breathing problems occur both when trying to fall asleep and when I've only been asleep for a few minutes, and the sleep isn't deep enough yet.
Basically if I'm even semi-conscious, I might detect an issue with my throat and wake up (even if it's just a sensation and not an actual breathing obstruction).
Once I am in a deep sleep, I stay asleep, though I am finding I am waking up more often than I used to. For example, prior to this, I would rarely wake up 2-3 hours into sleeping, but nowadays that seems to happen a lot. However, it's not a traumatic type awakening. I just wake up, feel tired, look at the time, and realize that I didn't sleep that much. Sometimes I can fall back asleep very quickly, other times it takes awhile.
Anyway, the cold I had is subsiding already. I took Vitamin C 500mg for 4 straight days (Sunday-Wednesday), and I think it helped. I know there is doubt about that, but this cold was mild and the symptoms are already fading.
Unfortunately, I can already feel the LPR returning. Earlier today, the LPR sensation was almost completely gone, and the cold symptoms were mostly gone, so that was nice. This is totally expected, though, as multiple people have reported the LPR returning once their cold got better.
If Druff had sleep apnea, long before his throat started jarring him awake, he would have complained for at least several weeks of being extremely sleepy during the day despite getting “a lot of sleep”. That’s because sleep apnea interrupts deeper sleep but not sleep entirely, meaning the suffering repeatedly wakes up enough to not be able to get enough Stage 2 through 4, but remains asleep enough to not remember waking up most of the time. Druff hasn’t described such symptoms in the least before or throughout this ordeal.
This is going to sound a little out there, and maybe it’s been posted before, but you should really try excercising
I think you should try some mild to medium level cardio and go from there. I know it may be the last thing you want to do right now but that is exactly why you should. Excercise is a great cure for anxiety and depression as it has been proven to relieve stress and boost self confidence.
What’s the worst that could happen?
This is true. Except...
Cardio allows you space to still think about things. Some nice endorphins
Lifting is better. Still a lot of dead time. Trying to prevent crushing your trachea while benching is a great distraction from life.
Playing a sport is the best. Of the old men sports racquetball or squash is pretty approachable. Ben would love it too. Racquetball gets the heavy lean of the two. You gotta be entirely focused on the game.
If playing a sport reveals you’re out of shape you will WANT to work out.
Of course, Druff doesn’t take advice but that is what I’d recommend to anyone else.
Ok so here is his story and a little back round.
He is a high anxiety person, always worrying about a sickness, a bit neurotic to be honest. We don't talk about it but he has always showed signs of autism. Mainly because he is extremely high functioning, in fact you could talk for hours to him about anything and never know unless you knew what to look for.
He also has a tendency to become obsessive about things like his diet, (he is very lean).
Turned out he was eating very acidic food for a year and suddenly one day had acid reflux so bad he could not get rid of it with traditional meds so he turned to prilo and it mildly helped (he believed like you that the food was the cause). But that isn't forever and he suddenly and neurotically believed he had GERD. He was ready for a surgery, before he even was tested. He couldn't sleep, felt a lump in throat, said it was ruining his life, would come on suddenly or not at all throughout the day. He modified his diet so much it was ridiculous but he could not get rid of it. I was laughing to myself when I read about your issues because his symptoms were just like yours.
Long story short he gets the endoscope done and baam not a sphincter issue in and of itself but rather a hernia near his diaphragm which I assume was hiatal causing the stomach to rise up and thus his gerd symptoms. They said his hernia was approx 3/4 of an inch but they have seen it as small as 1/2 or less cause the same issue.
Honestly I believe you like him have a real issue whatever the cause and even some characteristics that when added to the issue make it worse over all. Get the endoscope you goof!!!!
GERD and LPR are very different despite sharing some of the same symptoms and causes.
GERD is well-researched and there exists lots of medication for it which is very effective.
Hiatal hernias tend to present a lot more like GERD than LPR. Furthermore, one can be usually diagnosed through a non-invasive barium swallow test, though an endoscopy can be used, as well.
Some hiatal hernias are small and don't cause any problems. So if you have a small one, you can't automatically blame your condition on it, because many people have a small one and are asymptomatic.
