#i definitely need to reduce the size but that also means some loss of data )-:

[bansheesofinisherin2022]

nooo the dataset i'm working with demands a RAM of 104 GB hdjgsfjhgdjhfgsjhdfgjshdgfhjsg 😭

[elsarah]

Hearing loss and the world of the d/Deaf

First of all, many thanks to @thelouistiti​ for your question about resources on hearing loss. I decided it would be better to write everything myself rather than sharing a compilation of links.

Deafness/hearing loss is huge topic and it's two-fold: there's the medical aspect and the cultural one. When talking about Deaf culture and community, I'll capitalize the "d" as is customary to make the distinction. I'll talk from a French perspective, and as a person with severe acquired hearing loss, who is currently learning sign language and making her first steps into the Deaf community.

If you feel I'm too vague, that I need to amend things, or if you just would like to chime in and talk about your experience, my ask box is open and I'll share your input.

For the Frenchies and French speakers here, I also suggest this episode of "C'est pas sorcier" which is about the d/Deaf world. It's old as balls (late 90s) and many things have evolved since (FSL is now considered an official language in France), but they talk about the different types of hearing loss (conductive and sensorineural), how the ear works, hearings aids, and they tackle a bit Deaf History in France. It's a good introduction.

Now let’s begin if you’re ready!

What's hearing loss, how is it measured and what are the different thresholds?

Hearing loss generally refers to the loss of acuity in one or both ears. A person with hearing loss will have difficulties singling out sounds in a noisy environment, understanding speech and pinpointing where a sound originates, hearing a TV and making phone calls. There are a number of factors that can cause hearing loss such as: exposure to noise, ageing, genetics, medication, infections, ear trauma, etc.

Hearing loss is measured by the number of decibels necessary to perceive a sound on a scale of 0 to 8000 Hz (low to high frequencies). One will be considered hearing impaired when unable to perceive a sound under 25 dB. There are 4 thresholds, or degrees of hearing impairment: mild (25 to 40 dB), moderate (41 to 70 dB), severe (71 to 90 dB) and profound (greater than 90 dB). At 120 dB, the loss is considered total.

Hearing loss isn't necessary uniform across all frequencies: some people will have no trouble hearing low frequencies without being able to perceive anything higher-pitched than 1000 Hz.

Someone shared this great picture showing where the sounds of everyday life fall on an audiogram:

Other than severity, hearing loss is also categorized in 3 main types: conductive, sensorineural and mixed (the latter being a combination of conductive and sensorineural).

Conductive hearing loss: the sound doesn’t reach the cochlea (the inner ear). The causes can be infections, a damaged eardrum, malformations, impacted earwax among others.

Sensorineural hearing loss: dysfunction of the inner ear. The sound is able to reach the cochlea, but isn't handled properly. The most common cause is the destruction of the hair cells in the cochlea.

There is another auditory disability that isn't exactly hearing loss but hinders one's ability to understand sounds: auditory processing disorder. People with APD have normal hearing and no damage to the inner ear, but the sound isn't processed properly by the brain.

I'm keeping this short, but the corresponding Wikipedia pages are quite exhaustive, with statistics and all.

How to tell if one is deaf or hard of hearing (HOH)?

Well, it's actually complicated and depends on the person. I've noticed everyone has their own definition of deaf and HOH. According to some people, only people with profound to total hearing loss should be called deaf. Medically, it seems that people with severe hearing loss can also be considered deaf. I've seen people say that you have to be born deaf to call yourself so. And I guess that among hearing people, many think deaf people are simply the ones  communicating in sign language.

And there's my personal take: you call yourself what you feel best describes your hearing abilities and problems. I feel that if hearing loss severely hinders your social and professional life, you may call yourself deaf. The degree of your loss doesn't matter that much if you feel isolated by your disability.

And to hearing people: you don't get to have a say if one is deaf or HOH. Period.

What are hearing aids?

There are actually 2 kinds of hearing devices: hearing aids and cochlear implants.

Hearing aids:

They improve hearing by making sounds audible, for example by amplification. Their settings are custom-made for the wearer by an audiologist. They come in all shapes and sizes but there are 2 main families: Behind the ear (BTE) and In the ear (ITE) hearing aids. The former are composed of a case attached to an earpiece that fits inside the ear. The case rests behind the ear and contains the electronics, controls, battery, and microphone, while the loudspeaker, or receiver, may be housed either in the case or in the earpiece These are particularly recommended for more severe hearing losses, but they're very versatile. In the ear hearing aids devices fit completely in the ear bowl (no case behind the ear) and are more discrete. They're usually recommended for mild to some severe hearing losses

Hearing aids can't completely correct hearing loss. Sensorineural hearing loss reduces the sensitivity to sound and aids can only partially compensate by amplifying sounds. Conductive hearing losses tend to be better treated by hearing aids; the amplified sound is able to reach the cochlea, and the signals are transmitted normally to the brain.

Cochlear implants:

You know how I said sensorineural hearing loss was generally caused by the destruction of hair cells inside the cochlea? These hair cells are sensory receptors that trigger nerve signals when detecting sound waves. The cochlea then converts those sound waves into electric signals that travel to the brain through the auditory nerve. So with damaged hair cells, the signals can't properly reach the brain and the information will be incomplete.

A cochlear implant bypasses the outer, middle and inner ear and generates the electric signals. It doesn't produce noise and unlike hearing aids, it doesn't amplify it. The outer part is composed of a microphone, a sound processor and a coil. The mic takes in sound, then passes it to the processor that crunches the data into electric signals called "channels", which correspond to different sound frequencies. The data is transmitted to the coil, placed on the scalp. The signals are then transmitted as wireless signals to a receiver and electrode array surgically implanted into the cochlea. The receiver converts the waves into electric impulses and when the signals reach the electrodes, they trigger the hearing nerve connected to the brain.

(source: Blausen.com staff, 2014)

What an implanted person hears is what the brain interprets from the combination of these signals. The limited number of channels in a cochlear implant means the sounds are very different from natural hearing and it is necessary to teach the brain to hear after the surgery. It typically takes months of auditory training. The implant doesn't replace hair cells and can't relay pitch and timbre. Implantation is also irreversible. But it allows people with a very low level of hearing to hear speech and pick up different types of sound. When one doesn’t benefit enough from hearing aids, it’s often the last alternative.

It is believed that implanting congenitally deaf children at a young age gives better results, but this is a very controversial topic and I'll get back to it later.

In France, hearing aids are expensive and cochlear implants even more so, but partially reimbursed (fully for children) by social security.

Are deaf people mute?

It’s a common misconception. When you have hearing loss, your vocal cords aren’t impacted. Deaf people can speak, and some really well; they sometimes just choose not to because it can be difficult to regulate volume and pitch. Some deaf people get discriminated for their accent.

So please, ditch the word deaf mute (”sourd-muet” in French).

Can deaf people listen to music?

Yes, but not with the same accuracy. People with profound to total hearing loss will mostly feel the beat and vibrations. There are backpacks and vibrating floors specifically designed for this purpose. People with hearing aids can link them to their music devices with Bluetooth or just wear headphones. The only exception, I believe, is cochlear implants. As they can’t relay pitch and timbre, music isn’t perceived as accurately. It gets better once the ear is trained.

By the way, try to be mindful with deaf people about music and don't imply we miss out on something great. Some don't care, some are perfectly content with what little they can hear and feel. And those who lost their hearing later in life don't need reminding.

How do you manage in your daily life with hearing loss?

Firstly, I would like to stress that most of the issues faced by deaf and hard-of-hearing people are social, not medical, we don’t usually suffer physically from our condition.

Regarding adjustment, it's different for everyone. How the person copes depends on lots of factors, including early vs. late hearing loss, gradual vs. sudden, as well as the severity, the communication needs and the personality (acceptance vs. aversion to change). Hearing loss is also linked to feelings of depression, anxiety, frustration, social isolation and fatigue.

Hearing loss hinders access to education and job opportunities due to impaired communication. In France, the unemployment rate of people with severe hearing loss is almost 4 times the national average. There are extremely few universities which offer proper higher education in sign language. Much of the available higher education adapted to the deaf and hard-of-hearing is short-termed and still very oriented towards manual jobs. And it's not necessarily easier for mainstreamed oralist deaf/hard-of-hearing people who attend universities. As a consequence, deaf people have lower levels of education, with only 10% getting a higher education diploma compared to 30% of the general population.

Access to services, infrastructure and culture is also still a problem. A very important law was passed in France in 2005 in favor of people with disabilities. It guaranteed, among other things, access to all areas of social life: education, employment, housing, transportation and culture. But progress has been very slow. In France, in 2020 for instance, it's next to impossible to find French movies with French captions in cinemas. However, almost all foreign productions in theaters here are available in their original version with French subtitles. Close captions are subtitles specifically designed for the deaf and hard-of-hearing. They supplement the dialog with all the other audio cues: ringtones, music, languages, and so on. They're also more expensive and there are few sessions offering them. Regarding telecommunications, we had to wait until October 2018 for a national telecommunications relay service that allows us to make phone calls with communications operators (FSL interpreters) and speech recognition.

Social integration is extremely important to our well-being. A lack of accessibility may be the cause of a drop in self-esteem and confidence, as well as social withdrawal. Hearing loss has been linked to Alzheimer's disease and dementia, especially among isolated individuals. Prejudice and discrimination are also a problem, probably more towards signing deaf people because both “slurred” speech and the inability to speak are perceived as alien.

Look, lack of accessibility is a pain, but it really shouldn’t prevent us from living our lives to the fullest. The important thing is to not stay alone, even though it's sometimes easier said than done. There is a lot of systemic pressure to make hearing loss invisible. Invisibility is even a selling point for hearing aids, while implanting children at an early age is encouraged to raise them in the hearing world… Many HOH people don't get access to the community simply because they don't know it exists! 

Do you have to learn sign language when you become deaf?

No, you don't have to. The later you become deaf, the more you'll tend to continue using speech. But in my opinion, it's worth considering learning sign language for people with acquired hearing loss, especially children, even if they are fitted with hearing aids. Why? Because hearing aids can't do everything and their performance is very limited in noisy environments. It's great to have another ace up your sleeve to communicate. Also, and it's my personal experience, it's comforting to be in touch with the deaf community and people who share your joys and problems alike.

This is a very sensitive and controversial topic within the Deaf community, which is why I choose to give my opinion on acquired and not prelingual hearing loss. Prelingual hearing loss refers to people who were born deaf or became deaf in their infancy, before the acquisition of language. It means parents must choose how they will educate their children, if they will have them fitted with hearing aids or implanted, follow a mainstream education or go to a deaf school…

Deaf and hard-of-hearing people may also use cued speech (”Langue Parlée Complétée” or “LPC” in French). Cued speech is a visual rendering of spoken words. Some phonemes like "t" and "d" or "p" and "b" can't be differentiated when reading lips (which deaf and HOH people often do automatically). Cued speech renders all phonemes visible through handshapes, known as cues. They are 8 handshapes to represent consonants and 5 positions around the face to represent vowels. Associating one handshape with one position will cue a whole syllable.

Why is there a Deaf culture? What does it entail?

Now, it gets complicated. And fascinating. I won't dwell too much on the subject because I'm basically a baby Deaf gal and I'm not qualified. But my ask box is open if you would like to chime in.

From the moment people share a language and a history, they'll also share a set of experiences and issues, values, good practices, and basically a mindset. So naturally, with sign language being a real language, taught from generation to generation - as well as surviving a century-long ban from schools in France - a whole culture emerged.

And I should even say cultures… every country has its own Deaf culture because it's also tightly connected to the host country's culture and local sign language. The word "house" isn't signed the same way in French and Chinese sign language for instance because architecture isn't the same.

Deaf culture is very militant as Deaf people don't think of hearing loss as a disability. Deaf people typically don't speak of hearing loss but of "Deaf gain". I mentioned that there is systemic pressure to make hearing loss disappear. For instance by implanting deaf children at a young age to teach them to speak and integrate them into the hearing community. Deaf people see this as the death of their culture and language. For many people with hearing loss, Deaf culture means comfort, pride and community. From the Deaf perspective, hearing societies often fail to understand Deaf people's abilities and culture. From this point of view, the lack of communication stems as much from the inability of most hearing people to use sign language as from deaf people's inability to hear.

Deaf culture is however an open culture, you can join at any point in your life, you don't need to be born into it. It usually starts when you learn sign language and get acquainted to other d/Deaf people. A lot of people with late hearing loss are unaware such a culture exists and it often results in a lower self-esteem, as they don't find support in the hearing world. Some hearing people, especially relatives who learned sign language or interpreters, may be considered part of the Deaf community.

I'm not enough of an expert to write a full paragraph on the subject, but just know that just as in any culture, the arts are also very important in Deaf culture, especially visual performances, like drama and sign singing (chansigne in French). 

For instance:

Where can you learn sign language in France? Where can you practice? Do you have any online resources?

First things first, sign language isn't universal. There are almost as many sign languages as countries in the world, though some are more closely related than others. American Sign Language (ASL) and British Sign Language (BSL) differ widely as they use different basic signing systems. There is something called International Sign Language (ISL), but it is only used when Deaf people from different cultures meet, for instance during international competitions.

Regarding French Sign Language (FSL), there are a lot of organizations and associations which offer lessons such as l'Académie de la Langue des Signes Française, International Visual Theatre, 2LPE, Visuel-LSF, etc. Unfortunately, many (especially cultural ones) are located in Paris, and more sparsely in big cities like Lyon or Toulouse. If you're lucky, some high schools offer sign language as a third language, which allows you to gain extra credit for your baccalauréat.

Learning French Sign Language is very expensive, around 220€ for 30 hours. Financing for sign language can be hard to find and there are hardly any discounts or reimbursement schemes for people with hearing loss. Obviously, you may learn sign language through less expensive options, such as meetings at Cafés signes, which are small gatherings in a bar and welcome hearing people as well as deaf and HOH people. It's best to know at least the basics and to avoid Signed French (sign language has a different syntax) and several Cafés are limited to people with a certain level, but several associations like La Parole aux Sourds welcome everyone.

Some libraries in Paris have a dedicated section for sign language and Deaf culture such as Bibliothèque Louise Walser-Gaillard (next to the International Visual Theatre), Bibliothèque Saint-Eloi, La Canopée, Bibliothèque André Malraux and Bibliothèque Fessart. Books are great and may include a lot of signs, but they don't render movements very well.

There are plenty of online resources. I personally use Elix when I need to find a sign. It's a participative dictionary and still a work in progress, so all signs aren't referenced. What I find nice is that they provide variations of the same word. For instance, the word "mom" has a lot of “synonym” signs, depending on the area you live in.

