bumble-bi-ace - LGBTQA Biromantic Asexual Gamer

bumble-bi-ace

LGBTQA Biromantic Asexual Gamer

227 posts

Latest Posts by bumble-bi-ace

bumble-bi-ace
5 months ago
Patronus Analysis 029 The Magpie Those With The Magpie Patronus Have An Impressive Mind. Although They

Patronus Analysis 029 The Magpie Those with the Magpie patronus have an impressive mind. Although they may not see it, conjurers of the magpie are often very intelligent.

Perceptive, those with this patronus are often able to understand and process information exceedingly fast. Those with this patronus are the most intellectual of all. Another feature of those with this patronus is the ability to observe, this watchful nature allows people with the Magpie patronus to absorb information just by watching things happen around them.

The downfall of those who conjure this patronus is that they can sometimes be willful and will not change their mind easily, sometimes this leads to disputes.

However, this willful nature comes from the need to constantly be improving. Those with the magpie patronus strive for better.

This patronus is most commonly found in Ravenclaw and a close second is Slytherin. Although the magpie patronus can be found in other houses.

bumble-bi-ace
6 months ago

The autistic experience is wanting to be an artist, a writer, a baker, an animator, a mother, somebodies wife, be totally independent, have a large friend group, only have one friend, move away and never speak to anyone ever again, never leave home, collect stuffed animals, heal your inner child, be a grown up, stay young at heart, get a job but not something you aren’t passionate about, eat safe foods, hate your safe foods because you’ve eaten them too much, scream and cry about how you feel like no one understands and you don’t fit in, love being different and not fitting in and not being able to do any of it because the seam of your sock isn’t sitting correctly.

bumble-bi-ace
6 months ago
I 💖 Reindeer 🔔🦌🎀
I 💖 Reindeer 🔔🦌🎀
I 💖 Reindeer 🔔🦌🎀

I 💖 reindeer 🔔🦌🎀

bumble-bi-ace
7 months ago
Credit: Other Worldly Oracle

Credit: Other Worldly Oracle

bumble-bi-ace
7 months ago
Credit: The Hour Of Witchery

Credit: The Hour of Witchery

bumble-bi-ace
7 months ago
I Just Really Love The Idea That Pre-war Bucky Just Loves Using His Mouth On Steve. Or WS Bucky. Or Just

I just really love the idea that pre-war Bucky just Loves using his mouth on Steve. Or WS Bucky. Or just any Bucky tbh.

bumble-bi-ace
8 months ago

Understanding Hirsutism: How PCOS Affects Hair Growth

Hello again, and welcome back to Shining Through PCOS! I’m Luciana, and today we’re continuing a topic that resonates deeply with many of us living with Polycystic Ovarian Syndrome (PCOS)—hirsutism—and how our hormone imbalances contribute to this challenging symptom.

The Hormonal Connection to Hirsutism

Hirsutism, the growth of coarse, dark hair in areas where men typically grow hair, is one of the most distressing symptoms of PCOS. While it’s not uncommon for women to experience unwanted hair growth at some point, for those of us with PCOS, it often feels like a relentless battle against our own bodies. Understanding the underlying hormonal imbalances can help us navigate this challenge with more compassion for ourselves.

Previously, we discussed how some of the conditions we deal with as a result of PCOS overlap. At the heart of hirsutism in women with PCOS are elevated levels of androgens, often referred to as “male hormones.” While everyone has these hormones to some degree, women with PCOS typically have higher-than-normal levels (Rizvi et al., 2023). This hormonal imbalance is primarily due to something called insulin resistance, a condition where the body’s cells become less responsive to insulin, leading to higher levels within the bloodstream (Barber et al., 2019). Elevated insulin can stimulate the ovaries to produce more androgens, which in turn contributes to symptoms like hirsutism, acne, and irregularities in ovulation (Rosenfield & Ehrmann, 2016).

Understanding the Role of Androgens

Androgens play a crucial role in hair growth, but not in the way we might hope. In women with PCOS, the overproduction of hormones like testosterone can lead to the development of male-pattern hair growth (Mihailidis et al., 2015). Common areas for hirsutism include the face, chest, and back, making it a source of significant emotional distress for many of us (Mihailidis et al., 2015).

