#i got ketoacidosis like two weeks ago

[kawipastell1928]

Diet Root Beer is better than no Root Beer right? 🥲

[itsraining-honey]

its the second anniversary of my type 1 diabetes diagnosis.

i know i dont NEED to write these out, who wants to relive bad experiences, right? i like writing these because i can reflect back on the two years ago today when i was in the hospital and see how much i've grown from then.

this happened way before i've gained new friends and followers, many are in the dark of what happened. short story, i was sick and now have a life long condition.

its extremely serious. everyone hears diabetes and goes "its all that sugar". in some cases but not all. well, now i NEED all that sugar to live.

two years ago, the week of halloween, i was extremely sick. i didn't know why. i thought i had gotten COVID at first but i realized it wasn't really a respiratory problem so the next conclusion was the flu.

unbeknownst to myself, my mother, and brother, i was dying for a whole week. my pancreas failed, shut down and i was dying. my bathroom floor would have been where i died if i never went to the hospital. on november 1st, i was told what was happening to me. i was in DKA and needed to go to the ER immediately.

i had no idea what DKA was. for those who don’t know, it stands for diabetic ketoacidosis. i was mostly throwing up, trying to rest (which i hadn't for an entire week/ ended up hallucinating on halloween night after everyone went to bed which i find highly ironic lol), and drinking up as much water i could.

my stay in the hospital was filled with agony, lessened from the medications and insulin they gave me. at that point, i also found out i had air in my chest due to a hole in my esophagus from throwing up constantly and violently. it was scary.

at some point, i knew i was gonna die. i was scared at first. my mom had me shower and i couldn't even move. i couldn't get up. i was so shaky and light (again, ironic since im a fat girl). when i was in the shower, i sobbed and sobbed over the past. my relationship with my father, my friends and my family. i couldn't take it.

when we got to the hospital, i accepted i was gonna die. i was so sure of it. and then i didn't. i survived and i am continuing to survive. no matter how high my blood sugar will spike from eating or when i'm fixing a low, i think back to that week and think about how proud i am.

there are points i want to give up. throw the towel in and throw away my insulin, my CGMS, my pumps, all of it. i want to give up all the time. i want to stop taking insulin and just be normal, like i used to be. now having this condition, i don't want to be normal anymore. it took me a long time to accept my diabetes, it's apart of me now and i've learned it up and down, side to side and in reverse.

no one understands diabetes like someone with diabetes and even then, everyone else's diabetes is different. somedays are bad, somedays are good.

i'm happy to be alive. i'm happy to be online and still making art, listening to new albums, reading comics, making new friends on tumblr and twitter, seeing my oomfs talk about huntress or just their interests in general.

i am SO happy to be here and experience my life past 17. i'm 19 now and got to experience halloween and fall again for the second time without dying. so thats cool :D

thank you for reading and being here along with me on my journey, my friends💜

[cherry-velvet-skies]

I very rarely like to bring my personal issues on here but I'm so fucking stressed and angry that I don't know where to put it.

My dog got diagnosed with diabetes two months ago, and immediately he was given a medication and a dosage to start with. My parents and I knew he would be okay but even that was stressful because it became something we had to adjust our schedule to and it took some getting used to for all of us and especially our dog.

About a month in, the insulin wasn't really making that much of an improvement, so we went back to the vet and they told us to slightly increase the dosage and that maybe it wasn't enough. So that's what we did.

Flash forward to yesterday and my parents are taking our dog to the hospital because he's extremely lethargic, he keeps puking, and his back legs keep collapsing and he can't stand. Turns out that for the last two months my dog was being given the WRONG type of insulin at a dosage that was WAY TOO HIGH.

Wanna guess why?

The type of insulin we were given was the most EXPENSIVE type that our local vet offered, and they get a commission every time we refilled the prescription.

Now my dog is stuck in the hospital with diabetic ketoacidosis in critical condition for the next week ALL BECAUSE OUR LOCAL VET WANTED FUCKING MONEY

The hospital said that he's gonna be okay but he needs constant treatment for a few days to make sure he recovers and that he's gonna be switched to a new treatment plan once he's able to come home. BUT THIS WOULD'VE NEVER HAPPENED IF PEOPLE WEREN'T SO FUCKING GREEDY

NOT TO MENTION THAT THE HOSPITAL KEEPS ASKING US FOR A DOWNPAYMENT TO COVER THE MEDICAL EXPENSES WHICH WE DON'T FUCKING HAVE AND UNTIL THEY GET THEIR MONEY THEY'RE NOT GIVING MY DOG THE CARE HE NEEDS BECAUSE THEY HAVEN'T GOTTEN FUCKING PAID YET

I AM SO FUCKING SICK OF LIVING IN A COUNTRY WHERE MEDICAL FACILITIES AND INSURANCE COMPANIES CARE ABOUT MONEY AND PROFITS OVER PEOPLE'S AND ANIMAL'S FUCKING LIVES

You think you can trust your doctors when they say they know what they're talking about BUT YOU CAN'T. Even when we did research at home everything they were saying seemed right but my parents and I didn't know any better! Diabetes is not something we've had to deal with before so we think that the vet is doing the right thing! And now our dog has to go through all this which is super traumatic for him, ESPECIALLY since he's a rescue and came from an abusive home before we got him and he's got extreme anxiety and PTSD.

I just feel so bad for him but there's nothing my parents and I can do until he's well enough to come home and I just feel so helpless and frustrated and betrayed. I fucking hate the way this country operates and I always fucking will.

[williamdecade]

I believe it's October 11th sometimes the days just melt into each other and here we are again I talked to snap again today after talking to them three times over the past week I don't trust them anymore a lot of times they just give you lip service and Shuffle paperwork the last time I talked to someone I don't even believe the report went through I don't know the system but again I just don't trust them I spoke to the guy today and he was very kind but again I feel that a lot of it was just lip service he said he was going to send me an email so I could remember who it was that I spoke to and that never came I don't know snap tells me that while I had an attack several weeks ago of ketoacidosis and almost went into a coma and died that my application expired so it was denied and there was nothing he could do about it so he wants me to fill out a new application I told him they already have all the information nothing has changed and he said he would link the old application to the new one for the information I didn't know which one to fill out so I called them and a lady told me to pick whichever application I wanted for SNAP there were two because it didn't matter which one I filled out so I elected to fill out the one that said it was shorter but it didn't seem like it anyway I just don't know what to think anymore I'm having more physical problems it's making it more difficult on a daily basis. I'm not ashamed of anything there's nothing you can do about health problems so I'm guessing it's called autonomic neuropathy I had trouble a few times over the past several years but this year it has gotten constant I don't think I'm digesting food properly anymore and it's very painful and to go to the bathroom is even more painful past the point of needing to go to the hospital but I refuse to go so I try and handle it here at home the pressure the force the bleeding and all the gross stuff that comes with it including the hemorrhoids. I posted on Facebook asking any family members that mostly avoid me and hate me for help and nobody came forward so I never got the little fridge that I needed for medication and the liquid supplements on top of all the other stuff I need. It's been over a year April of last year since I've had no money to buy any of the basic things I need. And now snap is no more so I'm not sure what I'm going to do. When you're a single male you're not a priority for any of these organizations, they really don't care about you, they will jump if you're an expected mother or you have a family but I don't so I'm at the bottom of the list. I'm just not sure what to do anymore I don't really have any help and well I think I should stop for now before it cuts me off and tells me it loses my post like it usually does I'll check in again soon I'll try my best. Take care the world is getting more dangerous every day.

[rpgwrites]

Some thoughts

I’ve been thinking of what to write about today. And my thoughts are all over the place. Two years ago I shared a lot for diabetes awareness day so I didn’t think I would make another post.

I’ve been a diabetic for 20 years now. Diabetes is something I always shoved away. Everyone always knew I was a diabetic. But as soon as I talked about it, like go in detail, people always thought I made a big deal out of nothing. There’s no one I can really talk to about it. It’s always been a lonely journey. I’ve always wanted to meet other type ones but I never do. People didn’t think this is serious. They treated me like this was just a diet I have to follow. To many say it’s just a list of rules I have to follow. Or they judge me. Many times I have been treated like a bad diabetic. And I'll admit I’m definitely not the best one in fact I think there are many people that will be better at this than me. I failed a lot of times. I’ve cheated. Yet when I gave my everything it was never enough.

