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Cake day: February 27th, 2025

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  • This is an updated recommendation for how to treat headaches in the emergency department, and one of the treatments it’s replacing is opioids.

    Here is more from the article:

    The update reviewed 26 studies from the past nine years that met the criteria involving migraines and visits to emergency departments to bring the treatment recommendations up to date.

    “This update marks a major change in emergency department migraine care and implementing these treatments can improve patient outcomes and reduce reliance on opioids,” said study co-lead Dr. Jennifer Robblee, a neurologist and migraine and headache disorders specialist at Barrow Neurological Institute

    Another user added a first person perspective, which explains it a lot better than I could.





















  • I appreciate the comment, these are important points that I did not include in the post and I didn’t mean to imply otherwise when posting this.

    I thought this article was worth sharing because some people promoting these products still say/imply that they can be used temporarily. Some people may start treatment without fully understanding the details:

    Some studies have found that about half of people who start taking a GLP-1 drug for weight loss stop taking it within a year—for various reasons—and many people think they can stop taking anti-obesity drugs once they’ve reached a desired weight, Oczypok and Anderson write. But that’s not in line with the data.

    This part was also interesting. If there IS a way to stop taking the drugs after a while, or safer ways to wean patients off the drugs if they can no longer continue, then that is worth investigating:

    Data gaps and potential off-ramps

    On the other hand, there were 54 participants of the 308 (17.5 percent) who didn’t regain a significant amount of weight (less than 25 percent.) This group saw some of their health metrics worsen on withdrawal of the drug, but not all—blood pressure increased a bit, but cholesterol didn’t go up significantly overall. About a dozen participants (4 percent of the 308) continued to lose weight after stopping the drug.

    The researchers couldn’t figure out why these 54 participants fared so well; there were “no apparent differences” in demographic or clinical characteristics, they reported. It’s clear the topic requires further study.

    Oczypok and Anderson highlight that the study involved an abrupt withdrawal from the drug. In contrast, many patients may be interested in slowly weaning off the drugs, stepping down dosage levels over time. So far, data on this strategy and the protocols to pull it off have little data behind them. It also might not be an option for patients who abruptly lose access to or insurance coverage for the drugs. Other strategies for weaning off the drugs could involve ramping up physical activity or calorie restriction in anticipation of dropping the drugs, the experts note.

    In addition to more data on potential GLP-1 off-ramps, the pair calls for more data on the effects of weight fluctuations from people going on and off the treatment. At least one study has found that the regained weight after intentional weight loss may end up being proportionally higher in fat mass, which could be harmful.

    For now, Oczypok and Anderson say doctors should be cautious about talking with patients about these drugs and what the future could hold. “These results add to the body of evidence that clinicians and patients should approach starting [anti-obesity medications] as long-term therapies, just as they would medications for other chronic diseases.”


  • Otter Raft@lemmy.caOPtoComic Stripsxkcd: Fifteen Years
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    18 days ago

    That’s fair, your words are valid as well.

    I don’t think this comic is necessarily heartwarming or wholesome. It’s a short story that shares details from the author’s life. I can see how it can give hope to some while making others feel worse.

    I’m sorry for your loss





  • I think there may be a misunderstanding, or multiple interpretations, of what ‘toxic masculinity’ refers to.

    In the contexts where I’ve heard it, the term wasn’t being used to say that masculinity is toxic /that it should look a certain way / that this is something that’s up to men to change. Rather, it refers to the subset of toxic behaviour that is associated with ‘masculinity’, as a way of organizing discussion. The term isn’t meant to ignore or minimize other types of toxic behaviour, it’s there when referring to any patterns or solutions that might be in common for that subset of toxicity.

    For example, the term “men’s mental health” organizes discussion around mental health challenges that men deal with. It doesn’t mean that only men deal with mental health issues, nor does it mean that men’s mental health issues are more important to deal with than those of other groups.

    If society truly wants progress, we should stop policing how masculinity looks and start holding all people accountable for toxic actions, not their gender.

    Isn’t the first part exactly what ‘toxic masculinity’ discussions are about, that rigid and harmful gender expectations harm everyone, regardless of where it comes from (men or otherwise)?

    As for the second part, I don’t think anyone is saying otherwise. We SHOULD hold everyone accountable for toxic actions.





  • Yup, this is the context where I usually hear the term used. That the person is pretending, just to get the date

    I think the article did a good job of explaining why this is a problem. It also left off on a positive note:

    A positive sign is that, rather than being defensive, many male creators are leaning into the joke and using parody as a way to explore what a more sensitive man might look like.

    And perhaps the “performative male” trend holds up a mirror to our own contradictions. We demand authenticity but consume performance; we beg men to change but critique them when they try; we ask for vulnerability yet recoil when it looks too forced.

    The “performative male” may look ironic, but he’s also experimenting with what it means to be a man today.

    Whether that experiment leads to lasting change or just another online trend remains unclear, but it’s a glimpse of how masculinity is being rewritten, latte by latte.