▲ 13 r/DermApp

How much do preclinical grades matter?

M1 here, my school has graded preclinicals (weighted less heavily in AOA than clinical grades, but still weigh something nonetheless). How hard should I be trying to honors my classes?

reddit.com
u/itsSmooth1 — 6 days ago
▲ 281 r/BMW

2023 540i instrument cluster went black

made a chime sound and it went out. anyone experience this? The normal i drive screen still works normal

update: dealer said they have to replace the whole head unit. weirdly enough they already have one in stock so shouldn’t be too long of a job.

u/itsSmooth1 — 29 days ago
▲ 2 r/BMWG30

anyone have any tips on how to get the black connector out? i took off the rest of the housing but still struggling with it

u/itsSmooth1 — 1 month ago
▲ 1 r/BMWG30

mirror tapping my radar, this mirror power clip won’t come off

any tips for how to get this clip off? i’ve been trying for like 20 minutes it’s driving me nuts, i just can’t seem to get the leverage

reddit.com
u/itsSmooth1 — 1 month ago
▲ 30 r/airpods

accidentally dropped my one month old airpod pro 3 on asphalt 💔

was taking it out of my ear and my butterfingers let it slip and it fell on the asphalt, actually tragic

i even got a fancy spigen case for it, oh well it happens i guess

u/itsSmooth1 — 1 month ago

SunPass sticker vs E-PASS Uni transponder? What's the best option for me?

Just bought a new car and moved to tampa and I'm deciding what toll pass to get

I now live in Tampa and will mostly be driving around the Tampa area, but I'll also occasionally drive to Orlando, Miami, Jacksonville, and other places around Florida. I also wouldn't mind taking road trips out of state every now and then.

From what I understand, my options are roughly:

  • SunPass Mini sticker ($5)
  • E-PASS sticker (free)
  • E-PASS Uni portable transponder ($15 ish)

I'm leaning toward just paying the $15 for the Uni transponder if it's actually the best long-term option, but I'm wondering if that's overkill. Is there any benefit to doing so? Just got hit by a toll by plate (didnt know there was a toll there lol)

reddit.com
u/itsSmooth1 — 1 month ago
▲ 6 r/BMWG30

Had AI show me how my wheels will look on my car, do I black out chrome or keep it?

Hey everyone,
I ordered wheels for my ‘23 540ix in black sapphire metallic and I was debating whether to have the chrome bits wrapped in black or not. I had AI show me what it would look like, what do you guys think?

u/itsSmooth1 — 2 months ago

Discover debit not showing up on Paze for sephora

Weird glitch, my discover debit shows up when checking out with paze at newegg and dunkin etc but it doesn’t show up for sephora, all of my other cards do though. anyone know why this is or having the same issue?

reddit.com
u/itsSmooth1 — 2 months ago

capital one discover debit not showing up on paze?

i have my card linked to my paze, at every other merchant i’m able to use it, but at sephora for some reason all of my other cards show up on paze except for this one. anyone having the same issue?

reddit.com
u/itsSmooth1 — 2 months ago

Co2 laser in turkey?

I’m in istanbul, has anyone gotten Co2 laser (fractional or ablative) done here? anyone have experience with that? would it be effective for me?

u/itsSmooth1 — 2 months ago

Debit isn't showing up as an option for Paze

I activated my debit card a day ago, and it isn't showing up as an eligible account for Paze. Anyone know why this is and what I can do to add it to Paze?

reddit.com
u/itsSmooth1 — 2 months ago

First ever points redemption and I’m pretty happy with it

I’ve been lurking here for a while and finally pulled the trigger on my first real award redemption with capital one miles from the venture x.

Booked:
Turkish Airlines business class
Detroit (DTW) ⇄ Istanbul (IST)
130,000 miles + $645 in taxes/fees per person
Cash price for the same itinerary was $4,801 per person, so around 3.2 cpp

this was my first time transferring miles and booking a ticket like this, it was really satisfying when everything clicked lol. i know it’s a pretty simple redemption compared to some of the stuff i’ve seen on here but im pretty proud regardless haha, made the hobby and optimizing feel worth it 🙏🏻

reddit.com
u/itsSmooth1 — 2 months ago

Newegg gift card for Paze promo?