But this is serious.

I could talk about my worst lows and my highest highs.

Lows where I felt afterwards if I was alone I could’ve died. Because there would’ve been no way I would have woken up if someone else wasn’t there.

Which as a kid this was pretty bad. I had diabetic ketoacidosis (DKA) as a kid more times than I could count. I was hospitalized at least every 3 months with DKA. And a lot of those times I felt like dying. I prayed, and I don’t mean figuratively, I literally prayed that I wouldn’t die. I promised I’d do better. That I’ll be a better diabetic. And people judged me for it. I never got into a coma or anything like that but it didn’t mean it wasn’t serious.

I’m 25 and to be honest with how much I experienced DKA I didn’t think I would reach this age. I thought by now my life would’ve been over. And I still have fear. Every year I ask myself, “Would I still be here next year?” Or will I have some complication and not make it. Every Time I have blood tests I wonder if they’ll find something. It’s not that I don’t have complications. I do have them. But they aren’t that big. And sometimes when I have a symptom of something I wonder if this could mean I have a new complication. Even one of my doctors told me how my sugar level was back then I wouldn’t reach 30.

This week it happened that my sugar fell and then the next morning got really high. I felt horrible. In fact my co-workers realized something was wrong. Which usually I’m very good at hiding when something is up with my sugar. And when I told them they told me how to handle high blood sugar. Which honestly annoyed me because I’ve been dealing with it for 20 years. Because when their sugar is high it works for them. They recommended I drink honey in my tea. Honey will have the opposite effect. It will make my sugar go even higher. I understand people want to help but sometimes it gets frustrating.

So anyway I just thought I’d say a few things. Talk about my experiences. My inbox is always open for diabetic asks!

[oimoi-op]

when were you diagnosed with t1d?

Ok, so storytime! Short answer is, as of today, barely over two months ago. 

(Very long post warning y’all, contains hospital mention and extensive, possibly upsetting descriptions of health conditions, specifically DKA)

My family doesn’t really have a history of T1D or even T2D, though my second-cousin-once-removed has had T1D for over a decade now. So, there was never any reason for me to try and get tests done for it. The only sign I really had up until last semester was two copies of a variant of an HLA gene that I knew about from a 23andMe report (which, according to the report, put me at a higher risk for celiac’s and nothing else), but of course at that time I had no idea that that could mean anything serious; after all, that sort of thing only happens to other people, right?

My college started in-person classes in the latter half of August. By October, I started feeling tired, having a lack of appetite, and needing water very, very badly. I actually went to my school’s clinic, and my erratic heartbeat prompted the doctor to recommend me for a Covid-19 test. My school’s protocols meant that I had to quarantine at my home (since I live within two hours of campus) until I got a negative test result. At home, I was drinking water all the time and sleeping constantly, and my parents had commented on how I’d been losing weight. I thought these were all good things. I had been slightly overweight at my high school graduation, and I’d always heard that drinking a lot of water is good for you, so I thought I was actually in excellent health even if I kind of felt like shit most of the time.

Well. Uh. I was wrong.

When finals came around in mid-November, I was just fucking tired. I’d get a decent eight hours of sleep and still have to take naps during the day. Hell, I was even late for work because I slept through one of my nap alarms. Studying was a pain in the ass. Attending classes was a pain in the ass. Staying awake for Zoom classes was a pain in the ass. I was waking up at 5 am to go to the bathroom, and then I would drink the rest of my water, refill it, drink half of it again, and then go back to sleep. Finally, November 20th rolled around, and I got to leave campus. It was my birthday (yeah I am a Scorpio and that weirds all of my friends out lol), and my parents took me to Fusion. And I just...couldn’t eat at all? I love hibachi, but I couldn’t even eat half of my food. The chef even got me a delicious banana split that I had to basically bully my younger sister into eating with me.

For the next week, I was sleeping about 18 hours a day. I didn’t think this was weird because I’d just had finals so yeah, it makes sense that I would be tired after exams and whatnot. I went shopping with my mom, sister, and sister’s bff. We were only out for a few hours, but I was fucking wiped out y’all, like in pain. Thanksgiving arrived, and again, I love food, I love eating, but I was not hungry in the slightest. I basically had to force myself to eat some of my favorite holiday foods just so I wouldn’t offend my mom, and then I didn’t eat for the day.

The very next morning, I was puking my guts out.

This started a pattern for the next few days: I would eat chicken noodle soup or some other food, sleep like the dead, and throw up every morning and every night. I started chugging large bottles of Gatorade constantly (which, if you know about diabetes and its health complications, did not help my situation in the slightest). I started breathing erratically after very little exertion. Like, I’m talking standing up and stretching brought about heavy, labored breathing. I weighed myself on my parents’ scale, and I was under 130 lbs. Now, for some people this might seem like a lot, but due to my height and build I could fucking see some of my ribs. That was when I started to realize that something was very, very wrong, but “losing weight is good” and I didn’t want my parents to laugh at me for voicing concerns (though, for all their faults, in hindsight, I doubt they would’ve). Yeah. Don’t do that, folks, that’s not a good mindset to have. 

On Sunday, my mom took me to town to get tested for Covid. This was despite me saying that I didn’t have symptoms (which I knew very well due to some of my friends catching it at school). Rapid test came back negative, so I did a culture test. Hell, while I was sitting in the damn chair, I was about to pass out. I asked for a nausea pill but my mouth was too dry for it to dissolve. I got a cup of water, downed it all, and felt like my throat was on fire. For the rest of the day I felt so, so awful. At some point I was walking toward my bed in my room and I fucking fell. I’m fucking lucky there was carpet. 

Regarding the rest of that night, things start to get blurry, for the lack of a better term. I legitimately cannot recall everything that happened that night or the following two days, so I will just try to explain it in the way I remember it best.

Around...midnight or one??? I was on fucking fire, so I went to my bathroom and decided to lie on the floor. The floor was hardwood and not at all cold, and it wasn’t fucking comfortable even in that state, but I was just in so much pain I didn’t even care. My mom must’ve heard because she found me there and asked me what I was doing. I said something about the floor. She asked me to go back to bed, but I must’ve scared her because she asked me if I wanted her to lie in the bed with me. I don’t remember what I said to her, but we were in the bed and she was trying to hug me, but she was too warm and so I told her to stop. I kept feeling this burning just below my chest, like there was acid in me (which I guess wasn’t too far off), so I would randomly sit up to try and alleviate the pain and not cry. I remember asking my mom to take me to the hospital in the morning.

My mom put me in the truck (I think around 5 am is what she told me). I remembered hearing my dad. I was lying down. Then I was awake, but I was on the floor. I thought this was wrong so I tried to tell my mom that but I guess I couldn’t talk. Then I was in a hospital bed, the ER I assume. My mom gave me some water with a sponge, and I was just so fucking thirsty. Then I was in the ICU hooked up to a bunch of machines. I didn’t know what was going on, but my mom kept giving me water with that sponge. That is all I remember from Monday.

I remember a little bit more from Tuesday. My mom said something about diabetes, but that didn’t make any sense to me because I wasn’t “fat” and I’d been losing weight, even! What had I done to get diabetes? I was thirsty and tired, so I slept a lot. At some point I really needed to use the restroom so I unhooked my IV???? (I mean I must’ve disconnected myself somehow but I can’t remember the details) which set off a shit ton of alarms and people were Very Concerned and kept asking me Why Did You Do That? But I just needed to go to the restroom, and they told me to use the Red Button to Call the Nurse (it was already there, and I now realize that we’d probably had a similar conversation about the Red Button to Call the Nurse possibly multiple times before this) in the future. A Chopped Teen Tournament from 2017 was playing on the TV nonstop. There were commercials for CGMs. I thought that God wasn’t being very funny about the whole thing.

