Dr. Black

G-Order//Medical Doctor//Birds

[Dr. Black @subaKnight]

Are they hypnotised?

AM I HYPNOTISED

[Dr. Black @subaKnight]

Ballon D'ors for Dembele,

Great game and goal, Champ

[Dr. Black @subaKnight]

Great

[Rahul @sairahul1]

🚨 Anthropic's CEO: "software engineering will be fully automated in 12 months."

two types of people right now:

type 1: opens Claude, types something, gets an answer, closes the tab. thinks they're using AI.

type 2: knows the hidden features, settings, and shortcuts. runs Claude like a power tool.

type 1 gets surprised in 12 months.
type 2 built the advantage already.

bookmark this. read it today.

[Dr. Black @subaKnight]

Iran is circumcision away from being Israel.

@iamjohnoliver
@TheDailyShow

🤣🤣🤣

[Dr. Black @subaKnight]

Focus beats intelligence.
Consistency beats intensity.
Action beats intention.

[Dr. Black @subaKnight]

You don't have what you want because you're unwilling to say no to things you want less.

[Dr. Black @subaKnight]

Happy father's day

[Dr. Black @subaKnight]

Gynaecologists giving you privacy to undress is the most pointless professional courtesy😂😅🤣

[Dr. Black @subaKnight]

@DonaldBKipkorir @WilliamsRuto Because Ruto is a conman, a fraudstar and a criminal.

[Dr. Black @subaKnight]

The big things come slower than you expect, are never easy, and always cost more than you thought.

[Dr. Black @subaKnight]

We need to be reminded more than we need to be taught.

[Dr. Black @subaKnight]

Amen

[Dr. Black @subaKnight]

@ChideraO80222 Yes, the results are great.

I hope your uncle is alright

[Dr. Black @subaKnight]

PROSTATE ENLARGEMENT/BPH

If you live long enough your prostate will grow.

By 60, half of men have an enlarged prostate.

This is wildly - and it's not cancer.

[Dr. Black @subaKnight]

If you don’t want this moment, then you will never be happy.

[Dr. Black @subaKnight]

Treatment

Menopause hormonal therapy

- Transdemal estrogen

-Low dose vaginal estrogen

-COCs

Non-hormonal options for vasomotor symptoms

- Fezolinetant

- SSRIs/SNRIs and clonidine can be used. But are no longer first line for flushes.

[Dr. Black @subaKnight]

PERIMENOPAUSE

This is menopausal transition the years of fluctuating ovarian function preceding the final menopausal period

This can span between 4 to 8 years.

Mean age for menopause is 51.

[Dr. Black @subaKnight]

2 REMINDERS

1. pregnancy still remains a possibility, so contraception is required

2. Menopause below 40 is premature ovarian failure, and hormonal therapy is required till 51