text:
An Experiment in Being Hungry
Matt and I executed an experiment this past week more out of necessity than for the fun of it.
Because believe me, it wasn't fun.
Sometimes it was funny, but not fun. Last Thursday, (today being Saturday) Matt informed me that we went $200 over our budget for groceries. My heart dropped because we don't have $200 to go over budget. I scanned my brain for where I went wrong. I use coupons, I brag about the "dollar amount saved" at the top of the receipt, and I try to be frugal, but apparently, February wasn't our month.
We needed groceries last Thursday, but I instead suggested we stick it out for "as long as we could" with whatever food we had in our cupboards and refrigerator. Matt, knowing the bleak status of our bank account and ever the saver, agreed. He offered that we could last two weeks. Making a mental survey of the goods in the house, I made a face that said, "No way, Jose."
I was right. I was wrong, however, in thinking that it might be a semi-easy week. It was difficult! Not only physically, but also emotionally. Sure, I was hungry quite often. Meals of potatoes and lettuce, or cereal and watered-down soymilk just didn't suffice. (Poor Matt.)
Emotionally, however, I turned into this agitated monster. I wasn't aware of it until we were watching TV this Thursday evening, and a character mentioned something about turning into an "angry, anxious mother." Matt, sitting next to me, didn't say anything, but instead gave me a couple little taps on my leg.
My head whipped around. "What did you mean by that?"
"Nothing. I just—"
"No, really, what did you mean?"
"Um, I just think that you have been on edge a little bit?"
I thought through the last few days and realized he was right. Just that day, while working on my book, I had scissors in my hand and looked at my dog, Belle. I don't know what came over me, but I had the sudden urge to cut her fur. So I did.
Matt looked up from his laptop. "What are you doing?"
I must have had a crazed look in my eye. "Nothing." I tried to hide the fur in my hand. Belle plopped her head on my lap and wagged her tail. I wanted to keep cutting. "I cut Belle's hair. I wanted to see what it looked like."
"What? Laurie—Seriously?" Matt didn't understand what was going on inside of me. I didn't either. I tried to explain that I was just feeling crazy, but he just looked at me (and then told me) that if I came after him with scissors, he would have something to say about it.
We finally bought food eight days after our grocery buying fast, but not before a couple more breakdowns on my part. These at least did not inflict harm on others.
The day we bought groceries was the day I felt the most desperate. Although I wasn't feeling too friendly with the Lord, I asked Him if there was anything He could share with me that could speak to my heart at this time.
I found it in Psalm 22:1-2 (NLT).
"My God, my God! Why have you forsaken me? Why do you remain so distant? Why do you ignore my cries for help? Every day I call to you, my God but you do not answer. Every night you hear my voice, but I find no relief."
That was exactly how I felt. Every day I am on my knees, begging the Lord for help to rescue us from our financial burdens, but he doesn't seem to listen. I know He does; I know He hears us. I read His Word, and believe that He will take care of us, but as the debt continues to pile up, and we continue to work as hard as possible, it is hard to believe it as truth.
This experiment in hunger seemed to create a physical and hourly reminder of the lack of response from the Lord, and it hurt. It made me crazy. It made Matt crazy, too. He felt my trust-withdrawal from God and him, and therefore pulled away from me. There was a strain on our relationship.
It seems so trite. I feel ashamed because I think of how little children in Africa must eat. However, I can't live in that. This is my reality, and God has used it to teach me something: God is going to take care of us. He does promise it, even if I don't feel it—physically or emotionally.
So when I feel like He is not listening and I want to give up, I just can't. I can't. I simply need to claim those promises in His Word—as cheesy, outdated, and repeated as they might seem--and point to them when I talk to Jesus. Because theyare still true.
"So don't worry about having enough food or drink or clothing. Why be like the pagans who are so deeply concerned about these things?
Your heavenly Father already knows all your needs, and he will give you all you need from day to day if you live for Him and make the Kingdom of God your primary concern" (Matthew 6:31-33).
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//About the Author
Laurie Krieg is broken, beloved, and gospel-addicted. Read more about her here.
//Recent Posts
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Episode 32: Guiding Families
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Episode 30: Women Struggle with Lust, Too
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Guest: Amy Riordan
Episode 29: It Takes a Village
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Guest: Ray Low
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Guest: Dr. Branson Parler
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How can we disciple our kids without hurting their hearts?
Podcast Episode 26: Marriage: What Is It Good For?
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Guest: Branson Parler
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Podcast Episode 25: Friends in Low Places
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Guest: Tammy Perlmutter
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Podcast Episode 23: Don't Waste Your Marriage
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The Secret Rooms of Our Hearts
How can we connect our hearts in the midst of processing trauma?
Podcast Episode 22:
Learn to Fight Well
Hint: Fighting well is not about fighting well, but about looking like Jesus.
Chronic Soul Pain
Do you suffer from chronic pain of the soul? We all do. Let's stop pretending we don't--in community.
Podcast Episode 21: Pursue the Perfect Marriage
What does perfection in marriage look like?
Podcast Episode 20: Marriage Is Not That Great
Is there a different set of rules for marriages like ours?
What Do You Want?
Laurie was due for a spiritual and marital audit, and she found herself before a holy God.
Podcast Episode 19: I'm Coming Out
What was it like to come out to a friend for the first time? Laurie and that friend talk about it.
Podcast Episode 18: The Loneliness of Leadership
Is loneliness a "required course" for leadership as Elisabeth Elliot said? Let's talk about it.
Times They are Changin'
Matt is moving on to other things--but he's still here. (We explain.)
Podcast Episode 17: The James Progression
How about we talk about a shame-free version of avoiding temptation?
Podcast Episode 16: Concern and Hope for the Church
What is a gift we can receive in the midst of all the polarity we see today? Guest: Dr. Matthew Tuininga
Podcast Episode 15: The New Health and Wealth Gospel
Does God want us to be happy? Guest: Gregory Coles
Podcast Episode 14:
Idolatry of Sex
How can we, the Church, look more like the Church? We need to look at what we worship.
Podcast Episode 13:
Marriage Matters
How can we cultivate intimacy in the tough seasons?
Podcast Episode 12: Heart to Heart Prayer with Carolyn
Hear the heart of Laurie's longtime counselor, mentor, and friend.
Chicken Love {A Guest Post From My Sister}
Like chickens, we can peck at each other, but we often just peck at ourselves.
Podcast Episode 11: Forgiveness Is the Worst Best, Too
How do we truly forgive someone...in real life?
Podcast Episode 10: Lament Is the Worst Best
Why do we got to feel the sad stuff of life?
Against you, and you alone
We need something more convicting than the pain of a person.
Podcast Episode 9: Pillar Practices
Pastor Marvin Williams joins us to share what keeps him tethered to Christ.
Podcast Episode 8: Pillar People
Pastor David Beelen shares the critical people and practices in his life that have and do shape him to look and sound more like Jesus.
Podcast Episode 7: Holy Hate?
Is there a time for Holy Hatred?
Why I can't hate people anymore
Looking into her enemies' hearts won't let Laurie hate them anymore.
Our friend, Greg Coles, on suffering well
Greg is leading worship at Caring Well. Here are some stellar pages from his book.
Why I am so excited
The Caring Well conference is coming. I'm stoked. Here's why.
So long, Shame
Shame snuck up on Laurie again.
Three guest posts for Lies Young Women Believe
To the Girl Wrestling with her Sexuality, Who is Safe to Tell?, What do to with Painful Rejection
Orlando reflections
Matt was finally able to name why he loved being with LGBT+/SSA Christians.
Why Christians can care about LGBT+ people
What the world (my world) needs now is little, honest laments
We got to get the pain out.
How can we really love people?
It takes experiencing love.
Pillar People
Who are the critical characters in our lives?
What I've learned after eight years in my mixed-orientation marriage
Are we really so different from other marriages?
Addiction, worry, and worship are interchangeable
We are made for addiction.
5 reasons I'm glad I said "see ya" to my smartphone
It was keeping Laurie from feeling. That's not okay for someone in "the biz" of healing.
My regift to you
Angela, Laurie's sister, shares hard three memories re-written.
Two days after...
Perhaps there is something (someONE) who can unify us all.
Now is the time to live like Jesus
This is why I cried about the election, and this is what I believe we can do next.
A response to Jen
Rarely, do we get involved in disagreements with fellow Christians about the LGBTQ+ conversation. But, we had to share.
There has to be a better way
How should we treat same-sex attracted Christians in the church?
How vulnerability heals
Sometimes, doing the thing we want to do the least is the thing that will heal us the most.
Inviting Jesus into anxiety
Fear has felt out-of-control after having a baby; inviting Jesus into it (even if he doesn't fix it) helps
A new identity
Matt writes about a friend's affairs before and after coming to Christ--and how his identity was affected.
Guest Post: Can't I just trust him, already?
Another guest writer reflects honestly on how her lack of trust leads her to fantasy.
Guest Post: A reflection on "Living with Longing"
A guest writer reflects on how she practically makes it through the temptation to run from God instead of to him.
Living with longing
Sometimes, you just have to endure.
A response to Orlando: Don't stop caring
Let's not redraw the lines in the sand.
We men need friends, too
Matt talks through how he didn't need a romantic interaction. He needed friendship.
No shadow of shame
Laurie again faces the shame she fights. (Also, a word about the "T" in LGBTQ)
One year ago...
Laurie reflects on the journey of Matt's pornography addiction recovery over the last year.
10 ways to make your church safer
Hint: It starts with the individual.
We apologize for the delay
We are going to take a blogging break as we move our home and office.
The benefits of opening locked memories
There are certain memories that seem off limits. But is it worth it to keep them locked up forever?
Know self, know God (and vice-versa)
We share an excerpt from The Gift of Being Yourself regarding the relationship between self-knowledge and God-knowledge.
I want my daughter to grow up bored
Boredom is...boring. But the neurological and spiritual costs of constant entertainment can be devastating.
Not an identity
Laurie guest writes for Cornerstone University about how her struggle is often viewed differently from Matt's.
Guest Post: How God saved me and my marriage
A guest writer explains how God rescued her from a life of death.
When I am tempted to unforgive
2. 9.16
Laurie describes what she does when she wants to take back her "right" to pay Matt back.
The slow descent
Matt compares pornography addiction to hiking down the Grand Canyon.
I'd rather not self-reflect, thank you
Matt sampled single fatherhood for a week, and wrestled with avoiding internal reflection in the midst of busyness and boredom.
Word for the year (and how it might look)
Laurie doesn't do resolutions anymore. (Too much opportunity for shame.) This year her word is "abide."
Don't let me wallow
Is a life with same-sex attractions a doomed life?
Don't give up
For all the chronic pain sufferers...
//Go to archives


