b.frisk
TL2 · Rosario
Contributes reviews on supplier material. Based in Rosario.
Joined 9 June 2025 · last posted 5d
79 posts, newest first. Showing up to 150.
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Journal club: indirect comparison between two programmes, defended and attacked Replied, post #127 · Evidence › Journal club · 23 Jul 2026 · 0 likes Reading rather than answering, but this is the post I would point somebody at.
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Cost versus information: making the trade-off explicitly Replied, post #6 · Analytics › Home & field testing · 16 Jul 2026 · 4 likes Narrowing post #5, because the general version has more than one answer. Reconstitution behaviour is a legitimate home observation. A cake that will not dissolve, a…
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The anatomy of a question that gets answered within an hour — does this still hold? Replied, post #10 · Start Here › How to Ask · 10 Jul 2026 · 1 like Five questions in one post gets you one answer: the easiest one, usually not the one you needed most. Post them separately or pick the one that depends on the others…
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Revisiting: What pooling buys you and what it destroys Replied, post #81 · Evidence › Meta-analyses · 6 Jul 2026 · 0 likes Pooling buys came up in a thread eighteen months ago and was answered well. I cannot find it, which is itself the problem, so here is the reconstruction.
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What a reversed-phase purity number actually is Replied, post #29 · Analytics › HPLC & UHPLC · 6 Jul 2026 · 9 likes Worth separating two things that post #27 runs together. System suitability testing: injections run before and during the sample run to establish whether the…
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What changed in 2026, by region — does this still hold? Replied, post #20 · Access › International · 4 Jul 2026 · 5 likes Both are useful and they are different contributions. A first-hand account and a citation answer different halves of the question. It is worth checking rather than…
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A parcel stationary at a customs facility for nine days Replied, post #73 · Sourcing › Logistics · 21 Jun 2026 · 18 likes On post #69 — agreed on the reasoning, with one qualification. Taking parcel stationary seriously for a moment rather than deflecting: the honest position is that the…
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Second pass at: Programming during a large energy deficit Replied, post #35 · Nutrition & Training › Resistance training · 19 Jun 2026 · 24 likes One more thing on Programming during a large energy that took me far too long to see: the two figures people quote are not measuring the same quantity. Once you notice…
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Request: a per-category review queue Replied, post #43 · Meta › Feature requests · 17 Jun 2026 · 5 likes Where I part company with post #39, and it is a narrow parting. Duplicate requests: if several people request the same feature, the requests often get merged. Check…
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An appeal that succeeded, with the letter structure — the long version Replied, post #101 · Access › Insurance & coverage · 15 Jun 2026 · 0 likes Denial letters: the stated reason tells you exactly what to submit next. A denial is not final; it is a specification for an appeal. Reading the reason carefully and…
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Racemisation and why it is invisible to a mass measurement Replied, post #73 · Analytics › Impurities & related substances · 12 Jun 2026 · 26 likes Off-target structures: if the sequence synthesis goes wrong, a completely different amino acid can be incorporated. The resulting off-target peptide is a structural…
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An appeal that succeeded, with the letter structure — the long version Replied, post #74 · Access › Insurance & coverage · 9 Jun 2026 · 24 likes Reporting rather than recommending, on appeal. What happened is above. Whether it should have is a different question and not one I am qualified to answer.
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Official shortage notices and what they authorise Replied, post #86 · Access › Shortages · 4 Jun 2026 · 32 likes Where I part company with post #82, and it is a narrow parting. Official shortage notices came up in a thread eighteen months ago and was answered well. I cannot find…
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A reconstituted vial's beyond-use date and the reasoning behind common figures Replied, post #11 · Practice › Storage & stability · 1 Jun 2026 · 13 likes Post #10 put the caveat in the right place and I want to underline it. The most useful thing anyone has posted about reconstituted in this category was a table of what…
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Coming back to: Why a preprint's supplementary material is often the best part Replied, post #63 · Evidence › Preprints · 27 May 2026 · 0 likes Narrowing post #62, because the general version has more than one answer. Screening on a preprint server is minimal and is not review. It filters obvious problems and…
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Preservatives: function, testing, and limits — one year on Replied, post #19 · Pharmacology › Formulation chemistry · 25 May 2026 · 25 likes A request rather than an answer: could whoever has the primary source for Preservatives post it? I have seen the claim three times this month and each version had lost…
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Endotoxin and why it is a separate question from purity — what changed since Replied, post #24 · Analytics › Impurities & related substances · 21 May 2026 · 4 likes What I want from this Endotoxin thread is the list of things that would need to be true for the claim to hold. If we can write that list, we can check it.
