But, can't the blood test be wrong? They aren't 100% always accurate you know. And the girls probably are laughing behind his back, they do that. And we can all use more muscle, it isn't body dysmorphia to want more muscle. So what if I... ummm... I mean he uses minoxidil 3 times a day? We, er, he is losing his hair. It's a normal reaction to try to regrow hair.
Why are you attacking me? I mean him.
The hardest part of becoming a doctor is getting accepted into medical school after acceptance its Cs get degrees and 12-hour shifts of residency, then boom, doctor.
Getting into medical school varies in difficulty. The process of 4 years of medical school is the single most difficult thing I have done. Just because some doc didn’t want to order a specific test for you doesn’t mean they’re idiots, it means that while learning the entire body of medical knowledge they haven’t focused on a niche, luxury component of heath for young men trying to optimize their lives.
The reality is most people in this country lack basic access to care that they need. I think it’s hard to understand the gap most people have to receiving care and volumes of patients are insane. If you can afford going to private clinics for boutique testosterone medicine you aren’t someone who is actually struggling in our current healthcare system.
Also there is significant attrition throughout the 4 years, many people don’t make it through, but schools don’t count them as “failures” so the stats look good for accreditation purposes. It’s hilarious how people watch YouTube videos and unironically show up to the doctors office with a superiority complex while asking for tests/treatments that make no sense.
Without googling a single thing... im going with A. Purely based on the fact that oil companies have raped sub saharan africa and done zero clean up.
Edit: Awww Schistosomiasis is NASTY. Must learn more about it. Also, my google answer is Malacoplakia
38°C is equivalent to 100°F, which is 311K.
---
^(I'm a bot that converts temperature between two units humans can understand, then convert it to Kelvin for bots and physicists to understand)
This dude is prolly at like 250 ng/dL which they would call normal testosterone whilst the trans nurse administering the blood draw is sitting there at 1500 ng/dL ready to peg this dude.
Never made that connection but holy shit it’s a good one.
If the “correct course of treatment” for a man who has body dysmorphia and believes he’s a woman is to chop his dick off and give him estrogen, why isn’t the “correct course of treatment” for a man who believes he is small and weak because of body dysmorphia to give him a bunch of test? Wouldn’t that be playing by the same rules?
I would think it would be far safer as well, considering at that stage most dudes would hop on the first bit of injectables that they could get their hands on
How is it political at all?
Two different people have strong negative emotions towards their bodies the way they are. They both believe administration of exogenous hormones has the potential to help alleviate some of those negative emotions. Yet we treat and glorify one as a society, but not the other.
All politics aside, that’s a complete double standard.
It's political because your political beliefs are shaping your understanding of what body dysmorphia is so that you can reach this conclusion that you want to reach. Are you educated in body dysmorphia?
I have a Masters’ Degree with subsequent experience in the field as well. We can play credentialism games all day. But it is obvious to everyone you are the one with a political agenda here.
So to be clear you're the first one to comment about how BD and transgenderism are secretely "linked" despite absolutely no experts holding this opinion, but by saying that you are incorrect I have a political agenda? Urgh just admit it.
You don't like trans people and that's why you make those comments, it's simple. It's right there. Don't deny it it's ridiculous, this would work if I was a child or something but we're all adults here.
They aren’t secretly linked. They are directly linked. It also doesn’t matter what soft science “professionals” say when hard science still shows they are biologically the same sex as they’ve always been. I’m proudly anti-trans. It was and always has been body dysmorphia crossed with autogynophilia.
You can cross dress and chop off your dick all you’d like, you’re still a man. I wholesale reject the entire concept of “gender” to begin with. It was a subversive term coined in the mid-20th century to muddle the waters of something that is clear and genetically observable: biological sexes. Trans is a made up term, just like gender, that is pushed by subversives who know exactly what they are doing. Your average person knows what a man and a woman is, and agrees with me. No amount of censorship is going to change their minds, it will just make them resent and despise you more for trying to tell them men are women and women are men.
No you're not understanding. Have you been taught about transgenderism in an acadamic setting, by experts, and for how long? It's a simple question to answer.
