#arb association

[aoyama-division]

ARB Birthday Special: Tomi Chōten

~~ August 14th ~~

"It’s all about the money."

Login Lines:

"...Yes, yes, I'll be sure to attend your party later this week. Thank you ever so much for your time. *sighs* How I detest the fact that I have to appease these sycophants. They are all the same: they simply wish to be seen with me, or they want something from me. *sighs* What's next on the agenda, Hino-san?"

"Hmm... 'prepare for my birthday celebration'? ...Hino-san, did you purposely leave this off my calendar so I wouldn't know today is my day of birth? ...You wanted me to see this last since I'll have the rest of the day free? ...Very well, I'll accept this, but please give me some notice next time."

Voice Lines:

*Sighs* "Maybe I should have kept quiet about today being my birthday. It seems every time it comes around, more and more people try to bring me meaningless gifts in an attempt to gain my favor. And they're all of low-quality too. But considering they are all commoners, my expectations weren't very high to begin with."

"...Still, I suppose there's something to be said for gifts that come from the heart instead of being bought off of a shelf from a store just because it's convenient. I can't even recall the last time my parents gave me a gift that wasn't just money or some expensive piece of jewelry. The only person in my family who actually gave me something of actual worth was my brot... gah! Why am I remembering useless things like this?!"

"My parents are planning a large party for my birthday, as they do every time my birthday rolls around. I'd ask if it were possible to just have a small one, but I'd just be wasting my breath. They'd give me the same speech they always give about how important it is to 'make a good impression' or 'uphold the Chōten legacy'. Different day, same thing..."

"Thank you, Karada. I'm glad to see you've stopped by. ...Yes, it's hard to believe we've associated with each other for such a long time. Honestly, I'm glad I decided to speak with you. If I hadn't, I wouldn't have gotten to know you. You are... a good friend. ...Yes, I do mean that."

"And what is this now? ...A phone screen magnifier? For viewing my phone up close? ...And pray tell, why exactly would I need this? If I want to watch movies, that is what my 64-inch flat screen is for. ...Very well, I'll accept it. I suppose it would be good to use when I'm FaceTiming someone."

"Ah, Luis. For the second time in a year, you've actually made it out for my birthday. Keep this up, and I may start to think that you actually value me. ...Ha, so you aren't able to stop Karada from dragging you out of your restaurant? Aren't you older and taller than him? Sorry, but I don't buy that excuse."

"Fine, I'll keep my comments to myself in exchange for the gift that you've graciously bought for me. So, what is it? A... food smoker? ...Luis, are you sure you didn't buy this for yourself? Did you forget that I have chefs cook for me? Why would I ever use this? ...It can also be used for cocktails? ...Fine, I'll give it a try. But FYI, if I don't like this thing, I'm giving it to my head chef."

Karada Lines:

"Happy birthday, Tomi! Man, I tell you, I can't believe we've only known each other for only seven years! It feels so much longer! ...Yeah man, I'm glad you spoke to me too! You're a good guy, despite what anyone else says and thinks. ...Aww! Thanks, Tomi! That means a lot to me, man!"

"Here's your birthday gift! I'll admit, I had trouble finding something good, but I saw this in a catalog and realized it would be good for you. It's a phone screen magnifier for viewing your phone screen up close. Pretty nifty, huh? ...Well, I mean you may not want to use your TV all the time. And it's not just for videos, you can also use it when you're browsing the Internet or something. Great, glad you like it, man! Happy birthday again!"

Luis Lines:

"Yeah yeah, happy birthday, Tomi. ...Oh, don't get a big head. You're not that important to me. I'm only here because of Karada. Honestly, if he hadn't reminded me that today was your birthday, I would have forgotten. ...Keep running off at your mouth, and I'll take this gift I bought you back with me. Your choice."

"Good. So... here. It's a food smoker. You use it to blow out smoke onto food and drinks to give it a nice aroma. ...It's not just for your food, smartass. I just said you can also use it for your drinks, like cocktails. ...Fine, whatever. I gave you a gift, which means I'm done. Now, I'm heading out. Happy birthday or whatever, you ungrateful ass."

#hypmic #hypnosis mic #hypnosis microphone #hypmic oc #hypnosis mic oc #tomi chōten #karada kessaku #luis kōkyū #jet set trio #aoyama division #happy birthday tomi 2023 #alternative rap battle #hypmic arb

[shinagawa-division]

ARB Birthday Special: Miho Kobayashi

~~ May 16th ~~

“Pursue the things you love doing, and then do them so well that people can’t take their eyes off you.”

Login Lines:

“Hm? Yes, what is it? I’m extremely busy today to you’ll have to make it quick.”

“A…present? Why would you—oh, I see, it appears that it is my birthday once again, how lovely, I had completely forgotten, well, thank you for the gift.”

Voice Lines:

“Once again, Goro starts off the day right by preparing me a delicious breakfast with all my favorites. He understands me so well, I truly could not ask for a better butler. Not that I want to.”

“As always, my employees and colleagues are adamant about throwing me a birthday party, honestly, I think it’s more for themselves than for me but I’ll be generous this once, business has been doing well these past couple of months, they deserve the celebration.”

“I will be taking the next couple of hours to prepare, both mentally and physically, for the influx of gifts and party invitations from my associates from the upper circle, no doubt news about my birthday has reached them, I bet they’re all just salivating at the chance to finally impress me and earn my good favor.”

“It is currently the afternoon and not once have I heard an explosion or sorts coming from Sumire’s lab and I am extremely on edge, it is one thing having her nearly blow up the entire estate but when she gets quiet like this, that only means that bad, bad things are happening or about to happen.”

“Speaking of bad things, hello Ritsuko, what ‘gift’ do you have for me this year? I want to hope that it’s nothing devious but knowing you that’s very unrealistic.”

“Good lord, Ritsuko! Where did you find this?! It’s…it’s absolutely beautiful! I’m actually surprised, I didn’t think you would get me and actual gift! Oh hush, you know what I meant, I’m curious to know how much this cost….wait what? Oh goddamnit Ritsuko, leave it to you to turn jewelry into a lethal weapon!”

“What. did. you. do…what do you mean ‘what do you mean’?! You have been silent all day and I haven’t even seen you since yesterday! Now we both know that can only mean that you’ve done something so nefarious that you have to go into hiding so now I will ask you one more time. What the hell have you done now?!”

“….What? Yes, yes, I know…I just…I’m…surprised? This is…actually quite nice…wait, you aren’t just distracting me, aren’t you?…I-okay, okay, I get it!…Sumire, thank you…do you perhaps—and she’s gone….”

“Goro? You have something for me? You didn’t have to, just being here is more than enough…yes, yes, I know that’s overused but it’s the truth…okay, fine, I could never turn you down, what is it that you got me?”

“This is…no, this is perfect, absolutely perfect. I…you have always been like a father to me, a father that I desperately wished I could have, you mean so dear to me and I am honored to be your daughter, thank you, Goro.”

Ritsuko Lines:

“Happy Birthday, Miho. My, how fast time flies, it just seemed like we’ve already celebrated your birthday but I digress, I wanted to give you this, I tried to match your style, I hope that you will wear it one day.”

“I’m glad you like it and I find it offensive that you think I can’t do something nice for you just for the sake of it. Hm, yes, well, it didn’t cost me anything, I had made it myself, I made it so that it will release a deadly toxin should you feel like your life is in danger, it won’t hurt you of course but I can’t say the same for people around you in a 30 mile radius.”

Sumire Lines:

“Happy Birthday, Miho….what do you mean? Well yeah, I didn’t get home until 3am and I spent the day in my lab…oh for fuck sake, you really have so little faith in me that you would accuse me of doing something evil every time I fucking go out?! For you information, no! I wasn’t doing something “nefarious”, I was making you this!”