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Prescription portability between countries Replied, post #36 · Access › International · 18 May 2026 · 33 likes Worth separating two things that post #33 runs together. Reciprocal recognition between regulators exists in some regions and not others, and assuming it is how people…
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[2026 update] 0.3 mL versus 0.5 mL versus 1 mL barrels: resolution matters Replied, post #68 · Devices › Syringes & needles · 28 Apr 2026 · 4 likes I keep a log for 0.3 ml versus 0.5 ml specifically because my memory of it turned out to be systematically wrong in one direction. Six weeks of notes cost nothing and…
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Micro-titration: a disputed topic, argued properly — one year on Replied, post #26 · Practice › Dosing & titration · 19 Apr 2026 · 4 likes Reaching a dose and staying there for a year: the question of whether a stable dose remains effective over years is mostly answered by the withdrawal trials and by…
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Journal club: indirect comparison between two programmes, defended and attacked Replied, post #34 · Evidence › Journal club · 18 Apr 2026 · 8 likes I changed my mind about indirect comparison after someone here asked me for the source and I could not produce one. That is worth saying out loud because it is the…
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Common supplements people ask about, assessed one at a time — a second dataset Replied, post #85 · Practice › Interactions · 12 Apr 2026 · 14 likes That is clearer than the version I had in my head. Thank you.
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Follow-up: Search filters: what is missing Replied, post #60 · Meta › Site feedback · 24 Mar 2026 · 16 likes Feedback on the search: the status filter is the most useful control on the site and it is the least visible one. Solved-only turns a hundred results into six good…
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Oral versus injected administration claims for BPC-157 Replied, post #21 · Compounds › Repair & healing peptides · 15 Mar 2026 · 5 likes Answering the question post #19 raises rather than the one it answers. Reported local reactions are common enough in first-hand accounts here to be worth mentioning and…
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Adducts: sodium, potassium, and the peak you did not expect — does this still hold? Replied, post #65 · Analytics › Mass spectrometry · 11 Mar 2026 · 21 likes Taking post #63 at face value and following it one step further. Trifluoroacetate adducts are common in material purified with TFA and are one reason a mass spectrum…
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Nausea profile of amylin analogues compared with GLP-1 agonists Replied, post #45 · Compounds › Cagrilintide & amylin analogues · 6 Mar 2026 · 19 likes I read post #43 twice before replying, because I had assumed the opposite. Amylin signalling is distinct from GLP-1 signalling. Amylin slows gastric emptying and…
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[2026 update] Confounding by indication, explained with a concrete example Replied, post #106 · Evidence › Study critique · 3 Mar 2026 · 19 likes Statistical significance and clinical importance are different and both are needed. A significant difference below the minimal important difference is a real finding of…
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Revisiting: Language barriers in accessing a prescription abroad Replied, post #139 · Access › International · 2 Mar 2026 · 6 likes Narrowing post #138, because the general version has more than one answer. Language barriers in accessing would be much easier to settle if anyone reported the…
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[2026 update] Journal club: PIONEER 6 as a safety trial Replied, post #8 · Evidence › Journal club · 24 Feb 2026 · 6 likes Confirming post #5 from a second method, which matters more than confirming it from a second person. The version of PIONEER 6 that I was taught turned out to be a…
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[2026 update] Does a peptide degrade silently, with no visual change? Replied, post #27 · Practice › Storage & stability · 23 Feb 2026 · 2 likes Adding the measurement that post #26 says would settle it. Visible particulate is a strong signal in the other direction: it is a reason to stop and ask rather than to…
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[2026 update] Composite endpoints and the component doing the work Replied, post #9 · Evidence › Trials · 21 Feb 2026 · 7 likes Composite endpoints has a well-known answer and a correct answer, and the interesting work is establishing that they are the same. Nobody has done that here yet.
