There's no medical forum so I'll try here

[THE_REAL_OBLIVION]

I'll try to keep this short although it's not a simple subject.

Today, I got mad, I randomly broke windows of some cars so much I was enraged in the huge parking lot behind the polyclinic where my neurologist is, but my neurologist is a nice old man. I didn't get caught but here's the thing.

I was on methadone 11 months in 2012-2013, I switched to suboxone because of bad side effects. My new GP is also a specialist of Men's Health and after an extensive blood test, he noticed that my testosterone was down the tubes. So he prescribed me Delatestryl (extended release testosterone, enanthate salt I think). Well, I wasn't lucky, as usual, still on methadone (because I was tapering down 3-4mg a month until I could do the switch), I started getting bumps under my nipples that hurt as hell like kinda during puberty. He then prescribed me Anastrazole, something almost always prescribed to women, but apparently when test goes up estrogen does too, so this anti-estrogen specialized in getting rid of benign tumours, when I finally met him I had developed gynecomastia, at a small level, but it was something really annoying, no way was I going to put on a white or gray shirt anymore. The painful bumps all got away, and only something that does not hurt is left behind a bit lower my left nipple.

Finally yesterday appointment, I see a surgeon, because when medication causes gynecomastia or other health problems (we'll get to that), in that case methadone, the surgery's free, at a plastic surgeon, but I wasn't seeing a plastic surgeon, just a plain surgeon. And she, who was maybe my age (early 30's) or even late 20's, didn't let me tell her all I had to say first and then her analyze and look at the papers. I understand not all doctors work the same, but being told, "shh, look, I have questions to ask you and you're eating the time of our consultation, it was supposed to last 30 minutes blah blah blah (the number of times I visited a doctor who had me in the waiting room 2 hours. Then she told me that yes, she could do this but that she won't, she's saying that 1) the cyst or whatever is under my left nipple, since it doesn't hurt, I won't remove it, you could end up with nipples being the wrong side (basically going inside my body) and a 20% of tissue necrosis. So I said ok, I understand. But I told her once I lost my box of anastrazole and 2 weeks later I started getting painful bumps, again, developing (admittedly, then my T levels were not yet okay, it took 2 years of Delatestryl to get there, and I guess the anastrazole get t here, when I said the levels were very low, they were very low, almost near-death levels (i didnt know that was possible).

She said that second, even if she wanted to remove the cyst, she couldn't because I'm obese. I never was obese before, methadone caused it. I was 175lbs at 6'5, a matchstick, my normal weight was 195 but I lost a lot of weight preferring shooting up morphine and dilaudid than eating. After being on methadone, I gained 110 lbs. Yeah 110 pounds, 10 pounds a month, so the gynecomastia and adipomastia (means having lots of body fat suddenly) were also caused by methadone. Suboxone has not caused me to lose more than 5 pounds since I take it, august 2013, I was told I was going to lose 20 pounds of the water retention caused by it, but nope. So she got me an appointment with a plastic surgeon for liposuction. But here's the big WTF here.

She told me, since all the fat is almost on your front gut, we can't do liposuction there. I was like WTF with my eyes, and I told her so the surgeries I watched from american doctors on youtube are fake ? She told me "if you prefer believing youtube than me it's your right" then getting increasingly pissed off I told youtube is just a medium, the person who upload videos are the ones to criticize or not. But she didn't respond and said that it was impossible to remove fat from my methadone belly. I was bamboozled, and as I asked her why she said "look, we had 30 minutes together of consultation we're now at 1h20, I consider our appnt over (oh yeah she also verified my balls....so damn ashaming, but she says sometimes gynecomastia can be caused by a testicle issue (too small balls, well that aint my problem...), so I got up and she told me she'd fax the appointment with the plastic surgeon ( I won 25k on a scratch & win 2 days after my birthday this year, so I said, this gift from heaven, will be put to good use, I'm gonna get a 400 dollar annual gym /professional trainer after I deal with my medical issues, and damn the prices if they have to be so. I told her the methadone gave me this enormous, but rock hard gut, which is bizarre.

