@ellstryaa: 🩷 || scp: fishieapple_bb, mine #rafayel #rafayelloveandeepspace #loveanddeepspace #lndsea

shaa 𐙚

Open In TikTok:

Region: MY

Wednesday 27 May 2026 06:15:13 GMT

75614

23032

154

1709

Music

Download

No Watermark .mp4 (1.43MB) No Watermark(HD) .mp4 (1.43MB) Watermark .mp4 (2.8MB) Music .mp3

Comments

Haydie :

He always fits the BTS songs 😭

2026-05-27 13:20:33

286

mayo ୨ৎ (sylus’s wife) :

I REWIND MY GIRL BABY COME BACK TO WORLDDD

2026-05-27 14:33:12

51

chxrryb✰mb :

so beautifullll omg

2026-05-28 04:35:56

6

kris ౨ৎ #rafayearner :

He’s so pretty

2026-05-27 15:12:01

12

anjali💌 :

SONG??? ELITE BALL KNOWLEDGE

2026-05-27 13:59:41

5

Amesces :

Mullet Rafayel is a treasure worthy of loving i swear

2026-05-29 15:35:23

10

Jax Jones :

I can’t believe that you just use THAT SONG, love u so much ❤️❤️❤️❤️

2026-05-29 05:27:49

7

Kyryll🥀 :

Peak Rafa edit

2026-05-27 16:13:06

5

kuleisisi_⁷ :

OMG WITH THIS SONG😭

2026-05-29 07:23:10

1

Juju :

OMG WHAT??? “Do you think it makes sense?” WITH RAFAYEL??

2026-05-27 22:28:36

11

Ana 💜 :

Mis dos grandes amores 💜🌊

2026-05-28 23:56:33

1

angie♡ :

OHMYGODDODKAOWKWKWK😭😭

2026-05-28 21:02:36

1

ila ౨ᥫ᭡ৎ :

Omg thankyou so much for this

2026-05-29 06:59:39

1

User586456651 :

HOLY PEAK

2026-05-28 04:35:36

3

To see more videos from user @ellstryaa, please go to the Tikwm homepage.

Other Videos

How to DEBLOAT instantly. Best effects on these things if u get them prescribed. TIKTOK THIS IS STRICTLY EDUCATIONAL PURPOSES #debloat #diuretics #gear #roids #erdafitinib **Eplerenone, Lasix (furosemide), and HCTZ (hydrochlorothiazide) are all diuretics** (

