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ANA pattern concerns

2022.01.27 04:56 MandiLaneLove ANA pattern concerns

25y/o, female, 5'9, and 250lbs. History of hasitomto/hypothyroid (50mcg levothyroxine daily)
Last year (August 2020) I had an ANA done my results were the following: Titer 1:160, Pattern: Speckled, CCP: <1.0
(I had it done due to some skin issues around my mouth and the doctor wanted to rule out Sjögren's syndrome. I've been to dermatologist and is currently using topical tacrolimus to treat.)
Once I got the results the doctor said it wasn't high enough to be concerned with.
This year (January 2022) I asked for a repet on my ANA to see how it was trending, my results are the following. Titer: 1:80, Pattern: Necleolar and Speckled, CCP: 2.2
I know that technically these are not really out of normal but they're also not completely normal either. So, my question is, should I seek out a better doctor to consult with? Are patterns not any concern when a titer isn't high? Is is normal for most people to not have a "normal" ANA result? Is this something to watch for the future? Currently going to my PCP but thinking of trying to see a Rheumatologist.
Thank you for your help and input in advance.
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2022.01.27 04:56 punksmoatbad The Most Iconic Guest Stars From Friends and Where They are Today

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2022.01.27 04:56 Diotoiren [DIPLOMACY] [CONFLICT] "PPAM loses SPS seat amidst ongoing European tensions, larger Japanese expeditionary deployment to Tibet expected."

 Tokyo, Japan 
"PPAM loses SPS seat amidst ongoing European tensions, larger Japanese expeditionary deployment to Tibet expected." The Japan Times | Issued January 22nd, 2052 - 12:00 | Tokyo, Japan
TOKYO - The Imperial Ministry of Foreign Affairs has confirmed that the PPAM (previously the Pontic Union) has been officially been removed from the SPS Program, marking the first nation in the now 30 year history of the SPS program to formally lose it's seat not as a result of war. This has come as quite the shock although experts and academics in the Chrysanthemum Academy in particular have been quietly predicting such a move for several years now, ever since the PPAM failed in entirety to uphold the mandate of Tibet. PPAM officials have been formally requested to vacate Japan in entirety, no longer given privileges otherwise given to SPS nations and it is expected this will be completed within the next few months. At the same time, the Imperial Ministry of Foreign Affairs has also confirmed the same will be applied to Tibet, with PPAM losing all % share of the province in entirety.
This has been hurried by a major Japanese deployment to Tibet, including fighter-aircraft, military personnel, and other assets as part of efforts to "support the Scorpion Mandate" in entirety. This was followed by an increased deployment to Joint Base Ara Ara. The full "official" deployment list can be seen below,
  • Deployments to Tibet
    • 2x Infantry Divisions + Equipment to Tibet
    • 1x Mechanized Division + Equipment to Tibet
    • 1x Armored Division + Equipment to Tibet
    • 80x F-2E Mitsubishi Fighter jets
    • 7x Boeing E-767
    • 6x KC-46 Pegasus
  • Deployment to Joint Base Ara Ara
    • 1x Infantry Division + Equipment
    • 30x F-2E Mitsubishi Fighter Jets
    • 4x E-767
    • 6x KC-10 Extender
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2022.01.27 04:56 viebel Interactive and Shareable Python code snippets

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2022.01.27 04:56 Vincent_Lionheart Heart beating faster while playing chess, should I quit or play slower games?

