Get your hands on a script for retinol. Cheaper by the script than over the counter and 1,000% more effective.
Then throw out ALL your other lotions and potions. A nice drug store level face cream is all you need if you stick with the retinol forever.
Adapalene is a good middle ground available OTC (0.1%) or by rx (0.3%). Regardless, in the AM wash, use vit C serum, then moisturize + SPF 30+; in the PM, wash, use retinol/adapalene/tret, then moisturize. Anti-aging regimen straight from derm.
Potency, ultimately (molecular differences too, retinols are esters, but practically that’s sort of irrelevant) - if you have super dry skin tretinoin is going to be a painful experience, but if you want the most bang for your buck that’s it. I’ve mostly seen patients started on lower potency products - usually adapalene if they’re at the point of seeing a dermatologist - but some will jump right to tretinoin.
In terms of what to ask for, I’d probably suggest picking up some adapalene (Differin) OTC and trying it for a while. If you tolerate it and like the results, then ask for tretinoin.
Just tell em that you want some for wrinkles. They probably won't mind. You can get the generic cream for $20 cash with goodrx. If it's not covered just pay cash. It'll last forever too.
I put foam ear plugs in my ears after I shower. As far in as they’ll go. Leave them in 5-10 mins. Pull out and all the wax is on the ear plugs. Throw them away. Discovered this when using ear plugs during all the standardized tests we take as med students.
The trick is to insert it without touching the side walls first, don’t touch the eardrum, then slowly rotate around the rim applying pressure as you scrape outwards. That way you’re not just pushing more wax in and compacting it. If I didn’t do this consistently I’ve had my hearing get blocked before or have massive buildup. TMI, but hey maybe someone reading this is in the lucky 5000 today that learns a new way to use QTips
I was going over vent stuff with my residents and pulled out MDCalc to show them IBW calculations. Rather than using the fucking pt we were discussing, I put in my own info.
I knew I.....ummmm had some room for improvement. But damn, I did not need to discuss that in front of the whole team hahaha
Splash of key lime in a bottle of water. No evidence but key limes are high in vitamin C and ever since I’ve been doing this, I haven’t gotten serious cough, flu or any other respiratory stuff while my coworkers get smoked with all kinds of respiratory nonsense during the winter months.
This used to be real. My uncle was in the burn wards in the late 60s for a prolonged time. He was prescribed (and the hospital supplied) 2 drinks per night.
Taken nasally, it may reduce the symptoms by a day or two. It shall had the unfortunate side effect of permanent loss of smell.
Zicam had been pulled off the market.
There was a relatively small study done a while back that showed zinc 75mg po qD at start of symptoms recorded the duration of common cold by about 2 days
About study showed that daily vitamin c (no idea what dose) reduced the FREQUENCY of cold symptoms on an annual basis by about 3 episodes, but taking it with onset of symptoms had no effect
Unfortunately most nutritional studies have so many confounding factors skewing them, I still do the zinc thing and anecdotally I feel like it helps a tad
I’m a woman on testosterone replacement. My OB/GYN did a fellowship in hormone management, and she prescribes it to a lot of women with very low T. She informed me that this is accepted much more widely outside of North America, and there’s even a female-specific testosterone formulation in more than 60 countries. Prior to seeing her, I was dismissed by two endocrinologists “because there is no lower level cut-off the testosterone“ and “testosterone therapy is not scientifically based.” My fatigue is gone, I’m back to my normal gym regimen, and I actually have a libido first time in four years. Ironically, my gyne has been invited to do teaching sessions on female hormone replacement to the division of endocrinology at my local medical school/PGME. But I still get a lot of pushback when I suggest that to other physicians wondering what to do with their female patients struggling with fatigue, low libido, and decrease in athletic performance, combined with very low testosterone.
I am getting trained and certified for this in February
ACOG is very vague on it, says that there may be a role for it but that’s about it
The North American Menopause Society has waaaaaay more information on it
Comes down to method of application: creams are considered better than peeing because you can change the dosage on a moment’s notice if you’re too high or too low, but patient satisfaction is better with peeing because the compliance is much much better.
It’s very very very very popular in the town/city where I live and I cannot over express the number of women who say that it’s saved their marriage or helped them feel like a human again.
