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As far as I canada goose chateau parka black friday concerned, any doctor asking you to take a drug that dangerous (toxic to eyes) to treat sjogren is essentially saying “I don believe you”. Plaquenil is no better at treating sjogren than placebo. It was always off label, anyway. To me the risks outweigh the potential benefits. The doctor tells you that you won see benefit for up to six months. Who can properly compare pain six months ago to now? There was a shortage once and I couldn uk canada goose sale get plaquenil for canada goose clothing uk two months. I was worried at first, but felt no increase in any symptoms without it. I realized then that I was spending money on a sham.

That article you linked if you read it the study found that it was effective for pain “The efficacy of HCQ in treating pain associated with pSS was superior to that of the placebo.” It has long been proven to help with joint pain in closely related arthritic diseases and that is why it is one of the first line medications for rheumatic disorders. The point of the study you linked was that it doesn’t treat dry mouth/eyes. I’m sorry it didn’t help you and that you feel your doctor doesn’t believe you but even though physicians may prescribe things that may be harmful in large doses (like Tylenol’s effect on the liver) it is still better to get information from skilled professionals than buying snake oil off the Internet.

Stormydawns 1 point submitted 1 month ago

Except the article you linked! “The results show that the efficacy of HCQ treatment (pooled proportion=48.9%; 95% CI=38.7 59.1%) for SS pain was higher than placebo treatment (pooled proportion=35.8%; 95% CI=23.5 49.0%; Table 4 and Figs. 6 and and7)” That IS evidence of a statistically significant improvement in pain in an article that YOU provided! It obviously didn’t work for you, and https://www.fabulalitera.de that sucks and I’m sorry that you’re having to suffer through this terrible disease but your overall statement is false and you provided the exact study that proves it. Not every treatment is going to work for everyone and it makes sense for doctors to try established medicines before resorting to more drastic treatment I’m not sure what alternative you would have OP seek or why you felt the need to sow distrust between them and their healthcare provider based on canada goose black friday instagram your anecdotal experience.

Canada Goose Parka Right, but you are dealing with teenagers making these decisions with schools advertising that they have the best program in the field and that Fortune 500 companies hire from their graduates and basically selling state colleges as a waste of time and money. Not to mention those years are often toxic for family units giving teens a need for escape so being 14 hours from your parents seems doubly inviting especially since fafsa makes it so easy and on average a college graduate makes a million dollars more than they would otherwise. Canada Goose Parka

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Canada Goose Jackets You’ve commented on every single thread where someone admonishes OP for stealing from the would be thief, justifying it. while I agree that the old woman may have paid a more hefty penalty by the court that canada goose outlet online store is not OP’s right to impose such a punishment. In fact OP gains from this situation as now she has her avacados (which I highly doubt were collected by said thief or if they were she probably felt entitled to them as retaliation for having her tool stolen) and a stick. It’d be the same as if I walked over and stole canada goose parka outlet my neighbors gun that he uses to shoot at birds and foxes on my property. It’s against the law. It makes me angry. But if I resorted to theft to prove a point it would be wrong and not a single court would rule in my favor. That’s when you get law enforcement involved you don’t need civilians deciding all willynilly what a person deserves for their crimes in the heat of anger. Canada Goose Jackets

Stormydawns 1 point submitted 1 month canada goose outlet online uk ago

Okay so we’ve established that in your mind it is only okay to steal from thieves not confiscating the item used in a crime as the person before was asserting. So what value is acceptable to steal from a thief? The value of the items originally stolen (or attempted I doubt the old woman gathered up the avacados before leaving) or is there a punitive amount you feel it is okay for a civilian to feel entitled to without getting officers involved? As far as 5am goes I don’t particularly consider that skulking since that’s the time of day I see most dog walkers.

AwhMan 77 Canada Goose Parka points submitted 1 month ago

canada goose coats on sale I think perhaps you maybe not experienced being called articulate in a patronising way related to you being a minority to give you the experience to understand it as a canada goose coats on sale

It very commonly used because the implication is normally that it shocking because they expected you not to be.

Whilst there are obvious reasons why Obama is a particularly articulate person, this is used so often by casually racist people who are shocked by a black person speaking non “ghetto slang” that I think it fair to apply here considering the sheer amount of backwards ass racism Obama faced.

CliffRacer17 7 points submitted 3 months ago

Setting aside the “rule of cool”, I figured the rules were that if it the fusion of two of the same gems, then there would be no extra eyes, arms, etc. You see that with Topaz and the big Ruby fusion. But if the gems are different, then you get the sum of the parts of the two or more gems participating. Three eyes on Garnet (Sapphire + Ruby) and various multiple appendages on Opal, Malachite, etc. The Rule of Cool is in full effect though since gems like Garnet doesn have 4 arms and such.

Stormydawns 6 points submitted 3 months ago

Honestly I think it’s a phenomenon similar to the emergence of more food allergies and other autoimmune responses as the world becomes more sterile. Humans evolved with struggles. When you’re faced with a problem like acquiring food you have the drive to overcome the problem and solve it. We’ve developed critical thinking to be more competitive by foreseeing everything that can go wrong and evaluating them from greatest threat to the least. The greatest needs we face are also the ones we are most equipped to find a solution for. Once those things are met (food, shelter, safety) then the mind starts working down the list. The thing is the “little things” that people in first world countries focus on are also the hardest problems to solve which leads to mental distress. I doubt people who have to fight to make sure they eat have time to think of things beyond their control like the flaws of modern society.

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canadian goose jacket At school we were taught a lot of people drawn to the field tend to have issues and are looking for answers. I think there’s a lot of fear for people practicing to seek outside help because of that sentiment “if you can’t help yourself how can you help me?” I think that shows a sort of bravery and compassion to continue working to help others while struggling with their own illness their dedication and belief that it makes a difference is evident in those actions. Let it hurt you lost someone who was dependable that probably knew more of you than anyone else but don’t allow it to deter you. canadian goose jacket

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cheap canada goose uk On one hand, it shows that they are typical teens which I can understand why people relate to that aspect of them. However they are dealing with monsters and magic and all sorts of things I could never relate to, but that canada goose outlet ontario kind of seems to take a back seat in the fandom. Teen love is great and all but putting the focus on that takes away from the story. I’d cheap canada goose like the characters to be something more in the overall scheme than “oh yeah! Marco! I dated him for a couple years before I went canada goose clearance off to college and met Vlad!” cheap canada goose uk.