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Kuliner Tradisional : Awug

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Istilah camilan, biasanya berkaitan erat dengan makanan ringan yang tidak begitu mengenyangkan. Sehingga setelah makan camilan, anda masih saja merasa lapar dan pada akhirnya akan memutuskan untuk kembali mencari makanan berat. Tapi di Bandung, ada camilan yang cukup mengenyangkan yang bernama awug. Awug, merupakan makanan tradisional khas Bandung yang sudah ada sejak dulu. Konon, awug biasa dibuat oleh masyarakat ketika musim panen sudah selesai. Selain mengenyangkan, awug punya keunikan tersendiri, yaitu bentuknya yang mengerucut. Bagaimana tidak, awug dibuat dalam sebuah wadah bernama aseupan. Yaitu kukusan dengan bentuk kerucut yang terbuat dari anyaman bambu. Inilah yang membuat bentuk awug menjadi kerucut.

Bahan dasar pembuatan awug adalah tepung beras, sehingga ketika anda memakan camilan dengan rasa gurih dan manis ini, anda akan merasa cukup kenyang. Dulu, orang – orang yang membuat awug, tidak menggunakan tepung beras secara langsung. Melainkan beras yang digiling terlebih dahulu. Tepung beras yang sudah diayak, dikukus didalam aseupan. Setelah setengah matang, tepung beras didiamkan selama kurang lebih tujuh jam dan selanjutnya dikukus kembali bersamaan dengan gula merah. Setelah matang, awug sudah bisa disajikan. Biasanya penyajian awug akan ditambah dengan parutan kelapa diatasnya. Inilah yang menambah rasa gurih pada awug yang memiliki rasa manis. Saat ini, awug tidak lagi dibuat saat masa panen telah selesai, melainkan menjadi camilan sehari – hari yang bisa disantap kapan saja, ditemani secangkir teh hangat untuk mengobati rasa dingin karena cuaca Bandung yang memang terkenal sejuk dan dingin.

Meskipun awug memiliki bentuk mengerucut, namun pada saat anda membeli kue dari teoung beras ini, anda tidak akan menemukan bentuknya yang khas. Karena para pedagang awug biasanya akan memotong kerucut tersebut hingga dapat dimasukan kedalam kotak kardus. Tapi tentunya bentuk tersebut tidak akan mempengaruhi rasa manis dan gurih yang jadi andalan kue awug ini. Sudah bisa membayangkan bentuk dari kue awug? Ayo coba awug !


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  1. Deca-Durabolin In Bodybuilding

    Everything You Need to Know About Prednisone

    Prednisone is one of the most commonly prescribed oral
    corticosteroids in modern medicine. Whether you’re
    a patient who has just been given a prescription or a healthcare
    professional looking for a quick refresher, this guide covers everything from what it does and
    why doctors use it, to how to take it safely and manage
    side‑effects.

    —

    1️⃣ What Is Prednisone?

    Class: Synthetic glucocorticoid (steroid).

    Form: Oral tablet; also available as liquid for children.

    Mechanism of Action: Binds to cytoplasmic glucocorticoid receptors → translocates to the nucleus → alters gene transcription → reduces inflammation, suppresses immune response.

    2️⃣ Why Is It Prescribed?

    Condition Typical Use

    Autoimmune diseases (e.g., rheumatoid arthritis, lupus) Reduce flare‑ups.

    Asthma / COPD exacerbations Rapid anti-inflammatory effect.

    Allergic reactions / anaphylaxis Immediate relief.

    Inflammatory bowel disease Induce remission.

    Certain cancers (e.g., lymphomas) Part of chemotherapy regimen.

    Transplant recipients Prevent rejection.

    Note: Dosage and duration vary widely depending on indication.

    —

    3️⃣ Common Side Effects (Short‑term & Long‑term)

    Short‑Term (within weeks)

    Metabolic: Hyperglycemia, sodium retention → edema.

    Mood changes: Anxiety, insomnia, mood swings.

    Gastrointestinal: Nausea, indigestion, abdominal cramps.

    Immunologic: Increased infection risk.

    Long‑Term (months to years)

    Bone health: Osteoporosis, fractures (especially with high doses >7.5 mg/day).

    Cardiovascular: Hypertension, dyslipidemia → atherosclerosis.

    Glucose metabolism: Type 2 diabetes onset or worsening.

    Eye changes: Cataracts (often posterior subcapsular) after cumulative dose ≥15 g.

    Adrenal suppression: Hypothalamic–pituitary–adrenal axis downregulation, risk of
    adrenal crisis.

    Key Takeaway: Even at low daily doses, prolonged use may lead to significant morbidity.
    Monitoring is essential.

