#Get More Exercise If You're Diabetic

[i-will-be-skinny-by-2025]

Fasting Facts:

-Water fasting cleanses the body, as the stored food (fat) is used rapidly and the body simultaneously expels built up toxins.

-If you are fasting for weight loss (um, yeah!!) and are following a juice or tea fast, a few days on just water will intensify the fast.

-Fasting can clear the skin and whiten the eyes and initiates rapid weight loss (yay!).

-Water fasting is not recommend for a first fast as toxins are released into the blood very quickly.

-Fasting makes it easy to overcome bad habits and addictions.

-Fasting allows you to have taste appreciation for clean, natural foods.

-Going on a fast can give you the motivation and the enthusiasm you need to make a fresh start! (And we all need a fresh start from time to time.)

Fasting Info:

-Distilled water is best for water fasting.

-Juice made w/fresh, organic fruits is best for juice fasting.

-Do not drink orange or tomato juice on a fast.

-You can dilute your pure juices w/water.

-Green juices made from leafy green veggies in a juicer are great for detoxifying.

-Pure veggie broths are good (with no seasons added).

-Herbal teas and honey can aid in fasting.

-Typical fasts (going totally w/out any solid foods) usually are performed as 3 day, 7 day, 10 day, 14 day or 21 day increments. 28+ days should be supervised. (Or at least the person fasting should let someone know they are doing it.)

-Break a fast by eating raw fruits and veggies the first five-seven days after your fast. Go back to solids slowly.

-Do not binge or overeat after the fast (or during!). Try to discover the amount of food your body really needs.

-Meditate, go for a walk, take lots of naps, journal, listen to music, take long, warm bathes and relax. This is your time for healing, losing weight and gaining self-control!

More fasting tips:

-Many people experience nausea and headaches during fasting and this is often caused by caffeine withdrawal (and we all love our caffeine here) so I recommend, if possible, if you are a heavy soda or coffee drinker start tapering off about a week before the start of your fast. This should do the trick and make it a little easier and your headaches won't be so painful.

-After your fast, when you start to eat normally try very hard not to gorge. The calories you take in directly after your fast will stay with you a lot longer than those acquired when your metabolism is up. Also, you could experience pain and become very ill.

-Don't eat a big meal the night before your fast and never end your fast with heavy foods. Keep it light w/raw or lightly steamed veggies and fruits.

-Dry skin brushing helps your skin to breathe easier and can help eliminate uric acid and other poisons from your system, taking the strain off your kidneys and liver. Start at the feet and stroke your skin towards the heart. Do these before you shower.

-Epson Salt baths are soothing to sore-achy, weak muscles and also help eliminate toxins through the skin. Warm Epson Salt baths are great during fasts.

-There are many types of fasts, here is another: The milk and fruit fast: 3x a day, a glass of milk, raw fruit and water in between.

Some more tips during your fast:

-Try to get plenty of sleep. And if you can't stand your stomach growling the first few days, and are tired of downing the H20, take a nap... listen to some soothing music and drift off.

-Get a massage. If you can afford it, or have your partner or a close friend give you a good rub down or deep tissue massage. This really soothes muscles and makes you calm and sleepy. It helps when you're having trouble sleeping due to hunger during your fast. Plus, it awakens your body, pushes the blood around, etc.

-You may feel weak during your fast so if this is the case, be careful of black outs and don't exercise until you've finished the fast... Stick to stretching, light walking and deep breathing.

-If you suffer from diabetes, hypoglycemia or other similar conditions, please be very, very careful fasting. I'd say don't fast at all but if you feel you can do it safely, you may need a slice of avocado or a banana... You could also add protein powder to your juices.

-Sometimes during a fast, the person will experience back pain. If so, a cold pack will help.

-Canker sores can be healed quicker by dabbing tea tree oil or vitamin E on it.

-If you are just too tired on your water fast, go to a juice fast and if you are already juicing, drink more carrot and melon juices for energy.

Water fasts are always the hardest but fastest for weight loss and detox.

Juice fast is next best and somewhat easier, especially for first time fasters.

You'll lose pounds faster if you have a fast metabolism and slower if you have a slower metabolism. On average, fasts allow you to lose 1-2 lbs per day. Some experience more around 3-5 lbs per day. You'll lose the most and the quickest during the beginning of your fast.

[inbabylontheywept]

Hey, so for context it's 3:45 AM where I am, and I'm stark awake at this hour because I had to take a nap yesterday due to eating a meal I really shouldn't have that is still wreacking havoc on my intestines. I'm definitely going to regret sending this ask HARD once the sun comes up, but I've been doing a lot of unadvisable shit on the internet over the past 3 days so why not add this to the pile.

I'm kind of having a weird emotional thing right now over your last post because it's just too ridiculous to be true, and I'm realizing the majority of your blog is probably all creative writing not intended to be taken seriously, but I've believed everything you've claimed to be a true story up until this point? And now I'm faced with either being a gullible fool, or an asshole for saying this if it IS all true, and I have to ask or I'll never know? I shouldn't be letting this get to me but it is.

So please, I ask sincerely and with no intention of being a jackass, are your life stories actually all true, or are they supposed to come across as obviously exaggerated or wholly fictional? I'm sure I could piece it together if I lay in bed and thought about it for an hour or two, but I think I'll just take the L and ask outright because fuck it.

But THEN if it truly is just a creative writing blog, would you keep the bit going and claim it's all real when it's not? Like, do you see why I'm going crazy? I am a very gullible, easily lied to person and that has lead me to be on high alert, but I almost always jump at the wrong things and come across as a distrustful asshole, so?? Will you assume this ask itself is LARP because of all the specific details I tacked on, which are intended to garner a sense of sincerity? I'm realizing I may have been playing checkers with someone playing chess all this time and I'm wigging out man

So, I'll start with the small stuff first:

The camp was in Prescott, AZ, in the mountains, over labor day weekend which is in late fall. I don't know the actual temperatures as numbers, but the people at the camp spent more time being cold than hot. The camp organizers also did bring a ludicrous amount of the pink sauce. I don't think the campsite itself was ever intended to provide potable water, just utility water for the showers and dishes and other non-for-direct-consumption tasks. So in that area, the camp people overprepared because Arizonans don't fuck around with dehydration.

