Ryan

21.6K posts

Ryan banner
Ryan

Ryan

@reallyoptimized

Health hacker + Longevity. Investor. Tesla. Manufacturing Business Owner. Mediocre Buddhist.

South Florida + Denmark Katılım Ekim 2022
1.1K Takip Edilen3.4K Takipçiler
Ryan
Ryan@reallyoptimized·
@Investmentkage I haven't felt inflation much, to be honest. My investments have grown significantly faster. And other than restaurants, nothing else seems all that much more expensive.
English
0
0
0
5
Kage Invests 影
Kage Invests 影@Investmentkage·
It’s interesting that everybody’s financial independence number is different. Someone can retire off of 500,000 and would be perfectly happy while others need 5 million.
English
16
1
33
1.4K
VEO
VEO@vrexec·
Health insurance for my family of four in the Netherlands is abour €300 per month. The “own risk” which we in the States call “the deductible+out of pocket” is also about €300-400 per year. Basically a rounding error. Health insurance in the Netherlands is so low that I often don’t even include it in my family budgeting at all. Relative to US health insurance costs, it is relatively speaking… free in the Netherlands. A lot of Europeans have no conception of how expensive health insurance is in the US… And most Americans assume that the reason European healthcare is so affordable is because the quality is poor… I know a ton of European residents will chime in on this and claim waiting time this and shitty situation that… as if the US healthcare system is some sort of utopian high-tech luxury resort experience. Did you know that depending on where you are in the US… If you have an emergency… There’s a 10 to 30% chance that you’re going to be picked up and treated by local residents volunteering on their ambulance and rescue squad in that particular area? Many of them awoken from a deep sleep in the middle of the night to rush to their local squad building and rev up their rig to try to get to you quickly. I’m not saying these people are not trained… I would know because I was one of them for a decade… But a big part of the US healthcare system foundation is built on volunteers… It can’t even pay enough to incentivize people to work in EMS full-time as a career. There is no equivalent volunteer medical system in Europe. It is fully professionalized. Anyway back to insurance.. in the US, we’d probably be looking at somewhere between $3000 and $4000 per month for the exact same level of insurance coverage not to mention the deductible would literally be 1000% higher than in the NL. They’re just completely different planets when it comes to health insurance — driven by culture which then informs tax policy.
English
38
9
74
19.4K
Ryan
Ryan@reallyoptimized·
@BecauseCulture They redistribute so much wealth away from working class citizens that not much is left for healthcare and benefits for workers. But give them some mid grade college and lousy healthcare and pretend like it's worth the tax burden...
English
0
0
1
5
Ryan
Ryan@reallyoptimized·
The reality is that healthcare in Europe sucks - but it's cheap. In Denmark, they closed the hospital near us despite being in a medium sized city. No hospital, just a lousy ER that you have to call ahead for... and takes hours - and they make you pay cash - Danish currency of course, even for tourists - no cards accepted. Then you drive well over an hour to visit an actual hospital. So our parents there have long drives for their appointments, despite living in a good sized city. And appointments take forever to book. Why? Because despite the insanely high taxes, they ration the hell out of care. They couldn't even keep the hospital funded in a medium sized city FFS. Consider that even with the ridiculous billing in the US - the access and quality of care is leaps and bounds better. You get better care, and you get it fast. It's really not even close. If price is all you care about, and you don't mind paying an arm and a leg in taxes - so it costs more anyways, then by all means - Euro healthcare might work for you. But if you want the best of the best - and you can work around the criminal billing systems - then the US is better and it's not even close. I pay around $500/mo for a family of 4 in the US - no networks, affordable care, and extremely high quality. More about that here: x.com/reallyoptimize…
VEO@vrexec

