#i need to lose weight and improve my health

[vole-mon-amour]

.

[blujayonthewing]

'well of course fad diets don't work' -- guy on keto

[this-doesnt-endd]

I feel like my crown just shifted up oh my god

[lilac-melody]

hm.

[genderqueerdykes]

one of the most evil parts about me being told that i needed to lose weight before i could get my diseased gallbladder removed was that without telling me at all whatsoever, the physician's assistant who was responsible for my surgery consult silently gave me a referral for bariatric weight loss surgery. she told me that i'd have to get my gallbladder removal surgery with that department as well because they're used to working on bigger bodies.

she told me this, but that's not what she meant. she wanted me to get bariatric weight loss surgery all because i told her that i have poly cystic ovarian syndrome and that it's hard for me to willingly lose weight. when i called the bariatric surgeons about scheduling my consult for my gallbladder removal, they were extremely confused and were like "well is this for the bariatric surgery referral or the gallbladder removal referral?"

without my permission, without me asking, the physician's assistant silently signed me up for weight loss surgery that i never consented to. i never once mentioned wanting this surgery. i never once mentioned that my weight is affecting my health or bothering me. this person saw this as a mandatory step in order to get the surgery to remove my diseased organ. as if there were no other options. i never want to get bariatric weight loss surgery because i know it will completely devastate my health. this PA was so stuck on my weight. she could not get over it, she was literally obsessed. she did not care about my health, safety or well being, she was just obsessed with her hatred of fat people

she saw my weight as a higher priority than my diseased gallbladder. she was so stuck up her own ass that she was convinced that my weight was doing more damage to me than my gallbladder was. she wanted to keep blaming me for eating a high fat diet (i'm a vegetarian- i don't eat a high fat diet) and mocking me for being fat. she literally saw me being fat as a bigger issue than the fact that i had a literal rock stuck in the neck of one of my organs. if you ask me, if the surgeons and anesthesiologists have problems working on fat patients, that's a skill issue on them. that means you're a bad surgeon or anesthesiologist and you need to try to improve your skills. this is a literal skill issue, it's not the patient's fault that the medical professional fucking sucks at their job!

i can't describe to you how evil and insidious that is. the fact that she looked at me and went "oh my fucking god it's your weight that's the problem just go lose weight you fat asshole" just showed how much disregard she has for her fat patients. it's like she relishes torturing us or leaving us to be sick or die. there's no reason to behave this way. there's no reason to FORCE someone into weight loss surgery. my health is NOT being negatively impacted by my weight- gallstones are not caused by being overweight, and you can't give yourself gallstones. no matter how much fat you eat you can't give yourself gallstones- this is something that happens outside of your control

i hate medical professionals who are proudly fatphobic. they wear the fact that they let people remain sick and die as a badge of honor. like they're doing the world a favor. like staying sick or dying is better off for the patient. like the patient somehow doesn't "DESERVE" to be in good health. fat people DO deserve to be in good health. we DON'T have to "EARN" surgeries or life saving procedures. we are alive and human just like everyone else. this qualifies us for being cared for medically, no matter what. leave your prejudices at home. you can't just kill fat people because you don't like that we exist.

[aleatoryw]

i've started looking at weight and health the way i look at class and income and it really puts a lot of things into a new perspective.

let me explain: in america at least, the lower class have significantly worse health outcomes, even when accounting for other factors. just being poor is enough to make your overall health worse. we don't know that being fat makes your health directly worse, like the data just isn't there, but for a moment, pretend it does.

imagine going to the doctor with a health problem and the doctor looking at your chart and saying well, this problem will be less severe if you go up an income bracket. have you thought about becoming rich? it would really help. start by saving a little money every month.

ridiculous, right?? very few people successfully go from working class to rich, it just doesn't happen on a large scale in society. maybe for a time you pick up some overtime hours, spend a little beyond your means, and appear rich. but eventually you burn out, your car needs to be repaired, and you return to being working class.

we do have this data: only some people can successfully lose large amounts of weight, and only a tiny fraction of people who lose that weight actually keep it off for more than a year. telling people to lose weight for their health is just absurd because they almost certainly can't do it any more than they can double their income for their health.

and yet i see it everywhere. a little poster in my work breakroom tells me to improve my blood pressure by losing weight! a psa on the radio says you need to take care of your heart by losing weight! we can't even conclusively prove that weight is the cause rather than just correlated with a lot of these problems but here it is offered anyway: have you tried being rich?

[biscuitdolly]

easy hygiene tips ♡

to improve physical appearance , health and hygiene are a must.

water ♡

water. please , for the love of god , drink water. get up rn and go drink some water. water does so much , want clear skin? water. want to lose weight? water. want to feel more refreshed? water. ITS SO HELPFUL!! you really don't want to be dehydrated, it has so many negative effects.

i would aim for around 2 liters (8 full glasses) a day , but you can slowly increase your water intake over the span of a few weeks if you're not ready for that. if you like me and forget to drink , set alarms or reminders for when you need to.

apple cider vinegar ♡

okay , yes, it tastes gross, but it's so good for your PH!! just drink 2 teaspoons everyday (dilute with water first) , trust me it will make your body sweat and kitty smell (and taste) soo much better!! it can also help u lose weight , decrease waist size and is so good for your skin!!

easy oral hygiene ♡

brush your teeth at least 3 times a day. i normally opt for brushing my teeth twice in a row morning and night , and once during the day (yes , even if i'm at school). also , don't forget to floss!! most importantly u wanna b scraping/brushing your tongue, along with brushing your gums and the roof of your mouth!! If you're not brushing regularly and not brushing your tongue, your breath is gonna stink.