“Yeah, I know, shocking that I would make you an actual gift, no, I’m not distracting you! How hard is it to believe that I did something nice for you?! You know what? Whatever, I’m heading out, enjoy your birthday.”

Bonus! Goro Lines:

“My lady? I hope you don’t mind the intrusion but I have something for you, it’s from me personality. Forgive me for stepping out of line, my lady but that line is horribly overused haha and I wanted to get you a gift for your birthday, I do hope you’ll accept it.”

“I am upmost pleased that you like my gift, my lady, I know it’s not as extravagant as the ones you’ve gotten but I personally think that nothing can beat a lovely card. My lady, you hold a very dear place in my heart, I never had any children but I consider you to be my daughter and I will be forever grateful for the day we met. Happy birthday, my lady.”

#hypmic oc #hypnosis mic oc #hypnosis mic #hypmic #hypnosis microphone #miho kobayashi #ritsuko okada #sumire shinomiya #codex #goro eguchi #happy birthday miho 2023 #arb birthday special #alternative rap battle #arb

[astro-break]

Thoughts on the 3rd ep of Hypmic Rhyme Anima+. Spoilers beware

Season 1 | Ep.1 | Ep.2 |

i love how its samatoki who tsks when ichiro talks, they never stop and i love it fuugen looking dude still has a great design love the fact that they kept the Ramuda is scared of ghosts plotline ww TBH is a silly name DJ or not, but it does tie in some ARB lore eyyy joint mission! does that mean that nagoya and oosaka will be enemies? might be and interesting naughty busters and MCD interactions OFC theres gonna be some good good ichiro/kuko and samatoki/sasara KUKOOO I LOVE YOU the kinshachi! love those little dudes, they're tiger-headed dolphins lol JYUSHIIII you chuuni dork i love your flowery wordss Mr. Kuko wwwwwwww nooo amandaaaa so ripped up oh more visual kei!! i am so happyyy www this villain is so silly i love silly villains. how unfortunate that they'll be plot slaves but they genuinely had something fun going on awww look a kuko being silly and amagani being a silly lawyer LETS GOOO JAKUHITOOO eyyyyy lets go grandmaaaa the MVP of repairing Ichikuko relationship lets gooo naughty butters!!!!! i love themmmm were they also a influence ichiro to get onto the right track? thats sweet ofc they had to tie in different characters together still love that sun shadowing them the moment they talk about the villains the squeakkkkkkkkkkk amanda thats so cuuteeeeee awww no magical girl transformation? rip -

Damn the imagery on this MV goes super hard i love the non-traditional stuff you'll find scattered around at a glance the ones i spot are: buhddist funeral rites with from, what i can count 39 candles which can mean thank you… those funeral flowers look like white chrysanthemums (grief, honesty, truth which the later two may be nods to the fact that they're not in their right minds), pink, and purple carnations which symbolize capaciousness and unpredictability Kuko also references gokurakujoudo which is the most well known higher buddhist celestial land known as the land of bliss so basically he's saying that he's so hot shit that he'll reincarnate into the holiest of holy lands Ragnarok is the end of the known gods according to nordic mythology aside from like. two gods and two humans which means either Jyushi is a ghost as shown in the scene or he's just that cool and survived Kuko's second verse is a reference to old paintings that depicted monks training their spiritual disciplines by mountainsides. if you're an old soul like me, think Libra Dohko's Mnt. Roshi Hitoya's second rap scene is mimicking an egyptian depiction of a weighing of the heart, specifically it seems to be parodying the scene found in the Papyrus of Hunefer. interestingly, the three opponents are on the side in which the feather of maat is commonly depicted on, the thing which the heart is weighed against while Amanda is the heart Hitoya and Kuko's spots on the papyrus is where anubis would be, setting them as the judges who preside over this battle. Jyushi is also sitting where Ammit, the devour of the dead, would be depicted sitting. Ammit is also a goddess, which is fun Given the red moon behind him, Jyushi also plays at a fallen angel The chorus' first scene is another very famous generic buhdist scene. while i don't think it references anything specifically, the three sitting on lotus flowers and the bodhi tree's in the back implies that they are buddah. like no joke, they are actually buddha don't know if this is actually a reference, but the red hell-like place that the three find themselves in might be Sañjīva, one of the buddhist naraka's where those who are reincarnated there are born fully grown and are attacked by other people and monsters return of the kinshachi! kaleidoscopic imagery which is also heavily associated with buddhist imagery That ending is a reference to the spider's thread by ryunosuke akutaguwa! you might remember it if you've played Danganronpa V3 but its a story about a man trying to escape from hell from a spider thread but ultimately falls back into hell because of his greed - that Obaaachannnn is so cute. and the bait and switch was so silly Kuko as always is just the absolute star of the show even if the spotlight isn't on him Huh???? Are Doppo and Hifumi okay???? Please??? you can't just cliffhang that???? how dareeee

Badass Temple endingg lets gooooo Kuko verson is so cute!!! that illust tooo Jyushi is just so stylish and silly, treading that fine line. also is that just water in his champagne glass www this is such a fun ending version i love it. Its just a lot warmer and more comforting in my opinion, super sweet and heartwarming. a lot more electric guitar as well

I'm so glad for their first feature episode I really enjoyed BAT! The song was such a banger and the imagery along with it so evocative. I really liked the episode how it brought everyone together for a chaotic jaunt. I hope next week with dotsuhompo will be just as silly

#hypmic #hypnosis microphone #Hypnosis Mic: Division Rap Battle: Rhyme Anima+ #hypnosis mic rhyme anima #hypmic spoilers

[pokemonxhyperfixation]

So um… im only half way through Lotus Eaters, but I’ve fallen so MADLY in love with it and namely the star character Miyoi I HAD to make her a team!

Wailmer is kinda easy. Miyoi is kinda associated with whales, so obviously she gets a whale mon. Only reason I didn't give her a Wailord is because there's not a world where she could fit one.

Musharna is here as a representation of her ability. She fucks with your head, kulls your memories and gives you horrible nightmares and hallucinations. Musharna is kinda great for that.

Shiinotic is a neet one. The idea is she uses shiinotic to make stronger drinks with the spores and all. Also to get people to come to the pub with hypnosis.

Lombrey is a cute idea. It helps her serve drinks with the dish on its head. Or food, but lets be honest, that Lombre is walking over to a regular with either a dish full of sake or a dish with a bunch of servings of sake and a bottle.

Shuckle is a stand in for the gourd (so yes, Suika is also getting a Shuckle, obviously) Shuckle is a base of her entire operation, doing the fermentation for at least some of the drinks! So yeah.

The idea is that she semi-inherits the Arboliva (took three tries to get that name spelled right) from the actual owner. Arb is here for ingredients with that juicy harvest ability. Arb is here to ensure the freshest ingredients in the food, and the highest quality ingredients in the alcohol. (If I do a playthrough with this team, this will be replaced with Exeggutor, since it also has harvest.)

#touhou #touhou project #pokemon #miyoi okunoda #Manga: LES #Stole that last tag from other posts about Lotus Eater lol.

[mcatmemoranda]

Diabetes Lecture

Dr. Samaan

8/23/23

HgbA1c 5.7%-6.4% is prediabetes

HgbA1c 6.5% is diabetic

Normal HgbA1c 4.8-5.6% is normal

DM: A1c 6.5%, BG 126, random BG >200 with symptoms

The A1c has to be a lab draw in order for you to use it to make the diagnosis. So a POC HgbA1c doesn’t count to make the diagnosis.