I remember grappling with so much embarrassment over the abundance of body hair I dealt with as a child. I felt perpetually frustrated and humiliated in my own skin. It’s a tough battle to handle feelings of inadequacy, especially at a young age when you’re not only worried about your self-perception but also how others perceive you. Many people may tell you it’s “just body hair,” but they underestimate the toll it can take. It affects how you perceive yourself, deprives you of your femininity, and impacts your ability to relate to others and feel a sense of normalcy and autonomy. It’s so much more than just hair.

For many women, including myself, it goes beyond mere appearance; it’s about how we feel in our skin. The pressure to meet certain beauty ideals can lead to feelings of shame and isolation, particularly in visible areas where hair growth can’t be ignored. It's vital to remember that these feelings are valid, and seeking support—whether through friends, family, or professional help—can be an important step in managing the emotional toll of PCOS.

Finding Hope in Treatment Options

While hirsutism can be a challenging aspect of living with PCOS, the good news is that effective treatment options are available. Laser-Based Hair Reduction (LBHR) has emerged as a popular choice for many women looking to manage excess hair growth. However, it’s essential to remember that LBHR targets the symptoms, not the underlying hormonal imbalance. Combining this treatment with lifestyle changes and, in some cases, medications like anti-androgens can create a more comprehensive approach to managing hirsutism (Narang et al., 2018).

As a student dermal clinician, I believe it is crucial for service providers to be as transparent as possible. While LBHR is an excellent treatment for addressing the rate of hair growth, length, and density, it is not a simple fix. It becomes even more complex with how LBHR is marketed as “permanent removal” when it is, in fact, “permanent reduction.” This requires a multidisciplinary approach, which can be a lengthy process. Providers must understand when a client needs this comprehensive approach and when to refer patients for aspects of a condition that may be outside our scope of practice.

Unfortunately, patients are often taken in without understanding the complexity of their condition and are not encouraged to seek medical advice regarding their hormonal levels. It’s essential for providers to discuss all aspects of PCOS instead of offering LBHR as a mere band-aid solution.

In future posts, we’ll delve deeper into these treatment options, discussing their benefits and limitations while emphasising the importance of a tailored approach for each individual.

Luciana ᥫ᭡

References

Mihailidis, J., Dermesropian, R., Taxel, P., Luthra, P., & Grant-Kels, J. M. (2015). Endocrine evaluation of hirsutism. International Journal of Women's Dermatology, 1(2), 90-94. https://doi.org/10.1016/j.ijwd.2015.04.003

Narang, G. S., Jasleen, J., Kaur, J., & Kaur, T. (2018). Cutis vertices gyrate: A case report. International Journal of Contemporary Pediatrics, 5(4), 1693. https://doi.org/10.18203/2349-3291.ijcp20182592

Rizvi, M., Islam, M. A., Aftab, M. T., Naqvi, A. A., Jahangir, A., Ishaqui, A. A., Iqbal, M. Z., & Iqbal, M. S. (2023). Knowledge, attitude, and perceptions about polycystic ovarian syndrome, and its determinants among Pakistani undergraduate students. PLOS ONE, 18(5), e0285284. https://doi.org/10.1371/journal.pone.0285284

Rosenfield, R. L., & Ehrmann, D. A. (2016). The pathogenesis of polycystic ovary syndrome (PCOS): The hypothesis of PCOS as functional ovarian hyperandrogenism revisited. Endocrine Reviews, 37(5), 467-520. https://doi.org/10.1210/er.2015-1104

bumble-bi-ace
8 months ago

Gynecologist Doctor In Punawale

Gynecologist Doctor In Punawale

1. Polycystic Ovary Syndrome (PCOS)

PCOS is a common hormonal disorder among women of reproductive age, causing irregular periods, weight gain, and fertility issues. Dr. Balaji Nalwad Reddy offers a range of treatments, from lifestyle changes to medications, to help manage PCOS symptoms and improve overall health.

2. Heavy Menstrual Bleeding

Heavy menstrual bleeding, also known as menorrhagia, can disrupt daily life and lead to anemia. Dr. Reddy uses advanced techniques like hysteroscopy to identify the cause of heavy bleeding and provide treatments that may include medications or minimally invasive surgeries to control the bleeding.