Health insurance for my family of four in the Netherlands is abour €300 per month. The “own risk” which we in the States call “the deductible+out of pocket” is also about €300-400 per year. Basically a rounding error. Health insurance in the Netherlands is so low that I often don’t even include it in my family budgeting at all. Relative to US health insurance costs, it is relatively speaking… free in the Netherlands. A lot of Europeans have no conception of how expensive health insurance is in the US… And most Americans assume that the reason European healthcare is so affordable is because the quality is poor… I know a ton of European residents will chime in on this and claim waiting time this and shitty situation that… as if the US healthcare system is some sort of utopian high-tech luxury resort experience. Did you know that depending on where you are in the US… If you have an emergency… There’s a 10 to 30% chance that you’re going to be picked up and treated by local residents volunteering on their ambulance and rescue squad in that particular area? Many of them awoken from a deep sleep in the middle of the night to rush to their local squad building and rev up their rig to try to get to you quickly. I’m not saying these people are not trained… I would know because I was one of them for a decade… But a big part of the US healthcare system foundation is built on volunteers… It can’t even pay enough to incentivize people to work in EMS full-time as a career. There is no equivalent volunteer medical system in Europe. It is fully professionalized. Anyway back to insurance.. in the US, we’d probably be looking at somewhere between $3000 and $4000 per month for the exact same level of insurance coverage not to mention the deductible would literally be 1000% higher than in the NL. They’re just completely different planets when it comes to health insurance — driven by culture which then informs tax policy.

English
3
0
6
308
Ryan
Ryan@reallyoptimized·
@BecauseCulture Yup. And this doesn't even account for the lower salaries, massive tax burden, etc. So you pay way more and get so much less over there.
English
1
0
1
16
Annalisa Fernandez
Annalisa Fernandez@BecauseCulture·
@reallyoptimized That is spot on. You can see it in the MRI machines per capita, the cancer treatment outcomes, all higher in the US where you also get the latest and greatest drugs and devices. Even when they are made in Europe, they are available first in the US.
English
1
0
1
27
Ryan
Ryan@reallyoptimized·
Ryan tweet media
ZXX
0
0
0
28
Ryan
Ryan@reallyoptimized·
Ryan tweet media
ZXX
0
0
0
20
Ryan
Ryan@reallyoptimized·
@TheDrugMoney @ModernDayInves Yup. And move to Florida. Unlimited charging for under $40/mo at home. I charge 2 cars on the plan... so less than $20/ea. It's such a steal.
English
0
0
0
15
Ryan
Ryan@reallyoptimized·
@PatrickKenneyMD Eric argued that increased volume didn't work, not that the issue was compliance...
English
0
0
0
12
Patrick Kenney
Patrick Kenney@PatrickKenneyMD·
If patients can’t complete the intervention it would stand to reason that the intervention does not work…
Ryan@reallyoptimized

@EricTopol Total fail, Eric. The increase in volume was negligible between control and intercen, and the intervention group was 40% below the recommended guideline. This trial only showed that compliance is difficult.

English
1
1
3
669
Ryan
Ryan@reallyoptimized·
@dranthonygustin @GreatGheeCo @paulsaladinomd Hopefully he learns something from this and approaches with more kindness with likeminded brands in the future. I bet he has a nice product, too. But in this space, it's generally better to be friends with everyone who is aligned with you.
English
0
0
3
11
Ryan
Ryan@reallyoptimized·
@phlegmfighter It's shocking that he can't see the obvious. Kind of embarrassing, really.
English
0
0
1
28
Ryan
Ryan@reallyoptimized·
That's not what the trial shows. The difference in volume between the control and intervention was around 1/10 of a liter... The intervention group was 40% below the guidelines... What this study showed was not that hydration doesn't work, but that compliance is challenging.
Eric Topol@EricTopol

If you've had a kidney stone, you've been advised that the most important thing to prevent another bout is to increase hydration. Now a randomized trial of hydration in over 1600 participants showed no benefit, despite evidence of increase during volume. thelancet.com/journals/lance…

English
4
5
27
3.9K
bitfloorsghost
bitfloorsghost@bitfloorsghost·
we ruined such a good thing
bitfloorsghost tweet media
English
784
6.5K
115.9K
14.2M
Ryan
Ryan@reallyoptimized·
@Dirk_L_H @vrexec It's my pinned post, and it was $435 in January... works great. How much is the bridge?
English
0
0
3
42
Ryan
Ryan@reallyoptimized·
@IterIntellectus The last thing we want is Bryan reproducing again. So this seems like an obvious win.
English
0
0
0
99
vittorio
vittorio@IterIntellectus·
the mushrooms want you to live longer but they dont want you to reproduce. parasitic alien species confirmed
Bryan Johnson@bryan_johnson