I'm also pretty sure they had some water available, they were just very careful with it. I think there were a few diabetic kids, and they were making sure they wouldn't have to subsist on the weird gatorade like everyone else. Maybe. I don't honestly know.

But that's one story, and the thing that you're really asking is, are all these stories fake? Is it all just creative writing? And the answer to that is a soft no.

As a writer, I'm pretty strongly influenced by Patrick McManus. A lot of my stories are told in the American Tall Tale style - which is exaggerated, and dramaticized, but tells a story that is true nonetheless. I am going to keep the specifics of the exaggeration and dramatization between myself and God, but I would look at my stories and say that they're each more than 80% true. I hope that relieves some of your stress.

I wouldn't call what I do creative writing exercises. But I also wouldn't encourage you to take them 100% seriously. Both because I talk a big game, and because they are, at the end of the day, just funny stories. I certainly wouldn't want you to lose any more sleep over them.

You aren't a jackass for expressing incredulity. It's part of my style, and I welcome it. I also wouldn't call you a gullible fool for believing things in the past. We're good, you and I, and I've enjoyed having you as a reader. I hope you keep reading. Just, maybe not at 3:45 AM. Take care of yourself, Babylon

[shinynewboots]

Hazbin Hotel Characters as Medical Specialties

Charlie: Pediatrics

You're telling me can't imagine Charlie with Bluey stickers in her pocket and saying "oh I see a dog in your ear. Woof!" When using an otoscope on a child with an ear infection? Be so for real rn

Vaggie: Emergency Medicine

This woman thrives in chaos, she grew up on a battefield. The ED is the Wild West of medicine and Vaggie thrives under the constant stress and variety

Vaggie: "what do you mean you were woodworking while drinking, are you fucking stupid"

Vox: Nephrology

Okay, okay this one is less based in personality and more based in the fact that I need to see a pissing competition between Vox and Alastor (as a cardiologist) about fluid status and renal function

Vox: *decreases lasix dosage in a patient with poor renal function*

Alastor: *punches Vox bc that patient is also fluid overloaded and has heart failure with a reduced ejection fraction*

Velvette: Dermatology

Listen you can't tell me that she didn't have amazing skin when she was alive. I can see her moving more towards the cosmetic side of dermatology with occasional biopsy or Mohs bc who doesn't love a procedure every once in a while

Cherri: ICU/Crit Care

Like Vaggie, Cherrie also thrives in chaos and things in the ICU can go from 0 to 100 in less than a minute. I also feel like she would have pretty good empathy and separation of work and home to be able to not let the job get to her too much

Angel: Psych

This just feels perfect to me, more based on my own experience but everyone I've met in Psych is kind while also being the coolest person you've ever met. I also think Angel would really be able to empathize with his patients based on his own history with addiction. He really likes to listen and offer support and advice.

Alastor: Cardiothoracic surgeon or Cardiologist (to get into a pissing contest with Vox about fluid and sodium)

Look, I know Al is like the perfect surgeon. He's intimidating, meticulous, and calculating. And I don't disagree, I think he would thrive as a CT surgeon...however, there's just something about him arguing with the nephrologist that just gives me the giggles

Lucifer: Internal Medicine

Listen, he's done it all and seen it all. He will spend hours rounding because he just wants to make sure he gets everything right (he's also avoiding going home alone but that's a different story). He also loves working with medical students and will give rousing lectures on first-line antihypertensive and diabetes medications (while also getting all of the students and residents names wrong).

Lute: OBGYN

Listen, I love Lute but if I knew her in real life she would intimidate me so badly. Much like the OBGYN attendings I worked with. She's amazing at her job and beloved by her patients for her blunt yet realistic recommendations, but in her L&D room or operating room, that is her domain and there is no deviation from that. Medical students and residents should exercise caution, but she will teach them the most out of any rotation

Adam: Orthopedics

This man is an ortho bro if I've ever see one. He is the attending who will pimp medical students on the playlist he has playing in the OR instead of the surgery in front of them. (What do you mean you don't know what artist this is? It's the fucking Eagles. Go home and study up, we're playing Led Zepplin tomorrow.)

Niffty: Pathology

Listen I have no explanations for this one. It just felt perfect, tbh

Husk: Anesthesia

This man is like every anesthesiologist I've ever met. He is there stereotype and sits behind the current with his sudoku in hand. Don't let that fool you, this man has knowledge and skill and is not afraid to use. The second your patient starts de-sating or coding, he's the one you wanna listen to

Rosie: Family Medicine

Rosie is the picture-perfect family medicine attending. Kind, empathetic and offers great advice. From cradle to grave, she's got you covered with primary prevention and screening and will be there for you for whatever comes next

Lol this is meant in good fun, so there are a few stereotypes about the different specialties and a lot of it is based on my own experiences on rotations. Let me know what you guys think. I know I missed some characters so let me know if y'all want me to come up with more.

[lesorus]

having PCOS is some special kind of hell only a biological woman will ever have to deal with. you'll basically be told that you're at risk for cancer, diabetes, you're infertile, you'll get hirsutism, your hair is thin, your periods painful and irregular, you're constantly tired, constantly hungry, you're always in some kind of pain or discomfort, you might eat less than you need and still gain weight.

you'll be told the only thing you can do about it is diet and exercise, which is fair, it works, but you literally are at risk for high insulin resistance and fatigue as symptoms. you can only swim against the current. now, you can also take birth control pills but they don't solve any of your real problems, they just hide them and if anything the second you stop taking them your health will get worse.

And did I talk about mental health? well, you're at high risk for depression, anxiety, insomnia, and eating disorders. fun right? and it's not some obscure disorder, 10% of women have PCOS. It's a common ailment, you'd think it's well-researched, that OB-GYNS are experienced in treating it, or at least empathetic. Right?

