Taking Metformin with a snack instead of a meal?

Hi all! I was recently put on Metformin to help with appetite suppression since I am on a medication that has caused a lot of weight gain.

The issue is that I have delayed gastric emptying, and it has been recommended by my doctor that I eat snacks every few hours and avoid meals. However, it says on the label that I am supposed to take Metformin with meals.

Has anyone taken it with a small amount of food instead of a meal? If so, did it worsen side effects? I’m a little hesitant to take it with the small amounts of food I eat, but I really don’t have any other options. I’m just a little nervous about getting the GI upset side effects.

Thanks in advance for any advice!

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u/tlovesu — 15 hours ago
▲ 12 r/GERD

Recommended not to eat meals anymore?

Hi all! I just got an upper endoscopy today, and I have grade B esophagitis as well as swelling in my stomach. My GI doctor believes it was either due to GERD and EoE or just GERD, so she took some biopsies as well, which I’ll be waiting on the results for. I’ve had reflux for years, as well as trouble swallowing.

After my procedure today, my doctor recommended that I strictly avoid meals, and eat something small every few hours instead to avoid irritating my stomach. Has anyone else gotten this recommendation? And, if so, what kind of snacks are you eating that still have a lot of nutrition? The foods that seem to cause me the most trouble are ones containing dairy, as well as wheat.

Thanks in advance for any replies!

ETA: My GI doctor also believes I have delayed gastric emptying due to food being found in my stomach on previous endoscopies that I had eaten 12+ hours before the procedure- not sure if that is relevant or not, but I wanted to add that just in case.

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u/tlovesu — 16 hours ago
▲ 67 r/bipolar

Just paid off my credit card debt after years of hypomanic spending

I have been in credit card debt for 2 years, mainly due to hypomanic shopping sprees. It got to the point where my card got maxed out ($1.3k). I never have missed a minimum payment, but I also have never been able to pay much more than the minimum.

Well, I finally got a job recently, and I’ve also finally been properly medicated for the past few months- no hypomanic episodes since (fingers crossed lol). I decided that any money I made would go to paying off my credit card, outside of necessities.

Today, I was able to make my last payment. It’s finally paid off after 2 years!! I feel a huge weight lifted off of my shoulders. I don’t even remember the last time I was this happy. I feel like this is a new beginning for me, and I will not allow myself back into the hole of debt I was once in.

Just wanted to share that here, since I don’t have many people to share it with :) I’m not proud of myself or my actions often, but today, I’m so proud of myself.

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u/tlovesu — 4 days ago

Did anyone with unspecified bipolar end up getting diagnosed with 1 or 2?

Hi all! I am 20 years old, and have been diagnosed with bipolar disorder (unspecified) since I was 16. I had a psychological evaluation at 15 where the psychologist wrote to monitor for onset of bipolar, and, of course, a year later I was officially diagnosed.

My question is- did anyone with unspecified bipolar ever end up getting diagnosed with bipolar 1 or 2, or did you remain diagnosed with unspecified? I don’t know if unspecified is more of a diagnosis that you give until you can get to the bottom of what form of bipolar someone has, or if it can be a permanent diagnosis.

My psychiatrist claims that I have had both manic and hypomanic episodes. However, I’ve never been hospitalized. I know I should have been at some points, but I was always too ashamed of my friends finding out. I know it’s stupid and I don’t judge other people who are hospitalized, I am just very hard on myself.

Any responses are appreciated! I’m seeing a new psychiatrist today, and am unsure whether I should discuss this with him or not.

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u/tlovesu — 8 days ago

Was anyone else’s break not seen on an x-ray?

A few months ago, I had a knee injury. When it happened, I heard a crunch in my leg, and I immediately felt like I had broken something. I went to urgent care the next day, got x-rays, was told everything looked good, and was referred to an orthopedic doctor. At this point, we assumed maybe it was an injury to the meniscus.

The ortho wanted me to wait a few weeks for an MRI because of swelling, which is understandable because she wanted a clear view. However, my pain was unbearable and completely incomparable to anything I’ve ever felt in my life. I pushed and pushed to get an MRI sooner, and finally got one. It turned out to be an osteochondral fracture of my tibial plateau, so I broke my bone and the cartilage around it. My doctor was very happy I pushed for an MRI so that she could treat it sooner.