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Adrenalectomy is the removal of one or both adrenal glands. There is one adrenal gland on top of each kidney. The adrenal glands make several hormones, including cortisol, aldosterone, and sex steroids. The adrenal glands also make adrenaline and noradrenaline in small amounts.
Reasons for Procedure
Your adrenal gland may be removed if you have any of the following:
- Adrenal cancer
- Diseases of the adrenal gland, causing it to make too much of a hormone, which can occur with Cushing syndrome, Conn syndrome, or pheochromocytoma
- A large adrenal mass
- An adrenal mass that cannot be identified with a needle biopsy
Possible Complications
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
- Insufficient cortisol production
- Decreases in blood pressure
- Bleeding
- Infections in the wound, urinary tract, or lungs
- Blood clots in the legs
- Injury to nearby organs or structures
- Adverse reaction to anesthesia
Factors that may increase the risk of complications include:
- Increased age
- Obesity
- Long-standing cortisol excess
- Smoking
- Poor nutrition
- Recent or chronic illness
- Heart or lung problems
- Drinking
- Use of certain medications
- Use of illegal drugs
What to Expect
Prior to Procedure
Your doctor will likely do some or all of the following:
- Physical exam
- Blood tests
- Urine tests
- Imaging tests such as abdominal ultrasound, abdominal CT scan, MRICT scan of the head, and nuclear scan
- Give certain medications to determine why the adrenal gland is not working correctly
Let your doctor know which medications you are taking. You may be asked to stop taking or adjust the dose of certain medications.
In the days leading up to your procedure:
- Arrange for a ride home.
- Arrange for help at home.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
- You may be given laxatives or an enema to clean out your intestines.
Your doctors may need to admit you to the hospital before your planned procedure if your blood pressure has not been well-controlled with medication. This will allow more aggressive treatment to stabilize your blood pressure. It will also ensure that you have enough fluid in your body to prevent blood pressure problems after the surgery is done.
General anesthesia will be used. You will be asleep.
Description of the Procedure
You will likely be given IV fluids, antibiotics, and medications that depend on the condition that is being treated.
Large masses are usually removed from the front of your abdomen. This is done so that the mass can be easily removed. The rest of your abdomen can also be examined.
An incision will be made just under your rib cage or in your abdomen. The adrenal gland will be carefully separated from the kidney. The gland will then be removed through the incision. The incision will be closed with either stitches or staples. It will be covered with a sterile dressing.
The doctor may choose to place a tiny, flexible tube into the area where the gland was removed. This tube will drain any fluids that may build up after surgery. It will be removed within 1 week after your operation.
Immediately After Procedure
The adrenal gland(s) will be sent to a lab to be examined. You will be sent to a recovery room. There, you will be monitored for any reactions to the surgery or anesthesia.
How Long Will It Take?
1½ hours-3½ hours
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Average Hospital Stay
4-5 days
Postoperative Care
The staff will monitor your breathing, pulse, and temperature. You may also need:
- Medications to control pain and nausea.
- A tube through your nose and into your stomach. It will drain fluids and stomach acid. You will not be able to eat or drink until this is removed and you are no longer nauseated. In this case, you will continue to receive IV fluids. When you begin eating, you may need to eat a lighter, blander diet than usual.
- Compression stockings to decrease the possibility of blood clots.
- Steroid medications immediately after surgery. The dose will be gradually reduced.
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
There are also steps you can take to reduce your chance of infection such as:
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
Recovery time may be as long as 4-6 weeks. To help ensure a smooth recovery:
Recovery time may be as long as 4-6 weeks. To help ensure a smooth recovery:
- You will need to be carefully monitored to see that your body is producing the right amount of steroids and hormones. Monitoring also verifies that you are taking the correct dose of steroid or homone replacement medication.
- You may be asked to weigh yourself daily and report any weight gain of 2 or more pounds over 24 hours. Such weight gain may indicate that you are retaining fluid. You may be asked to monitor your blood pressure regularly at home.
- Try to increase your physical activity according to your doctor's instructions. This will help you avoid respiratory complications from the general anesthesia and improve the recovery of your digestive system.
Call Your Doctor
Call your doctor if any of these occur:
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Persistent nausea /or vomiting
- Pain that you cannot control with the medications you were given
- Pain, burning, urgency, or frequency of urination
- Blood in the urine
- Cough, shortness of breath, or chest pain
- Pain or swelling in your feet, calves, or legs
- Headaches
- Lightheadedness
- New or worsening symptoms
If you think you have an emergency, call for emergency medical services right away.
Revision Information
- Reviewer: EBSCO Medical Review Board Marcin Chwistek, MD
- Review Date: 03/2018 -
- Update Date: 03/18/2013 -