Here are the typical symptoms of a large hiatal hernia:
Heartburn
Regurgitation of food or liquids into the mouth
Backflow of stomach acid into the esophagus (acid reflux)
Difficulty swallowing
Chest or abdominal pain
Shortness of breath
Vomiting of blood or passing of black stools, which may indicate gastrointestinal bleeding
I have none of these.
Most people who have a hiatal hernia tend to have either GERD symptoms or a combination of GERD/LPR symptoms.
There are a small number of people who have only LPR symtpoms due to a hiatal hernia. However, that is not very likely.
Also, my LPR symptoms rapidly worsened in mid-August for no discernible reason. Thinking back, I did have some minor LPR symptoms prior to that, but they weren't all that bothersome. There was a major increase in symptoms about 6 weeks ago, which I also think would not suggest a hiatal hernia, as that would be more of a slow process of worsening.
With that said, when I go to the next ENT for my videostroboscopy next week (provided I keep the appointment and don't delay it further), I will ask if he thinks a hiatal hernia is possible/likely here. However, I would prefer to do a barium swallow to identify it, as I really don't want to do an endoscopy for various reasons, unless utterly necessary.
I hear ya, no one wants to swallow anything, the thought gives me a shiver tbh. It had gotten to the point my brother was so frustrated and sick of his issue he gladly swallowed that thing. Forgot to mention the doctor told him it was likely a tear from birth and just opened further, he does a LOT of sit up's sure that doesn't help. Any way all the best, life can be stranger than fiction!
I'm not sure why he didn't just do the barium swallow. It's not fun (you have to swallow a thick, chalky drink at the beginning, which doesn't taste very good), but after that it's non-invasive.
Anyway, did he get surgery to correct it?
Did it help?
Honestly I can't see doing surgery for any of this unless I was close to 100% sure they were correct AND that it would fix the problem.
Many of these LPR-related surgeries have backfired on people -- either introducing more problems, or failing to correct the LPR. I would not want to go down that road.
There's also hope that LPR-specific meds will be developed in the future. This blog claims one is in the works: https://www.peptest.co.uk/therapies-...reflux-pepsin/
Of course, this could be years away, and it also might be ineffective for many people. In fact, if you don't have pepsins in your throat, such a medication would indeed fail.
I still think a great starting point in helping LPR sufferers would be a study as to why people with colds tend to report symptoms lessening or disappearing for the duration of major cold symptoms. I believe that might hold an answer that would help many people, myself included.
I also think a full study on LPR and its various incarnations needs to be done, where efficacy of various medications/therapies/lifestyle modifications are compared to the symptoms people suffer.
Group people based upon their symptoms, and then have everyone try the exact same treatments, one by one. Then chart which groups are helped and which are not.
The frustrating thing with these LPR Facebook groups is that people report, "I did XXXX and it really helped me!" Then I get all excited, but ask, "So what were your symptoms?", and it turns out they had something vastly different from what I am experiencing.
I think LPR is also kind of a vicious cycle, where something irritates the throat/larynx (one of many possible causes), and then subsequent behavior worsens the irritation. This would explain why acidic food might worsen it for most people -- because it's like pouring acid over the open wound. But keeping that analogy, if something else was repeatedly causing the wound, simply avoiding pouring acid on it wouldn't heal it -- it would only avoid worsening it further.
So let's say I kept cutting my hand every day on something but didn't know what it was. Simply avoiding toxic substances on the wound wouldn't stop the cuts from occurring (and the subsequent pain).
I think something similar is happening with LPR.
I think unfortunately "acid" and "pepsins" are being blamed for LPR, when it's far more varied and complex situation.
Provided I don't have something else which is more major, at the moment I would be thrilled just to mask the symptoms.
I will soon be trying various supplements and natural solutions which are said to coat/soothe the throat, as I wonder if those will produce the same mechanism which my (now-fading) cold did to lessen the LPR symptoms.
I may actually try to contact those in charge of previous LPR studies, and give some suggestions to them.
I don't know how interested they'd be to hear from a layman such as myself, but I really think I have some good ideas on how to properly study it (or at least how to properly study some solutions to hide/lessen symptoms).
Maybe I could convince one of these researchers to get another study going.