I guess my question is, has anyone else ever had a similar situation? I know some structures are hard to see on x-rays, so it isn’t impossible. I’m just still shocked it happened to me. It didn’t help that most people in my life were trying to convince me I was being dramatic because the x-ray showed nothing lol.

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u/tlovesu — 13 days ago

I (21f) resent my boyfriend (21m) for basically ghosting me while I was injured

3 weeks ago, I broke my leg (my boyfriend, who I have been with for 1 year, was with me when it happened). Ever since then, I felt like our relationship has just gone downwards.

I ended up going home with my family after the injury for a few weeks, which is an hour away from the city my boyfriend and I live in. It was an absolute nightmare. The pain was unbearable, and I was crying off and on every hour because of it.

Throughout this whole time, my boyfriend wasn’t there for me. I didn’t even need him to physically be there. All I wanted was just a “how are you doing?” text once a day, or maybe even every other day. I didn’t get that. I had to beg him to just text me back “good morning” by 4pm one of the days.

He claimed that he needed to be by himself during that time, and he was feeling depressed. I understand that, and I am no stranger to depression. However, I feel like not even checking in over text with your partner of 1 year, who you know is in the worst pain they have ever been in, even once is pretty bad.

It’s been a week since then. He’s been better this week, but I’m holding so much anger and resentment about it. I’m not sure if this is something unforgivable or something we can work through. I love him so much. I know that if he were in my situation, no matter how depressed I may be, I’d never just ghost him.

Any advice on how to navigate this is appreciated. I have talked to my therapist about it who agrees it is pretty bad. I seriously don’t know what to do. I’m scared that I’m being selfish, too, since he was struggling mentally. I tried to talk to him about it last week, but he told me I ruined his day and made him feel bad lol.

TLDR: I broke my leg, and my boyfriend didn’t show up for me physically or emotionally for 2 weeks while I was in the worst pain of my life. I feel a lot of resentment towards him now, and want to know if this is fixable or if this kind of resentment can’t just go away.

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u/tlovesu — 3 months ago

Date ideas for someone with a broken leg?

I have a tibia plateau fracture that won’t be healed until August or September. However, long before breaking my leg, I planned a trip to Los Angeles for the summer where I will be staying with my partner who lives there. A lot of the plans we originally made are pretty much ruined now because of my leg and being on crutches.

Does anyone have any date ideas for while you’re on crutches? I would like to be out and about and not be cooped up inside a house if possible, but I know a lot of date ideas are out of the cards, like going to Disney or hiking, which we really wanted to do this summer.

Thanks everyone!

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u/tlovesu — 3 months ago

TIL I’m my ortho doctor’s “once in a career” case

A few weeks ago, when I was getting out of my car, I accidentally twisted my leg while my foot was planted. There was a loud pop in my knee, and I collapsed. I’ve been in terrible pain ever since.

I got x-rays, which showed nothing besides a slight patellar tilt. I went to an orthopedic doctor, who believed it was probably a ligament or my meniscus. I got an MRI, and my doctor was shocked by the results. I have an osteochondral tibia plateau fracture, which couldn’t be seen on the x-rays.

My doctor said this is a case she’ll never forget, and she hasn’t ever seen a tibia fracture from just twisting- she’s only seen them from high impact car accidents, or eldery people falling.

I am a healthy 20 year old woman. I am hypermobile and have suspected EDS, but besides that, I am healthy. Obviously, there is probably something underlying, so I will be getting some labs and a bone density test. However, it’s crazy to know that the manner of my bone fracture was a once in a career kind of thing for my doctor. Of course, I know it’s not a good thing, lol.

If anyone here has had a tibia plateau fracture, please let me know how the healing process was! Luckily, mine is non displaced, and I will be getting x-rays every two weeks to make sure that it stays that way.