another tip - mints > gum. no matter how minty your gum is , if you're chewing it all day it's gonna make your breath smell bad. a sugar-free mint that specialises in good breath every morning helps so much for me.

shower/bath care ♡

please wash behind your ears and your belly button. every part of your body should be clean!!! you don't want build-up.

exfoliate before and after u shave. this will leave u feeling SO smooth and helps avoid razor bumps , if you have sensitive skin (like me) it can help avoid irritation (i get SO itchy and my skin gets covered in red bumps if i don't exfoliate when shaving). personally, i don't suffer from oily skin , but if u do, exfoliating afterwards helps remove any dirt from clogged pores and any residue build-up!

use different clothes depending on what part of your body you're cleaning!! use a softer cloth for your face and kitty , and use regular clothes for the main part of your body and bum. NEVER wash your face in the shower! you want your face to have its own personal time for you to clean it so you can really focus on it. also , hot water from the shower can damage your skin and make it dry. your shower head also probably has a lot of bacteria hiding in it, so please wash your face separately after your shower.

[that-girl-tips]

body/overall health 101:

on a budget: youtube videos are your best friend. pilates and yoga will always be my faves. and all you need is a mat and a video that fits your experience level.

don’t focus on what you want to change about your body. keeping that in mind is fine, but you should be putting more thought into the strength you want to gain, improving flexibility and becoming more comfortable in your own body.

watch what you put in your body. fast food is fine, but only occasionally. skipping a meal is fine, but only occasionally. its all about finding healthy meals that will keep you energised and full for as long as possible.

⭐️ving yourself is the worst thing you can do in the long run. you’ll lose weight, sure, but no one can avoid the horrifying side effects. i have so much empathy for you if this is something you’re doing, but please, it’s not worth it. trust me, this is something i’ve learned the hard way.

10’000 steps is a good goal to have. whenever possible, walk instead of driving, within reason, of course.

[kaile-hultner]

Help me dig upward: the Tumblr post

In which I talk a little bit about the hole I’ve been in for a hot minute—and what I want to do to dig out of it.

Hey y’all,

For the second time in a few years I’m starting a GoFundMe. This time, though, it’s not for the site, at least not explicitly. It is to help me get out from under the weight of debt that I’ve been carrying for more than a decade at this point, but which has finally gotten so bad that it’s affecting everything from my sleep patterns to my overall mental health and ability to do the thing that you likely already support me for: this website. 

If you’ve been wondering why the posting has decreased here, or reduced in quality, or why we started 2024 off publishing other writers and then just as suddenly stopped doing that again, this is why: I am out of money, I am in debt, and it feels like I’m living every day in pure, basic survival mode. 

This GFM, in which I’m asking for $10,000, is a moonshot, a Hail Mary. I don’t expect it to raise anything; it will be the last time I ask the Internet for money, whether it works or it doesn’t. If it works, obviously it’ll mean I’ll be able to post more and maybe my mental health will improve and I won’t feel like every moment is a countdown to a terrible ending, and I’ll be able to think of compelling angles to talk about video games again. If it doesn’t work, maybe I’ll figure something else out. Bankruptcy, probably. I don’t know. 

I hate doing this. I hate being in this position. I hate that I’ve already asked for money this year and people have been extremely generous and it just feels like all that generosity just went into a hole. I wish I had something to show for that generosity, or proactively for anything I gain from this campaign. So, if there is something you want me to cover or talk about or look at in exchange for your support on this campaign, just shoot me an email with proof of your donation, no matter how small. It’s kaile@noescapevg.com. I can’t promise I’ll write a bunch of magnum opuses at your request but I will do what I can just simply to show appreciation for your support. 

Anyway, this feels bad to me and I’m already starting to regret it, so I’m going to wrap this up by saying thank you in advance and I owe you my life. I wish that was figurative.

Edit: here is the text of the GFM I posted. 

Hi y’all,

My name is Kaile Hultner. I am an online cultural critic who has been running the video game criticism website No Escape since 2019. My work has been featured in other places like PC Gamer, Polygon and Bullet Points Monthly. And like a lot of people, I have been deeply in debt for years. 

Debt is a very strange phenomenon. As anthropologist David Graeber demonstrated in his book Debt: The First 5000 Years, it is a phenomenon that imparts a kind of moral valence on a person; whether or not that person can pay their debts is a sign of their trustworthiness or virtue as a member of polite society. Yet you can’t go without debt: at some point, at least in the United States, you have to pick up a form of debt – credit – to establish your credit score, without which you can’t rent an apartment, buy or lease a car, or, in some cases, even get a job. Being debt-free can harm this score, as can having a credit history that is “too young.” 

I’ve been in debt for a long time. I’ve been managing my debt for over a decade. Every year for the last six or seven years in particular it feels like I’m losing progressively more and more ground. Seven years ago I had a car; I could do things like deliver Uber Eats and DoorDash and make extra money whenever I ran out. It broke down in my driveway in 2022 and I couldn’t afford to take it to a mechanic to get it fixed. I sold it for $200. I haven’t been able to replace it. I don’t know what I’ll do if I ever need a car for anything. Luckily my day job is WFH. 

Recently, I’ve been fighting with my old bank over charges it erroneously applied to my account in excess of $1000, causing it to go deep into the negatives. I’ve been slowly, slowly digging myself out of that hole thanks to some close friends and some very kind folks who follow me on the Internet. But it’s caused other debts to exacerbate. And tonight I realized that I am at the end of my rope. I can’t do this anymore. I won’t sit here and say that I’ve done everything right; certainly, more than one bad decision made out of desperation has put me here. I won’t make excuses for that. But I’m tired of being here, in this position. I’m tired of waking up in the middle of the night with heart palpitations because I got an alert from my bank that I’m in the negatives. I’m tired of getting emails and phone calls from debt collectors. I’m tired of living in basic survival mode with no discernible path forward. I’m tired of being tired, of not having the energy to be creative and do the work I’ve built an online presence around for five years. And paradoxically, I’m tired of asking people on the internet for money. 

