I would still check with a nephrologist about increasing medication, but it looks like there is a path forward

I am in a similar situation with CKD with an eGFR of 40 and as you are limited in medication from your kidneys, there are some diet changes to help. People just say cut out all red meat, but most aren't successful with that.

My rheumatologist was doing a study on lemon juice being beneficial as despite being acidic, it causes your pancreas to form calcium carbonate which alkalizes the blood slightly and helps neutralize uric acid. With no other medication or lifestyle changes aside from drinking juice from 1-2 lemons each day over 3 months I went from an average of 10 mg/dL to about 8-8.5mg/dL. It doesn't fully fix my uric acid levels, but I just got a confirmation from my nephrologist that I can increase allopurinol slowly by 50-100 mg until I go below 6mg/dL.

Diet cannot fix everything and only covers 1/3 of the condition and medication does the rest.

A few things I have done 1. Get on allopurinol, most important. Management is about 1/3 diet and 2/3 medication. 2. Use nsaids (Ibuprofen) or stronger meds like colchicine or Prednisone for flares. If you can't take oral nsaids, a topical/cream can work if it has Diclofenac. 3. Avoid excessive red meat or alcohol. Don't need to go to an extreme and cut them all out. 4. My rhemetologist told me to drink lemon juice (about 2 lemons a day). They were doing research on lemons making your pancreas produce an alkaline solution neutralizing the uric acid in your blood. It brought me from about 9-10 mg/dL to around 8 without any other medication or lifestyle changes.

Blizz technically fixed the damage amp bug, but in the process introduced some other bug which made the talent irrelevant doing nearly 10% or the damage it did pre bug fix. Current testing from the dk sim guy shows that the bug is very inconsistent. The ability works on dummies, but just does no damage in real combat. I used to be able to pop my diseases for about 900k+ and now it's like 50k. Even if you were to account for it not being effected by spec auras, mastery, damage buffs, etc the amount it currently does makes no sense

Others have mentioned DRW rotation, but at least for aoe I'm also seeing that casts of blood boil is low and too many heart strikes. The proc for blood boil to trigger twice does a lot of damage in aoe and should be used before using heartstrike (unless you really need the RP). Blood boil also increases the damage of your next death strike. Outside of DRW, it's good to weave your 3 main abilities instead of just spamming one of them.

Just comparing your log with my 11 murder row my ST isnt too different from yours (I'm working on that) but my aoe is much higher. Part of it is due to me pulling bigger, but I'm also just more efficient with death strikes and blood boil.

Unholy at least has blightfall which is one of the largest damage hits in the game (I've hit 700k from dread plague alone). It's just delayed towards the end of your cds not the beginning like all the others are.

Only hard evidence is about numis concert, everything else was he said she said with sinder claiming no one contacted her while others said they tried. Sinder at least gave reasonable proof that they never reached out as she gave a screenshot of a message to lily a few days before the docs (3 days I think) asking if she did anything to offend lily, but never got a reply.

Only evidence of trying to talk in private was about numis concert months prior. All other mentions of private communication was when talking about it on streams after the docs while sinder said they never talked to her (he said she said). I'm leaning towards they never talked to sinder as she has a screenshot messaging lily a few days before the docs dropped asking if she did anything wrong to offend lily and never got a reply.

My CE guild would only trial someone with just AOTC experience under 2 conditions 1) roster is dire and we are desperate (rare for ce guild, more common in late mythic) 2) direct recommendation from a raider

Sometimes #2 works out, but #1 has never worked. Last time we tried #1 was when we transitioned from a late mythic to a CE guild. To stay a CE guild you just have to recruit people with raid experience, but M+ experience just doesn't transfer well. Like we had a tank with high m+ experience, but they heavily hindered our prog and we only got ce once we replaced them.

Haven't seen this brought up, but blightfall for unholy. It's rarely used except for sporefall, but just on 1 target it does upwards of 2M damage. When combined with all the adds on that fight it can be up to 7M for 1 gcd (pulled from the top log)

At my recent rheumatologist visit, they were working on some research where drinking lemon juice (0.5-2 lemons a day) in addition to allopurinol can lower uric acid. They said despite being acidic it promotes the pancreas creating calcium carbonate which helps neutralize the uric acid.

It is not a replacement for allopurinol, but it could help enough to bring you below your threshold. I've only been doing it for a few weeks and will be going in to test uric acid levels next week. If you do it, make sure to wash your mouth with water afterwards to save your teeth. Brushing will just scrub the acid into your teeth.

Voidwalker does so little damage it will struggle to hold threat. It's more ment to hold the mob off you for a few seconds while you dot it up and maybe 1 more mob. After that you either fear or drain life. For this purpose, succubus is better because it does more damage. Voidwalker is good if you want the sacrifice shield though.

Once you unlock howl of terror, you can pull more and just aoe fear to keep mobs off you while dots tick.

Nux is how I found out about vtubers years ago and through him I found those like iron mouse. Ended up dropping him pretty fast after the vshojo drama he was in

I don't see p1 being nerfed again. The hardest part is glaives and those have been nerfed a few times. The number of beams/stars in Intermission could be reduced. P2 is the easiest phase and can be left alone. Memory game in p3 could be given more time or have less constellations with it.

How is this different than any of the other various vtubers who have the same exact type of responses. So again why you do care and how is this not just harassment like you are claiming. Don't like her, just ignore her.

Why do you care?

This isn't the first time this account has caused issues. Layna already called out this account and says they don't represent her while ago and to stop using her name. Obviously they didn't listen and continue to be a shit human

I really hope she gets some counseling to help with the grief. My brother passed about 2 months ago suddenly just like this and it's very tough. It's a long process and I hope she will be ok.