I read how it is more difficult to remove fat from the front gut due to it being stuck to the intestines making it dangerous, is this where she was going ? Or is she full of shit? Because next appointment with the sub/methadone doctor I will tell him what happened, and they're the best placed to say truly I never was overweight even less obese when I went there first for my 6 inpatient days full of cokeheads saying their addiction was worse than mine when they had no cocaine "HAHAHAHAHAHAHHA, for 6 months I freebased fishscale everyday and I could have bought a brand new Subaru WRX STI if I wanted in how much money I put in it and the day I decided it was over, it was over, it didn't make me sick in ways you cannot imagine" I had to semi-scream in one of our common dinners to the 3 17-18 years old telling me this. Why do you think they give me methadone? Because I'm not mentally ready to go through a week of hell (32 to 64 mg of hydromorph IV'd everyday) and old alcoholics (they throw everyone together here in inpatient ORT people and detox people...such a bad idea, I told them after I was done, only ORT people will understand ORT people).

Anyway, she (the surgeon) cannot be serious? She still gave me a consultation with a plastic surgeon since the government pays for medication induced issues and frankly being this fat, having problems finding pants and shorts that fit me in stores, sometimes a 40 will fit me, sometimes a 44 won't, it's hell, I even though of making my own liposuction machine at some point (I was on 4-aco-det and shrooms, a trip which ended in tears, at least I was alone). Plus I know being this overweight is bad for my heart, worse than the methadone was itself (had to take EKG's every 3 months when on it). All this because a retired doctor who was treating me with opiates and the NSAID I tolerate (meloxicam/mobic) and an oxycodan (percodan generic) in case the pain went over it, simply retired on me in 2008 and doctors not taking me seriously elsewhere or at the ER even if I had that retired doctor's documentation, nobody helped so who helped? A pain patient I met in those support groups I got friends with Mr.Dilaudid-Oxycontin-Hydromorph Contin-Statex-OxyIR-M-Eslons-Demerol-Ketamine cream-Cesamet for money...

 

[GrymReefer]

I am not too familiar with the procedures or methodology associated with liposuction, but the body has different kinds of fat and that is what she could have been referring to. We have subcutaneous fat that exists within the spacing between our muscles and the various layers of our skin. We also have small quantities of fat found within our muscles as well. She may be referring to visceral fat which is located within our abdominal cavity around our organs. They say abnormally high levels of visceral fat content is associated with Insulin Resistance and Type II Diabetes.

The location of the fat and the quantity could be a high risk situation.

 

[THE_REAL_OBLIVION]

Well, I wouldn't say take it all out, just maybe back to 230, where i can actually do some biking. I have looked online and there's a site with results from before and after of many men's beer bellies being removed and it worked well it seems. I think she didn't have the experience in that sort of thing and no it's not entirely a cosmetic issue, it's a huge psychological issue for me who never was this way + it was caused by medication. The government and their awesome 2 options for ORT should accept it is their fault, had I been tapered away for a month in the hospital in my own room like in central europe and even France where MS-Contin and Jurnistas are used in very high doses at first then do the process for you in 30 days....

Anyway, I'll see what the plastic surgeon says, she did fax a demand and I'll call em soon to verify if she did send the fax. She was such a passive-aggressive bitch. I think all doctors should let the patient let it all out while they read the reports of the multiple ultrasounds and CT scans, my neurologist in the same damn building who took care of the nerve pain with clonazepam and topamax when the pain there was still bad, it lost its intensity through time, but I've been fucked by the system one too many times and her she said shhh, please, I have questions and you're taking time....what a.. and even a mammography (it really hurts with small small manboobs to have them twisted by that thing, goddamn.

I just know that her mention that removing gut fat was impossible is BS of magnitudes. I could get myself in shape real fast back then, ex-hockey up to the 16-18 year old AAA level and same for baseball, and I before methadone I could do 50 push ups, now I can do 5, because well, try push ups if you weight almost 280 pounds.She told me you'll have to pay because patient is obese I said no, I'll have everything removed, if I can prove it was caused by medication (and it was) it's free. If the ministry of health refuses, they'll have one hell of a fight which will start at day 1 of the 90 of appeal.

Anybody else who has seen how easy it seems for some plastic surgeons to remove gut fat, please give me some info. It's where I got angry and left so fast I forgot my health card, thankfully the secretary is mailing it back, obtaining one when you lose it is a real headache.