How to DEBLOAT instantly. Best effects on these things if u get them prescribed. TIKTOK THIS IS STRICTLY EDUCATIONAL PURPOSES #debloat #diuretics #gear #roids #erdafitinib **Eplerenone, Lasix (furosemide), and HCTZ (hydrochlorothiazide) are all diuretics** ("water pills") used primarily to manage fluid retention (edema) and hypertension, but they belong to different classes with distinct mechanisms, uses, side effects, and considerations. ### 1. Eplerenone (Brand: Inspra) **Class**: Selective mineralocorticoid receptor antagonist (potassium-sparing diuretic / aldosterone antagonist). **Mechanism of Action**: Eplerenone competitively binds to mineralocorticoid (aldosterone) receptors in the kidneys (and other tissues like the heart and blood vessels). This blocks aldosterone's effects, which normally promote sodium and water reabsorption while excreting potassium. The result is increased excretion of sodium and water (mild diuresis) with potassium retention. It also helps reduce myocardial fibrosis and has benefits beyond simple diuresis in heart conditions. **Main Uses**: - Heart failure with reduced ejection fraction (HFrEF) after acute myocardial infarction (MI) to improve survival. - Hypertension (often as add-on therapy). - Off-label: Primary aldosteronism, etc. **Dosage (Adults)**: - **Post-MI Heart Failure**: Start 25 mg once daily; titrate to 50 mg once daily within 4 weeks if tolerated (monitor potassium and renal function). - **Hypertension**: Start 50 mg once daily; may increase to 50 mg twice daily (max 100 mg/day; higher doses increase hyperkalemia risk without extra benefit). **Key Side Effects**: - **Hyperkalemia** (high potassium) — the most common and serious risk (monitor closely, especially with ACE inhibitors/ARBs, renal impairment, or diabetes). - Increased creatinine, dizziness, fatigue. - Lower risk of gynecomastia/sexual side effects compared to spironolactone (more selective). **Warnings/Contraindications**: Hyperkalemia, severe renal impairment, certain drug interactions (e.g., strong CYP3A4 inhibitors). Regular monitoring of potassium, creatinine, and eGFR is essential. ### 2. Lasix (Furosemide) **Class**: Loop diuretic (most potent common diuretic). **Mechanism of Action**: Inhibits the Na-K-2Cl cotransporter in the thick ascending limb of the loop of Henle (and to some extent proximal/distal tubules). This blocks reabsorption of sodium, chloride, potassium, and water, leading to substantial diuresis and natriuresis. It is highly effective even in reduced kidney function. **Main Uses**: - Edema due to congestive heart failure, liver cirrhosis, or renal disease (including nephrotic syndrome). - Acute pulmonary edema (IV form preferred for rapid effect). - Hypertension (less preferred as first-line compared to thiazides in many guidelines). **Dosage (Adults)**: - **Edema**: Oral start 20–80 mg once daily (or divided); titrate as needed. IV for acute settings. - **Hypertension**: 40 mg twice daily or similar, often in combination. **Key Side Effects**: - ### 3. HCTZ (Hydrochlorothiazide) **Class**: Thiazide diuretic. **Mechanism of Action**: Inhibits the Na-Cl cotransporter in the distal convoluted tubule, reducing sodium and chloride reabsorption. This promotes mild-to-moderate diuresis and natriuresis. It also causes mild vasodilation, contributing to blood pressure lowering. **Main Uses**: - Hypertension (first-line in many guidelines, often alone or in combination). - Edema due to heart failure, cirrhosis, renal issues, or corticosteroid/estrogen use. **Dosage (Adults)**: - **Hypertension**: 12.5–25 mg once daily (up to 50 mg; higher doses add little BP benefit but more side effects). - **Edema**: 25–100 mg daily (single or divided doses). **Key Side Effects**: - **Hypokalemia**, hyponatremia, hypomagnesemia, hypercalcemia. - Hyperuricemia (gout), hyperglycemia (worsens diabetes control), hyperlipidemia. - Dizziness, weakness, photosensitivity. **Warnings/Contraindications**: Anuria, sulfonamide allergy (caution), severe

Versace FW 2005 . . . . . . #fyp #viral #foryoupage #viraltiktok #milagrosginer

Versace FW 2005 . . . . . . #fyp #viral #foryoupage #viraltiktok #milagrosginer

Ranking IShowSpeed Funniest Moments #ishowspeed #funny #iconicmoments #celebrity #tiktokmilestonechallenge

Ranking IShowSpeed Funniest Moments #ishowspeed #funny #iconicmoments #celebrity #tiktokmilestonechallenge

#كاظم_الساهر #mom #اكسلبور #كاظم_الساهر

#كاظم_الساهر #mom #اكسلبور #كاظم_الساهر

có lẽ #10A4prime #invincible #xuhuong #fpy #meme

có lẽ #10A4prime #invincible #xuhuong #fpy #meme

Lotion kiềm dầu Verdant Park giúp giảm bết, phồng tóc nhanh gọn ✨ Tóc tơi sạch dầu, không bết dính 💜 @verdantpark.official #lotionkiemdau #verdantpark #phongtoc #tocbet

Lotion kiềm dầu Verdant Park giúp giảm bết, phồng tóc nhanh gọn ✨ Tóc tơi sạch dầu, không bết dính 💜 @verdantpark.official #lotionkiemdau #verdantpark #phongtoc #tocbet

About

Robot
API

Legal

Privacy Policy