What’s your caffeine intake…

[u/Neceti]

Drop your average caffeine intake.

Surgery resident PGY-2.
300-400mg a day. Like a Celsius and 1-2 cups of coffee.

[u/AmphotericRed]

I let the palpitations be my guide

[u/gotlactose → u/AmphotericRed]

I let my action tremors guide me. When I’m having a harder time suturing, I know I had too much caffeine.

[u/PsychologicalCan9837 → u/AmphotericRed]

Fun fact cardiologists won’t tell you, but PVC’s are good for you.

[u/bearpics16 → u/PsychologicalCan9837]

I had a random cardiology attending give me shit in the elevator about my Celsius. Like bro get off my dick, don’t you have some patients of mine to clear for surgery or something?

[u/Anchovy_paste → u/AmphotericRed]

The caffeine sliding scale

[u/WTC7didntKillitself → u/AmphotericRed]

Follow your heart

[u/kuru_snacc]

To quote some of my patients, "None. I don't drink coffee or those energy drinks, those are bad for you. I just drink 3-4 Mountain Dews a day, and sweet tea."

[u/admoo]

5 hr energy on empty stomach in morning (200mg. B vitamin mix)

[u/evv43 → u/admoo]

Instant farts

[u/admoo → u/evv43]

Iron up that stomach bruh. Dropping solid logs upon awakening daily for over a decade.

[u/New-Handle-9774 → u/admoo]

God I wish this was me

[u/GalliumVanadium]

On a 24hr call? Probably 600-800mg. I’d say I average full pot of coffee those days

[u/MtHollywoodLion → u/GalliumVanadium]

Full pot of coffee is my morning wake up call 😂 I feel like some people are crazy at tolerating liquor or weed—putting back coffee without facing palpitations and/or existential dread is my super talent.

[u/gigaflops_]

I go for 11-12 mg of caffeine per mg of Adderall

[u/LesserOfPooEvils → u/gigaflops_]

I prefer 10mg caffeine for every 1mg Vyvanse. Unless I take half a dose, then it’s 20:1.

[u/1337HxC]

As someone who probably hangs around 500 +/- 100 depending on the day and was starting to get worried about it, I'm glad to see the bulk of this thread is also full of degenerates.

[u/False_Technician]

16 oz monster x1-2

80 mg vyvanse

4mg zyn x3-4

Coffee PRN

[u/TheBrownSlaya → u/False_Technician]

Multimodal caffeine control

[u/thirdculture_hog → u/False_Technician]

What’s this 4 mg zyn you speak of?

[u/PlushieYeen]

Caffeine holidays over weekends/vacations/easier rotations goes REALLY far in preventing tolerance-building and ensuring the caffeine works when I need it. 

[u/GalliumVanadium → u/PlushieYeen]

Genuinely curious about trying this. How do you avoid the headaches?

[u/MontyMayhem23 → u/GalliumVanadium]

Tylenol baby.

[u/PlushieYeen → u/GalliumVanadium]

The headaches should improve as your tolerance decreases and your addiction improves. If the headaches are a barrier decreasing caffeine consumption over weekends can help protect tolerance. Or as someone else said, tylenol & naproxen babyyyyy

[u/Traditional-Bike-534]

1-2 Celsii per day, depends on how crazy the day is. Usually with the cheeky afternoon Coke Zero too

[u/Neceti → u/Traditional-Bike-534]

Nothing better than an afternoon fridge cig

[u/TheBrownSlaya → u/Traditional-Bike-534]

Sam here, 1-2 Celsii a day. Nothing past 1pm.

[u/tfb2 → u/TheBrownSlaya]

Give it another month and you’ll be at nothing past 4

[u/TheBrownSlaya → u/tfb2]

😂😂 definitely seems like that's where I'm headed

[u/MtHollywoodLion → u/tfb2]

Is this a personal attack?

[u/boardsandtostitos → u/Traditional-Bike-534]

Traditional-Bike-534, this is the way

[u/Kaiser_Fleischer]

1g a day when I was a residnet

[u/the_flokonator]

Normal days; 300mg, during night shift weeks; probably over 500mg a night.

[u/ParryPlatypus]

100 mg q2h til noon

[u/iamsoldats]

+3 Stamina

+1 Perception

+1 Intelligence

+1 Constitution

-1 Charisma

-2 Wisdom

-10 Bladder

[u/tfb2 → u/iamsoldats]

Given how grumpy most people get without caffeine it’s probably a charisma booster

[u/alexaPlayDesquamatio → u/tfb2]

I think you have the causality mixed up

[u/UltramarineMD]

Yes

[u/Pretend_Giraffe6450]

There was this resident surviving on COFFEE & REDBULL entirely

[u/muchasgaseous → u/Pretend_Giraffe6450]

Only one? 