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In part one of this three-part series on deep testing complex systems, I covered the practical aspects of deep testing and demonstrated how to test difficult areas of code, such as the user interface, networking, and asynchronous code.
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In this article, I discuss some techniques and utilities I have used to successfully test complex systems in C++. In the final article next week, I'll discuss similar complex testing for Python (with Swig C++/Python bindings) and high-volume, highly available C#/.NET Web services.
Obstacles to Testing Complex C++ Code
C++ arguably poses the most difficult challenges for testing among the major industrial-strength programming languages and environments. There are several challenges to deal with: Build speed is slow; the language uses weak types; and C++ programmers love twisting code or template-based designs to extract every last bit of performance. Let's look at how these factors affect testing complex code.
Slow Build Speeds
C++ projects (especially cross-platform projects) are often built as one big monolith. They can comprise large numbers of static project libraries along with many more third-party libraries that are all linked together to generate the final executable (often, several executables).
The result of this monolithic construction is less than stellar dependency management. I've seen several large C++ codebases where every merge was a project in itself involving a dedicated build engineer to convene multiple developers to help resolve conflicts and build the software, sometimes requiring multiple building passes to combat cyclic dependencies. Add the tools used to build many cross-platform C++ projects (such as make) and you get a picture of slow, very complex builds.
The impact of this on testing is profound. When simply building the software is such a chore, the tendency is to minimize the number of artifacts you generate. This leads to one of several unpleasant choices:
- No tests just build the software and play with it; trust your QA team to find all the bugs.
- Add some test support to the main software with compile-time or runtime switches.
- One big test executable (or test framework) that links against all the dependencies and contains all the tests.
- Many small test executables, each linked against its dependencies.
Option #1 is an obvious no-go from serious testing point of view (but very common in practice).
Option #2 is cumbersome. It doesn't let you to perform isolated testing and complicates the final product with testing code and dependencies.
Option #3 requires a slow build of the huge test executable whenever you make a small change (either to the code under test or to the test itself).
Option #4 requires a lot of tinkering around. It's pretty good when you work on an isolated bug or feature and has to build just one small test executable, but when you want to run a suite of regression tests, you will have to wait a long time for the build because each and every small executable will have to link against all its dependencies, which will duplicate a lot of effort (especially for common libraries used by every test executable).
The Quest for Performance
C++ was designed for raw performance. You pay only for what you use. It is compatible with C, which started as a glorified assembly language. In later years, C++ became a multi-paradigm language supporting procedural, object-oriented, and generic programming styles, while still maintaining its C compatibility and performance. However, this led to a programming language that is an order of magnitude more difficult to learn and practice than other mainstream languages. In its glory days (early '90s), C++ was used for everything, especially on Windows. You wrote your number-crunching code and your user interface and your networking code in C++, and that was that. The rise of the Web and Java changed everything. Suddenly, the programming language of your project wasn't a given and you could even mix and match programming languages in the same project. Later, hardware got faster, other languages got better (C#, Python), and Web applications where developed in every possible language except C++ (anyone remember ATL server?). That relegated C++ to the engine to do what it does best fast processing. C++ programmers (unless they are polyglot and dabble in other languages) justifiably focus more than anything on generating fast and tight code. Many great C++ developers formed their habits before automated unit testing and the agile movement made it to the big stage. Also, because performance is very often a system-wide property and not just the sum of the performance of the various components, its pursuit leads to a dependence on the usefulness of unit testing.
Very Weak Type System
C++ is a statically typed language, but its type system is very weak. You can freely cast any pointer to any other pointer using
reinterpret_cast. It can perform implicit casts/coercions/promotions on your behalf in certain situations. In addition, it has the legacy C preprocessor that allows inventing private sub-languages in a non-typesafe way. Add to that powerful templates with no constraints. Because all these features are heavily used in industrial strength programs, you end up with a combustible concoction that is pretty difficult to reason through and to feel secure that you have covered in your tests all the ways the code can misbehave.