No, literally no. Nobody cares, you have to be your own doctor, go to Reddit for information, and look up research papers. You trust tiktokers more than your medical providers because the best they're gonna do is tell you to take a pill that won't be that effective, diet, and come back when you're pregnant. Oh, your pain is unbearable? Just take some paracetamol. You can't seem to lose weight? Get a grip, you just need to eat 0 carbs and exercise every day, and lift weights. Get some laser treatment for your facial hair while you're at it. You're tired all the time? Doesn't seem that serious, everybody is.

Or worse. Oh, your labs come out fine, you're fine. You have a healthy BMI, what are you worried about? You get a period every 40-ish days so it's not that bad. Not that you're barely eating, exhausted all the time, in severe physical pain, and emotionally distressed. You'll be able to have kids! Cheer up!

And all this? Because the medical industry doesn't care about women.

[macgyvermedical]

can you talk a little about wegovy and muonjaro for weight loss?

The answer is maybe.

If it were just the drugs themselves, I'd say absolutely. But there is a surprising amount of cultural baggage associated with these medications, and I don't really know that I can do them justice.

So first, let's talk about weight. There's a fantastic book called "Fat Talk" by Virginia Sole-Smith, about being overweight or obese in an age that prioritizes thinness, and how diet culture in particular is a threat to young people. Another, called "Intuitive Eating" by Elyse Resch, discusses how calorie restriction- commonly cited as the "way" to lose weight along with exercise- only works once or twice, because our bodies get wise to it and want to hold onto fat.

Humans evolved to gain weight. Fat is how we store energy for times when we might not have enough to eat. And if "not having enough to eat" (whether because of famine or because of calorie restrictive dieting) happens repeatedly, we have evolved to change hormones and metabolism so we a) don't need as much food to stay alive and b) are primed to eat more food than we need when it is available.

Aren't human bodies cool?

In the medical world, there are a lot of things tied to weight. For example, statistically, being overweight or obese means you're more likely to have health conditions like high blood pressure, diabetes, and heart disease. It is unclear, though, if those problems are caused by the weight itself, or other dietary, activity, and behavior patterns that may also happen to contribute to the weight gain. Things like a sedentary lifestyle, frequent consumption of foods with low nutritional value, avoidance of medical care due to stigma, or even chronic calorie restrictive dieting.

Unfortunately, due to this statistical tie, there is a lot of effort made in the medical world to get patients to "lose weight at any cost" instead of recommending dietary, activity, and behavior changes for health reasons alone.

Culturally as well, we prioritize thinness as attractiveness. I remember in high school there was a poster in my health classroom that read "Ideal weight- or it might be hard to get a date!". There are lots of negative associations with people who carry more weight, including that they are lazy or stupid- things that have nothing to do with body size.

Now, that doesn't mean that there aren't things that could be benefits of losing weight. For example, joint and back pain can be improved with weight loss. But weight loss is probably not the end-all be-all cure-all it's touted to be.

Because it is really hard for most people to meet this standard of "lose weight at any cost", there has long been medications that purportedly help people lose weight. Most of these medications have been stimulants, which decrease appetite and make it more comfortable to engage in calorie restrictive dieting. They also increase energy, which can make it easier to exercise or tolerate more exercise than would otherwise be possible.

Before we talk about the drugs, I want to say- there are risks and benefits to all medications, including these! The discussion you should always have is what risks are you and your healthcare provider willing to tolerate for the potential positive outcome. Also, this is a discussion of the drugs when used for weight control. The same drugs used for diabetes are at different dosages and have potentially different risk/benefit comparisons.

Ozempic/Wegovy (semaglutide) and Mounjaro/Zepbound (tirzepatide) are both a type of medication called a GLP-1 agonist. GLP-1 agonists are also called incretin mimics, because they mimic a type of hormone (incretin) that tells the brain and body that it is full. This makes it easier to eat a small amount of high nutrition food and feel satisfied. They also work by increasing metabolism. Between the decreased consumption and the increased metabolism, weight is lost.

Over the course of a year and a half, tirzepatide causes about 15-20% average reduction in body weight with continued use. Over the course of about the same time, semaglutide causes an average of about 15% body weight reduction with continuous use. Say, for example, you weigh 100kg. A year and a half on one of these medications could get you down to 85kg.

The problem is, as soon as that drug is withdrawn, the body realizes it was starving, and tries to compensate. These drugs are good at getting rid of weight, but maintaining a new weight usually means staying on a lower dose of the drug perpetually. Most people regain all weight (and potentially more than they lost) within 5 years of stopping the drugs.

Some studies suggest that repeatedly regaining lost weight may be more detrimental to health than remaining overweight or obese when it comes to statistical risk of type 2 diabetes, heart disease, and other "weight-associated" illnesses.

The main side effects are GI-related. Most of these are nausea, vomiting, diarrhea, gas/bloating, constipation, dizziness, and abdominal pain. More severe side effects include pancreatitis (inflammation of the pancreas) and gasteroparesis (paralysis of the stomach and part of the digestive tract).

[fatliberation]

"I didn't give out any medical advice" lmao you were heavily implying that person's doctor was wrong and that they shouldn't listen to their doctor's advice. that's irresponsible. you're going to get somebody killed with this bs

If their doctor's advice is to lose weight through dieting, it is wrong and I can say that in full confidence because it. (x) doesn't. (x) work. (x) Here! (x) Take (x) these! I am (x) chucking (x) peer reviewed sources (x) at you. (x)

Anti-fat bias is at work here. And so is a weight-loss market worth $90 BILLION as of 2024.

In 2013, UCLA researchers Traci Mann, Janet Tomiyama, and Britt Ahlstrom conducted the most comprehensive and rigorous analysis of diet studies, analyzing 31 long-term studies.

“What happens to people on diets in the long run?” Mann asked. “Would they have been better off to not go on a diet at all? We decided to dig up and analyze every study that followed people on diets for two to five years. We concluded most of them would have been better off not going on the diet at all. Their weight would be pretty much the same, and their bodies would not suffer the wear and tear from losing weight and gaining it all back.” (x)

Certain factors biased the diet studies to make them appear more effective than they really were. For one, many participants self-reported their weight by phone or mail rather than having their weight measured on a scale by an impartial source. Also, the studies have very low follow-up rates — eight of the studies had follow-up rates lower than 50 percent, and those who responded may not have been representative of the entire group, since people who gain back large amounts of weight are generally unlikely to show up for follow-up tests, Mann said.