Screen everyone age 40-70 who are overweight or have risk factors; younger than 40 and obese with risk factor; screen q1-3 years. Risk factors: HDL<35, TG >250, depression, on atypical antipsychotics, high risk populations (non-white), OSA/sleep issues, HIV+ for 15+ years on meds. Old HIV meds caused endocrine issues. Newer HIV meds don’t unless they’ve been on them for a long time.

You don’t need to be fasting to check HgbA1c. Not covered as screening by CMS. A1c not accurate in GDM, renal failure, anemias, renal failure, liver disease.

Prediabetes: 5-7% weight loss will cut the risk of progressing to diabetes by 1/2! Moderate exercise: of 150 minutes a week (e.g., brisk walking 3+ mph), water aerobics, bicycling 10 mph or less, tennis (doubles), gardening—OR 75 minutes of vigorous intensity exercise a week.

Metformin started in prediabetics decreases progression by 31%! Shown to decrease CVD risk. Works best for BMI>35. Metformin can cause low B12. We should use “med monitoring” code annually in pts on metformin. Diarrhea is a common adverse effect. If pt can’t leave the house because of the diarrhea, try the extended release form.

GLP1 agonists and SGLT2 inhibitors could be used in prediabetics. It’s in the works.

If A1c of 9 and BG >200, you will have less fatigue, polyuria, blurred visions, skin infections.

A1c <7.5 à improved quality of life and increased productivity at work

Goal A1c is <7%

Tighter control in younger pts is ok.

Older pts can have A1c goal of 8.0%; avoid hypoglycemia and side effects of increased meds.

Metformin and lifestyle modifications are first line management.

You can start with something other than metformin, but insurance might not cover it.

DM education can help drop A1c by 0.6% or more. WDH and PRH have diabetes education classes.

Diabetic Benchmarks/Screenings:

Statins! All diabetics over 40 should be on moderate to high intensity statin. Under 40 if additional CVD risk factors.

Pts with DM have increased number of small LDL particles which tend to be more associated with ASCVD.

DM is the leading cause of CKD. Check urine microalbumin yearly. ACE/ARB is HTN and proteinuria, urine Cr >300. Go yearly for dilated eye exam. DM is the #1 cause of blindness in the US.

Nerve damage causes the fat pad on the sole of the foot to move, leaving decreased cushioning which predisposes to diabetic foot ulcers. Foot exam should be every visit if loss of sensation. Should do a foot exam annually. Check the skin, document hammer toe, charcot foot, bunion, pes planus.

Get an Ankle Brachial Index (ABI) if you cannot palpate a pulse. Get Toe Brachial Index (TBI) if ABI is not accurate.

Document presence of diabetic neuropathy. Assess for B12 deficiency, TSH, metals, etc.

Metformin, statin, annual vision screen and urine microalbumin, foot exams, diabetes education.

Sulfonylureas (e.g., glipizide) have no long-term benefits, cause hypoglycemia.

#diabetes #metformin #DM #DM management #diabetes management

[akkivee]

so the imagery on kuukou’s nb sukajan!!!!!!

these lotus mandalas of course represent enlightenment, but in this specific instance, i believe they are in reference to the the ‘mandalas of the two realms.’ these realms, the diamond and womb realms, come together to basically teach wisdom and and the principles of buddhism. within these realms reside deities and the sanskrit in the mandalas represents a deity in those realms!!!!!

the character that looks like a ‘b’ represents ‘kujaku myoo’ a female wisdom king residing in the diamond realm!!! she is associated with the peacock, which eats insects (like we’ve seen kuukou do in arb lol) so she’s worshipped for removing suffering and misfortunes from others. the other character represents the deity ‘dakiniten,’ another female deity residing in the womb realm!!! she’s one of the handful of gods carried over from indian mythology into buddhism known for protection and blessings.

combining these together, kuukou’s sukajan likely symbolises protection from suffering and misfortunes, as we’ve seen him do a handful of times in canon!!!!

#vee queued to fill the void #*laughing crying screaming* diving off the deep end into buddhism to understand just HOW complex kuukou is is a lot of fun!!!!!!!! #but i feel insane whenever i do lol y’all i dug deep for this one and only paraphrased it 😭😭😭😭 #the ‘b’ character can also represent ‘daikokuten’ a deity of fortune and wealth #it was carried over from the god of destruction shiva and tho kuukou is a force to be reckoned with certainly lol #i went with the other deity kujaku myoo because of where she resides and what she represents fits kuukou better #the kujaku in this deity is not to be confused with kuujaku posse lmao (tho if you wanna talk about voids and buddhism i can—) #ah and wisdom kings are in a sense off shoots of buddhas!!!! #they’re known for their fierceness and wrath towards impurities that cause suffering #and if hypstage ever wants to let sasara and kuukou in on the king of kings glory that should also be theirs #i have been SAYING kuukou would declare himself a wisdom king!!!!!!! #c: kuukou👑

[rebelcliche-archived]

i’m going on record right now to say: n/ancy never cheated on s/teve and people who think she did don’t have a brain.

also, she does love him, but it’s far easier for her to say it back than to say it first. and this stems from her being terrified that she’ll jinx their relationship and that they’ll wind up miserable like her parents as a result and she cares about s/teve too much to want that kind of life for them so she holds back from saying ‘i love you’ FIRST, but she DOES love him.

then, when she goes to m/urray’s, he plays on her insecurities and makes her question if her love is even VALID bc she’s scared to say it first, and as a result, she convinces herself to let s/teve go ( on top of her associating s/teve with the guilt of losing b/arb that she has to work through ) because he’s better off without her and m/urray ( and others who don’t even know her like that ) has her convinced that she’d be happier with j/on bc he’s handling their trauma in a way more similar to n/ancy than s/teve is, and so it goes...

but then being around s/teve in s/4 is rekindling old feelings and just makes things even more complicated for her, on top of her already complicated relationship with j/on.

but my point remains: she’ll always love s/teve, end of.

#yes i am a s/tancy shipper and yes i'll fight you if you come for me. i will respect everyone's ships tho! if you don't like s/tancy that's #fine! ship with you want! this has just been heavy on my mind and i wanted everyone to know that MY nancy will always love steve even if #they don't end up together. and i will NEVER force this ship other steve rpers i just wanted to put it out there about my portrayal of nancy #is all! anyway yeah this got away from me i'm sorry lol. carry on! #💖 𝑵. 𝑾𝑯𝑬𝑬𝑳𝑬𝑹 : * headcanon . #💖 𝑮𝑬𝑵𝑬𝑹𝑨𝑳 : * out of character . #cw long post// ///

[dollofdeath]

art summaries for this year >w<

template by @/Taxkha

(I / II / III is a comm i haven't posted anywhere / IV / V / VI / VII/ VIII / IX / X / XI / XII)

template by @/sabattons

more stuff under the read more, because there's quite a few stuff i actually liked this year!

january

this was a comm for kiz, but i think it came out pretty bomb. any hypsters who are into projmoon/projmoon fans into hypmic pspspsps --

actually i think this was my first ever piece this year, so it's interesting to see how much i've improved in over the past couple of months!

also i did some comms between feb and may to help raise some money for my relatives in the philippines, but i don't think i should post the ones i really like since the project isn't complete yet. but i think they came out bomb too, trust me -- (the volo art in my art summary is one of these comms lol)

april

i just wanted to post these two together since they're a set LOL thank u arb for giving me flowers that aren't roses to associate with hifugen....

also here are the unblurred versions of this set lol

may

this is just one of my fave hifugen headcanons KJFSDJKJKF

gentaro about hifumi: 🙄😒😑 gentaro about hifumi, when hifumi's fangirls are around: *draping himself over hifumi* excuse me ladies, do you have any business with My man?