Youtubers are an option BUT make sure you choose channels managed by a member of the Deaf community, a certified teacher and not a student learning sign language. It's important. I like Mélanie Lemaistre who has 2 channels. Her main one is MélanieDeaf, where she raises awareness on culture and sign language. On Signe2mains, she teaches a lot of vocabulary. You may also be interested in Lucas Wild's videos in which he signs and provides captions. It's good for training. And finally, I discovered this channel when typing this post and found it really, really good. It teaches idiomatic expressions in FSL.

But the most important thing when you want to learn sign language, like any living language, is to meet actual deaf people to practice. You have to learn to express yourself with your body and your face, and it's not easy for everyone. When you take lessons, the first hours are usually dedicated to mimes. Sign language is different than mimes as the frame is limited to your upper body but you still need to work on it at first. Signing people typically don't appreciate when you finger spell a word to learn its sign, it's more respectful to mime it.

Where can I meet Deaf people and learn more about their culture?

You may learn more about Deaf history and culture during Open Door Days, when organizations like the INJS (Institut National des Jeunes Sourds, one of the oldest schools for the d/Deaf in Paris) organize guided tours.

In Paris, there is also an amazing center called International Visual Theatre, which is dedicated to visual arts. I take sign language lessons there (they're excellent) and often go and see their plays, which are in both French and FSL.

Every two years, the city of Reims holds a huge international Deaf culture festival named Clin d'Oeil. Thousands of d/Deaf people come from all around the world to meet during 3-4 days (usually in July). It’s dedicated to sign language and visual arts: drama, dance, sign singing (chansigne in French), cinema, mimes, street performances… The next edition will be held in 2021.

Deaf people also organize gatherings, for instance during the World Day of the Deaf, every year in September, when we march for our rights.

Regarding the media, France Télévisions has a program called "L'Œil et la Main". It's in FSL and subtitled in French. They address current news (#MeToo, Youtubers, gene therapy, etc.) from a deaf perspective. There's also a news website entirely designed for signing deaf people called Media'Pi. In FSL, "Pi" means everything that's typical or related to a situation or a person and there's no exact translation in French. If you understand French, this subtitled video explains what "Pi" means.

Do you have any movies, series, books, etc. to recommend?

To be perfectly honest, I have yet to find entertainment media about deafness and hearing loss that I like. But I do like when movies or series include deaf characters and d/Deaf actors into their ensemble. I haven't watched Switched at Birth, but I liked Sean Berdy in what I've seen of The Society so far. There's another young deaf actress, Millicent Simmonds, who was recently in 2 movies: A Quiet Place and Wonderstruck (I'd like to see the latter one). Marvel's The Eternals will also feature the first deaf superhero, played by Lauren Ridloff. But none of them really address deafness and Deaf culture. Which is also totally valid, it's nice to have characters where aren't defined by their disability. It's just that yes, sign language is nice, aesthetic through the roof, but what about the culture?

I didn't like Children of a Lesser God (a movie based on a play), which is supposedly one of the most famous representation of deaf people in movies. I think it didn't age well. But it made Marlee Matlin famous and allowed her to talk about Deaf issues and to give the community visibility. It's a must-see, basically, but you might not enjoy it.

In France, we have hardly any representation in the mainstream media, which is why I have high hopes about Skam France and I hope I can soon add it to the list. I however recommend this documentary: J'avancerai vers toi avec les yeux d'un sourd, which the director dedicated to the friend who had taught her sign language and who sadly passed. I don't think this was distributed in English but I could be wrong! There's also Marie Heurtin, a movie about a young deafblind girl who is sent to a convent, where Sister Sainte-Marguerite decides to take care of her.

The only popular movie with deaf characters that came out in theatres recently in our country was La Famille Bélier. It's quite infamous within the Deaf community as hearing actors who were specially trained in FSL for the movie played two out of the three main deaf characters. We're used to having our roles played by hearing actors, the same happened to the recent theatre production of Children of a Lesser God where two hearies played the main characters.

I know that many people think cinema and drama are all about the performance and that it's ok when hearing people play minority roles. It's not. Have you ever seen a deaf actor play a hearing character?

I'm short on fiction works about hearing loss and Deaf culture though; feel free to chime in if you have recs. In France, Emmanuel Laborit, a French Deaf icon who won a Molière in the 90s for her performance as Sarah Norman (the main character of Children of a Lesser God), wrote an autobiography, le Cri de la Mouette where she addresses her childhood memories and the shaping of her identity though sign language.

What would help d/Deaf people?

First and foremost: visibility! Let d/Deaf people speak for themselves, demand from production companies that they cast deaf people for deaf roles. If you are not seen, you are not known. Invisibility plays a big role in the negative perception hearing people have of hearing loss. I've seen people here saying that becoming deaf was their worst fear in the world. How sad.

Many people with hearing loss will spend their whole life with it. We have a long road before us and we don't want to fight it through. Give us positive representation, people to admire and to support. Give us good stories. Giving us visibility will also shine a light on our issues and our needs regarding accessibility. Keep that in mind and be proactive. You don't realize how tiring it is, when you are deaf, to organize your own accessibility at an event because nobody thought about it. Equal opportunities don't mean you have to treat us like you would treat abled people and just let us be (you know we are already aware we have the right to exist?). It means giving us the tools we need to thrive because we start with a pretty big impediment.

Don't let deaf people bear the brunt of the lack of communication, especially if they choose not to talk. You wouldn't do it with a foreigner. Use voice recognition or type your sentence on your smartphone, use mimes, but just try. A conversation goes both ways and we are the disabled ones, not you.

 So that's it. That's the post. If you have questions, I beg you to ask them, my ask box will ALWAYS be open for his purpose. I had to keep this as short as possible and left many things aside, but I hope this will give you a good insight into hearing loss and the d/Deaf world.

[theritualofourexistence]

[hyper]tension

There are so many things I could be writing about right now. 

I’ve chosen to stick with one of the things I know best for this post.

Did you guess “body image issues and the problem of narrowly defining the concept of health?” 

If so: a cookie for you! 

A handful of pictures popped up in my Timehop from 12 whole years ago that gave me pause the other day.

Sometimes when I see older pictures of myself I am overwhelmed by how different I look now... in a bad way. I see myself in those pictures as thin and beautiful and I see myself now as a sausage monster stuffed into bike shorts. 

The more I sit with and work on my body image issues, the more I have noticed healthier thinking habits developing. Let me be clear, this has been an incredibly slow process. But seeing those changes is something I am really encouraged by... and it makes the every day body image fight have some measurable value. 

I can say with confidence that, at 200 pounds, my body image is currently the best it has ever been.

That has nothing to do with the specific number on the scale and everything to do with working really hard over a lot of years to understand that neither “beauty” or “health” are inherently defined as “thin.” A fundamental pillar of that understanding is that you cannot separate mental health from the concept of general health. 

Mainstream culture does this. 

Mainstream culture wants you to believe that it’s your weight or your BMI that determines whether or not you are healthy.

That is bullshit. 

Here are the pictures of me from 12 years ago. We were moving my high school boyfriend into his freshman dorm for his first year of college. I don’t think any of the people in these photos will mind me sharing them in the context of this blog post. 

I am *THIN* in these pictures.

I am 17.

Apart from a very clear warning sign that I was already developing horrible posture, I noticed a couple of things right away about these pictures when I was looking at them the other day.

My shirt is a size small or extra small. 

I am holding my arm across my stomach in the fourth picture because I do not think I am *thin enough* to be wearing that shirt. 

I may have been a thin 17-year-old. But I was not healthy.

I was physically fit.

I played soccer for three out of four seasons of the year.

But I was not healthy.

I know I wasn’t healthy because I was about to embark on my senior year of high school during which I would, at times, only allow myself one and a half meals per day. Sometimes that one meal would be pasta. Other times that one meal would be a bag of dark chocolate peanut M&Ms and a Mountain Dew. Other times it would be a gallon of strawberries. Other times it would be a family pack of Twizzlers.

My body in those pictures might look healthy. 

But appearance is not an appropriate indicator of health. 

The two times in my adult life that I have been the thinnest have also been the times in my life where I have struggled the most with body image and disordered eating. 

After I escaped the abusive relationship of my freshman year of college, I gained around 20 pounds.

The following summer, I exercised for an hour every day and ate only pickles and Greek yogurt (separately, of course, don’t be gross). 

I lost 30 pounds.

That was also not healthy.

Fast forward a handful of years to 2015. 

I start an anti-depressant. 

Over the course of the next two years I gain around 50 pounds.

Today, in the spirit of full disclosure (and because the numbers don’t mean shit), my weight fluctuates between 190 and 200. 

I am obese.

A mathematical algorithm used to determine BMI has labeled me “obese.” 

My clothing sizes vary day to day thanks to IBS-related bloating but I’m somewhere around a 14-16. 

Do you know the cut-off for plus sizes? 

It’s 14. 

So, I am an obese, plus-sized woman.

The numbers aren’t very polite, are they?

Within the last two years I was diagnosed with severe iron-deficiency anemia.

I committed to correcting that with a number of lifestyle changes including taking supplements and adding iron-heavy foods to my diet. I took Vitamin C to boost my absorption. On days I took the supplement I had no coffee, no tea, no dairy, and no acid-reducer meds. In 6 very committed months, I resolved my iron issues, for the most part. We have since learned that the daily stomach medicine I take may be affecting my iron absorption so, although I am no longer taking supplements, I am taking a daily vitamin to help maintain a healthy level of iron. 

That story is about health.

I had a health issue and I developed a strategy to resolve the issue, being sure to consider my mental health as well. 

I have worked really, really hard to consider my HEALTH instead of my WEIGHT.

This obese, plus-sized woman exercises for around an hour every day. She does not drink alcohol or soda. She is aware of what she eats and is careful to eat when she’s hungry and stop when she’s full. 

One of the ways I know my thinking is healthier is that when I look at bathing suits on Target’s website, I have started to consider their plus-sized models “normal.” 

The average size of an American woman based on the most recent data is between sizes 18 and 20. 

I spent over twenty years unable to see an average-sized woman as beautiful.

Even though the clothing industry has labeled me “plus-sized,” if anything, I am “slightly less than average-sized.” 

In this post, I’m sure my thinking seems sort of piece-meal and disconnected.

In my head, thin-ness and health and body image and eating and exercise and cultural interpretations of beauty are all smashed into one big Frankenstein’s creation. 

For a long, long time I did not consider plus-sized or average-sized women to be beautiful solely because they were not thin.

When I was thin (and not healthy), I know that I considered people of that size, the average size, to be unhealthy.

I am at a point in my life where my habits are the healthiest they have been and my mental health regarding my body image is also the healthiest it has been.

And I weigh 200 pounds. 

You cannot look at a person and have any idea how healthy they are. 

You cannot look at a BMI or a number on a scale and judge a person’s health accordingly. 

I have worked with people who are suicidal who are thin and people who are suicidal who are not thin.

Health cannot be separated from mental health.

Can you be too thin? Absolutely. Your body needs a certain amount of fat and muscle to function properly. Can you be too big? Absolutely. Risks for all kinds of delightfully chronic and fatal conditions increase with weight gain.

Can you be big and be healthy? Yes. 

I know because I am those things.

If you exercise, if you are aware of what you eat and are careful to not over-eat, if you get the vitamins you need, if you prioritize balancing mental health and physical health, if you get enough sleep, “healthy” is within reach for everyone. 

If I ever write a book, it will be about balancing mental health and physical health. Because for basically my entire adult life, I’ve focused on one or the other and that does not work. I promise that if I do write a book, it’ll be better organized than this zig-zaggy blog post.

We have to push back against the cultural tendency to keep mental health separate from our definitions of general health. 

We have to push back against the cultural tendency to define health by how a person looks.

You are not “healthy” if you are not physically healthy.

But you are also not “healthy” if you are not mentally healthy.

And sometimes, especially if you have a tendency toward body dysmorphia or disordered eating, the healthiest option is not to focus on weight loss or buy into a fad diet plan. 

I am not trying to lose weight.

I am trying to be healthy.

And, you could argue, I’m not trying to lose weight BECAUSE I am trying to be healthy.

Trying to lose weight feeds mental illness for me. And that is not healthy.

This blog post is brought to you by a lot of years of working really hard to understand myself. My specific approach to managing my health may not work for you, but I challenge anyone reading this to take a moment and think about whether or not you are giving balanced consideration to physical and mental health. Because, even if our specific situations are different, balancing mental and physical health is the only path to being healthy. For me, for you, for everyone.

This blog post is also brought to you by a new health hurdle that has been laid in my lap over the past few weeks.

I have high blood pressure.

Chronic hypertension runs in my family, so I have a predisposition for high blood pressure. I have not been aware of having it at all in the past but thanks to my mom’s new blood pressure machine, I am aware of it now. 

Learning that I have high blood pressure instigated a bit of a breakdown. 

For a lot of the reasons I have already mentioned.

I’m working really hard to be healthy by balancing my mental and physical health. So why, if both those things are headed in the right direction, does my body not seem to agree?

Well, genetics will do that.

In the name of health, I scheduled an appointment with my doctor. We talked about the typical “lifestyle changes” that would be recommended for someone my age with high blood pressure.

I am already doing all of them. 

There are things I cannot control, however, that are affecting my mental health right now. I am carrying a lot of stress about the upcoming election. I am carrying a lot of stress about Black people being disproportionately arrested, charged, jailed, and killed by police as part of a system of oppression that I would very much like to have a part in dismantling. I am carrying a lot of stress about the pandemic that has killed 170,000 Americans. I have spent 7-8 years learning how to manage my stress. Those tools were not intended to work in situations like this.

So, my doctor and I made a plan to monitor my blood pressure, to try do more meditation and progressive relaxation, to eliminate processed snacks from my everyday diet (on occasion is still allowed), and to start doing some basic weight exercises with my cardio. 

Blood pressure is a really good example of why a healthy approach requires balancing mental and physical health. 

I’ve checked the physical health boxes for blood pressure management. 

And things beyond my control are preventing me from checking the mental health boxes for blood pressure management.

And also, genetics.

With the help of my doctor, I’ve developed a plan that considers both my physical and mental health and only time will tell if that has an impact on my blood pressure. For what it’s worth, my doctor is optimistic. Part of the reason my doctor is optimistic is because I am healthy.

To clarify, being healthy does not mean that my IBS has gone away, it just means I am treating my IBS with diet and medicine. 

Being healthy does not mean my anxiety has gone away, it just means I am in control of my anxiety.

