Aromatease Inhibitors--Why "one size fits all" dosage?

2025.01.30 06:37 tzippora Aromatease Inhibitors--Why "one size fits all" dosage?

When a patient is ready for AI, why isn't a base line test of estrogen levels before starting for example Letrozole? How to determine when enough is enough? Since estrogen is stored in a post menopausal woman's fat cells, what if she loses a significant amount of weight? Wouldn't that lower levels of estrogen and lower the needed dosage of Letrozole?
For diabetics, there is careful monitoring of their dosages of meds. Does "Standard of Care" means "One size fits all"? Estrogen even post menopausal gives the patient quality of life. it doesn't just deprive the cancer cells of estrogen, but many body processes. Considering this drug that presents such effects, there would be more moderating of the dosage.
Also, some onco's start off their patients with small doses and gradually work their was up to the 2.5 mg. Some research indicates that a smaller dosage has the same effect. Is SOC a sledgehammer? Is it beyond the pervue of oncologists to monitor hormones and a gynecologist might have better training and understand? Should a gyno be working with the onco?
submitted by tzippora to Oncology [link] [comments]


2025.01.30 06:37 Kweyka Best Dark Circle Treatment/Remover/Brightener?

Any recommendations that actually work for someone that has combination skin, and dark under eye circles and on their eyelids (non-genetic)?
submitted by Kweyka to Skincare_Addiction [link] [comments]


2025.01.30 06:37 O-Prime-Optimus 37[m4a] Fuck Me as a Toy

This morning till 5pm pwede. Welcome any gender. Versa bottom me, looking for a versa top, bi, trans, lesbian, or female that we can lick, suck or fuck each others brains out.
I want ma experience na ma fuck like your toy, use me and make me your toy. Fuck my mouth, all my holes and pag sawaan.
MY KINKS: I love bdsm, my fantasy is threesome or gang bang, i love it ma peg ako ng dildo suot ng babae or ma kantot ng malaking titi till i cum hands free, i can cum without touching my cock always from behind lalo na pag malaki ang kargada. i can last for many rounds kasi hyper sexual ako. clean and very malibog so i moan a lot and kaya mag tagal sa kama 5 hours minimum.
ME: manila nag wowork, I studied in Arellano before and went to international schools abroad. Skinny fit here 37. 5 and a half inch, 5"6 and a half tall, chinito
YOU: dm me if your interested at TG: Autobots_Zero hope my place ka or share if check in send you info, asl, your kinks na mga gusto mong gawin and picture
NO: no sides no keme at puro salita lang No hi and hello lang but share infos about you no week ends sched d me pwede
LETS FUCK TONIGHT
submitted by O-Prime-Optimus to BDSMManila [link] [comments]


2025.01.30 06:37 The_Rufflet_Kid More Rejuvenation Gym Leader signature moves cos why not, will probs do more stuff from this game soon

More Rejuvenation Gym Leader signature moves cos why not, will probs do more stuff from this game soon Last post got removed cos no descriptions so imma make one here ig
Cold Truth is defo gonna be really good what with it not only being stronger than ice beam but also having an actually consistent secondary effect in torment which can not only be great for disruption but also completely screws over choice mons, rotom especially benefits from this tho since now every single form suddenly has boltbeam coverage(in the original game it was only on rotom-frost but here I decided to extend it to all rotoms since the rotom appliances only have one exclusive move each that gets replaced after forme change)
Fever Pitch would potentially be good if it was on something bulky enough to keep rolling for higher numbers but sadly it's stuck on frail attackers, while the move in the actual game is designed around a certain field that can guarantee the max power under certain conditions without that field it just ends up being a weird magnitude clone
Thunder Raid I really don't need to explain it's 100% acc phys elec stab woohoo yay moving on
Uproot is definitely going to be good since it's stronger than energy ball while also having a busted secondary effect as well, bulkier variants of rotom and venu definitely love this more as it means they don't remain completely passive(again in the actual game this move is only on rotom-mow but see my comment on Cold Truth)
Bunraku Beatdown is an interesting one since it acts as a sort of comeback mechanic that gets really strong starting from 3 fainted allies at which point it hits 120 BP, and getting completely ridiculous with 5 fainted allies when it becomes 150 BP, that being said it's still not as insane as last respects so it'll probably not get banned, tho psyterrain probably goes completely insane with this move
Heavenly Wing really only affects skarm cos Unfezant just isn't very good, nevertheless skarm defo loves this since it means it's not setup fodder like most bulky hazard setters are while also doing good enough damage, even Unfezant could probably benefit from this as it's a safer option the brave bird that can also stop sweepers with scarf
Matrix Shot doesn't really need explanation either, we've seen how good 100% acc phys rock stab can be with mons like oger-c and boulder, that and the fact that this move is actually on a couple of good mons also helps a ton, now they no longer need to rely on stone edge as their main damaging move
Desert's Mark in all honesty isn't that insane, basically like Fever Pitch in the sense that it's completely designed around the field you face it in where the passive damage goes up massively, gliscor could probably find use for this on sd sets but idk
Super Ultra Mega Death Move(yes that's actually what the move is called, tho you can just call it Super UMD Move for short)is definitely very good, the variable category makes it slappable on anything, stronger than iron head and flash cannon and on top of that it's learned by some genuinely good mons, honestly I really don't have much to say beyond this, it's just a really good and reliable stab move
Anywho my hand hurts from typing all this and I'll probably talk about some aevian formes next Thursday so anyways bye for now
submitted by The_Rufflet_Kid to stunfisk [link] [comments]