As of now I remember even less of Wednesday, but I know that felt better. There was this diabetes specialist who kept talking about insulin and life at college moving forward, but I wasn’t really there, either because of being so out of it for health reasons, disassociating, or a combination of the two. My mom told me she had emailed a professor so he would give me an extension on an assignment that was due by then, and I remember crying because I thought that was just so nice of him. That night, this guy got me in a wheelchair and put me in another room, which I would later learn was the ACU. My night nurse was this nice woman named Tanya, who had a very thick Eastern European accent. She got me orange juice to take some potassium pills, but it felt like swallowing rocks. I didn’t really get a lot of sleep, so I was awake when the nurses changed shifts. I remember one of them expressing surprise that I was out of the ICU so early.

My mom took longer to come that day because nobody had told her I’d been moved. I’d had plain Cheerios and orange juice for breakfast, but I couldn’t really eat because my throat hurt so badly. I talked to a lot of doctors. I guess at this point or somewhere near it I accepted that I had diabetes, but it wasn’t really real until the same diabetes specialist was going over carbs. I thought I was never going to eat shit I liked ever again. I really wanted a fucking McChicken sandwich. I signed some papers for Medicaid because I had aged out of the CHIP while in the hospital. I finally texted my friends and explained to them what had happened. I was so fucking tired.

I got out the next day, so that was Thursday. Normally, I would’ve been in the hospital much longer (especially because my Medicaid hadn’t been approved, meaning no insurance had approved of my insulin yet), but Covid cases were on the rise and the hospital wanted me out of there. The diabetes specialist and one of my nurses snuck me two fast-acting and two basal insulin pens, and I was out. I ate half a McChicken, a small fry, and drank my first Diet Coke. It tasted like diesel mixed with piss. 

That’s the gist of it. The hospital staff was very nice and thoughtful the entire time, I think. I felt as though everyone involved cared about my health a lot. 

For those of you who aren’t T1D or just don’t know, what I experienced is called DKA, short for diabetic ketoacidosis. To simplify, I was very close to entering a diabetic coma. My sister later told me that our dad had said (I assume a doctor had told my mother, who, in turn, had told him) that I was “approximately 45 minutes” away from death. DKA happens when a diabetic (usually a T1D like me) has too much blood sugar in their body due to them lacking the insulin necessary to break the sugar down, so their body breaks down their fat reserves and muscle to get the energy it needs. This is why I lost around 50 pounds over the course of a few months (I was 118 lbs. when I entered the hospital, the lowest I’ve been since grade school). I was officially diagnosed with T1D on November 30th, just ten days after my 19th birthday, which is a little older than normal I believe. It’s...well, it’s not fun, but I feel very grateful for my large support system, and tomorrow I’m trying out a CGM for the first time and applying for both it and a pump, so things are really looking up 

[cw-s12]

Weekly Wrap Up

Part 4

Even before this week starting I’m so excited for this week out of everything. I ended up spending 10 years of my life so far learning about the media industry as a whole and narrowing that down to film and television it feels crazy to me, considering I always kind of thought I’d end up as a teacher. I could not wait for this week so I'm glad I enjoyed it as much as I did otherwise I'd be regretting all my life choices so far.

Monday

Today we spent the whole day with the BBC talking to investigative journalists and producers that work there. We each needed to come prepared with an idea that could be turned into a story. I choose the issue of Type 1 Diabetes cases being linked to COVID as an autoimmune disease it can be triggered by such infections. My sister was actually diagnosed with Type 1 diabetes when she was 27 about 4 years ago, which in itself is strange as most people will get Type 1 when they are children. She was hospitalised after going into a Diabetic Ketoacidosis Coma after getting a cold that triggered the autoimmune disease, which was shocking for us considering our family don’t have any history of diabetes. I thought this was a really interesting topic to look into because a scenario like this can increase the likelihood of more people getting diabetes as the diagnosis cases almost doubled at the peak of the epidemic.

We also spoke with Vinnie Shergill, a producer on Strictly Come Dancing, talking through her career and how she got to where she is. Along with this she gave her advice for interviews and made sure to tell us to do our homework on the company before being interviewed.

Tuesday

This was such a good day getting to learn about a lot of job roles within Warner Media and finding out how shows such as Repair Shop and Glow Up are actually filmed. Today and yesterday did cement my love of television production and I think although film will always be something I love but TV is the area I would rather work in. We started with The Repair Shop getting insights from Sian Bantock, a set producer, and Chandler Hollobone, an AP, camera and sound technician. Getting direct information from 2 people working in an area of TV that I would love to work in was so useful just finding out how they got to where they are now.

We then went on to Food Unwrapped talking with Glenn Swift, a series producer, and Ayaan Ahmed, an AP. They had us break into groups for topics that could be featured on Food Unwrapped, our group was given drinks and we looked at scorpions and snakes in alcohol. Looking into this topic was interesting although very disgusting considering snakes are sometimes put into the bottles alive to drown where in one instance someone was actually bitten by the snake from the bottle.

We then went on to talking with Sophie Doyle and Anna MacCormick, who are both production coordinators. They talked with us through all of the documentation they need to complete and take with them on shoots. I’ve worked with call sheets and schedules before but having a run down on them from these two was a great reminder.

We then moved onto First Dates with Jamie Merrins and Jon Crisp and how they actually cast for the show. We had 3 tasks with them the first was to get 3 ideas for dream characters, dream backstories and dream love/loss stories. Our second task was to get 15 questions that we could ask during the casting process of their dating experiences. Finally we needed to come up with a dream casting for one of their previous cast member Freddie after watching his introduction video.

Our final session we had Leah Caffrey and Zinia Scroggs, producers for Glow Up. They gave us information on how they film the series and how long it roughly takes to film each episode. Our task for them was to come up with a professional assignment for the MUAs and then link it to a creative brief challenge. Our idea for the professional assignment was to have the MUAs completing looks for backing dancers in a music video or for a festival. Our creative brief was to then have them take their favourite music genre, artist or song and create a makeup look to represent that. We also were shown the first few minutes of the new series and needed to create a rough script for the voice over in order to introduce the series.

Wednesday

We had a session with Matty Groves on the Art of Filming in regard to documentary making and each talked about an item that has meaning for us. I really enjoyed this session because I love documentaries and at university instead of writing a dissertation actually made a documentary so going back to that format is always something I love doing. He talked us through the basics of documentary making and our homework from this was to create our own documentary based on an item of importance to us.

Thursday

Today we had UKTV with us having an introduction to their company and what it takes to work in their company. Our main time in this masterclass was spent creating our own TV channel service with help from someone from UKTV. We were teamed with Becca Hollister and came up with a channel for women showing women led or created shows for young and older audience by including I Love Lucy, Bewitched and Golden Girls but also having newer comedies such as Fleabag, Chewing Gum and Miranda. Also being a group of only women we decided that working with an idea based around women worked the best with us because we could relate the most to. We called W.I.T. for the reason of women in comedy do tend to use more witty comedy as a whole and to use the acronym Women In Television so that there was a duel purpose. Our channel was to blend and unify 2 generations and it can grow as women make more comedy as at the moment women write only 16% of comedy so it could encourage a development. We had to pitch our ideas Dragon’s Den style, which was terrifying, but our group won but I loved this idea and I am actually quite sad it doesn’t already exist.

Friday

We spent today with Samantha O’Neill from Sphere London who gave us loads of advice with our job searches and employability tips. She gave us some websites to look at for jobs and told us that before going for interviewing connecting and researching the company does show them you’re being proactive.

The second part of the day we had Yasmin and Lisa from Channel 4 giving us advice into applying for Channel 4 and what they offer as a company. We spent the next part of the session casting for a new series of The Celebrity Circle and picking 2 celebrities that we think would work well on the format.

[mindmusicspirit]

Sick, tired and broke...

While it took the coronavirus to get people to genuinely realise this : our healthcare system is trash when it truly doesn’t have to be.

That technically feels like the end of my Ted talk, but I’ll go into some slightly repetitive data about it, because what I ultimately discovered is that this healthcare system is costing the most financially and humanely for Millenials.

Let’s start out with 2019 when 137 million Americans faced financial hardship due to medical costs. Scary part is, regardless of age, high healthcare bills are the number one reason people would consider taking money out of their retirement accounts or filing for bankruptcy, while 66.5% of all personal bankruptcies are tied to medical issues. ( CNBC).

