3 ms·

Give me a break… yes, it’s frustrating, but manageable. I’m in the exact same boat as you, but to consider it an attack, really? 1) tele appointments are avail

Give me a break… yes, it’s frustrating, but manageable. I’m in the exact same boat as you, but to consider it an attack, really? 1) tele appointments are avail 2) the doctor sends in it 3) you can’t fill, but you can have it ready to be picked up. 4) the travesty of going to the pharmacy.

whalesalad 2y ago
A lot of individuals have experienced what the op describes. Your comments are so dismissive and lame.
- _boffin_ 2y ago
  As have I and yes, I’ll agree that it’s dismissive, especially without knowing the explicit circumstances of OP.
  - zackmorris 2y ago
    Just for anyone curious - pharmacists explained the situation to me about the government limiting the supply of ADHD meds and the resulting shortages, then I found news that confirmed it. Mental health is a private matter, so I will just say that nurses can prescribe these meds in many states and often work with patients without insurance. Please see someone if you struggle with depression, anxiety, chronic fatigue, or similar nebulous issues. There really are treatments starting at about $1 per day that can drastically improve the quality of your life. - In my case, I've been healing from my second burnout with physical symptoms since my first one in 2019. My high cortisol levels overwhelmed my other hormones, and the way I found out is that I stopped recovering after workouts and took some injuries. For men, the dopamine-testosterone pathway is the weak link in the chain that governs our overall vitality. For women, I think it's oxytocin-estrogen but I haven't done a deep dive on it. Anyway for overweight men, the aromatase in their fat converts testosterone to estrogen, which tells their body to lower production of testosterone to prevent tumors and eventually even cancer from the estrogen. Also phytoestrogens from foods like legumes and estrogenic chemicals in plastic cause the body to think that estrogen is higher than it is, which shuts down testosterone production. In women, BPA and other endocrine disruptors might cause conditions like PCOS and throw off their hormones, but I don't know enough about that to speak more on it. Basically these environmental factors are messing with our hormones, and I believe that's why young men today have lower testosterone (so probably dopamine too) than previous generations, which may be causing a rise in mental health issues and dopamine-seeking behaviors like video game addiction (the horror!) Since endocrine disruptors are unavoidable in the modern world, people are juicing with leafy greens and other vegetables to combat them. I've heard good things about Man Greens and estrogen blockers like white button mushrooms. You can also eat walnuts, 1-3 brazil nuts per day, a serving of dark chocolate over 72%, pomegranate juice, bacon and 2-4 eggs, and various other foods to raise dopamine and testosterone and lower estrogen. It's also good to aim for about 8% body fat before pursuing other fitness goals. The quickest way to do that is to walk briskly for 45-60 minutes at least 3 times per week in addition to your current exercise, and add a large loose leaf salad with a low calorie dressing like a vinaigrette each day. I mention this because I've found that improving my physical health has had a drastic effect on my mental health and I'm working towards being free of all medication until late in life. YMMV
halfcat 2y ago
It depends on the prescribing doctor. When I’d get meds from my general practitioner (who was associated with a big hospital chain, i.e. more CYA red tape), there were all kinds of hoops. No teladoc, in-office only, hard copy prescription only, urine tests and subsequent interrogation, etc. I had a psychiatrist start managing it, and it’s a breeze, a 5-minute video appointment every 3 months, sent electronically.
- _boffin_ 2y ago
  That’s fantastic to hear that you were able to alleviate those issues! Finding the right person to treat, amazing things can happen. If I may ask, why did you go through the first approach in the first place?
  - amanaplanacanal 2y ago
    A lot of insurance plans require you to get a referral from your general practitioner before you can see a specialist. If the GP wants to handle it, I’m not sure what else you could do.
  - halfcat 2y ago
    When you know better you do better. I was originally diagnosed 20+ years ago. Back then it was even worse, appointments with an “ADD specialist” were 3-4 hours, blood draws, etc and it was all very thorough. So once my meds were stable and not changing, going through my GP (and not having to take a day off work) was an improvement.
    - _boffin_ 2y ago
      I guess one thing I got lucky with was that I got into the federal MTA study when I was a child and then was with it for a long time. Anytime a doc wanted to play games, I’d just refer back to that and it pretty much quashed any issues they had. The changing of meds was and is a horrific experience. I still remember the last time I took Adderall, it made me feel like I was locked in a jail within my own body. Glad I’m now on something else.

whalesalad 2y ago

A lot of individuals have experienced what the op describes. Your comments are so dismissive and lame.

