TLDR

• Acknowledge your anxiety
• Log off
• Spend time with loved ones, but…
• …set boundaries with them
• Take care of your physical health
• Repurpose moments of anxiety
• Remember what you can control, but…
• …also remember your power
• Expand your community
• Remember there’s hope, even in a “worst case scenario”

• High level government employees got vaccines from richer countries
• Rich people got their names added to the high level employees list
• Social distancing and telling everybody “good luck”
• Third world situations tend to weed out immuno-compromised humans fairly efficiently. So long as the higher humans survive, command and control below management level typically has 2-3 backup employees ready to take the chair.

Source: My brain and the random memories that survived the memory hunger games.

First past the post voting is the cheapest and fastest use of taxpayer dollars. Must we overburden our poorest districts with purchasing requirements for fancy smancy vote counting machines? /s

Thank you for the link!

Just copy pasting my notes from that link:

Fri Dec 4 14:11:30 2020 UTC - Hello. I started HRT this past Monday. Spiro and estradiol. Now, I didn’t do anything to change my diet at all. I eat moderately well, and drink 2L of water a day, on top of any coffee or tea I might have. That being said, I scared the absolute shit out of myself last night. I’m pretty positive it was a combination of too little sodium and too much water, and of course the spiro. I’m only on 100mg a day and hadn’t even taken my evening dose, but I got very lightheaded, dizzy and disoriented if I was walking snd turned my head at all, when turning my head my eyes felt sluggish, as if my focus was lagging slightly behind. I felt nauseous, and my heart rate elevated. Still feeling a little shitty this morning but definitely improved. I haven’t had any other changes recently other than starting HRT so I’m sure it was the spiro. I’m gonna call my nurse practitioner soon here and explain what happened, but I definitely think I want to discontinue spiro. I went through PP so I’ll have to find a different doctor if I want a different AA, but I’d like probably to use up my prescription of estradiol pills and then go on monotherapy with injections. I hate needles, but fuck, I’ll take them over what I went through last night. So of course I’ll see what the nurse says, but can I increase my estradiol dosage in lieu of taking an AA?

• chimaeraUndying 8 points - I did it for years and it worked fine.
• Check this out. I don’t know if they are using the term “oral estradiol” the way we might in oral versus sublingual though. I think they might just mean oral versus injections, patches, etc and swallowed or dissolved sublingually I’m unsure. “Hormonal Treatment of Transgender Women With Oral Estradiol” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944393/Pulled from the footnotes in the “Medications” section here https://en.m.wikipedia.org/wiki/Transgender_hormone_therapy_(male-to-female)
• pseudomugil 1 point Tbh that sounds like not enough water. On spiro (and even not in spiro tbh) your blood pressure can drop if you don’t drink enough water. I tend to feel like that if I don’t drink 6-8 liters of water a day currently. I say not enough because spiro is a potassium sparing diuretic and as an effect of that, will dehydrate you and deplete your body of sodium. Dehydration then leads to low blood pressure which leads to disorientation, lightheadedness, and can even lead fainting (it’s happened to me before when I don’t drink enough). It’s possible taking some sodium pulled water into your bloodstream which would help, and sodium is a good idea generally on spiro. Still definitely talk to your NP about it, it’s something they need to know about, but there’s a decent to middling chance they’ll say you need to drink more water. It is a ton of water a day, yeah. There’s a reason you’ll see memes about peeing all the time on spiro.

Did you get tablets formulated for sublingual or did you have to dissolve oral tablets under your tongue?

In my opinion, injections are the gold standard. I just wanted to know if sublingual monotherapy was a possibility and if anybody had accomplished it.

Alex Consani and Valentina Sampaio walk the runway at the Victoria’s Secret Fashion Show in New York on Tuesday.WWD; Victoria’s Secret; Getty Images

I just started HRT, Oral 2MG estradiol. I was just curious because I know that most of the sublingual meds are supposed to go directly into your blood stream and what heads to your liver should be minimal, as opposed to oral where the dose has to be high enough to pass through your liver.

I think I’m willing to pop them like tic tacs if needed.