According to the NYTimes, Americans borrowed $88 billion in 2018 in order to pay for their healthcare. If we’re borrowing $88 billion to pay for healthcare, imagine the profit that these healthcare companies are enjoying!

Why is healthcare so expensive? The best answer I could find is due to a “free” market and lack of regulation by our government as well as a lack of transparency when it comes to medical billing. According to Public Health Policy Professor Marty Makary of John Hopkins, the healthcare marketplace is “irrational”-- though I prefer the term uncontrolled-- where price gouging has become the norm. Heart surgery at one hospital may cost $44,000 while the same surgery will cost $500K at another facility, and the kicker here is, despite the disparity in price, there is no marked difference between the quality of care in the different facilities (CNBC).

As for lack of transparency for medical billing, I can personally attest to that ( though clearly I’m not a unique case). Last year I was hospitalized at Tulane University Medical for Diabetic Ketoacidosis, brought on by food poisoning, and I received 3 seperate bills for that one stay. One bill was about $350, the second bill was for $2200 , and the third bill was for $14.99 with no thorough explanation about what I was being billed for ( no general explanation provided either). The bills were just medical coding with no legend of what the coding represented, leaving me angry and confused. How does one hospital stay, at one facility come with 3 seperate bills? Sad thing is, I had health insurance, and seeing as health insurance comes with deductibles and out of pocket limits, I figured those hospital bills hit that, at the very least. Apparently it did not for reasons not even the health insurance reps could explain to me. How do I spend $2500 out of pocket, when my limit is $1500, and you’re telling me that that $2500 doesn't count toward my out of pocket? A clear lack of transparency in not just medical billing, but health insurance as well.

The general high cost of medical care is another reason we’re just out here remaining sick and in debt: The average hospital stay in the US costs about $5220 per day, whereas in Australia where the nation's wealth is comparable to the US, it’s about $765 per day. It is not even hospital stays that are the initial causes/starting causes of medical debt either: 65% of medical debt started out with either diagnostic testing or a doctor’s visit followed by Lab fees, ER visits, drug prescription costs and outpatient services (SingleCare.com). Why would something/someone whose job it is to cure or heal you be what brings you into debt? Even more so, why does something as primary and preliminary such as diagnostic testing or seeing the doctor be the main cause of medical debt? We’re in debt before we can even know what’s ailing us? Drug prescriptions are no different either. About a month and a half ago I lost insulin vials and needed to get replacement vials from the pharmacy: I’ve never actually lost insulin before in my twenty years as a diabetic, so you think that my pristine record would count for something. It didn't. Health insurance was not going to cover it, and the cost of one vial was going to be $900. Keep in mind, one vial will last me about two weeks. Maybe three if I make sure to not eat. $900 is more than my half of rent to put that cost into perspective relative to my monthly bills, and it was only going to last me half the month. If prescription costs are that drastic, I can only imagine the average cost of the diagnostic or doctors visit that affect the 65% that fall into debt because of it.

In addition to costing us financially, high medical care and medical costs affect our quality of life and ability to accumulate wealth, especially Millennials. According to a 2016 study published by Health Affairs, Millennials carry the most medical debt in the US as well as incur it more frequently: the article focused more on the fact that the debt starts at the age of 27 once the medical care/insurance for young adults under their parents insurance ends at age 26. The age group that ended up accumulating the most debt was also age 27 ( PBS.org) The Millenial age group also accounts for 35% of the overall population, so that could be another reason why we hold the most medical debt as well ( Single Care).

Quality of life is also affected in that Americans are foregoing medical treatment or medical visits due to cost. In fact, 21% of Americans had to do that in 2016 alone. That is 21% of people not getting the necessary healing treatment they need, or living in the dark of what’s ailing them.

32% have postponed medical care due to cost. When I hear “postpone”, I assume that the only reason they end up getting medical care is because their ailment got worse or to a point where they couldn’t avoid not getting the medical care that they needed.

40% of adults ages 18-64 have relied on at home remedies or over the counter drugs instead of going to the doctor due to medical cost ( Singlecare.org)

I have fallen into all 3 categories: In fact, once , in order to avoid a hospital visit, I treated my own onset of ketoacidosis. For those of you not sure what that entails, it basically includes taking my insulin through my veins as opposed to subcutaneously ( injecting my arm or stomach) while avoiding any liquids or food, including water for at least 24 hours. The reason you have to do that is because your body’s acid level is falling to a dangerous level so it won’t react to insulin being delivered into your fat stores or beneath the skin: It has to be delivered directly to your bloodstream to have an effect. This acidity level will also cause your blood sugar to rise to dangerous levels, and potentially even lead to a heart attack if not treated in a timely manner.The low acidity level is also why the body won’t tolerate any food or liquid, as it tries to purge every possible foreigner from the body in order to normalize its pH level. Imagine not being able to drink water without violently vomiting it up. So there I was at home, a young twenty year old, injecting insulin into my veins, every hour for at least twenty four hours, until my body was on the mend again. I had to be my own doctor in order to avoid a $2k-$3k plus bill that I knew I couldn’t afford. Was it risky? Yes. But, I was forced to be concerned not only for my life but for my financial well being simultaneously. Sad fact of the matter is, I’m confident that I’m not the only type 1 diabetic with a story like that, and I’m not the first to have to weigh my life versus my finances.

In order to pay for medical costs:

53% work out payment plans with their provider. That’s probably the best option, although it ends up being one more bill to add to the list at the end of the month. I’m still paying off that $2500 hospital bill I previously mentioned.

37% have had to borrow money from family or friends

34% have increased their credit card debt

70% say they cut back spending on food, clothing, or other basic household items.

41% say they took an extra job or worked more hours.

59% say they used up most or all of their savings.

35% say they have been unable to pay for basic necessities like food, heat, or housing. (Singlecare.org)

The statistics at the bottom are exceptionally high and staggering. 70% have to cut back on basic household items/comforts in order to pay medical bills: Is it really a succesful or efficient healthcare system if you have to choose between food or medicine?

In addition to our quality of life/quality of health being impacted, I mentioned our ability to accumulate wealth, which for Millenials have proven more difficult than prior generations: According to Caroline Ratcliffe, a senior fellow at the Urban Institute who studies asset building and poverty, wealth is stagnating for younger generations compared to their parents and grandparents. For people under 40 years old: their wealth has only inched up compared to their parents in the 1980’s, and many factors affect that: Credit cards ( see prior posted article on credit card debt), Student loans ( future article) and of course medical debt:

When one in six Americans have past due medical bills on their credit report, it affects their ability to secure a good interest rate on a home or auto loan. ( PBS.org) We’re constantly told how real estate is one of the best ways to accumulate wealth, yet these unnecessary and predatory forms of debt make it harder for us to do so. A lot of these past due bills average about $600(CNBC), but when most of us have credit card bills, monthly living expenses, student loans, and living paycheck to paycheck, how easy is it to pay $600, realistically?

The additional injury to injury ( because we’re long past insults to injury), is the fact that medical care is slated to become even more expensive. It’s expected to hit $6 trillion by year 2027, and it’s already 2020!

When individuals, the federal and state government, and private business seem to share an equal balance of overall medical expenditures ( be it through medicare, the cost of employee covered insurance etc etc), why then would medical costs go up?

It goes back to the beginning of the article, where we pointed out how unchecked the healthcare industry is. Despite the fancy words and round about explanations we may get from lobbyists and those in healthcare, in addition to being gaslit by them that rising costs are unavoidable, it most certainly is avoidable.

Don't forget, compared to other countries that have comparable wealth to us, everything is more expensive here in the US, and there doesn’t seem to be a disparity in the actual quality of care. For example, the total health spending per capita is 84.8% more expensive in the US than in Canada.

In America, they perform 322 C-sections for every 1000 live births, which average a cost of $16,000. In the UK, it’s 264 C-sections per 1000 live births with an average cost of $6k.

An MRI averages about $1115 in America, yet averages to about $215 in Australia. (Singlecare.com).