I am a hobbyist playing only a couple of 5-minute games a day. I am much better at 10-minute games but I want to get faster and also do not want to be on chess for longer than a five-minute game allows.
I don't have any heart problems or anything but I noticed my heart is beating faster and stronger, especially towards the end game. This is due to adrenaline.
A health website says: over time, persistent surges of adrenaline can damage your blood vessels, increase your blood pressure, and elevate your risk of heart attacks or stroke. It can also result in anxiety, weight gain, headaches, and insomnia.
Should I quit chess altogether, play longer games (but then time is wasted), or do something to calm myself down.
Any resources for the physiological aspects of this, how to relax during your games or something?
submitted by Vincent_Lionheart to chess [link] [comments]


2022.01.27 04:56 bsipp777 I think we’ve found Erek’s basement

I think we’ve found Erek’s basement submitted by bsipp777 to Animorphs [link] [comments]


2022.01.27 04:56 Abnormalness BDO vet hard rolling to Lost Ark

Strap in as this may or may not be a long post.
I’ve played Black Desert Online for about 3 years straight and seeing what Lost Ark has to offer makes me wish bdo wasn’t my first mmo.
I’ve invested around 15k hours in bdo, while a lot of it is afk life skilling a lot of it was actually playing what the game has to offer, which to be honest isn’t that much.
While BDO has life skilling a lot of it is fun for a little bit but becomes boring and very surface level and eventually boils down to getting better gear. Going from loggia to manos acessories and clothing, going from green gear to blue gear in bartering, etc.
PvE -
Content consists of grinding mobs to get more gear to grind mobs faster to get more gear and the cycle continues. While the newly added raids are fun the first time around, they again are very surface level and people only do them now for the weekly and go back to grinding in open world.
Before the introduction of “Elvia Servers” people would grind different locations based on how they were feeling for the most part, of course some people wanted to get the most trash at sycraia with a striker but it wasn’t miles above other spots during the time like Elvia servers are.
Now if you wanna get geared fast people recommend going to sulfur mine and then go to Elvia where people have self imposed a “duel for spot” rule amongst each other to take spots from each other and keep efficiency high by fighting over a spot quickly. (Opinions of this go back and forth on whether it’s good or not, I personally hate the idea and leave people to grind and ask how long till they are finished.)
That’s about it, there is a new region ( more mobs to grind with more gear to get to grind faster) on the horizon but we were told it would be released in NA in the first half of 2022. Which with Pearl Abysse’s track record that could mean the earliest we see it is in April and most likely won’t see it until June, probably later.
PvP -
They recently have had a Reboot of the first 12 classes, I believe is the number, and for the most part it was a success. People who had mained classes before but swapped due to inefficiencies in pve or pve felt like they were able to go back to them and do well in whatever they were doing.
However most of the changes included increases in damage on a lot of skills and getting protections like super armor and frontal guard on a lot of skills along with cooldown reductions. This in my experience in pvp has made it into who can out damage trade the other instead of “catching” someone with a cc.
This in my opinion is incredibly boring and doesn’t satisfy the back and forth of fighting like it used to be years ago. If you are equally matched in gear the fights can be fun but alot of the back and forth is trading damage.
Nodewars and Siege are either a steam roll from one guild over another or a pre designed choice amongst the biggest guilds on who wins and get the rewards for the week. Again most people just try to get the rewards for winning and get the biggest payout and then move on.
Pearl Abyss -
To keep this short they have given so so so many promises that they have not held up. Made balance changes that do not make any sense in pve and pvp. Examples are nerfing succ sage pve when succ lahn exists, and buffing awk lahn with MORE protections and damage. It’s honestly just fucking laughable how bad they are at maintaining balance. This past week lahn had crit hit rate skill add on, on all absolute skills. Meaning she had ridiculous amounts of damage for no reason passively that was unintended. They gave succ guardian an ability to literally 1 shot ten people on an ability that charges on its own over time. They apparently “mistakingly” gave it -32% pvp damage instead of -67% making the skill literally broken.
This has gone on for years, it took them literally 9 MONTHS to nerf succ wizard after release all the while every streamer and YouTuber would complain about it anytime they fought it. And when they finally did nerf it, it was a backhanded slap in the face because they stated they didn’t see a lot of people playing the class and didn’t think it was warranted but did it anyways for the community.
To wrap up I’m so hyped for Lost Ark and can’t wait to move on from the shit show that is BDO and enjoy ALL the content it has to offer.
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2022.01.27 04:56 super_friedtomatoes 今日爆炸新闻,合法捐卵

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2022.01.27 04:56 SaviorJVD I would love to have a reading about me here. What do you see?