I would not be healthy if I was unable to manage my IBS. 

But I would also not be healthy if I was unable to manage my anxiety. 

I would not be healthy if I had not figured out the value of balancing physical and mental health. 

Just like I found a way to overcome my iron-deficiency anemia, I will find a way to overcome my high blood pressure. It may require new medication and lifestyle changes, but by giving adequate consideration to both my physical and mental health, I have no doubt that I will eventually find a healthy solution to push myself over this hurdle as well.

Gonna wrap this up with a poor quality mirror-selfie I took this morning when I tried on a new bathing suit. This is a (headless) picture of a 200-pound, obese, plus-sized, healthy person.

[londonfxclub7]

Foreign exchange Signals - Ways to Instantly Trade That you Have Decades with Forex Trading Experience

forexsignals

You should think about forex signals if you're not yet dealing profitably, have reduced experience, or just will not have much time to dedicate to your forex trading.

forexsignals

In the simple one inbox a day variety to your forex mentor which sits with you hours holding your give as you trade, some sort of portfolio of foreign exchange trade alerts can be pretty much free and can change you into a successful trader instantly.

When like us you've got ever analysed some chart and nestled your own trades, you certainly will almost certainly have also lay in front of your display wondering if you have been doing the right issue.

Questions like "have I entered the following trade too missed? " and "am I trading inside right direction (long when I should be short)" will certainly have typed in your mind.

How many circumstances have you wished you'd an expert trader using decades of encounter guiding your trading, keeping you using dangerous trades, together with pointing you in the direction of trades with a better probability of financial success?

We were surely in that position so often in the early days, nevertheless always imagined the money necessary having an expert available would far outweigh any extra sales we might make. As it happens we were really wrong.

There are numerous solutions available, known variously as forex signs, forex alerts, and forex tips.

Dealing signals come in several formats, suited to the amount of of your day you may devote to trading. Together with yes beware, there are actually loads of scams available too, but we could show you how to avoid these, and we'll immediate you towards the far better ones.

Forex Trading Signs - many options

The main characteristics involving forex trading signals to learn are as follows;

Charge: Free OR per month subscription Complexity: Very simple "one email your day" OR Full-Service Control: You keep comprehensive control OR that signal provider deals your a/c for your needs Trading style: i. g. frequent scalper OR low sound swing trader

Like the forex signal may well at first seem like a wonderful idea, but once we will reveal these, you may very well ought to pay for a free membership service (yes, we realize that doesn't make sense : but read on)

Most forex trade alerts charge a very limited subscription fee, constantly in the region of USD $80 - $400 each and every month (although happily nearly every one is at the lower end from this range), while there are websites which furnish forex signals with regard to no charge.

In their least complicated form a foreign exchange signal will give you a forex notify email once on a daily basis listing trade arranged ups for the following 24 hours.

Some of these are generally purely computer produced, some are laptop computer generated and then audited by a human skilled, and some are altogether researched and provided exclusively by a people expert trader that may add some sector commentary to their foreign exchange forecast.

Some currency trading signals are excessive volume scalpers, phoning many trades daily aiming to profit a few pips on just about every. Others only telephone a few trades daily, aiming to profit 20 - 80 pips on each sole trade.

At the even more full-service end in the market is the version of forex signal product which provides you with the almost 24 hour or so a day live internet broadcast calling forex trade tips as they show up, explaining the common sense of the proposed deal and backing the idea up with an message or even a video clip.

A few forex trading signals may also trade their impulses in your own account for people, leaving you to simply sit back and watch. It's similar to what a robotic does by using currency trading signal software, although with the added confidence that it's being executed by an experienced smart human trader rather than dumb machine next an algorithm.

See full-service forex trading data like a forex TELEVISION SET station, which you have functioning in the background on your computer or internet linked laptop throughout your entire day. The broadcast stays quiet when there is practically nothing to do, freeing the effort for the other items in your day, in that case calls for your particular attention when there is a exchange to place or regulate.

You may be surprised, even as we were, to discover that prices charged just by full-service providers are frequently very similar to those loaded by the one e-mail a day providers.

Such a service usually additionally includes an interactive facility, enabling you to send out a message to your foreign currency trading mentor if you have a good question.

Many foreign currency signal services get very loyal subscriptions, and some even restrict the number of members they are going to accept.

Free foreign exchange signals (virtually)

Relating to the basis that time is usually money, in our viewpoint the amount of time we could now devote to alternative activities by not slaving over our chart for hours searching for an excellent trade set up, as well as the improvement within our trading results, comes with more than paid for abdominal muscles modest cost with the forex signal monthly subscriptions.

Indeed if you employ this logic, reoccuring based services may well effectively be 100 % free when you take into account the progress in your trading income, and the freeing of your energy for other lucrative activities.

If you think about this, a subscription based mostly forex signal company has a built-in motivator to call financially rewarding forex trading tips, since its subscriber bottom part would soon escape if it never provide profitable foreign exchange tips. "Free" no subscription signals should not have this incentive.

Regulate your risk

In a aspect of forex trading most of your goal is to take care of your risk. Picking out, and trading some sort of forex trade alert ought to be no different.

Quite possibly the best most skilled provider of currency trading signals will habitually have losing domestic trades. However taken by means of all of their winning foreign exchange trade signals the complete result should definitely profitable, but not just about all systems work at all times. Some forex informs may even have a entirely losing week and also month.

However , we now have found through our personal experience that the most convenient way of making consistent revenue with forex signs is to subscribe to distinctive currency trading signals and additionally trade all of their alerts. If one of them is actually having a particularly poor week, the others ought to compensate and still world-wide-web you a profitable 7 days, or break quite possibly at worst.

Constantly do your homework before trading some provider's forex signals. Good forex transmission services will distribute their last 6 - 12 a long time results on their internet site. Some will even demonstrate details of the actual investments they took. Be ready to see losses and winners - this is just the nature associated with trading. Indeed, in the event the results show just winners, or this provider is unable to show you any sort of results, or to give contact details of a number their clients able to give a reference end up on your guard.

Most offer some sort of free trial or even discounted special make available. Make sure that you clearly know the terms about this offer and fully understand the deadline with which you need to give see to terminate should you be not happy with the assistance provided.

If you examine the last 6 month's results of all the foreign currency trading signal service providers you mean to use, you should discover that taken as a whole they provided a profit.

Previous performance is no promise of future outcomes, but we have seen that if you have a superior combination of trading designs in your trading impulses portfolio you are with with a fighting chance for consistent profits regardless of the market conditions.

Ever again, think about the cashflow intuition of what you will get doing here -- the subscription bills of each forex data service are already really modest, and as a result of combining them you will be increasing your probability from consistent profits. They can not all get it wrong every time, and remember just about all incentivised by their own membership to get that right as often as they can.

Even with experienced people calling your trading, it's prudent associated risk management to never truly risk more than 3% of your initial funds on any one commerce, preferably only 1%. So , if for instance your initial investment capital, (or to put the application another way, maximum you can afford to help lose) is say 5, 000, the positioning size you tackle each trade has to be such that if the business hit your cease loss, your optimum loss would be just 1% x 5, 000 = 50.

Using forex signs as trade options

Even if you prefer to never follow forex ways to the letter, it is possible to still profit from ones own trade idea.

Like if you receive a foreign currency tip trading your GBP/USD long which includes a 40 pip end loss, but with analysing the stock chart (following your presence on a forex exercise course) you feel and placing the halt loss let's say 63 pips below connection, giving the give up protection below an obvious area of recent in addition to prior support, which often happens also to come to be below the every week pivot point, along with in doing so usually are happy to have a more time range target : then go correct ahead and do it.

We were thrilled to find that when people did exactly that with one of some of our forex signals' recommendations our trades really performed better than their own did. Two goes better than one probably.

The point is though, that will without the forex market prediction drawing our focus on that particular chart with that particular time we'd never have seen which trade idea.

Intimately related to makes the point this while it may in the beginning seem temping to help you let a signal company trade your are the reason for you, if you have plenty of time you may actually wish to control it one self.

If you have been through a superb forex training course together with understand the principles of support, level of resistance, pivot points, developments etc you should always that knowledge to perform ones own due diligence on foreign exchange alerts. You may properly find as we managed that you can enhance the performance of your portfolio with forex trade recommendations.

100 % free forex signals

The following section would not become complete without reference to forex signals service providers who don't demand any subscription charge.

As we mentioned above perhaps even subscription charging offerings should be effectively absolve to you by advantage of calling more than enough profitable trades so that you can more than cover a subscription cost.

Additionally we prefer to employ subscription based currency trading signals as they receive an incentive to constantly call profitable deals, in that their buyers won't stay with him or her for very long once they don't.

Free alerts by comparison have no these incentive, so end up warned and deal them at your own personal risk.

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Weight-loss Methods - How often Must You Weigh On your own?

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ou step to the scale, oh no, your fat is up. Instantly you begin berating on your own. "I am so pathetic. Why are unable to I command my body weight? I just preserve finding fatter. I am so depressed."

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You just weighed your self-worth and that is not what scales are for.

Scales really are a opinions device. Comments is important to monitor your hole, where you are vs . in which you desire to be. A device is one thing we use to produce our everyday living easier. A scale is usually a suggestions instrument. Clever utilization of the dimensions could make your life less complicated and permit you to definitely attain your aim more swiftly.

Clever Scale Use

What is "wise" usage of the size? How often need to you weigh yourself? That depends on in which you are in your weight reduction plan.

When you have misplaced all the fat you need and so are as part of your upkeep section I like to recommend weighing by yourself the moment per week. The moment every week is commonly ample to properly check and maintain your pounds.

After you are in upkeep for six months I recommend you weigh by yourself when per month. By now you will have produced the life-style behavior needed to manage your body weight.

Inside the starting, when you're just starting off your weight-loss method I like to recommend weighing you two to 3 times per day. Yes, you study accurately, weigh oneself 2-3 periods a day.

Are you currently Major?

Indeed! What on earth is a scale? It's a suggestions software. It tells you how powerful (or ineffective) your method is. The more normally you receive opinions the greater typically you'll be able to modify your plan to regularly supply the outcome you would like. You make a way of life improve because of the like and respect you've on your own. Weigh oneself for feed-back, not self-esteem.

Let us go on trip!

How about a highway journey? Any time you go on a road excursion you take the time to plot out your class and choose over a real looking time-frame for arriving at your spot. Let us go! You can get inside the vehicle and start driving. How frequently are you interested in comments on your own development? Constantly.

You're frequently checking to make positive you happen to be staying over the road. That you are usually generating micro corrections to maintain your course. You would not think about sleeping at the wheel. It might be disastrous; you'd be environment your self up for any key wreck.

You happen to be over a vacation. Your very own personalized fat reduction and wellness journey. You totally have to crank out feed-back on how your program goes quite a few occasions a day otherwise you are sleeping within the wheel. You may haven't any clue as well as a might be environment your self up to get a major weight reduction and wellness wreck.

Bear in mind...

The dimensions is not a spot to stand to remind on your own to get started on self discuss re-runs about what a terrible particular person you might be. You're a great person!

The dimensions undoubtedly can be a product used to offer you regular feed-back and help you continue to be on strategy. Appreciate your self by supplying on your own suitable suggestions. I do know, you still have some trepidation about weighing oneself 2-3 instances every day. You might be concerned you are going to just beat on your own up whenever you stand to the scale. You will not. You'll move beyond destructive self converse.

You might be going ahead with good intention and beneficial self speak. The size won't measure your worth, only you are doing. Weighing by yourself 2-3 times/day might help you defeat your worry in the scale. The greater usually you do anything you worry without the need of unfavorable outcomes, the fewer you may dread it!

When Ought to I Weigh Myself?

You may would like to weigh your self while in the morning before you consume breakfast. This can supply you with the minimal conclusion of one's personal body weight fluctuation and can give you the facts you have got to established your day by day calorie purpose. If you have accessibility into a scale, we recommend weighing your self appropriate just before lunch. Ultimately, weigh oneself correct before you try to eat dinner. This measurement does two issues. It provides you with a further data point for measuring your fat over time and it reminds you never to overeat at meal.

Fluctuations

Your bodyweight may well fluctuate 2-8 lbs . during the day. Weighing oneself typically (2-3 occasions) will educate you how your body's fat alterations each day.

The number of calories in a very pound of unwanted fat? 3,five hundred energy. So, after you stand on the scale and see your fat has absent up 2 kilos considering that the final time you weighed on your own four hours back; check with, have I eaten 7,000 excess energy within the very last four several hours. Probably you have not (especially should you be sticking to your program). For those who haven't eaten an extra seven,000 energy how did you get 2 lbs .?

You may have had some meals and water. Foods and h2o weigh anything. A quart of water weighs about two kilos. Should you weighed on your own then had a gallon of water and hopped proper again around the scale, your fat might be almost nine pounds heavier. But it really was just water. Who cares about drinking water body weight? We treatment about fat--losing it, and muscle-- preserving it.

Your-Weight Loss-Wellness-Solution is centered on maximizing body fat decline even though retaining your lean, captivating muscle groups. Being aware of how your fat changes whenever you eat and drink, and becoming in a position to evaluate how many calories you've eaten considering that the very last time you weighed permits you to fearlessly stand on the scale and receive feedback. Exactly what type of comments do we get from the scale? That relies upon on what sort of scale you have got.

What kind of Scale?

You can find fundamentally two unique types of scales available.

The fundamental toilet scale. It just tells you just how much you weigh.

Then there is certainly our favourite type-- An digital scale that lets you know exactly how much you weigh, and, a lot more importantly, what your whole body body fat proportion and also your hydration amount are.

We enjoy such a scale mainly because it actions far more. It will give you more information to track the usefulness of the application. Must you care regarding your system excess fat percentage and hydration level? Totally! They are essential pieces of responses on your good results.

Imagine if you get rid of twenty lbs and fifty percent of everything you have dropped, ten lbs, is muscle mass? You have got efficiently reduced your metabolic process by nearly five hundred energy! That may be a substantial phase backwards inside your quest to lose fat.

Keep an eye on One's body Fat Percentage

Monitoring your whole body unwanted fat share will allow you to definitely modify your diet and exercise routine for maximum body fat decline while retaining your gorgeous, calorie burning muscle mass. Why should you treatment regarding your hydration amount? Recall, your body can only metabolize excess fat optimally when you find yourself correctly hydrated and an correct hydration amount will give you a far more correct entire body extra fat proportion reading.

The scale is your close friend. It lets you to definitely measure your development on the every day foundation. Set by yourself up for fulfillment by anticipating little, reliable alter.