These countries are comparable in wealth to us, so is affordable and universal health care really that far fetched or radical of an idea in America? Especially when it’s driving such a staggering amount of people into debt? The answer is NO. Based on the medical cost and quality in other countries, not only is it possible, but easy to make it affordable and universal. There are so many different models that are currently working that we can choose from to emulate even.

Health insurance, healthcare and pharmaceutical companies need to be governed or regulated here in the US. Otherwise, the health care system is just another player in the systemic debt traps that seem to be set for the poorer masses, and it’s a problem that’s only projected to get worse, especially for Millenials. It’s grossly affecting our overall quality of life and ability to generate wealth. These statistics show that while the sick get sicker and entrapped by debt, the healthcare industry and those at the top will benefit the most financially from our plight. This current system is neither logical, nor sustainable for the masses, the greater good, or for the economy.

What ever happened to the Hippocratic oath to do no harm?

References:

137 Million Americans are struggling with medical debt. Here’s what to know if you need some relief.

https://www.cnbc.com/2019/11/10/americans-are-drowning-in-medical-debt-what-to-know-if-you-need-help.html

2020 Medical Debt Statistics

https://www.singlecare.com/blog/medical-debt-statistics/

Millennials rack up the most Medical Debt and most frequently.

https://www.pbs.org/newshour/health/millennials-rack-up-the-most-medical-debt-and-more-frequently

Americans borrowed $88 billion to pay for healthcare last year, survey finds

https://www.nytimes.com/2019/04/02/health/americans-health-care-debt-borrowing.html

Survey: 79

million Americans have problems with Medical Bills or debt.

https://www.commonwealthfund.org/publications/newsletter-article/survey-79-million-americans-have-problems-medical-bills-or-debt

[anderswasrightt]

life update: i just moved in less than two months ago and now i got bedbugs and my landlord thinks i can solve the issue with home remedies like spraying the edge of my bed with listerine. so now i gotta cite all these state laws to him and demand he get a competent exterminator to treat the whole house which is like $3000 minimum but like??????? i aint sleepin with bugs, binch

also i was in the hospital earlier this week with borderline diabetic ketoacidosis, and i went to my first appt with a new therapist which is always stressful as shit

so thats how ive been

[fat-to-fitgiraffe-blog]

Damn. Haven’t posted in about 3 years....

Oh boy what has changed. Shortly after Halloween of 2015, I stopped doing anything healthy.

Summer of 2016 I got diagnosed with Type 2 Diabetes, A1C of 12.1 (average blood sugar reading of 350 (average healthy number is 80-120))

I continued down this path of daily insulin shots, sugar addiction, sedentary lifestyle, and worsening Diabetes. There was a point of about a year where I didn’t take insulin once. Keep in mind I was supposed to be taking it daily, and a lot of it.

There got to be a point of recurring UTI’s, feet tingles and pricks, numbness in fingertips, fatigue, constant bodily uncomfortability, and more.

It got so bad that at one point in December 2017 I was pretty sure I was suffering from Diabetic Ketoacidosis (DKA)- where, in a sense, your blood turns acidic and you could easily fall into a coma or die if untreated. Before I felt symptoms, I ate half of a chocolate caramel bundt cake for lunch because I could. It didn’t even taste good, but I did it because I could.I filmed an apology video on my phone for everyone important to me. Information about me in case I slipped into a coma and the doctors needed to know some things. Pretty fuckin morbid, right? With the last bit of energy I had, I shoved a massive amount of insulin into my stomach and laid my head down. Obviously and luckily, I woke up the next morning.

That should’ve been a wake up call to end all wake up calls, really. But was it? Nope. I ate like a binge eater would. I’d eat 2 lunches or 2 dinners. All junk food. All fast food. Whatever and whenever.

That’s right folks, at the young age of 20, I was an out-of-control diabetic without a care in the world. I never told a soul because even though I wasn’t willing to change it, I was ashamed.

Fast forward to this past summer (2018). Something just clicked inside of me. No sickness, no pain, no wake-up call, no reason. I got up off my lazy ass, got educated about my body and how it processes the food it consumes. I read books, watched documentaries, did research.

Well?

...

Four months later, and I’ve beaten my type 2. From an A1C of 12.1 two and a half years ago, to 6.2. I exercise five days a week, and changed my way of eating to keto.

I haven’t had a UTI, my feet feel fine, fingertips too, I have boundless energy, and I can be on my feet and moving around all day without being in discomfort. THIS is what being 21 feels like. What being healthy feels like.

I’ve only lost 15-20 pounds, but I’ve gained SO much in strength, and quality of life. I’ve sobbed over my achievements so far. Here’s to the rest of my life ❤️

[ltsaradharkness]

Birthdays and holidays and family stuff.

So last year my youngest aunt dj ended up in a coma after taking something that wasnt her prescription meds. Now what wee know is it was a diabetes meds and as a result she ended up in diabetic ketoacidosis and isnt remotely diabetic. Those she has a seizure or stroke and ended up with in a coma and with long term memory problems. She wants to claim she isnt a drug addict except she had cocain in her system at the time and also has had such things in her system in the past tested by the police on multiple occasions. Now she wants to claim not to be a drug addict that people around her was but not her. (Was a big fight earlier this year, nana literally told me it was unfair of me to make such a statement. Well sorry but the truth is the truth deal with it.)

So this happened right before the weekend of my 30th birthday. I had a big weekend planned and missed put on a big family anf friends dinner becasue my nana and pawpaw had to go be with her. (As they should) they were gone more then a week amd she had to come home with them becasue she couldnt be left alone amd they were the only ones who could help her take care of herself. It was a nightmare. She didnt talk to anyone for a week when she got home. (Wouldnt talk to some people before she left the hospital too but...) then it was yelling and stomping and tantrums like a 3 year old.

She left after two weeks or so. And every other day was some drama from people calling nana talking about dj. Her friends where she was at ect. She had her dog here with her but took her with her when she left.

Well fast forward to sept and we are displaced for a hurricane last year and while we were staying with family, she needed to be moved again amd couldnt take thr dog with and the dog was in a bad way so we brought her home with us when we could finally come home after 12days. And then it was back to hearing from dj or about dj for months on end. Then in may of this year she needed or wanted to come move down here with us. So someone brought her down here in july and again it was fighting and bs right at the same time as pawpaw was having his bladder removed from having cancer. She was here for about two weeks again before she called someone to come get her. She tried to say that nana and pawpaw had stolen her dog and tried to take the dog while pawpaw was still in the hospital. Well that didnt happen but she couldnt even take care of herself much less the dog. So she hasnt been doing well been back and forth between a family friend and maybe a boifriend. Driving the family friend totally insane. Over a car she cant even drive becasue years ago she lost her license. Trying to het it fixed and in her name and all the kinda crap. Well we had to take a trip to gastonia for our own car related stuff and ended up bringing her home with us at the same time.

So now she is back with us and is just about as bad as before. But today is her 49th bday and nana wanted to take her to dinner but she didnt feel good so she didnt go. While at chillis we had a pan cookie and when nana talked about dj missing out i was like i jave chocolate chip at home i can make her cookies and she was like that would be really sweet of ypu to make her cookies.

Well that didnt really sit well with me. But i did make the cookies. They came out pretty good. But it got me to thinking about xmas. And how i dont really wanna get her anything or make her ANY thing or do anything for her. Nana said today she feels like she has lost everything, well she fucking did it to herself. She took drugs and let for ex do drugs and stayed even tho she wasnt with him anymore. She didnt take her stuff and get out ect. No she called nana all the time to complain about what was going on.

Complain that no one loved her etc. Etc on and on. Like you wouldnt know love if it walked up and slapped ya. Head too far up your own ass to notice what real love is like.

Today at dinner i nana and pawpaw about feeling like she doesnt know thay im 31 no 8 and she talks to me like im 8 or something. Nana goes dont let it brother you. Blah blah dismiss your feelings etc. As per usual. Well whatever. Ruined my last two bday, and made things harder then necessary every time she is around. Cant recognize or realize that she is the problem. HER bs is the problem.

And that being stupid and fake isnt gonna "make me love her again" like nope honey love isnt the problem.