2025.01.30 06:37 Llamaharbinger Employee injured after toilet explodes inside Pittsburgh city government building

Employee injured after toilet explodes inside Pittsburgh city government building submitted by Llamaharbinger to DeathToilet [link] [comments]


2025.01.30 06:37 drej91 Need help with my first set up

Hey everyone!
I got my first turntable for Christmas this year and I want to get a system.
What are all of your recommendations for speakers/subs or anything else
I got a audiotechnika turntable (BT one) and a pair of psb alpha bookshelf speakers. The receiver I cannot remember the name of, maybe technicks? And I don’t have a sub
Mainly going to be playing vinyls on this and I’d eventually like to hook up a tv to it for YouTube and whatnot but I need some help finding the right sub.
What do you all recommend as a decent sub that won’t break the bank? Maybe 150CAD? There’s lots of ones out in marketplace so that’d be the route I’m going for !
Any help is appreciated!!
submitted by drej91 to BudgetAudiophile [link] [comments]


2025.01.30 06:37 Penicalz oh, cool.

oh, cool. submitted by Penicalz to PokemonPocket [link] [comments]


2025.01.30 06:37 jkshood Modular Sectional Sleeper Sofa Bed Reversible Modular Couch with Storage Seats Oversized Sleeper Sectional Couch Modular Sofa Couch, Grey

Modular Sectional Sleeper Sofa Bed Reversible Modular Couch with Storage Seats Oversized Sleeper Sectional Couch Modular Sofa Couch, Grey Sofa 🛋 Available Amazon click here link
About this item Modular Design: This sectional sofa features a modular design with seven interchangeable modules, allowing you to create various configurations like L or U shapes to suit your living space and entertaining needs.
Versatile Functionality: With a built-in full-size sleeper bed and hidden storage spaces under each seat, this sofa offers practical solutions for both seating and storage, making it ideal for small spaces or homes with multifunctional requirements.
Durable Construction: Crafted with a solid wood frame, supportive spring-packed seats, and high-density foam padding, this sofa ensures long-lasting comfort and durability.
Contemporary Style: Boasting clean lines, a bold structure, and neutral polyester upholstery, this modern sectional sofa seamlessly blends into contemporary living rooms or home theaters.
Hassle-Free Assembly: While assembly is required, the modular design simplifies the process, allowing you to easily rearrange or reconfigure the sofa as desired.
Read more
submitted by jkshood to 1Amazon [link] [comments]


2025.01.30 06:37 Mindless-Reindeer-1 How do you customize your resume to each job if you have a LinkedIn?

So when applying to a company, a lot of people will tell you to customize your resume according to the job description. I have a lot of transferable skills usually as I’m in computer science and one skill is very similar to another. However, in my jobs it may say that I worked with one technical skill but even though it’s transferable, how would I put that in my resume? Wont employers check LinkedIn to see what technical skills I’ve worked with?
Should I just remove all of my technical skills and just keep my employment history? Or should I delete LinkedIn as a whole?
How do you customize your resume according to the job description?
submitted by Mindless-Reindeer-1 to linkedin [link] [comments]


2025.01.30 06:37 Stellar_Moon8 Bone Density Scan Conclusion inacurrate?