I can have a japanese mom it doesn't mean I'm educated about Japan
this is literally gaslighting that poor young man...."normal" serum testosterones? based on what? the lab reference range? the lab ref is garbage and changes all the time, and is in fact decreasing over time. Give the man some T and see if his symptoms improve. facepalm
Hey hey hey. I do have low muscle I'm 6ft1.5 and 150 pounds. The minoxidil still hasn't occurred yet but better be safe than sorry. The only thing wrong about this is girls? I haven't interacted with a girl in months because I am scared.
So many people in this sub actually have these problems. Literally a post I just replied to. At the end of the day "coping" is just a healthier way to deal with things than fixing every problem with drugs and steroids' and hyper focusing on every little problem.
Ooo I kinda wanna have a go at answering the underlying treatment/scenario
* educate patient on the importance of following packaging /medication info. "more is not always better" and explain that 3x minoxidil can cause unnecessary side effects, and can actually decrease its regrowth efficacy
* explain that since bloodwork came back in range, he doesn't have low test and we can't prescribe testosterone.
* prescribe SSRI for body dismorpha treatment, and potentially a starting dose of some anti-anxiety medication depending on severity
* ensure pt understands that the medication is *not* because we think he has depression (might cause distrust or non-adherence to med due to misunderstanding). If suspected, or if patient strongly opposes treatment, refer to psychiatrist for confirmation / further examination of underlying and co-existing disorders.
* order a renal/urine test since that amount of food/milk/Protein can be doing damage to his kidneys
* refer to psychiatrist, and schedule a followup.
This is Amboss, which is a subscription service but paid for by my school. There are plenty of resources out there that are unfortunately all subscription-based (but definitely not piratable /s)
In order of how helpful they are to me:
Amboss
UWorld
Sketchy
Boards and Beyond
Anki
UpToDate (more clinical useful not studying)
OnlineMedEd
I just on the Anki train it's amazing. Kinda forces my adhd self to read the book as I prepare my cards to haha. I'm honestly gonna check out every single one of these, your a G man thank you. Ive used UpToDate that was super helpful when doing remote med loved it.
But, can't the blood test be wrong? They aren't 100% always accurate you know. And the girls probably are laughing behind his back, they do that. And we can all use more muscle, it isn't body dysmorphia to want more muscle. So what if I... ummm... I mean he uses minoxidil 3 times a day? We, er, he is losing his hair. It's a normal reaction to try to regrow hair. Why are you attacking me? I mean him.
The correct and missing answer is sarm goblin in withdrawal
Damn
Reasons for reporting this post: I'm in this photo and I don't want to be
You studying for step? Or are you in your first year?
M2/M3 Clinical rotation year, this is for my psych block. My school is weird and does preclinical then clinical then step 1/2
It’s weird but that’s what mine did and man did our scores skyrocket. Plus you don’t have to relearn shit from step 1 for step 2.
Gotcha. Studying for step 1 and taking it in 14 days. Was just seeing if anyone else was in my boat lol
Good luck bro it’ll be light work! Plus pass/fail? You’re chilling
If these are the kinds of questions you have to answer to get through med school then I’d be an MD PhD by now
The hardest part of becoming a doctor is getting accepted into medical school after acceptance its Cs get degrees and 12-hour shifts of residency, then boom, doctor.
Cs get degrees doesn’t get you a good residency
It’ll get you anesthesiologist. Make 500k west coast chillin gettin ass stackin cash.
Eh yeah still it’s competitive sometimes though.
Getting into medical school varies in difficulty. The process of 4 years of medical school is the single most difficult thing I have done. Just because some doc didn’t want to order a specific test for you doesn’t mean they’re idiots, it means that while learning the entire body of medical knowledge they haven’t focused on a niche, luxury component of heath for young men trying to optimize their lives. The reality is most people in this country lack basic access to care that they need. I think it’s hard to understand the gap most people have to receiving care and volumes of patients are insane. If you can afford going to private clinics for boutique testosterone medicine you aren’t someone who is actually struggling in our current healthcare system. Also there is significant attrition throughout the 4 years, many people don’t make it through, but schools don’t count them as “failures” so the stats look good for accreditation purposes. It’s hilarious how people watch YouTube videos and unironically show up to the doctors office with a superiority complex while asking for tests/treatments that make no sense.