Take Absent Guidelines:

Weigh your self 2-3 instances a day. While in the morning in advance of breakfast, at lunch if you have obtain to the scale and appropriate prior to deciding to take in supper. Make use of the scale to trace progress and also to keep you on program. By measuring your development usually you can make true time modifications for your method to be able to insure you are burning just as much excess fat as you possibly can. Realizing your entire body body fat percentage and also your hydration level offer you added feedback allowing for you to definitely good tune your extra fat decline

Modify the planet

In excess of 65% with the U.S. population is obese. Heart disease would be the range 1 killer from the U.S. Our premiums of most cancers, diabetes, osteoporosis and diverse other conditions are a few of the optimum inside the entire world. We are one from the fattest, least healthy developed nations within the world. Be part of me in altering the health and fitness of our excellent place along with the earth, share this short article with as lots of individuals as you can. Be an agent of positive improve. Help save a daily life.

What the SlimCat offers is years of proven high-quality products, with lots of good customer reviews over the past few years. We have high-quality products as we don�t sell cheap drugs and steroids, Most of them are Pharmacy Grade products which means they are purchased in the pharmacy and then sent to you. We also got a few drugs from China that has some good reviews in the past.

All products of Erythropoietin or Epoietin are only pharmacy products, we don't have any underground EPOs in our store, be sure of that, the Cat can provide proof of this by any request. We own different types of drugs for different categories.

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Short review about Omniblend: A Contract Food Manufacturing

Whether you're maintenance of your wellbeing, a household cook, then a smoothie-shop proprietor, or merely big into DIY, a priceless add-on to your kitchen is an excellent blender. But just because it is invaluable does not indicate you want to pay for any cost tag for it.Power - This really may perhaps not be the amount thing to look for in a blender, however nonetheless, it surely does help together with everything you may desire to utilize it to get. Much more energy means you may not have to prep your foods too much when building a smoothie - do not cut your fruits into portions let the blender do it personally. Of course, if your concoction is thick, a blender will be able to interrupt all the way through it. Such a thing over 1HP must do well.Blade design - All of the horsepower from the entire world doesn't mean much if the blade layout isn't great. The blades will want to be able to produce a vortex, pulling every thing from the blender down to them to become boiled into a thousand pieces. Additionally, it is great to have blades that get close to the bottom of the pitcher, so and so food pieces don't get stuck inside that mystery zone in between the blades and also the bottom of the pitcher.Has that a plunger - Now, I understand a number of these premium superior blenders available claim they don't want plungers in any respect. Of course, when that were authentic, it would seem amazing. But from that which I have noticed, no blender can promise that it does not need some josteling. Possessing a plunger that could jostel the foodstuff inside the toaster whilst the grinder is operating is a huge - With and the cabinets overhead can be a real nuisance! I really can't consider how many times I'd have knocked within my blender if it did not fit underneath my cabinets. And knocking over a blender while it is running will not be fun indeed.Has a good warrantee - In case you will find something you wish to last for long haul, you should really make sure it has a wonderful warrantee. For the purposes, let's state it should have no less than the usual 7-year warrantee.Right! That's really the matter? After all, even if money was no object, it'd not be any issue locating a bean that satisfied all those requirements.But discovering one who is going to do that without breaking up the financial institution is not the same story entirely. That's where the Omniblend arrives right into playwith. By fulfilling all previously, and costing at just $279 67146, this is genuinely the ideal blender for your money. Over the last year, the momentum of food-waste decrease is now a major concern within a global, national and business degree. At the USA , the United States Department of Agriculture (USDA) and also Environmental Protection Agency (EPA) found the U.S. food-waste Challenge"to direct an essential change in how we consider and handle meals and meals waste within this nation." Business leaders like the Food marketing and advertising Institute (FMI), the Grocery Manufacturers Association (GMA), and the National Restaurant Association (NRA) joined forces at the food-waste Reduction Alliance (FWRA) to discharge their first questionnaire, offering sound industry waste and recycling data across the production and retail/wholesale businesses. This info may induce companies to not only consider its commitment to food waste loss, but also the way it assigns charge towards the waste.According into the FWRA, '' the U.S. food manufacturing industry made over44.3 billion pounds of food waste at 2011. Waste generation creates lower profits during the distribution chain, resource inefficiencies and noticeable environmental influences. With food manufacturers recycling or donating 94.6% of their throw away, the has definitely seen more applications for food-waste. The greater issue today is locally identifying/reducing special solution throw away and linking it back to the ultimate price of their product.Product costs are generally calculated with materials, labor expenses and overhead. Food manufacturers use the bills of materials (BOM) to learn the cost of supplies like raw elements and packaging materials. Along with labor costs, overhead broadly speaking includes insurance facility/equipment costs, utility outlays, depreciation and salaries. Among BOM being used by all services and products At the food manufacturing industry, the cost of waste is spread. By way of example, there isn't any delineation between your garbage created also the waste associated with the bread and also by way of a niche bread. The throw away each product's total cost does not influence the cost of the item. Government and marketplace targets in 2014 will remain steadily to pressure meals manufacturers, retailers/wholesalers as well as also the restaurant/foodservice business to think about environmental and social expenses of foods items dues. Internally, the constant momentum will probably be driven with the identification of this supply of waste. Throw away tracking systems offer companies the chance to monitor specific product waste amount. By pinpointing the purchase price of a garbage flow, this info can be related by a manufacturer back to the cost of a specific product line. Ultimately, the pricing structure will then be much more accurate index of cost tag because influenced from the cost-per product.In overview, food-waste calculated onto a high level with operations makes an inefficient pricing strategy. The expense of food waste must be correlated into the product causing it.More and more plants are choosing a computer system enclosure to get a single rationale or some other, let's take a examine them and also to see if the funding would be well worth the possible saving.With most generation companies using some sort of transit system to monitor production and to run computer software programs that dominate the machines onto the manufacturing lineand they need to protect their investment from the technology, like a standard information collection position is thought to exercise at $2000 for all the PC system and a PC enclosure, in spite of this the yield on investment is documented to become as short as 4 months.Once the system cables are set up and also the Display enclosure is installed and fitted, the workstation and also the display will be fitted into the shell together with the keyboard at an telescopic drawer - why you ask?The fundamental reply is that the computer systems require protecting from your dust, grime and fluid from facilities, those of these components can decay the motherboard either the monitor, the the keyboard.The difficulty takes place when the manufacturing facility has a wash down area, as an ordinary Computer case has to be beefed up, changing light steel with stainless steel unit, normally connected with food organizations because of this manufacturing industry has to make sure their products are free of germs, that is the motivation they washdown at the least once each day. To acquire additional details on this please Go Here. Free of safety of the PC enclosure the tech will definitely neglect causing costly delays in comparison to the manufacturing line, those components offer IP56 and IP65 as conventional, these really are the opposite number of NEMA 4 and NEMA 4X (in metal ).These are metal casings that accommodate the computer monitor, processing unit and also keyboard, offering the perfect number of chilled, clean atmosphere to prolong the life of this clear answer along with minimize creation downtime.When in regards in compound manufacturers UK organizations could offer an assortment of chemical processing services both locally and even globally. Using a reputation for stellar chemical supplying, drying, and fabricating, enterprise is continuously received by united kingdom compound manufacturers . Manufacturers commonly work with pharmaceutical companies and fabric factories.Chemical fabricating plants may be responsible for creating the processes that result in creation of the item. The companies can fulfill customized orders from customers and use cutting edge engineering and advanced approaches to develop fresh services and services. The chief aim of most manufacturers will be to give clients with superior customer assistance, create the needed chemical stuff fast and economically and provide compound storage if needed, and match time lines set forth from the client.Dry powder, such as chlorine and sterile extinguishing chemicals, needs to go through a certain drying procedure. A compound manufacturer has driers which can dry batches at the same period and then package the substance at kegs or baggage for dispatch. Many manufacturers utilise a vacuum system to transport the sterile compounds, that means hardly any wax has been lost from the transfer from drier to shipping package.Chemicals used to colour paper, food, and also materials could be created in a manufacturing plant that specialises in dyeing. The maker may synthesise the substance predicated on customer requirements to make sure the correct colouring is created. Chemical suppliers UK dyeing techniques needs to meet with the standards needed to provide bespoke substances to industries all over the world.Manufacturers will take customer orders for processing and exhibit how they can meet compound production needs. Utilising laboratory processes, they report that the ending effect and then will continue to work about processing the specs. The manufacturer will proceed ahead to providing the sequence each your customer's specs, in small or substantial batches once the customer agrees. Companies who want sample batches of this product can depend on professionals to assist make just sufficient product for a demo run. Experienced manufacturers can simply move from producing sample sizes into a operation that'll produce the product. They should additionally possess storage selections for organizations which need to store extra item or need temporary storage till and including certain transport date.Outsourcing your manufacturing needs to businesses in the UK is a major enterprise. But clients will want to have a look at the products and services offered by each company to ensure plant can satisfy up with the provider's special wants. Chemical suppliers UK plants may offer international customers with a variety of manufacturing services, while still meeting the needs of community clients.What is more stunning is how our foodstuff manufacturers benefitting and ignoring that the damage caused by American overall health from mislabeling omega-3 on their services and products when they have additional omega-6 instead. And the trusting, unsuspecting American that has never the opportunity to look into this confusing research jumps onto the omega-3 ministry buying products off the shelf expecting that they purchased some thing good. From omega-3 eggs to omega-3 bread, also the addition of Omega 3 in their solution is plant based, the offender. Little did the consumer know that they just added chronic inflammation. "research shows that omega-3s found only in fish and a few plants really are"excellent" essential fatty acids, also help prevent heart disease. However, the Center for Science in the Public Interest (CSPI) claims consumers're now being hoodwinked when it comes to omega 3 eggs. All these egg manufacturers, egged on by their trade association, is overtly putting omega 3 claims in print in front of their labels,'' realizing that is clearly a buzzword that will bring in persons," claims Michael Jacobson of their CSPI.On Thursday the company named on the FDA to enforce its own regulations and also stop the egg industry out of using exactly what it calls for misleading labels and advertising. "It's similar to using filtered smokes to avoid most cancers. It ain't gont occur. These eggs have been filled with cholesterol, and this boosts heart disease," Jacobson claims.The egg industry is not the sole culprit of economic fraud. It is uncontrolled throughout the foodstuff business and we are falling to it. And the FDA and the USDA, the opinion dogs for wellness that is American manufacturers makes it possible for this to continue. Michael Jacobson requires it fraud - my emotions operate to gross havoc, unethical, and one most destructive mislabeling of foods into wellbeing. And meats.

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Coming off testosterone

I stopped taking testosterone on day 235, May 19th 2019 - 6 days ago, and after just under 8 months of low-dose testosterone. I had 1 pump of Tostran gel per day, which the medication leaflet says is 10mg of testosterone.

~

WHY DID I START TAKING LOW-DOSE TESTOSTERONE?

I’m nonbinary, and my goal was always to be androgynous. I started taking testosterone to deepen my voice, mainly, but the idea of a more masculine fat distribution on my body was appealing because I also have dysphoria about my hips and slim shoulders. “Passing” as nonbinary isn’t really a thing because most people don’t know that there are more than two genders, so the best I could really hope to achieve realistically was to confuse as many people about my gender as possible. 😈

Changes I wanted:

Deeper voice

Genital changes

Less feminine body fat distribution

Changes I didn’t want:

Facial hair

Hairline changes (but if it happens a little that’s okay)

Loss of hair on head

Body hair

A couple of years ago I had one session of voice therapy (NHS), which was fun and very interesting, but it taught me a couple of things. One was that finding my lower pitches and getting that low resonance by finding my chest voice was definitely helpful and relieved my voice dysphoria. The other was that there was no way I was going to be able to keep up with multiple voice exercises per day to keep it that way. I pretty much decided that day that testosterone was the most sensible option, and even though it was scary I would just have to find a way to deal with the negative effects.

My voice dysphoria was sort of disconnected from my idea of my gender. All I really knew was that my voice needed to be a lower pitch and more resonant. I felt that dysphoria especially when I was talking excitedly or when I was singing. But I also knew that I didn’t want people to mistake me for a man either, and since it’s a very long slow process and quite unpredictable I knew that I would need to be careful to keep track of things to make sure I didn’t start giving myself a new kind of gender dysphoria in the masculine direction!

It was another year or two before the stars aligned and I actually managed to get the can of Tostran into my hands (NHS).

~

HOW DID IT GO?

As I mentioned above, I was on a low dose, one pump of Tostran per day. One can lasted about 107 days. The endocrine nurse said I could reduce the dose to half if I squirted the gel onto my leg/stomach as usual and then wiped half the gel-dribble off with tissue and threw it in the bin before I rubbed it in, but I never did that. The two-month blood test put my levels at 9.7 nmol or something like that. (Female range is 3 or below, and male range is 10 or above, so I was very nearly almost at the male range.)

The first month I got that scratchy throat feeling, which I now know happens when my voice is deepening, and I noticed my voice getting a little lower. Also I was SO GREASY OH MY GOD, I had to shower twice as much, I had to get some high-powered anti-perspirant deodorant. It didn’t make me spotty, it was just disgusting! But it felt okay because I could tell it was affecting my voice. I also noticed that I smelled different, and that my bedroom acquired that delightful(??) teenage boy smell! Ew. This kicked in properly in under a week, and trailed off around month two, though I still needed to take more showers and wear hardcore deodorant and I was still more greasy for the entire time I was on T.

On day 26 I noticed that my... [flails around wildly for non-dysphoric word] pudendum had gotten a little bigger, and I regret not getting “before T” photos. The growth was fast and a lot more noticeable than I had expected, and it was extremely emotionally intense, because I hadn’t realised but I’d been sort of suppressing and dissociating from genital dysphoria for my whole life. I knew I had genital dysphoria, but not how much or how it was affecting me. I was completely unprepared, and it was overwhelming. (I am very lucky that I was able to access fortnightly gender-specialist talking therapy at Charing Cross GIC during this time.) A few weeks later I started looking into genital surgery options. I think my genitals haven’t changed much in the last 2 months, so I guess it took about 5-6 months to get to where they are now.

Here’s the graph the Voice Pitch Analyzer app [iOS/Android] makes:

And here’s the graph I made myself using data from the app:

In the second graph, the thing I notice right away is that my highest pitch now is lower than my lowest pitch pre-T.

