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AQSA MALIK

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Region: SA

Monday 26 October 2026 23:00:00 GMT

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its Mehram :

AP ki wo story Mai NY dekhi thi or Mai Kafi din upset thi apki sari videos Mai dekhny lgi AP bht brave lrki ho good.

2026-10-27 11:55:01

1

Aish Khan :

Ab sakoon agia hoga in Sahiba ko.

2026-10-27 19:01:11

2

by maheen's :

movie name judai

2026-10-27 19:58:49

1

Allhamdulillah 🫀😊 :

Nyc[Red heart][Red heart][Red heart] Sister

2026-10-27 03:54:18

1

Farwa malik🧸 :

Aj first time ap achi lgi ho ap api I can understand your situation Allah apko khush rkhy Ameen

2026-10-27 06:44:42

7

Mubashera Arooj :

Ma sha Allah piyari larki.... Allah Pak apko Khush rakhy

2026-10-27 02:30:04

19

Afreen bhatti :

Very gud aqsa api kia bt h

2026-10-26 23:45:48

42

Ambber g :

apny boht achi baty ki h alha kry aise ourto ko samj ajye

2026-10-26 23:46:04

15

EruM RandhawA😈 :

good sso nice

2026-10-27 16:40:33

1

Assssi Malik :

Lol bji kiya bat h

2026-10-27 03:01:04

2

Muhammad yaqoob :

inshallah so my latest

2026-10-27 03:59:24

1

❤️‍🔥Sonia👑mano❤️‍🔥 :

Allah pak ap dono ko khosh rakhe hamesha sath rakhe

2026-10-27 07:22:40

6

Muzammil chuhan⭐⭐⭐ :

ماشاءاللہ جی مبارک ہو اپ کی صلح ہو گئی ہے بہت بہت مبارک ھو

2026-10-26 23:13:35

9

Shama :

itni smjdar 🙄

2026-10-27 03:29:21

12

🔶✴️_Shanki Girl_✴️🔶 :

Sahi Kaha my queen 👑 API 🥰🤟😅

2026-10-27 08:11:16

6

Sandhu Jutt :

May Allah bless you with happiness and respect 🥰

2026-10-27 04:58:29

6

Faisal g star :

Good ماشاء اللہ ماشاء اللہ ماشاء اللہ ماشاء اللہ مبارک sai

2026-10-26 23:38:53

7

🦋shahzadi 43🦋 :

gud ans👍🥰🥰🥰🥰🥰🥰

2026-10-27 12:00:11

3

Sandhu Jutt :

We are living in a world where people are busy accumulating wealth but often neglecting the things that make life truly rich—love, peace, honesty, and meaningful connections.😏

2026-10-27 07:03:17

5

noorah :

Han g Yaad ha lekin yh smjh nah arhi hai mesg ?

2026-10-26 23:21:51

9

TAHIRA FAISAL 😎 :

jeo

2026-10-27 11:14:17

3

😍Mano janii 😍 :

Mashallah ap katni pyari ha allah pak ap ka naseeb acha kara😍🥰

2026-10-27 14:08:27

3

Hassan Jani :

MashAllah itne din bad come back

2026-10-27 09:08:33

5

🌹🧸Aini tara🧸🌹 :

very good 💯

2026-10-27 09:37:37

3

Sandhu Jutt :

Great

2026-10-27 05:00:42

3

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@teemahgombe001 bestie duties are incomplete without you. Come back, I miss my person! 😩😂❤️ Me + her forever 🥹.

@teemahgombe001 bestie duties are incomplete without you. Come back, I miss my person! 😩😂❤️ Me + her forever 🥹.

