Originally posted by Bashar TegI read that and it makes sense to me, because in the context, the second 'had' is pronounced differently to emphasise that the first 'had' is past tense, and the second 'had' is to illustrate no longer present; the second pair is in reference to a different subject still related to the context of the sentence. 🙂
on r/confidentlyincorrect, someone thought that they had found a typo in an old book, because a sentence contained "had had". So basically he had had the mistaken impression that it was a typo. But then someone said:I think 4 is the max that can be grammatically correct. Can anyone do more?
The coat that he had had had had a plaid pattern on it.
😵‍💫 it's correct
Originally posted by Morning_GloryThere's a lot of criticism with antidepressants as they alter normal brain functionality. Here's a quick explanation:
I take anti depressants. They are awesomeThere are a lot of people who aren’t on them and really should be on them … asap
How Antidepressants Work:
Many antidepressants, like selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), work by increasing the levels of serotonin in the brain by blocking its reuptake (the process where serotonin is taken back up by nerve cells).
Serotonin Syndrome:
Serotonin syndrome occurs when serotonin levels become dangerously high, often due to the combination of medications that increase serotonin, such as certain antidepressants, pain medications, or even certain herbal supplements.
Mechanism:
When serotonin levels are too high, it can lead to a range of symptoms, including agitation, confusion, rapid heart rate, high blood pressure, and in severe cases, even seizures or coma.
Risk Factors:
The risk of serotonin syndrome is higher when multiple medications that increase serotonin are taken together, or when an overdose of a single serotonin-elevating drug occurs.
Examples of Medications Involved:
Commonly implicated medications include SSRIs, SNRIs, MAOIs (monoamine oxidase inhibitors), some pain medications (like tramadol), and even certain herbal supplements like St. John's wort.
Important Note:
While antidepressants can contribute to serotonin syndrome, it's crucial to remember that they are also essential medications for treating depression and other mental health conditions. If you are taking antidepressants and experience any concerning symptoms, it's vital to seek medical advice immediately.
Signs and symptoms of Serotonin syndrome include:
Agitation or restlessness
Insomnia
Confusion
Rapid heart rate and high blood pressure
Dilated pupils
Loss of muscle coordination or twitching muscles
High blood pressure
Muscle rigidity
Heavy sweating
Diarrhea
Headache
Shivering
Goosebumps
Severe serotonin syndrome can be life-threatening. Signs include:
High fever
Tremor
Seizures
Irregular heartbeat
Unconsciousness
Source: https://www.mayoclinic.org/diseases-conditions/serotonin-syndrome/symptoms-causes/syc-20354758