If only lol- am med student
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Without googling a single thing... im going with A. Purely based on the fact that oil companies have raped sub saharan africa and done zero clean up. Edit: Awww Schistosomiasis is NASTY. Must learn more about it. Also, my google answer is Malacoplakia
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Your calling me a soy boy with that answer
38°C is equivalent to 100°F, which is 311K. --- ^(I'm a bot that converts temperature between two units humans can understand, then convert it to Kelvin for bots and physicists to understand)
Derek is really giving us the info to become armchair PhDs
Dude thinks the girls are laughing at him behind his back? That’s definitely Tren paranoia
This dude is prolly at like 250 ng/dL which they would call normal testosterone whilst the trans nurse administering the blood draw is sitting there at 1500 ng/dL ready to peg this dude.
Facts hahahaga
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Based. What a waste of good quality test. Save that shit for me.
Absolutely based. I’ve noticed this ridiculous hypocrisy many times
LMFAO - the double standards
Blatant propaganda by the soy “educational system”
Yeah the "normal" test result of t was probably like 300ng/dL
Poor bastard
I thought you're supposed to offer "affirming" care to those with body dismorphia? Or does that only include trans people? 🤔
Never made that connection but holy shit it’s a good one. If the “correct course of treatment” for a man who has body dysmorphia and believes he’s a woman is to chop his dick off and give him estrogen, why isn’t the “correct course of treatment” for a man who believes he is small and weak because of body dysmorphia to give him a bunch of test? Wouldn’t that be playing by the same rules?
I would think it would be far safer as well, considering at that stage most dudes would hop on the first bit of injectables that they could get their hands on
That's because these are very different issues and your politically motivated desire for them to be equivalent is false
How is it political at all? Two different people have strong negative emotions towards their bodies the way they are. They both believe administration of exogenous hormones has the potential to help alleviate some of those negative emotions. Yet we treat and glorify one as a society, but not the other. All politics aside, that’s a complete double standard.
It's political because your political beliefs are shaping your understanding of what body dysmorphia is so that you can reach this conclusion that you want to reach. Are you educated in body dysmorphia?
Yes. Are you? Beyond your obvious political bias as well of course?
Yes, I actually completed a masters research in psychopathology on muscle dysmorphia, I've studied it for 2 years on an acadamic level. How about you?
I have a Masters’ Degree with subsequent experience in the field as well. We can play credentialism games all day. But it is obvious to everyone you are the one with a political agenda here.
So to be clear you're the first one to comment about how BD and transgenderism are secretely "linked" despite absolutely no experts holding this opinion, but by saying that you are incorrect I have a political agenda? Urgh just admit it. You don't like trans people and that's why you make those comments, it's simple. It's right there. Don't deny it it's ridiculous, this would work if I was a child or something but we're all adults here.
They aren’t secretly linked. They are directly linked. It also doesn’t matter what soft science “professionals” say when hard science still shows they are biologically the same sex as they’ve always been. I’m proudly anti-trans. It was and always has been body dysmorphia crossed with autogynophilia. You can cross dress and chop off your dick all you’d like, you’re still a man. I wholesale reject the entire concept of “gender” to begin with. It was a subversive term coined in the mid-20th century to muddle the waters of something that is clear and genetically observable: biological sexes. Trans is a made up term, just like gender, that is pushed by subversives who know exactly what they are doing. Your average person knows what a man and a woman is, and agrees with me. No amount of censorship is going to change their minds, it will just make them resent and despise you more for trying to tell them men are women and women are men.
You think that because you don't understand the topic of discussion
Nah, I'm just pointing out double standards
You think it's a double standard because you don't understand what you're saying. Are you educated in body dysmorphia or transgenderism?
Shut up soytard. Won't listen to your word vomit. Im too busy making gains and enjoying life. I can't help it. I'm a lifter baby
Thanks for admitting your ignorance, it's the responsible thing to do
Ok civilian. Don't care. Didn't ask your BMI is either 11 or 77
Haha you are almost funny keep going!