3. Pelvic Inflammatory Disease (PID)

PID is an infection of the reproductive organs that can cause pain and lead to fertility problems if untreated. Dr. Reddy provides effective antibiotic treatments to control the infection and prevent complications, ensuring women's reproductive health is preserved.

4. Infertility

For couples facing difficulty in conceiving, Dr. Balaji Nalwad Reddy offers infertility evaluations and treatments. He conducts thorough assessments to identify the root cause of infertility, such as ovarian cysts, endometriosis, or hormonal imbalances, and suggests appropriate treatments like fertility medications or assisted reproductive technologies.

5. Contraceptive Counseling and Family Planning

Dr. Reddy provides expert advice on contraceptive methods, helping women and couples choose the best options for their family planning needs. He offers long-term and short-term contraceptive solutions, including IUDs, oral contraceptives, and sterilization procedures, to ensure safe and effective family planning.

Dr. Balaji Nalwad Reddy is dedicated to providing comprehensive gynecological care in Punawale, ensuring that his patients receive the best possible treatment for their reproductive health. If you need expert care for any gynecological concerns, make an appointment with him today.

For More Info-https://gynaeclaproscopicsurgeon.com/blog/2024/10/02/gynecologist-doctor-in-punawale/

bumble-bi-ace
8 months ago
bumble-bi-ace - LGBTQA Biromantic Asexual Gamer
bumble-bi-ace
8 months ago

The Autistic Spectrum is NOT Linear

The Autistic Spectrum Is NOT Linear
The Autistic Spectrum Is NOT Linear
The Autistic Spectrum Is NOT Linear
The Autistic Spectrum Is NOT Linear
The Autistic Spectrum Is NOT Linear
The Autistic Spectrum Is NOT Linear

The Autistic Teacher

bumble-bi-ace
8 months ago
bumble-bi-ace - LGBTQA Biromantic Asexual Gamer
bumble-bi-ace - LGBTQA Biromantic Asexual Gamer
bumble-bi-ace - LGBTQA Biromantic Asexual Gamer
bumble-bi-ace - LGBTQA Biromantic Asexual Gamer
bumble-bi-ace - LGBTQA Biromantic Asexual Gamer
bumble-bi-ace
8 months ago
bumble-bi-ace - LGBTQA Biromantic Asexual Gamer
bumble-bi-ace
8 months ago
It's Nearly The End Of PCOS Awareness Month So I Thought I'd Share A Little Something

It's nearly the end of PCOS awareness month so I thought I'd share a little something

bumble-bi-ace
8 months ago

So true

Reading about how to manage pcos and it’s like:

don’t use deodorant, don’t use perfume, stop eating carbs, stop eating dairy, stop eating sugar, stop eating gluten, stop consuming any form of caffeine, stop consuming salt, don’t use nonstick pans, don’t drink water from plastic water bottles, take 20 different supplements every day, eat avocados every day, live in the forest, build a house from logs you personally got from cutting a pine tree in the forest, only feast on berries and meat you hunted yourself and only drink water from the stream behind your wooden house in the forest.

bumble-bi-ace
8 months ago
“Pop'n Sweet Collection” By Pokémon Centre And Re-Ment
“Pop'n Sweet Collection” By Pokémon Centre And Re-Ment
“Pop'n Sweet Collection” By Pokémon Centre And Re-Ment
“Pop'n Sweet Collection” By Pokémon Centre And Re-Ment
“Pop'n Sweet Collection” By Pokémon Centre And Re-Ment
“Pop'n Sweet Collection” By Pokémon Centre And Re-Ment

“Pop'n Sweet Collection” by Pokémon Centre and Re-Ment

bumble-bi-ace
8 months ago

As a Neurodivergent, When I'm happy I feel the happiest I could ever feel.

When I'm sad, I feel the saddest I could ever feel.

