@jjsloanonly: I Want To Know What Your Dreams Are. #horses #cowgirls #cowboys #horsebackriding #horseback #horseback #western #country #scottdalearizona #horsetok🐴

Jonathan krause

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Region: NG

Wednesday 05 August 2026 16:49:23 GMT

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Comments

Jeannette Dixon :

Making Dreams Come ✨️😌 True 🥰

2026-08-10 02:01:56

2

SassySisu :

Marry a hot handsome cowboy!🤠 😳😁😏😂😉😉

2026-08-05 18:23:19

7

Tina :

Living with you 😉

2026-08-05 18:22:50

6

Rhonda Mc :

This

2026-08-06 22:42:06

6

Sylvie.B :

hey could I ride with you beautiful

2026-08-07 00:17:38

7

Kikimaus :

mein Schatz für immer 💋❤️

2026-08-05 17:03:47

6

Reyno :

God holds my plans and dreams! He is at the helm—I couldn't tell you.

2026-08-05 17:45:39

10

Sherry Wheeler :

Having my own home and peace in my life and waking up happy❤️❤️❤️❤️❤️

2026-08-06 23:20:19

6

brook :

❣️

2026-08-06 00:48:13

5

vika_viktoriia1 :

I’m going home to you)) 😂

2026-08-06 15:00:13

6

💓Mythical Slayer💓 :

Having my own horse ranch 🥰

2026-08-05 23:34:16

7

Lianne :

Much the same as yours ☺️

2026-08-05 17:47:09

8

Flor_rose70 :

🥰🥰🥰 Love cowboy

2026-08-06 00:25:32

6

JoJo :

true

2026-08-05 19:50:55

7

*ੈ✩‧₊˚ 𝙻𝚊𝚞𝚛𝚊🐝 :

Baddie ✨🫵🏻🫯

2026-08-05 20:02:29

5

07kitty3 :

To live like you do 🥰

2026-08-06 08:53:15

6

🔷️AYRAM VillEGAZ🔷️ :

andsome andsome ❤️

2026-08-05 23:48:25

5

Ruthie :

Never…❤️❤️❤️

2026-08-05 16:53:09

7

Kiki's ✨️ Moments :

🥰🥰🥰

2026-08-05 18:47:15

5

Baby Girl :

Building a safe and solid future full of happiness, love and peace and maybe one day finding someone who wants the same.

2026-08-06 01:42:40

5

La vida es magia🦄🦄 :

2026-08-05 17:13:28

5

Baby70$ :

Country life, peaceful and happy:)

2026-08-05 22:12:37

6

RubyRose :

finding me a sexy cowboy🥰

2026-08-05 20:01:36

5

gaby :

being a good horsetrainer and a good lifecoach 😉

2026-08-05 17:38:49

5

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

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Nur ich darf

Replying to @Amber 🦴 Case Study 189: Ankylosing Spondylitis (AS) Chronic back pain in a 24-year-old female, worse in the morning, improving with activity. After years of misdiagnoses and dismissals, the answer finally came: Ankylosing Spondylitis. 📊 Key Facts: • 🕒 Avg delay to diagnosis: 6–8 years, especially in women • 🔍 HLA-B27: Positive in ~90% of White patients with AS, but less common in Black and Asian patients • 📈 Prevalence: ~0.1–1.4% globally • 🧠 Often missed due to gradual onset, subtle early signs, and overlap with mechanical back pain 🧬 Pathophysiology: Autoimmune inflammation begins at the entheses (where ligaments insert on bone), progressing to spinal fusion via syndesmophytes. It’s not just a “spine disease” - it’s systemic. 🫀 Extra-spinal features: • Uveitis (25–30%) • IBD (~7%) • Psoriasis (~10%) • Cardiovascular and pulmonary complications in advanced stages 💡 Remember: Chronic low back pain that improves with exercise and not rest? Think inflammatory. Early MRI can reveal sacroiliitis before X-rays do. 🧘‍♀️ Treatment • NSAIDs = first-line • TNF or IL-17 inhibitors for moderate/severe disease • Physical therapy is essential • Avoid spinal fusion with early recognition and action 📚 Takeaway: If your patient is young, stiff in the morning, and dismissed for years - look again. AS hides in plain sight. #CaseStudy189 #AnkylosingSpondylitis #SpineHealth #Rheumatology #MedEd #BackPain #AutoimmuneAwareness #WomenInMedicine #LadySpineDoc #SundayCaseStudy

Replying to @Amber 🦴 Case Study 189: Ankylosing Spondylitis (AS) Chronic back pain in a 24-year-old female, worse in the morning, improving with activity. After years of misdiagnoses and dismissals, the answer finally came: Ankylosing Spondylitis. 📊 Key Facts: • 🕒 Avg delay to diagnosis: 6–8 years, especially in women • 🔍 HLA-B27: Positive in ~90% of White patients with AS, but less common in Black and Asian patients • 📈 Prevalence: ~0.1–1.4% globally • 🧠 Often missed due to gradual onset, subtle early signs, and overlap with mechanical back pain 🧬 Pathophysiology: Autoimmune inflammation begins at the entheses (where ligaments insert on bone), progressing to spinal fusion via syndesmophytes. It’s not just a “spine disease” - it’s systemic. 🫀 Extra-spinal features: • Uveitis (25–30%) • IBD (~7%) • Psoriasis (~10%) • Cardiovascular and pulmonary complications in advanced stages 💡 Remember: Chronic low back pain that improves with exercise and not rest? Think inflammatory. Early MRI can reveal sacroiliitis before X-rays do. 🧘‍♀️ Treatment • NSAIDs = first-line • TNF or IL-17 inhibitors for moderate/severe disease • Physical therapy is essential • Avoid spinal fusion with early recognition and action 📚 Takeaway: If your patient is young, stiff in the morning, and dismissed for years - look again. AS hides in plain sight. #CaseStudy189 #AnkylosingSpondylitis #SpineHealth #Rheumatology #MedEd #BackPain #AutoimmuneAwareness #WomenInMedicine #LadySpineDoc #SundayCaseStudy

@joaoappolinario1 A maior dificuldade pós pandemia #joaoappolinario #appolinarioclipfy #clipfyleague #vendas #pandemia

@joaoappolinario1 A maior dificuldade pós pandemia #joaoappolinario #appolinarioclipfy #clipfyleague #vendas #pandemia

#triste💔 #fypシ #Bando #frases #lectura #amor #sad

#triste💔 #fypシ #Bando #frases #lectura #amor #sad

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