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How To Style Long Curly Hair
How To Style Long Curly Hair Very new haircut and hairstyle idea for this year from soft fringes to wet-look waves, copper colours to ballerina buns. Who said you can't do anything with short locks? Not a week goes by where I don
Get inspired by over fifty of the best How To Style Long Curly Hair in our easy to use gallery of men'sshort hairstyles from celebrities, models and more. If you're looking for the latest popular men's hairstyles in 2019, then you're going to love the cool new haircut styles below. With only a few weeks left in 2018, it's time to look at the best new How To Style Long Curly Hair. The best men's haircuts to get in 2019 range from short and textured to long and messy. The number of ideas is infinite all you need to do is turn on your imagination and start creating. Get all the new hair ideas for short, long and medium length hair and discover the hottest celebrity hairstyles and the best haircuts for your face shape.
How To Style Long Curly Hair We've rounded up easy celebrity styles for every single hair length. Chic celebrity inspired hairstyles, cuts and trends from short to long and curly to straight. If you're in the market to try something new, take a cue from these gorgeous blonde, brunette, red, and colorful hair color ideas. Find inspiration before your next trip to the hairdressers with these stylish and sophisticated haircut ideas. Hairstyle inspiration for the 4th of July, the walk down the aisle and wherever you'


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Blink negotiates with the pharmacy industry on behalf of all Americans and uses technology to cut out middlemen. So you can get the same medication at much lower prices.
Simply pay online and pick up at a trusted pharmacy nearby, or get your medications delivered right to your door with free shipping.
There are two ways to use Blink. We offer free home delivery or free pickup at a participating pharmacy. Either way, search for your medication on BlinkHealth.com or in our mobile app. Select home delivery or local pickup, and we'll guide you through the process at checkout. If you're picking up, you'll need your proof of purchase — your Blink Card — which we'll email and text to you after checkout. You can print it out, or just show your phone to the pharmacist. Ask them to process it as the primary payer — you'll pay nothing at the pharmacy.
Yes. You won't need your prescription to complete your purchase, but you do need a valid prescription in order to get your medication. You can use an existing prescription from your doctor or we can help you get prescribed online by a licensed physician after checkout. Online doctors' prescriptions are available for select medications in participating states and are not guaranteed. Restrictions apply. If you're using an existing prescription, our pharmacy team can transfer it to Blink or a participating pharmacy at no charge. Even though Blink doesn't need to see a copy of your existing prescription, the pharmacy will still need a valid prescription either as an e-prescription or as a paper prescription. If you've selected your medication to be delivered to your home, Blink will transfer your prescription to our pharmacy team, or you can ask your doctor to e-prescribe directly to "Blink Health Pharmacy". If you have any questions, please call our US-based customer care team at 1 (844) 265 - 6444.
You can use Blink at 35,000 participating pharmacies nationwide, including Walmart, Albertsons, Kroger, Publix, Costco, Kmart and thousands of other regional chains, groceries and neighborhood drug stores. If your prescription is currently at a pharmacy outside our network, we'll help transfer your prescription to a participating pharmacy after the checkout process. Transfers are free and easy. We also offer free home delivery, so you can get medications delivered to your door with free shipping from a certified US pharmacy in our network.
No. If you're using Blink at your local pharmacy, fill your prescription at the pharmacy like you always do. You can have your doctor call the prescription in, e-prescribe or provide you with a physical copy to give to the pharmacist. For existing prescriptions, request your refill from the pharmacy as you normally do and ask your pharmacist to process Blink as the primary payer. If you're ordering medications with free home delivery, we'll walk you through the process at checkout — our pharmacy team will transfer your prescription from your doctor or current pharmacy.
Yes! Check the Blink price and compare it to how much you'd pay with your prescription drug coverage. Our customers are surprised that Blink's price can be lower. If that's the case, purchase your medications with Blink without using your drug coverage.
Blink is free to use! You can search for the price of your medication on our app or website with no commitment or fees, whatsoever.
Yes, Blink Health and our work making prescription medications more affordable has been featured by leading publications and news outlets like The New York Times (Blink Health Offers Path to Lower Drug Prices), CBS News (Blink app is like Groupon for discount Rx drugs) and Forbes (Blink Health Taking On Middle Men To Democratize Drug Prices).
Our customer care team is available Monday - Friday 8AM - 10PM EST, and Saturday and Sunday 9AM - 7PM EST.
Call us: 1 (844) 265 - 6444
Email us: [email protected]
Try the app now
Blink Health will always honor the price reflected at the time you purchased your medication. Your final price is based on the medication you pick up at the pharmacy. If you pick up a different form, dosage, or quantity, you will be charged or credited the difference. Blink Health reserves the right to cancel a transaction and refund you if the underlying cost of the prescription drug changes significantly after you have purchased your medication. Blink Health reserves the right to change its prescription drug prices in real time based on supply and demand trends and other factors. Any savings claims made by Blink are based on U.S. retail prices without prescription drug coverage. *Retail Prices (Cash Prices) vary among pharmacies. The Retail Prices displayed are estimates based on multiple sources, including price lists, historical claims and data provided by pharmacies. Our Price Match Guarantee covers generic drugs. Additional conditions apply. For more details visit our Price Match page. †Delivery may be subject to delays. Free shipping is available for most orders through USPS first class shipping. If an order is placed, or if a delivery period falls, on a USPS holiday, the delivery time window will be extended by additional days, as applicable. No deliveries on Sunday or USPS holidays. Home delivery orders ship from a licensed, US based pharmacy after a valid prescription has been received. No home delivery orders will ship without a valid prescription written by a prescriber. Blink Health's pharmacy team will transfer prescriptions from other pharmacies or prescribers. Home delivery orders may be subject to delays if those pharmacies or prescribers do not immediately respond to requests to transfer prescriptions to Blink Health's pharmacy team. ‡Promotional offer excludes opioids, E.D. (i.e. sildenafil, tadalafil and generics Viagra and Cialis) and hair loss medications (i.e. finasteride, generic Propecia), and any orders that include online doctor visits for E.D., hair loss, birth control, cold sores, high cholesterol or acid reflux. Cannot be combined with other offers. Blink Health is not sponsored by or affiliated with any of the pharmacies identified. The pharmacy trademarks and logos above are the property of their respective owners. Blink Health is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information. Please seek medical advice before starting, changing or terminating any medication or prescription.
Disclosures: Blink Health is NOT insurance or a Medicare prescription drug plan. Users are obligated to pay the price presented during the checkout process. Blink Health is available to users at participating pharmacies only. No enrollment or periodic fees apply. Our address is 1407 Broadway, Suite 2100, New York, NY 10018, 1 (844) 265 - 6444, www.blinkhealth.com.