My first month was rapid pitch drop, and then there were a couple of months of wibbling around on a plateau, and then after that things kicked off again, I had a few scattered days of scratchy throat and things started meandering downward. A common pattern was two to four weeks of wild fluctuation and no drop, followed by a sudden drop over a day or two. Sometimes my brain took a while to adjust to a drop in pitch, and I would tire myself out speaking with a higher pitch than my vocal chords really wanted to do.

In the last couple of months I got a lot worse at making the voice recordings, which in hindsight might be because I was less enamoured with being on testosterone, and it was maybe a sign that my testosterone advantages were sort of wrapping up and it was nearly time to stop.

No one who sees me regularly said unprompted that they could hear a difference in my voice. When I asked people if my voice sounded different, they said “ehhh, maybe kinda, yeah?” I learned that testosterone doesn’t make your voice sound different! It makes it feel different, to yourself and to other people. My therapist, who I see (approximately) fortnightly, said she couldn’t tell the difference at all, and when I played her my day 1 voice recording to compare it to my current voice (6 months or so) she was like 😮.

Strangers are still mostly gendering me female, as far as I can tell, but my appearance and my voice means that strangers gender me male a little more often than pre-T. I also get “sir, I mean ma’am, gosh I’m so sorry...” more often. It makes me uncomfortable to make people uncomfortable, so I just usually say “it’s okay, I’m nonbinary so I’m kind of both??”, which rarely makes them less flustered or less confused. I had some cards made years ago that have the nonbinary flag on one side and the definition of nonbinary on the other, which I should just start handing out whenever this happens!

My testosterone dose was too low to stop my menstrual cycle, but it did seem to mellow out the highs and lows. My PMS and menstrual symptoms are generally a nightmare even though I have no uterus to bleed from, so that was a nice relief. It was very strange to experience PMS and boy puberty simultaneously.

I kept records of my specific dysphoria feelings from about 3.5 months, thanks to prompting from my gender-specialist therapist at Charing Cross GIC in London:

The ideal outcome, which I was looking out for, was all of the lines meandering towards that horizontal line in the middle. That would mean the feminine dysphoria was reducing and the masculine dysphoria was reducing.

I am pretty lucky, in that most of the changes I wanted from testosterone are permanent and the changes I didn’t want are temporary or reversible. I made some lines on the graph more bold because those were the ones that I wanted to keep an eye on. Here are my thoughts on this graph:

Facial hair was impossible to score because it gave me both masculine and feminine dysphoria. Feminine because those dark fine hairs on my upper lip are most often seen on cis women, and masculine because they were caused by testosterone and male puberty.

When my pudendum started growing it also gave mixed signals. It was good because it was getting bigger, but as it grew it highlighted that there was a lot going on down there that made me feel feminine dysphoria (mainly labia around my pudendum, and sometimes that it was still relatively small).

I am not a very hairy person. I thought I wouldn’t like having more body hair, and for a few months when I scored my dysphoria I focused on specific patches of new hair and thought about whether I was dysphoric and thought that I wasn’t. After a few months I realised I was being too short-sighted. Yes, I can totally deal with these new fine hairs on my thighs. Yes, this darker and thicker hair on my shins is okay. Sure, these hairs around my belly button are no big thing. But when I took a step back and looked at the bigger picture, and saw the hair as a pattern, my whole brain recoiled. Yes, I am definitely dysphoric about masculine patterns of body hair on myself. :S

There was a trend of all types of dysphoria getting less over time - until month 7, when they all started getting worse except voice. It took a while to be sure it was a trend, but looking back on it, that was definitely a thing!

The ideal outcome would be all of those lines converging on the middle horizontal axis, and it hasn’t happened. There are no flawless solutions for nonbinary people at the moment. As things stand and with what’s available to me right now, I will probably always have gender dysphoria. But I’m pretty glad that I’ve done what I can and I will keep doing what I can, because it is all helping.

Unrelated to any gender stuff, I have put on weight and gone up a size or two in trousers and one size in t-shirts. It could just be that I’m in my 30s and my metabolism is slowing, which is what I assumed it was at first, but the weight has come on in quite a short space of time, so that made me think about what I’ve been eating and why. I noticed that I was craving carbs and sugar, eating it, and then feeling unsatisfied afterwards. The type of hunger I’ve been feeling lately feels the same as the type of hunger I had when I had Implanon, a three-year birth control implant. When I had that removed my appetite went back to normal. So this putting on weight feels a lot like a hormonal thing. I have mixed feelings about it! I strongly dislike my clothes feeling wrong and having to buy new clothes, but also bits of me are pleasingly wibbly and it’s fun to be able to rest my cup of tea on my stomach when I slouch. :D

Also unrelated to gender stuff, even on a low dose many of my EDS symptoms were noticeably reduced: fatigue, loose joints, joint pain, IBS, dysautonomia. (Joint pain and fatigue were still present, but not as bad after exertion.) I also noticed that the really vivid dreams and very emotional days that come with PMS mostly disappeared, which I was sad about.

~

HOW DID I KNOW TO STOP?

People gendering me in different ways has increased lately. Like, a few weeks ago me and @watchkeyphone were trundling about town, and one charity/religion street-hawker person asked if we were sisters, and then a hundred yards later their colleague called us “lads” or something.

A week or so ago, I realised that my voice was sounding and feeling resonant in my chest pretty much all the time and that felt pretty nice, but I was still scoring my voice as sounding feminine, and I wondered if that might be because the changes are so gradual that I just changed my idea of what feminine sounds like. I noticed that I was more comfortable recording my voice to put online for various reasons.

I don’t live in a culture where people go around saying “excuse me sir” or “hello madam”, we don’t routinely gender each other in a formal way. But also, either I don’t have enough casual contact with strangers to notice gendered familiar words like “mate” or “love”, or strangers just avoid using those kinds of words with me because I’m hella queer-looking. So I basically realised that I have no idea how strangers see me or hear my voice at all.

So, in approximately this order:

I put a recording of my voice on the internet and asked strangers to gender my voice. Most of them said androgynous, leaning a little masculine. One person said I sounded like Q, a computer-generated intentionally genderless voice!

I went to a queer social group, and when it came up in conversation naturally I complained about how hard it is to know when to stop testosterone because I can’t tell how my body and voice are gendered by other people, and a lot of people I see regularly still see me the same way as they saw me pre-T. A couple of people said, “actually, in the past couple of months I have really noticed the effects...” So that was reassuring!

I decided to notice how my pitch works in different situations compared to pre-T. After the queer social group we went down to the river and some people swam, and when they got into the water and it was very cold, some of us cheered supportively - and I tried to woo like the “woo girls”, and my voice just came out at a dude pitch instead...! I apparently can’t be high-pitched at high volumes any more.

I watched a video about gender and voice by someone I’ve met in person. When I met them I noticed that their voice was pretty androgynous, and I enjoyed it and thought about how nice it must be to have a voice that can’t be easily gendered by strangers. When I watched this video last week, in which their voice was exactly the same, I noticed that they sounded like me. That was the moment that I realised my voice was done!

I spoke to my PA about it. I played my pre-T voice to her and her face was A Picture, she could not even. She then said that she has quite a feminine voice, and she suggested we each make a recording of our voices reading a paragraph of the book on the table, and then compare to her partner’s voice in a recording. My voice sounded more like her male partner’s voice than like hers.

I can now speak with a comically low deep resonant voice if I want to, and I can also speak with a high cutesy voice in order to address my cat, provided I am warmed up a bit.

~

HOW DID STOPPING GO?

On the day that I posted the voice file online, when strangers started saying I sounded masculine, I was honestly pretty surprised. In my head strangers in person were still mostly gendering me female, but when I really thought about it people hadn’t actually been gendering me much at all. I think I had been assuming strangers were hearing a woman’s voice because the change had been so gradual that I hadn’t had a moment where I could “update” my own gendering of my voice. I didn’t wake up one day and go “wow I sound like a dude” or whatever, so there was just nothing to update.

So, as soon as there was an indication that I might sound like a man soon, my gut said “NOPE” and I worried a little bit about going too far in the masc direction. If I keep taking T then I will sound more masculine and I might regret it, but if I stop and find that my voice dysphoria could be relieved with a little more testosterone I can start again in a few months, right? So I decided to not take it that day unless I learned/felt something that indicated I should put the gel on, and... I didn’t.

The first couple of days were pretty uneventful. Around day 4 I started to feel really run-down and chronic joint pain from EDS was flaring up, so I cancelled near-future plans. Yesterday was like the worst of my (uterusless) periods, I was in a lot of abdominal and lower back pain and then last night I slept for 11 hours... And today, also typical of my uterusless periods, it feels like a storm has blown over and I feel like a new human.

So what I’ve concluded is, coming off T triggered a very, very bad period.

Also, the past couple of days I have once again been SO GREASY, and I got spots yesterday, which is unusual in itself, but these are striking because they are WEIRDLY HUGE?? One of them is on my jaw and has caused a very noticeable swelling, so I’ve named it Balthazar.

(From “Brooklyn Nine-Nine” S03E12: Nine Days.)

~

WHAT NEXT?

It’s only been a week, so I’m assuming more weirdness is coming, but it’s all going to be ovary-hormone-related silliness so I’m pretty much used to it and I’m not too worried.

I am sad that I will probably slip back towards feminine body fat distribution. I will probably lose some of the weight that testosterone brought with it, but the remaining weight will probably end up on my hips again. I am really not looking forward to dissociating my hips again but I don’t know what I can do about it except have liposuction every few years?! (I will not do that.)

I am also sad that the bad bits of my menstrual cycle will go back to Full Force, and that my EDS symptoms will worsen again.

I am very much looking forward to my body hair getting finer and lighter, and maybe my upper lip hair will fade a bit too. If not I will probably have to get it painfully removed.

I want a metoidioplasty. Unlike many trans guys, I want no testicular prostheses, no vaginectomy, no phalloplasty, no new urethra. The clinicians at Charing Cross are aware that I want to have a metoidioplasty, because I included it in a letter when I wrote to the endo about a blood test, to make sure my surgery needs are documented in my medical records from the earliest date possible. I did that because they have minimum-time requirements for a bunch of diagnoses and referrals (like, two appointments before hormone treatment recommendation), which you can sometimes get around by providing reasonable counter-arguments. One of their requirements for referring for genital surgery is being on testosterone for at least a year where clinically indicated, so since testosterone has done its job now that means I’m not clinically indicated for testosterone any more, and I’m hoping that being on T for only 8 months shouldn’t be an issue. I also found a blog by a trans guy who had a simple metoidioplasty like the one I want, and his blog posts are really helpful and informative and have good quality non-porn photos (so rare omg), and his junk and my junk are extremely similar in size and appearance. (Here are his before and after pics.) So, fingers crossed the docs will consider that I have been on T for long enough and my pudendum is developed enough that surgery is an option.

I’ve written to the endocrinologist to say that I’ve stopped putting on the Tostran gel, and to ask if I still need to have those blood tests I’m meant to be having. I’m due to see him on 1st July anyway, a little over a month from now, and no doubt I will have saved up a list of questions for him!

~

CONCLUSION

Testosterone works.

[carmeloheagney6-blog]

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[sociologyquotes]

Obese patients receive worse care solely based on their weight

”You must lose weight, a doctor told Sarah Bramblette, advising a 1,200-calorie-a-day diet. But Ms. Bramblette had a basic question: How much do I weigh?

The doctor’s scale went up to 350 pounds, and she was heavier than that. If she did not know the number, how would she know if the diet was working?

The doctor had no answer. So Ms. Bramblette, 39, who lived in Ohio at the time, resorted to a solution that made her burn with shame. She drove to a nearby junkyard that had a scale that could weigh her. She was 502 pounds.

One in three Americans is obese, a rate that has been steadily growing for more than two decades, but the health care system — in its attitudes, equipment and common practices — is ill prepared, and its practitioners are often unwilling, to treat the rising population of fat patients.

Continue reading the main story

The difficulties range from scales and scanners, like M.R.I. machines that are not built big enough for very heavy people, to surgeons who categorically refuse to give knee or hip replacements to the obese, to drug doses that have not been calibrated for obese patients. The situation is particularly thorny for the more than 15 million Americans who have extreme obesity — a body mass index of 40 or higher — and face a wide range of health concerns.

Part of the problem, both patients and doctors say, is a reluctance to look beyond a fat person’s weight. Patty Nece, 58, of Alexandria, Va., went to an orthopedist because her hip was aching. She had lost nearly 70 pounds and, although she still had a way to go, was feeling good about herself. Until she saw the doctor.

“He came to the door of the exam room, and I started to tell him my symptoms,” Ms. Nece said. “He said: ‘Let me cut to the chase. You need to lose weight.’”

The doctor, she said, never examined her. But he made a diagnosis, “obesity pain,” and relayed it to her internist. In fact, she later learned, she had progressive scoliosis, a condition not caused by obesity.

Dr. Louis J. Aronne, an obesity specialist at Weill Cornell Medicine, helped found the American Board of Obesity Medicine to address this sort of issue. The goal is to help doctors learn how to treat obesity and serve as a resource for patients seeking doctors who can look past their weight when they have a medical problem.

Dr. Aronne says patients recount stories like Ms. Nece’s to him all the time.

“Our patients say: ‘Nobody has ever treated me like I have a serious problem. They blow it off and tell me to go to Weight Watchers,’” Dr. Aronne said.

“Physicians need better education, and they need a different attitude toward people who have obesity,” he said. “They need to recognize that this is a disease like diabetes or any other disease they are treating people for.”

The issues facing obese people follow them through the medical system, starting with the physical exam.

Research has shown that doctors may spend less time with obese patients and fail to refer them for diagnostic tests. One study asked 122 primary care doctors affiliated with one of three hospitals within the Texas Medical Center in Houston about their attitudes toward obese patients. The doctors “reported that seeing patients was a greater waste of their time the heavier that they were, that physicians would like their jobs less as their patients increased in size, that heavier patients were viewed to be more annoying, and that physicians felt less patience the heavier the patient was,” the researchers wrote.

Other times, doctors may be unwittingly influenced by unfounded assumptions, attributing symptoms like shortness of breath to the person’s weight without investigating other likely causes.

That happened to a patient who eventually went to see Dr. Scott Kahan, an obesity specialist at Georgetown University. The patient, a 46-year-old woman, suddenly found it almost impossible to walk from her bedroom to her kitchen. Those few steps left her gasping for breath. Frightened, she went to a local urgent care center, where the doctor said she had a lot of weight pressing on her lungs. The only thing wrong with her, the doctor said, was that she was fat.

“I started to cry,” said the woman, who asked not to be named to protect her privacy. “I said: ‘I don’t have a sudden weight pressing on my lungs. I’m really scared. I’m not able to breathe.’”