As A Neurodivergent, When I'm Happy I Feel The Happiest I Could Ever Feel.
As A Neurodivergent, When I'm Happy I Feel The Happiest I Could Ever Feel.
As A Neurodivergent, When I'm Happy I Feel The Happiest I Could Ever Feel.
As A Neurodivergent, When I'm Happy I Feel The Happiest I Could Ever Feel.
As A Neurodivergent, When I'm Happy I Feel The Happiest I Could Ever Feel.
As A Neurodivergent, When I'm Happy I Feel The Happiest I Could Ever Feel.
As A Neurodivergent, When I'm Happy I Feel The Happiest I Could Ever Feel.

neurodivergent_lou

bumble-bi-ace
8 months ago

aparently in the latest fantastic 4 comics johnny storm has been in a relationship with an alien, and that would be pretty standard affair for marvel heroes, right.

except someone at marvel with fucking balls of steel and the biggest brain in the known universe made the alien look... actually alien

Aparently In The Latest Fantastic 4 Comics Johnny Storm Has Been In A Relationship With An Alien, And
Aparently In The Latest Fantastic 4 Comics Johnny Storm Has Been In A Relationship With An Alien, And
Aparently In The Latest Fantastic 4 Comics Johnny Storm Has Been In A Relationship With An Alien, And

this is the greatest thing ive seen in my life, is almost enough to make me want to read the comic

bumble-bi-ace
8 months ago
Behold, My New Favourite Item

Behold, my new favourite item

bumble-bi-ace
8 months ago

shoutout to autistic people who have memory issues and can't remember many things about your special interests. you don't need to be able to remember things for the interests to be valid or important to you! if you enjoy them that's what matters

bumble-bi-ace
8 months ago

The ‘you’re mature for your age’ to sleeping with a bed full of plushies in your mid twenties pipeline is real

bumble-bi-ace
8 months ago
Life In An Autism World

Life in an Autism World

bumble-bi-ace
8 months ago
Clueless (1995) Dir. Amy Heckerling
Clueless (1995) Dir. Amy Heckerling
Clueless (1995) Dir. Amy Heckerling
Clueless (1995) Dir. Amy Heckerling
Clueless (1995) Dir. Amy Heckerling
Clueless (1995) Dir. Amy Heckerling

Clueless (1995) dir. Amy Heckerling

bumble-bi-ace
8 months ago

"You can't just pick and choose the parts of a romantic relationship that you want"

No, actually I can.

I can do exactly that. If I want to see them multiple times a week with no commitment and no exclusivity I can.

If I want to cuddle and kiss and not be any more intimate than that I can.

If I want to go on fun dates and spend time together and have little adventures but never call them my partner I can.

If I want to do these things with multiple people at the same time I can.

If I want to call it hanging out instead of dating I can.

If I want to keep things private but also post us being silly on my close firends stories I can.

I can do anything I want to as long as all the parties in the relationship are happy and it's not hurting anyone.

Other people cannot define my relationships for me.

bumble-bi-ace
8 months ago

I'm autistic and I currently feel like shit checklist

Hi there. Are you autistic? Do you currently feel like shit and don't know why? Try this checklist to see if you can Fix The Problem!

When was the last time you used the bathroom? If you answered "I don't know" or "at least 3 hours ago", go now!

Do you need a drink? Go get one if you don't have one in front of you.

When was the last time you ate? If you haven't eaten yet today, consider eating A Meal, or perhaps A Snack. Something is better than nothing, eat whatever you feel able to!

Is there something in your immediate surroundings that is bothering you? If the light is too bright, turn it off. If there is an annoying sound, make the sound stop or reduce your ability to hear it (earplugs, headphones, etc.). If your clothes are bothering you, change them.

Is your space messy? Pick one area of your room and clean it up as best you can. Clean your whole room if you have the energy!

When was the last time you did An Activity? Scrolling on social media doesn't count. Try actively doing something fun! Play a game you like, read a book, make something, or go for a walk.

When was the last time you Spoke to a Person? Consider talking to a person you like if it has been a while.

How long has it been since you did something Special Interest related? Make some time to do that today. Infodump to a friend, have a nice long research session, look at related images or gifs, make art about it, whatever works best for you!

Try stimming actively! Put on some music and dance, spin in circles, go to the park and use the swings!

If you still feel like shit after trying all of these things, you might be tired or sick. Go to bed early and get some rest. Hopefully you will feel better tomorrow!