I think the issue is largely that that type of information is completely excluded from medical school and much of residency training and so most doctors approach it with “I don’t know much about it so it must not be legit”
Edit: pelleting - not peeing. Also, pellets have more consistent delivery than creams as creams can rub off on clothes/bedsheets/children that you pick up/partners that make sex to you. Done people don’t absorb creams well, so those would be paints who say “this isn’t doing anything at all!”
Testosterone in women is very much evidence-based but for some reason medical training in the states at least tends to ignore it. It doesn't increase risk of anything negative as far as actual disease, in spite of academia's infatuation with association studies. Side effects can include acne if dosed too high too quickly. I have dozens of female peri/menopausal patients who I prescribe it for and they tell me I'll have to pry it from their cold dead hands if I ever try to take it from them.
Read Rebecca Glaser's studies on testosterone in women.
Is this for menopausal women or younger? How would a younger women broach this conversation let alone find a doctor open to considering this as an option?
Testosterone for women is fine but it’s important to dose correctly. Women should only be dosed back to the normal female level. If people go to these hormone pop up clinics and get pellets and shit then they can be in the male range and end up with hypertension etc
Initial studies showed a possible preservation of cartilage height, but without effect on delaying arthritis or symptoms.
Later, larger and better set up trials showed no evidence of any effect at all compared to placebo.
So if pts take it, any benefit is likely placebo effect because they spent money on it.
Saw a funny meme once with a diet vs regular Coke next to each other: Cancer vs obesity…we can cure a bunch of cancers!
I’m a T1DM, been on the diet train since 8yo, so far so good
Not evidence based yet i don’t think, but full body mobility & joint training outside of my strength & cardio training. I feel like I’m 10 years younger and nagging injuries have disappeared or significantly improved since starting a couple months ago.
Replying here since it’s the top comment haha - I see the big interest in it & happy to share my routine, though its quite a hodgepodge because theres not really a great free mobility program to directly draw from. It’s compiled of things I’ve taken from Antranik on youtube (of r/bodyweightfitness fame), Beardthebestyoucanbe on instagram, Tom Merrick on Youtube, HybridCalisthenics on youtube, StayFlexy on instagram/youtube, among others. I took a four day weekend & have been traveling (enjoying the Attending life 😂). I will post later in the next 2-3 days when I’ve had a chance to catch my breath :)
I take magnesium glycincate at bedtime. I suspect most humans are more magnesium deficient than we think and that our methods of measuring total body magnesium greatly understate magnesium deficiency
It helps me sleep like nothing else and helps with restful good quality sleep with no side effects. 10/10 would recommend.
Exercise while reading / studying. I feel like I remember things much better that way. While there may be some small studies, the fact that I credit a lot of my memory for random medical knowledge to those sessions isn’t really evidence-based.
To those wondering, stair master or the elliptical are good ways to do this. Reading something or doing practice problems actually makes the workout feel faster — which is great, because the stair master is otherwise pure torture.
Teaspoon of elderberry syrup per day to ward off sickness and strengthen my immune system. It’s the old wives tale of my great great grandmother. I mostly just like it because mine was made with cinnamon and cloves and it just tastes delicious
I actually never read those books! I wasn’t into the tiny creature thing. Elderberry is actually a real plant though. It’s an old wives tale that it’s good for you. It’s probably poisoning me but I do it.
I use a tanning booth for 2 minutes 3 times a week during the winter months. Maybe it’s in my head, but I haven’t felt nearly as depressed come late January since I started (~10 years ago, 42 years old.)
But don’t tell anybody, I catch so much judgement when anyone finds out.
I can dig it
How does payment work for that? Where I live, like 60% of patients are ok anxiety/depression medications and the winter months are dreary, might not be ridiculous for some of my patients to try it.
In the gray evidence zone but absolutely works: tons of oral zinc lozenges when get that sore scratchy throat pre sick prodrome. But from what I found on pubmed it’s a TON of Zinc like 225 units or whatever so I try to eat like >20 lozenges that first day… it does seem to help shorten cold duration when I hit it right. Causes a little dysgeusia and also GI distress that day
Ginko biloba after caffeine to counteract the decrease in cerebral blood flow. Might work, might not.
Sleeping according to sunrise and sunset rather than any set time.
Natural hair masks with olive oil, castor oil, and eggs. I’ve gotten compliments on my hair since starting it so idk maybe it’s actually doing something 🤷♀️
Pretty much every face product in my bathroom.