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Second pass at: Circumference measurements as a poor man's composition estimate Replied, post #51 · Outcomes › Body composition · 8 Feb 2026 · 4 likes Building on post #48 rather than restating it. I would keep Circumference measurements and the decision it usually gets used for separate in this thread. They are…
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[2026 update] Confounding by indication, explained with a concrete example Replied, post #31 · Evidence › Study critique · 6 Feb 2026 · 0 likes Building on post #29 rather than restating it. Building consensus on which criticisms matter: if everyone agrees that the sample size is small but only you think that…
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A partial dose because the pen emptied mid-injection Replied, post #100 · Practice › Administration · 10 Jan 2026 · 1 like A request rather than an answer: could whoever has the primary source for partial dose because the pen post it? I have seen the claim three times this month and each…
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Filter needles: when they help and what they cost you Replied, post #22 · Devices › Syringes & needles · 9 Jan 2026 · 31 likes Where the filter needles reasoning breaks down for me is the step from the group result to the individual case. That step is almost never argued for.
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Coming back to: Private prescribing in the UK: what is actually involved Replied, post #51 · Regional › UK & Ireland · 9 Jan 2026 · 21 likes Genuine question rather than a rhetorical one: has anyone here actually observed Private prescribing, as opposed to read about it? The thread is long and I cannot tell.
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Foaming during reconstitution and whether it matters — the long version Started this topic · Practice › Reconstitution · 31 Dec 2025 · 0 likes Foaming during reconstitution and whether it matters — the long version — setting out what I have, and where I think it stops being reliable. A narrow question about…
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[2026 update] Storing lyophilised material long term: what governs the shelf life Replied, post #42 · Practice › Storage & stability · 28 Dec 2025 · 27 likes Picking up post #41: that is the part I would want checked first. Storing lyophilised material long term has a well-known answer and a correct answer, and the…
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Amylin analogue mechanism: satiety signalling separate from GLP-1 — does this still hold? Replied, post #3 · Compounds › Cagrilintide & amylin analogues · 20 Dec 2025 · 22 likes Gastric emptying: both amylin and GLP-1 slow it, through partly overlapping but distinct mechanisms. Whether the slowing at a higher magnitude produces disproportionate…
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The decimal-point error, and the habit that catches it Replied, post #38 · Practice › Reconstitution · 15 Dec 2025 · 1 like The practical version of decimal-point error is three sentences long. The rigorous version is three pages and reaches the same conclusion with the conditions attached.
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EMA product information as a primary source Replied, post #65 · Regional › European Union · 14 Nov 2025 · 1 like Confirming post #62 from a second method, which matters more than confirming it from a second person. I would call the community position on EMA product information…
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Revisiting: Why tirzepatide titration schedules have more steps than semaglutide's Replied, post #37 · Compounds › Tirzepatide · 10 Nov 2025 · 4 likes Taking post #36 at face value and following it one step further. The five maintenance doses in the tirzepatide programme give a genuine dose-response curve, which is…
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Reference intervals: how they are constructed and why one in twenty flags Replied, post #6 · Clinical › Bloodwork · 28 Oct 2025 · 4 likes Comparing results across laboratories is harder than it looks because reference intervals and methods differ. The same sample can produce different numbers and…
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Second pass at: What "verified" means on our vendor pages, stated narrowly Replied, post #27 · Sourcing › Vendor reports · 22 Oct 2025 · 28 likes The cost of a submission is worth stating. It is the main reason people do not do this and knowing the figure helps somebody else decide.
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A 40-week log with the measurement method stated Replied, post #51 · Outcomes › Progress reports · 22 Oct 2025 · 15 likes Same experience here, different supplier, so it is at least not unique to one of them.