KJFSJKDFSJKJH

august

i think i went rly hard in august. august was really a turning point for me this year too i think, so maybe my art reflected that haha, but anyhow. i really love these

everyone and their mom has done a religious jakurai art, but i wanted to do one too... the detail i rly like is the blood on his hands. because i like to headcanon that jakurai has vitiligo on his hands. i like how i incorporated that hc in this without making it too busy lol

THIS ONE. HELL YEAH. this is a redraw of an older art i made for thanatos' anniversary, and i thought the first one was cool but i was like "i think i have the skills to make this even better now" and I DID!!! idk, i'm glad i could capture the horror vibes more poignantly

september

this one is?? i don't think i made her a full reference sheet, i realized lol but i started streaming for friends because i have a bunch of game recs and no attention span to play them WKJGJKD so i decided streaming them so i could be held accountable for them would be the best way to do it LMFAO

anyways this is my pngtuber. they have no name, but she's a shopkeeper of a mysterious antique store. originally that doll on the bookshelf was gonna my pngtuber and i came up with a bunch of lore for her, but then i realized i had another oc design i really dig and was also simpler, so i revamped that for streaming FJKSDJKF but i would like to put that doll to use somehow or another. anyways if u can pinpoint all the references on the shopkeeper and their bookshelf and even her store's very existence, i love u --

catch me on twitch on sundays and mondays for mhyk and ace attorney respectively --

october

as much as possible, i try to do a vanistar anniversary art because noël is my baby boy... i'm so happy with how this year's came out!! ofc there's areas that could use work, but i like the colors and lighting c:

I'VE BEEN MEANING TO DO AN IBERIA AU FOR JAKUDO FOR SO LONG... probably as long as the koibito AU for hifugen, but i just haven't been able to put it into words... i'm glad i could at least do a bit of this year, and i hope one day i can manage the whole concept!! also this idea's been in my head for so long that arb managed to reveal demon designs for both jakurai and doppo, sparing me the effort of designing them myself FSJKJKKJH

this one is also a set, so i wanted to post them together hehe again this is based off a horror rpg concept me and gianna came up together back in high school that will probably never see the light of day lol this probably doesn't surprise anyone who knows us, but these characters are based on us FKJSKJH

wah... i think my artist wrapped really covers what i have to say! quantity-wise, i'm not too happy with how much i made... it can't really be helped considering how busy and tiresome it's been this year, and i really wish i could say i can do more next year, but it's likely i'll be posting less and less in the future TwT but as much as possible, i'd still like to share my work! i think this might be my time to start focusing on original stuff, but i still wanna do fandom related stuff because there's still a lot of ideas and concepts i wanna see realized!! also i just love my fandom blorbos a lot lol, so i'll find ways to do things for them >w<

quality-wise though, i think i'm pretty pleased! last year i got csp, so i was still figuring it out, but now i think i got a better hang of it! and that means my art looks more confident i think haha. of course, there's still a lot of room for improvement, but it's nice that i can look at my stuff and go "yeah i like this!" i'm excited to see where my artistic journey goes from here!!

but yeah, maybe it wasn't a plentiful year for me re: art, but i made some pretty nice stuff despite that! thank you all for the support, and here's to next year!!

#kai tries to art

[chemanalystdata]

Valsartan Prices, Pricing, Trend, Supply & Demand and Forecast | ChemAnalyst

In recent years, Valsartan prices have been a topic of concern within the pharmaceutical landscape, sparking discussions on affordability and accessibility. Valsartan, a commonly prescribed medication for hypertension and heart failure, belongs to the class of angiotensin II receptor blockers (ARBs). However, fluctuations in its pricing have raised eyebrows among patients and healthcare providers alike.

One of the primary factors influencing Valsartan prices is its patent status. Initially, Valsartan was exclusively marketed under brand names such as Diovan. However, as patents expire, generic versions enter the market, typically leading to a drop in prices due to increased competition. This transition from brand to generic can significantly impact affordability for patients, as generic medications tend to be more cost-effective.

However, despite the introduction of generic alternatives, Valsartan prices have experienced notable volatility in recent years. This volatility can be attributed to various factors, including manufacturing issues, supply chain disruptions, and regulatory changes. For instance, recalls of Valsartan-containing products due to impurities like N-nitrosodimethylamine (NDMA) have led to shortages, thereby affecting prices.

Get Real Time Prices of Valsartan: https://www.chemanalyst.com/Pricing-data/valsartan-1406

Furthermore, the complex interplay between pharmaceutical manufacturers, wholesalers, insurers, and pharmacy benefit managers (PBMs) also influences Valsartan pricing. Negotiations regarding rebates, discounts, and formulary placements can impact the final cost of the medication for patients. Consequently, patients may find themselves facing different prices for Valsartan depending on their insurance coverage and pharmacy of choice.

Moreover, international factors contribute to the pricing dynamics of Valsartan. Global supply chains, currency fluctuations, and regulatory policies in various countries can all influence the cost of raw materials and manufacturing, subsequently affecting the final price of the medication. As a result, patients may observe disparities in Valsartan prices across different regions and markets.

Amidst concerns over rising healthcare costs, patients are increasingly seeking cost-saving measures for their prescription medications, including Valsartan. Strategies such as comparison shopping, utilizing prescription discount cards, and exploring patient assistance programs can help mitigate the financial burden associated with purchasing Valsartan. Additionally, healthcare providers may consider prescribing alternative medications within the same therapeutic class to accommodate patients' budgetary constraints.

In response to the pricing challenges surrounding Valsartan, stakeholders across the healthcare industry are advocating for greater transparency and accountability. Calls for increased oversight of drug pricing practices, enhanced regulatory measures to ensure product quality and safety, and initiatives to promote generic competition have gained momentum. These efforts aim to foster a more equitable and sustainable pricing environment for essential medications like Valsartan.

Ultimately, the pricing of Valsartan reflects the broader complexities inherent in the pharmaceutical market. While factors such as generic availability and competition can drive prices down, other issues such as manufacturing issues and regulatory compliance can contribute to fluctuations and uncertainties. As patients, healthcare providers, and policymakers navigate these challenges, the overarching goal remains ensuring access to affordable medications for those who need them most. Through collaborative efforts and strategic interventions, it is possible to address the pricing concerns surrounding Valsartan and promote better health outcomes for individuals worldwide.

Get Real Time Prices of Valsartan: https://www.chemanalyst.com/Pricing-data/valsartan-1406

Contact Us:

ChemAnalyst

GmbH - S-01, 2.floor, Subbelrather Straße,

15a Cologne, 50823, Germany

Call: [phone]

Email: [email protected]

Website: https://www.chemanalyst.com

#Valsartan Prices

[ivy-hospital]

What is the latest treatment for chronic kidney disease?

Chronic kidney disease (CKD) affects millions worldwide, posing significant health challenges. As medical science advances, so do treatment options for this condition. Among the latest innovations in CKD management, several promising therapies have emerged, offering hope for improved outcomes and enhanced quality of life.

One notable advancement in CKD treatment is the use of novel medications targeting specific pathways involved in the progression of the disease. These medications, such as angiotensin receptor blockers (ARBs), angiotensin-converting enzyme (ACE) inhibitors, and sodium-glucose cotransporter-2 (SGLT2) inhibitors, have shown efficacy in slowing the decline of kidney function and reducing the risk of complications associated with CKD, such as cardiovascular disease.

