Jamaa Fulani

9.4K posts

Jamaa Fulani

Jamaa Fulani

@_JamaaFulani

Retired Bully. Plumber by Profession.

Katılım Mart 2017
180 Takip Edilen2K Takipçiler
Řõððïę
Řõððïę@Its_Roddie·
Fabrizio alionja Elon money and never looked back.. He'll break a statement 50 times and he knows which fan bases will give him more interactions.. Akipata controversial story ya Manchester United hiyo ndio ye hugonga tweets nane with the same message..
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Hombre Imparable
Hombre Imparable@Hombrelmparable·
La triste realidad 🚨🚨🚨 😢🗣️🇮🇹 Balotelli: “Antes de hacerme rico y famoso, no les gustaba a las chicas italianas, ni siquiera a algunas de mis compañeras de clase. Dicen que no les gustan los negros; era difícil encontrar una novia blanca. Así que intenté ir a una calle con el poco dinero que llevaba, pero seguían rechazándome por ser negro. Así que, cuando finalmente firmé mi contrato profesional de fútbol, ​​subí de nivel, me compré un coche y salí a buscar a cuatro chicas para que se divirtieran conmigo. Me senté en el centro, dos a mi derecha y dos a mi izquierda. La gente pensaba que era un Casanova, pero lo hice por venganza. Desde entonces entendí que lo único que quieren las mujeres es dinero. Cuando eres rico, no ven tu color de piel ni de dónde vienes”. 🤑
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Pilgrim
Pilgrim@Utd_Pilgrim·
@FabrizioRomano Jackson returns, Chelsea sell Jaoa Pedro. Then they have 2 lethal Strikers Nico x Liam🔥🔥
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F€L!X
F€L!X@_Unrepentant·
@abuyamasta Submitting innocent beings to generational suffering is not a flex
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Masta
Masta@abuyamasta·
Baby number five, welcome home boy!
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Donald Grandy
Donald Grandy@Grandymisoi·
Ile hospitali iko mwisho huko kangundo road ilianza kulipa watu ama haijawahi badilika
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Genesis
Genesis@Genesismwanzo1·
I think we should reconsider other languages of communication in Laikipia. Look at this, “Cadex is meant for informing the progress of the patient,” but it seems English was carried through a ship that clearly never arrived in Laikipia 😭
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Jamaa Fulani
Jamaa Fulani@_JamaaFulani·
@WelBeast Unakuwaga na mdomo sana na ndio maana hamtawahi beba Ligi.
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WelBeast
WelBeast@WelBeast·
If Villa are going to throw away the league game to City so will Crystal Palace do the same to us. I don’t know why some of you are crying about Villa. Let’s just focus on beating West Ham fast. The league is in our hands for fxcks sake.
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Jamaa Fulani
Jamaa Fulani@_JamaaFulani·
@dharnyyoung Bois, Arsenal just had an eazy fixture. Nothing special about them.
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Nobody
Nobody@dharnyyoung·
I think people are underestimating how hard PSG will find it against Arsenal. They simply won't allow them play those transition sequences as freely as they did against Bayern. There's a reason they haven't lost a single game in the competition this season.
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FC Bayern
FC Bayern@FCBayernEN·
Our Champions League run ends here after a tough and determined fight in semifinals 💔
FC Bayern tweet media
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Abuga with a G🐐
Abuga with a G🐐@aab26_·
Ningekua dem sai ndio ningekua nacheck out from an airbnb nipelekwe na TX adi kwangu mamae after kuekewa allowance na bwana ya mtu nikuje kuwatusi online vile hamna pesa😂