So I’m going to ask people on the internet for money, one final time. 

I’ve set the goal at $10,000. This is far more than I’m honestly expecting to get, but if I get even a fraction of that I could finally obliterate my debts in a meaningful way. I do have specific milestones that I basically need to meet, otherwise this GFM doesn’t hit its maximum effectiveness, but otherwise the sky is the limit. If I reach the whole amount… I don’t really know what I’ll do. Cry, maybe. 

Milestones – bolded are high-priority

Milestone reached! $750 – gets my old bank account out of the negatives. Eliminates one vector of harassment, allows me to close that account and move on. 

Milestone Reached! $1800 – does the above and allows me to fully pay any late or past-due loan payments missed as a result of the bank issue.

Milestone Reached! $6000 – does the above and allows me to fully pay off all installment loans 

$8000 – does the above and allows me to pay off any remaining debts. 

$10,000 – does the above and allows me to start saving. 

$10,000+ – basically a moonshot, I have no idea what I’ll do with extra. 

I fully do not expect you to donate to this. There are people trying to escape genocides, much more abject poverty, crushing medical debt, and so much more that feel – at least to me – so much more worthy of your attention and money. But just know that if you dodonate something, you have my undying appreciation. I will quite literally owe you my life. 

I’m going to post this now before I get too emotional or lose my nerve entirely, but again: thank you. Even if all you do is read this. 

—Kaile

[housecow]

Who says you have to be one or the other? I think you could have lots of fun transitioning between a housebound cow on oxygen and the fattest soccer mom possible. Maybe it’s all in the timing, maybe start out as a housebound cow and shift into soccer mom mode later.

okay, this is hot as fuck. getting to experience the limits of what my body can handle and then losing a portion of the weight—not too much, just enough to be easily mobile again, managing my health as well. but i’m still, what, 350-400lbs?

the whispers i’d hear from the other parents… “she’s such a fucking cow,” “how much do you think she weighs?” “there’s just so much… flab!”

and little do they know this is my lightest from the last few years. that i’d been 600lbs at some point, needing help up from bed and from anywhere i’d plopped down to feast. that my husband had plumped me up to obscene numbers, reveling in the fact i was dependent on him for almost everything.

my present soft, full, wobbling figure is the result of hard work. not only to get active, but in denying both myself and my spouse. we know what we want, but it’s for the kids now! they need a mom that can keep up with them. sure, i get winded easily, can’t see my feet or even past my tits, but this is an improvement!!

others just see my huffing and puffing as a failure, when it’s the opposite. it takes dedication. the extra wide folding chair i pull out at every soccer game was bought with pride, and the way my husband squeezes that back roll he gifted me is comforting.

sure, it still takes a lot of food to keep up with being 400lbs… i still eat like a pig. sonic shakes at every game and countless fast food runs before 3:30pm school pickup. i RSVP to neighborhood/school bbqs and they have to spend double the amount on food (we chip in!) but it’s all a labor of love!

plus, when it’s just my feeder and i, he gets to tease me about it all. talks about how hot it was when i needed the walker. how much of a shut in i was compared to now—“remember when you couldn’t even drive because your belly was in the way?”

he’d lay a hand on my still-formidabile tummy, stretched out from the hundreds of lbs and a few of his kids. i know he wants so badly to get me back there, i can tell what he’s thinking. and if he started that process—funneling every night, telling me what to eat and when—i wouldn’t be able to stop him. but we’re responsible :3

[scientia-rex]

Because my most popular post is about weight loss and how it's a crock, I get a lot of questions about various things, including bariatric surgery--just posted the link to the post I did about that--but also Ozempic/Wegovy, the once-weekly injectable semaglutide medication that was developed for diabetes but was found to have independent benefits on weight loss.

I always said that weight loss was like Viagra: when a medication came along that actually worked, it would explode. We'd all hear about it. Fen-phen in the 90s worked, but it was bad for your heart. Stimulants, like meth, may cause weight loss, but they do it at the cost of heart health, and raise your likelihood of dying young. Over the counter weight loss supplements often contain illegal and unlisted thyroid hormone, which is also dangerous for the heart if taken in the absence of a real deficiency. Orlistat, or "Alli," works the same way as the Olestra chips Lays made in the 1990s--it shuts off your ability to digest fats, and the problem with that is that fats irritate the gut, so then you end up with fatty diarrhea and probably sharts. Plus Alli only leads to 8-10lbs of weight loss in the best case scenario, and most people are not willing to endure sharts for the sake of 8lbs.

And then came the GLP-1 agonists. GLP stands for glucagon-like peptide. Your body uses insulin to make cells uptake sugar. You can't just have free-floating sugar and use it, it has to go into the cells to be used. So if your body sucks at moving sugar into the cells, you end up with a bunch of glucose hanging out in places where it shouldn't be, depositing on small vessels, damaging nerves and your retinas and kidneys and everywhere else that has a whole lot of sensitive small blood vessels, like your brain.

Glucagon makes your liver break down stored sugars and release them. You can think of it as part of insulin's supporting cast. If your body needs sugar and you aren't eating it, you aren't going to die of hypoglycemia, unless you've got some rare genetic conditions--your liver is going to go, whoops, here you go! and cough it up.

But glucagon-like peptide doesn't act quite the same way. What glucagon-like peptide does is actually stimulating your body to release insulin. It inhibits glucagon secretion. It says, we're okay, we're full, we just ate, we don't need more glucagon right now.