Evidence suggests that repeatedly losing and gaining weight is linked to cardiovascular disease, stroke, diabetes and altered immune function. Mann and Tomiyama recommend that more research be conducted on the health effects of losing and gaining weight, noting that scientists do not fully understand how such weight cycling leads to adverse health effects.

“We asked what evidence is there that dieting works in the long term, and found that the evidence shows the opposite” Tomiyama said.

Here are some quotes I pulled directly from the study.

It is implicit in this definition that losing weight will lead to improved health, and yet, health outcomes are not routinely included in studies of diets.

Overall, there were only slight improvements in most health outcomes studied. Changes in diastolic and systolic blood pressure, fasting blood glucose, cholesterol, and triglyceride levels were small, and none of these correlated with weight change. There were also very small effects of these diets on lipid-lowering medication use and coronary morbidity and mortality. There were a few larger positive effects for hypertension and diabetes medication use, as well as diabetes and stroke incidence. In correlational analyses, however, we uncovered no clear relationship between weight loss and health outcomes related to hypertension, diabetes, or cholesterol, calling into question whether weight change per se had any causal role in the few effects of the diets. Increased exercise, healthier eating, engagement with the health care system, and social support may have played a role instead. Our findings are in line with a recent meta-analysis (Flegal, Kit, Orpana, & Graubard, 2013) that found that overweight and class I obesity were not associated with higher all-cause mortality. Moreover, Ortega and colleagues (2013) have documented metabolically healthy but obese individuals, and an emerging literature on the “obesity paradox”, whereby obesity appears to confer health benefits in certain diseases (Amundson, Djurkovic, & Matwiyoff, 2010), suggests that a disconnect between weight loss and health outcomes should not be surprising.

We believe the ultimate goal of diets is to improve people’s long-term health, rather than to reduce their weight. Our review of randomized controlled trials of the effects of dieting on health finds very little evidence of success in achieving this goal. If diets do not lead to longterm weight loss or long-term health benefits, it is difficult to justify encouraging individuals to endure them.

See for yourself.

[anti-ao3]

i just rlly hate the way society victim-blames us for developing illnesses and/or disabilities. like "oh you're diabetic? well what did you expect, being fat/eating so much sugar lol?". "you get tired quickly just walking or doing exercise? that's what you get for being sedentary". the kind of stuff i usually hear.

it's like saying someone "deserves" to get sick or to be disabled bc they supposedly don't take care of themself enough. which is pretty ableist and overall pretty shitty to say. it pisses me off so much when i'm in pain and ppl mock me bc i'm just "lazy" so i shouldn't be complaining. i also hate that society puts some sort of deadline, like, "if you aren't 'HEALTHY', you're going to be completely fucked up when you're older", or more radically speaking, "you're going to die younger than everyone who actually has a 'healthy' lifestyle".

at least to me that is not fucking encouraging.

[jujutsustraycats]

I'm not as nice as Nami is. I'm not, so don't expect anything too flowery or sweet or diabetes inducing. But I am here for you if you ever need it. And you will undoubtedly need someone in the next two years, and beyond that.

I know you said you're not going on the usual charade of... Competitive exams, that most of the country likes. And that's already a good sign for you. But science is hard. It will be. Your grades might plummet into the fucking ground, or they might slightly waver. And that's OK. It's not the end of the world.

I don't really want to get too personal, but I was a pretty.. good student lmao. Until grade 11 I had a rep for being that student who got a 95+ on every single test without studying. I'd open my books the day before the exam, and pass with a 99 with no effort whatsoever. Yeah, I was that asshole.

You won't be able to do that in 11th and 12th. Or ever again, really. Prepare yourself for that. If you are like me, and don't study until the final day and expected to get a 99, change that right now. It won't happen.

Now, it's going to be about consistency. Smaller efforts, but good ones, spread across every day. Your routine matters. The amount of sleep you get, the stuff you eat, the way you work through your day, everything will matter now. And not just for now, for ahead, too. So make sure you take care of your body, and your mind.

Work, but don't overwork. Have fun, but don't ignore your responsibilities for it. Nami's message mentions chaotic fun— I wasn't that type of person, not really. My fun was cool writing or drawing. Chatting with the people I love. Video gaming. And it's lovely! I'm not going to tell you how to have fun. But you should, because those moments of laughter will carry you through these years.

You're going to make friends, lose friends, make enemies and forget enemies. It'll happen. But the connections you make now will impact the course of your life for the next two years. When you enter conversations, do so with conviction. Know what you think and feel, and don't sway. Listen to opinions but don't let them take over your brain without cross checking it with your own thoughts first.

I hope you have people you can depend on. If nobody else, you have me and Nami. We're here for you.

Adults will tell you a lot, over the course of these two years. Listen to everything, but listen to it with a critical ear. You're capable of knowing what is and isn't important to you, personally. Stick to your guns, but be open to new suggestions. People will make personal quips at you, and they will hurt. Let them. But don't let them stick onto your being and pollute your awareness of yourself.

Mmm.. I don't really have anything else to say, not in particular. I know South India is a lot different to where I'm at rn, so my experiences will not be the same as yours. But I get it. I do, and so you can shoot me an ask or a DM anytime. I will be more than happy to help. Whether it's homework or just a vent, go for it, okay?

And above all, don't look back at what used to be, and what might have been.

When you take decisions, take them with consideration of all the information you have on hand right now. And once you've taken it, don't look back. Maybe later, with extra information, you will regret what you chose. It can happen. But you should be able to look back, and tell yourself, "No. I made that decision after considering everything I knew then. And so I do not regret the choice I made then."

You'll hear this a lot, but a set routine really really helps. I disagree with Nami, I don't think you will need late nights or overworking if you set yourself a routine. My routine changed depending on my schedule for the next day, but always make sure you get a minimum of 6 hours of sleep and some exercise, okay? It'll take you a long way.

And above all.

Anything, really.

Nothing else matters.

But be kind to yourself.

:)

I'm smiling so much with tears in my eyes. Again.