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GalleriaGalleria has been one the most successful and highly acclaimed catalogue series ever. The French magazine Diapason declared in April 1993 of one new set of releases: "Generally brilliant, this special price series from DG seems this time to have surpassed even itself!"
The series has concentrated on offering a broad range of repertoire; not only the standard repertoire, including early and baroque music (on Archiv Galleria), but also works of special interest. FonoForum wrote in July 1993: "Mostly good, in some cases excellent interpretations offer the young, keen (and inexperienced) listener a reliable and by now rich spectrum of repertoire from which to find a well-known favourite or something completely new."
Indeed it is in the choice of repertoire that Galleria has received particular acclaim. Gramophone wrote in September 1999 of CD 457 915-2, Fischer-Dieskau singing Schumann duets with Julia Varady: "This is a model of a mid-price reissue - interesting, neglected material performed to perfection with texts and translations provided."
Another such outstanding reissue of nonstandard repertoire, exceptionally interpreted by star artists, was CD 457 907-2, Kyung-Wha Chung and Krystian Zimerman playing violin sonatas of Respighi and Richard Strauss. Gramophone wrote of this in January 1999: "...a DG Galleria coupling of two little-known violin sonatas ... which hardly needs further recommendation from me, as on its first issue (2/90) it won a Gramophone Award. ... If you missed this first time round, here is a second chance!"
Full Discography


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Alexander Pope once said about opinions: "[they are] as our watches, none go just alike, but each believes his own." This view is equally true in the programming of build systems. Everybody likes their own. Or, perhaps more accurately, dislikes it less than the alternatives. What is curious is that, fundamentally, build systems all have the same mission: transforming code and possibly other artifacts into a deliverable executable package. In theory, what should vary between build tools is the degree to which automation facilitates the process. Some tools, for example, automatically detect dependencies, check the modification date of files, and rebuild only the binaries that have changed. Other systems accelerate builds by executing them in parallel a task that, in some languages, is supremely difficult.
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While those differences do distinguish high-end from less feature-laden systems, they tend not to be the key influence on the choice of build systems. The overwhelming factor in choice is the principal language in which the software was implemented. If you use C or C++, make or one of its derivatives is your tool. In Java, it's Ant or Maven. In Ruby, it's Rake. And so on. Few developers, if any, use make to build Ruby apps, for example. We all tend to stick to the natural choices in our own ecosystem.
Some programmers I respect, who recognize that the fundamental nature of build systems is to simply run a series of utilities to create a final package, use hand-coded shell scripts. They argue this approach provides some advantages: a uniform syntax for all projects regardless of language and complete portability across platforms. This is all true, but the approach sacrifices automation. Every step and every dependency must be hand-coded. And desirable tasks like checking mod dates or dependencies become complex activities.
The majority of dedicated build systems, until recently, have been target-and-dependency models. The build script identifies the dependencies and explains how to convert input to output. Ant and make (and their descendants) are archetypes of this approach. This design is cumbersome: The tools frequently lack the ability to test results and make intelligent decisions about what to do (as they could do in a shell script). Products like Gant (an elegant Groovy-based shell with scripting capabilities built around Ant) and Buildr (a similar concept with Ruby as the scripting language) can certainly help.
But the direction of modern build systems is toward the use of convention over configuration. Maven was the first widely used tool to exploit this approach. Code goes into known locations in a project; tests go in another standard directory; and simple instructions (alas, in XML) tell Maven what to do, but they don't identify most of the artifacts that are to be consumed. Conventions tell Maven where they are located. And Maven handles dependencies by downloading libraries automatically from Maven Central or other repositories.
There's a lot to like in the Maven approach and there's no doubt that it continues to gain adherents, but it can be a frustrating tool when you want to do something that's not in the model Maven is expecting. An example of this comes in the form of Android projects, which have their own directory layout. A Maven plugin maps Android to Maven, but it's a contortion to satisfy Maven's convention, rather than allowing the fundamental convention to be modified. Also, because magic is being done by convention, fixing errors can be frustrating as there is little to guide you when things go wrong.
Ideally, there should be a tool that uses both convention over configuration and enables easy scripting, so that all needs and perhaps even all languages are accounted for. I'll come back to this in a moment, but I first want to look briefly at what the future will require.
We have come to the point in software development where most sites recognize the benefits of continuous integration (CI) and continuous delivery. The core principle is the need to build and test the deliverable with every code commit. In continuous delivery, the deliverable is then installed on a test server and run, and further tests are run against it to make sure that the organization always has a valid executable of the current project even if it's not feature-complete. Today, this is activity is driven by CI servers. But increasingly, tasks assigned to those servers are migrating to the build scripts. This migration is most evident in the now standard test step in many build tools. Specifically, the successful running of all unit tests is required for the build to succeed. I expect that more of the deployment and downstream testing will move from the CI server to the build script, and eventually the CI server will disappear as a separate entity, save to provide some kind of dashboard regarding the results of the build.
To accelerate in this direction, build tools need to move far past the early model of make, scons, autotools, Ant, and the like. Convention over configuration and scripting will both need to be robust. The tool that, in my view, most fills the bill is Gradle. It uses a DSL to script activity that, in its principal direction, is driven by convention. It requires the JVM, as Gradle was developed in Java and Groovy, but it is more language-independent than most of the tools I've discussed here. (To wit, it is often used in Node.js projects.) In addition, Gradle's default lifecycle includes testing and deployment stages, so it's designed for the full DevOps/continuous delivery model. The tool itself is open source, and it currently has a commercial entity behind it, reflecting the traction it is gaining in development organizations.
If you're grappling with the issues I discussed here, I suggest looking at Gradle. Naturally, most organizations are not going to rewrite existing build scripts to use the product you don't mess around with what works. But as the pressure to have build system do more and do it better, I expect that organizations will increasingly find Gradle to be a satisfactory solution for new projects.
— Andrew Binstock
Editor in Chief
[email protected]
Twitter: platypusguy


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The F16V3 E131 Controller is now available in the store!! - http://pixelcontroller.com/store
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It is Ako and pearl 8.25-8.5mm ブラックパールペアールース. A price is a price of the pair ball, and there is an extra charge for the metal fittings charges.
Color, Terry are beautiful in rather deep blue-black.
I process it into earrings or pierced earrings.
(the metal fittings charges become different.)
|JP Post EMS
|Your order will be shipped to you via Japan Post EMS. Japan Post is a speedy delivery service that delivers to more than 120 countries. With an effective tracking system and insurance program, EMS is able to offer a secure delivery worldwide. You can track your package with the tracking code provided and it will be delivered within a week. See estimated shipping fee
|Credit Card
|We accept credit and debit cards.
The following credit and debit cards can be used:
•American Express
This product cannot be shipped directly to United States from the store.
Please use a package forwarding service >> Learn more
Save on shipping by combining your shipments.
Ship products from shops that don't provide international shipping.