This has been enough for many people to both improve blood sugar and cause weight loss. Some patients find they think about food less, which can be a blessing if you have an abnormally active hunger drive, or if you have or had an eating disorder.

However, every patient I've started on semaglutide in any form (Ozempic, Wegovy, or Rybelsus) has had nausea to start with, probably because it slows the rate of stomach emptying. And that nausea sometimes improves, and sometimes it doesn't. There's some reports out now of possible gastroparesis associated with it, which is where the stomach just stops contracting in a way that lets it empty normally into the small intestine. That may not sound like a big deal, but it's a lifelong ticket to abdominal pain and nausea and vomiting, and we are not good at treating it. We're talking Reglan, a sedating anti-nausea but pro-motility agent, which makes many of my patients too sleepy to function, or a gastric pacemaker, which is a relatively new surgery. You can also try a macrolide antibiotic, like erythromycin, but I have had almost no success in getting insurance to cover those and also they have their own significant side effects.

Rapid weight loss from any cause, whether illness, medication, or surgery, comes with problems. Your skin is not able to contract quickly. It probably will, over long periods of time, but "Ozempic face" and "Ozempic butt" are not what people who want to lose weight are looking for. Your vision of your ideal body does not include loose, excess skin.

The data are also pretty clear that you can't "kick start" weight loss with Ozempic and then maintain it with behavioral mechanisms. If you want to maintain the weight loss, you need to stay on the medication. A dose that is high enough to cause weight loss is significantly higher than the minimum dose where we see improvements in blood sugar, and with a higher dose comes higher risk of side effects.

I would wait on semaglutide. I would wait because it's been out for a couple of years now but with the current explosion in popularity we're going to see more nuanced data on side effects emerging. When you go from Phase III human trials to actual use in the world, you get thousands or millions more data points, and rare side effects that weren't seen in the small human trials become apparent. It's why I always say my favorite things for a drug to be are old, safe, and cheap.

I also suspect the oral form, Rybelsus, is going to get more popular and be refined in some way. It's currently prohibitively expensive--all of these are; we're talking 1200 or so bucks a month before insurance, and insurance coverage varies widely. I have patients who pay anything from zero to thirty to three hundred bucks a month for injectable semaglutide. I don't think I currently have anyone whose insurance covers Rybelsus who could also tolerate the nausea. My panel right now is about a thousand patients.

There are also other GLP-1 agonists. Victoza, a twice-daily injection, and Trulicity, and anything else that ends in "-aglutide". But those aren't as popular, despite being cheaper, and they aren't specifically approved for weight loss.

Mounjaro is a newer one, tirzepatide, that acts on two receptors rather than one. In addition to stimulating GLP-1 receptors, it also stimulates glucose-dependent insulinotropic polypeptide (GIP) receptors. It may work better; I'm not sure whether that's going to come with a concomitantly increased risk of side effects. It's still only approved for diabetes treatment, but I suspect that will change soon and I suspect we'll see a lot of cross-over in terms of using it to treat obesity.

I don't think these medications are going away. I also don't think they're right for everyone. They can reactivate medullary thyroid carcinoma; they can fuck up digestion; they may lead to decreased quality of life. So while there may be people who do well with them, it is okay if those people are not you. You do not owe being thin to anyone. You most certainly do not owe being thin to the extent that you should risk your health for it. Being thin makes navigating a deeply fat-hating world easier, in many ways, so I never blame anyone for wanting to be thin; I just want to emphasize that it is okay if you stay fat forever.

[bitchesgetriches]

Bitches I need some advice.

I'm fat, okay? I'm not ashamed about it. It just... Is. I'm fat.

Being fat is also fucking me up. It's causing me sleep problems, it's fucking my joints, I can't walk as far as I used to, I haven't run in years.

I want to lose weight. Not for anyone else. For me. I want to be fit again.

I'm surrounded by people telling me I'm "not fat" and need to "love myself like I am". I'm 210lb and 5'3". Ya girl is fat. And I'm okay with that it's not a bad word. I love myself. But I also love the things I used to be able to do when I was fitter. It's just really fucking hard.

I've got zero support left and right. And I don't know what to do. I know this isn't your area of expertise, but you're such great internet mamas that maybe you can help.

My darling child, we are SO humbled that you came to us with this. And while this isn't an area of our OFFICIAL expertise... weight and athleticism is something that I, Piggy, personally think a lot about! So let me see if I can offer some support to you, my beloved fat child.

By way of background: I have never been fat. Heavier than I want currently, but not fat. So I don't completely understand what you're going through. I have always been an athlete of one sort or the other. But more than that, I have always had the privilege of being relatively skinny without trying. At peak fitness I was running and rock climbing and doing all the stretchy and weight-trainy stuff. I was 5'5" and 130 lbs of jacked Bitch.

I am also a proud Italian American woman, which means that after 30 genetics decreed that I start putting on weight and rounding out and coming into my full Zia-ness. I'm currently 155 lbs. and running/climbing/stretching/jumping about/weight training is getting harder and harder. And that's frustrating to me.

Fat is not a bad word, merely a descriptor. So I'mma use it just as you have! I'm proud that you are prioritizing your health and ability to do what you love over losing weight for the sake of just being smaller. Because let's be clear: weight and health do not necessarily go hand in hand. If your goal is to improve your sleep quality, energy levels, and joint pain, then you should focus on activities that will work directly on those issues. Maybe that'll lead to weight loss--maybe not!

A lot of the medical establishment is cruel to fat people, so I'd be cautious about approaching this with your doctor. But you SHOULD get medical guidance before embarking on any kind of physical change. If your doctor says "Well, just lose weight through diet and exercise!" then you might want to look for a new doctor. If they instead offer practical solutions for incremental improvement, then great.