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2022.01.27 04:56 brbarretdsq Shawn Mendez has a power...

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2022.01.27 04:56 NeedANakedNurse I want 2006-07 Em flow back

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2022.01.27 04:56 Halnyalater Anyone know how to get that calling card

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2022.01.27 04:56 No_Head_6651 Please help me on my black screen after installing GT610-1024D3LG1(DDR3)

I'm on HP Pavilion 500-157kr, motherboard 2AF7, Intel(R) Core(TM) i5-4570 CPU @ 3.20GHz, Windows 10 Pro 64bit, idk what to do, I tried to put HDMI, vga, dvi in my video card still black screen, but in my integrated gpu intel no sign of black screen, Please help me how to fix it... and if its not possible to fix, any suggestion for gpu upgrade that I can afford?
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2022.01.27 04:56 IlexAquafolium Struggling with diet post surgery

Hey everyone. It’s been nearly three weeks since I got my excess skin surgically removed. I’m still very swollen in the thigh department (I look like I’ve been animated by Pixar a la Mrs Incredible) but very pleased with the result.
The problem is I don’t know how much to eat. At the moment I’m back to eating at deficit (800ish per day) and although I feel okay I’m worried I’m not having enough. But on days where I eat at (or slightly above) maintenance I feel fat and gross.
The swelling is making me feel like I’ve gained weight. I feel like I’m getting lost in a negative spiral. Does anybody have any experience with post-surgery diets they would be able to share?
Thank you so much and I hope you all have days to be proud of today!
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2022.01.27 04:56 krommenaas Cyclocross World Championships 2022 Men U23 Preview

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2022.01.27 04:56 byoungman Whos gaming tonight?

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2022.01.27 04:56 ColaRandsom83 Egg🎀irl

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2022.01.27 04:56 KetoPixie "My marbles", Elizabeth Tristram, Oil paint on pine panel, 2021

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2022.01.27 04:56 VictoriaDurrantArt For Sale, Winter Birch Trees, By Me, Acrylic and Gesso on canvas board, 2021

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2022.01.27 04:56 JanelWantsSomeSugar Looking for a REAL sugar daddy! I can provide anything you’d like from me! Chatting, roleplay, GFE, pics and vids, and so much more!! DM me if you’re interested in working out an arrangement🥰 Serious inquiries only, scammers will be immediately blocked.

Looking for a REAL sugar daddy! I can provide anything you’d like from me! Chatting, roleplay, GFE, pics and vids, and so much more!! DM me if you’re interested in working out an arrangement🥰 Serious inquiries only, scammers will be immediately blocked. submitted by JanelWantsSomeSugar to SugarDaddyMeet_Sites [link] [comments]


2022.01.27 04:56 X3NOS1D3 Did someone say VS 1st edition

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2022.01.27 04:56 legionofdoom82 Last nights press conference

Man last nights presser really scares me. Are they that delusional? This team has no direction, no ambition, no culture. And they basically said that a full scale rebuild isn’t something they were contemplating? Fletcher said he just needs a few good signings and we’re set. Dave Scott needs to replaced. And so does Fletcher.
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2022.01.27 04:56 Nikdane12 If the community were to design a new support tower what would you guys make?

Yeah
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2022.01.27 04:56 Kahakk About Kahaku’s age

It is never stated in the manga how old he actually is, I’ve tried to make an estimate by analyzing the timeline. When Messar calls Fushi a brat, Kahaku mentions that Fushi is in fact 233 years old, and assuming that all of hayase’s descendants have been pregnant around the age of 17-18, that would put Kahaku in his early to mid 20s. Thoughts?
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2022.01.27 04:56 Upstairs_Attention_2 Got my first black border (monkey meadows)

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