Goals for anti-dieters
Chimneychonga:
I suppose in that sense, you're right. There will be fringe cases where this will be a known workaround. But I've seen cases (namely Boogie2988) where people treat bariatric surgery as a miracle cure, and from sheer ignorance either drink their calories to undo their weight loss, or stretch their stomach so far that they're back to square one. You could argue the cost per year where it's better than placebo, but if that ever happened to me I'd be pissed even though it would technically be my fault in that case.
Munchies:
Beloved, don't use Boogie as an example. That man's life is a series of poor decisions after poor decisions, and he ignores the people in his life who give him good advice.
Also, anyone going into bariatric surgery is quickly disabused of the notion that very early on. They have to see a barrage of specialists to confirm they are candidates for the surgery. They are told in graphic detail everything they can expect before, during, and after. Also, their doctors check in with them after the surgery to ensure they follow what they must do after the fact.
I've seen the paperwork alone, and it takes time to determine whether you are a qualified candidate. It is ... a lot. If a bariatric patient comes away from the prep work thinking this is a magic cure, they literally paid attention to nothing. I'm also dating someone who has had the surgery in the past, so I am very familiar with the aftercare.
Also, medical leeches are not fringe. Their use is not super common, but that is only because their use is very narrow. They are primarily used with reconstructive microsurgery. Fringe medicine is any treatment not widely accepted as part of western medicine.
While I don't love that definition as it can include traditional medicine in non-western cultures that do work, most use it for things like drinking salty cabbage water to reverse aging, wearing copper bracelets to ease arthritis pain, or sticking a slice of potato in your socks to cure a cold.
Chimneychonga:
My mistake, sorry about the leeches thing. I was lacking context when you said "leeches and bloodletting" and I was thinking third-world aftercare or unironic witch doctor stuff that's still being practiced in certain parts of the world. Using worms for sutures is pretty based, and although nano machines aren't a reality yet, this is pretty dang close.
I suppose in that sense, you're right. There will be fringe cases where this will be a known workaround. But I've seen cases (namely Boogie2988) where people treat bariatric surgery as a miracle cure, and from sheer ignorance either drink their calories to undo their weight loss, or stretch their stomach so far that they're back to square one. You could argue the cost per year where it's better than placebo, but if that ever happened to me I'd be pissed even though it would technically be my fault in that case.
Munchies:
Beloved, don't use Boogie as an example. That man's life is a series of poor decisions after poor decisions, and he ignores the people in his life who give him good advice.
Also, anyone going into bariatric surgery is quickly disabused of the notion that very early on. They have to see a barrage of specialists to confirm they are candidates for the surgery. They are told in graphic detail everything they can expect before, during, and after. Also, their doctors check in with them after the surgery to ensure they follow what they must do after the fact.
I've seen the paperwork alone, and it takes time to determine whether you are a qualified candidate. It is ... a lot. If a bariatric patient comes away from the prep work thinking this is a magic cure, they literally paid attention to nothing. I'm also dating someone who has had the surgery in the past, so I am very familiar with the aftercare.
Also, medical leeches are not fringe. Their use is not super common, but that is only because their use is very narrow. They are primarily used with reconstructive microsurgery. Fringe medicine is any treatment not widely accepted as part of western medicine.
While I don't love that definition as it can include traditional medicine in non-western cultures that do work, most use it for things like drinking salty cabbage water to reverse aging, wearing copper bracelets to ease arthritis pain, or sticking a slice of potato in your socks to cure a cold.
Chimneychonga:
My mistake, sorry about the leeches thing. I was lacking context when you said "leeches and bloodletting" and I was thinking third-world aftercare or unironic witch doctor stuff that's still being practiced in certain parts of the world. Using worms for sutures is pretty based, and although nano machines aren't a reality yet, this is pretty dang close.
Yeah, it's cool. This article goes into more detail if you care to know how it works:
uhhospitals.org/blog/articles/2020/03/how-leeches-can-save-lives-and-limbs-for-some-patients
But to return to the original topic of bariatric surgery, I do not foresee it going anywhere. Hell, as we speak, there are recent and ongoing advancements like endoscopic sleeve gastroplasty, which involves reducing the stomach volume from the inside. This makes the overall procedure less invasive and safer than other forms of bariatric surgery.
Again, this is not to say bariatric surgery is better than taking semaglutide. I think there are a lot of people who would do better with weight loss medication over surgery or even take both together. This is to highlight that the surgery is here to stay as it is one of many tools people can use to manage their weight loss.
9 months
Goals for anti-dieters
Chimneychonga:
I suppose in that sense, you're right. There will be fringe cases where this will be a known workaround. But I've seen cases (namely Boogie2988) where people treat bariatric surgery as a miracle cure, and from sheer ignorance either drink their calories to undo their weight loss, or stretch their stomach so far that they're back to square one. You could argue the cost per year where it's better than placebo, but if that ever happened to me I'd be pissed even though it would technically be my fault in that case.