 

[THE_REAL_OBLIVION]

I am not too familiar with the procedures or methodology associated with liposuction, but the body has different kinds of fat and that is what she could have been referring to. We have subcutaneous fat that exists within the spacing between our muscles and the various layers of our skin. We also have small quantities of fat found within our muscles as well. She may be referring to visceral fat which is located within our abdominal cavity around our organs. They say abnormally high levels of visceral fat content is associated with Insulin Resistance and Type II Diabetes.

The location of the fat and the quantity could be a high risk situation.

Just wanted to add, blood tests say I do not have diabeetus. It was all the methadone, and it is a common side effect to gain loads of weight from it. Well any opiates in quantity large enough will get you fat but methadone even at just 60mg (max dose I had) was appx worth 12mg of dilaudid IV except of course extended...but the mu stimulation is equivalent I imagine because of what their special calculator so says on their PDR's at the ORT clinic were telling me.

 

[GrymReefer]

My only other idea that might see fit is the methadone altered the way your adipose tissue secretes metabolic hormones. (Technically adipose tissue is an organ for it produces the "satiety signal" Leptin which travels to your brain in reference to energy regulation)

Adiponectin on the other hand is a protein hormone that is the modulator for glucose regulation and the activity associated with lipolysis. The study did indicate that it was identified that those who received the methadone protocol and were overweight, coincidentally possessed very low adiponectin serum concentration. Any disruption within the balance of these hormones generally knocks off the whole axis.

Now liposuction actually removes your fat cells vs. lipolysis and the shrinkage of fat cells. I remember reading somewhere about an instance in individuals who had liposuction gained their original fat deposits back. I'll check to see if I can find something to validate it, but your body has checkpoints for weight loss and a genetic blueprint dictating how your fat is stored and how much. This is why some claim they lose 5 lbs then gain 10.



Here is a little article if you want to read more into it. There is contradictory aspects, but nonetheless it does make some sense. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070161/

 

[GrymReefer]

"
Adipocytes and energy balance

Adipose tissue contains most of the energy stores in normal healthy humans. An important but underappreciated fact is that having more fat cells does not make an animal fatter. In the absence of altered energy balance, an increase in adipogenesis will result in smaller fat cells with no change in total adiposity. Conversely, a reduction in adipocyte number without a change in energy balance would result in larger fat cells, but not less total adipose mass. For example, surgical removal of fat can have cosmetic effects but does not change the energy balance equation. Careful studies in animals have shown that total body fat usually recovers after surgical removal of fat pads²⁵. If certain depots are removed entirely, the fat usually increases at other anatomical locations, though careful clinical studies have not yet been reported in humans. The fact that adipocyte differentiation does not in itself cause obesity does not mean that adipocytes have no role in energy balance. In fact, adipose tissues are critical integrators of organismal energy balance, through the regulation of both food intake and energy expenditure. These effects are mediated by both endocrine and non-endocrine means......"

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3212857/

So its more of a possibility because it hasn't been directly proven in a human experiment. However, I've read plenty of stories (could have been fabricated) about rare instances with liposuction and the sudden onset of replacement fat in the locations where the removal took place. I still don't 100% know if there is a marginal increase in risk associated with removal of visceral fat or if visceral fat were to be removed would it cause a disruption in the regulation of energy. And remember I read those stories on the internet....so who knows if someone just had a really good idea for a fictional short story revolving around a liposuction nightmare.

 

[One Thousand Words]

Did you accuse a doctor of being passive aggressive yet smashed random car windows in a car park?

I'm pretty sure she probably has the correct read on you

 

[THE_REAL_OBLIVION]

"
Adipocytes and energy balance

Adipose tissue contains most of the energy stores in normal healthy humans. An important but underappreciated fact is that having more fat cells does not make an animal fatter. In the absence of altered energy balance, an increase in adipogenesis will result in smaller fat cells with no change in total adiposity. Conversely, a reduction in adipocyte number without a change in energy balance would result in larger fat cells, but not less total adipose mass. For example, surgical removal of fat can have cosmetic effects but does not change the energy balance equation. Careful studies in animals have shown that total body fat usually recovers after surgical removal of fat pads²⁵. If certain depots are removed entirely, the fat usually increases at other anatomical locations, though careful clinical studies have not yet been reported in humans. The fact that adipocyte differentiation does not in itself cause obesity does not mean that adipocytes have no role in energy balance. In fact, adipose tissues are critical integrators of organismal energy balance, through the regulation of both food intake and energy expenditure. These effects are mediated by both endocrine and non-endocrine means......"