Hello everyone, I am worried about my 65 y/o mother’s recent bone density scan results. Her doctor is on vacation and that’s why I’m posting here. I attach her bone density scan results above.
Per World Health Organization criteria for BMD interpretation classify patients as Normal (T-score at or above -1.0). Osteopenic (T-score between -1.0 and -2.5), or Osteoporotic (T-score at or below -2.5).
Per report my mother’s “Lumbar vertebrae L1-L.4 scanned with an average bone mineral density of 1.154 grams/cm squared corresponding with a T-score of 1.0.” It was noted as “osteopenic.” Could this be an error? Should the T-score be classified as “normal” instead?
Per report my mother’s “Total left hip scanned with an average bone mineral density of 1.105 grams/cm squared corresponding with a T-score of 1.3. It was noted as “osteopenic.” Could this be an error? Should the T-score be classified as “normal” instead?
Any insights are gladly appreciated! Thank you :)
submitted by Stellar_Moon8 to osteoporosis [link] [comments]


2025.01.30 06:37 Full_South_1926 How visible is a settled CCJ in a credit check

An application for rent is asking for light credit history. I received a CCJ mid last year for defaults on council tax, the CCJ has been paid/settled. I filed for a credit check through Experian (post CCJ) which didn’t show any sign of the CCJ existing. I’m almost certain I received another one around 3/4 years ago too but I haven’t heard anything of that one since,… Again wasn’t visible on the provided credit report/check. From the little immediate information I can find, the CCJ may not have stuck as it was settled within 30 days.
I’ve since been accepted for a minor loan and a credit building credit card so seems to have had little to no negative impact. I’m reluctant to declare the CCJ in this housing application as I fear it will impair the proceedings and I don’t wanna look like a bum tbh.
TL;DR Why isn’t a recent CCJ showing in personal credit check. Does my rental application boast greater strength through admitting adverse credit history, will the estate agents be able to see information I am otherwise non-privy to
submitted by Full_South_1926 to UKPersonalFinance [link] [comments]


2025.01.30 06:37 BKBcardsNstuff Ankle snatcher. These two Steve Blake Topps Chrome Refractors (03-04 & 08-09) belong together.

Ankle snatcher. These two Steve Blake Topps Chrome Refractors (03-04 & 08-09) belong together. Somebody posted this pair of cards here like a year ago (I think they had the Orange 2008-09) and I've been meaning to buy copies of them ever since. Finally got around to it! I briefly tried finding that post but had zero luck, so to whoever you are, a belated thanks for the inspiration to grab these! I love them.
submitted by BKBcardsNstuff to basketballcards [link] [comments]


2025.01.30 06:37 Dapper_War_1772 Inte förvånad över dansken🤢🤮

submitted by Dapper_War_1772 to Espana [link] [comments]


2025.01.30 06:37 Kelsuvius Unique Paint Schemes for TwinTone/CrystalCoat (Version 2.21)

I’m making this to put it out there for anyone trying to decipher car spawns in the game and how to get different paint schemes. Y’all feel free to add to this below or message me and I’ll update the original post to include. I’m purely putting this out there for the good of the community as multiple other posts (and platforms) didn’t get me the answer I’d been looking for and it made me think my game was bugged when in fact, it wasn’t. Here are my notes:
Ø Exotic cars are locked behind Quality Mode.
At least for me, on Xbox Series S, only low-end cars spawn throughout the game when playing on Performance Mode. No matter what district, I usually get the same 5 types of cars- none of which I want to drive. Turning on Quality Mode, I had a unique Quadra Sport R-7 spawn within 10 seconds. Night & day different for traffic density, car diversity, and exotics.

Ø Each district has specific cars that are more dominant in that area than others.
Each district is designed to reflect the demographic of people living in that area. That being said, you’ll find a lot of cars in the game all across Night City (example: the Mizutani Shion is e v e r y w h e r e) and with enough time, you’ll prettymuch catch ‘em all. The highway and “Just Another Story” car theft missions will also give you unique selections a lot of the time. What I’m listing below are my top cars for unique paints and where to find them. Please feel free to correct/update the listing as my taste is specific to me, where y’all may enjoy a different experience. Shoutout to the Mai Mai gang!

1. Hererra Outlaw GTS
o There are at least two unique paint schemes for the Outlaw.
o Can be found in City Center and also around North Oak.
o Parked versions can be found at:
§ Gold Pacific Marina, close to Dino’s gig
§ Fourth Wall Studios, near the North Oak on-ramp
§ The Afterlife, in the parking lot
§ Lele Park, during the “Family Heirloom” quest for Rogue

2. Hererra Riptide “Terrier”
o There are at least two unique paint schemes for the Riptide.
o Can be found in City Center and also around North Oak.
o I haven’t seen this car parked in any place specifically, but I see it quite a bit on “Just Another Story” missions

3. Rayfield Aerondight
o There are at least five unique paint schemes for the Aerondight.
o Can be found in City Center but more dominantly in North Oak.
o Parked versions can be found at:
§ Gold Pacific Marina, close to Dino’s gig
§ The Heavy Hearts Club, parked outside sometimes