Thank you so much, Lune. Really. I appreciate this so much.

[indelibleevidence]

Since a friend has just been given a suspected ME/CFS diagnosis, I'm going to try to list the most useful things I've learned about coping with the disease. If it helps other people too, then yay! I assume long COVID sufferers will also be able to apply a lot of it.

Feel free to save/reblog/tattoo on your arms/whatever. :)

Keep baths/showers closer to lukewarm than hot. It sucks, but keeping your body temperature from spiking helps lessen the inevitable post-bathing crash.

Shower chairs. Kitchen chairs. Garden chairs. Chairs, chairs, chairs.

Electric toothbrushes = less arm movement when brushing your teeth.

Don't lift your arms over your head unless absolutely necessary. Even when shampooing your hair, it's better to lower your head to your hands (keeping your elbows down) than the other way around. If you want to stretch your arms over your head as a gentle exercise to help your mobility, do it when you're lying down flat.

Baby wipes and dry shampoo are good for hygiene when showers are a nope.

Food packages you can eat in bed are important to have around for crash days. Croissants, pain au chocolat, crackers, corn/ricecakes, etc.

Sugar and music will get you through the exhausting stuff that you can't cancel or delegate (please disregard this advice if you're diabetic/have hearing issues or noise sensitivity).

YMMV, but sometimes you will have more mental fatigue than physical, but you might mistake it for physical if you're not thinking about it. Those days are good for getting brainless tasks within your energy envelope done (like the dishes).

Leave a task half-finished and come back to it after resting, if you're finding yourself overreaching. (This is the advice I absolutely can not make myself take, because 'I've started, so I might as well finish' is seductive. But it IS good advice.)

My personal stop sign for 'lie down before you fall down' is tingling pinkie fingers, for some reason. Figure out what yours is, and listen to it.

Resting feels like a waste of time, especially if it's done all the damn time... but it's not a waste, it's necessary. Forgiving yourself for having to do it will make things more mentally tolerable.

There will always be people you interact with who insinuate that if you just tried harder...(insert toxic positivity here). They will seem like they have a point, because your inner ableist guilt-tripper will agree with them, but they don't know what it's like to have your symptoms. Screw what they think.

I could probably add more, but my brain is tired, and there are a lot of words for brain fog sufferers already. But I hope this can help a few people. 🙂

[timewarpagain]

God I hate FA/HAES mindsets so much.

Before you all start screaming at me, no I don't think it's okay for people to make fun of overweight/obese people. Yes I am aware of certain conditions and medication that can affect a person's weight (more on that later), but those are very very rare. The reason why people are so big is because they eat more calories than they burn. That's it. It's simple thermodynamics, you are not above science lmao.

You are not being discriminated against if you can't fit in an airplane/movie theater seat. Those buildings and seats were there centuries before the world started to get bigger and fast food places were everywhere and junk food was always within reach. Not being able to find cute clothes is such a huge First World Problem, and that's also not how sewing works. It entails so much more than, "well just make it bigger" like you're resizing a picture. Rollercoasters have height and weight requirements for a reason, you can't outdo physics. People not wanting to date you sucks and can be hurtful, but it is not discrimination.

No, you can't be ""fat"" and healthy at the same time. Fat is just a few pounds over the maximum normal BMI range. Dozens or hundreds of pounds over that is not fat, it's overweight/obese. The medical field do have a lot of outdated views and conceptions about certain groups (women, PoC, disabled, etc.) and to an extent this is no different for obese people. There are a lot of doctors who can be assholes and dismissive. And if you're a woman it's 100x worse. But not being able to do certain procedures, or asking their patients to lose weight when they have concerns about pains is not discrimination. They need to rule out that the symptoms you're having is caused by your weight and it'll be easier to see things inside the body if they aren't blocked by excessive adipose tissue. I think people hear "you need to lose weight" and assume that's the only treatment plan instead of the first step to make things less complicated.

FA/HAES activists are really young, in their early - late 20s. Of course they aren't going to see a lot of health problems. But they need to be PREVENTED before they get worse. You (hopefully) won't be seeing a lot of issues at the moment but bad eating habits will catch up with you as you get older and they will be harder to treat. We're already starting to see prolific FAs dying young (late 30s - early 40s) and way too early. T2D is devastating. An extremely high weight puts you at risks for multiple conditions and problems like HBP, coronary artery disease, cancer, pre-diabetes, etc. Being on tons of medication and constant doctor appointments aren't fun.

Body positivity means that you shouldn't feel ashamed or bad about how you look. It doesn't mean that you are unable to try and keep yourself healthy as much as possible. HAES doesn't mean "I'm obese but I'm healthy because I have good bloodwork". It means that being obese shouldn't stop you from getting exercise, losing weight, eating healthy, and treating your body well.

[ungoonableaddict]

The Ideal Gooner Bod

Wow, I'm still here!

This post is about something I've reflected on for some time, and I felt it was worth putting out there. You can see it in the title: "The Ideal Gooner Bod".

What does that mean? Well it's obviously subjective, as so much of life is. But to me, an ideal gooner is fat. Now, I will express my bias right away, I do have a fat fetish.

HOWEVER!

I'd like to posit that you don't need to have a fat fetish to enjoy this aspect of the gooner lifestyle. To me, it's part and parcel, and the reasons are obvious:

Gooning already entails a sedentary lifestyle with low levels of activity on its own.

Many gooners I've met are either single, or in relationships they don't want to be in, meaning there's little incentive to maintain a slim body.

Relatedly, part of being a gooner is committing yourself in some fashion to porn, right? And in committed relationships, one or both parties generally ends up letting themselves go. Porn certainly can't, so why not you? Show that you've found your one true love!

You already indulge in the hedonistic pleasures of porn and masturbation. Why not add yummy foods to that collection?

The odds are already stacked against you as you age. Your brain finishes development at age 25, meaning hormones level out and more effort is needed to maintain your body. Plus as you age, your metabolism slows.

Something new to goon to. Since plenty of gooners are already fat, there's lots of caps out there to indulge in, encouraging you to eat and stay big.