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3212857/

So its more of a possibility because it hasn't been directly proven in a human experiment. However, I've read plenty of stories (could have been fabricated) about rare instances with liposuction and the sudden onset of replacement fat in the locations where the removal took place. I still don't 100% know if there is a marginal increase in risk associated with removal of visceral fat or if visceral fat were to be removed would it cause a disruption in the regulation of energy. And remember I read those stories on the internet....so who knows if someone just had a really good idea for a fictional short story revolving around a liposuction nightmare.

Well, I'm just wanting some of my belly fat to be removed, also waist, because 1) it's so difficult to find jeans or shorts that fit me anymore, sometimes 40 will do, sometimes it'll be too much. Yet right now I'm wearing shorts that are 44 of waist. I have pants of 42 that I cannot wear at all. And don't speak of all the pairs of 36 I used to wear before all this happening piled up in my closet... I would like to get myself back to say 240 lbs, where I once got myself to and got rid of myself. It's really difficult to do any biking, even stationary with an ass thats also swollen because of the methadone (not as much as the belly) but it hurts, I need a 100 dollars gel bench is what I know, right now my money has to go into more renovation of the house. I do not eat a lot at all, I eat a bowl of high fiber cereal to aid with the the bupe constipation that is as crazy as the one on methadone, and have regular home meal at around 4 pm, usually at the same time. My weight does not mirror my eating, when I got to 240lbs (which I got rid of in 8 months back to 192 lbs) back in 2004 was because I was dealing L and weed and had so much over-money and got lazy, living on a boulevard with all the fast food chains imaginable, I'd just walk to them and ate such for 6 months in a row at least once a day, but hey there was some pedophile aids subs (see what happened to Jared lol) so I guess I shouldn't have swollen. Then it was possible to do push ups, sit ups, do some exercise on my sitting bench which I can't be sitting nicely on now. If I had been given anastrazole at the same time as testosterone, I would not have swelled as much too, had to learn that raising T without opposition invariably raises E...anyway.

I want to be put back at a weight where I can do the rest, that's pretty much all, 40 pounds off me and I'll be able to get back. Right now it's impossible.

Did you accuse a doctor of being passive aggressive yet smashed random car windows in a car park?

I'm pretty sure she probably has the correct read on you

Well, better that than be confrontative-aggressive(i know i made that up) and punch her in her lying teeth and be banned from the Polyclinic...that'd be really bad as there is only 2 buildings of this kind in our little city of 200 000 where specialists all group together, or almost. My old maxilofacial surgeon dentist who put me on 200mg codeine contins every 12 hours with a 5mg oxycodan (percodan) and and a muscle relaxant that actually works without making me sleep like crazy (say cyclobenzaprine..and we don't have Soma in Canada), it was Zanaflex, a very under-scripted effective muscle relaxant for my facial muscles that when under stress clenched and made the TMJ disorder + trigeminal nerve damage even worse.

I told her I didn't like her attitude, I thought she was passive-aggressive. Telling me that removing belly fat was impossible and only reducing waist fat was possible....I had a problem not to laugh in her face. I'm also aware that belly fat is removed from the side. And she also told me that breast implants are not inserted through the armpit so as not cause the disgusting scars of old (we got there because she discussed how she would if she would take out the 20cm nodule under my left nipple, which she couldn't even find until i pointed to her how to touch it. She said it wasn't 20cm and laughed and I said, 2mm then, (the ultrasounds, one of them definitely found something that is 20 mm, although it is not cancerous...apparently they would know, without taking a biopsy...which sounds like bullshit.

I got out so mad at being treated like a pleb when I knew more about EXISTING surgical procedures which she denied in my face exists. I only thew a rock at a random car not even aiming anywhere and hit the windshield and punched the car next to mine and my own car.

