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From the Mayo Clinic link in post#15 "we recommend that interested health care professionals view the ME/CFS Treatment Recommendations document published by the US ME/CFS Clinician Coalition." LDN listed under the pain section...

Low-dose Naltrexone Improves post–COVID-19 condition Symptoms Dr. Younger is the director of the Neuro-inflammation, Pain and Fatigue Laboratory and is also a member of the UAB PAIN Collective...

Diagnosis and Management of Myalgic Encephalomyelitis/Chronic Fatigue Syndrome https://www.mayoclinicproceedings.org/article/S0025-6196(23)00402-0/fulltext LDN is listed several times in the table of management options

Have you ordered from them recently? I just called, 855-427-4682, and was quoted $390 for a cash price, also said they don't accept goodrx or anything like that. https://www.optum.com/en/customer-support/pharmacy-support/specialty-pharmacy-customer-service.html

Is this the same Optum you order from? https://www.optum.com/en/customer-support/pharmacy-support.html 855-427-4682 I just called to transfer my Rx from Walgreens and was told Pregnyl 10,000IU was $390, she said they didn't offer a generic and gave me a # for Organon patient assistance to see if...

If they increased after the cypionate and milk thistle: Reputably sourced cypionate? When did you start the milk thistle and is it a tested product? AST:ALT ratio is <1 in both tests https://en.wikipedia.org/wiki/AST/ALT_ratio What's the ALT lab range? Typically around <45 is considered...

I think we agree on more than we disagree: poor diet, environmental factors, social media, etc. are all factors in depression. Antidepressants aren't perfect but I wouldn't trash them on a whole. Meds helped give me the ability to address diet, exercise, sleep hygiene, etc. that I didn't have...

It's definitely a concern, and for sure it's frustrating for all parties involved. If you're passionate about the prescribing of antidepressants, I suggest calling your senator and house representative because I believe it will literally require an act of congress. From what I understand: 1)...

Reminded me of 2 times that I experienced something similar: 1) Are you taking generic Adderall XR? I ask because I noticed fatigue, anxiety, and a bunch of weird stuff when my pharmacy changed brands of generic Adderall XR due to a supply shortage. I didn't think there was a difference in...

Is it seasonal by any chance? I'm not a psychiatrist, but from my own MDD experience I'd recommend a PHQ-9 first. See if you're barking up the right tree. For depression meds, some people respond really well to serotonin meds like SSRI's (also the studies on serotonin agonists like psilocybin...

https://www.aafp.org/pubs/afp/issues/2024/0600/testosterone-replacement-therapy-male-hypogonadism.html I emailed the author of the 2024 American Family Physician guidelines. I also CC'd the AAFP, the Endocrine Society, and the author of the 2017 AFP guidelines. He responded that he received my...

As far as this stuff goes, we live in a really cool time. The price of Whole Genome Sequencing WGS is becoming more affordable. I came across this list for anyone that's interested. Average price I've found for 30X WGS is around $400-$500. https://arep.med.harvard.edu/gmc/genome_services.html...