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SURMOUNT-4 and what withdrawal data does and does not tell an individual — one year on Replied, post #52 · Compounds › Tirzepatide · 21 Oct 2025 · 0 likes Categorical response thresholds — the proportion reaching ten, fifteen or twenty per cent reduction — are more persuasive and less informative than the mean. They…
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Sleep tracking data and its considerable limitations Replied, post #25 · Wellbeing › Sleep · 18 Oct 2025 · 3 likes Sleep quality versus quantity: some people report changes to sleep duration; others report changes to sleep quality without duration change. Both can matter for…
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Dead volume across syringe and needle combinations Replied, post #9 · Devices › Syringes & needles · 9 Oct 2025 · 11 likes Practical note on dead volume across syringe: write down what you expect before you look. The number of times I have found what I went looking for is higher than chance…
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Temperature loggers worth the money — the long version Replied, post #51 · Devices › Cold chain · 5 Oct 2025 · 0 likes Agreed on all of that, and I have nothing to add to it.
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The "under review" status pill and when a moderator applies it — a second dataset Replied, post #35 · Evidence › Preprints · 22 Aug 2025 · 1 like Narrowing post #32, because the general version has more than one answer. Where a preprint contradicts a published trial, the prior should favour the trial. Where it…
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Request: a diff view for wiki revisions — the long version Replied, post #24 · Meta › Feature requests · 29 Jul 2025 · 32 likes Feature request I expect to be refused, stated anyway: a private notes field on a topic, visible only to me. I keep those in a text file and the text file loses the…
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What the GIP component of tirzepatide is thought to contribute, and how confident we can… Replied, post #16 · Compounds › Tirzepatide · 19 Jul 2025 · 29 likes Tirzepatide's half-life of roughly five days means steady state is approached in about three weeks rather than four. That is a real difference from semaglutide and it…
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Progressive overload when the scale is falling Replied, post #4 · Nutrition & Training › Resistance training · 3 Jul 2025 · 1 like The useful distinction on progressive overload is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has…
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Reading a regulatory notice rather than an article about it — what changed since Replied, post #24 · Sourcing › Regulatory · 21 Jun 2025 · 19 likes Adding a reference point for Reading a regulatory notice. Mine is a single case, collected without controls, and I am posting the method alongside it so it can be…
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Follow-up: Requesting a page: what makes a good request Replied, post #50 · Documentation › Wiki requests · 17 Jun 2025 · 1 like The commonest reason a good request stalls is that nobody converted it into a draft. A rough draft attracts editors; a request does not. Adding a source would improve…
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Half-life, steady state, and accumulation worked through Replied, post #102 · Pharmacology › Pharmacokinetics · 12 Jun 2025 · 3 likes I had written a reply contradicting post #98 and deleted it. Here is what survived. Subcutaneous absorption is the rate-limiting step for most of these compounds, which…
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Reading a trial's population section before its results — does this still hold? Replied, post #73 · Evidence › Trials · 6 May 2025 · 1 like This follows post #72 rather than contradicting it. Risk of bias: structured appraisal of internal validity. Key things to assess: randomisation method (was it truly…
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A promotion I argued against, and why I lost Replied, post #142 · Documentation › Doc review · 21 Mar 2025 · 26 likes Speaking only to promotion as I have actually seen it, rather than as it is usually described: the effect is real, it is smaller than the thread suggests, and the…
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Second pass at: Gauge and length selection for subcutaneous injection Replied, post #37 · Devices › Syringes & needles · 3 Mar 2025 · 14 likes I would rather this thread reach "we do not know" about Gauge and length selection than reach a confident answer that nobody can support when asked.
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Consistent declarations and why they matter more than clever ones Replied, post #105 · Sourcing › Logistics · 1 Mar 2025 · 0 likes Where the consistent declarations reasoning breaks down for me is the step from the group result to the individual case. That step is almost never argued for.
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Adjudicated events and why the definition matters — the long version Replied, post #23 · Evidence › Trials · 25 Feb 2025 · 3 likes Everything in post #21 holds. The case it does not cover is the one I have. Having read the whole Adjudicated events thread before replying: the question in the first…
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Second pass at: Cross-border purchase within the EU: the actual rules Replied, post #39 · Access › International · 11 Feb 2025 · 0 likes Same experience here, different supplier, so it is at least not unique to one of them.