One of my favorite athletes is The Mirnavator. She's a fat marathon runner and offers a lot of information on how to start walking more and running as a fat person. I think she'll be a good role model for you as she focuses a lot on energy and joint health.

Also, you should check out Aubrey Gordon's blog Your Fat Friend and her podcast with Michael Hobbes, Maintenance Phase. She's also got some great books out! She's a fat expert on weight loss and diet culture. And her insights into healthy nutrition and body image are amazing. Her data-based approach will help you avoid the extreme dieting and weight loss trends that can hurt your health. Plus she's funny as fuck.

Lastly I will just say that mental health is tied to physical health. You're bummed about not doing the things you use to be able to do... and that probably makes it a lot harder to change! Acknowledge any depression or anxiety you feel about being fat and give yourself compassion. Start small and do what feels good.

Now here are two VERY old articles I wrote when I knew less about fatness. I think they still have a little bit to offer, though:

Why You Probably Don't Need That Gym Membership

Run With Me if You Want to Save: How Exercising Will Save You Money 

Any fat members of Bitch Nation who want to weigh in? Uh... pun not intended.

[autumnshighlady]

Love You For Infinity

Elrond x adopted daughter reader

summary: you’ve been in a depressive episode for weeks, and your thoughts turn dark - luckily, elrond is there to help guide you 

warnings: depression, self harm thoughts, mention of suicide, VERY bad mental health

word count: 3.5k

requests: It’s taken me a year to finish this oneshot due to my mental health. It was a bit difficult to write for reasons I won’t get into, so i apologize for the long wait. If you can relate to the reader in this fic at all, please know that you are not alone, and you are loved <3

IF YOU ARE STRUGGLING WITH THOUGHTS OF SUICIDE AND ARE IN NEED OF HELP PLEASE REACH OUT TO A PROFESSIONAL OR A HOTLINE

DO NOT REPOST ANYWHERE

✧✧✧✧✧✧✧✧✧✧✧✧✧✧✧✧✧✧

You wandered through the gardens, feeling the warm sunlight soak into your skin. It was a beautiful day – the flowers were in full bloom, their scents filling the spring air, countless colours surrounding you as you made your way down the cobblestone path. The aged moss and lichen draped the marble statues and carvings along the gardens, an ancient beauty contrasted with the new growth. But you could not bring yourself to enjoy the scenery, nor stop to smell the flowers you loved so dearly. For all their vibrance, they seemed dull, muted, despite their bright colours. The glowing sunlight that so many other elves basked in felt too hot, too invasive. The sweet spring scents were choking you, stifling their air in your lungs as you tried to breathe.

            You had once loved wandering through the gardens of Imladris. Now you felt nothing but indifference, the guilt of losing such a joyous area of your life gnawing at your gut. You used to spend hours in these gardens, soaking in the scenery and revelling in the nature around you, content to simply sit on one of the benches or lay down in the grass and let the sounds and scents of the environment wash over your mind.

Now, you could barely stand to walk through the familiar path. Still, it was an improvement, considering it had taken all of your strength to get out of bed this morning. The task alone was daunting, yet you felt no sense of accomplishment. Most days had been like this lately – sleepless nights tossing and turning, yet no motivation to get out of bed when the sun rose, no drive to get yourself ready for the day. Instead you would simply lay there, sheltered in the confines of your room, closing off the rest of the world.

You hated every minute of it. You hated the fact that you felt so useless, the weight of simply getting up being too much to bear. You loathed that no matter how hard you tried, you could not bring yourself to join your friends for breakfast or pick up a good book and read. You hated feeling so weak, so empty – your brain screamed at you to stop wasting away, to get up and do something, anything. But you just could not.

Hours of pondering and crying into your pillow was not enough to figure out why you felt this way. Nothing bad had happened, no traumatic event to set off this episode of pain and depression that felt neverending. You were simply an elf from the Woodland Realm, who had been sent to and raised in Rivendell after the darkness began to creep into what was once Greenwood the Great. You worked as a scholar in the libraries of Imladris, safe within the House of Elrond. You had not seen some violent war, as some of your peers had, nor had you known anyone close to you who died or suffered tragically. Your life was pretty much perfect, your days amounting to reading, art, and simply wandering the grounds – none of which warranting the pain which now seemed to have spread through your entire chest, threatening to cave it in and shatter every piece of you.

You brushed my finger against a rose carelessly, letting your hand wander down from the soft petals to the thorny stalk. You felt a sting of pain, a thorn snagging your pointer finger. Instead of wiping away the blood, you just stood there and dragged your finger further down the thorn, creating a longer red line, content to let droplets of blood spill onto the marble pavement, deep red contrasting with the white floors. At least I could still feel something, you thought bitterly, relishing in the pain slightly. At least you had not gone completely numb.

“My Lady?”

You turned at the sound of a familiar voice. Lord Elrond was standing a few feet behind you, clad in his regal silver robes. He wore no crown, yet still possessed that regal authority that he was so renowned for. You felt your gut twist as you saw the concern flood over his face as you turned your body to face him.

You could see in his eyes he knew something was wrong, but your body gave you away entirely. You knew your eyes looked hollow, framed by dark circles that sucked the life out of your face. Your dress was slightly too big, evidence of the weight you had lost in the past few weeks as you isolated yourself in your room. A sick part of you delighted in it, always having been insecure of your size. Your hair which was usually well-kept and styled hung loosely around your face, knotted and frizzy in some parts as it cascaded down your back.

To cover your shame, you bowed your head in formality. “My Lord Elrond.” You managed to say, staring at the pavement as you inclined your head, eager to get away from his piercing gaze.