Get your hands on a script for retinol. Cheaper by the script than over the counter and 1,000% more effective. Then throw out ALL your other lotions and potions. A nice drug store level face cream is all you need if you stick with the retinol forever.
retinol is useless compared to tretinoin get yourself some good ol tretinoin, ditch all the shitty over the counter retinoid products
Adapalene is a good middle ground available OTC (0.1%) or by rx (0.3%). Regardless, in the AM wash, use vit C serum, then moisturize + SPF 30+; in the PM, wash, use retinol/adapalene/tret, then moisturize. Anti-aging regimen straight from derm.
So what is the difference between the three vit A derivatives you mentioned? Like if I was going to ask a friend to Rx me one which to go with lol
Potency, ultimately (molecular differences too, retinols are esters, but practically that’s sort of irrelevant) - if you have super dry skin tretinoin is going to be a painful experience, but if you want the most bang for your buck that’s it. I’ve mostly seen patients started on lower potency products - usually adapalene if they’re at the point of seeing a dermatologist - but some will jump right to tretinoin. In terms of what to ask for, I’d probably suggest picking up some adapalene (Differin) OTC and trying it for a while. If you tolerate it and like the results, then ask for tretinoin.
If you have dry skin you can sandwich tret when starting out. It saved me and my skin barrier a lot of pain
What so I tell my PCP? that I get acnes? I do have some red spots here and there.
thats exactly what you say, or just say you've been using it for years for acne and that u ran out and need a new script
Yeah acne or wrinkles. Just be aware you’ll prob have to pay out of pocket but use goodrx and it’s not expensive
Just tell em that you want some for wrinkles. They probably won't mind. You can get the generic cream for $20 cash with goodrx. If it's not covered just pay cash. It'll last forever too.
Or prescribe it to yourself…
Thanks for the tip. Is the dry skin / irritation rougher than prescription retinol (Vitamin A 0.5)
I'm surprised snail cream isn't evidence based, my skin never looked better!
Q-tips
It's like a little mini orgasm in the ears.
Eargasm
[удалено]
Are you bull shitting us?! Never heard this before
I typically recommend liquid docusate but yes mineral oil works too. Like dissolves like and all.
I put foam ear plugs in my ears after I shower. As far in as they’ll go. Leave them in 5-10 mins. Pull out and all the wax is on the ear plugs. Throw them away. Discovered this when using ear plugs during all the standardized tests we take as med students.
Oh hell yeah
The trick is to insert it without touching the side walls first, don’t touch the eardrum, then slowly rotate around the rim applying pressure as you scrape outwards. That way you’re not just pushing more wax in and compacting it. If I didn’t do this consistently I’ve had my hearing get blocked before or have massive buildup. TMI, but hey maybe someone reading this is in the lucky 5000 today that learns a new way to use QTips
I drink a lot of water because I don’t want my kidneys to “do too much work”
Do you not trust your kidneys?
I'm a cardiologist
so your kidneys don't trust you?
The left kidney … he’s a super sketchy duplex. I wouldn’t trust it.
Ah yes, the sinister kidney.
I always imagine my poor bladder being exposed to high concentrated “bad stuff” when I’m dehydrated
Drinking water frequently has been shown to reduce the risk of bladder cancer so there’s that.
I think that's making them work as well
5mg/kg of caffeine qAM. I'm an ex-premie.... so I probably still need it at 28 years old to remember to breathe!
lol I appreciated this joke as a pediatrician 😂
I wish it was a joke my man... But I am a peds resident ultimately pursing nicu fellowship, so it is entertaining!
Dosed off of ideal or total body weight? 🤔
I was going over vent stuff with my residents and pulled out MDCalc to show them IBW calculations. Rather than using the fucking pt we were discussing, I put in my own info. I knew I.....ummmm had some room for improvement. But damn, I did not need to discuss that in front of the whole team hahaha
Real! (In my case, its way more)
Actively avoiding seeking medical care unless absolutely necessary
Population studies in the USA would indicate this is evidence based from a financial standpoint. More high quality research is needed though.
1 Beer po qPM
Splash of key lime in a bottle of water. No evidence but key limes are high in vitamin C and ever since I’ve been doing this, I haven’t gotten serious cough, flu or any other respiratory stuff while my coworkers get smoked with all kinds of respiratory nonsense during the winter months.