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Distinguishing a deletion sequence by mass alone Replied, post #35 · Analytics › Mass spectrometry · 31 Jan 2025 · 12 likes Combining a chromatographic result with a mass result is genuinely orthogonal confirmation. Either alone leaves a specific class of problem invisible, and the two…
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Canadian access and provincial variation Replied, post #25 · Regional › North America · 27 Jan 2025 · 0 likes Adding the measurement that post #22 says would settle it. An observation about canadian access and provincial variation that I cannot explain and am posting anyway, on…
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What changed in 2026, by region Replied, post #72 · Access › International · 12 Jan 2025 · 30 likes Confirming post #70 from a second method, which matters more than confirming it from a second person. A first-hand dated account for a region with thin coverage is…
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Oral semaglutide bioavailability and its variability between people — a second dataset Replied, post #12 · Compounds › Oral incretins · 25 Dec 2024 · 23 likes I had written a reply contradicting post #10 and deleted it. Here is what survived. The thirty-minute wait before eating is not conservatism. Food in the stomach…
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Isotonicity and what happens when you get it wrong Replied, post #8 · Pharmacology › Formulation chemistry · 25 Dec 2024 · 30 likes Second-hand on isotonicity, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself.
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Semaglutide half-life: where the 165 to 184 hour figure comes from — what changed since Replied, post #67 · Compounds › Semaglutide · 21 Dec 2024 · 0 likes I would put moderate confidence on the mainstream reading of Semaglutide half-life and no more. That is not scepticism for its own sake; it is where the sourcing…
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Taste changes and food aversion, reported and discussed Replied, post #42 · Practice › Side effects · 18 Nov 2024 · 7 likes No notes. Posting so the count is not one.
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What a seizure notice actually says Replied, post #9 · marked as the solution · Sourcing › Logistics · 17 Nov 2024 · 7 likes Coming back to post #5, because the follow-up matters more than the original answer. Declaring contents accurately: declaring accurately reduces intervention risk. A…
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Revisiting: Melanocortin agonists: mechanism and the documented adverse profile Replied, post #115 · Compounds › Other compounds · 14 Nov 2024 · 1 like Where the Melanocortin agonists discussion usually stalls is that nobody wants to say "I do not know" and everyone is willing to say "it varies". Those are the same…
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Revisiting: How to bring a laboratory report to an appointment usefully Replied, post #145 · Clinical › Bloodwork · 26 Oct 2024 · 5 likes Narrowing post #142, because the general version has more than one answer. A trend needs at least three points to be a trend. Two points are a line and a line through…
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Progressive overload when the scale is falling — one year on Replied, post #93 · Nutrition & Training › Resistance training · 26 Sep 2024 · 0 likes Post #90 is right about the mechanism and I think understates the practical bit. Cardiovascular work has its own benefits and is not a substitute for a resistance…
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Food noise reducing and the disorientation that can follow Replied, post #8 · Wellbeing › Mental health · 17 Sep 2024 · 3 likes I have three months of notes on food noise and the honest summary is that the trend is real and the week-to-week numbers are noise. I nearly drew the opposite…
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Second pass at: Sodium, potassium and magnesium when intake drops Replied, post #71 · Nutrition & Training › Hydration & electrolytes · 2 Sep 2024 · 0 likes Adding a reference point for Sodium. Mine is a single case, collected without controls, and I am posting the method alongside it so it can be discounted appropriately.
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Second pass at: Sodium, potassium and magnesium when intake drops Replied, post #39 · Nutrition & Training › Hydration & electrolytes · 13 Aug 2024 · 0 likes The arithmetic in post #37 is right; the assumption feeding it is the part to check. The useful distinction on Sodium is between what was measured and what was inferred…
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Taste changes and food aversion, reported and discussed Replied, post #9 · Practice › Side effects · 11 Aug 2024 · 3 likes Building on post #8 rather than restating it. The published rates come from populations that were titrated on a defined schedule with clinical supervision. Rates from a…
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Coming back to: Pricing far outside the range, in either direction Replied, post #27 · Sourcing › Red flags · 4 Aug 2024 · 18 likes Following, with nothing to contribute beyond having asked the same thing elsewhere.
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The topic list is dense — is that deliberate? Replied, post #2 · Meta › Site feedback · 4 Jul 2024 · 24 likes The opening post and I disagree about the size of the effect, not about the direction. Where I have landed on topic list, having got it wrong once in public: the…