Elrond sighed, visibly attempting to soften his gaze. “My dear, must I remind you again that you may simply call me Elrond?”

“My apologies, my Lord.” You mumbled, straightening up and finally meeting his gaze. He did not correct you. Instead, his eyes travelled down to your hand and the blood that still dripped from it.

“You are hurt.” Elrond stated, his eyebrows furrowing. He stepped forward, a gentle hand reaching out as if to assess the wound, but you found yourself stepping back.

“I am alright,” you said quickly, moving your hand back to your side. The blood smeared your midnight-blue robes, but you did not care. “I simply snagged my finger on a thorn. A careless mistake, that’s all.”

Elrond’s eyebrow raised, and dread filled your stomach as you knew he didn’t believe a word you said, or at least he did not buy the too-casual excuse you pulled out of your ass. Your relationship with Elrond had always been relatively close – as close as one can have with an elven Lord of Imladris. When you had arrived in Rivendell as a child, Elrond had ensured you were well cared for. He became involved in your life – often bringing you gifts and trinkets, showing you around the place. Reading to you evolved into him teaching you how to read, sitting at the table with you and his children at dinner. Elrond had taken a special interest in you, always finding a way to make sure you had everything you needed beyond what a normal elven lord would do for their people. Sometimes you wondered if this was due to him losing Celebrían right before you arrived, as if his protective instincts had doubled with wife’s departure to the Undying Lands. He could not spare her from torment, but he could do his best to make sure you never met the same fate. Things changed a bit as you grew older – not wanting to impose on the family he already had before you, you found yourself growing a bit distant. You had no desire to be a burden to him, you were not his blood nor did he raise you, but he still played a paternal role in your life. Even as you began to make a life for yourself in Rivendell, that kindness and care Elrond had shown you as a child prevailed. You and him still had walks in the garden, he still ordered books from other kingdoms he thought may interest you. It was complicated, as he was not your father per say, but he was all you had, and he was important to you. But at the same time, he was still the Lord of the town you had the privilege of residing in and living under.

Guilt clawed away at your gut as you realised how even more distant you had become in these past few weeks. You could not recall the last time you had a conversation with Elrond or sat down for dinner with him. Surely, he noticed your absence but did not want to intrude, trusting you to make your own choices and open up if you were ready.

But you were too far gone for that approach, and deep down you knew that he knew it too.

“That is more than a simple thorn prick, little one,” Elrond said, the concern on his face seeping into his voice. “If you will not tell me what happened, at least let me take care of it for you.”

You opened your mouth to protest, but quickly shut up. You knew from the look in his eyes he was not going to let this go. You gulped down your nausea that was produced by your stomach, which churned knowing where this conversation was headed.

Arwen had made attempts to get you out of your room lately, none successfully executed. You cried even harder as she softly knocked at your door, her gentle voice ushering you to come out and join her for breakfast. You knew it broke her heart when you did not answer, unable to even crawl out of bed and unlock the door. She and her father knew something was wrong but had waited for you to come forward to them about it.

You guess they had waited long enough.

With your non-bloody hand, you accepted Elrond’s outstretched arm and began to walk with him towards his quarters. He did not hold you close to him as he usually did, as if he was afraid getting too close would scare you off. Instead, you walked in silence, which you appreciated. Other elves bowed their heads at him as you passed, but you kept your eyes to the ground.

Five minutes later, Elrond shut the door to his room, grabbing some herbs, water, and bandages to tend to your wound. The silence prevailed, and you sat down on the bed and let him take your hand. He began wiping the blood off, waiting a few seconds before saying softly, “I am glad to see you in the gardens again. It has been a few weeks since I last recall you spending time there.”

You sat quietly, torn. Part of you wanted to break down in ugly sobs and explain the struggles of the past few weeks, to open the floodgates and let go of every horrible and depressing thing you had felt and thought you had over the last while. But the other part of you screamed at yourself to suppress it, to make yourself go numb, a practice you now excelled at. Deep down you knew you wouldn’t have to make that choice – Elrond could see right through you. You knew that one look into those kind eyes and you would crumble, so you looked at the floor.

“Arwen has not seen you lately either,” Elrond continued gently, beginning to wrap up your hand in soft bandages. “Neither have I, in fact. Are you sick, my dear?”

“I…” Your throat went dry as you tried to speak. Say something, come on, say anything, you screamed at yourself. But no words came out.

After tying the final knot, Elrond looked up. “I can tell that you are unwell. I understand that you are grown now, but you are still my little one, and I wish you would know that you can always turn to me in time of need.”

At his comforting voice, you involuntarily looked up and met his gaze. Seeing those kind, concerned eyes that had watched over you all of these years opened that gate inside of you that you had tried desperately to keep sealed for so long. Like a dam bursting, tears spilled down your cheeks and your body shook with sobs. The world around you stopped turning, leaving you enveloped in a flood of your own pain. Your chest hurt, feeling as if it was filled with cement. You felt lightheaded, gasping for air between sobs.

You couldn’t take it anymore. You couldn’t keep living like this. You were in so much pain you couldn’t handle it. You weren’t strong enough, it was going to kill you. Everything you felt raging inside of you was all-consuming, your own thoughts so loud and relentless, screaming at you all day and night to the point where you figured only death would release you from them. You were stuck in your own head, and the fight to swim to the surface was too exhausting to bear.

You felt movement, and the space on the bed beside you shifted as Elrond sat down. He wrapped one arm around you, cradling your head with the other and bringing you close to him. “It’s ok,” He murmured, stroking your hair and holding you as you sobbed uncontrollably. “It’s ok, little one. Let it all out.”