Hope that helps :)

bumble-bi-ace
8 months ago

Neurodiversity and Challenges Around Food

Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food
Neurodiversity And Challenges Around Food

The Autistic Teacher

bumble-bi-ace
8 months ago

Skin Picking

 Skin Picking
 Skin Picking
 Skin Picking
 Skin Picking
 Skin Picking
 Skin Picking

AJ’s Brain

bumble-bi-ace
8 months ago

The Misconception of Selfishness in Autistic Individuals

The Misconception Of Selfishness In Autistic Individuals
The Misconception Of Selfishness In Autistic Individuals
The Misconception Of Selfishness In Autistic Individuals
The Misconception Of Selfishness In Autistic Individuals
The Misconception Of Selfishness In Autistic Individuals
The Misconception Of Selfishness In Autistic Individuals
The Misconception Of Selfishness In Autistic Individuals
The Misconception Of Selfishness In Autistic Individuals

The Autistic Teacher

bumble-bi-ace
8 months ago
A four panel comic of a person claiming people are faking being autistic. The comic is titled "Fake Influence" and is made by Theresa Scovil.  Panel 1: Narration says "If you don't accept autism self diagnosis because of a few bad actors..." A person looks at their phone, looking annoyed and angry, and says "Ugh, another influencer faking being autistic." Panel 2: Narration says "You're ignoring all of those who can't get an official diagnosis." The same person looks angry and annoyed as they say to a woman of colour "Ugh, another person faking being autistic." The woman looks sad. Panel 3: The woman looks sad as she's surrounded by words saying "Sorry, we only diagnose children." "Autism is a whyte person problem." "Only boys can be autistic." "That'll be $3,000 please." Panel 4: Narration says "All of those people ignored because of a couple liars online." The person shows the woman their phone and angrily yells "You're just like this person!" The woman looks sad.

Whenever the topic of autism self diagnosis comes up, inevitably a comment about "what about people faking it" comes up.

1. Who are you to determine whether they're faking it or not?

2. Is it really worth gatekeeping many people because of the actions of a few?

bumble-bi-ace
8 months ago
A four panel comic of a person upset that Honeydew called them neurotypical. The comic is titled "The Normies" and is made by Theresa Scovil.  Panel 1: A person happily says to Honeydew "Thanks for helping me learn more about autism." Honeydew cheerfully replies "You're welcome! I love educating neurotypicals." Panel 2: The person looks upset and asks "Could you not call me that?" Honeydew looks confused and asks "What? Neurotypical?" Panel 3: The person angrily yells "Yes!" Honeydew looks exasperated and asks "Oh? And what would you prefer?" Panel 4: Honeydew asks "Normal?" The person looks angry.

I find that some people who are in a majority demographic don't like having labels on themselves. They see themselves as the default and can't grasp at the idea that others that aren't in that majority demographic view them as part of the "other".

bumble-bi-ace
8 months ago
Photograph of a zine called “What’s Up With COVID and How to Protect Yourself: 2024 Edition.”
Subtitle:
“Feat. ADVANCED COVID safety tips!”
word balloon: “Have you heard the bad news?”
By Hazel Newlevant

Back cover text:
“Every chain of transmission that is broken is VALUABLE. Every person that doesn’t GET SICK, that doesn’t lose that WEEK OF WORK, that doesn’t become DISABLED or DIE, from the minorest of inconveniences, to the GREATEST of losses: every single one of those things is VALUABLE.” -Becca on DEATH PANEL podcast 2/16/23.

Print and distribute this zine yourself!
Download a PDF here.
Citations:
Newlevant.com/COVIDzine

ALWAYS FREE

New zine that's free for anyone to print and distribute! Read the whole thing at newlevant.com/COVIDzine or in the rest of this post.

COVID zine page 1

Unless you make it a hobby to follow COVID news and studies, you're probably going off old info.
[stack of word balloons coming from different directions]
"COVID is mild now"
"The pandemic is over"
"'Pandemic of the unvaccinated'"
"COVID is like the flu"
"Only 'high risk' people need to worry about it."
"There's nothing you can do."

Businesses have a clear interest in YOU not worrying about COVID, and governments want to claim "victory" by hiding the problem. 

They want you at work, shopping, traveling, and going to events just like you did in 2019--NOT demanding sick pay, clean air infrastructure upgrades, etc.

The CDC didn't want to admit COVID is airborne because it would open employers up to workplace safety lawsuits.

Masks are a visual reminder of the ongoing danger.

In a 2020 study, people who complied with mask mandates spent *25% less time shopping.*

In 2021, the CDC shortened their COVID isolation guidelines...at the request of Delta Airlines' CEO.
COVID zine p2

Here's the real tea:
[handwritten, bold text] COVID is airborne & movies like smoke.
Because the virus is transmitted by respiratory aerosols--the fog that you can see exhaled on a cold day.