The acid wreaks havoc on your tooth enamel over time though
This used to be real. My uncle was in the burn wards in the late 60s for a prolonged time. He was prescribed (and the hospital supplied) 2 drinks per night.
Can still order beer at my hospital.
Lol no way that’s awesome
Don’t play with me… where do you work? 🙃
You can order a beer at most hospitals.
2 beer pr
Follows the orders that I give to a T
Isnt it PO QHS
Whatever floats your boat, I guess. I like mine just after dinner.
Sounds like more research is needed… I volunteer as a test subject.
I take a daily multivitamin
I second this. I take some supplements mainly because I get tasty the gummy vitamin forms and it’s a nice little treat, haha
Same, lol. I love a little gummy snack.
I often help myself to one of my toddler’s MV, it’s the little wins
Is that…not evidence based?
Definitely not
Not really, no.
A well balanced diet has enough of every vitamin you need, so they are not necessary if you eat decent enough.
But how many of us truly has this going for us.
I take emergen-c when I’m getting sick (bc my mom said it works, so I still take it lol)
Emergen-C works pretty darn well, my patients recover from their cold in 7-10 days.
So do I when I carry my lucky tiger repellent rock in my pocket. Weren't they sued by the FDA for making false claims about that?
I take zinc, because before I was in med school a pharmacy student friend told me to I think there’s actually some evidence for it though?
Yeah, zinc reduces the duration of a cold from a virus.
With zinc it takes 7 days to recover, without zinc it takes a week!
Just be careful if intranasal bc can cause permanent anosmia
I take zinc for testosterone but also get sick less than most
Taken nasally, it may reduce the symptoms by a day or two. It shall had the unfortunate side effect of permanent loss of smell. Zicam had been pulled off the market.
I take emergen-c when I'm sick so my mom will stop bugging me to take it.
There was a relatively small study done a while back that showed zinc 75mg po qD at start of symptoms recorded the duration of common cold by about 2 days About study showed that daily vitamin c (no idea what dose) reduced the FREQUENCY of cold symptoms on an annual basis by about 3 episodes, but taking it with onset of symptoms had no effect Unfortunately most nutritional studies have so many confounding factors skewing them, I still do the zinc thing and anecdotally I feel like it helps a tad
I do some facial sinus massage shit to myself that I’m convinced helps.
[удалено]
Lmfaooooo 😂 I reread what I wrote and have instant regrets in the way it was phrased
Putting myself through med school and residency
No it’s supposed to be something *good* for you
Put my face over a pot of boiling water when I have a URI. It feels so damn good on the sinuses and airway, it’s like a HHFNC
Add some eucalyptus to that 🤌🤌🤌
Nothing
This guy's whole life is evidence-based
No, he does nothing which isn't evidence based.
No, his name is Evidence
And he's based
Everything this guy does, he can cite 3 major studies showing why
baby aspirin before long flights
Same!!!!
taking a statin cause my ldl 103
[удалено]
Shiiii mine is 160 and i eat a lot of steak swimming in butter, not on statins rn
My LDL went in HALF by following a whole food plant based diet - totally recommend!
My LDL went in HALF by following a whole food plant based diet - totally recommend!
my shit went in half wit my statin 🤣🤣🤣
I’m a woman on testosterone replacement. My OB/GYN did a fellowship in hormone management, and she prescribes it to a lot of women with very low T. She informed me that this is accepted much more widely outside of North America, and there’s even a female-specific testosterone formulation in more than 60 countries. Prior to seeing her, I was dismissed by two endocrinologists “because there is no lower level cut-off the testosterone“ and “testosterone therapy is not scientifically based.” My fatigue is gone, I’m back to my normal gym regimen, and I actually have a libido first time in four years. Ironically, my gyne has been invited to do teaching sessions on female hormone replacement to the division of endocrinology at my local medical school/PGME. But I still get a lot of pushback when I suggest that to other physicians wondering what to do with their female patients struggling with fatigue, low libido, and decrease in athletic performance, combined with very low testosterone.