Two doses of magic mushrooms degraded my sperm count from the 99.6th percentile to the 77.7th. This may be a first-in-human observation. Context: we ran the most quantified magic mushroom (psilocybin) experiment ever conducted. We were asking if psilocybin is a longevity therapy. After seeing the data, we think it is (see reply post for the experiment summary). Also, like most things biology: the results are complicated. My data suggests that the magic mushrooms (psilocybin) negatively impacted my fertility markers. Before the first psilocybin dose my motile sperm count was at 99.6th percentile for men under 25 years of age, it dropped to 77.7% and partially recovered to 89.3% following the first dose, and second doses, compared to the same age cohort (numbers compare similarly to my age cohort as well). 3 days following my second dose (first dose 25 mg, second dose 28 mg) . Motility: dropped 51% . Total count: almost unchanged, dropped by 2% . Total motile count: dropped 52% . Normal morphology: dropped by 50% 20 days post 2nd dose, the pattern continued, with typical latent effects on total sperm counts Motility: recovered back to -2% of pre-psilocybin baseline: . Total count: dropped by 38%, latent effect. . Total motile count: remained inhibited at -39% of pre-psilocybin baseline, (despite motility normalizing, due to the total count drop) . Morphology normalized to -10% of baseline levels. Reduction in free testosterone might have contributed to the effect. While total serum testosterone increased by 30% 3 days following the 2nd dose (neither FSH or LH were meaningfully affected either), and continued to be at 11% above baseline, SHBG increased by 37%, SHBG binds testosterone and reduces its bioavailability and activity. My free testosterone (direct) showed 24% and 23% drops at 3 and 20 days post 2nd dose. In light of the neuroplastic, well-being, brain reset, and systemic metabolic and anti-inflammatory benefits, the trade-off is probably worth it. Especially considering that the magnitude of inhibition has no meaningful effect on actual fertility (total motile counts above 50 million are still on the safe side). This is a first-in-human observation, to our knowledge there is no published human clinical study demonstrating that psilocybin diminishes male fertility markers. General mechanistic evidence exists for recreational and psychoactive drugs possibly inhibiting fertility markers due to their effects on the hypothalamus-pituitary-adrenal axis and general hormonal reset.  Yet no direct evidence for psilocybin or other similar psychedelics inhibiting fertility markers exist. A potential mechanism for the immediate inhibition of motility could involve direct serotonergic signaling in sperm. Human sperm express multiple serotonin receptors, including 5-HT2A, and one recent study found that a 5-HT2A antagonist reduced sperm motility, suggesting that 5-HT2A may regulate motility. Psilocybin is known to bind 5-HT2A with high affinity.

English
44
30
776
50.5K
Ryan
Ryan@reallyoptimized·
In hindsight, it's fairly intuitive. Markets are booming, have tons of gains... they always seem to correct, right? So just grab the gains when they are there. And it's not like I always "win" over leaving it in the market. My BRK.A went WAY higher after a short correction when I sold it. But that's ok.
English
0
0
1
12
Modern Day Investing
Modern Day Investing@ModernDayInves·
When you buy the dip, and it keeps on dipping
GIF
English
4
0
8
165
Ryan
Ryan@reallyoptimized·
@mike_skane @CoffeeBlackMD This is normal. It's why services like Function are so great (and many others popping up) as well as OwnYourLabs if you don't want the huge workups.
English
0
0
2
9
Ryan
Ryan@reallyoptimized·
I seem to time it out perfectly over and over. Maybe a little luck I guess. I just bought 3 commercial units by taking a ton of gains when the market was way up... and now it's crashing back down which is perfect to start building the positions back up. I've done this 5 times now. It happens everytime.
English
1
0
1
7
Modern Day Investing
Modern Day Investing@ModernDayInves·
@reallyoptimized It’s refreshing. I think a lot of investors needed to come back to earth, rethink their strategy. Have to redefine and tweak your strategy when it’s not a bull market every day.
English
1
0
0
11