Anyone been buying Newegg gift cards for the Paze promo? Aka, the gift card for the actual merchant Newegg, not gift cards for other merchants. I've been able to buy 11 in a row so far (I have 4 eligible cards, so I'll be able to buy 40 total). These in theory should still work right? should i just keep buying them until Newegg doesn't let me anymore or puts me on a cooldown?

reddit.com
u/itsSmooth1 — 2 months ago

can i see examples of 50 windshield and 15 all around vs 35 windshield 15 all around?

just want to see how different they look and how the visibility is

reddit.com
u/itsSmooth1 — 2 months ago
▲ 2 r/BMWG30

G30 540i xDrive fitment help: 19x9 ET25 vs ET22 vs ET20 with OEM 245/40R19 tires

Hey everyone,
Looking for some advice before I order a custom forged set.
Car:
2023 BMW G30 540i xDrive
Stock suspension (for now)
OEM 19” square setup
Brand new Continental ProContact SSR 245/40R19 tires that I’d like to keep
Not planning spacers

Wheel I’m ordering:
19x9 forged
Trying to decide between ET25, ET22, or ET20
I’ve spent a lot of time researching and it seems like APEX recommends 19x9 ET25, and most G30 builds I can find are ET25 or ET28. I haven’t found many ET20 or ET22 examples.

My goals:
Flush OEM+ look
No rubbing
Keep current 245/40R19 tires
Leave open the possibility of lowering the car later (H&R/Eibach springs maybe)
From the calculators I’ve used, ET25 would move the outer lip about 18 mm outward compared to stock and ET22/ET20 would add another 3-5 mm.

Would you run the same offset front and rear, or stagger the offsets even though I’m keeping a square 245 setup? And would 25 look flush on front and back?

reddit.com
u/itsSmooth1 — 2 months ago
▲ 2 r/BMWG30

Help w wheel sizes/fitment on '23 540i

Hey everyone, just got a '23 540i xDrive. Current setup is OEM staggered 19s with basically brand new Continental ProContact SSR runflats:

  • 245/40R19 front
  • 275/35R19 rear

I’m NOT lowering the car, not tracking it, and mainly use it as a daily. I just want a cleaner OEM+ look with aftermarket wheels.

My dilemma is whether it makes more sense to:

  1. Keep the OEM staggered sizing and buy aftermarket wheels with basically identical specs so I can reuse my current tires OR
  2. Switch to a square setup (probably 19x8.5 or 19x9 all around) for rotation/tire longevity, even though that would mean buying all new tires immediately.

From what I understand, the OEM-style staggered fitment on these cars is around:

  • Front: 19x8-8.5 ET30ish
  • Rear: 19x9-9.5 ET40ish

A lot of people seem to recommend square setups on xDrive cars for simplicity/rotation, but at the same time my current tires are almost brand new so I feel like it would be a waste of money to ditch them just for a square setup. I know people hate on run flats, I honestly don't mind them too much. When I end up buying new tires I'll probably buy normal tires but until then I plan on running these until tread is gone.

A few other questions:

  • Is sticking close to OEM offsets/sizing generally the safest move on G30 xDrive cars?
  • Any downside to keeping staggered if I’m not chasing max tire life?
  • Are 20s actually worth it on these cars or do most people regret the ride quality?

Would appreciate seeing actual specs people are running too, especially if you kept OEM tire sizes on aftermarket wheels.

reddit.com
u/itsSmooth1 — 3 months ago
▲ 53 r/BMWG30

What cosmetic mods to do in what order?

Just bought this ‘23 540i xdrive in black sapphire metallic. what do yall think the best mods i should do are currently?

u/itsSmooth1 — 3 months ago

thoughts on 15% all around and back n 35% windshield?

anyone running this setup? how’s the visibility at night and during the daytime?

reddit.com
u/itsSmooth1 — 3 months ago

21M with low BMD for age, normal labs/TBS/VFA, sports fractures, and pathogenic ORC6 variant. What should I ask next?