[joepamter589-blog]

Best keto diet recipes for you

Two weeks ago I wrote about why the ketogenic diet is total B.S., and the internet didn't take it too well. People on Facebook called it "false," "intellectually disingenuous," and even straight-up "terrible." One reader even devoted a whole blog post to dissecting the information line-by-line.

The keto diet — a low-calorie, high-fat eating plan touted by celebrities and Instagrammers alike — aims to activate the metabolic process called ketosis, when our bodies use fat for energy instead of sugar. Followers say it's helped them lose weight and gain energy, and they still get to eat bacon and butter.

My response: The ketogenic diet may work for you personally right now, and if that's the case, then go for it — as long as you inform your physician about your diet, medical history, and medications. It's your choice to eat keto and make it work for you. Related Articles : http://www.ketogasmic.com

But from a public health standpoint, making a sweeping generalization in support of this diet would be negligent. It's my job as a registered dietitian (RD) to evaluate all the research in the context of scientific consensus, study strength, and long-term risk factors. Collectively, the existing information indicates that the keto diet can lead to nutrient deficiencies and prove difficult to adhere to long-term.

Still, I read through every response to my original article. I've included some of those comments below, ones that represent common opinions about the keto diet, to elaborate on where I stand:

1."There's a ton of research on ketogenic diets."

You're right that there is some research on the ketogenic diet, but not much looks at the long-term effects on overall health and weight maintenance. The best studies conducted for more than one year looked at the impact of keto on pediatric seizure disorders. The benefits for epilepsy in these cases outweigh the potential risks.

In fact, one 10-year study conducted on keto and epilepsy management in children found the following side effects: constipation (65%), high triglycerides (40%), high cholesterol (29%), diarrhea (19%), lethargy (17%), iron deficiency (15%), and vomiting (13%). As for the Standard American Diet (SAD), I am absolutely not suggesting that we don't have big challenges when it comes to healthier eating habits, but my less-than-enthused stance on keto isn't because I'm comparing it to SAD. Rather, I think it's important to compare a keto plan to its weight-loss counterparts, like the well-substantiated Mediterranean diets and its spin-offs, like DASH, MIND, and TLC. Those plans incorporate wholesome, nutrient-dense foods that encourage improved eating patterns and manageable weight loss. dairy free keto meal plan http://www.ketogasmic.com/quick-guide-to-dairy-free-keto-meal-plan

2."It's not just butter and coconut oil."

It's true that the diet is not just butter and coconut oil, but it's still quite high in saturated fat. A lack of boredom doesn't imply that it's a health-promoting plan either.

You said it yourself: You take a supplement to protect yourself from deficiencies, including (but not limited to) iron and zinc. You're also at risk for missing potassium, magnesium, folic acid, and beta carotene. Know that the FDA doesn't oversee supplements, so you may not be getting exactly what you pay for. Plus, certain nutrients consumed as supplements can also have a pro-oxidant effect, meaning they do more harm than good. The end result: Increased risk of chronic disease, including heart disease and some cancers.

I'd also encourage you to have a look at photos tagged #keto on social media: beverages loaded with heavy cream, cheeseburgers without buns, and lots o' processed meat. So while it's possible to consume foods both compliant with the diet and nutritious, the messaging surrounding keto is the perceived ability to eat tons of fast food and skimp on sprouts.

3."It's outdated to say that 'low-fat' is good for weight loss."

I couldn't agree with you more that extremism in our diet culture has created undeniable issues as a result of low-fat, high-carb processed foods. But the point of the keto debate is not comparing it to junk food, but rather the benefits of a Mediterranean-style eating plan. keto budget meal plan http://www.ketogasmic.com/keto-budget-meal-plan-a-handy-guide-for-beginners

Yes, diets high in refined sugars and breads are linked to obesity, but turning from one extreme to another is not the solution to the obesity epidemic.

We know that extreme diets such as keto may induce weight loss. However, recent studies indicate that the extreme fat intake required to bring the body into ketosis may also have negative effects. A 2015 review published in Nutritional Neurosciencefound that keto can increase risk of diabetes, heart attack, and strokes in children treated for epilepsy — risks considered less significant than enduring seizures, but ones not beneficial for the overall population, 49% of which is at risk for heart disease.

Another meta-analysis published in the British Journal of Medicinein 2013 evaluated ketogenic diets versus low-fat diets for long-term weight loss. It found that keto works for weight loss short-term and may lower blood pressure, but it can also increase LDL cholesterol. The authors also say their own research analysis overlooked key indicators of health: Liver function, vascular function, cardiovascular events, and kidney function. In other words, we don't necessarily know the harm that ketogenic diets can cause.

4. "I've lost weight and kept it off."

Your eating habits are personal, and if you wan to lose weight, then you should follow the plans that work best for you! That said, it's still crucial that you look into whether or not you're meeting all of your nutrient needs in food form in order to remain healthy over time. The fact that there's not much research on the overall sustainability of ketogenic diets is what prevents many nutritionists from recommending it universally.

That said, if a particular eating plan causes immediate weight loss, and subsequent gain once you stop, that's not solving any medical or public health issues long-term.

Diet-induced weight fluctuations factor in heavily when healthcare professionals give advice, especially because RD's like me always look to apply the most current, well-researched scientific data to whomever we counsel. A big component of that is weighing benefits versus risks, and what we do know is that there may be some risky long-term effects of frequently gaining and losing weight. Extreme diets promote doing just that.

It may be more helpful to put into this context: If we were talking about a medication instead of food, would you consider it sound advice to say that taking a certain drug "might be safe, but definitely not safe for everyone, and it may only work temporarily and cause damage to other biological systems?" Not so much.

The point of the keto debate is not comparing it to junk food, but rather the benefits of a Mediterranean-style eating plan. mandelin almond flour http://www.ketogasmic.com/90-second-keto-bread-recipes

5. "This diet reversed my type 2 diabetes."

First of all, congratulations! Significant weight loss is a tremendous accomplishment, and I applaud you for getting where you are now. To your point, this is where the benefits come in: Losing more than 10% of your body weight when you're overweight or obese can significantly improve your metabolic state of health, regardless of how you got there! With that in mind, it's likely your type II diabetes "reversed" course thanks to the weight you lost — not the diet itself. However, if you are diabetic and considering a ketogenic diet, it's essential that you know this: "Ketogenic diets may help some people with type II diabetes lose weight and therefore reduce blood sugar, but they're not safe for everyone with diabetes," says Dr. Elise Brett, Associate Clinical Professor in the Division of Endocrinology, Diabetes and Bone Disease at the Icahn School of Medicine at Mount Sinai Hospital. "One should always check with a doctor before starting this type of diet."

Many diabetes medications actually require eating some carbohydrates to ensure they work. "Diabetes medications avoid low blood sugar reactions, and people who take insulin and/or [medications] called SGLT-2 inhibitors may put themselves at risk for a life-threatening condition called diabetic ketoacidosis (DKA) in which ketone levels in the blood reach dangerously high levels," Dr. Brett adds.

[itsasif007-blog]

Going free somewhere two whereabouts everything we got everything Youth Jersey

New Post has been published on https://www.highasduck.com/going-free-somewhere-two-whereabouts-everything-we-got-everything-youth-jersey/

Going free somewhere two whereabouts everything we got everything Youth Jersey

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The outside receivers were catching the ball this week for us. 17D ago by RotoWire Staff | RotoWire Dodgers’ Buehler: Confirmed as Wednesday’s starter. He’s concerned more for Yao than anything.

[fishermariawo]

Dear Mark: Marine Fat Sources, Not Gaining/Losing, Keto Breastfeeding

For today’s edition of Dear Mark, I’m answering three questions. First, what are some less expensive sources of marine fat high in omega-3s? Is canned salmon a good, safe, effective option? Second, a reader is training hard, eating low-carb/keto, doing IF, and feels pretty good despite not losing or gaining any weight? What should she do? What could she be doing wrong? And third, should you go keto while nursing?

Let’s go:

Marine fat. Good examples? I have tried to eat sardines, I really have. I don’t know why they repulse me so. Where else can I turn? Safe salmon is just so expensive unless you get canned, and even then, can you trust it? If it’s true satiety I’m going for, a supplement (cod liver oil?) is probably not going to give me that.