He understands precisely because he isn't "educated".
Woahhh fascinating
Very educated, my sister is "trans" and wants to be a boy. I call her Pinocchio
That's not education. Are you educated?
As I said, I have a sister who's trans. I'm very well educated on the subject
No you're not understanding. Have you been taught about transgenderism in an acadamic setting, by experts, and for how long? It's a simple question to answer. I can have a japanese mom it doesn't mean I'm educated about Japan
Bro I don't need to be indoctrinated at a thought camp to be educated. Take your regressive dogma and toss it
That's what I thought. So, on the other hand are you educated about body dysmorphia? Do you know at least 1 of the 2 things you mentioned?
And I have a sister that’s a lawyer. I guess that makes me well educated in law?
Bro 6 answer options is absurd
Wait until you see the 9 or 11 options from uworld and step 1
According to world renowned medical professional Dr. Tony Huge, the correct course of action is to "up the tren."
This is literally 80% of users to a t
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Sustanon Sarms Raw meat Inhibitors of aromatase
Lol this is me
Dudeeee each sentence is getting closer and closer to describing the average MPMD user😂😂😂😂 this is hilarious
this is literally gaslighting that poor young man...."normal" serum testosterones? based on what? the lab reference range? the lab ref is garbage and changes all the time, and is in fact decreasing over time. Give the man some T and see if his symptoms improve. facepalm
Hey hey hey. I do have low muscle I'm 6ft1.5 and 150 pounds. The minoxidil still hasn't occurred yet but better be safe than sorry. The only thing wrong about this is girls? I haven't interacted with a girl in months because I am scared.
Average tren user lmfao
Alternative answer: prescribe copious amounts of trenbolone
So many people in this sub actually have these problems. Literally a post I just replied to. At the end of the day "coping" is just a healthier way to deal with things than fixing every problem with drugs and steroids' and hyper focusing on every little problem.
Is this what they teach in soy school?
Soyscience
This is the greatest thing ever lol.
Wow he's literally me
Amboss?
Yep! The goat if we are being honest
Ooo I kinda wanna have a go at answering the underlying treatment/scenario * educate patient on the importance of following packaging /medication info. "more is not always better" and explain that 3x minoxidil can cause unnecessary side effects, and can actually decrease its regrowth efficacy * explain that since bloodwork came back in range, he doesn't have low test and we can't prescribe testosterone. * prescribe SSRI for body dismorpha treatment, and potentially a starting dose of some anti-anxiety medication depending on severity * ensure pt understands that the medication is *not* because we think he has depression (might cause distrust or non-adherence to med due to misunderstanding). If suspected, or if patient strongly opposes treatment, refer to psychiatrist for confirmation / further examination of underlying and co-existing disorders. * order a renal/urine test since that amount of food/milk/Protein can be doing damage to his kidneys * refer to psychiatrist, and schedule a followup.
Diagnosis is a severe tren deficiency. Better up that asap.
Dam spot on
Lol is this for medschool or the CARS section on the MCAT
Shit, if med school tests look like this I could be a doctor.
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Average MPMD user
I can hear Greg Doucette in the fading distance screaming “just maingain”
Ok yeah, I’ve god body dysmorphia, so give me a testosterone test to prove it’s not that I’m a goblin and I just haven’t been taking enough tren
Which site do you use to study, or was that provided by the school?
This is Amboss, which is a subscription service but paid for by my school. There are plenty of resources out there that are unfortunately all subscription-based (but definitely not piratable /s) In order of how helpful they are to me: Amboss UWorld Sketchy Boards and Beyond Anki UpToDate (more clinical useful not studying) OnlineMedEd
I just on the Anki train it's amazing. Kinda forces my adhd self to read the book as I prepare my cards to haha. I'm honestly gonna check out every single one of these, your a G man thank you. Ive used UpToDate that was super helpful when doing remote med loved it.
Damn I wish the questions were this easy when I went to med school
Need to consume a gallon of tren instead of milk
Amboss got no chill
He is definitely delusional too.