Yeah, overreaction? Or being at the end of your rope in a situation that doesn't want to end since I got on fucking methadone. I should have sucked up the 4-6 days of horribleness, I had 2 scripts of benzos at 2 different pharmacies which don't communicate with each other, I had a Dexedrine script (I still do, but methadone made mixing dexedrine with it horrible, methadone already being horrible on the heart), I can't take it anymore, which ruins my productivity and brought back my social anxiety (stimulants destroy it and I actually got my current girlfriend and 2 others when I was first put on Dexedrine in 2004 that year I put myself into shape....women will always be superficial so I guess my very broad shoulders at the time had this 17 year old basically rape me when I was 2 weeks away from being 23 back then at the end of a party she decided to stay and we weren't both home, lol, the owners were not even there anymore, I was their best friend so I was given control of the apartment....

Now I'm reminiscing good times...I just want to be able to do what I once did before, and there's 40lbs in excess I have to get rid of. I don't even drink softdrinks (the only ones i drink sometimes is Pepsi Throwback, at first I was hmm bizarre, then it reminded me of the taste it had when I was say 13 and less and got used back to it, the corn syrup, you get addicted to it!, I'd go as far as to say its worse than all fake sugar except the only safe one so far imo (Stevia). I'm sad that the Sucralose turned out to be failure.

Anyway, yeah, some could say I overreacted and the person's who windshield got cracked didn't deserve it, but whatever, i'm sure their life sucks less than mine since 2 years.

 

[One Thousand Words]

When was the last time you got off the sofa and exercised?

 

[THE_REAL_OBLIVION]

I can't exercise at this weight, I need to get down to 240. Last time? 3 days ago I attempted push ups, did 4. Try doing push ups at 280 lbs...

Anyway, I know where you're going with this, I wouldn't waste your precious tofu energy on asking me questions about things I already mentioned (last week tried to bike, ass hurt literally, I need a large gel bench. Only biking managed to get me to lose 50 lbs (with some street meth pills during the summer i gotta admit, not a lot), in 2004, and my mandatory phys ed college class (we got 3 of em) was also Physical Training, so I doubled down, I was doing it at home on my stationary bike with some music *I* find fast and encourages to exercise (hardcore punk, thrash metal, no need for damn boom boom cheesy bar music, in fact its a demotivation when its all I could hear at the class in college, I once told the teacher "I do weights much better with some Pantera playing than some techno music and she told me "well do it yourself at home if thats so" and she was saying how anything was good as long as it was energetic.

You sound like the kind of douche that teacher was from the few I've seen you post

 

[One Thousand Words]

So you want the easy fix of surgery and pills. How very American of you.

Get off your arse and start walking around the block. May not be as sexy or easy as excuses but then again it involves less broken windows of innocent bystander's cars

 

[THE_REAL_OBLIVION]

I'm Canadian.

What I want is to be dropped to 240lbs where I can (and did before, and it lasted for a long time, 8 years, the methadone had to mess it up. As for your sense of empathy, which is unable to understand why I did something impulsive like this, I have excuses, adult ADD, sports cured the H like I said in a previous post, played hockey and baseball until it was no longer possible in organized leagues until 18, wasn't drafted, an AHL team (the american hockey league, which normally has most of the team as a farm team for the young draftees from NHL teams, but I was offered a trial camp by the Adirondack Wings. Adirondack, MI is so far from me, I couldn't get a way or enough money to show up there on time. An AHL career is short, but its salaries of 100 000k max with all expenses paid, but a lot, a lot of bus in between shitty american cities. Not many people endure this more than 4-5 years if they don't get noticed by an NHL team.

Also, I'm bipolar. And the waiting and suffering since I got on methadone which is now getting close to 3 years and a half (even if I only had it 11 months) and a system with employees who are my employees who tell me things are impossible when they are not. It's like how Walt is justified in burning down that idiot Ken Wins' car in Breaking Bad season 1, you can't just be feeling other than yeah that person, the kind of person who makes the world worse got got!

And that's how I feel, if you want some details, I went in the row that said for employees only....so it wasn't another sick person at an appointment but one of these god complexed young female doctors (I hope, my neurologist is there but he drives an expensive Nissan which I forgot the model, it looks like a man's car, the car I threw a rock at, was purple) who are the worst. I so loved my old GP, my new GP is great too. Women really suck generally at helping men when doctors, and are extremely anal. They're like people with cerebral palsy, ready to call the authorities at the slightest worry. Now it's an approximation I made in my head of female docs I have had to deal with, males are always more compassionate, explain things better, don't tell you possible things are impossible...do not fail at touching that cyst i want removed under my left nipple like her and another, my endocrinologist who I had to really guide her for 2 minutes, for her to be able to get where it was.

tl;dr ever boiled with rage you didn't care of consequences ? Happily I will have none, and there were no cameras because this is canada and there isn't cameras every 20 m.