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These games teach valuable skills and have a high fun and educational rating.
Your child develops knowledge about animals and learns to identify similarities between parents and their children by watching these videos.
Your child will practice investigation skills by scanning Dora's room for certain objects. Walking around her house, your child will play a variety of games such as dressing up Dora, helping her mother cook, and fetching her dog.
Your child experiences cognitive development in a variety of areas by engaging in different cultural activities and games.
Your child practices categorizing objects based on different attributes such as color, function, and natural habitat by helping Bert find paperclips using Ernie's clues.
Your child develops letter recognition and word meanings by clicking on letters and seeing their correlating objects.
Your child develops his or her counting abilities by helping Elmo and Grover make lemonade.
Your child develops counting skills as they help Charly blow and pop bubbles from the bubble machine.
Your child develops pattern recognition skills and learns the names of common foods by helping Cookie Monster complete food patterns in the check-out line.
Your child develops color recognition skills by watching a video about colors with a spicy flair.
Your child learns character education and to be happy by watching this video about feeling good.
Zoodles 11.7.8 Copyright (c) 2014 Inquisitive Minds, Inc. All rights reserved.


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Featured Foods
Go Eat Lunch
The best Arby's lunch money can buy.
- ROAST BEEF CLASSICMore InfoThis is the sandwich that put roast beef on the map. Our classic roast beef is thinly sliced and piled on a toasted sesame seed bun. Try it with our delicious Arby's Sauce®, or for an extra kick go with the zesty Horsey Sauce®.
- TURKEY & SWISSMore InfoOven-roasted turkey, ripe tomatoes, lettuce, thinly sliced red onions, Swiss cheese, mayo and spicy brown honey mustard. Together they make the Roast Turkey & Swiss sandwich, the sandwich roast turkey was made to go on.
- ReubenMore InfoMarbled rye bread filled with freshly sliced corned beef, melty Swiss Cheese, tangy sauerkraut and creamy Thousand Island dressing. This is a reuben sandwich inspired by the New York standard.
- Greek GyroMore InfoYou don't need to go to Greece to enjoy a Greek Gyro. You just need to like flame-seared, knife carved gyro meat, with crispy vegetables, creamy tzatziki sauce, and warm pita bread. You do need to be able to get to Arby's. Apparently, you can order a cab on your smartphone now, so that's a solid option.
Grab a Snack
Basically a second lunch.
- BUFFALO CHICKEN SLIDERMore InfoA crispy chicken tender dipped in spicy buffalo sauce and topped with Parmesan Peppercorn Ranch. For when you want to step things up, but just a little bit, because it's a slider.
- SMALL CURLY FRIESMore InfoPotatoes. The meats of the field. Sliced up curly and fried to perfection. Snack-size curly fries are delicious on their own and even better with one of our famous sauces.
- Ultimate Chocolate ShakeMore InfoThe indulgent Ultimate Chocolate Shake is made with real, premium Ghirardelli chocolate and drizzled with even more real, premium Ghirardelli chocolate. What we're saying is Arby's keeps it real. And premium.
- ROAST BEEF 'N CHEESE SLIDERMore InfoThe thinly sliced roast beef and melted cheese you love on a slider-sized bun, for when you want a mini-me of the classic.
Dinner Time
Just like eating dinner at home, but with strangers.
- HALF POUND FRENCH DIP N SWISSMore InfoThis is the biggest Half Pound French Dip & Swiss Arby's has on the menu, featuring a half pound of our signature tender roast beef. And a fun side of au jus for maximum Frenchness.
- ROAST BEEF GYROMore InfoNothing says "I am an adventurous eater and interesting person" like eating a gyro at Arby's. Our classic thinly sliced roast beef is topped with lettuce, onions and tomatoes, cool creamy tzatziki sauce, and authentic Greek seasonings all hugged by a warm pita.
- MOZZARELLA STICKSMore InfoStretchy, cheesy, melty mozzarella that's battered and fried. Served with a marinara sauce for dipping.
- Loaded ItalianMore InfoWe took the best of the Italian meats – pit-smoked ham, salami, and pepperoni, sliced them up thin, then stacked them higher than feasibly possible with melted Swiss. But we didn't stop there. We piled banana peppers, lettuce, tomato, and red onion on there too, and drizzled it all with a red wine vinaigrette, topped with garlic aioli, all on a toasted Italian roll.
Signature Sandwiches
- ROAST BEEF GYROMore InfoNothing says "I am an adventurous eater and interesting person" like eating a gyro at Arby's. Our classic thinly sliced roast beef is topped with lettuce, onions and tomatoes, cool creamy tzatziki sauce, and authentic Greek seasonings all hugged by a warm pita.
- TURKEY GYROMore InfoOur Turkey Gyro is crafted with our classic thinly sliced roast turkey, lettuce, onions and tomatoes, cool tzatziki sauce and traditional gyro seasonings on our soft pita. You might have to eat lunch at work, but your mouth can go all the way to Greece.
- SMOKEHOUSE BRISKETMore InfoWe set out to make a sandwich with layers of smoky flavor, and this is the result. We smoke our brisket for at least 13 hours in a pit smoker in Texas. We top that with smoked gouda, crispy onions, mayo and BBQ sauce and serve it all on an artisan-style roll.
- LOADED ITALIANMore InfoYou might want to sit down. This could take a while. We took the best of the Italian meats – pit-smoked ham, salami, and pepperoni, sliced them up thin, then stacked them higher than feasibly possible with melted Provolone cheese.
About Arby's, BozemanArbys.com
Arby's Bozeman is a quick-service restaurant serving quality meats on handcrafted sandwiches. We call the transformation from a cut meat to a delicious sandwich "Meatcraft", and our dedication to Meatcraft informs every decision we make. From the sandwiches we serve to our curly fries, shakes and sides, everything we do is in service to the meats. It's why we get to work every morning hours before we open our doors. Good food takes time to prepare, and we're happy to put in the time to make your meal great. Visit the Bozeman Arby's today.
More Nearby Arby'sSearch For More Arby's Locations
Arby's, Livingston2000 West Park St Livingston, MT 59047 US
Store ID: #7936
Today's Hours:


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Guide Star Availability
You are here
The two diagrams below show the surface density of stars as a function of optical R band magnitude for Galactic latitudes of 30 and 90 deg. They were derived from a Bahcall - Soneira model (e.g. Bahcall & Soneira 1984, ApJS, 55, 67) modified by Doug Simons.
The horizontal lines indicate the reciprocal patrol area of various Gemini wavefront sensors. The point at which each line cuts the stellar density curve indicates the magnitude where, statistically, one star should lie within that WFS's patrol area.
For example, one star of magnitude R = 13.5 - 15 (depending on Galactic latitude) should be available within the Peripheral WFS patrol area (~14 arcmin diameter). This implies that PWFS guide stars for most science targets can be selected from the GSC1 catalogue which has a limit of approximately 14-15 mag.
The detailed patrol field and sensitivity of the PWFS are given in the PWFS overview; the performance of the instrument OIWFS and adaptive optics AOWFS are included with the details of the relevant instruments.
Several on-line guide star catalogue servers are available.