Furthermore, advancements in renal replacement therapy, including hemodialysis, peritoneal dialysis, and kidney transplantation, have revolutionized the management of end-stage renal disease (ESRD), the most severe stage of CKD. Technological innovations in dialysis machines and techniques have led to improved efficiency, safety, and patient comfort during dialysis sessions. Additionally, advances in organ preservation, immunosuppressive therapies, and surgical techniques have enhanced the success rates of kidney transplantation, offering a viable long-term solution for eligible CKD patients.

Another promising area of research in CKD treatment involves regenerative medicine and tissue engineering. Scientists are exploring the use of stem cells, growth factors, and biomaterials to repair damaged kidney tissue and promote regeneration. While still in the experimental stage, these therapies hold immense potential for reversing kidney damage and restoring function in patients with CKD.

Moreover, personalized medicine approaches are gaining traction in CKD management, allowing healthcare providers to tailor treatment strategies based on individual patient characteristics, including genetic predisposition, comorbidities, and lifestyle factors. By optimizing therapy regimens to suit each patient's unique needs, personalized medicine holds promise for maximizing treatment efficacy and minimizing adverse effects.

In addition to pharmacological and procedural interventions, lifestyle modifications play a crucial role in managing CKD and slowing disease progression. Dietary interventions, such as reducing sodium intake, limiting phosphorus and potassium consumption, and adhering to a balanced diet rich in fruits, vegetables, and lean proteins, can help mitigate complications and improve overall health outcomes for CKD patients.

In conclusion, the latest advancements in CKD treatment encompass a multidisciplinary approach, combining pharmacotherapy, renal replacement therapy, regenerative medicine, personalized medicine, and lifestyle modifications. By harnessing these innovative therapies, healthcare providers can better manage CKD, enhance patient outcomes, and ultimately improve the quality of life for individuals affected by this chronic condition.

Ivy Hospital stands at the forefront of chronic kidney disease (CKD) treatment across Mohali, Hoshiarpur, Khanna, Nawanshahr, and Amritsar. Renowned for its expertise in nephrology, Ivy Hospital offers comprehensive care tailored to each patient's unique needs. With state-of-the-art facilities and a multidisciplinary team of specialists, Ivy Hospital provides advanced diagnostics, innovative treatments, and personalized management plans to effectively address CKD at all stages. From medication management to renal replacement therapy options like dialysis and transplantation, Ivy Hospital ensures the highest standards of care, prioritizing patient well-being and long-term health outcomes. Trust in Ivy Hospital's commitment to excellence in CKD treatment, delivering compassionate care and fostering hope for individuals and families affected by this challenging condition.

#chronic kidney disease #Chronic Kidney Disease treatment in Nawanshahr #Chronic Kidney Disease treatment in Hoshiarpur #Chronic Kidney Disease treatment in Mohali #Chronic Kidney Disease treatment in Amritsar #Chronic Kidney Disease treatment in Khanna

[shinagawa-division]

ARB Birthday Special: Miho Kobayashi

~~ May 16th ~~

“Pursue the things you love doing, and then do them so well that people can’t take their eyes off you.”

Login Lines:

“A gift? Unexpected but I’m nonetheless thankful, however, I’m curious to ask ‘what for?’”

“My…birthday? Oh, I see. I must have forgotten, well, thank you once again.”

Voice Lines:

“To think that I have almost forgotten my birthday, perhaps I am working too hard, ah well, it can’t be helped, there is so much to do and not enough time.”

“Goro prepared me a delicious breakfast of all my favorites, it tasted heavenly, I expected nothing less from him, truly, he is the best butler I could have.”

“My employees and co-workers have prepared a surprise party for me, though I use ‘surprise’ loosely as I heard them talking about it a few days earlier, though I guess it’s the thought that counts or whatever the saying goes…”

“In addition, many of my associates from the upper circle have also wished me a happy birthday, along with many, many gifts, I would say that it was nice of them if it’s not for the blatant attempts to get on and stay on my good side. Genuineness seems harder to find these days…”

“I’m surprised you got me something Ritsuko, no offense but you don’t seem like the type…right, that’s true, I guess I should be grateful, what did you get me?”

“Oh, wow, that’s…actually quite helpful, how did you know th-wait what?! Ritsuko, you can’t just frame people and put them in jail! Why-because it’s illegal!”

“Oh god, alright, let’s get this over with, what did you get me, you demon…A cruise? An all expense paid trip? How and where did you-…Huh, this is quite unexpected but…thank you, Sumire.”

“…Hold on…this is a single’s cruise! And for ages 50 and over! How old do you think I am?! Ugh, I should’ve known it’s too good to be true when it involves you, you evil gremlin!”

Ritsuko Lines:

“Miho, happy birthday dear friend. You managed to survive another year, congratulations. Hm? Why do you have that surprised look on your face, surely you were expecting me to give you a gift, right?…Well, I suppose you do have a point but just know that besides Sumire, you’re the only person I’d participate in these frivolous celebrations for.”

“Now as for your gift, I remember that you said that your company building needed new equipment and computers to do work more efficiently so I’ve taken the liberty to replace them with the newer technology that’s in store…yes, I figured you’d be happy with that so I’ve also taken the liberty to weed out the people that were more inclined to betray you and cause damaged to your company and frame them for a few crimes, effectively making them lose their jobs….hm? I can’t do that? Why not?”

Sumire Lines:

“Happy birthday, old hag. How you haven’t managed to turn into dust is beyond me but whatever, fossils do live for a long time, I suppose. Anyways, here, your present, I spent quite a large sum of cash from your credit card so enjoy or don’t, I don’t give a shit.”

“…Pfft! Hahahaha! Oh man, you should have seen your face! How does it feel, hm? Bet now you’re gonna think twice before doing a shitty prank on someone’s birthday, I told you that I would get you back! Hahahaha!”

#hypmic oc #hypnosis mic oc #hypmic #hypnosis mic #hypnosis microphone #miho kobayashi #ritsuko okada #sumire shinomiya #codex #happy birthday miho 2022 #alternative rap battle #arb

[babotmon]

Using Solana And Ethereum Trading Bots to Maximize Profits and Minimize Losses

Features, Links, Protocol Tokens, Revenue Share and Referral Bonuses INFO below Lists

Solana Trading Bots

UNIBOT on SOLANA : The BOT

THUNDERBOT : The BOT

BONKBOT : The BOT

SOUL SNIPER : The BOT

SOLTRADINGBOT : The BOT

FLUXBOT : The BOT

Magnum Trade Bot : The BOT

Ethereum/ Multichain Trading Bots

UNIBOT : The BOT

Maestro Bots : The BOT ; Chains: ETH, BSC, ARB

Magnum Trade Bot : The BOT ; Chains: ETH, BSC, Solana

James Trade Bot : The BOT ; Chains: ETH, ARB, AVAX

XCEPTION : The BOT

HYPER BOT : The BOT ; Chains: ETH, BSC, POLY

A Dex That Uses Bot Tech:

UnoDex — UNODEX is a secure, decentralized trading platform using its own Ethereum NODE and RPC with unprecedented speed and security on DeFi

Try it HERE

Trading Bots On Telegram ..

Trading bots on Telegram utilize algorithms programmed by developers to analyze market trends, price movements, and other relevant data in real-time. These bots can be configured to set buy and sell limits based on predetermined parameters, such as target profit margins and acceptable loss thresholds. By continuously monitoring market conditions, these bots can automatically execute trades when certain criteria are met, enabling users to capitalize on favorable market movements while minimizing potential losses. This automated approach helps traders to optimize their profits by efficiently buying low and selling high, all while mitigating the risks associated with emotional decision-making and human error.