And so you did. You let yourself feel everything – the guilt of neglecting your job, the pain in seeing your friends give up their attempts to see you, the hateful thoughts about yourself that clouded your mind telling you that you were deserving of nothing good, all of it. You clung onto Elrond as you cried, feeling so overwhelmed that you may implode. “I can’t… I can’t, I can’t,” You managed to choke out between sobs. “It hurts so much, please make it stop, please make it stop, Ada.”

Ada.

You had never called Elrond ‘father’ before, always using his name or title. You did not want those around you to think you were getting special treatment, or to seem like you were expecting it. Before you could gather your wits and apologise, you felt him hold you tighter.

“It’s ok,” He repeated. “You are safe. You are strong. You can overcome this, but not if it is burning up inside of you. Let it all out, my dear.”

You nodded into his chest, your relentless chants of I can’t fading out as you slowly regained control over your breathing. The raging sea that was storming inside of you calmed down to a simple rocky surface, the weight of everything lifting off of your chest slightly. You stayed there for a few minutes, letting Elrond hold you close as you calmed down.

He had done so much for you, more than you could ever hope to repay him for. Yet here you were, crying like a child despite the perfect, safe life he had worked so hard to provide you with. What a fucking ungrateful brat, you thought to yourself bitterly, allowing yourself a cruel sob.

You managed to peel yourself away from Elrond, sitting upright. You put your head in your hands, wiping away your tears as you took a shaky breath. His hand remained over your shoulder, rubbing in comforting circles. “I am sorry.” He murmured.

You laughed half-heartedly. “What are you sorry for? I’m the one who should be sorry, not you.”

“You have nothing to apologise for,” Elrond said softly, but firmly. “I am sorry because I should have noticed this sooner. I should have noticed that you were hurting and found a way to help before you suffered this much. I failed you.”

You pried your head from your hands and turned to face him, and your heart nearly broke. The noble elven lord looked so sad, so guilt-ridden at the sight before him. An elf who had seen thousands of years of suffering, who had lived through the most brutal wars in Arda’s history, looked more defeated than ever as he looked at you. That guilt churned inside you again as you realised you had caused this. “You have far from failed me, Elrond.” You said quietly. “You have given me everything, more than I could ever ask for. I have no reason to be this sad or act this way.”

Elrond cocked his head, brushing the hair out of your face. “Is that what you truly think?” He asked gently. “That you need a reason to be sad?”

“Uh…yes?” You said, puzzled. “There is nothing in my life that is going wrong, or even remotely horrible. I have not been traumatised by battle or had to run from a sword. My village was never raided by orcs, I have never known hunger nor harsh winters. I truly have nothing to be sad about.”

Elrond paused for a minute, contemplating your words. “Just because you have not fought in war does not mean you have not suffered,” He said. “You are a young elf; you are allowed to feel whatever your heart feels. Circumstance does not spare you from pain or suffering. Things like this are not always the result of war or hardship. Sometimes we hurt for no reason, and no amount of explanation will reassure us nor will it change what we feel in our hearts.”

You sighed, cheeks damp. “It doesn’t make me feel any less ungrateful. I’ve never even been courted. Nobody has ever looked at me like that. All of my friends have been shown that type of affection, except me. I don’t understand what makes them worthy of it and not me.”

“You are young, little one. You have centuries ahead of you to find whatever love you may wish. You’ve only met a fraction of the people who will come to love you. Give yourself time, allow yourself to be comfortable in your own skin. I know it is easier said than done. If you cannot be at peace with yourself, no soul in this world can fill that void for you.”

You swallowed thickly. He was right – you felt like a stranger in your own body. Like the bones and flesh beneath your skin belonged to another. But sitting here with the elf who had been a pillar in your life for as long as you remembered, you began to feel more at ease within yourself. You sniffled, wiping your tears from your face with the back of your hand. Elrond reached into his pocket and pulled out a handkerchief, dabbing at your cheeks gently.

“Someday,” he said softly. “Someone will love you exactly how you deserve to be loved. I did not meet my wife until I was 1759, and even then, I loved her in secret for many a century.”

 Arwen had told you stories of her mother. It always brought a deep sadness to her eyes as she remembered her mother’s grim departure to the Undying Lands. You knew the tale all too well, for talk of the tragedy Elrond had been faced with travelled all the way to the Woodland realm. When you had first arrived in Rivendell, the wound Celebrían’s departure had cut him deep. It took years of you getting to know him before his eyes went from hollow to bright. One day, you had snuck a book from the library on the elves of the First Age. It was then when you stumbled across Elrond’s story, a sad pain in your heart as you read about him and his brother’s early years during the wars and the period that followed.

“I’m sorry,” you said after a few moments. “About your wife. And everything that has happened to you.” You weren’t sure what had prompted you to say that, for you blurted out the words before you could stop and think. Elrond had never discussed his past with you besides the occasional story told in the grand scheme of sharing wisdom and life lessons.

But there was no defensiveness, for Elrond simply put a hand on your shoulder. “Thank you,” was all he said.

The two of you sat in silence for a few minutes, the only sound being your hitched breath as you calmed your breathing down. A slight weight had been lifted off your shoulders, lessening the crushing feeling in your chest. For weeks, you had feared Elrond finding out about your depressive episode and thinking less of you for it. Deep down, you knew that was illogical, but the thought had haunted you nonetheless.

“I want to help you, my dear,” Elrond said, grabbing your hands and looking at you with all the love and care a father would. “But only if you will have it. If you do not wish for my interference, I understand and will be there if you need me. But I urge you not to walk this path alone.”

“I don’t know if there’s anything you can do,” you said quietly.