4. Rayfield Caliburn
o There are at least five unique paint schemes for the Caliburn.
o Can be found in City Center, North Oak, Westbrook, and Watson.
o Parked versions can be found at:
§ Gold Pacific Marina, close to Dino’s gig
§ During the “Family Heirloom” quest for Rogue
§ The Afterlife, in the parking lot
§ Fourth Wall Studios, near the North Oak on-ramp
§ During “The Beast in Me” quest for Claire

5. Quadra Sport R-7
o There are at least two unique paint schemes for the Sport R-7.
o Can be found in North Oak, Watson, and City Center.
o I haven’t seen this car parked in any place specifically.

6. Quadra Type-66 Avenger
o There are at least three unique paint schemes for the Avenger.
o Can be found in Watson, specifically around Riot/Afterlife/Vik’s.
Note: There are two bugged skins for the Avenger (“all red” and “purple & black”). The Avenger at the Arasaka Estate looks like an Avenger, but is labeled “Type-66 680 TS” in the game, thus making it look bugged. The same is true for the red paint scheme.

7. Quadra Type-66 640 TS
o There are at least five unique paint schemes for the Type-66 640 TS.
o Can be found in Watson, specifically between 5pm-10pm around Riot/Afterlife/Vik’s
o Parked versions can be found at:
§ Gold Pacific Marina, near Dino’s gig
§ Arasaka Estate, behind the gate
§ During “The Beast in Me” quest for Claire

8. Quadra Turbo-R 740
o There are at least four unique paint schemes for the Turbo-R 740.
o Can be found in Watson, but also City Center, North Oak, and Westbrook.
o Parked versions can be found at:
§ Gold Pacific Marina, near Dino’s gig
§ The Heavy Hearts Club, parked outside
§ During “The Beast in Me” quest for Claire
§ Outside of Vik’s, in a parking lot next to where you meet Dex

9. Villefort Alvarado 570
o There are at least three unique paint schemes for the Alvarado 570.
o Can be found in Heywood, Watson, City Center, and Santo Domingo.
o Parked versions can be found at:
§ Lizzie’s, parked outside the wall

Ø Best tips for finding a lot of cars in a short amount of time:


I hope this was helpful in some way for players jumping into TwinTone/CrystalCoat for the first time or just needing some help on their paint hunt. Again, please please please get at me to update the listing for where to find preem paints for cars and I’ll add it. Same goes for screenshots of unique paints- I’ll happily add them as we go along. My goal is to make this a “one stop shop” for TwinTone so players don’t have to comb the internet to get a simple answer.
Special thanks to the Redditors below for their help with this and contributions to the community.

Cheers, choombas.
submitted by Kelsuvius to cyberpunkgame [link] [comments]


2025.01.30 06:37 SouthyWho Help! Trying to get a medical letter from specialist!

Hello,
Sorry not too sure where else to post this but hopefully someone here may have some helpful info!
So, I had a medical last week for a site that I am being contracted out to as part of the medical they need a letter from my GP stating that some medications are effective, not going to cause issues, Im compliant with treatment etc etc.
I had GP appointment yesterday to get the letter however they hadn’t had any information from the specialist regarding my condition since the initial diagnosis report which was 30/10/2024 so they declined to write me the letter. That then has led me to chase up the specialist (which is online only and has no number or address) with multiple emails stating I need this letter ASAP as Im due to be on site already but the medical report can’t be released until I have the letter. I finally heard back from them stating I have to book a 5 minute consult and the earliest available is 14th February.
I replied back saying I can’t wait that long and that the information required should have already been sent to my GP as you’ve outlined them as providing ongoing care in the report. Im not sure what my options are here?
I feel like getting a letter from someone stating the required information shouldn’t be this hard!
Im not sure what to do? Sorry for my rant
submitted by SouthyWho to perth [link] [comments]


2025.01.30 06:37 Infamous_Grade_6749 Is western med sci a good program to pursue medicine?

title + in terms of getting into medical school from that program is it too difficult?.
submitted by Infamous_Grade_6749 to OntarioGrade12s [link] [comments]


2025.01.30 06:37 ChattingDino Question about volume 22

1.) How did valentine, Yuuki and Laplace come back?
2.) What happens to millim and velzard
3.) Did anything major happen to ivarage.
4.) Did guy know about belzebuth being a Ultimate skills, and did he copy it or replicate it
submitted by ChattingDino to TenseiSlime [link] [comments]