Features, Links, Protocol Tokens, Revenue Share and Referral Bonuses INFO

Unibot on Solana

Use BOT Features: Buy/Sell, Limit Order, DCA, Copy Trade, Bridge Native Token: $UNISOL Current MC: Tokens Yet TO Launched, Airdrop For Current Users Referral System and Revenue Share Together :

Invite your friends to save 10% on fees. If you’ve traded more than $10k volume in a week you’ll receive a 35% share of the fees paid by your referrees! Otherwise, you’ll receive a 25% share. Get your Referral LINK

On Top of your Initial percentage you will earn a small percentage of a tier system.. The more get out the better..

Rev Share in the form of airdrop once $UNISOL is Launched

Links: THE BOT X: https://twitter.com/UnibotOnSolana

THUNDERBOT

Native Token: $Thor — Current MC: 245k ca: 7yvrehy1E86inssuCVSDBAGGzQC5ovxTdKreWB64cqb9

Referral System :

Simply, users who refer someone with their Referral Link receive 50% of their referee’s trading fees (0.01 $SOL per trade) for life. Period.

Your referral fees are given to you instantly, directly to your Thunder Bot wallet, in $SOL. That’s right, you get paid immediately in $SOL, not $BONK or $JUP or even $THOR, actual $SOL.

Revenue Share :

As the project just launched, staking is not live but plans outlined in the project GitBook as follows :

40% of revenue generated from the bot’s trading fees (after Referrals) will be given back to holders of $THOR.

What They are still working on: The system has 4 tiers, with holders of 2% supply being the highest (Tier 1). The amount distributed to each Tier will likely be inversely proportional to their holdings of $THOR

Still in BETA, new Ui Update in the coming days, constant improvements and with dedicated rpcs … This team is quickly building one of the, if not the, fastest Trading Bot on Solana. With un- Rivaled Rewards system incentivizing everyone involved to push and Desirable features like Launch Sniping.. THUNDERBOT is an interesting new comer. Try out the BOT: THUNDERBOT Website: https://www.thunder-bot.io/

BONKBOT

Use BOT

Native Token: $Bonk — Current MC: $790M ca: DezXAZ8z7PnrnRJjz3wXBoRgixCa6xjnB7YaB1pPB263

Referral System : Refer your friends and earn 30% of their fees in the first month, 20% in the second and 10% forever. Get Your Referral Link in the BONKBOT

Revenue Share : Lock your $BONK to receive % from the BONK Rewards Pool — Multipliers to the % of BONK Rewards Pool with amount of time locked — 1,3 and 6 Month Lockup Options . View at BonkRewards.com

Built in the bear market, this protocol has proven a survivor.

Try : Bonk Bot on Telegram

Website : www.bonkbot.io/

Soul Sniper

Use BOT

Native Token: $Soul — Current MC: 385k ca: J4ywFdm8H7hjwKzCaEQujhkDRfCnRviVnHMvFNDAoLNQ

Referral System : Refer your friends and earn 30% of their fees in the first month, 20% in the second and 10% forever. Get Your Referral Link in the BONKBOT

Revenue Share : Lock your $BONK to receive % from the BONK Rewards Pool — Multipliers to the % of BONK Rewards Pool with amount of time locked — 1,3 and 6 Month Lockup Options . View at BonkRewards.com

Built in the bear market, this protocol has proven a survivor.

Try : Soul Sniper On Telgram Website : https://www.soulsniper.xyz/

Sol Trading BOT

Use BOT

Native Token: $Stbot — Current MC: $1.6M ca: 2x8o3hA5S5fBxCSE9hzVTf3RohcMWHqkDNKNEPuzprD5

Features : DEX Integration, Market Data Analysis, Sniper Monitor, Copy Trading

Referral System : Refer your friends and earn 25% forever!

Try: Sol Trading BOT Website : https://soltradingbot.com/#

FLUXBOT

Use BOT

Native Token: $Fluxb — Current MC: $44.3M ca: FLUXBmPhT3Fd1EDVFdg46YREqHBeNypn1h4EbnTzWERX

Features : Able to trade newer Sol tokens, BUY/SELL, Copy Trade, Limit Orders, Lending, Sniping Referrals:

When users join via your referral link, you get 10% of their points.

When those users refer others, you get 10% from the points they earn from their referrals, extending as more users refer others.

Get your Referral LINK

Try : FLUXBOT X: https://twitter.com/Fluxbeam_bot

Magnum Trade BOT

Use BOT

Native Token: $MAG — Current MC: $1.6M ca: 0xb9d4B6DC1e1Ee3577CC442dE015CC11F238B35ed

WEBSITE — X PAGE — BOT

Magnum is the on-chain Automated Trading Platform with web and mobile app interfaces. We enable users to create Copy-trading Bots, Token Sniping bots, Presale Sniping bots along with Manual Buy/Sell with Limit Orders On-chain on DEX platforms.

Supports Major Chains: ETH, BSC, Solana

Features : Free Private Transactions (MEV Protection), Anti-Rugpull Protection, Secure Encryption for User Data, Web and Mobile apps, Better, Faster and more Efficient Bots, One-stop Solution For Your Crypto

Reward Program:

For Referrers Earn 🔥 20% 🔥 of the commissions as Referral Rewards!

For Referred Users, Earn 🔥 5% 🔥 off of your commissions if you are referred!

Get referral code

REV — SHARE

UNIBOT (ETH)

Website — X Page — BOT

Unibot on Ethereum is a sophisticated trading tool designed to streamline and optimize DeFi activities on the Ethereum blockchain. It offers users real-time alerts and notifications, ensuring they never miss out on profitable trading opportunities. With its advanced algorithms, Unibot executes trades swiftly and accurately, giving users a competitive edge in the fast-paced world of decentralized finance. Additionally, Unibot provides customizable parameters for risk management, enabling users to trade with confidence and discipline. Overall, Unibot serves as a powerful ally for individuals looking to maximize their returns and navigate the complexities of DeFi with ease.

Supports Major Chains: ETH, SOL

Features : Real-Time Alerts, Snipers, Automation, Customizable Parameters, Seamless Integration With Platforms Like Telegram, Comprehensive Analytics

Reward Program:

Rev Share : A minimum balance of 10 UNIBOT is required. Tiered System. Just Hodl

Referrals:

Refer users their link and receive 25% of the referee transaction fees as rewards. Forever. get referral code

MAESTRO BOTS

Website — X Page — BOT

Vast and powerful yet accessible functionalities. A Powerhouse Bot with automation and Zero block capabilities. Launch snipe with this one.

Suports Chains: ETH, BSC, ARB

Features Include: Copy Trading, Sniping, Launch Sniping, Trade Automaton, MultiWallet

Monetization

Transactions through the Maestro Sniper Bot (manually or automatically) will be charged a 1% tax on every buy, sell, and presale snipe. Simple transfers are not taxed.

The bot will NOT take the 1% directly from each transaction. It simply accumulates how much you owe us, and doesn’t extract any fees until you accumulate more than 0.01 ETH/BNB in unpaid fees. The extracted fees will never be lower than 0.01 ETH/BNB, and never higher than 10% of your highest wallet balance.

Referrals

25% of Fees

get referral code

James Trade Bot

Website — X Page — BOT

The Name’s Bot, James Bot

Code name ‘JAMES’ at your service! A highly skilled, stealth Telegram trading bot. Developed by Relay Labs, JAMES is set to revolutionize the crypto trading landscape with its innovative features and a dash of sophistication.

Features Include: Copy Trading, BUY/SELL, Perpetual Trading, Category Buys, Sniper

Supports Major Chains: ETH, ARB

Rewards System :

Espionage points can be obtained in numerous ways using JAMES!