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Circa 1890
A nine-light, three branch, urn-form chandelier in its original wonderfully-aged gilded finish. The fluted arms are draped with foliate swags surrounding a fluted lidded urn body. Three suspension rods connect to a leaf and dart detailed canopy. From a Buffalo, NY estate.
Current height: 46"
Overall: 17" diameter
Can be UL listed for use in dry environments
9 Candelabra sockets, maximum 60 watts per socket
1 fixture total available.
On display at our Greenwich showroom.


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Come on man! We know what numbers are! we know how numbers work! we're not idiots and you are not the only one who has unlocked the Giant Mystery of Which Number Is Bigger. This is an important lesson: People are not dumber than you just because you think you are smarter than them. The message of this comic is obnoxious and patronizing.
Also, it's not true. Media sources are giving context. I have spent a few minutes on google news finding this following:
-Kiran Chetry of CNN -a part of the mainstream media- asked internet famous person Ron "Dr. Ron Paul" Paul about the mess, pointing out: "you know, all of this hemming and hawing back and forth over this stimulus, which, I mean, over these bonuses -- which is a lot of money; I mean, $165 million -- but then, on the same day, the Treasury just floods the market with $1 trillion." he asked him about this on CNN. On TV. note what Kiran did there! compared the amount of money to a bigger amount! it's almost like CONTEXT.
-One "Charles M Blow" wrote a column in the New York Times- noted member of the mainstream media - making the exact point randy says people aren't making, saying yeah, the bonuses pale in comparison to the amount we gave AIG. They even included a graphic explaining just how different the scales are. Mr. Blow says: "I know that there are bigger, more pressing concerns. I know that these bonuses are a mere pittance relative to the bailouts that A.I.G. has received. In fact, if A.I.G.'s bailouts totaled $100, these bonuses would amount to less than a dime. I know all this, yet I don't care. I want that dime back to restore my faith in fair play."
Randy = fail, again.
Charles Blow (if that is his real name) is exactly right, and Randall is exactly wrong, for another reason: Here's why people care more about the smaller number: the 173 billion (or, for you dicks out there, 173,000 million) was to stop the company from dying and destroying the whole country and civilization as we know it from collapsing in fire and terrible destruction etc. But that 165 million was literally just handed out to dumbasses. The executives were like "well, now we've got lots of money, let's just hand it out to people" and then they went up to dozens and dozens of their high-level workers and were like "here! take a million dollars! do whatever the fuck you want with it." And that tends to....outrage people.
Here's the problem from another point of view: The bailout money, the 173 billion, was for the whole company. The company is, of course, operating at a different scale when it comes to money. AIG has more than 110,000 workers, according to wikipedia, and, whether you think 173B is reasonable or not, it's meant for a totally different purpose. The majority of the 165M was given out to (it looks like) less than 100 people. that's fucking insane. Especially given that these people all sucked at their jobs and destroyed their company it does not make any sense, in any way, to give all of them so much damn money. The problem with the 165M was not that 165M is a huge amount of money compared to 173B, it's that it's a huge amount of money to give out to dumbfucks just because you feel like it.
Let's look at it from a third angle. Suppose there was a fancy new internet cable that went from america to europe, and all the media were reporting on how spiffy this new cable was and how fast it would make the internet. And suppose they said "this awesome cable is 3500 miles long and nearly two feet wide." And then suppose that Our Good Friend made a comic where he said "DEAR STOOPID MEDIA: you are making it look too much like those numbers are similar. if you were smart like me you would say, 'the cable is 18,480,000 feet long and 2 feet wide' and then everyone would be able to compare them! that is what you SHOULD HAVE DONE."
You see, the point is, the numbers are each big in their own way, and each represent totally different purposes. they don't need to be compared like that.
but i am only getting started!
Alt-text: Ha ha, NOPE. you can refer to other, funnier examples of innumeracy that you found online but it does not count as being funny yourself! good try. PS guys look at this dude Leroy Jenkins fuck shit up for some world of warcraft nerds! LOVE ME FOR THIS LINK
Assuming that by using the right numbers but not accounting for imagined stupidity is "dishonest" is a pretty crappy thing to do. Really? Those numbers are correct, right? It's dishonest because they don't go "...and one of those numbers is a whole heck of a lot BIGGER than the other! do you see why, viewers?" To say that leaving out some non-relevant information is "dishonest" is bullshit. THEY DIDN'T SPECIFY AMERICAN DOLLARS, NOW DID THEY? that's dishonest! some people might assume canadian dollars! DID THEY SAY WHO GAVE OUT THE MONEY? the government gave out the 173B, the company gave out the 165m! yet you are comparing them?? how very DISHONEST. Hell, you used the word "million" when some people will not know that that means 1,000,000! And you used "173" and "165" when some people will not understand that those symbols stand for numbers, and that "0" represents the concept od nothing, or, in this case, is a placeholder for the ones, tens, hundreds, thousands, ten thousands, and hundred thousands place! COME ON, MAINSTREAM MEDIA! STOP BEING SUCH FUCKING LIARS.
why, i do believe that you will always leave something out of the story! t-rex sure found this out the hard way! Anyway, i say that if you assume basic definitions of math in most viewers, that is ok. Not dishonest. not at all.
The art: oh god, the art. Why is that girl there? Is that a girl? Is that hair covering half her face? Is she at a desk? Sticking out of a coffin? In a bathtub (maybe spending 30 seconds with Randy!) A plank of wood supported by two sticks? Why in the first panel does her stick figure body end so far above the desk-tub-casket? she looks like she is only the top half of a person, and she is lifting herself up by the arms and swinging back and forth. Is she supposed to be on TV? Why is there so much empty space? Don't tv reporters tend to look at the screen? Don't they also tend to have faces?
Reddit user "Daizaru" had an excellent comment on this particular issue...
why did you just take this girl and put there as some random object in your little comic? Your stick-figure art is so devoid of detail, meaning and relevance that you would have been much better off without it. I feel terrible for the girl.
so, in this moment, as i finish this, my ungodly long 200th post on this Website of Love - and as I near my one year anniversary! - i say to you, Randall:
thank you. for all that you do.