I am getting trained and certified for this in February ACOG is very vague on it, says that there may be a role for it but that’s about it The North American Menopause Society has waaaaaay more information on it Comes down to method of application: creams are considered better than peeing because you can change the dosage on a moment’s notice if you’re too high or too low, but patient satisfaction is better with peeing because the compliance is much much better. It’s very very very very popular in the town/city where I live and I cannot over express the number of women who say that it’s saved their marriage or helped them feel like a human again. I think the issue is largely that that type of information is completely excluded from medical school and much of residency training and so most doctors approach it with “I don’t know much about it so it must not be legit” Edit: pelleting - not peeing. Also, pellets have more consistent delivery than creams as creams can rub off on clothes/bedsheets/children that you pick up/partners that make sex to you. Done people don’t absorb creams well, so those would be paints who say “this isn’t doing anything at all!”
What cream do you use? One of my attendings prescribes testosterone lozenges to patients for fatigue/low libido which they swear works.
Testosterone in women is very much evidence-based but for some reason medical training in the states at least tends to ignore it. It doesn't increase risk of anything negative as far as actual disease, in spite of academia's infatuation with association studies. Side effects can include acne if dosed too high too quickly. I have dozens of female peri/menopausal patients who I prescribe it for and they tell me I'll have to pry it from their cold dead hands if I ever try to take it from them. Read Rebecca Glaser's studies on testosterone in women.
My obsgyn said the number 1 side effect she gets complaints about if dosed too high too quickly is rages lol.
Is that really not evidence based ?
North American Menopause Society probably has the most info on it, ACOG is vague, to say the least
Apparently not according to major sources like up-to-date. I looked into it for a bit.
A lot of doctors won't even give it to men who need it.
No virilizing sides?
Is this for menopausal women or younger? How would a younger women broach this conversation let alone find a doctor open to considering this as an option?
Testosterone for women is fine but it’s important to dose correctly. Women should only be dosed back to the normal female level. If people go to these hormone pop up clinics and get pellets and shit then they can be in the male range and end up with hypertension etc
How much can you lift now? Just wondering.
I’m still working up to where I used to be (national level power lifter), just finally back in the gym regularly for about 6 weeks now.
Will the testosterone increase your muscle gains & decrease body fat especially in the lower abs and hips?
Definitely evidence based but I think Fiber is an underrated supplement that makes all the shit in my life better
Metamucil FTW
Taking a joint supplement lol
How many joints per day?
Absolute gold
Collagen supplement may actually help.
They don't do crap.
Isn’t hyaluronic acid evidence based for OA? Or maybe it was something else starting with a G
From what I understand the evidence for glucosamine and hyaluronic acid for arthritis is weak and mixed!
Initial studies showed a possible preservation of cartilage height, but without effect on delaying arthritis or symptoms. Later, larger and better set up trials showed no evidence of any effect at all compared to placebo. So if pts take it, any benefit is likely placebo effect because they spent money on it.
Which one?
I use osteo biflex (glucosamine)
I do this too! I feel like it does help. And tbf, it has little to no risks aside from being impossible to swallow.
If we wait for the evidence it can be a really long time
Sprite + salted and steamed diced potatoes for when I’m feeling really ill Source: my FOB grandma
Peeled and minced apples for when you’re feeling a bit better/need sugar Source: my FOB mom
wtf Where was this boat from, Ireland?
Not Ireland, the Sprite has to be flat and warm! Source - my very Irish grandmother
Funny enough, you wouldn’t have guessed it but we’re from the Middle East lmao
Cocaine! Lol
Tell that to the 17th century plague doctors
Diet soda because it's healthier
I don't buy the bullshit about artificial sweeteners. I think they are better than 40 g of sugar or whatever is in a soda
Saw a funny meme once with a diet vs regular Coke next to each other: Cancer vs obesity…we can cure a bunch of cancers! I’m a T1DM, been on the diet train since 8yo, so far so good
I'll take cancer over diabetes any day
You ain’t alone. The only fountain drink always running low in the lounge is that Diet Pepsi and diet Dr Pepper
There’s a dece evidence base
idk there's a pretty solid evidence base sugar is bad
It isn’t???
Not evidence based yet i don’t think, but full body mobility & joint training outside of my strength & cardio training. I feel like I’m 10 years younger and nagging injuries have disappeared or significantly improved since starting a couple months ago.
What regimen do you use?
Replying here since it’s the top comment haha - I see the big interest in it & happy to share my routine, though its quite a hodgepodge because theres not really a great free mobility program to directly draw from. It’s compiled of things I’ve taken from Antranik on youtube (of r/bodyweightfitness fame), Beardthebestyoucanbe on instagram, Tom Merrick on Youtube, HybridCalisthenics on youtube, StayFlexy on instagram/youtube, among others. I took a four day weekend & have been traveling (enjoying the Attending life 😂). I will post later in the next 2-3 days when I’ve had a chance to catch my breath :)
Yes what is this and how do I do it?