First Deposit: 2500 points First Buy: 7,500 points First Sell: 7,500 points First Category Buy: 10,000 points First Copy Trade: 15,000 points For each $1 of volume traded, agents will receive 10 points.

Referrals:

Earn 30% of the points generated by each agent you refer. For instance, if your referred agent trades $100 and earns 1,000 points, you will receive 300 points. get referral code

Hyper Bot

Website — X Page — BOT

Welcome to the realm of Hyper trading. Here at Hyper, we’ve meticulously crafted a platform tailored to your trading aspirations. Our mission? To deliver an intuitive interface that seamlessly blends simplicity with unmatched power. Consider Hyper as your gateway to a suite of formidable trading tools.

Features: Copy Trading, Sniper, Auto Buy/Sell, Portfolio Tracking, Alerts Reward Program:

Get 10 points per $ traded and 5 points per referral $ traded.

Referrals:

25% For Life

get referral code

#crypto #ethereum #solana #tradebot

[shubhamkarmarkar]

Medications for Hypertension: Types and Benefits

Hypertension, or high blood pressure, is a common medical condition that affects millions of people worldwide. While lifestyle modifications such as dietary changes and exercise play a crucial role in managing hypertension, medications are often necessary to control blood pressure levels effectively. In this guide, we will explore the different types of medications for hypertension and their associated benefits.

1. Diuretics

Diuretics, also known as water pills, are often prescribed as first-line medications for hypertension. They work by increasing the excretion of sodium and water from the body, thereby reducing blood volume and lowering blood pressure. Examples of diuretics include thiazide diuretics (e.g., hydrochlorothiazide) and loop diuretics (e.g., furosemide). Diuretics are particularly beneficial for individuals with fluid retention and congestive heart failure.

2. ACE Inhibitors (Angiotensin-Converting Enzyme Inhibitors)

ACE inhibitors block the conversion of angiotensin I to angiotensin II, a hormone that causes blood vessels to narrow, leading to increased blood pressure. By inhibiting this process, ACE inhibitors help relax blood vessels, lower blood pressure, and improve blood flow. Examples of ACE inhibitors include lisinopril, enalapril, and ramipril. ACE inhibitors are especially beneficial for individuals with heart failure, diabetes, and chronic kidney disease.

3. Angiotensin II Receptor Blockers (ARBs)

ARBs work by blocking the action of angiotensin II on blood vessels, leading to vasodilation and reduced blood pressure. They are similar to ACE inhibitors but act on a different part of the angiotensin pathway. ARBs are often prescribed for individuals who cannot tolerate ACE inhibitors due to side effects such as cough. Examples of ARBs include losartan, valsartan, and irbesartan.

4. Calcium Channel Blockers

Calcium channel blockers inhibit the influx of calcium into smooth muscle cells in blood vessels, leading to relaxation and vasodilation. This results in reduced peripheral resistance and lower blood pressure. Calcium channel blockers are divided into two classes: dihydropyridines (e.g., amlodipine) and non-dihydropyridines (e.g., diltiazem, verapamil). They are particularly beneficial for individuals with angina, coronary artery disease, and peripheral artery disease.

5. Beta-Blockers

Beta-blockers block the effects of adrenaline on the heart and blood vessels, leading to decreased heart rate and reduced blood pressure. They also help relax blood vessels and improve blood flow. Beta-blockers are commonly prescribed for individuals with hypertension, angina, heart failure, and arrhythmias. Examples of beta-blockers include metoprolol, atenolol, and carvedilol.

6. Combination Therapy

In some cases, a combination of two or more medications may be necessary to achieve optimal blood pressure control. Combination therapy may involve medications from different classes, such as a diuretic combined with an ACE inhibitor or an ARB, or a calcium channel blocker combined with a beta-blocker. Combination therapy can help lower blood pressure more effectively and reduce the risk of cardiovascular complications.

7. Benefits of Hypertension Medications

Lowering blood pressure to within normal range

Reducing the risk of heart attack, stroke, and other cardiovascular events

Preventing or delaying the progression of hypertension-related complications such as heart failure, kidney disease, and vision problems

Improving overall cardiovascular health and quality of life

Medications play a crucial role in managing hypertension and reducing the risk of cardiovascular complications. By understanding the different types of medications available for hypertension and their associated benefits, individuals can work with their healthcare providers to develop an effective hypertension treatment in Nagpur to their specific needs and preferences. Regular monitoring and adherence to prescribed medications are essential for achieving optimal blood pressure control and improving long-term cardiovascular outcomes.

#hypertension treatment in Nagpur #types of medications for hypertension

[mcatmemoranda]

Moderately increased albuminuria (the new term for what was formerly called "microalbuminuria") is defined as persistent urinary albumin excretion between 30 and 300 mg/day (20 to 200 mcg/min). Severely increased albuminuria (the new term for what was formerly called "macroalbuminuria") refers to albumin excretion above 300 mg/day (200 mcg/min).

Among patients with type 2 diabetes, the reported prevalence of moderately increased albuminuria at 10 years is between 25 to 40 percent. Some patients have moderately increased albuminuria at the time of diagnosis, which may be due to previously undiagnosed diabetes or some other disease that is responsible for the moderately increased albuminuria.

With type 2 diabetes, moderately increased albuminuria is associated with higher cardiovascular risk, possible progression to severely increased albuminuria, and increased long-term mortality. However, remission to normal albuminuria may occur. Factors associated with remission include short duration of moderately increased albuminuria, better glycemic control, better blood pressure control, and use of angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs). The preferred screening strategy for moderately increased albuminuria is measurement of the urine albumin-to-creatinine ratio in an untimed urinary sample. A value of 30 to 300 mg/g of creatinine (or, using standard [SI] units, 3.4 to 34 mg/mmol of creatinine) suggests that albumin excretion is between 30 and 300 mg/day and, therefore, that moderately increased albuminuria is probably present.

We recommend that the urine albumin-to-creatinine ratio be measured yearly in patients with type 2 diabetes, although it is uncertain whether yearly testing should be continued in patients already treated with an ACE inhibitor or ARB. An elevated ratio should be confirmed with at least two additional tests performed over the subsequent three to six months, with confirmation of the diagnosis requiring at least two of three positive samples.

Among patients with persistent moderately increased albuminuria and blood pressures above goal, we suggest therapy with an ACE inhibitor or ARB rather than other antihypertensive agents (Grade 2B). Other drugs are added as necessary. Issues related to goal blood pressure in patients with diabetes are discussed separately.

Data are limited on the value of treating moderately increased albuminuria with an ACE inhibitor or ARB in patients with type 2 diabetes who are normotensive, since no trials have been limited to patients who have a baseline blood pressure below 135/85 mmHg. In such patients, aggressive glycemic and lipid control are recommended, but angiotensin inhibition is not warranted solely to reduce albuminuria.

There is sufficient evidence to not recommend ACE inhibitor or ARB therapy for primary prevention in patients with type 2 diabetes who have normal albumin excretion and who are normotensive. In addition, there is evidence that such therapy is not helpful. These patients should be screened yearly for moderately increased albuminuria and an angiotensin inhibition initiated if persistent moderately increased albuminuria is documented.

Patients with type 2 diabetes who have normal albumin excretion and who are hypertensive should be treated to attain goal blood pressure.

Issues related to glycemic control, which is essential to minimize the renal and other microvascular complications of type 2 diabetes, are discussed in detail elsewhere.