Objections and Rebuttals:

"I don't want to be fat!" If you're in this for Porn, who cares what you want? If you believe Porn wants you single, Porn wants you isolated, why not overweight? By default it shows others you don't care, which further increases your chances of staying single, staying alone.

"Being fat is unhealthy!"

So, this one requires a little more discussion. First, being fat is unhealthy! That is objectively true. More weight puts more strain on your body. However, you know what also strains your body? Not being fit in the first place. If you already don't work out, why does it matter? Indeed, while there is some disagreement, I've read (and you can search for yourself and come to your own conclusion) that being fat and active is better than being thin and inactive.

Second, I did mention food as a plus side of being bigger, but you don't actually have to eat junk food unless you really want to. There are healthier ways to pork up for Porn that you can look into if you're worried about diabetes and the like.

Third, if you're already fit, you don't have to stop being that way. This is presumptuous of me as someone online but if you have a very solid fitness routine AND are a gooner, I can't imagine it's solely because you're motivated by health. So why not take the plunge and try packing on some pounds?

"I don't want health issues associated with being overweight!"

Refer back to the initial point I made for the last objection, first. I believe the general rule of thumb for being generally healthy and avoiding heart issues is "at least 30 minutes of moderate exercise 3 times a week", i.e. enough that you can't talk while working out, and your heart is racing during that time. Are you getting that?

If not, then as someone who already finds exacerbating porn and masturbation addiction to be hot, just go a little further. Let your body become a VERY noticeable sign that porn is ruining you.

Honestly, that's the main argument I have. I feel like anyone reading this who's truly fit, sticking to an exercise regimen, etc. can feasibly put on weight and have zero issues, particularly if they want to lose it again! So really I'm addressing a bunch of already-unfit masturbators who don't want things to get "serious".

Like giving up years of your life, relationships, sexual intimacy, a regularly-functioning brain, and money aren't serious?

Or the heart disease you're already at risk of from not staying active isn't serious?

This is turning into a vague fitness post but let me sum it up: If you're thin or chubby and don't do any exercise, why not work to make yourself bigger? You already don't care about your (heart) health. It's the same as when you might have been a masturbator who was going back and forth about even liking porn addiction or gooning. Either start trying to get fit (which would give you more control over gaining anyway), or give up and start pigging out on food like you do on porn, loser! Come on.

Overall, I hope this post has made it clear that I see no reason for you, the reader, to not be nice and round for Porn.

If you already are, that's awesome. Good for you. :) I think the term "Porn piggy" being able to be used literally is pretty damn hot. Those who find themselves fat already, I don't have a lot to say. Keep gooning for Porn. Enjoy that soft body that signals your complacency, that shows you're devoted to something special to you. If you're fat, but not fit? Well ideally you should try to keep yourself healthy, too. But if fast food and gooning right now sound better?

Who am I to say no to someone keeping their body in-shape, particularly when that shape is round? ;)

[menlove]

not sure how much traction this will get but! I just got top surgery friday and here's a short list of things I either wish I was told or wish was talked about more that might help some others!

you have to be so so so careful with what meds you take in the month/weeks leading up to surgery. I fucked up and got mine delayed by over a month because my adhd mixed up ibuprofen and tylenol. check the packet they give you a million times and if you're unsure about absolutely anything, ask. but in general: tylenol is the only pain med that's okay to take in the week leading up to surgery. be honest about alcohol/drug use because there's specific instructions for those as well.

a lot of insurances will need you to make sure it's coded as gender affirming surgery rather than plastic surgery or they won't cover as much of it. make sure you ask your insurance if there's anything like that that might screw you over later.

if you have a chronic condition like I do (type 1 diabetes) you and your surgeon might find it best if you stay overnight. if not, you'll likely be sent home day of so make sure you have a responsible adult that can drive you to and from your surgery.

if you are fat, that is totally okay and there's plenty of surgeons that will work with you. however, make sure your surgeon/hospital doesn't have a bmi/weight limit. it's bullshit and completely unfair, but you may have to look elsewhere (I'm lucky and my surgeon was amazing about that). besides, they probably aren't very good at their job if they have that and you'll find better care with another surgeon anyway

speaking of being fat and getting top surgery, ofc it's all personal preference, but I'd really recommend considering leaving some fat on your chest. fat cis men have some fat on their chests and it's easy for it to look concave if your surgeon removes all the fat. discuss some options w your surgeon and look up post op pics of other fat people that have had top surgery to find stuff similar to what you're going for!

they are going to put you on strong pain meds after, probably oxycodone. if you have a history of addiction or a family history, be aware of that and talk to your doctor about other options if you would rather not take it. if you've never taken oxy before, nausea is a super common symptom so you can totally ask your doctor to prescribe you an anti nausea medication to take alongside it. it doesn't always 100% help so I would also recommend making sure you don't take it on an empty stomach.

honestly, for me the pain hasn't reached above a 6. everyone is different ofc but it's a very dull achey sort of pain. the worst parts, according to me and others I've known who've gotten top surgery, are: nausea, itching, fatigue, constipation, the drainage tubes tugging (and if you don't have gauze under them like I do, chafing), and for me I've started to get back pain from having to sleep sitting up

have a ton of pillows on hand because you're going to have to sleep sitting almost the entire way up on your back. it sucks.

have easy to open and grab snacks piled up! even if you have someone around to help you, sometimes you won't have an appetite for a whole meal and it's always nice to still be independent

speaking of constipation, invest in some milk of magnesia or ask for medication to be prescribed to help you with it. the anasthesia and oxy are gonna work together to make you miserable on that front.

drink plenty of water! make it fun w packets if you have to but your body just went through major trauma and you're going to need it

every surgeon/hospital has different instructions. I see a lot of these posts and they'll list certain things as total fact that are completely contradictory to what I've been told and what my boyfriend was told when he got his. this isn't to say either one is correct, but in general take these posts with a grain of salt and go with whatever your surgeon/hospital instructs you to do. especially as far as exercise, arm movement, showering, etc is concerned.

[ask-sibverse]

Prompt: hiking date with Killer (As much fun as explicitly diabetic related situations are, it's nice to do some things where the main focus isn't diabetes. I do have another diabetes focused drabble planned, but for now, fluff! Mostly.) Set in the same version of things as this

TW: violent intrusive thoughts

(Like this? Want more? Send a prompt!)