_boffin_ 2y ago
As have I and yes, I’ll agree that it’s dismissive, especially without knowing the explicit circumstances of OP.
- zackmorris 2y ago
  Just for anyone curious - pharmacists explained the situation to me about the government limiting the supply of ADHD meds and the resulting shortages, then I found news that confirmed it. Mental health is a private matter, so I will just say that nurses can prescribe these meds in many states and often work with patients without insurance. Please see someone if you struggle with depression, anxiety, chronic fatigue, or similar nebulous issues. There really are treatments starting at about $1 per day that can drastically improve the quality of your life. - In my case, I've been healing from my second burnout with physical symptoms since my first one in 2019. My high cortisol levels overwhelmed my other hormones, and the way I found out is that I stopped recovering after workouts and took some injuries. For men, the dopamine-testosterone pathway is the weak link in the chain that governs our overall vitality. For women, I think it's oxytocin-estrogen but I haven't done a deep dive on it. Anyway for overweight men, the aromatase in their fat converts testosterone to estrogen, which tells their body to lower production of testosterone to prevent tumors and eventually even cancer from the estrogen. Also phytoestrogens from foods like legumes and estrogenic chemicals in plastic cause the body to think that estrogen is higher than it is, which shuts down testosterone production. In women, BPA and other endocrine disruptors might cause conditions like PCOS and throw off their hormones, but I don't know enough about that to speak more on it. Basically these environmental factors are messing with our hormones, and I believe that's why young men today have lower testosterone (so probably dopamine too) than previous generations, which may be causing a rise in mental health issues and dopamine-seeking behaviors like video game addiction (the horror!) Since endocrine disruptors are unavoidable in the modern world, people are juicing with leafy greens and other vegetables to combat them. I've heard good things about Man Greens and estrogen blockers like white button mushrooms. You can also eat walnuts, 1-3 brazil nuts per day, a serving of dark chocolate over 72%, pomegranate juice, bacon and 2-4 eggs, and various other foods to raise dopamine and testosterone and lower estrogen. It's also good to aim for about 8% body fat before pursuing other fitness goals. The quickest way to do that is to walk briskly for 45-60 minutes at least 3 times per week in addition to your current exercise, and add a large loose leaf salad with a low calorie dressing like a vinaigrette each day. I mention this because I've found that improving my physical health has had a drastic effect on my mental health and I'm working towards being free of all medication until late in life. YMMV

halfcat 2y ago

It depends on the prescribing doctor. When I’d get meds from my general practitioner (who was associated with a big hospital chain, i.e. more CYA red tape), there were all kinds of hoops. No teladoc, in-office only, hard copy prescription only, urine tests and subsequent interrogation, etc. I had a psychiatrist start managing it, and it’s a breeze, a 5-minute video appointment every 3 months, sent electronically.

_boffin_ 2y ago
That’s fantastic to hear that you were able to alleviate those issues! Finding the right person to treat, amazing things can happen. If I may ask, why did you go through the first approach in the first place?
- amanaplanacanal 2y ago
  A lot of insurance plans require you to get a referral from your general practitioner before you can see a specialist. If the GP wants to handle it, I’m not sure what else you could do.
- halfcat 2y ago
  When you know better you do better. I was originally diagnosed 20+ years ago. Back then it was even worse, appointments with an “ADD specialist” were 3-4 hours, blood draws, etc and it was all very thorough. So once my meds were stable and not changing, going through my GP (and not having to take a day off work) was an improvement.
  - _boffin_ 2y ago
    I guess one thing I got lucky with was that I got into the federal MTA study when I was a child and then was with it for a long time. Anytime a doc wanted to play games, I’d just refer back to that and it pretty much quashed any issues they had. The changing of meds was and is a horrific experience. I still remember the last time I took Adderall, it made me feel like I was locked in a jail within my own body. Glad I’m now on something else.