    2. Evidence‑Based Monitoring Plan

    Parameter Frequency (per patient) Rationale

    Blood pressure & pulse Every visit (≥6 weeks) Hypertension risk ↑
    with steroids.

    Weight, BMI Every visit Steroid‑induced weight gain.

    Serum glucose/HbA1c At baseline; then every 3–4 months Hyperglycemia/diabetes.

    Serum creatinine & eGFR Baseline; every 6 months Renal function decline risk.

    Urinalysis + albumin:creatinine ratio (ACR) Baseline; annually or sooner if
    >30 mg/g Proteinuria/renal damage.

    Bone Mineral Density (DEXA) Baseline; then every 1–2 years Osteoporosis risk.

    Blood pressure At each visit Hypertension.

    —

    3. Specific Monitoring Plan for Your Situation

    Parameter Frequency Reason / Goal

    Serum creatinine & eGFR Every 6–12 months (or sooner if clinically indicated) Detect any decline in kidney function early.

    Urinalysis + Urine protein/creatinine ratio Every 6–12 months Monitor for microalbuminuria or overt proteinuria, which can signal renal stress.

    Blood pressure At every clinic visit (≥3× per year)
    Hypertension is a major risk factor for CKD progression.

    Urinary albumin excretion Every 6–12 months Early
    detection of kidney damage.

    Serum electrolytes & metabolic panel Annually or as needed Evaluate renal handling of
    ions and overall metabolic status.

    Baseline and follow‑up imaging (if indicated) When clinically
    warranted Assess for structural changes.

    —

    4. Practical Monitoring Plan for Your Situation

    Annual Check‑ups (or Every 6 months if you prefer):

    – Blood pressure measurement.
    – Basic metabolic panel: creatinine, BUN, electrolytes, glucose, lipid profile.

    – Urinalysis + dipstick for protein/creatinine ratio.

    If the baseline GFR is ≥90 mL/min/1.73 m²

    – No routine serum creatinine beyond annual checks is needed unless you develop symptoms or
    have risk factors (e.g., diabetes, hypertension).

    If baseline GFR falls into lower categories:

    – For Stage 2–3A (60–89 mL/min/1.73 m²): check creatinine and urinalysis every
    6–12 months.
    – For Stage 3B–4 (testosterone enanthate deca and dianabol cycle resume the regular schedule.

    4.2 When to Call a Provider

    Repeatedly missing doses or difficulty following the regimen → discuss adjustments.

    Side‑effects that worsen when doses are skipped or taken irregularly.

    Checklist Summary

    Step Action

    1 Check pill count & refill status.

    2 Identify your dose times (e.g., 8 AM, 6 PM).

    3 Use a timer/alarm for each dose.

    4 Take the pill with water; note food interactions.

    5 Record in a medication log or phone app.

    6 Store in a safe, dry place (not near children).

    7 Keep a spare bottle ready for travel/holidays.

    8 Review side effects weekly and report new ones.

    9 Schedule refill reminders at least 2 weeks before run‑out.

    10 Dispose of expired or unused medication properly.

    Quick‑Check “I’m on track?” – 5‑point self‑assessment

    Do I have a pill on hand when I need it?

    – Yes → ✔️

    – No → ❌

    Did I take my dose at the correct time today?

    – ✔️ → ✔️

    – ❌ → ❌

    Have I experienced any new side‑effects this week?

    – No → ✔️

    – Yes → ❌ (call your clinician)

    Did I refill my prescription before it ran out last month?

    – Yes → ✔️

    – No → ❌ (order now)

    Is there a clear reminder set on your phone for tomorrow’s dose?

    – ✔️ → ✔️

    – ❌ → ❌ (set one immediately)

    Quick Check‑In Score

    ✅ ❌

    ✅ 1/5

    If you scored ≥3/5, your medication routine is on track.
    If less, consider:

    Setting up a pill organizer.

    Using a medication reminder app (e.g., Medisafe, Pill Reminder).

    Discussing with your pharmacist for alternative dosing schedules.

    Final Thoughts

    Your medication routine is the cornerstone of managing depression.
    By understanding why each drug matters, keeping an organized schedule, and staying vigilant about side effects,
    you take proactive control over your mental health journey.
    Remember: You’re not alone—your healthcare team, family, friends,
    or support groups are all allies in this process.

    If at any point you feel uncertain, overwhelmed, or
    experience new symptoms, reach out immediately to your prescriber, a trusted friend, or crisis
    helpline (988 in the U.S.). Your safety and well-being come first.
    Keep up the good work—every step forward is progress!

    —

    Prepared by: Your Name

    Date: Insert Date

    —

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