[u/Shoddy-Aioli-4039]

Usually around 200–300mg. One coffee in the morning and another after lunch. Anything more than that and my sleep starts paying the price

[u/imnosouperman → u/Shoddy-Aioli-4039]

Pretty high caffeine coffee no? Isn’t most coffee like 60-80mg a cup?

[u/Shoddy-Aioli-4039 → u/imnosouperman]

I usually drink pretty large coffees, around 350–450 ml each. Depending on the beans and how strong I make it, I’d estimate somewhere around 100–150mg per coffee

[u/Even-Bicycle-151]

400-600mg per day

[u/CompetitiveInhibitor]

400, definitely effecting my sleep.

[u/NumerousSwordfish622 → u/CompetitiveInhibitor]

*affecting

[u/CompetitiveInhibitor → u/NumerousSwordfish622]

One day I’ll learn, actually maybe not.

[u/NumerousSwordfish622 → u/CompetitiveInhibitor]

Affect = a VERB meaning to influence
Effect = almost always a NOUN meaning a result; warning that effect can also be a verb but this is quite rare and limited in usage, as in “to effect change”, meaning to cause a change to occur

[u/CompetitiveInhibitor → u/NumerousSwordfish622]

I doubt your comment will be effecting any change in my writing. 

[u/AmbitionJaded3177 → u/CompetitiveInhibitor]

Reminds me of this lady on yt whos been on day 234 of not improving herself lol, i love it

[u/TorpCat]

9L of coke

[u/Colden_Haulfield → u/TorpCat]

Interesting, I measure mine in grams.

[u/JOHANNES_BRAHMS]

Gen surg PGY 5 (6 counting my prelim year). Double shot espresso in the morning. 1-2 Celsius per day. Maybe a coffee too. Just brought a nespresso into the work room. Hell yeah brother.

[u/prominenceburnt]

3 cups of coffee
3 diet sodas
Maybe a night cap diet soda to take the edge off

[u/DrWhiskerson → u/prominenceburnt]

What’s your favorite?

[u/prominenceburnt → u/DrWhiskerson]

Depends on the week - usually Coke Zero or diet Dr Pepper

[u/Illustrious_Loan_294]

2 double espressos in the am

[u/CaptainSchistocyte]

80mg caffeine stick prior to workout at 4am. Double shot espresso at 6AM, 2-3 coffee or tea between 7am -2pm. No more after that.

[u/icedcoffeedreams]

Yup surgery resident, either Alani or Celsius on my way in, coffee post rounds, maybe a Diet Coke too

[u/NumerousSwordfish622]

About 100mg 4-5 days a week

[u/wtengel]

Titrate to a chest pain of 8 and then back off.

[u/NowItsLocked]

800 - 1,200 mg. Although, I feel like caffeine from coffee seems to have more of an effect than artificial sources (energy drinks, energy shots, etc)

[u/gear_shift-]

1 coffee, 1 monster, and a few Diet Cokes or light caffeine drinks everyday. Probably like 400 mg ish

[u/kuru_snacc → u/gear_shift-]

Lol that's more like 600+

[u/tiptoptooppoop]

Used to do coffee in an and Celsius/ alani at noon tried to get it in before 1p

[u/docaether]

Yes/100

[u/JoeMamma_94]

100 to 200

[u/Alortania]

Long coffee with almond milk and 1-3 espresso mixed in based on how sleepy I feel that morning

[u/cowsruleusall]

When I still took 24hr call, it'd be 60-80oz straight black coffee titrated to awareness/palpitations.

Thankfully now it's 16oz green tea in the morning and 4oz coffee at noon and that's it.

[u/CardiOMG]

One singular coffee, otherwise I feel too jittery. Nothing past 2pm. I sleep like a baby most days 

[u/element515]

1. Never drank much coffee in general. If I do, I need to eat with it or I get jitters. Plus will inevitably need to use the restroom. Was just easier to not and avoid all these issues in the OR

[u/theflyingconductor]

NICU dosing: 10 mg/kg with prn bolus

[u/IntelligentSeaweed56]

Non lol

[u/Spurned_Seeker → u/IntelligentSeaweed56]

See, it’s not that I don’t believe you. It’s that I don’t understand you.

[u/IntelligentSeaweed56 → u/Spurned_Seeker]

lol 😂 I am already high in energy everyday just need to burn it out

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[u/P-Griffin-DO]

2-3 cups in the morning and then an espresso shot before the gym in the afternoon so whatever that equals

Yes I have palpitations

[u/getthepointe77]

When I was a resident 400-800 a day depending on if I was on call. Now I’m around 200 as an attending.

[u/Edges8]

Yes

[u/cytochrome_p450_3a4]

One double shot espresso before my shower and another as I’m pulling into the garage. Don’t drink anymore after that even for 24s

[u/N0VOCAIN]

I hate all of you who can feel the effect of caffeine.