 

[realtalkloc]

being overweight can really fuck up one's self esteem, i'm sure you are going through a lot right now.

 

[THE_REAL_OBLIVION]

http://www.bluelight.org/vb/threads/587390-combing-methadone-with-orlistat-(alli-xenical)

I got an appointment with my GP this morning. I will be asking for a less drastic solution, Xenical : http://chealth.canoe.com/drug_info_details.asp?brand_name_id=1109

"Orlistat belongs to a class of medications known as anti-obesity agents, specifically gastrointestinal lipase inhibitors. When combined with a mildly reduced-calorie diet that contains no more than 30% of calories from fat, orlistat is used to help obese people lose weight and maintain weight loss.

Lipase is an enzyme that is needed to breakdown dietary fats into fatty acids, which is the form of fat that gets absorbed. Orlistat blocks the action of lipase and therefore prevents dietary fat from being absorbed. At the recommended dose, orlistat inhibits dietary fat absorption by approximately 30%.

This medication should only be used by people who have a body mass index (BMI) of 30 kg/m² or higher, or by people with a BMI of 27 kg/m² or higher with other health risk factors such as high blood pressure, type 2 diabetes, high cholesterol, or large waist measurement."

Hopefully, it is paid for by the government insurance that i pay, so there is a solution to lose whatever sort of weight I can from this and I already eat very well, it should be childplay's, he knows I got all this fat from adipomastia caused by methadone, so often they got codes to make meds free in situations warranting it, like how I get my Suboxone free...people who make over a certain threshold who happen to be opiate addicts here will never be given the code on the script and it's a 47 dollars for both 2mg and 8mg boxes for 7 days supply are 47 dollars and change for a 12mg a day a week thing.

The side effects of the drug seem mostly intestinal, giving you the shits for some people, well I'm constantly constipated from the bupe, so that should help too. You gotta give it a 3 month window to see general effects.

 

[THE_REAL_OBLIVION]

Well the thing was removed from the market in the province a few months ago, people would not digest 30% of the fat they would eat and it would be diarrhea-ahoy for them.

As for me, being on Suboxone, constantly constipated, I didn't see an issue, I even printed out the Exempted Medication form to get it free instead of 180 a month, all for nothing obviously. Was scripted metformin 500mg with breakfast and supper (supper is 5-6 pm "dinner" in Canada), it's an anti-diabetic, even if I don't have diabeetus....it's a hunger killer...right now I had one and it's also a nausea inducer...had 100mg hydroxyzine to kill the nausea, it works, and it's getting near 5 pm and I'm not that hungry, I ate a red prune and was satisfied with that, had the tab with a bowl of mini wheats.

Also had a change, anastrazole I will finish the current box I have, but after that, Tamoxifen will be used, which is good, Anastrazole shouldn't be taken when there are no painful cysts in the ever tiny breasts, I only have one cyst left and it's not painful and as I said before the surgeon wouldn't take it out anyway.

Apparently I can expect losing 15kg in 2 months, then a plastic surgeon will be contacted, because I don't feel like taking this metformin 500mg all that much, hopefully the nausea side effects will be gone and are the kind that show up when starting a med only.

Things are improving, and I was right, that surgeon is dumb, she told me it was impossible to remove belly fat and my new GP laughed, "she must have meant regular surgeons don't do that", which is the case here, they only do hip/waist reduction for practical reasons (difficulty in finding pants/shorts that fit), I had that issue, but I guess I didn't raise it enough for it to be considered. Some more clarity, and a little confusion, is what is the horizon for me. At least the doctor scripted me nitrazepam 10mg prn 15 per month for 12 months, like, wow, holy shit, a doctor didn't even bother bringing up how its addictive and blah blah. Next time, I'm raising my suboxone issue where I have headaches caused by it, which only Fiorinal does get rid of, and i'm not kidding, it reduces intracranial pressure, and it's what I need, the caffeine and butalbital both do this, although both counter each other a bit, I don't have much of a caffeine tolerance but anyway, not the point of this thread. Everything related to ADD meds is not possible to get anymore, they all were removed 4 years ago he told me, even the phentermine and topamax in one pill solution. My "Liberal" (no conservative party in this province, so the federal prog-conservatives of the 90's, the laughingstock that was the last 3 Tory MP's, well their chief became the Quebec Liberal Party Chief in '98 and since then changed that party forever, and the ties between the federal and the provincial Libs was cut since a long time, in the 50's if not before.

