Enfys posted:

We already have several evidence-based, clinically trialed alternatives, which makes the insistence on AA particularly unhelpful.

There are two other medications that work particularly well in combination aside from disulfiram. Naltrexone is an opiate antagonist that blocks the receptors which respond to alcohol, so you feel nothing (no pleasure or buzz) when drinking. Alcamprosate is similar but reduces cravings for alcohol and helps reduce withdrawal symptoms. Much easier to address the root cause of drinking if you no longer desire to drink and feel no pleasure if you do.

crazypeltast52 posted:

“Whiskey for my men, beer for my horses” seems inefficient then if the horses won’t get buzzed off the beer.

Krispy Wafer posted:

Have you ever listened to those lyrics? My redneck nephews used to love that song, but it's straight up vigilant justice followed by a trip to the bar.

Willie...no.

Enfys posted:

A lot of people don't even know medications exist or that there are other options besides insisting alcoholics flagellate themselves into recovery in a cult-like atmosphere that refuses to release any information on relapse or recovery rates. AA is often seen as morally superior (despite the lack of evidence of long term success for a meaningful number of participants), probably because in general a lot of people want to punish addicts more than rehabilitate them.

Nocheez posted:

Abstinence is easy

22 Eargesplitten posted:

Especially for the kind of people that post on this forum!

GoGoGadgetChris posted:

Vasectomy is an insanely GWM move

Downside is you have to smell your own balls getting burnt shut

22 Eargesplitten posted:

Are there any medical conditions that make vasectomies not count as elective?

Cacafuego posted:

You went to the wrong doctor

GoGoGadgetChris posted:

Lmao "Doctor"

Veterinarians or ideally vet techs will do it for a fraction of the cost

Nocheez posted:

Many insurance providers will cover them because they are much, MUCH cheaper than children.

epenthesis posted:

I stopped drinking with naltrexone, after racking up tens of thousands in bar tabs and other unwise drunken purchases over a decade. It’s amazingly effective. And nobody ever wants to hear about it because they don’t think anything will work except learning how to resist cravings.

Raldikuk posted:

The biggest barrier to tubal ligation or vasectomy is finding a doctor willing to do it. If you're young most won't touch it. Even if you have multiple kids already.

an actual dog posted:

Shady Amish Terror posted:

Which is cool and all, but unless this is some hip new slang the kids are using, I don't want to know what 30 loving bananas a day does to your digestive system. That's a fuckload of bananas. It's...well, it's bananas.

Panfilo posted:

This. Ditto for tubal ligation, which, in spite of being more invasive and requiring general anesthetic, is actually performed more frequently than vasectomies. I guess a lot of guys are just wusses when it comes to stuff involving their balls.

an actual dog posted:

Vegan YouTube is a deep hole of bullshit, here's a good article about it.

an actual dog posted:

Vegan YouTube is a deep hole of bullshit, here's a good article about it.

22 Eargesplitten posted:

Vegan YouTube Bullshit caused a bunch of holes a few nights ago.

22 Eargesplitten posted:

Vegan YouTube Bullshit caused a bunch of holes a few nights ago.

an actual dog posted:

Vegan YouTube is a deep hole of bullshit, here's a good article about it.

an actual dog posted:

Phanatic posted:

Couple friends of mine had two kids intentionally, a third unexpectedly (go figure, I'd expect that people in their 30s would know how that poo poo works, but anyway), and decided that was that. Husband is a *giant wuss* about surgery, so the wife goes and gets an IUD.

At some point, she starts getting some pain, so goes in to get things checked out. Doc says "Um...I don't see the strings. Let's get you an x-ray." Turns out the IUD had perforated her uterus and gone walkabout in her abdominal cavity. They had to do real surgery and collect it where it had migrated down around her anus.

Husband ended up getting a vasectomy after that.

Krispy Wafer posted:

Vasectomies are GWM. BWM is paying to get one reversed.

GoGoGadgetChris posted:

... but over time we're gonna reach a point where a DUI = instant death penalty unless someone pumps the brakes a bit.

BonerGhost posted:

Vasectomies are even BetterWM if you get Tricare to cover it.

Thank you taxpayers.

quote:

Hello, I have over $20K in Debt on my Amex Platinum. This is a charge card that I've only had for 2 months, and unfortunately after a year and a half of NEVER missing any payments on my other card and building my credit up to over 740, I screwed up.

I got really excited when my earnings went from $250 a month at the start of last year to suddenly making $100K+ in 3 months at 19. So what does one do? Blow their money on all the luxurious items and services you could think of. Thankfully I moved to a cheaper country in the first place to AVOID situations just like this... I used to think logically and watched Dave Ramsey all the time and loved learning about managing wealth. I always paid my CC off on time every month and only used it for small purchases to build credit.

With the Platinum arriving, I used it responsibly the first month and understood what a "charge card" means. The second month I went a little crazy and even so, everything was fine paying off the debt as I had collateral. Then the crypto markets took a dip (which I was expecting) but it hit harder than I was prepared for. Suddenly $70K was wiped out in a weekend... exponential factors. Then I was FORCED to sell my crypto holdings to pay off my other credit card. I went from almost purchasing a new sports car to being $30K+ in debt in a matter of a month. The only hard assets I have are just clothes/accessories which I know depreciated HEAVILY.. (stupid, I know). I do have my watch which could probably pay off half the debt, but it's not enough to pay it off in full. All my online assets are making me money, but my paychecks don't come in until way after the payment dates for both my cards.

I'll most likely be able to figure out all my debt and pay it off within the next 60 days. I switched companies I was consulting with and decided to get away from investing, more towards lower-risk income. I CANNOT borrow this kind of money from any friends/family, no one I know would be able to afford this. I tried applying for a credit-consolidation loan but my credit dropped heavily after maxing out the other credit card last payment. I mean.. I made the payment, but unfortunately the debt hit hard on there. I went negative on my own bank account and got hit with fees.

I've only had the Platinum for 3 months. I know there's possibly an option of closing the card down.. but that would screw me in the eyes of Amex, which at one point or another later this year would almost certainly be necessary for a quick loan. Over the past few months, the most responsible credit uses were buying crypto and then reselling for higher values (regardless of the value, even if it dropped 10% in a day you could still make 10-15% profit). I also know that would destroy my credit and any possibility of new cards this year would be gone. Alright, so that's worst case scenario which if it boils down to it.. I'll go for it. But I've got around $30,000 total debt which 2/3 need to be paid in less than a week. Is there a way I can just miss the first payment on AMEX and call them to alert them? I feel stupid about the whole situation, embarrassed really. I mean I might be forced to sell equity in one of the companies I'm in at a cheap rate just to pay this off, where I know a few months from now it'll be extremely painful to watch the prices. But this debt is so crushing that I can't sleep anymore at night and I'm stressed to the point where my work is being effected. Downwards spiral lol.. I know it's not the end of the world, and these are extremely valuable lessons that'll be reflected upon for years to come.. but currently it's difficult to think logically when my mind is so clouded.