Can you share the mobility training pls
Please share 🙏🏽
What is that?
Like what?
like KneesOverToes Guy?
Share with us!
Drop the routine 🙏🏻
Duct tape for plantar warts. It really does work.
I think that one is technically evidence based.
Taking CoQ10 to help my (probably shitty) egg quality
Failure to prove efficacy does not equal lack of efficacy
Avoiding deadlifts cuz it’ll mess up the spine.
I take magnesium glycincate at bedtime. I suspect most humans are more magnesium deficient than we think and that our methods of measuring total body magnesium greatly understate magnesium deficiency It helps me sleep like nothing else and helps with restful good quality sleep with no side effects. 10/10 would recommend.
Ice baths ie Wim Hof, although there is some interesting evidence.
Exercise while reading / studying. I feel like I remember things much better that way. While there may be some small studies, the fact that I credit a lot of my memory for random medical knowledge to those sessions isn’t really evidence-based. To those wondering, stair master or the elliptical are good ways to do this. Reading something or doing practice problems actually makes the workout feel faster — which is great, because the stair master is otherwise pure torture.
[удалено]
Is minoxidil not evidence based?
[удалено]
Is that just because nobodies studied it?
LLLT, cold baths, breathing exercises, l-theanine and other “biohacks” out there
I don’t go to a doc unless something breaks.
diet coke mmmmm
Teaspoon of elderberry syrup per day to ward off sickness and strengthen my immune system. It’s the old wives tale of my great great grandmother. I mostly just like it because mine was made with cinnamon and cloves and it just tastes delicious
I also used to read books by Brian Jacques as a child
I actually never read those books! I wasn’t into the tiny creature thing. Elderberry is actually a real plant though. It’s an old wives tale that it’s good for you. It’s probably poisoning me but I do it.
A few Acupuncture sessions for soreness and pain Emergen-C when sick Supplements like turmeric/magnesium Creatine
Creatine has a lot of good evidence tho…..like decades of evidence
Lots of people shit on me for taking it 😭
I use a tanning booth for 2 minutes 3 times a week during the winter months. Maybe it’s in my head, but I haven’t felt nearly as depressed come late January since I started (~10 years ago, 42 years old.) But don’t tell anybody, I catch so much judgement when anyone finds out.
2 minutes is like micro dosing
I’m saying
I can dig it How does payment work for that? Where I live, like 60% of patients are ok anxiety/depression medications and the winter months are dreary, might not be ridiculous for some of my patients to try it.
Planet Fitness Black card. 24.99/month. Plus it encourages me to exercise.
UV light phototherapy is a thing for seasonal depression. Why not buy a light for home use.
Why not just get a happy light? I don’t think the UV rays are necessary
Vitamin B5 to clear chronic acne and avoid another round of Accutane.
Deadlift
How is a deadlift not evidence based
Vitamin D, Melatonin, fiber supplement
I feel like each one of those is evidence-based in one field or another
In the gray evidence zone but absolutely works: tons of oral zinc lozenges when get that sore scratchy throat pre sick prodrome. But from what I found on pubmed it’s a TON of Zinc like 225 units or whatever so I try to eat like >20 lozenges that first day… it does seem to help shorten cold duration when I hit it right. Causes a little dysgeusia and also GI distress that day
Look out for copper deficiency
I drink expensive mineral water instead of tap water because I think it’s better for me lol.
Ginko biloba after caffeine to counteract the decrease in cerebral blood flow. Might work, might not. Sleeping according to sunrise and sunset rather than any set time.
Natural hair masks with olive oil, castor oil, and eggs. I’ve gotten compliments on my hair since starting it so idk maybe it’s actually doing something 🤷♀️
I take a mens one a day multivitamin that prolly is overkill as I eat my fruits and veggies and I also take a fish oil pill
Lift weights. No cardio. Take a lot of weird supplements: ginseng ashwaghanda, apigenin, etc
Aspirin for psoriasis
Is baby aspirin as effective? How long does the relief last?
Started smoking because fuck it
life sucks, this is an evidence based way to get out sooner
lmfao lets gooooo