I hear you on the canned salmon. When I was first looking into this years ago, I worried that canned fish would be damaged by heat and perform worse than supplements. Turns out it’s very useful. In one study, researchers gave women with a high risk of breast cancer omega-3 fats via fish oil caps or canned salmon. Both “supplements” worked at increasing levels of DHA and EPA. Fish oil increased the EPA content of red blood cells and plasma four-fold; canned salmon increased it two-fold. The change in DHA was similar in both groups, as was the overall change in breast tissue fatty acids. Fish oil may be more potent, but it’s unclear if quadrupling your RBC EPA is necessarily more desirable than doubling. You also have to consider the two things the fish eaters got that the fish oil quaffers didn’t: all the micronutrients (selenium, iodine, astaxanthin, etc) and macronutrients (protein) salmon provides.

Canned salmon is a good option, and most of it is BPA-free these days (but verify). If you enjoy it (some do not), look for salmon that includes the bones and skin. Tons of benefits there—calcium, collagen, extra oil. Trader Joe’s used to carry one like that. They still might.

Fresh mackerel is good. Here’s a buying and cooking guide to mackerel I did awhile back. It’s affordable and full of omega-3s.

If you can find them, fresh sardines are a totally different animal. Just make sure the fish smells clean, has clear eyes, is firm, and resists sagging when held parallel to the floor by the tail.

Canned cod liver exists. It’s tastier and milder than you’d expect, canned in its own oil, and Northern Europeans have been eating it for years. Here’s smoked cod liver. Here’s regular.

Jennifer asked:

#6 is me right now. I am eating low carb (maybe even Keto), and I’m IF’ing every day (allowing only coffee w/ a splash of cream in the morning). My appetite is finally feeling quite suppressed. The nice thing is that I’m not counting. I am eating intuitively; and at the end of the day, I log what I ate as best as I know how (since I didn’t measure), to just check, and everything seems to be on point with my calories and macros. I train brazilian jiu jitsu several times a week, as well as do HITT style workouts, with strength training on my off days. I usually have a couple days a week that I don’t train.

My question is, I’m not losing and I’m not gaining – so do I keep doing what I’m doing? Or do I change things up? I feel fine – plenty of energy, and I’m not hungry. If I were hungry, I’d eat. My goal is to lose another 15 lbs, and I love the keto/IF style for me because it works well with my lifestyle.

First, make sure you actually need to lose another 15 pounds. 15 pounds of what? Fat, lean? Rather than thinking in terms of bodyweight, it’s often more helpful to have concrete goals. Is there an article of clothing you want to be able to fit into?

You’re training a ton. That’s great, it can be incredibly rewarding—I know the feeling. But that, paired with “my appetite is finally feeling quite suppressed” is a bit of a warning sign. When I trained daily, my appetite was through the roof. I couldn’t get enough food. You’re hitting it really hard. BJJ, extremely demanding, glucose-intensive. HIIT, extremely demanding, glucose-intensive. Weights, extremely demanding. You should be hungrier, not less.

All in all, the message your training and restricted eating may be sending to your body is one of scarcity. It’s good that you’re neither gaining nor losing and have plenty of energy, but that could change quickly. Try giving your body a few more signals of abundance; it may be exactly what you need, and it could help you avoid problems in the future.

Try eating breakfast, a real breakfast. Have some eggs, bacon, half a cantaloupe. If you insist on IFing, try doing a lighter/no dinner instead of no breakfast.

Try eating a few more carbs and calories on your training days, timed after your workouts. You’re burning through a lot of glycogen, and if you’re eating keto with IF you’re probably not replenishing it.

Good luck and keep us posted.

Akrol asked:

Is it safe to do a moderate keto diet while breast feeding?

If you recall from previous posts, oxaloacetate is necessary for finishing the Krebs’ cycle and producing ATP from fat and glucose. Running out of oxaloacetate means we can’t make ATP from fat and glucose and need an alternate energy source: Ketones. Lactating women also use it to produce lactose, the milk sugar that provides much of the nursing baby’s energy needs. That means that lactating women can eat more carbs and protein and still remain in ketosis. It also means that eating a strict ketogenic diet extremely low in carbs and protein is likely to impair milk production.

While many women report remaining ketogenic while nursing without issue, there are a few case studies of breastfeeding women suffering lactation ketoacidosis, a dangerous condition where chronically low insulin prevents the cells from accessing blood glucose and promotes unchecked ketone production that make the body overly acidic. This can be life threatening. Triggers of lactation ketoacidosis have included starvation (don’t starve yourself or even fast while breastfeeding), twin lactation (feeding two increases the amount of lactation substrate you need to consume), and a low-calorie/low-carb/high-fat diet (bad combo).

Had I a set of breasts from which an infant would be suckling, I’d just opt for a regular old low-carb diet, Primal style. I wouldn’t worry about ketone production so much as eating enough calories.

That’s it for today, folks. Thanks for reading, take care, and chime in down below with your own input!

[milenasanchezmk]

Dear Mark: Marine Fat Sources, Not Gaining/Losing, Keto Breastfeeding

For today’s edition of Dear Mark, I’m answering three questions. First, what are some less expensive sources of marine fat high in omega-3s? Is canned salmon a good, safe, effective option? Second, a reader is training hard, eating low-carb/keto, doing IF, and feels pretty good despite not losing or gaining any weight? What should she do? What could she be doing wrong? And third, should you go keto while nursing?

Let’s go:

Marine fat. Good examples? I have tried to eat sardines, I really have. I don’t know why they repulse me so. Where else can I turn? Safe salmon is just so expensive unless you get canned, and even then, can you trust it? If it’s true satiety I’m going for, a supplement (cod liver oil?) is probably not going to give me that.

I hear you on the canned salmon. When I was first looking into this years ago, I worried that canned fish would be damaged by heat and perform worse than supplements. Turns out it’s very useful. In one study, researchers gave women with a high risk of breast cancer omega-3 fats via fish oil caps or canned salmon. Both “supplements” worked at increasing levels of DHA and EPA. Fish oil increased the EPA content of red blood cells and plasma four-fold; canned salmon increased it two-fold. The change in DHA was similar in both groups, as was the overall change in breast tissue fatty acids. Fish oil may be more potent, but it’s unclear if quadrupling your RBC EPA is necessarily more desirable than doubling. You also have to consider the two things the fish eaters got that the fish oil quaffers didn’t: all the micronutrients (selenium, iodine, astaxanthin, etc) and macronutrients (protein) salmon provides.

Canned salmon is a good option, and most of it is BPA-free these days (but verify). If you enjoy it (some do not), look for salmon that includes the bones and skin. Tons of benefits there—calcium, collagen, extra oil. Trader Joe’s used to carry one like that. They still might.

Fresh mackerel is good. Here’s a buying and cooking guide to mackerel I did awhile back. It’s affordable and full of omega-3s.

If you can find them, fresh sardines are a totally different animal. Just make sure the fish smells clean, has clear eyes, is firm, and resists sagging when held parallel to the floor by the tail.

Canned cod liver exists. It’s tastier and milder than you’d expect, canned in its own oil, and Northern Europeans have been eating it for years. Here’s smoked cod liver. Here’s regular.

Jennifer asked:

#6 is me right now. I am eating low carb (maybe even Keto), and I’m IF’ing every day (allowing only coffee w/ a splash of cream in the morning). My appetite is finally feeling quite suppressed. The nice thing is that I’m not counting. I am eating intuitively; and at the end of the day, I log what I ate as best as I know how (since I didn’t measure), to just check, and everything seems to be on point with my calories and macros. I train brazilian jiu jitsu several times a week, as well as do HITT style workouts, with strength training on my off days. I usually have a couple days a week that I don’t train.

My question is, I’m not losing and I’m not gaining – so do I keep doing what I’m doing? Or do I change things up? I feel fine – plenty of energy, and I’m not hungry. If I were hungry, I’d eat. My goal is to lose another 15 lbs, and I love the keto/IF style for me because it works well with my lifestyle.