gawl #lornashore #deathmetal #fyp

gawl #lornashore #deathmetal #fyp

In OCD, these 3 are used as *add-on support* to therapy + SSRIs, not replacement. Their role is different: *1. NAC (N-acetylcysteine) - strongest evidence for OCD* - *Problem in OCD:* Too much glutamate in cortico-striatal circuit = brain gets stuck in same loop. - *What NAC does:* Regulates glutamate via cystine-glutamate antiporter, increases glutathione (brain antioxidant), reduces oxidative stress and neuroinflammation. - *Evidence:* 4-5 RCTs as add-on to SSRI. Dose used in trials: *1200-3000 mg/day in 2 divided doses, for 10-12 weeks*. Reduction in Y-BOCS score, especially for compulsions and resistance to compulsions. - *Best for:* Repetitive/compulsive type, hair-pulling, skin-picking, intrusive thoughts that don't respond fully to SSRI. *2. Inositol - for serotonin signaling* - *Problem:* Inositol is second messenger for 5-HT2 serotonin receptors. Low intracellular inositol = serotonin message doesn't go inside the cell properly. - *What it does:* Improves serotonin receptor sensitivity. It's considered a natural serotonin modulator. - *Evidence:* Small double-blind trials in OCD: *12-18 grams/day* showed benefit equal to fluvoxamine in one study for intrusive thoughts. Much lower doses (like 500mg in store capsules) have NO evidence for OCD. - *Note:* High dose can cause nausea/diarrhea, interacts with lithium/bipolar history - must be under doctor supervision. *3. Vitamin B12 - foundational* - *Role:* Cofactor to make SAMe, serotonin, dopamine, myelin, and to clear homocysteine. B12 deficiency raises homocysteine which is linked to worse OCD, depression, anxiety. - *What it does:* Does NOT treat OCD directly, but if you are deficient (very common in Pakistan due to vegetarian diet / metformin / PPI use), correcting it improves energy, mood, and SSRI response. - *Dose:* Check level first. Normal replacement is used, not megadose. *How they fit together:* > OCD loop = low serotonin + high glutamate + high brain oxidative stress > SSRI = increases serotonin outside > Inositol = makes serotonin signal work inside > NAC = lowers stuck glutamate > B12 = provides building blocks *Practical approach doctors use:* 1. Check B12, D, CBC first and correct deficiency 2. Start ERP therapy - most important 3. If on SSRI and partial response, some psychiatrists add NAC 1200mg twice daily 4. Inositol high-dose only in specialist setting, not self-medication If you are thinking of starting them, talk to your psychiatrist in Rawalpindi first - especially NAC and inositol because dose matters and they can interact with other meds. Do you want me to send you the exact trial references you can show to your doctor? #ocd #ocdproblems #ocdawareness #ocdrawing

In OCD, these 3 are used as *add-on support* to therapy + SSRIs, not replacement. Their role is different: *1. NAC (N-acetylcysteine) - strongest evidence for OCD* - *Problem in OCD:* Too much glutamate in cortico-striatal circuit = brain gets stuck in same loop. - *What NAC does:* Regulates glutamate via cystine-glutamate antiporter, increases glutathione (brain antioxidant), reduces oxidative stress and neuroinflammation. - *Evidence:* 4-5 RCTs as add-on to SSRI. Dose used in trials: *1200-3000 mg/day in 2 divided doses, for 10-12 weeks*. Reduction in Y-BOCS score, especially for compulsions and resistance to compulsions. - *Best for:* Repetitive/compulsive type, hair-pulling, skin-picking, intrusive thoughts that don't respond fully to SSRI. *2. Inositol - for serotonin signaling* - *Problem:* Inositol is second messenger for 5-HT2 serotonin receptors. Low intracellular inositol = serotonin message doesn't go inside the cell properly. - *What it does:* Improves serotonin receptor sensitivity. It's considered a natural serotonin modulator. - *Evidence:* Small double-blind trials in OCD: *12-18 grams/day* showed benefit equal to fluvoxamine in one study for intrusive thoughts. Much lower doses (like 500mg in store capsules) have NO evidence for OCD. - *Note:* High dose can cause nausea/diarrhea, interacts with lithium/bipolar history - must be under doctor supervision. *3. Vitamin B12 - foundational* - *Role:* Cofactor to make SAMe, serotonin, dopamine, myelin, and to clear homocysteine. B12 deficiency raises homocysteine which is linked to worse OCD, depression, anxiety. - *What it does:* Does NOT treat OCD directly, but if you are deficient (very common in Pakistan due to vegetarian diet / metformin / PPI use), correcting it improves energy, mood, and SSRI response. - *Dose:* Check level first. Normal replacement is used, not megadose. *How they fit together:* > OCD loop = low serotonin + high glutamate + high brain oxidative stress > SSRI = increases serotonin outside > Inositol = makes serotonin signal work inside > NAC = lowers stuck glutamate > B12 = provides building blocks *Practical approach doctors use:* 1. Check B12, D, CBC first and correct deficiency 2. Start ERP therapy - most important 3. If on SSRI and partial response, some psychiatrists add NAC 1200mg twice daily 4. Inositol high-dose only in specialist setting, not self-medication If you are thinking of starting them, talk to your psychiatrist in Rawalpindi first - especially NAC and inositol because dose matters and they can interact with other meds. Do you want me to send you the exact trial references you can show to your doctor? #ocd #ocdproblems #ocdawareness #ocdrawing

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