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Jamaa Fulani
Jamaa Fulani@_JamaaFulani·
@Kibet_Goat Hah, Fractures pale Casualty zilinifanya I don't cross the road just tu fwaaa
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FC Kibe
FC Kibe@Kibet_Goat·
My first clinical rotation in med school niliona trauma mingi za RTAs ikabidi nimebuy helmet. Niliiva everytime I was out hadi kwa matatu for 1 year😅
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Ryan
Ryan@bernardooooV3·
The bigger the occasion, the bigger the tears. I’d rather Arsenal lose the UCL final than be eliminated in the semi-finals. It hurts more. I am a patient man.
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Ku Nasser 🇹🇿
Ku Nasser 🇹🇿@IamHaxx·
Hatewatch delayed is not hatewatch denied.
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Dr. AK 🇮🇳
Dr. AK 🇮🇳@docakx·
HbA1c is the standard long-term marker of blood sugar control in diabetes. But this measurement depends on one critical assumption: that red blood cells are living a normal lifespan of about 90–120 days. When that assumption breaks down, HbA1c either falsely reassures or falsely alarms. 🔴Conditions That Give a FALSELY LOW HbA1c (Blood sugar is worse than HbA1c suggests) 1. Haemolytic Anaemias — Red blood cells are destroyed prematurely (sickle cell disease, thalassaemia, autoimmune haemolytic anaemia, G6PD deficiency). Younger red cells have had less time to accumulate glucose coating, so HbA1c appears deceptively low. The ADA (American Diabetes Association) Standards of Care 2024 explicitly flags haemolytic conditions as a major source of HbA1c unreliability. 2. Iron Deficiency Anaemia (treated) — When iron deficiency is corrected and new red cells flood the bloodstream, the HbA1c can transiently fall even if sugars are unchanged. 3. Acute or Chronic Blood Loss — Heavy bleeding or frequent blood draws (e.g., in dialysis patients or critically ill patients) constantly replenish the circulation with fresh red cells, lowering HbA1c artifactually. 4. Erythropoietin Therapy / Blood Transfusions — EPO stimulates new red cell production; transfusions introduce donor cells. Both dilute the older glycated pool, pulling HbA1c down. The KDIGO 2024 CKD guidelines specifically caution against relying on HbA1c in dialysis and CKD patients receiving EPO or transfusions. 5. Haemoglobin Variants — Structural variants (HbS, HbC, HbE, HbD) interfere with several HbA1c assay methods, either falsely lowering or raising the result depending on the assay platform used. The IFCC (International Federation of Clinical Chemistry) and the ADA both recommend alternative monitoring methods when haemoglobin variants are present. 🔴Conditions That Give a FALSELY HIGH HbA1c (Blood sugar appears worse than it really is) 1. Iron Deficiency Anaemia (untreated) — This is the flip side: iron-deficient red cells live longer than normal, accumulating more glucose coating over time. Multiple studies and ADA guidance note this spurious elevation. Treating the anaemia can drop HbA1c by 1–2% with no real change in glucose. 2. Vitamin B12 / Folate Deficiency — These deficiencies slow red cell turnover and artificially prolong their lifespan, raising HbA1c. 3. Splenectomy — The spleen normally culls ageing red cells. After surgical removal of the spleen, old cells persist longer, accumulating more glycation and inflating HbA1c. 4. Aplastic Anaemia — Bone marrow failure leads to fewer new cells being produced, so the existing cells age longer and carry more glucose coating.
Dr. AK 🇮🇳@docakx