Could you smell if someone was smoking? Then you could inhale their COVID virus.
[Cartoon of a person standing near 2 cigarette smokers, surrounded by smoke.]
This is why airflow, filtration, and limiting contacts are key to stopping infections.
[handwritten, bold text] Six feet apart /= safe
That's old news, from when scientists *hoped* COVID was mainly spread by large droplets.

Turns out, it can hang out in the air for hours.
COVID zine page 3

[Bold, handwritten text] COVID is still everywhere.

At least half of COVID spread is from people who don't (yet) have symptoms.

With no paid sick leave and too-short isolation guidelines, people are regularly forced to work while infectious.

[Cartoon of a waitress, unmasked, looking abashed, surrounded by an infectious cloud, saying "may I take your order?" Many jobs now disallow masks!]

The CDC stopped tracking COVID tests, so now the best way we have to estimate how many people have COVID: wastewater testing. Virus levels in sewage closely follow actual cases.

[Cartoon of a toilet with viruses getting flushed]

[Graph of Biobot COVID wastewater levels from jan 2020 to Feb 2024, showing 929 copies per mL on Feb 17]

[Cartoon of me, looking at the graph, saying "More cases than ANY TIME in 2020. Not great."]
COVID zine p4

[Conversion chart of Biobot wastewater levels measured in copies/mL to what percentage of the population is infectious. They are from https://pmc19.com/data/ and @michael_hoerger on twitter.]

Using the national measurements from Feb 2024, approx. 1 in 36 people were infectious with COVID.

[How Does Risk Increase with More Social Contacts? conversion chart]

[Cartoon of me, looking tired, wearing a respirator, pointing up at the chart. I'm in a crowd of people, drawn in silhouette, and clouds of COVID.]

You can see how the risk skyrockets with crowds.

U.S. residents can estimate how many people are infectious with COVID in YOUR area NOW with data from your nearest wastewater testing facility: biobot.io/data/covid-19 [QR code]
COVID zine p5

[Bold, handwritten text] COVID is really dangerous.

[Cartoon of a person's circulatory system]

COVID isn't just a respiratory illness. It injurs the blood vessels and can damage nearly any organ, all over your body.

Even mild infections cause brain shrinkage equivalent to aging 1 to 10 years.

Each infection has a ~1 in 10 chance of causing new, lasting symptoms, aka Long COVID. This is true for kids AND adults.

Long COVID can present in all kinds of ways. Even cases that start mild can become debilitating.

[Cartoon of a person lying down and wearing an eyemask, surrounded by handwritten descriptions of potential Long COVID outcomes]
Can't read, watch TV, look at phone, listen to music.
Brain fog, hard to even think.
In pain, feel like you have the flu for months on end.
Have to lay in the dark and quiet.

See pandemicpatients.org for an extensive list of Long COVID and Post-COVID Conditions: [QR code]
COVID zine page 6

[Graph labeled "Excess Deaths and COVID Deaths in Young Adults (age 18-49)". The "excess deaths [all cause]" number is at about double "COVID-19 deaths".] 

So far in 2024, at least 1,000 people are OFFICIALLY dying of COVID in the U.S. every week. Chances of having a heart attack or stroke go WAY UP after a COVID infection, so it contributes to many more deaths than the official count.

[Bold, handwritten text] Repeat infections are hurting us.
The chances of bad shit happening get higher each time you get infected.

Viral fragments have been found in tissue samples even 12 months post-diagnosis. Viral persistence is a likely mechanism of Long COVID.

COVID disregulates the immune system, even in recovered patients. We're seeing outbreaks of RSV, monkeypox, polio, TB and more--possible signs of widespread immune dysfunction.

[Chart labeled: "Fig. 5: Cumulative risk and burden of sequelae in people with one, two, and three or more SARS-CoV-2 infections compared to noninfected controls."
It lists the following bad health outcomes, showing that each is more likely after 1 infection, more likely after 2 infections, and even MORE likely after 3 infections: 
Hospitalization
at least one sequela
cardiovascular
coagulation and hematological
Diabetes
Fatigue
Gastrointestinal
Kidney
Mental health
Musculoskeletal
Neurological
Pulmonary]
COVID zine page 7

[Bold, handwritten text] Vaccines and "hybrid immunity" are not enough.