Unfortunately, I've also received a positive blood test result for something possibly major, and it appears unrelated to the LPR stuff. It seems that the LPR problems have made me more sensitive to any other potential health issues, which has caused me to get tests I otherwise wouldn't have done. And this uncovered something -- maybe.
I am getting a special ultrasound done on Monday, which I'm driving 50 miles each way to do. That should tell me more.
At the moment, the odds are still on the side that I don't have this major condition, but I do have one indicator of it, according to the blood test. No, I don't have Super AIDS, but if I do have this particular thing, let's just say it would really, really, really suck -- far worse than LPR or anything else I have at the moment.
Druff, if you find that the prayer video I posted in the recent radio update thread helps you get better, could you use it as the intro music to next time you do a radio show? Here it is again for good measure:
https://youtu.be/5lvU-DislkI
And the full-length version, with lyrics.
https://youtu.be/e8-sMJZTYf0
You’re way more holistic/alternative medicine than I would have ever imagined given what I knew of you. I would have just assumed you’d take the meds and run. I knew you felt they over-tested, but I thought you meant in a speculative manner rather than when you’re actually sick. It’s the most California thing about you
Well, tomorrow I will be doing Xanax for the second time of my life.
Found out the test tomorrow is a bit more involved than I thought. Turns out I have to lie flat for the duration of it, which is very tough for someone with LPR (choking sensation comes on).
Plus having to do that will ramp up my anxiety big time, and make it even harder.
Plus I have to ingest no liquids or food (including water) beforehand, which makes the 11am time really suck.
It's 55 miles away. Gilrfriend going to drive me both ways. Will pop the Xanax about an hour beforehand. In my one experience with it, it took 45 minutes to achieve the desired effect with Xanax, which is typical. It lasted about another 2.5 hours after that before falling off a cliff and returning my anxiety.
Hopefully that will be enough to help me get through it. At least it should help, as I'm guessing the anxiety will be much less (or nonexistent).
Not looking forward to Tuesday's "next day lethargy" effect, but it might not be as bad, because I'm taking it at 10am on Monday. Last time, I woke up with extreme lethargy and fatigue, and it didn't go away until it had been almost 24 hours since I popped the pill the previous day.
I know you're a lightweight when it comes to any man made chemical but the Xanax works because your body has a system do deal with it. We produce the chemicals Xanax provides naturally everyday. The job of anxiety relief can come from many natural sources, exercise, meditation, etc. but the pill works quickly and is in no way going to fuck you up. Next day hangovers from a small dose of Xanax are unheard of.
You're dreaming if you think it harms your normal system.
Not true. I have the same exact experience as Druff whenever I have used Xanax. Blanket statements about drugs and their side effects are foolhardy. Different people react different ways to different drugs. You cannot acccount for someone else’s specific body chemistry.
I strangely get it from melatonin. You’d never think someone who has been on benzos for 20 years would even feel melatonin, but I took it on a few occasions when I was going through a bad sleep patch and was utterly worthless the next day for the entire duration of the day. Just total lethargy.
With all due respect.
You are 100 percent right that with various forms of therapy , exercise or whatever he can re wire his brain and limit anxiety. But you are a seasoned veteran with chemicals. He is not. You can 100 percent get "Xanax fog" from taking as little as .25 . May not happen to you but many it does happen . The fog is 100 percent a form of withdrawal because if he takes another he will feel fine. No different than the hair of the dog.
If you drink a bottle of wine or two and have no tolerance you are going feel way more like shit the next day than someone that drinks daily. Xanax acts on the brain like alcohol does. It puts the brakes on the brain. Once it wears off, the brakes come off and most times you feel more like shit than before you took it. It has its place to get one through extremely stressful situations but long term there is probably no worse drug to be addicted to (including opiates).
With all that said, Druff is big guy so if you are going to take it go for max dose. The aftermath is going to be only vary a little and a higher dose will get you better results. . I would say .50 at least. If you are going to take it, may as well make sure you get the max benefits.
You try smokin a joint yet?
I look forward to reading how Druff had zero hangover effects from this second very small dosage of the devil pill.
Damn Druff, you're an AIDS victim and will be a pill popper, eventually.