#albumin to creatinine ratio #albumin to creatinine #albumin to cr #diabetes #albuminuria

[viagraviu]

Navigating Hypertension : Understanding High Blood Pressure Tablets

Introduction

In the realm of cardiovascular health, hypertension stands as a significant concern affecting millions worldwide. High blood pressure, if left unmanaged, can lead to severe health complications such as heart disease, stroke, and kidney problems. Fortunately, medical advancements offer various treatment options, with high blood pressure tablets being a cornerstone in hypertension management. In this comprehensive guide, we delve into the intricacies of hypertension, explore the mechanisms of high blood pressure tablets, and discuss their role in navigating towards better cardiovascular health.

Understanding Hypertension

Hypertension, commonly known as high blood pressure, occurs when the force of blood against the artery walls is consistently too high. This condition puts an excessive strain on the heart and blood vessels, increasing the risk of serious health issues over time. Hypertension often develops gradually over years, with lifestyle factors such as diet, physical inactivity, hypertension high blood pressure tablets  and stress contributing significantly. While it may not present noticeable symptoms initially, untreated hypertension can silently damage organs and lead to life-threatening complications.

Diagnosis and Monitoring

Diagnosing hypertension typically involves multiple blood pressure readings taken over time. A blood pressure reading consists of two numbers: systolic pressure (the pressure in the arteries when the heart beats) and diastolic pressure (the pressure in the arteries when the heart rests between beats). A reading of 130/80 mm Hg or higher is generally considered hypertensive. Regular monitoring is crucial for managing hypertension effectively, allowing healthcare providers to assess treatment efficacy and make necessary adjustments.

High Blood Pressure Tablets :  Mechanisms and Type

High blood pressure tablets, also known as antihypertensive medications, work through various mechanisms to lower blood pressure and hypertension high blood pressure tablets  reduce the risk of associated complications. These medications can target different pathways involved in blood pressure regulation, including   :

ACE Inhibitors  :   Angiotensin-converting enzyme (ACE) inhibitors inhibit the production of angiotensin II, a hormone that narrows blood vessels, thus lowering blood pressure.

Beta-Blockers   :   Beta-blockers reduce heart rate and the force of heart contractions, thereby decreasing blood pressure.

Calcium Channel Blockers  :   Calcium channel blockers prevent calcium from entering heart muscle cells and blood vessel walls, leading to relaxation of blood vessels and lower blood pressure.

Diuretics  :  Diuretics, also known as water pills, help the kidneys remove sodium and water from the body, reducing blood volume and lowering blood pressure.

ARBs  :   Angiotensin II receptor blockers (ARBs) block the action of angiotensin II, resulting in blood vessel dilation and lowered blood pressure.

Each class of high blood pressure tablets has its unique benefits and potential side effects, and the choice of medication depends on factors such as the individual's overall health, coexisting medical conditions, and medication tolerability.

Role of High Blood Pressure Tablets in Hypertension Management

High blood pressure tablets play a vital role in hypertension management by helping to control blood pressure levels and reduce the risk of associated complications. When used as prescribed and combined hypertension high blood pressure tablets  with lifestyle modifications such as a healthy diet, regular exercise, weight management, and stress reduction techniques, these medications can significantly improve cardiovascular outcomes.

It's essential for individuals with hypertension to adhere to their medication regimen as directed by their healthcare provider. Skipping doses or discontinuing medication without medical guidance can lead to uncontrolled blood pressure and an increased risk of adverse events.

Potential Side Effects and Precautions

While high blood pressure tablets are generally safe and effective, they may cause side effects in some individuals. Common side effects include dizziness, fatigue, headache, and gastrointestinal disturbances. Serious side effects such as allergic reactions, kidney problems, and electrolyte imbalances are rare but require immediate medical attention.

It's crucial for individuals taking high blood pressure tablets to be aware of potential side effects and report any concerns to their healthcare provider promptly. Additionally, certain precautions may be necessary when using these medications, such as avoiding alcohol, monitoring blood pressure regularly, and adjusting dosage as needed.

Conclusion

Hypertension is a prevalent and serious health condition that requires proactive management to reduce the risk of complications. High blood pressure tablets are valuable tools in the treatment arsenal, helping to lower blood pressure and improve cardiovascular outcomes. By understanding the mechanisms of these medications, adhering to treatment regimens, and hypertension high blood pressure tablets   adopting healthy lifestyle habits, individuals with hypertension can navigate towards better cardiovascular health and a higher quality of life. Regular communication with healthcare providers and ongoing monitoring are essential for optimizing treatment and achieving long-term success in hypertension management.

In summary, navigating hypertension requires a multifaceted approach that includes medication, lifestyle modifications, and regular monitoring. High blood pressure tablets are instrumental in controlling blood pressure levels and reducing the risk of associated complications. With proper management and adherence to treatment plans, individuals with hypertension can take charge of their cardiovascular health and enjoy a better quality of life.

[markaicorporateservices]

Virtual Office Setup in Dubai: Mark AI Commercial Services Provides Innovative Solutions

Dubai, UAE – In the ever-evolving landscape of business and entrepreneurship, the concept of a virtual office has gained immense traction. Mark AI Commercial Services, a leading name in corporate solutions, is at the forefront of this trend, providing innovative and flexible virtual office setup solutions in Dubai that cater to the evolving needs of businesses in the modern era.

The Rise of Virtual Offices

The business world is witnessing a transformative shift in the way work is conducted, with an increasing number of companies embracing remote work arrangements and flexible workspaces. This paradigm shift has been accelerated by the global events of recent times, pushing businesses to seek flexible and cost-effective alternatives to traditional office setups.

Mark AI's Cutting-Edge Virtual Office Solutions

Mark AI Commercial Services understands the challenges and opportunities presented by this changing landscape. Their virtual office setup In Dubai solutions offer businesses the flexibility to establish a professional business presence in Dubai without the need for a physical office space. With Mark AI, businesses can access a prestigious business address, dedicated phone lines, mail handling services, and meeting room facilities as needed.

Key Features of Mark AI's Virtual Office Setup:

Prime Business Address: Mark AI provides businesses with a prestigious Dubai address that enhances their corporate image and credibility.

Mail Handling Services: The company offers secure mail and package handling, ensuring that important documents and correspondence are received and managed efficiently.

Dedicated Phone Lines: Clients benefit from dedicated phone lines and professional call answering services, ensuring that they never miss an important call.

Meeting Room Access: Mark AI's virtual office clients have the flexibility to book meeting rooms and conference facilities on-demand, enabling them to host meetings and presentations as required.

Flexibility and Cost-Efficiency: By opting for a virtual office, businesses can reduce overhead costs associated with physical office spaces while enjoying the flexibility of conducting operations remotely.

Advantages of a Mark AI Virtual Office

The advantages of choosing Mark AI's virtual office solutions extend beyond cost savings. Businesses gain the freedom to operate from anywhere while maintaining a professional corporate image. Whether it's establishing a local presence, expanding into new markets, or simply streamlining operations, Mark AI's virtual office setup in Dubai offers a strategic advantage.

About Mark AI Commercial Services

Mark AI Commercial Services is a trusted provider of corporate solutions in Dubai, offering a range of services to support businesses in their growth journey. With a focus on innovation and client-centric services, Mark AI is committed to simplifying business processes and enhancing operational efficiency.

To learn more about Mark AI Corporate Services Virtual Office Setup in Dubai and how it can elevate your business, visit our official website:  https://www.markaicorporateservices.com/.You can also contact us at [phone], [phone] or via email- [email protected].

Our headquarters are located in MarkAi Business Setup Consultants, Office no. 925, Tower B, DED Business Village, Dubai, United Arb Emirates.

Mark AI Commercial Services is paving the way for businesses to thrive in the digital age by offering virtual office solutions that align with the evolving needs of the corporate world. As companies continue to adapt to changing work dynamics, Mark AI's innovative approach provides the flexibility and professionalism required to succeed in the competitive business landscape.

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