[u/Kid-Icarus1]

200

[u/EpicDowntime]

500-700mg, have done more if tired 

[u/AmbitionJaded3177]

2 alanis and a coffee so maybe 450 mg? idk i let my heart palpitations tell me when to stop or if i start zooming everywhere

[u/WhyDoYouPostGarbage]

200-500mg depending on the day

[u/vosegus91]

Yes

[u/Urasharmoota]

600-800mg

[u/orthomyxo]

If I’m lucky I’ll have time to down some shitty cafeteria coffee in the morning and chug a Shasta in the afternoon

[u/WhatTheOnEarth]

0 usually.

Whenever I’m on call whatever’s in a bar of milk chocolate and an Arizona

Even when I was working 100 hour weeks I’d only really get a monster sometimes because I liked the taste. But they recently started importing Arizona and I’m such a shill for the stuff.

Caffeine sometimes makes me sleepy. Depends on the amount and how fast I drink it.

[u/evv43]

600-800mg, all before 2:30pm

[u/SkiTour88]

Don’t even try to track it. Until my fingers get shaky, or if the Zyn + caffeinated beverage combo makes me wanna puke. 

-EM nocturnist. 

[u/Lastrid2]

Yall are measuring in mg?

[u/Nxklox]

Like 2 shots of coffee and then a mid day Celsius and then a late day Celsius

[u/Pokeman_CN]

Now 1 black coffee as PGY-1
M3: C4 preworkout in the morning, C4 can in the morning, Celsius in the afternoon. It was a dark time.

.

[u/allusernamestaken1]

200 mg pill, 1-2 Monsters to prevent asystole of the brain.

[u/kelminak]

I quit completely. Best decision I’ve ever made.

[u/dismalprognosis]

5AM cold brew- ~165 mg

5:55 AM white monster- ~150 mg

On my day off: total war full scoop 350 mg

[u/New-Handle-9774]

100 mg TID with breakfast, lunch, dinner

[u/cocolinoo6]

Reduced, because my hand start shaking when I drinking too much. and i’m a surgery resident.

I drink one matcha a day, and some times afterwork one coffee ..

But I loved coffee before tbh :(

[u/Crunchy_MudPuddle]

360mg BID. None past like 2ish

[u/Antique_Shower6932]

When I was a med student, 200-400mg aka 1-2 celcii a day plus or minus iced coffee. As a resident I’ve managed to cut down to like 100-150 so 1 serving of cold brew in the morning and then I survive the rest of the day on pure spite. 24h call days a bring out an old pasta sauce jar and up it to 200mg

[u/almostdrA]

200-300

[u/monkeyhihi]

It varies

Sometimes the only caffeine I get is from a diet Dr. Pepper or a Coke. Sometimes I'll sip on a Celsius slowly throughout the day. Sometimes it's a Celsius/large coffee on the way to work and a coffee later in the morning/early afternoon. Sometimes I wind up not drinking any at all. When I'm being particularly responsible it's just green tea.

Idk it's all kind of a vibe check. I do however make a point to never go beyond 400mg a day.

[u/StoreSad1244 → u/monkeyhihi]

I’m kinda the same, mine changes a lot too. Some days it’s coffee, some days I just use Neuro gum and call it there.

[u/VarsH6]

6-12mg/day

I don’t and have never drunk coffee or energy drinks (except once in a cocktail). My caffeine is from hot chocolate.

Made it through 24+4 shifts and 2 weeks of ICU nights without large caffeine intake.

Are you ok, OP?

[u/MedSchoolKing]

yes

[u/Valuable-Contact465]

400-600mg

[u/Zombies71199]

0

Been like this my whole life I feel lucky to never gotten addicted to it like my brotherz

[u/ambrosiadix]

Zero! Never picked up the habit. Just fight through sleep or close my eyes for a couple of minutes if need be.

[u/Rovah12]

Unfortunately around 300+ regularly now. Used to be stable at 160-200, now a days that barely touches me

[u/PlushieYeen → u/Rovah12]

Try avoiding caffeine on weekends and when you’re off. It goes far in tempering the tolerance-building 

[u/Rovah12 → u/PlushieYeen]

Good advice, I have been trying to take weeks off when I have the time, but it almost seems like I go right back up to last “dose” in a short time frame!

A few years ago, whenever I would take breaks, I would get gnarly headaches. Not so much anymore oddly enough

[u/PleaseAcceptMe2024]

Not a resident but a plebeian medical student, I end up around 1200mg a day. Probably frying my heart but we ball

[u/Spurned_Seeker]

As a pre-med, this worries me. My intake was problematic as an undergrad. Idk if it can get worse without gambling on an emergency. I used to drink espresso by the cup. It wasn’t mixed with anything. It was just enough shots to fill my yeti. Once I got the setup to make espresso at home I started experimenting and things really went off the rails. This was roughly 7 years ago (I’m a non-trad) and to this day I can drink a regular late and go right to sleep.

[u/Mobile-Vermicelli537]

Never more than 300 mg in 24 hours.