“That’s the problem with obesity,” she said the doctor told her. “Have you ever considered going on a diet?”

It turned out that the woman had several small blood clots in her lungs, a life-threatening condition, Dr. Kahan said.

For many, the next step in a diagnosis involves a scan, like a CT or M.R.I. But many extremely heavy people cannot fit in the scanners, which, depending on the model, typically have weight limits of 350 to 450 pounds.

Scanners that can handle very heavy people are manufactured, but one national survey found that at least 90 percent of emergency rooms did not have them. Even four in five community hospitals that were deemed bariatric surgery centers of excellence lacked scanners that could handle very heavy people. Yet CT or M.R.I. imaging is needed to evaluate patients with a variety of ailments, including trauma, acute abdominal pain, lung blood clots and strokes.

When an obese patient cannot fit in a scanner, doctors may just give up. Some use X-rays to scan, hoping for the best. Others resort to more extreme measures. Dr. Kahan said another doctor had sent one of his patients to a zoo for a scan. She was so humiliated that she declined requests for an interview.

Problems do not end with a diagnosis. With treatments, uncertainties continue to abound.

In cancer, for example, obese patients tend to have worse outcomes and a higher risk of death — a difference that holds for every type of cancer.

The disease of obesity might exacerbate cancer, said Dr. Clifford Hudis, the chief executive officer of the American Society of Clinical Oncology.

But, he added, another reason for poor outcomes in obese cancer patients is almost certainly that medical care is compromised. Drug doses are usually based on standard body sizes or surface areas. The definition of a standard size, Dr. Hudis said, is often based on data involving people from decades ago, when the average person was thinner.

For fat people, that might lead to underdosing for some drugs, but it is hard to know without studying specific drug effects in heavier people, and such studies are generally not done. Without that data, if someone does not respond to a cancer drug, it is impossible to know whether the dose was wrong or the patient’s tumor was just resisting the drug.

One of the most frequent medical problems in obese patients is arthritis of the hip or knee. It is so common, in fact, that most patients arriving at orthopedists’ offices in agonizing pain from hip or knee arthritis are obese. But many orthopedists will not offer surgery unless the patients first lose weight, said Dr. Adolph J. Yates Jr., an orthopedics professor at the University of Pittsburgh School of Medicine.

“There are offices that will screen by phone,” Dr. Yates said. “They will ask for weight and height and tell patients before they see them that they can’t help them.”

But how well grounded are those weight limits?

“There is a perception among some surgeons that it is more difficult, and certainly some felt it was an added risk,” to operate on very obese people, Dr. Yates said. He was a member of a committee that reviewed the risks and benefits of joint replacement in obese patients for the American Association of Hip and Knee Surgeons. The group concluded that heavy patients should first be counseled to lose weight because a lower weight reduces stress on the joints and can alleviate pain without surgery.

But there should not be blanket refusals to operate on fat people, the committee wrote. Those with a body mass index over 40 — like a 5-foot-5-inch woman weighing 250 pounds or a 6-foot man weighing 300 — and who cannot lose weight should be informed that their risks are greater, but they should not be categorically dismissed, the group concluded.

Dr. Yates said he had successfully operated on people with body mass indexes as high as 45. What is behind the refusals to operate, he said, is that doctors and hospitals have become risk-averse because they fear their ratings will fall if too many patients have complications.

A lower score can mean reductions in reimbursements by Medicare. Poor results can also lead to penalties for hospitals and, eventually, doctors.

A recent survey of more than 700 hip and knee surgeons confirmed Dr. Yates’s impressions. Sixty-two percent said they used body mass index scores as cutoffs for requiring weight loss before offering surgery. But there was no consistency in the figures they picked.

“The numbers were all over the map,” Dr. Yates said. And 42 percent who picked a body mass index cutoff said they had done so because they were worried about their performance score or that of their hospital.

“It’s very common to pick an arbitrary B.M.I. number and say, ‘That is the number we won’t go above,’” Dr. Yates said. Yet a person with an index of, say, 41 might be healthy and active, he said, but in terrible pain from arthritis. A knee replacement could be life transforming.

“It’s a zero-sum game, with everyone trying to have the lowest-risk patient,” Dr. Yates said. “Patients who may be at a marginally higher risk may be treated as a class instead of individuals. That is the definition of discrimination.”

Surgery involves anesthesia, of course, giving rise to another issue.

There are no requirements for drug makers to figure out appropriate doses for obese patients. Only a few medical experts, like Dr. Hendrikus Lemmens, a professor of anesthesiology at Stanford University, have tried to provide answers.

His group looked at several drugs: propofol, which puts people to sleep before they get general anesthesia; succinylcholine, used to relax muscles in the windpipe when a breathing tube must be inserted; and anesthetic gases.

Propofol doses, Dr. Lemmens found, should be based on lean body weight — the weight of the body minus its fat. Using total body weight, as is routine for normal-weight people, would result in an overdose for obese patients, he said. But succinylcholine doses should be based on total body weight, he determined, and the dosing of anesthetic gases is not significantly affected by obesity.

As for regional anesthetics, he said, “There are very few data, but they probably should be dosed according to lean body weight.”

“Bad outcomes because of inappropriate dosing do occur,” said Dr. Lemmens, who added that 20 to 30 percent of all obese patients in intensive care after surgery were there because of anesthetic complications. Given the uncertainties about anesthetic doses for the obese, Dr. Lemmens said, he suspects that a significant number of them had inappropriate dosing.

Yet for many fat people, the questions about appropriate medical care are beside the point because they stay away from doctors.

“I have avoided going to a doctor at all,” said Sarai Walker, the author of “Dietland,” a novel. “That is very common with fat people. No matter what the problem is, the doctor will blame it on fat and will tell you to lose weight.”

“Do you think I don’t know I am fat?” she added.”

from the article  Why Do Obese Patients Get Worse Care? Many Doctors Don’t See Past the Fat by Gina Kolata

[hunterclubs454]

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Best Desktop Video Converter for Mac You Might Be Interested in Cisdem Video Converter is an easy and great tool that can satisfy all your needs on converting video on Mac. Wondershare Free Video Converter for Mac It is one of the best free Mac video converters that are compatible with working on OS X 10.6 -10.15 versions.

Entertainment • Updated on July 21, 2020

Editor’s note: After testing the latest version 12 of Wondershare Uniconverter against the competition, we still stand by our recommendations.

Video is definitively the most popular media format for entertainment. If you own multiple devices, you know the hardship of finding compatible media formats. Things are worse when you have an iPhone and Android device, you know. I mean, you cannot simply copy an MKV file to an iPhone 12 and expect it to work. And, this is why we need to talk about video converters.

Similarly, if you want something to work natively on macOS, you have to convert into specific formats. The basic case of iOS devices is not different either. Because neither macOS nor Windows comes with a built-in utility for converting videos, you need something third-party.

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Converting video in the digital age

There was a time when video converters were just some tools for shifting between media formats. It means they were used for stopping “Incompatible error” message. Nowadays, however, video converters do offer a variety of benefits. Some of them are:

You can easily manage videos shot using various devices like GoPro, iPhone, Android smartphones or high-end video-focused cameras. Even if you are on a non-ecosystem device, these videos would play very well.

When you convert video, it means they become more shareable. The point here is that you can have the video in a more popular, convenient format — something that works across the web. This is one way to transcend the ecosystem boundaries.

While our videography techniques have grown, we still starve when it comes to data storage. So, you may want to reduce video size by compressing your 4K video to 1080p or 720p before uploading it to YouTube. Of course, it should be done without quality loss. Ergo, video converters.

If you are someone who loves organizing video content, you’d love to have all videos in same format for filing. A video converter can really help you at this point. It does not matter if you got it from YouTube or downloaded it from somewhere else, you can have all of them in MP4, AVI, MKV or anything else.

Video converters now also come with added features like web video downloader and converter. It means you’ll be able to directly download content from sites like YouTube. Of course, you can go for a real YouTube Downloader, but having these extra features is indeed a help.

Choosing the best video converter

There is no scarcity of video converters for Mac or PC. It does not matter whether you’re looking for premium or paid software, you will find at least a few hundred video converters out there.

We first created a basic list of 10+ video converters, based on popularity and reviews. After that, all of these video converters were thoroughly tested, based on the following criteria. All of these were given the same importance, unless specified otherwise.

User Interface: This is something we look at every software we test at TheSweetBits. We needed the video converter to be easy to use and intuitive. Of course, you don’t have to spend hours on the UI, when you want to convert something.

Format Compatibility: The converter should be able to handle hundreds of media formats, at least. On top of this, we also looked for the support for popular codecs like MPEG-4, H.264 and H.265/HEVC. This was paramount.

Conversion Speed: This refers to the time a video converter takes for converting a video. Because a normal video file weighs several hundred MBs or several GBs, you need the best speed you can get. It is great to have hardware acceleration (more about that later)

Conversion Quality: Of course, you don’t want to lose quality while doing the conversion. Because of this, we also looked at the output quality of the video converter. While we ignored the minimal loss of quality, consistency was of most importance.

Added Features: These features are always time-savers, you know. We checked the software for the added features like a basic set of video editing tools, quick presets, batch conversion or auto-shut-down.

With these criteria in mind, we have chosen the best video converter for Mac and PC.

Disclosure: We sometimes use affiliate links which means that, at zero cost to you, we may earn a commission if you buy something through our links.

Best easiest solution: Movavi Video Converter

Movavi Video Converter is a popular video converter that is available for Windows and macOS. It’s the main consideration for both professionals and common users. Considered as the epitome of simplicity and power, Movavi Video Converter basically allows you to convert videos into almost every format. It’s a freemium tool that offers a fully-functional free version as well.

For the following review, we had tested the macOS version of Movavi Video Converter 19. The looks and works of the Windows version are exactly similar, though.

Getting Started and User Interface

On both Windows and macOS, it’s incredibly easy to get started with Movavi Video Converter. You have to download the setup file from the official website and the wizard will lead you. The installation process does not take more than a few seconds.

We also liked the fact that Movavi Video Converter doesn’t take up much space from your Mac or PC.

Once you are done with the installation, you can see the intuitive main screen of Movavi Video Converter. As you can see in the screenshot, there is nothing confusing on the screen. The whole UI has been designed in a way that you can convert any video in just a few seconds.

Talking about the UI, the core idea here is simplicity. When compared to most of the video converters we’ve come across, Movavi Video Converter has a sleek design. Everything is well-arranged and you have enough toolbars at handy locations. And, if you are interested, there is a fully-fledged Preferences pane as well.

Video Conversion Process

We tried converting a few videos to see the conversion process of Movavi Video Converter.

To begin with, you can add videos to Movavi Video Converter from multiple sources. The best way is to drag-and-drop the video onto the screen. However, you can go ahead and add audio files, images and entire DVD collections to the interface. Movavi Video Converter will be able to convert all these types of content without much effort.

What's The Best Video Converter For Mac Download

Batch conversion is another contributor to make the conversion time efficiently. If you have multiple videos around to convert, batch conversion can save you lost of time.

In seconds, Movavi Video Converter will analyze the selected file and show you options. For instance, it will tell you if the file supports SuperSpeed Conversion, which is the hardware-accelerated conversion mode. In the same way, you can set the preferred output size and quality. There is also a choice to convert a sample portion of the video to see how things work. The next step is selecting the output file format, and this is where Movavi Video Converter makes all types of differences. You can normally choose the file formats from the conventional lists — Popular, Video, Audio, Devices and Images.

However, if you don’t know the right format, you can just search for the device. For instance, you can search for iPhone XS and Movavi Video Converter will choose the right format for the device. Pretty great, huh? No more confusing with the media formats. Depending on this, the tool would choose the codec and size.

Once you are done, you can hit the Convert button and wait while Movavi Video Converter does the job. It also has a background mode, where the program will minimize to the System Tray. Movavi Video Converter will play a sound to let you know that the video has been converted.

In short, the video conversion process is as smooth as a cake.

Conversion Speed and Quality

Just to give you an idea, I have used so many video converters for personal and professional needs. And, yet, something needs to be said:

Movavi Video Converter is currently the fastest video converter you can get for macOS and Windows. There are a few reasons. First, Movavi Video Converter is a dedicated video converter with proper algorithms to support codecs and everything. Second, it makes use of SuperSpeed Conversion whenever possible. It means the program will make use of GPU resources instead of dumping everything on CPU.

I added 10 videos in different size into the program, it just took several seconds to convert videos within 200 MB, for those larger than 500MB and even up to 1 GB, it basically took me less than 5 minutes.

When I mean fastness, not only imply the conversion process, but also refer to its fast responsiveness. From the action to upload video, tweak settings, to detect accessible devices, this video converter can fast respond and navigate users accurately.

Talking about the quality, that’s pretty awesome too. We compared the source video and the output videos. The results were amazing. Of course, there is the basic loss because of format change. But, apart from that, Movavi Video Converter keeps everything super-crispy. As it happens, it’s also one of the very few converters to do that.

Format Compatibility

Compatibility is indeed the strongest point of Movavi Video Converter. There are two main things we loved in this sector.

First, Movavi Video Converter introduces a brand-new way to choose the desired format. Sometimes, you’d not know the right format for your device. At these instances, you can search for your device in the database and select it. The database consists of presets for popular devices from manufacturers like Apple, Samsung, Sony PlayStation, Xbox and other Android and iOS devices. And, if you have connected your device via USB, Movavi Video Converter will recognize the device and choose the format for you.

Second, Movavi Video Converter offers in-depth support for a huge number of formats. Even if you narrow things down to a particular section — say Audio or Video —, there are hundreds of formats to choose from. It’s pretty great that you can convert your media content to almost every device out there. You can simply move between the options and pick the one that’s right for you. It does not matter if you have an iPhone or a brand-new proprietary device, Movavi Video Converter will help you.

In addition to this, Movavi Video Converter allows ample amount of customization for every format. When you have selected the output format, you can see a Settings icon near the name. You can click on it and alter a few settings such as the codec being used, frame size, bitrate, etc. along with some advanced settings. It’s also offering audio-based settings.

Added Features

As we said earlier, there are some added features in every video converter and Movavi Video Converter isn’t different either. Let’s have a look at some of the impressive ones in the lot.

SuperSpeed Conversion: SuperSpeed Conversion is the high-speed conversion profile that you can find in Movavi Video Converter. It is hardware-accelerated, meaning that GPU performance would be used for conversion. However, unlike the traditional mode of conversion, SuperSpeed preserves the quality. The best part of Movavi Video Converter is that it supports SuperSpeed conversion for a big number of popular devices and platforms.