First, make sure you actually need to lose another 15 pounds. 15 pounds of what? Fat, lean? Rather than thinking in terms of bodyweight, it’s often more helpful to have concrete goals. Is there an article of clothing you want to be able to fit into?

You’re training a ton. That’s great, it can be incredibly rewarding—I know the feeling. But that, paired with “my appetite is finally feeling quite suppressed” is a bit of a warning sign. When I trained daily, my appetite was through the roof. I couldn’t get enough food. You’re hitting it really hard. BJJ, extremely demanding, glucose-intensive. HIIT, extremely demanding, glucose-intensive. Weights, extremely demanding. You should be hungrier, not less.

All in all, the message your training and restricted eating may be sending to your body is one of scarcity. It’s good that you’re neither gaining nor losing and have plenty of energy, but that could change quickly. Try giving your body a few more signals of abundance; it may be exactly what you need, and it could help you avoid problems in the future.

Try eating breakfast, a real breakfast. Have some eggs, bacon, half a cantaloupe. If you insist on IFing, try doing a lighter/no dinner instead of no breakfast.

Try eating a few more carbs and calories on your training days, timed after your workouts. You’re burning through a lot of glycogen, and if you’re eating keto with IF you’re probably not replenishing it.

Good luck and keep us posted.

Akrol asked:

Is it safe to do a moderate keto diet while breast feeding?

If you recall from previous posts, oxaloacetate is necessary for finishing the Krebs’ cycle and producing ATP from fat and glucose. Running out of oxaloacetate means we can’t make ATP from fat and glucose and need an alternate energy source: Ketones. Lactating women also use it to produce lactose, the milk sugar that provides much of the nursing baby’s energy needs. That means that lactating women can eat more carbs and protein and still remain in ketosis. It also means that eating a strict ketogenic diet extremely low in carbs and protein is likely to impair milk production.

While many women report remaining ketogenic while nursing without issue, there are a few case studies of breastfeeding women suffering lactation ketoacidosis, a dangerous condition where chronically low insulin prevents the cells from accessing blood glucose and promotes unchecked ketone production that make the body overly acidic. This can be life threatening. Triggers of lactation ketoacidosis have included starvation (don’t starve yourself or even fast while breastfeeding), twin lactation (feeding two increases the amount of lactation substrate you need to consume), and a low-calorie/low-carb/high-fat diet (bad combo).

Had I a set of breasts from which an infant would be suckling, I’d just opt for a regular old low-carb diet, Primal style. I wouldn’t worry about ketone production so much as eating enough calories.

That’s it for today, folks. Thanks for reading, take care, and chime in down below with your own input!

[cristinajourdanqp]

Dear Mark: Marine Fat Sources, Not Gaining/Losing, Keto Breastfeeding

For today’s edition of Dear Mark, I’m answering three questions. First, what are some less expensive sources of marine fat high in omega-3s? Is canned salmon a good, safe, effective option? Second, a reader is training hard, eating low-carb/keto, doing IF, and feels pretty good despite not losing or gaining any weight? What should she do? What could she be doing wrong? And third, should you go keto while nursing?

Let’s go:

Marine fat. Good examples? I have tried to eat sardines, I really have. I don’t know why they repulse me so. Where else can I turn? Safe salmon is just so expensive unless you get canned, and even then, can you trust it? If it’s true satiety I’m going for, a supplement (cod liver oil?) is probably not going to give me that.

I hear you on the canned salmon. When I was first looking into this years ago, I worried that canned fish would be damaged by heat and perform worse than supplements. Turns out it’s very useful. In one study, researchers gave women with a high risk of breast cancer omega-3 fats via fish oil caps or canned salmon. Both “supplements” worked at increasing levels of DHA and EPA. Fish oil increased the EPA content of red blood cells and plasma four-fold; canned salmon increased it two-fold. The change in DHA was similar in both groups, as was the overall change in breast tissue fatty acids. Fish oil may be more potent, but it’s unclear if quadrupling your RBC EPA is necessarily more desirable than doubling. You also have to consider the two things the fish eaters got that the fish oil quaffers didn’t: all the micronutrients (selenium, iodine, astaxanthin, etc) and macronutrients (protein) salmon provides.

Canned salmon is a good option, and most of it is BPA-free these days (but verify). If you enjoy it (some do not), look for salmon that includes the bones and skin. Tons of benefits there—calcium, collagen, extra oil. Trader Joe’s used to carry one like that. They still might.

Fresh mackerel is good. Here’s a buying and cooking guide to mackerel I did awhile back. It’s affordable and full of omega-3s.

If you can find them, fresh sardines are a totally different animal. Just make sure the fish smells clean, has clear eyes, is firm, and resists sagging when held parallel to the floor by the tail.

Canned cod liver exists. It’s tastier and milder than you’d expect, canned in its own oil, and Northern Europeans have been eating it for years. Here’s smoked cod liver. Here’s regular.

Jennifer asked:

#6 is me right now. I am eating low carb (maybe even Keto), and I’m IF’ing every day (allowing only coffee w/ a splash of cream in the morning). My appetite is finally feeling quite suppressed. The nice thing is that I’m not counting. I am eating intuitively; and at the end of the day, I log what I ate as best as I know how (since I didn’t measure), to just check, and everything seems to be on point with my calories and macros. I train brazilian jiu jitsu several times a week, as well as do HITT style workouts, with strength training on my off days. I usually have a couple days a week that I don’t train.

My question is, I’m not losing and I’m not gaining – so do I keep doing what I’m doing? Or do I change things up? I feel fine – plenty of energy, and I’m not hungry. If I were hungry, I’d eat. My goal is to lose another 15 lbs, and I love the keto/IF style for me because it works well with my lifestyle.

First, make sure you actually need to lose another 15 pounds. 15 pounds of what? Fat, lean? Rather than thinking in terms of bodyweight, it’s often more helpful to have concrete goals. Is there an article of clothing you want to be able to fit into?

You’re training a ton. That’s great, it can be incredibly rewarding—I know the feeling. But that, paired with “my appetite is finally feeling quite suppressed” is a bit of a warning sign. When I trained daily, my appetite was through the roof. I couldn’t get enough food. You’re hitting it really hard. BJJ, extremely demanding, glucose-intensive. HIIT, extremely demanding, glucose-intensive. Weights, extremely demanding. You should be hungrier, not less.

All in all, the message your training and restricted eating may be sending to your body is one of scarcity. It’s good that you’re neither gaining nor losing and have plenty of energy, but that could change quickly. Try giving your body a few more signals of abundance; it may be exactly what you need, and it could help you avoid problems in the future.

Try eating breakfast, a real breakfast. Have some eggs, bacon, half a cantaloupe. If you insist on IFing, try doing a lighter/no dinner instead of no breakfast.

Try eating a few more carbs and calories on your training days, timed after your workouts. You’re burning through a lot of glycogen, and if you’re eating keto with IF you’re probably not replenishing it.

Good luck and keep us posted.

Akrol asked:

Is it safe to do a moderate keto diet while breast feeding?

If you recall from previous posts, oxaloacetate is necessary for finishing the Krebs’ cycle and producing ATP from fat and glucose. Running out of oxaloacetate means we can’t make ATP from fat and glucose and need an alternate energy source: Ketones. Lactating women also use it to produce lactose, the milk sugar that provides much of the nursing baby’s energy needs. That means that lactating women can eat more carbs and protein and still remain in ketosis. It also means that eating a strict ketogenic diet extremely low in carbs and protein is likely to impair milk production.

While many women report remaining ketogenic while nursing without issue, there are a few case studies of breastfeeding women suffering lactation ketoacidosis, a dangerous condition where chronically low insulin prevents the cells from accessing blood glucose and promotes unchecked ketone production that make the body overly acidic. This can be life threatening. Triggers of lactation ketoacidosis have included starvation (don’t starve yourself or even fast while breastfeeding), twin lactation (feeding two increases the amount of lactation substrate you need to consume), and a low-calorie/low-carb/high-fat diet (bad combo).

Had I a set of breasts from which an infant would be suckling, I’d just opt for a regular old low-carb diet, Primal style. I wouldn’t worry about ketone production so much as eating enough calories.

That’s it for today, folks. Thanks for reading, take care, and chime in down below with your own input!