I might have to consider rc's like Isophenmetrazine, Mephenmetrazine, Methylmorphenate, N-Ethylphenmetrazol, Phenmetetrazine, (+)-isophenmetrazine, 3F-Phenmetrazine, Phenetrazine, 3F-Phenetrazine. I can get any of these, the problem is knowing which is good and which isn't too much like amphetamine with a crash, I got tons of Dexedrine here, I'd do them if I wanted, I don't. So yeah, any hints regarding these products, would be helpful, but maybe that's an OD topic. I'll take the discussion of these there, but will take all advice considering what I wrote in before and maybe a stray observation on these compounds if possible.

Thanks peeps.

 

[joya]

Oh really it is a big post.

 

[THE_REAL_OBLIVION]

Yeah. Don't read or comment it, also your thinly veiled bad joke, you can shove it.

 

[GrymReefer]

I would never ever try to modify the activity of lipase. EVER!

If I can remember lipase is associated with the cellular organelle lysosome. Lysosome play a key role in phagocytosis and endocytosis. Also, mutations in its expression is associate with metabolic diseases!

 

[THE_REAL_OBLIVION]

Well, I printed the Exception Medication form (to get it for free for nothing), that metformin medication was removed from the market. So basically there is zero drugs for weight loss in Canada, or maybe just my province, since Health is majorly a provincial issue, especially when it comes to availability of a drug or if it is paid for entirely, partially or not at all.

That one wasn't paid for at all.

So since methadone caused me to gain 110 lbs in 11 months, I get a free liposuction. I never was fat, my body has no fat other than in this ridiculously large belly, no obese person neck, legs. I guess some butt fat happened though, because since walking is out of the question, even though its the easiest way to lose weight, with the belly I have, I get extreme pain in the lower back walking back and forth to the nearest convenience store/gas station, which is a 15 minute walk, back and forth. I need to at least have 40 pounds removed from me. I once let myself go and got to 240lbs and brought myself back to my normal weight of 190-195, got the appliances at home, a quality stationary bike, a quality bench, the kind you sit on with multiple arm exercises and also a leg pusher, plus sit ups and push ups, and in '04 when that happened...we have mandatory (3) Phys Ed classes, but it's not like in primary and high school, you get to pick one sport/activity, level 1/2/3. So I picked Physical Training in that semester, plus I partied a lot in the weekends, which involved mdxx pills with meth in them, and sometimes just meth pills, pure mdma I only had twice, I kinda enjoyed mdma+small amount of oral meth, it would make the party continue once the 5 hours of mdma that seem to fly by in 20 minutes if you're having a good time at a party, monopolizing a couch with your girlfriend...that also helped.

Which I also told the doctor, the government removed all amphetamine related diet drugs 3 years ago as you say, yet Adderall XR, Dexedrine, Vyvanse is all readily available, hinting subtly (he knows I have ADDI and that I was on Dexedrine on and off for 12 years of my life, in medical doses, a 10mg spansule in the morning and 1 or 2 5mg IR at 3-4 pm if I had tons of homework in the evening or just work. I wasn't a lazy guy ever. Vyvanse is purely an Exception Medication which is so dumb when you consider Dexedrine, spansules or IR, are paid for. Dexedrine Spansules are very "wavy" and it shows its the first XR medication ever. I don't want to get high(I got about I don't know 3 years worth of Dexedrine scripts here, spansules and IR and the prospect of taking any makes me afraid. Vyvanse seems so much smoother, Health Canada didn't allow the 70mg gelcaps though, they stop at 50mg, but whatever, I'd ask for 30mg only and see what happens if I decide to print that Exception Medication form and if the doctor will fill it in a convincing enough way. Had a bad experience with Adderall XR, it's an exception medication for people over 18, so a form has to be filled with much detail by a doc and sent to the ministry of health, and their doctors decide to allow the script for "generic amphetamine salts", and I was just scripted the 25mg, asking straight up for the 30mg (we only have XR's here) is pretty suspicious.