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Check Your Showerheads!
A version of this article appears in the November/December 2007 issue of Home Energy Magazine.
November 04, 2007
Most showerheads today use about 2.5 gallons per minute. We could switch to very low-flow showerheads that save lots of water and energy and still provide great showers.
Replacing showerheads manufactured before 1994 saved water and energy. But for much greater savings, it may be time to replace the newer showerheads as well.
To read complete online articles, you need to sign up for an Online Subscription.
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The Home Energy Online articles are for personal use only and may not be printed for distribution. For permission to reprint, please send an e-mail to email@example.com.


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Monoamine oxidase (MAO) inhibitors were the first antidepressant drugs invented. While they are quite effective, they can be dangerous if combined with the wrong foods, drugs, or supplements. The substance tyramine, found in some cheeses, beer, fermented soy products, and other foods, is particularly dangerous to combine with these medications. Stimulant drugs such as pseudoephedrine can also cause problems.
Antidepressants in this family include furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine sulfate (Nardil), and tranylcypromine sulfate (Parnate) among others.
Because it contains the stimulant ephedrine, combining the herb ephedra with MAO inhibitors can rapidly produce a severe, dangerous interaction and must be avoided. 1 In the US, it is illegal to sell products containing ephedra.
The herb scotch broom contains high levels of tyramine, so it should not be taken with MAO inhibitors. 2
Because it contains caffeine, green tea should not be combined with MAO inhibitors.
According to one report, the combination of ginseng and the MAO inhibitor phenelzine caused worrisome symptoms. 3 While this may have been due to caffeine contamination of the ginseng, we would recommend that you avoid ginseng–MAO inhibitor combinations at this time.
Current thinking suggests that St. John's wort functions somewhat similarly to SSRI (selective serotonin-reuptake inhibitor) antidepressants. Since SSRIs should not be combined with MAO inhibitors, this herb probably should not be combined either.
Based on one case report 4 and current thinking on how they work, SAMe (S-adenosylmethionine) and 5-HTP should not be combined with MAO inhibitors.
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -


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Estrogen is used as a component of birth control pills, as well as for preventing osteoporosis and heart disease in menopausal women.
Some estrogen products contain the hormone in different forms. For example, certain products such as Ortho Dienestrol Vaginal Cream contain estrogen as dienestrol. Medications containing a form of estrogen called estradiol include:
- Alora
- Climara
- Combipatch
- Delestrogen (injectable)
- DepGynogen (injectable)
- Depo-Estradiol Cypionate (injectable)
- Depogen (injectable)
- Esclim
- Estrace
- Estraderm
- Estra-L (injectable)
- Estring
- Fempatch
- Gynogen L.A. (injectable)
- Vagifem
- Valergen (injectable)
- Vivelle
- and others
Premarin, Cenestin, Prempro, and Premphase contain another form of estrogen called conjugated estrogens. Other forms of estrogen and some of their brand names include diethylstilbestrol diphosphate (Stilphostrol), estrone (Kestrone-5), esterified estrogens (Estratab, Menest), estropipate (Ogen, Ortho-Est), and ethinyl estradiol (Estinyl) among others.
Some evidence suggests that estrogen may interfere with the absorption of folate. 1 Since folate deficiency is fairly common even among those not taking estrogen, taking a folate supplement on general principle is probably a good idea.
When the two are taken together, ipriflavone may increase estrogen's ability to protect bone. 2-6 This may allow you to use a lower dose of estrogen and still receive its beneficial effects.
However, there may be risks involved. Although ipriflavone itself probably does not affect tissues other than bone, some evidence suggests that when it is combined with estrogen, estrogen's effects on the uterus are increased. 7,8 This might mean that risk of uterine cancer would be elevated by the combination.
It should be possible to overcome this risk by taking progesterone along with estrogen, which is standard medical practice. However, this finding does make one wonder whether ipriflavone-estrogen combinations raise the risk of breast cancer as well, an estrogen side effect that has no easy solution. At present, there is no available information on this important subject.
Estrogen use may decrease blood levels of magnesium , vitamin C , and zinc . 9,10 This may mean that supplementation is advisable.
In some studies, boron has been found to elevate levels of the body's own estrogen. 11,12 This might lead to an increased risk of estrogen side effects if boron is combined with estrogen therapy.
The supplement resveratrol has a chemical structure similar to that of the synthetic estrogen diethylstilbestrol and produces estrogenic-like effects. 14 For this reason, it should not be combined with prescription estrogen products.
Weak evidence hints that the herb rosemary may enhance the liver's rate of deactivating estrogen in the body. 20 This could potentially interfere with the activity of medications that contain estrogen.
Indole-3-carbinol (I3C) is a substance found in broccoli that is thought to have cancer preventive effects. One of its mechanisms of action is thought to involve facilitating the inactivation of estrogen, as well as blocking its effects on cells. 13,17-18 The net result could be decreased effectiveness of medications containing estrogen.
Because of its effects on the pituitary gland, chasteberry might unpredictably alter the effects of estrogen-replacement therapy.
The herb dong quai (Angelica sinensis) is used for menstrual disorders.
Because dong quai contains beta-sitosterol, a phytoestrogen, 15 there have been concerns that taking the herb with estrogen might add to estrogen-related side effects. However, a 24-week, placebo-controlled study of 74 postmenopausal women found no estrogen-like effects or reduction of menopausal symptoms associated with taking dong quai. 16
Therefore, dong quai seems unlikely to increase estrogen-related side effects.
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -


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The WINNER: Sarah, Malaysia, 13-year-old Girl Guide: "As a member of Girl Guides Association of Malaysia, I feel very happy and honoured to be part of the effort to Save the Arctic and the historic flag ceremony. We need to protect the Arctic because it is the home of many indigenous peoples and many animal species. It should be declared a global sanctuary. I found out about the competition during my Environmental Journey in India visit last December at Sangam, World Centre of the World Association of Girl Guides and Girl Scouts. After looking at a photo of the two brave Girl Guides taken in the Arctic, I decided to do my little part by participating and supporting the campaign to Save the Arctic. This is a golden opportunity for me to send the message of hope and peace to the rest of the world. We can only save the Arctic for the future generations if we are united in peace and harmony."
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