“I cannot change what you feel in your heart and soul. But there are little changes, perhaps, we can make to get you on the right path. If you would like, I shall have our breakfasts delivered to your room, and I may join you for breakfast and then we can go on a walk. It does not have to be long, nor strenuous. Simply something to get you up and moving at the beginning of the day. Once you climb that step, you may find things become much easier.”

Emotion clogged your throat. “You would do that for me?”

Elrond gave you a gentle smile. “For you, anything. I may not have fathered you, but you are my family. And I will move heaven and earth just to make you closer to the stars if that’s what would make you happy.”

[macgyvermedical]

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

The answer is maybe.

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

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

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

Aren't human bodies cool?

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

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

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

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

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

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

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

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

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

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

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

[maream2636]

2024.14.9

I'm already in the middle of the day but I wanted to share my schedule with you and also maybe you'll be interested in the things I follow

Exercising (I've made a schedule to measure my progress instead of relying on motivation and a scale and the most important thing is that it's reasonable and doable)

.Searching for a program or plan to improve my English (I really need that)

Walking 1000 steps (it's the most enjoyable thing in my day)

Watching videos about the law of attraction (I need to know it if I want to achieve faster results)

Watching my series (Love next to you and DNA lover and another series I forgot the name of and if I don't find any new episodes I will message one of my friends because the social aspect is almost abandoned)

Yesterday I watched an video about there are people who put in a lot of effort but their reality doesn't change and the reason is that the effort is scattered and not measurable and does not serve the change you want so before you start anything ask yourself

Why do I want to change it?

How do I measure it?

And what are the ways that will help me change it?

When you come across a paid course or educational video, ask yourself if it will serve your goal or is it a waste of your time that you can do later?

Know what you want to change! The most important thing is to believe that you can change it. Get out of the victim mentality and the image of a failure in your head because you are not like that and do it for yourself.

Let me tell you the purpose of the goal is more important than the goal itself.

Do you want to become a doctor for money or to help others?

Do you want to become a businessman for money? Or to improve something in a country and provide a service?

Do you want to lose weight so that people say you are beautiful? Or because you care about your health and fitness?

Someone might say I have the right to want money! Yes, this is true, you have the right, but do you think that the second option from all the examples I mentioned does not bring money?

The difference is that a Purpose paves the way for the goal , and it is beneficial to others. Why are there those who work hard but do not succeed? Because they only want to take, while a successful person takes and gives, whether it is a financial contribution or a word that changes a person's life or they builds a house for their parents, regardless of whether he/she is a bad or good person thay are gives!(I know some will say that there are corrupt successful people).

I wanted to share what I learned maybe it will light someone his /her light bulb and if you don't believe me have you good day.

[biscuitdolly]

୨ৎ absolute necessities .ᐟ

if you're trying to glow up, get healthier, etc, these are the very basics that you absolutely NEED to follow!

01, WATER .ᐟ

Staying hydrated is crucial for your health and wellbeing. While the recommended daily intake is 8 cups of water, you can gradually increase your consumption over a few weeks if that seems too overwhelming. Drinking enough water provides numerous benefits, from clearing skin and flushing out waste, to boosting exercise performance and supporting weight loss. Despite being the very essence that sustains life, water is often underappreciated.

02, FOOD .ᐟ

I used to skip breakfast, thinking it would help me lose weight. However, studies show that those who eat breakfast tend to lose more weight and keep it off longer. The truth is, food is incredibly important. It's best to regulate your eating habits by consuming at least 3 meals per day, even if they're only small portions. Some food is better than no food. If you want to go on a diet, that's fine! but make sure you research healthy dieting methods. At a minimum, eat one serving of fruits and vegetables daily, and try to increase that to five servings per day if possible. Proper nutrition is key for your overall health.

03, HOBBIES .ᐟ

i have this previous post regarding hobbies you could try! It's so important to find fun activities that you genuinely enjoy and look forward to doing. Hobbies add fun to your life and pose as a nice break from technology and the stress of work and school. They also greatly improve symptoms of depression and anxiety. You could do some physical activity, such as a sport you like, or something more calm and creative, like painting or writing.

04, SLEEP .ᐟ

a lot of people struggle to fall asleep at a decent time. Try getting ready for bed early. Personally, I tend to take off my make up and do my skincare immediately after i come home for school/work so i don't have to worry about it before bed.

Technology is probably your sleeping schedule's worst enemy, as the blue light from the screen keeps your brain awake, so try to pause screen-related activities at least an hour before bed. Also, try not to snack 2 - 4 hours before you go to sleep. This is because lying down makes it harder for your body to digest food, which can result in sleeplessness.

Forcing yourself to go to bed super early isn't helpful either. Like I've mentioned in my other points, take things slow and gradual!

05, SOCIALIZATION .ᐟ

Engaging in simple social interactions, such as conversing with family, seeing friends, or greeting people on the street, is incredibly important. Isolating yourself in your room all day accomplishes nothing.

There was a time when I dreaded spending time with friends, convinced I lacked the energy or mood. However, once I forced myself to make plans, I realized how much I genuinely enjoyed their company. Other people are what make life truly worthwhile. So why not reach out to a friend right now and invite them to hang out tomorrow?

06, ACTIVITY .ᐟ

you don't need an exercise routine if you don't want one, but simple physical activity is still a daily necessity! At least 30 minutes is recommended. Personally, i most enjoy plugging in my headphones and going on a walk around my neighbourhood for an hour or two.

07, SELF TALK .ᐟ

Arguably one of my most important points, quit the self-deprecating talk. You never realize how much it affects you until you quit it. Yes, you can absolutely get that assessment done. Yes, you are a likable and amazing person. Just keep affirming and reminding yourself that you are worthy, and you will attract so many good things. Trust me, it will help you so much in the long run.