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Foxy

@lastfoxalive

he/him | 23 | BPD & Autism

Hi, I'm Foxy, I'm 23 years old and I'm diagnosed with BPD & Autism.

I'm a med student, so you're free to ask for advice (I'm not a doctor though, so please keep that in mind.) I work in a hospital atm, but was on leave for ~ half a year due to health issues, which is also why I wasn't on here for a really long time. Since I'm actively relapsing and really don't care anymore, I'm back though.

Tags that I use:

foxytalks - where I post general stuff.

foxyvents - posts where I vent.

foxyanswers - where I answer asks.

Topics I post about:

⭑BPD, SH, ED, Autism & Chronic Illness

⭑Harm Reduction and Medical Advice

You're generally welcome to ask any questions, if they are offensive in any way I won't answer.

If you're too shy to talk to me on here and would rather talk privately, my DM's are always open.

Some more general stuff about me:

I have fibromyalgia, which makes it hard for me to exercise, which is a huge struggle with an ED. I'm 187cm tall, have 20+ piercings and frequently dye my hair, which I sometimes post pictures of. I also have 4 tattoos. I own two cats and I live in Vienna.

I greatly enjoy Doctor Who and have a main blog relating to it!

On the more serious side:

This is a vent account and I do post things relating to SH, if you don't want to see that then block me, don't report.

I'm pro recovery for anyone but myself - I don't want advice on how to get better, please respect that.

DNI for transphobes, homophobes, racists, zionists, islamophobes etc., anyone who makes mental illness into a competition, 4n4 coaches, ableists, fatphobes, as well as misogynists. You're not welcome on my page and I can and will block you.

No one is better than anyone else, we're all struggling with the same things, be kind.

If you're a minor and don't want me interacting with you: You're absolutely free to block me! Stay safe. As for myself: I don't mind minors interacting with me, just please be aware that I post about triggering topics. I'm not trying to be a bad influence to anyone.  

Don't flirt with me, don't tell me you love me, just don't. Don't try to be my "favourite person", just leave me the fuck alone, thanks.

If you know me irl - don't interact with me in any way. I don't want you to see this blog, it's a boundary, respect it.

I tag my ramblings with foxytalks, so if I get b4nned you can find my new account under that tag.

I generally post pictures under the cut, so you can just scroll if explicit pictures trigger you.

That being said - welcome to my page. [Rus|Eng|Ger]

trying not to relapse is like withholding water from someone who's dying of thirst

i just want a safe space without judgement and instead i get reported and have to deal with taking down posts again, i'm so tired

yeah so, just as a heads-up, no longer allowing anonymous asks. if you genuinely are too shy to send me anything public then i do apologize, but i'm prioritizing my mental health.

"can someone kidnap and starve me so I can get skinny"

i genuinely hope that you all get the love and support you need, you do not need to go through a traumatic event to be happy in your own body. please, please stay safe. i know i joke around a lot too, but EDs kill people.

As a med student, aside from obv blood tests, any advice on how you can tell the difference between high cortisol and hypothyroid symptoms? I feel like theres a lot of similarities.

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yeah, you’re totally right that they blur together, and even in clinic people lean on labs + time because the vibes overlap a lot.

- both can give you: fatigue, brain fog, low mood/anxiety, weight gain, menstrual changes, and just “i am not okay but everything looks ‘fine’.”

- so the trick is to look for pattern + distribution + tempo rather than any single symptom.

stuff that screams high cortisol:

think chronic stress/low energy rather than purely slow‑metabolism.

- body changes: central weight gain with relatively thinner limbs, dorsocervical fat pad, rounder/reddened face, wide purple/pink striae, easy bruising, slow wound healing.

- muscle + bp: proximal muscle weakness (struggling with stairs/chair rises), new or worsening hypertension, headaches.

- skin + mood: acne, oily skin, more agitation/anxiety/irritability, maybe insomnia more than hypersomnia.

stuff that leans hypothyroid:

here it’s more “everything is slowed down.”

- metabolism + temp: weight gain but usually more generalized, cold intolerance, low energy all day, bradycardia or just “slower,” constipation.

- skin + hair: dry, coarse skin, hair thinning (esp lateral eyebrows), brittle nails, puffy face/periorbital edema, non‑pitting edema.

- psych + cycles: more depression/apathy than wired anxiety, menorrhagia or cycle irregularity, possible hyperlipidemia showing up on labs.

tempo + context clues:

- onset: high cortisol from pathology tends to have more dramatic physical stigmata over months–years; stress‑related high-ish cortisol can feel like wired‑but‑tired with insomnia and anxiety.

- hypothyroid often creeps in as “i’m just tired and cold and gaining weight for no reason,” sometimes after pregnancy, autoimmune history, neck irradiation, or certain meds.

- vitals: high cortisol → more likely elevated bp, maybe impaired glucose; hypothyroid → can see low‑normal bp, bradycardia, hyperlipidemia.

obviously labs decide, but we generally go like:

- if you see purple striae, easy bruising, proximal weakness, hypertension, and a red/moonish face → think cortisol first.

- if you see cold intolerance, constipation, generalized puffiness, dry skin, hair loss, and a slowed affect → think thyroid first.

remember: tons of people have nonspecific fatigue/weight gain with normal thyroid and cortisol, so symptoms aren't always meaningful, but worth telling a doctor.

*terms i forgot to explain:

periorbital edema: swelling around the eyes

non-pitting edema: no indentation; applying pressure to the swollen area does not leave a pit or dent

dorsocervical: “dorso” = back, “cervical” = neck → it’s basically the back‑of‑the‑neck/upper‑back region between the shoulders. when people say “dorsocervical fat pad,” they mean that classic “buffalo hump” fat accumulation right at the base of the neck/upper back.

striae = stretch marks, but in medicine you care about color, width, and distribution.

it’s really common to wonder whether fatigue, weight changes, or low mood might be “thyroid” or “cortisol” issues. these symptoms are nonspecific, so most of the time, tests come back normal; but it’s still reasonable to ask. thyroid issues are common and easy to check. if you’re often cold, constipated, generally puffy, tired, or gaining weight without a clear reason, a thyroid test (tsh and free t4) is usually the first step. high cortisol problems (like cushing syndrome) are much rarer. doctors usually look for certain features that stand out, like i said (overly complicated), earlier:

– easy bruising

– wide purple stretch marks

– muscle weakness (especially trouble climbing stairs or standing from a chair)

– new or hard-to-control high blood pressure, feeling “wired but exhausted” is often from stress or sleep issues rather than true cortisol excess.

the main takeaway: these symptoms can overlap, but the difference comes down to severity, timing, and physical clues, and only labs can actually tell. so the best move is to describe your symptoms clearly to a doctor and ask what testing makes sense instead of trying to self-match patterns online.

sorry if anything doesn't make sense, im super tired rn, but if you have any further questions or need anything pls don't hesitate to dm me! also, keep in mind that im not a medical professional, so anything i say should always be taken with a grain of salt and/or self research/going to real medical professionals. always happy about additions/corrections when someone knows more!

also, hello to all my new followers <3 lovely to meet you! if you have any questions, you're always welcome to send asks :)

got very tempted to drive my car into a ditch today

i don't think it's normal to cry every time i think about going to work

omg ive had it with ai ads, first of all, the games are always trashy, but then they can't even make ads themselves?? wtf

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