COVID vaccines create antibodies that fight infection. They've greatly reduced hospitalization and death from acute infection. But antibody levels quickly decline over the following months. Vaccines aren't stopping people from getting infected, spreading COVID, and long-term damage

[diagram of SARS-CoV-2 infection. The virus is covered in spike proteins, and there are circulating antibodies, some of which bind to the spike proteins. There's a human cell covered in ACE2 receptors. When a spike protein binds to an ACE2 receptor, that's cell infection. When an antibody binds to the spike protein, it can't infect!]

COVID keeps mutating, with new shapes in the spike protein that evade old antibodies. You can get reinfected with a different variant, even in weeks.

[Bold, handwritten text] COVID vaccines are like an airbag. Avoiding exposure is like keeping your hands on the steering wheel.
COVID zine page 8

[Bold, handwritten text] Rapid tests give a lot of false negatives.

Taking a single rapid test only successfully detects ~60% of early symptomatic infections and ~12% of asymptomatic infections. The FDA now recommends repeat testing after a negative result.

Positive: You have COVID.
Negative: You MIGHT have COVID. Try again in 48 hours, or get a PCR test, especially if you have symptoms or known COVID exposure.

Improve test accuracy by collecting a combined nose and throat sample!

Instructions (from Ontario Health):
Do NOT eat, drink, chew gum, smoke, or vape for at least 30 minutes before collecting the sample.

Blow your nose first. Wash your hands and only hold the swab opposite the soft swab tip.

1. Swab between the inner cheek and lower gum, on both sides. Then, swab your tongue, as far back as you can go. OR, look in a mirror and swab your tonsils.

2. Swab the nasal wall. Tilt your head back and insert the swab straight back (not up) until you hit resistance. Rotate several times. Then do the other nostril.

Order free COVID tests (if covered by insurance): fastlabtech.com [QR code]

Find free testing locations: testinglocator.cdc.gov [QR code]

[Diagram drawing of a combined nose and throat swab, with the swab placed on the tonsils labeled "1" and the swab in the nose labeled "2", to indicate the correct order to swab in.]
COVID zine page 9

[bold handwritten text] What we can do:
[Cartoon of me, looking peaceful, wearing a Flo Mask, surrounded by a light cloud of virus.]

Don't breath COVID in. It's all about MASKS and AIRFLOW.

Wear a mask with N95 or better filtration (aka a respirator) and make sure there are no gaps. A mask is only as good as its seal!

N95+ filters trap particles with an electrostatic charge, which is why they're much better than cloth or surgical masks.

Head-straps give a better seal than ear-loops, and are more comfortable!

Elastomeric masks (reusable face piece, replaceable filters) give the BEST seal, assuming the model fits your face!

[Graphic of a CDC MMWR report, bit.ly/MMWR7106 :
People who reported always wearing a mask in indoor public settings were less likely to test positive for COVID-19 than people who didn't
Among 534 participants reporting mask type
Cloth mask: 56% lower odds
Surgical mask: 66% lower odds
Respirator (N95/KN95): 83% lower odds ]
COVID zine page 10

Seal check: Cover the surface with your hands. Can you feel the mask going IN when you inhale and OUT when you exhale? That's good. 

[Cartoon of me with my hands over my mask]

If you feel any air leaking around the edges, the mask doesn't fit properly.

To better know if a particular mask fits you, try a DIY fit test. [arrow pointing to a QR code that goes to the DIY fit test instructional video linked in the tweet]

Source control is BETTER at stopping transmission than just the uninfected person wearing a mask! But both people masking is safest.

[Cartoon of me getting checked out by a cashier. I'm wearing a mask that has virus in it, demo-ing source control]

3M Aura is a good disposable respirator. (buy from a hardware store or stauffersafety.com, Amazon is full of fakes!)

EnvoMask Pro and FloMask Pro are good elastomerics.

[Drawings of the masks]

Laianzhi HYX1002 is currently the best mask that comes in black.

Fit test results: testtheplanet.org [QR code]
COVID zine page 11

Go outside for more airflow to disperse the virus!

Outdoor COVID transmission is still possible, but it's much safer than an enclosed space.