Cgm, check. Pump set to activity mode (one of the author's favorite damn settings about the Omnipod), check. A boatload of granola bars and other low blood sugar snacks to shove in your inventory, check. Plenty of water? Got it.

"I think I'm ready," you said.

Killer had suddenly texted you that he's taking you on a hike, before immediately backtracking and asking if it was too much with your diabetes. You tried to resist the urge to smack him as you reminded him you swim regularly in the summer and did martial arts several times a week for years. You know how to balance diabetes and exercise.

So here you were now and hour later about to go on a date with Killer. Was it a date? He hadn't called it one. It could just be a friendly, platonic outing. You shouldn't make things weird.

But you were ready to go, either way. You walked out of your room to find Killer on the couch with your cat. Cats are tiny hunters and Killer is, well... Yeah. So it didn't really surprise you that he got along great with your cat. Said cat was currently purring in his lap.

"I'm ready to go."

"I'm trapped, go on without meeeee."

You stared at him. "I don't even know where we're supposed to be hiking."

"Oh yeah. But the caaaaat."

You snorted and scooped up your cat. He meowed in complaint but let you move him off the murder skeleton. "Lets get going, shall we?"

He nodded eagerly. "You ever been to Mount Ebbott?"

"No, I don't think I have."

"Its not too horrible a hike, and the view is great from the entrance to the Underground."

"Okay, let me get my car keys."

"Why bother? You've got someone with you who can teleport."

"I keep forgetting that."

Killer snorted and extended his hand. "Hang on tight."

Shortcuts were sometimes more disorienting than portals. Portals you at least were passing through something to get from point A to point B, shortcuts you were one place and then you blinked and were somewhere else. So to suddenly be in the woods at the base of Mt Ebbott took a moment for your mind to catch up with.

Killer started dragging you up the path as soon as you collected yourself. It was a beautiful, sunny day. Birds were singing, flowers were blooming, and it was just the two of you on the mountain.

"Is it usually this peaceful?" You asked. "I don't think anyone is up here."

"Depends on the AU, and the time of year," Killer said. "But yeah, no one but us here right now." He paused. It seemed like thoughts were running through his mind. "I could do anything to you, and no one would know."

"Killer."

"I wouldn't, I promise!"

"Killer."

You sighed. "What's going through your head?"

"... That no one would hear you scream. That I could chase you through the woods and kill you, watch my knives make you into a pincushion and no one would find out until it was too late. But I won't do that, promise!"

You put a hand on his shoulder. "Do we need to go back? It sounds like your mind is getting to you."

"No! Ill be fine, I want to show you the view from the top!"

"Alright, I trust you."

So you filled the silence to give him a distraction. Talking about your hobbies and cats, asking what he and the gang had been up to. It seemed to work, at least to distract him if it didn't fix things. You almost didn't notice the entrance to the Underground until you were about to fall in, Killer having to grab you by the collar of your jacket.

"Don't fall in. You're not a Frisk." he snorted. You stuck your tongue out before turning.

The view took your breath away. You could see all of Ebott City from here and the surrounding valley. You could imagine how incredible it must feel to see this for the first time after centuries kept underground.

"This is..."

"Incredible, yeah. I saw it a few times before my human really lost it."

You squeezed his hand gently. "I hope Chara doesn't reset here, I'd hate for everyone to lose this." Especially your friends

"Eh, who knows." He shrugged. "Don't have a high opinion of most of those brats. Or humans in general."

"What about me?"

"You're... Different. Special."

[honeyfluff]

I'm seeing more and more people parade around how ~AmAzInG~ Ozempic is on social media. Saying how anyone fat not using it is stupid. I saw someone literally say that if you don't use it, you're just asking for heart disease and diabetes (a weightloss drug can't prevent that).

I was terrified when this became mainstream that this is exactly what would happen. Being fat being considered a moral failing because "why wouldn't you use an unknown drug to melt your body away?".

You're not learning how to properly feed your body, get proper nutrients, how to exercise for your body. You're taking a drug that we don't know long term effects of. A drug that is designed to make your fat content disappear. And that's not... alarming to you? Our bodies store fat for a reason.

But what did I expect from the people that were okay surgically removing part of their stomach to feel full.

I don't want to be fat either, but I'm also not insane.

[vikkirosko]

Is it possible if I could request team Stan with a s/o who has diabetes like Scott? You can ignore this if you want to I'm cool with it.

Headcanons Diabetes

💙 Stan Marsh x Reader 🐶

Stan knew that you had diabetes for a long time. You have known each other since childhood and several times he saw you carrying several syringes with you. It was only when he got a little older that he found out that they were syringes with insulin. You carried them with you just in case something happened to your insulin pump

One of the most important things you had to follow was a diet. That was one of your basic rules. You always brought food from home with you and sometimes treated Stan to it. He wondered how you could eat this every day for many years, but you're used to it. You remembered how bad you felt when you tasted candy, so you preferred to follow your diet

Stan knew you weren't the only diabetic in South Park, but it was thanks to you that he learned a lot more about it. He knew you needed a diet and regular exercise, but the most important thing was the insulin you needed

The fact that you lived as if you didn't have diabetes seemed very cool to Stan. He knew that some people were very fixated on their illnesses, which is why the fact that you lived a full life no matter what seemed so cool to him. You walked into tomorrow with confidence and Stan was ready to be there if you were ready to let him

💚 Kyle Broflovski x Reader ✡️

You and Kyle met thanks to your parents. They were friends and that's why you saw each other often. Several times you had dinner with them and his mom always carefully watched what you eat. At first Kyle didn't understand the reason for this, but then he found out that you were diabetic and that you couldn't eat a huge amount of food

Despite the fact that Kyle knew about your diabetes, he treated you the same as before. He began to notice more often that you were watching your health, but it didn't change your life that much. You and Kyle were having a great time. He knew that your classmates didn't know about your diabetes, but he wasn't going to tell them either