2025.01.30 06:37 Born-Project-310 Which one of you all did this😳😳

submitted by Born-Project-310 to LexusIS [link] [comments]


2025.01.30 06:37 South_Drawing_7649 Has anyone had mounjaro sent to New Zealand successfully?

submitted by South_Drawing_7649 to MounjaroAus [link] [comments]


2025.01.30 06:37 NerdForceOne Ich will eine Rot-Rot-Grüne Regierung und ihr macht mit

Wie bereits gesagt will ich Rot-Rot-Grün als Regierung (Linke, SPD, Grünen). Deswegen reist euch alle zusammen und postet/verbreitet keine linken Grabenkämpfe, was "Links" ist. Merz hat gezeigt, das er mit FDP bereit ist mit den Faschos aus der AfD zu arbeiten und das sollte euch Sorge bereiten. Deswegen säht Unruhe in den Reihen der AfD (anti alt Partei arbeitet mit alt Partei) und CDU/CSU (niemand hat vor eine Brandmauer abzureißen) damit diese nicht ihre Partei wählen.
Warum sehe ich Aussichten das Linke, SPD, Grüne es schaffen können? Ganz einfach im Februar nehmen statistisch weniger Leute an Wahlen teil. Dies sollte asymmetrisch wirken, da Politikverdrossenheit eher im konservativen Lager vorherrscht. Also geht wählen, nimmt eure Freunde mit und helft der stabilen Oma gegen Rechts auch zu wählen.
submitted by NerdForceOne to Staiy [link] [comments]


2025.01.30 06:37 ThrowRA_0109 Will I ever be able to heal from this trauma?

Finally I will be ending two years of emotionally abusive relationship. Therapy helped me a lot to figure out what I was going through. He is a covert Narcissist, living in his own world where he is always the victim. Honestly, now I can think a little clear of what I was going through and I feel so guilty that I allowed somebody to treat me like shit. I feel like I wasn't able to protect myself, I am so much angry at myself that I wasn't able to get out of this relationship earlier. I was just a free maid , caretaker for him. In the beginning he pretended to be the best person in the world, slowly he started showing me what a true monster he was. He compares me to his mother, his mother and him body shamed me (I am not even overweight), zero appreciation for what I did for him. Worst thing is I still care about him lol. I don't want to look back, no matter what. What can I do to make myself feel safe, that I could trust myself?
submitted by ThrowRA_0109 to ExNoContact [link] [comments]


2025.01.30 06:37 URDADSTINKS Why do we keep gettimg outbuddied?

Why do we keep gettimg outbuddied? submitted by URDADSTINKS to OkBuddyZenlessZero [link] [comments]


2025.01.30 06:37 jems_expert Just found a great list of the top 10 shopping apps worldwide – worth sharing!

I was scrolling through LinkedIn earlier and came across an interesting article listing the 10 best shopping apps worldwide with some solid insights on why they’re trending. It covered everything from global giants to some lesser-known but highly rated platforms that are gaining traction.
What I found most useful was how the article broke down each app's strengths—some focus on premium international shopping, while others cater to budget-friendly deals. With online shopping constantly evolving, it was cool to see which apps are currently leading the game.
I figured this could be useful for others here, so I’m sharing the link: https://www.linkedin.com/pulse/10-best-trusted-online-shopping-apps-2025-himanshu-khandelwal-xwlnc
Curious to know—what’s your go-to shopping app these days? Have you tried any of these?
submitted by jems_expert to Shopping_Trends_Deals [link] [comments]


2025.01.30 06:37 BoyonceVEVO Got some ritalins from rapidfinil

Got some ritalins from rapidfinil submitted by BoyonceVEVO to pillsndchill [link] [comments]


2025.01.30 06:37 Nogardz_Eizenwulff What I learned from playing WTM in a month?

I tried playing this game after I migrated from Blitz. There several things I learnt from playing this game.

  1. Map awarenes technique is different, you need to carefully peak in corners or else you go boom.
  2. Tanks, Ships and Aircrafts doesn't have Health Pools. If your opponent ammoracked you, you go Deadpool, except for planes if they hit your engine you go shooting star.
  3. Controlling fighter bombers in in-game is slightly difficult, either you end up crash dive w/o dropping your bomb/s or survive and missing the target.
  4. Flying bombers if difficult too specially if you're going to do bomb run.
  5. Controlling fighters and do dogfights is also difficult if you cannot get in your enemy's six and end up crashing without a single dent on your opponent.
And
  1. I love Japanese and Israel tanks, and German planes just waiting for Japanese air to join the fray.
All in all I love the game.
submitted by Nogardz_Eizenwulff to warthundermobile [link] [comments]


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