TLDR: I twisted my knee and injured it. My orthopedic doctor and I thought it was a ligament tear or meniscus injury. However, it turned out that I somehow fractured my tibia from just twisting it, which I guess is extremely rare to happen to a healthy 20 year old (and probably a signifier of something underlying). My doctor said she will remember this case for the rest of her career, and it was the first tibia break she’d ever seen caused by something so low-impact in someone my age.

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u/tlovesu — 3 months ago

Just got diagnosed in my 20s in an unexpected way

I’m 20, and I was diagnosed with ADHD last week in such an unexpected way. Basically, I’m on a medication for bipolar (I have bipolar disorder) that made me gain a lot of weight. So, a few months ago, my PCP put me on a stimulant to help suppress my appetite.

At my follow-up weight loss appointment, I was telling my doctor about how my mood has been way better since starting the stimulant, I’ve been able to get stuff done that I couldn’t before, and my anxiety was pretty much nonexistent. She proceeded to tell me that for most people, a stimulant would give them more anxiety, not take it away. That was when she told me she strongly suspects ADHD because of how my brain reacted to the medication.

I talked to my psychiatrist, and she told me she has suspected ADHD for me for a long time, but never said anything. I learned that 30% of people with bipolar have ADHD, and because of my strong family history with it (my sibling has it), plus how my brain chemically reacted to a stimulant, my psychiatrist had full confidence that I have ADHD. I was shocked.

Everyone I know with ADHD is very physically hyper. I am a very mellow person. Based on my real life examples of ADHD, I never even considered having it. I don’t know much about it, and I’m unsure if a should see a neuropsychologist or not, as maybe I’d learn more about myself from it.

Regardless, I am so happy that my doctor decided to put me on a stimulant for an unrelated reason. I feel like I’ve started a new chapter in my life where I can finally not be consumed by my anxiety and inability to get things done!!

I wanted to share that here because I would like to find a community of other women with ADHD. My only other example is my teenage sister, and she’s not into deeper talks about it.

TLDR: I was put on a stimulant for weight loss, and a lot of my anxiety that, I guess, was being aggravated by ADHD went away. Because my brain reacted that way to the stimulant, as well as many other ADHD symptoms that I’ve always had, my psychiatrist diagnosed me. I am in my 20s and am excited to have access to this community full of other women who I can relate to, and also learn from!

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u/tlovesu — 3 months ago

Hi everybody,

2 days ago, I was stepping out of my car. I have flat feet that make my feet naturally twist outwards, and I stepped on my left leg with my foot twisted too far out. There was a very loud pop (boyfriend said he heard a crunch-like sound so loud he thought it was my car doors locking), and immediately collapsed and faceplanted because my leg gave out right away. I have been in severe pain ever since.

I went to urgent care yesterday and got X-rays done of my knee, which looked ok. The doctor strongly suspects a meniscus tear, and possible tear of my ligaments. However, my symptoms seem kind of odd for a meniscus tear.

Almost all of the swelling is in my ankle and foot, even though I did not injure that area. My foot especially has even been losing color off and on, and my leg as well keeps going ice cold compared to the other side. I’m assuming this is from swelling reducing blood flow, but I don’t understand why it’s going down to my foot and not my knee if the issue is my meniscus.

Additionally, every time I accidentally twist my leg, it feels like my fibula area is grinding against my other bones, and it cracks right away.

I am seeing a specialist and getting an MRI in 2 days. Just wondering if these symptoms align with anyone else’s, especially because of the odd swelling only at the bottom of my leg and loss of blood flow in my foot.

ETA: I forgot to add that I am not able to put any weight on that leg, so I am currently in a knee brace and crutches

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u/tlovesu — 4 months ago

I am a college student who landed a summer internship working in fashion PR. I was exploring my major for my first year of college and recently declared it as public relations, so I am not very educated on the field yet.

The company explained to me that I would not be doing stereotypical intern tasks, like getting everyone coffee or doing their work. I was told I’d be working with other companies on my own, helping manage their social media, etc.

Are there any ways that you guys would recommend I prepare for this internship? For example, maybe some books to read, or just things to know? I want to do really well, but I’m nervous that not knowing a lot about PR will hold me back. I understand that it can be an extremely stressful job, as well. I just want to be able to give it my all!

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u/tlovesu — 4 months ago