[Cartoon of me and a friend, both wearing masks. A leaf is blowing between us; evidently we're outside]

Failing that, open windows, run fans to pull in fresh air, and use HEPA air purifiers. Get a cross-breeze going!

[Cartoon diagram of two open windows with a box fan in between, pulling clean air in from one window and blowing indoor air out the other window.]

You can make a DIY air purifier by taping a furnace filter to a box fan.

Instructions: cleanaircrew.org [QR code]

Mini DIY purifier with a PC fan and a round HEPA filter!

[Cartoons of furnace filter taped to a box fan, and a round filter with a PC fan on top.]

Purifiers also help with pet allergies and wildfire smoke!
COVID zine page 12

[bold, handwritten text] Extra precautions:
SARS-CoV-2 primarily infects in the upper respiratory tract, so it makes sense to target treatment there. Some nasal sprays have been shown to reduce the risk of getting COVID!

XYLITOL nasal spray reduced healthcare workers' risk of infection by 62% in one randomized controlled trial.

IOTA-CARRAGEENAN nasal spray reduced HCW's risk of infection by 80% when dosed 4x daily in one RCT.

NITRIC OXIDE nasal spray reduced infection risk by 75% when taken 4x daily after COVID exposure for 10 days, in a preliminary study.

Povidone-iodine mouthwash reduces viral load in the mouth, though how well this prevents infection is unknown.

S. salivarius k12 probiotic losenges reduced upper respiratory tract infections by 65% among HCWs in one RTC.

[bold, handwritten text] NOT A SUBSTITUTE FOR MASKS AND CLEAN AIR!!

The evidence base is much smaller and they won't stop you from spreading COVID if you DO get infected. But it's good to have many layers of protection!
COVID zine page 13

[bold] I have COVID, now what??

What I'm planning to do if/when I get COVID again. Not medical advice. I am not a doctor.

People's CDC has a detailed "What to Do if You Have COVID" guide. Gather supplies BEFORE you get sick!

[bold] There's still a chance to stop the spread!

Reduce the chances of infecting others in your household by isolating ASAP, ventilation, and everybody wearing masks. People stay infectious for at least 10 days! After that, test to find out if you're negative.

[drawing of bottle] "CPC or iodine mouthwash to kill virus in mouth" 

Don't go out if you can help it. If it's an emergency that can't be delegated or postponed, WEAR A RESPIRATOR!!!

(In a catch-22, you may need results from an in-person PCR test to get disability benefits or Long COVID care down the road)

[bold] REST.

[drawing of mug] Dehydration is ALSO linked to Long COVID, so drink up!

Inadequate rest can WORSEN or potentially even CAUSE Long COVID. Don't work out!! Avoid exertion as much as possible, during infection and in the weeks after. Rest and pacing are also crucial for dealing with chronic fatigue syndrome, a common Long COVID condition.
COVID zine page 14

[bold] Early Treatment

Paxlovid is an anti-viral medication and lowers Long COVID risk by ~25%. It's prescribed for those at increased risk of severe illness...which is 75% of U.S. adults. It must be started within 5 days of symptoms.

Ideally, you can get a Paxlovid prescription from home with a telehealth doctor visit. More options:

Find a Test to Treat site (free prescriber visit) and/or a Paxlovid Patient Assistance Program site (free Pax for eligible people).
treatments.hhs.gov [QR code]

In New York State, you can get assessed through Virtual ExpressCare or by calling 212-COVID-19 .
ondemand.expresscare.video/landing [QR code]

[smaller] (outrageously insufficient, i'm sorry!!)

Here are the non-prescription meds and supplements that RTHM, a Long COVID clinic, recommends to reduce symptoms and risk of developing Long COVID:

H1 blockers 
H2 blockers 
Low-dose aspirin
colloidal silver nasal spray and gargle
Nattokinase
N-Acetyl-L-Cystein (NAC)
Curcumin (turmeric)
Multivitamin with Vitamin D3
Melatonin
Alpha Lipoic Acid (if noticing increased heart rate)

Read why: rthm.com [QR code]

UPDATE 4/11/2023:

I swapped out the colloidal silver nasal spray info for xylitol nasal spray info. I originally included colloidal silver spray because of the linked study and recommendation from RTHM, but I don't want to be pointing people toward something with notable health risks. Xylitol spray (Xlear) is also cheaper and more widely available!

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