Basic Edits: While Movavi Video Converter may not be a replacement, you can use it for basic edits. For instance, you’ll be able to crop the video or change the aspect ratio. More importantly, if you are converting a movie file, it is great to add subtitle while converting. It seems that the developers have included additional features that can really help us.

An Extended Image and Audio Converter: Of course, Movavi Video Converter is a dedicated video converter, but there is more to that. If you look a bit closely, you’d know that Movavi Video Converter is a powerful photo converter and audio converter. This simple tool supports almost every audio and image formats out there. The next time you have a WebP image to convert to JPEG, Movavi Video Converter is a great choice.

These are the additional perks you’ll have right now.

What Could be Better

There aren’t any major drawbacks in Movavi Video Converter. However, we thought a few things could make the software better.

First of all, we expected more editing features in Movavi Video Converter. Of course, it lets you add subtitle files and alter the resolution, but more could have been better, and these don’t affect the actual conversion process.

Also it would have been great if Movavi Video Converter had an option to convert YouTube and other online videos directly. This would be a great feature for those who want their favorite videos on their devices.

That’s all for now.

Availability and Pricing

Movavi Video Converter is available for both Windows and macOS. In case of Windows, you must be running XP or later. In case of macOS, anything after OS X 10.7 is supported. That essentially means almost every PC and Mac out there.

Movavi Video Converter is available as a freemium product. You can download and use the limited free trial for as long as you want. The output video will have a watermark. If you want to remove that, the premium version is available for $39.95.

There is also a Lifetime premium version with additional features.

The Verdict

Even after a comprehensive review, Movavi Video Converter remains the favorite pick of ours. It packs some of the most-needed features for video converter and presents everything in a simple UI as well. Considering the number of features in the package, the whole deal is quite reasonable as well.

Altogether, you can never go wrong with Movavi Video Converter if you want a high-quality video converter with top compatibility and conversion speed. As we said earlier, even when not using the SuperSpeed profile, Movavi Video Converter allows you to convert videos without quality loss.

Best all-in-one solution: Wondershare UniConverter

You may already know about Wondershare UniConverter under another name: Wondershare Video Converter Ultimate. Wondershare UniConverter is the revamped version of the software, packing more features than ever. Compared to Movavi and other options in the list, you can find more features in this package. It’s the best choice when you need an all-in-one video converter solution.

Getting started with Wondershare UniConverter is extremely simple. Despite the higher number of functions it has, there is no confusion as far as the UI is concerned. Because Wondershare UniConverter focuses on all sections equally, video conversion, DVD burning, screen recording and YouTube downloads have the same speed per se. This results in a scenario where you have less conversion speed and quality.

As you can see, the whole UI is split into a few sections and Converter is one of them. Under here, you will be able to add the files, select the format and hit the Convert button.

However, it’s true that the tool is taking more time to process videos and arrange everything in order. Choosing the desired video format is a simple task though. Just as we saw in the other area, Wondershare UniConverter too allows you to choose the device instead of winging the video format. You can also make edits to the insider format, changing the codecs and everything. You can also create custom presets if you want to have the best conversion experience eventually. We also found that Wondershare UniConverter deals batch conversions quite conveniently.

Additional features are what make Wondershare UniConverter one of the best all-in-one solution out there. If we narrow down to editing, there are tons of options. You will be able to crop, split and even change video-based characteristics.

On top of these, Wondershare UniConverter also brings a Toolbox, which consists of additional tools like GIF maker. There are also options like VR converter, DVD copier, CD ripper, Screen Recorder and Image Convert software. All these are pretty useful for professionals out there, you know. Altogether, a powerful conversion engine and the additional features make Wondershare UniConverter the best choice for all-in-one needs.

Wondershare UniConverter is available for both macOS and Windows. You can keep using the free version, with some limits, but the full version is priced at $39.95 per year or $59.95 for Lifetime.

Best solution for Apple device: Waltr 2

Waltr 2 is a different type of video converter you should check out. Video converter is just one of the many names you can give it to the software. The way we see it, it’s a video converter that is optimized for macOS and iOS devices out there. If you are someone who keeps transferring stuff to iPhone from your Mac, Waltr 2 would be a great alternative to iTunes.

It’s not a traditional video converter, in that you cannot find a window. Instead, it is powered by a drag-and-drop interface. You can simply drop all the content you want to transfer to the iPhone or iPod. Waltr 2 will recognize the file, collect necessary information and convert the video/audio to a compatible format. The best part? Everything will be saved in the right places. Say, videos in the Videos app and songs in Music.

What 27s The Best Video Converter For Mac Reviews

Waltr 2 basically solves one of the biggest problems with iTunes: incompatibility. With the help of Waltr 2, it is possible to transcend the boundaries and stuff everything you want inside the iPhone. Coming to the case of additional options, you can enable Wi-Fi connection and another one to enable lossless conversion of the content.

Of course, Waltr 2 throws customizability out of the window, you know. You don’t have much control over what is happening inside the tool. The only thing you know is that anything you drag and drop will be made available in the iPhone, in a file format that works. For most people, this is more than what a video converter should do.

Waltr 2 is powered by features like Automatic Content Recognition and Smart Adaptive Conversion. While the first tech allows the program in recognizing the right format, SAC works magic when it comes to video conversion. As the developers say, the conversion speeds of Waltr 2 are five times better than the closest competitor.

In our testing scenario, Waltr 2 was able to finish the conversion in just a few seconds and the video was just available in the iPhone app as well. In case you don’t want cables, you can connect to Waltr 2 via Wi-Fi also. The program is powered by automatic Wi-Fi, which enables seamless connection and the best upload rates and consistency.

Waltr 2 is a paid tool but it offers a 24-hour free trial for Windows and Mac. After that, you will have to pay $39.95 for the premium version. If you are looking for convenient video conversion, it’s a great choice.

Best solution for HD video: WinX HD Video Converter Deluxe

Capturing 4K video has become such a thing of simplicity nowadays. But most of us who work with HD videos might be well aware of the pain of dealing with large video sizes or the conversion quality. And here comes into the scene the widely used software into the play, WinX HD Video converter Deluxe.

This video software is an ultimate solution for compressing large 4k/UHD video files without compromising with the quality of the video. It can help you reduce large 4K video size up to 90% so they can be ported over and enjoyed on your mobile device. There is even a free download of the HEVC codec that will solve compatibility issues with 4K and 8K videos on PC and Mac.

The WinX HD interface is simplicity itself. All you need to do is add a video to convert, then choose the destination folder.

Let’s looking into the supported formats. The list of supported formats is staggering. WinX HD Video Converter supports 370 input formats(UHD/HD/SD) as well as multi-track HD and Blue-ray. Formats for every camera and device we could find are covered.

Once your clips have been imported, there are a few simple editing tools you can take advantage of. For starters, you can adjust the volume if it’s not adequate, as well as add a subtitle track.

The program also enables you to trim certain sections from the video and crop its borders to get rid of unnecessary content. While quite limited, these editing tools are easy to use.

Finally, you will be asked to select an output profile that controls the conversion settings. Today, according to the official site, WinX converter has over 420 profiles that support just about every Apple, Android and Microsoft device. HTC One, Samsung Galaxy Note/edge, Google Nexus, Amazon Fire Phone, Fujitsu, Aquos, Surface Pro 3, WP8, Xbox, Asus Pad, Sony PSP and more.

From our test, the conversion process is very fast and our 1GB Crysis video clip took just over two minutes to complete. The output video size was 2 GB in the end mainly because we opted for the High Quality Engine and the resolution was high in the first place at 2560 x 1440.

Besides conversion, WinX HD Video Converter Deluxe has a built-in feature for online video downloads as well as use your webcam as a recording device. If you have a USB webcam attached to your PC or Mac, you can use that too. This is one of the handy features for people making tutorial videos for YouTube.

WinX HD Video Converter Deluxe is available for Windows and Mac. After free trying, you will need to purchase the paid version. It will cost you $29.95 (now 30% discount offer)for a lifetime license and lifetime upgrades. Comparing the features with the price, it is a steal.

A Few Free and Online Video Converters

Now that you have seen some of the best video converters, we’ve some free suggestions for you. Following tools are completely free video converters and we also have some online tools.

What Is The Best Video Converter

HandBrake is a completely free-to-use video converter for macOS, Linux and Windows. It’s an open-sourced video transcoder and way advanced than the typical video converters you come across. Needless to say, the performance is top notch. Unlike most of the free video converters you come across, HandBrake is regularly updated and new features are added. The best thing about HandBrake is the compatibility itself. You don’t have to worry about compatibility when you are using the tool. Instead, you can choose between multiple formats, devices and codecs. We should warn you, however, that the media format selection is a tough process. You should know which format you want.

We would recommend HandBrake if you are looking for an advanced tool with super customization. If you’re new, you should take some time. HandBrake is free to use.

Are you looking for a free video converter for Windows and Mac? In that case, Any Video Converter Free is definitely worth your try. Compared to the many free tools out there, Any Video Converter Free is clean and easy to use for most people. It should also be noted that the interfaces are a bit different in both OS. As you can see, the macOS version is a bit sleeker. There isn’t anything revolutionary about Any Video Converter Free. It helps you convert videos into a huge number of formats and there are additional features like YouTube downloads as well. You can also use Any Video Converter Free to rip content from CDs and DVDs out there. Overall, you have a media suite to depend on.

We’d recommend Any Video Converter Free if you are not willing to pay for a bunch of features. While the macOS version is sleeker, the performance is almost the same.

Free HD Video Converter is a Windows-only video converter tool you can try. According to our testing, this tool offers one of the best video compression algorithms in town. You will be able to get the best levels of performance when it comes to conversion. Free HD Video Converter also works great when it comes to video downloads and extraction.

What we loved about Free HD Video Converter is that it brings a balance between features and the usability factor. It packs almost every feature you would ever need, such as device presets and audio support and the free version is completely functional. It should be noted that DVD support and other features are available in the Pro versions only.

Free HD Video Converter is a great choice when you need a feature-rich free video converter for Windows. It brings a great experience too.

As the name says, Cloud Convert is an online video converter you can depend upon. Of course, you can never compare this online service with the other video converters in town. Here, the most important condition is that you should have an internet connection with higher upload speeds. On the bright side, you can use Cloud Convert on any device.

Cloud Convert does its video conversions entirely on the cloud. You can input the file from your computer, Dropbox, OneDraive, or Google Drive. This service supports more than 200 formats as of now.

Before the videos are converter, users can also adjust metrics like bitrate, aspect ratio, video resolution, and so on. You can also choose to save or upload your converted files on platforms like Dropbox and Google Drive. Further, you can even choose to email the converted file to yourself or someone else.

What's The Best Video Converter For Mac Free

Cloud Convert makes a lot of sense when you are looking for an anytime-usable video converter. Of course, it lacks many things, but hell yeah, it’s online.

The bottom line

We have attempted to create a diverse list of video converters here. As we had mentioned earlier, our top-pick selection was based on speed and quality. So, Movavi Video Converter is the quickest option here. On the other hand, if you are looking for advanced features, you should go for the UniConverter from Wondershare — or Waltr 2 if you need the ultimate convenience while dealing with iOS. Last but not least, the recommendation in free section is also great.

Further reading

Overview

Actually, there are still many other DVD ripping tools for Mac/Windows claiming the best like Handbrake, Mac The Ripper, Open DVD Ripper and more. The above mentioned three software are just based on customers feedback, tests and editorial reviews. If you pay much attention on speed and output options, then MacX DVD Ripper Pro is superior to the others. In case you focus on the decryption ability, MacX DVD Ripper Pro and DVD Decrypter edge out. Given that you care more about input options, MacX and Magic are more favorable. It's just up to you to take one as your best DVD copy software in 2020. For a detailed guide about DVD rips, please scroll down.

Step 1: Free download the program on your computer (you can also get the Windows version on PC), install and run it. Hit the 'DVD Disc' or 'DVD Path' button to import the DVD, ISO image or DVD folder. For a protected DVD, this DVD copier will automatically choose the right title for you.

What's The Best Video Converter For Mac Crack

Step 2: Select the output format you desire once a drop-down window pops up. You are allowed to copy DVD to ISO, MKV, MPEG2 and rip DVD to MP4, MOV, AVI, FLV, WMV, iTunes, and more. The preset profiles are ready for you to directly convert DVD to iPhone, iPad, Android, Game consoles, etc at your fingertip.

Step 3: Click the 'Browse' button and choose the destination folder to save your ripped file.

Step 4: Click 'RUN' to start ripping DVD to your hard drive.

The Best Video Converter Free

Hot tips: after you rip DVD with the best DVD ripper on Mac or PC, you can transfer them to iPhone iPad to watch on the go. Movies from computer to iDevices via iTunes is quite complicated, and you can switch to easier option with MacX MediaTrans, which brings an one-click data transfter between computer and iOS that enables you to easily add movies to iPhone X/8/7/7 Plus, iPhone 6S/6S Plus/SE, 6/5S, iPad, iPod (iOS 11 supported) and vice versa.

The Best Video Converter Software

Author: Bella Brown | Updated on Dec 30, 2019

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The Very Basic Overview To Ghrp

Sarms Uk

Content

Fancy Bears Hack: 107 Professional Athletes; 23 Countries; 25 Sporting Activities.

Ostarine Mk 2866 Frequently Asked Questions.

Best Sarms Stack For Cutting, Bulking, Mass, Fat Loss & More.

Recommended Cycle Size.

Could Sarms Be The Brand-new Steroids

This testosterone-free steroid is suitable for individuals brand-new to steroid usage as it is light, yet still very effective, mk 2866 when to take. There is what is 5 Common Misconceptions About sarms.? - high grade labs (guide to keyword) of info as well as disagreements on this subject. But amongst customers it is commonly concurred that a SERM PCT is not needed as just Ostarine is not suppressive adequate to call for such extreme measures. Rather an item like Regenerate PCT is more than enough for those that feel they have some form of reductions. However several do not really feel the need to run a PCT and also feel great blog post cycle.If you are fretted it is constantly best to take the 'much better safe than sorry' method. Because of the half life just falling short of 24 hours means you can take the complete daily dosage at the same time making it much easier to not neglect a day or more. As Ostarine has actually not yet been accepted for use, a lot of the human data we have is annecdotal.

Blend Supplements MK-2866 can be made use of in a dose of up to 30mg each day for advanced individuals. Ostarine is still undertaking scientific tests so we do anticipate to learn more regarding it in coming years. To protect versus potential negative results, we would encourage being as diligent with health assistance as you would certainly be making use of a steroid or prohormone. Ingredients such as krill oil, CoQ10 and also TUDCA would certainly be a good beginning to your health stack! There are additionally a variety of formulas on the market such as Medication Set which can tick lots of important boxes.