Anyway, I'll take the liposuction option first, of course the first meeting will be a consultation, I'm not sure I can decide "take x pounds off me". And GrymReefer, that's probably why they took off that drug, also it caused people, almost 75% of users to have diarrhea and wet farts..although I'm on bupe, maybe it would have cancelled each other, but if it messes with other metabolic functions (that I don't know anything about I'll admit), just as well they got rid of it. But they should really have kept the Phentermine+Topamax pill, I've been on topamax for nerve damage pain in my left jaw area (which is also plagued by TMJ disorder, really bad TMJ disorder, which is why I was on a legit pain management issue. Doc retired, left me in the cold, it was extremely difficult (took many years, 3 I think) to get my files from his office that closed and all the other maxilofacial dentists are 50 minutes away at the other end of the city, many ER visits where I wasn't taken seriously, walk-in clinics, even my own ex-GP who retired last year who before retiring only rescripted clonidine, didn't rescript the dexedrine or the NSAID meloxicam, the only one I can stomach, heh.

It's partly their fault I was ever on methadone, their being the health system, I realize they get a lot of people asking for opiates, but when you have documentation of bone and nerve damage in the damn face, you should be able to get more than 30 Empracets 30/300 or a shot of Toradol and some free ketoralac pills and sent home. NSAIDs do nothing for these conditions, I take meloxicam for my knees, which suffer since that damn massive weight gain. I'm lucky the last blood test I had, a general one, didn't indicate any diabeetus, it said slightly low cortisol but fuck the endocrinologist i saw who put me on Cortef, the thing almost killed me, not sure what happened, but 3-4 events when taking it where I felt my inside, stomach/upper torso feel like glass was being shattered into it and then it would move to my shoulders and then my upper back especially under shoulder blades, and then it would go away but it was a 30-40 minutes of extreme very worrying pain. Tapered off the Cortef I only used 3 weeks and it was gone. Of course my cortisol levels are low, i'm on benzos everyday, i'm on clonidine everyday, I'm on an opioid everyday (bupe). She asked for a list of my meds, there it was, and she didn't notice how it was medication caused and didn't need more medication. Also said I had high levels of prolactin, I had a special blood test where they take samples of my blood every 10 minutes 3 times after I lie down 30 minutes, so a 1 hour thing. She wanted to see me, but her damn office is also at the other end of the city, and she had me meet with her intern first, she was nice and all but being dropped on an intern to me means, I don't care about you, have somebody who understands pharmacology less than you! (she knew what I studied in).

Well, wel'll see, all I know is that this can't go on, and unfortunately, the weight is a problem itself when it comes to getting in shape/getting rid of it myself. I don't eat much at all, and I might have 2-3 cans of real sugar Pepsi (not HFCS) Throwback a day, otherwise my average calorie intake is within the bounds of someone my height and age/gender. I don't even have anything to feel guilty about, most suppers I make myself and eat no microwave frozen food, no potato chips, almost never any chocolate, I'll admit to loving my girlfriend's various pastries (she got a a cooking diploma with a specialization in desserts, which is a supplemental diploma...in the kind of schools that are called Professional Schools here, for jobs that can be taught not in college/university. But she makes stuff with fibre in it a lot and, well, it's the methadone. One thing for sure, since my GP is also a doc at the pain clinic just next to the ORT clinic I go to in the local hospital, I won't need a pain clinic referral, as soon as I get rid of suboxone, I'll be put on something that doesn't get you fat, other opiates never did so, and I'll ask for something that works orally, if it has to be just morphine in high doses (100mg/130mg/200mg) XR so be it, but he also believes and practices Opiate Rotation.

So, anyway, I'll see, thanks for the support, those who aren't greenlighter trolls (who often are bluelighters with other accounts...maybe I'm guilty of that somewhere else ).

 

[realtalkloc]

methadone caused you to gain 110 pounds in 11 months??? how did it do that? is it water retention weight or were you eating excessively because of it? I'm just trying to understand.