• When you and Kyle were at school, your insulin pump ran out of batteries. Kyle understood that very soon you needed to get a new dose of insulin, which is why he ran to look for spare batteries. He had to run around several classrooms at school, but he was able to find batteries, for which you were grateful to him, because otherwise you could get bad

Initially, Kyle looked after you at the request of his mother, but pretty quickly he began to do it on his own initiative. You were dear to him and he didn't want you to feel bad. He understood that your diabetes was not a disease that could be cured, but it didn't bother him much. Together you were not afraid of any diseases

❤ Eric Cartman x Reader 🍪

You met Cartman at the hospital. His mom started worrying that he might have diabetes, so she decided to take him to the doctor. While your parents were talking, Cartman suggested that you run away. He was sure that you, just like him, did not want to go to the doctor. You managed to escape together and while talking, he found out that you really had diabetes, but you visited the doctor so often that you no longer had a drop of desire to visit the doctor again

Although your parents scolded you for running away from the hospital, but your joint escape became an occasion for communication. You went to the same school and began to see each other often. At first he was joking about your diabetes, but you didn't react to his jokes, so he stopped doing it. He was interested in communicating with you and your illness did not change that

Several times he saw how you were forced to inject yourself with insulin. It seemed interesting to him and he even asked you about exactly how you do it. You've been learning how to inject yourself with insulin for several years on your own, and you didn't mind telling Cartman exactly how to do it

Few people could easily communicate with Cartman, but you didn't have any problems with it. Although sometimes he could try to deliberately annoy you, but otherwise there were no problems in your communication. Quite often you both forgot that you had diabetes. He was ready to come up with a lot of different adventures in which you could participate and which could help you finally forget about your diabetes

🧡 Kenny McCormick x Reader 🐀

You and Kenny were in the same class and he often liked to sit with you in the cafeteria. He liked to communicate with you and quite often you gave him your lunch from the dining room. The reason for this was your diabetes. There were a lot of things you couldn't do because of your special diet and you didn't mind sharing with Kenny, having a quiet lunch with what you brought from home. Sometimes Kenny would convince you to break your diet and every time after that you were forced to inject yourself with insulin, but it was worth it

You often spent time together. Your parents were very worried about you, and even if you left for a short time, they checked that you took your syringes and repeated every time so that you did not forget that you could not eat and that you were more careful. Kenny sometimes even wondered if they would be more concerned if you had a diabetes attack or if you went to a dangerous place and they found out about it. But you and Kenny didn't want to know the answer to that question

Several times Kenny witnessed you injecting yourself with insulin. He asked you if it hurt and if you would inject insulin all your life. You answered his questions without seeing anything wrong with them. He was genuinely worried about you and he was wondering if there was a chance that your diabetes could be cured

You enjoyed spending time with Kenny. You liked the fact that he saw in you not a person with diabetes, but you. You were grateful to him for that. You cherished him and hoped that even years later you would be together

[iamanathemadevice]

Losing weight

I just blocked a post that turned up in my timeline yelling about how losing weight was pointless and unnecessary and too difficult and harmful. It claimed you can be fat and healthy, that diets are dangerous and counter productive, all the usual fat-positive stuff.

The thing is, for some people, it's true. You can be fat and healthy. If you're young, active, genetically blessed, and lucky, you can indeed be very fat and still have all the right numbers. It's certainly true that fat !=ugly or unattractive or sexually inactive or anything else to do with appearance and desirability.

And if you're an old person, having a little extra padding is actually a good thing.

But if you're like me, a short person (158cm) who weighed over 110kg a couple of years ago, and who's been heavy almost all my adult life with the weight carried mainly on my gut, it's more likely that this level of overweight is doing you harm. You get into middle age, and your blood pressure starts to worry your GP. As does your blood cholesterol. Your knees start to hurt a lot, and you might even have already developed osteoarthritis.

And one day, after having metabolic syndrome for a long time (essentially, pre-diabetes) your yearly blood test tells your GP you are this close to full-blown diabetes, and she sends you to a diabetes educator who gives you a very serious talk about losing weight, cutting carbs, and other modifications to your life. Even if you are active.

After having watched a close friend die of diabetes just months before.

Let me tell you, uncontrolled diabetes II is a nasty, undignified way to die.

All the fat positivity in the world won't change this fact. Now, you have to choose. Life, or death with years and years of poor health before it.

You have to choose whether you do nothing about the adipose tissue in your abdomen which is making your pancreas dysfunctional, and hope that medications will somehow save you from all of the complications of diabetes; or you do whatever you can to either prevent tipping over into the full disease or winning yourself a remission.

You then have to cut carbs and cut calories, educate yourself properly about macronutrients, exercise more, and keep doing this until your blood sugar normalises, and then you have to keep doing this.

Once you get down to an actual healthy weight, you have to keep it off and it. is. hard. Your body is fighting you with higher levels of ghrelin to keep you hungry. Society is bombarding you nonstop with advertising all those yummy things that you can only eat in tiny amounts, if at all (and if you're like me, it's almost impossible to stop once you start with some of the nicest things). Your friends and family won't make it easy either, in all kinds of ways.

Your body, brain, society, social media, and your intimate circle are all arrayed against you in your battle to lose the dangerous weight and keep it off.

The only things on your side are your determination, and your doctor (hopefully). And it doesn't take much to disable these two supports in your battle.

Still. It's possible to win. It's definitely possible to try, fail, try again, and keep trying.

It's also possible to look at social media posts telling you that overweight is healthy blah blah, and ask yourself if you feel healthy in your body? Does your weight stop you living the life you want to life? Is your doctor happy? Have you had the blood tests, and are they all good? Then great! Go on with your chubby self and have the best life!

But if those things aren't true, or you're an older person, or you don't know what damage overweight could be doing to you, then please - don't take your advice from some shrieking Tumblr post. Do some cold, hard research of your own. Ask for help in understanding it if it's confusing or contradictory, because there is a mountain of misinformation out there.

I'm not here to tell you that being fat is bad or that you are bad for being fat. I'm here to tell you that serious overweight is linked to a lot of serious diseases, and if you're not lucky, young, and fit, it's worth finding out the real risks.

Then do what you've gotta do. Because you're worth it.