Expensive Bears Hack: 107 Athletes; 23 Nations; 25 Sports.

Prospective companies or sponsors will certainly typically carry out a web search utilizing a professional athlete's name. Lauren Barnett approved a six-month sanction, after the Globe Triathlon Firm approved that her ostarine AAF was due to a contaminated salt tablet computer. Beth McKenzie approved a two-year sanction, as although the WTC concurred that her consumption of ostarine was unintentional, she can not definitively confirm that her ostarine AAF was because of contaminated salt tablet computers. A quick search on the UFC/USADA net site reveals supports Wallhead's insurance claim that the UFC has dealt with six ostarine situations throughout the in 2014 and also eight in overall. A search on the USADA site exposes 16 ostarine ADRVs in the previous year alone-- none of which entail UFC boxers. "They did offer me a 9 month restriction as well as I get it, I understand it", he claimed.

If a woman were to take a look at decreasing the SARMs path, really low dosage ostarine would certainly be the most intelligent alternative. Ostarine is one of one of the most well-studied and most prominent SARMs on the market. At this time, GTx have carried out over 8 clinical trials on MK-2866 on regarding 600 hundred topics. Considering that the early 2000s, the explorations made concerning Ostarine have actually resulted in it being utilized in bodybuilding.

Ostarine Mk 2866 Frequently Asked Questions.

Ostarine is thought about safer than prohormones, but is not without negative effects. We likewise can not state for certain what the results of lasting usage are.

"Theoretically it's nine months, however they have actually been great to me actually. They claimed that although their offering me 9 months, the company as well as its website had been warning, and also I should have googled the products.

Best Sarms Stack For Cutting, Bulking, Mass, Weight Loss & Even More.

SARMs are considered to be milder, both in their favorable and unfavorable effects, to anabolic steroids and even prohormones. This means that the results will be much less pronounced, however so must the degree of side effects. This is not to claim that SARMs such as Ostarine are totally without threat. Ostarine has actually been researched by the pharmaceutical company GTx, Inc. for usages including reversing weakening of bones and bone loss. It has the capability to aid avoid muscular tissue loss, muscular tissue wasting, as well as overall dystrophy, problems seen in cancer patients. It is generally advised to novice customers for being milder as well as reduced in adverse effects than other SARMs.

find this indicates that, after taking a dose, about half of the amount would be in your system 24 hr later on. This longer half-life means that one dose each day suffices, unlike other SARMs which may be better split. We would certainly suggest running a SARMs cycle for approximately 8 weeks complied with by at least an equivalent quantity of time off, during which a full PCT will be performed. For bulking, we 'd advise starting with 20mg and for reducing, start at 10-15mg.

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Cryopen Cryotherapy details.

Zimmer Cryo 6 Cyro therapy System.

Content

After therapy.

Why choose Fat Freezing?

Mole center At Mallucci London.

Our center.

how Much Time Does The treatment Take?

It's Called persistent Fat For a Factor!

Hifu Vaginal tightening.

They can likewise be operatively gotten rid of, occasionally using neighborhood anaesthetic. Skin tags are constructed from loosened collagen fibres as well as capillary bordered by skin. Skin tags are small, soft, skin-coloured developments on your skin. They can differ in colour as well as dimension-- from a few millimetres up to 5cm vast.

How does fat leave the body?

Research shows that 84% of fat loss is exhaled as carbon dioxide. The remaining 16% of fat is excreted as water. During the conversion of energy, carbon dioxide, and water are byproducts of waste. They are excreted via urine, perspiration, and exhalation.

For inquiries or guidance regarding employment rights, speak to the Work Relations Agency. If you have a remark or question about benefits, you will certainly need to call the federal government department or company which handles that advantage. The nidirect personal privacy notification puts on any kind of information you send out on this feedback form. If you have a question about a government solution or plan, you should contact the relevant federal government organisation straight as we do not have access to information regarding you held by federal government departments. This comments form is for problems with the nidirect internet site only. Skin tags are harmless and don't usually create discomfort or pain.

Just enter your information listed below and also we'll ring you to supply a quote or answer your inquiries. We will use your individual information to refine your query and contact you with pertinent information. For additional details, please see our website privacy policy. They are composed of loosened collagen fibers and blood vessels, bordered by skin, and also they expand in a projectile pattern.

Does fat freezing work?

Cryolipolysis appears to be a safe and effective treatment for fat loss without the downtime of liposuction or surgery. But it is important to note that cryolipolysis is intended for fat loss, not weight loss.

Disabled or persistantly sick individuals can assert BARREL relief on purchases for personal or residential usage that are applicable to their impairment or sickness. Skin tags can conveniently be burnt or scorned in a comparable method to how growths are removed.

After therapy.

Can you eat after fat freezing?

The answer is 'nope'you cannot eat whatever you want after CoolSculpting. Fat-freezing helps reduce the persistent flab leftover after losing weight. It's not a replacement for diet and exercise.

While it is true apparently that the criminal offenses of wrong-doers were suggested on indications where they were held in the stocks or pillory, there is no proof that 'unlawful carnal knowledge' was penalized or defined this way. Clenched fist associates right here to the striking context, not the sexual interpretation, which is an entire different tale. Remarkably the funny and also story-telling use of bacronyms is an usual device for creating hoax word derivations. chav - repulsive anti-social individual, male or lady, typically young - this just recently preferred slang word has actually generated a mischievous and also totally retrospective' bacronym' - Council Housed As Well As Violent. This old use was not then necessarily insulting, unlike the contemporary meaning of chav, which most certainly is.

In the North-East of England the modern-day versions are charva and also charver, which adds no reliability to the Chatham misconception. Please send me any type of other concepts and regional analyses of the word chav.

If you do not authorization for us to refine your individual data for advertising tasks, we will certainly still be able to call you concerning your enquiry. Your specialist will certainly speak to you about the possible dangers and also issues of having this procedure and also how they relate to you.

Why select Fat Freezing?

When it does I would expect much confusion regarding its beginnings, but as I claim it has definitely nothing to do with food preparation. shouting mimi/mimi's/ meemies/meamies - An aliterative expression with comparable definitions to sibling terms such as heebie-jeebies and also yelling abdabs, which roll off the tongue equally well. The typical use of the expression seems to be American, with numerous referrals recommending initial usage of the 'meemies/mimis' part from as much back as the 1920s. An abyss significance has established ever since to explain a poor reaction to medicines, instead like the expression 'cold turkey'. A 'Screaming Meemie' was additionally United States military vernacular for the German 'nebel-werfer', a multi-barelled mortar.

They must additionally be increased over the skin on a stalk or stem like piece of skin. Aggravated or contaminated skin with indications of redness, itching or swelling. such as moles, birthmarks, dark-coloured, hairy or any type of unusual-looking skin problem.

Skin tags a little developments, usually located in the eyelids, neck, underarms, groin, under the busts as well as in the folds of the butts-- anywhere, in fact where the skin scrubs versus itself. Apex would love to provide you with marketing information about product or services used by Spire and by selected third-party companions.

Mole clinic At Mallucci London.

Please upload clear photo of the area for our clinical personnel to review. you can find more information on Lipo360.co.uk's double chin tightening Corby here. in for therapy by having your problem evaluated by our medical nurses absolutely free. I consent to Sentinel Healthcare gathering my details via this type. Skin tags are small flesh-coloured or brown developments that hang off the skin and also look a bit like warts. You might intend to take into consideration Surgical procedure to get them removed if they are undesirable and influence your self-worth, or if they grab on clothing or jewelry and hemorrhage.

Our clinic.

There is frequently no need to eliminate them unless they obtain bigger, infected or frequently traumatised or they transform. In some cases you bother with an altering mole, that resembles a tag.

how Much Time Does The therapy Take?

We likewise offer FREE testimonial appointments, if you would like to be examined in person. Skin tags are tiny, soft, skin-coloured growths that hang off the skin and also look a bit like blemishes. Complete your information to see one of our experts at a practical time for you. A dark scab will certainly develop, the size of a dot, do not select as well as permit to fall off on its own. No covering or clothing is needed complying with surgery, however we may offer you a place plaster just to cover the location for the first few hours adhering to surgical treatment. If you desire to check on a problem or mistake you have actually currently reported, get in touch with DfI Roads.

Elimination is a reasonably straightforward procedure that is normally done under neighborhood anaesthesia-- so you will not really feel any discomfort and also you'll be able to go residence the exact same day. You should be able to relocate them backward and forward with your finger.

How many inches can you lose with CoolSculpting?

Results vary for each patient. However, there is an average of 20-30% reduction in the treated area, which can significantly slim and contour your waist and abdominal region. Many patients lose several inches from their waistline after the completion of their recommended treatment plan.

Just how huge and visible this will be depends on the precise procedure. We will certainly additionally give you suggestions on how to minimize the look of your mark, such as gently massaging the site after your stitches have been eliminated. You won't require to take time off job and you ought to be able to go back to your normal tasks quickly. This is a routine day instance or outpatient treatment, so clients can leave as soon as they are ready to be discharged. Our patients are at the heart of what we do and we want you to be in control of your treatment. To us, that means you can select the specialist you want to see, and also when you want.

It is a fascinating sensation, which illustrates an important part of how languages evolve - especially the impact of international words - and the close inter-dependence between language and culture. The term lingua franca is itself an instance of the lingua franca result, since the expression lingua franca, currently taken in right into English is initially Italian, from Latin, indicating essentially 'language Frankish '. Frankish describes the Frankish realm which controlled much of landmass South-West Europe from the 3rd to the fifth centuries. Huge busy cities including diverse areas, specifically traveling as well as trade hubs, offer an abundant setting for the usage as well as development of lingua franca language. Appropriately, an indicator would be placed outside the bed-chamber, or perhaps hung like a 'do not disturb' notification from the door take care of, showing words 'Fornication Under Permission of the King'. Sadly however that this rather improbable beginning has no support whatsoever in any kind of trustworthy referral sources.

It's Called persistent Fat For a Reason!

I would certainly suggest the HIFU treatment for anyone who wants the very same outcomes as surgical procedure, without going under the knife.

botox alternative Bedford will respond to all your questions, clarify each treatment in a language that you can understand as well as provide in advance and straightforward advice on how you can best redefine your body!

the number one botox alternative Northampton 'll additionally be shown existing before and also after photos of clients similar to you to ensure that you'll get an actual feeling for how your body could be transformed.

At the end of your assessment, you'll be presented with your recommended treatment programme along with transparent pricing for you to take house to think about.

The enhancement in my skin was a gradual process over 2-3 months, monthly I can notice my skin getting firmer, tighter as well as smoother.

Some HIFU makers come component of a multi-platform tool, these have a tendency to be much less effective as they supply various modern technologies in one device (like a jack of all trades!).

Each clients' treatment strategy is personal and also customized, made to assist each individual lookandfeel much better.

A committed tool to this solitary HIFU technology is far more effective.

The pot refers to the pot which holds the stake cash in betting. The associated term 'skin video game' refers to any type of form of gambling which is likely to cheat the unwary as well as unaware. Evaluating by the little variety of examples (just three in the context of business/negotiating) located on Google at March 2008 of the expression 'skin in the pot', the expression has just very recently theatened to go mainstream.

Hifu Vaginal firm.

They are smooth and soft as well as, unlike protuberances, they are not contagious. They may bleed if they remain in a revealed location however they are painless, benign and also harmless in themselves.

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A Help Guide For Cyclical Ketogenic / Reduced Carbohydrate Dieting

Proteins present the amino acids the body requires to build muscle and repair physique. A diet deficient in protein has decided to deteriorate without protein delivering the aminos the demands. An ounce of chia seed provides 4.43 grams of protein which could be more protein than found within ounce of eggs. Chia provides two-thirds the protein found in salmon. Yes, it is entirely easy to replace animals as a protein source with a crop grown by the Mayans. I can't tell you long it is important to stay on their own Keto Extreme Fat Burner Reviews diet, it will vary individually for each person. However, after choice you reach ketosis (the state where your body is burning fat as an electricity source), make sure you are ready to re-introduce small quantities of complex carbohydrates (raw oatmeal) back for your body meaning you can through training routines. If you are going to be training, and training hard, you will require some form of carbohydrates. Protein Keto Extreme Fat Burner Side Effects diet facts is an important part of any diet, but protein breakdown creates waste byproduct yet strain the kidneys. You eat just about 1 gram of protein per 3 pounds of body weight per daytime. Repeat customer for only five days, and then have a 1-day carb-up of "clean" carbohydrates because oatmeal, yams, sweet potatoes and brown rice. We have definitely the macros that reveal how many grams every single type of food we require in one day on the bottom carb level. A woman who weights 145lbs requires 104 grams of protein, 100 grams of fat and 17 grams of sugars. During the carb up phase try for having less than 50 grams of fat each day, about 150 grams of carbs and also the same volume of protein you have during a few days. Using this data we can then go to low carb recipe sites and start planning a weekly meal time table. I to be able to following a cyclical ketogenic diet with a couple of weeks now, and final results have been amazing typically. Not only has my body composition changed (fat loss and no muscle loss), but my performance in my exercise program has improved considerably. Really feel more energy throughout the day, more mentally alert - absolutely no hunger pangs associated with most nutrition desires. I believe I am very understanding of insulin changes, and thus the ketogenic diet works well for my vision. This allows the body to relax enough, reducing muscle tension giving you a nice stretch in the muscles. Do crucial to undertake it everyday? No, you have no need for to. Are you need to go to a hot sweaty room or one of the classes? No, only can is convenient for in which do it and you love making time for this task. The floor at your home or a grass area in the park can do well just fine too. Stretch the muscles that you train often and the other tight regions of your body at minimal three times a week. But low carb diets are extreme measures and think about using can excess weight without locarb protein diet programs. Although some believe carbohydrates are fattening, in reality they are not. Most people can easily lose weight by increasing their activity level or eating a little less and most healthier goodies. There are quicker and better methods to get rid of weight: eating small frequent meals, controlling portion sizes, cutting regarding saturated fats, avoiding sugar, drinking lots of water and eating lean protein at every meal. Ketone strips are in any pharmacy and is clear among the diabetic equipment. In a few stores, built kept behind the counter so it's possible you have to find out them. Will not have to own a prescription consumer them despite the fact that. As soon as you open a package of ketosis strips they possess a shelf existence of 6 months. It may perhaps be of usage to mark the opening date throughout the box.