Stop wasting money by doing HbA1c in a diabetic patient with CKD and on erythropoetin therapy.

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Unfiltered
Unfiltered@quotesdaily100·
TIME IS NOT TREATED THE SAME EVERYWHERE: 1. Germany: Being late is disrespectful. Meetings start to the second. Punctuality here is not a habit. It is a moral standard. 2. Brazil: An invitation for seven means nine. Relationships matter more than schedules. Rigidity kills the atmosphere. 3. Japan: Trains run to the minute. A sixty second delay comes with a formal public apology. Time is a system. The system is everything. 4. India: Events begin when people arrive. The gathering defines the time. Presence matters more than precision. 5. Polynesian cultures: Time was tied to stars, seasons, and the ocean. Circular, not linear. The clock came later and from somewhere else. 6. United States: Time is money. Literally. Every hour is billable. Every minute is scheduled. Rest has to earn its place. 7. Spain: Lunch at three. Dinner at ten. The day bends around the person. Not the other way around. 8. Ethiopia: A different calendar entirely. Thirteen months. New Year in September. A different year than the rest of the world. Time here is a cultural choice, not a global agreement. 9. France: August belongs to rest. Emails go unanswered. Shops close. Nobody apologizes for this. Leisure is a right, not a reward. 10. Kenya: The clock starts at sunrise. Six in the morning is hour zero. Noon is hour six. Time is built around light, not an arbitrary number on a wall. 11. China: One time zone for the entire country. A landmass that should span five. In the far west the sun rises at ten in the morning. Unity was chosen over accuracy. 12.Australia: Aboriginal communities have always read time through seasons, animal movements, and the stars above. For over sixty thousand years the land itself served as the calendar. No clock was ever needed. Nature told them everything. 13. Mexico: Mañana means not right now. Urgency is often self-imposed. The present moment has its own demands and they are considered legitimate. 14. Greece: A guest arrives at any hour. You welcome them fully. The clock adjusts to the person. The person never adjusts to the clock. 15. Scandinavia: Months of darkness then months of endless light. The body follows seasons, not schedules. This is ancient. Science is only now catching up. 16. Nigeria: Start times are a suggestion. What matters is that everyone arrives, connects, and the evening becomes what it was meant to be. The experience always outranks the schedule. 17. Indonesia: Jam karet. Rubber time. Time stretches around mood, traffic, and social obligation. Rigidity is considered uncomfortable, not professional. 18. Russia: Eleven time zones. Vast winters. Long silences. Time here is treated with patience that outsiders often mistake for slowness. 19. Egypt: One of the first civilizations to invent a calendar. Yet modern Egyptian social time is deeply flexible. Hospitality always comes before the clock. 20. Congo: Community shapes the day more than any schedule. Time belongs to the people in the room, not the hands on the clock. 21. Philippines: Filipino time is a known and accepted reality. Six in the evening means seven or eight. Arriving before the host is ready is the real social mistake. 22. Vietnam: Built on endurance and long horizons. Planning here thinks in years and generations. Short deadlines feel foreign to a culture that measured time in struggles spanning decades. 23. Tanzania: Pole pole. Slowly slowly. A phrase that governs daily life. Rushing is not a virtue here. Moving with intention is. 24. Argentina: Dinner at ten. Parties at midnight. The night is its own world. Compressing it into earlier hours would make it something lesser. 25. Turkey: A meeting can become a meal can become a long evening. Nobody considers this a deviation. It is simply what time is for. 26. Iran: Its own solar calendar. New Year on the spring equinox. Time tied to nature, poetry, and a civilization so old that modern urgency feels like a passing trend.
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Allano🍉
Allano🍉@Web3flux·
Smashing this high end baddies is not as hard as people make it look like. Just be at the location most wako. Like this week we have them at iGaming Afrika Summit event pale Sarrit Centre , Westlands. You dont have to give them money ati , just show them you can afford them the rest will follow. Enda hapo Sarrit this week interract with them , piga kizungu yako safi and see the way the like you. On Friday give them a call , “Hi wanted to go and smoke some Shisha at Malo Malo , will you be available?” Malo Malo is a very nice place hawezi kataa ati anaenda huko Habannos kupigiwa kelele na DJ . The next week call “Hi I’m having coffee/dinner at this expensive restaurant , do you mind coming?” Msichana atakuja mjibambe na yeye. The next is “Hi this weekend I’m planning to go to Arusha / Diani are you free we plan togather?” Msupa atapiga hesabu ya kuspend the weekend with his broke Campus boyfriend ama aende Arusha apate picha za kuwekea marafiki zake IG aone kukaa Nairobi weekend mzima haiwezi and such trips you know its a must you nut inside P2 boy wake ndio atamnunulia. Just be at places this girls are and show them you can afford them. Lakini pia lazima ukue mjanja , ukiona wameanza kukuletea shida zao au kuomba pesa kidogo kidogo ondokea rudi hunting tena.
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WelBeast
WelBeast@WelBeast·
If Manchester City drop points to Everton tomorrow and we win the next two games, I expect Mikel Arteta to gather all the players to Hatewatch this game together because Arsenal Football Club might win the English Premier League title on Tuesday 19th May without kicking a ball.
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