Hi everyone,

I’m a 21-year-old male trying to understand a low bone density workup. I’m already seeing endocrinology and have follow-up planned, but I’d appreciate advice from anyone with young-onset low BMD, genetic bone findings, or similar DXA results.

Background

  • Male, 21
  • Height around 6'1" to 6'2"
  • Weight usually mid-160s
  • Lifting consistently 4+ days/week with progressive overload
  • High-protein diet
  • Trying to maintain calcium and vitamin D intake
  • No smoking
  • No obvious secondary cause found so far

Fracture history
I have had prior fractures, but they were sports-related:

  • Dec 2021: right humerus and ulna fracture during a sports-related fall, required surgery/hardware
  • 2023: right finger fracture during sports

I’m not sure whether these should be interpreted as fragility fractures or traumatic/sports fractures. My endocrinology note lists osteoporosis/low BMD with history of right humeral/ulnar fracture and right finger fracture, unclear etiology.

DXA history

8/2023 DXA

  • Spine only
  • Lumbar spine BMD: 0.910
  • Z-score: -2.3

8/24/2025 DXA, SimonMed

  • Lumbar spine L1-L4: BMD 0.933, Z-score -2.4
  • Left femoral neck: BMD 0.711, Z-score -3.1
  • Left total hip: BMD 0.770, Z-score -2.4

1/27/2026 DXA/TBS

  • Lumbar spine L1-L4: BMD 0.831, T-score -2.4, Z-score -2.1
  • Left femoral neck: BMD 0.596, T-score -2.5, Z-score -2.5
  • Left total hip: BMD 0.756, T/Z -1.8
  • Right femoral neck: BMD 0.679, T/Z -1.8
  • Right total hip: BMD 0.751, T/Z -1.9
  • Mean total hip: BMD 0.754, T/Z -1.8
  • TBS AP spine: 1.322, interpreted as normal microarchitecture
  • VFA: no obvious vertebral deformities/fractures
  • FRAX not reported because I’m under 50

Important caveat: the 2025 and 2026 DXAs were done on different machines/facilities, so I know raw BMD values may not be directly comparable. The 2026 scan was treated as a baseline on that machine.

Labs/workup

Most common secondary causes seem negative/normal.

1/14/2026 labs

  • Celiac panel: normal
  • CMP: normal
  • CBC: normal
  • Vitamin D 25-OH: 58
  • PTH: 27
  • Ionized calcium: 5.0
  • Total calcium: 9.6
  • Phosphorus: 3.6
  • TSH: 1.07
  • Free T3: 3.9
  • IGF-1: 299
  • Total testosterone: 607
  • Free testosterone: 80.1

2/1/2026 labs

  • CMP: normal
  • P1NP: 103
  • CTX: 657

24-hour urine calcium

  • 213, interpreted as normal

So far, there doesn’t seem to be evidence of vitamin D deficiency, hyperparathyroidism, thyroid disease, celiac disease, kidney disease, calcium wasting, abnormal testosterone, or major metabolic abnormality explaining the low BMD.

Genetic finding

Genetic testing showed a pathogenic ORC6 variant. My endocrinologist noted that ORC6 mutations can be associated with Meier-Gorlin syndrome, but I don’t have obvious classic clinical features. I’m tall, around 6'2", and I don’t have obvious microtia or patellar abnormalities as far as I know.

The note said ORC6-related Meier-Gorlin syndrome is typically associated with developmental issues in bone/tissue growth and delayed mineralization rather than progressive acquired bone loss. Additional genetic testing/referral was ordered.

Current plan from endocrinology

  • No medication for low BMD right now
  • Repeat DXA + TBS in about one year
  • Continue age-appropriate protein, calcium, vitamin D, and physical activity
  • Follow up with genetics/testing

Has anyone seen a similar case: young male, low BMD/Z-scores, completely normal labs, normal TBS/VFA, sports fractures, and possible genetic/developmental explanation? What did your doctors do, and did anything help improve or stabilize BMD?

reddit.com
u/itsSmooth1 — 3 months ago