GG, GL
Updates:
Couldn't do the test today. Called in the morning and found out the bad news:
- Needed to have fasted INCLUDING NO WATER for 8 hours prior to the test. Test was scheduled for 11am. GTFO. They didn't even tell me this when I scheduled it, or there's no way I would have done 11am. But in any case, even 8am would have been tough, as I always wake up super thirsty. It was miserable in the morning, until finally I gave up, cancelled the appointment, and downed 1 1/2 bottles of water.
- Test is a fucking HOUR long where I have to lie completely flat. That's pretty much a no-go for someone with both LPR and anxiety, even when on Xanax. This is especially true if it feels like I'm dying of thirst at the same time.
So I e-mailed the doctor, who is gone til Thursday, and asked for possible alternatives to this test.
Since I didn't go to the test, I also didn't take any Xanax. I know some of you were waiting to see how my 2nd time would go, but you'll have to keep waiting.
On the bright side, if there is one:
Choking sensation when trying to sleep hasn't happened in a number of days. I am on a bed on an 8-inch slant, and I prop two pillows up, so that is also a factor. But I used to have to keep getting up and walk around to make the choking sensation go away, and that isn't happening now. Falling asleep has been far easier, though still not as easy as it used to be.
I previously credited with the cold for helping this. I still have remants of the cold -- occasional nasal congestion, and occasional cough, but it's mostly gone. So now I wonder if it's something else.
One thing different I've done is I started taking Mucinex (Guaifenesin) 400mg. This is 1/3 the dose of the maximum strength. It's supposed to thin mucus. Perhaps that's what's helping reduce the choking sensation? I still feel the lump in my throat, so I'm not sure. I might try upping the dose to 600 or 800, and see what happens. I was at first taking a form of Mucinex which also had a cough suppressant, but I don't really need that, and I found it was giving me more anxiety (which is a listed side effect). So I got pills instead with only Guaifenesin. Seems low risk, so why the hell not give it a shot.
I have noticed kind of a low energy sensation, where I get winded easily (where I previously didn't). However, my girlfriend, who caught this same cold, also reports that as a symptom, so perhaps it's just the end of the cold.
Weight has leveled off. Been circling around 216. Sometimes a bit more, sometimes a bit less, but seems to keep coming back to 216. Never thought I'd say this, but I'm glad I'm not losing weight anymore. I want control of the weight loss, and I feared that an extended period of weight plummeting could cause all kinds of problems, including being underweight. Was also worried that it could be indicative of a greater problem. Since it's been about 3-4 weeks of the same weight, I think that factor is pretty much out, barring another huge increase in anxiety. The weight loss itself probably isn't bad long term (unless I harmed my liver from how rapidly it happened). It's definitely healthier to be at 216 than 241, and even LPR is supposed to be improved by weight loss.
Also:
No, I won't smoke a joint. I would if I felt it would help. But THC is known to increase anxiety, which is the last thing I need right now.
Yes, my Xanax next day drowsiness was real. In fact, I felt it for hours before I even realized what it was, so it wasn't psychological. I couldn't figure out why I was exhausted and super low-energy, and then remembered the next day drowsiness thing associated with Xanax. It also lessened later in the day and eventually vanished, which wouldn't make sense normally if it was just a matter of being tired that day. 0.25mg of Xanax as a new user of it feels more potent than 10mg for someone habituated to it. Xanax is very addictive, partially due to the fact that people's bodies quickly develop a tolerance, and they have to keep increasing the dosage to feel anything. Then attempting to come off of it can be extremely difficult. I am less likely to get addicted than the average person, given my brain chemistry and personality type, which doesn't seek pleasure in drugs. It is possible that my 2nd experience with 0.25mg will work a bit less and have a bit less of the next day after-effect.
I definitely don't have The AIDS. At least I can rule that out.
You can get your prostate checked with a simple finger up the butt, you don’t need a long ultrasound.
When is OSAs next Vegas adventure....although he probably will use something other than a finger.
Bro, I'm not trying to make a funny but have you ever checked Master Dr. Scalir?
LOLOLOLOL
You're dying. Give me sole possession of this place - I asked first. I won't neglect. I promise to post a tri-monthly.