I suppose in that sense, you're right. There will be fringe cases where this will be a known workaround. But I've seen cases (namely Boogie2988) where people treat bariatric surgery as a miracle cure, and from sheer ignorance either drink their calories to undo their weight loss, or stretch their stomach so far that they're back to square one. You could argue the cost per year where it's better than placebo, but if that ever happened to me I'd be pissed even though it would technically be my fault in that case.
Beloved, don't use Boogie as an example. That man's life is a series of poor decisions after poor decisions, and he ignores the people in his life who give him good advice.
Also, anyone going into bariatric surgery is quickly disabused of the notion that very early on. They have to see a barrage of specialists to confirm they are candidates for the surgery. They are told in graphic detail everything they can expect before, during, and after. Also, their doctors check in with them after the surgery to ensure they follow what they must do after the fact.
I've seen the paperwork alone, and it takes time to determine whether you are a qualified candidate. It is ... a lot. If a bariatric patient comes away from the prep work thinking this is a magic cure, they literally paid attention to nothing. I'm also dating someone who has had the surgery in the past, so I am very familiar with the aftercare.
Also, medical leeches are not fringe. Their use is not super common, but that is only because their use is very narrow. They are primarily used with reconstructive microsurgery. Fringe medicine is any treatment not widely accepted as part of western medicine.
While I don't love that definition as it can include traditional medicine in non-western cultures that do work, most use it for things like drinking salty cabbage water to reverse aging, wearing copper bracelets to ease arthritis pain, or sticking a slice of potato in your socks to cure a cold.
9 months
Goals for anti-dieters
Chimneychonga:
Interesting, I haven't heard of them being combined like this. But even in the worst case scenario, the worst effects of a semiglutide are only 1% from the physiology of the patient. Aside from a from the odd defective needle the experience the same even when applied by oneself. Compare that to invasive surgery (removing stomach tissue and stapling the stomach shut), where not only the materials and knowledge matter, but the experience of the surgeon as well. If you got the cash and travel time, your odds are much better to survive w/o complications with a skilled surgeon than your local operating room where you may be stuck with a rookie. If I had to choose for myself, I know which treatment would be faster.
As for semiglutide costs, the ingredients aren't the problem: everyone but the US generally has a better time getting it for what it's worth.
https://www.youtube.com/watch?v=pndCjCKNZfQ
Frankly, it's scalping the US because R&D necessary to invent the drug was banking on the US to pay for it, and they don't want to stop the revenue by solving the problem until they get their fill. Thus, why America had a shortage while you could hop across the border and get it for a steal. And if the patent expired, people would make a generic, everyone that can take it would take it like aspirin.
Interesting, I haven't heard of them being combined like this. But even in the worst case scenario, the worst effects of a semiglutide are only 1% from the physiology of the patient. Aside from a from the odd defective needle the experience the same even when applied by oneself. Compare that to invasive surgery (removing stomach tissue and stapling the stomach shut), where not only the materials and knowledge matter, but the experience of the surgeon as well. If you got the cash and travel time, your odds are much better to survive w/o complications with a skilled surgeon than your local operating room where you may be stuck with a rookie. If I had to choose for myself, I know which treatment would be faster.
As for semiglutide costs, the ingredients aren't the problem: everyone but the US generally has a better time getting it for what it's worth.
https://www.youtube.com/watch?v=pndCjCKNZfQ
Frankly, it's scalping the US because R&D necessary to invent the drug was banking on the US to pay for it, and they don't want to stop the revenue by solving the problem until they get their fill. Thus, why America had a shortage while you could hop across the border and get it for a steal. And if the patent expired, people would make a generic, everyone that can take it would take it like aspirin.
Beloved, you are missing the point.
This isn't about the efficacy of semaglutide. I don't think anyone is questioning that. It's about understand that you need different tools for different things.
Did you know that despite all of our medical advances, people are still using leeches and bloodletting in your average hospital? Sure, we don't use them the same way we used to, but there is still a medical use for them.
9 months
Goals for anti-dieters
AskDrFeeder:
One of the best parts of being a feedee is never having to diet.
It seems to me if that's your motivation, your goal should be to get fat enough to qualify for bariatric surgery but not _too_ fat for bariatric surgery. Not that you should necessarily have bariatric surgery, just that it's nice to have the option and it's nice to know if you reach that target you'll never have to diet.
Fat enough for bariatric surgery would be 40 bmi. Too fat is 450 pounds. Someone 5'7" tall, for example, should have a goal weight between 256 and 450 pounds.
Is this a crazy idea? I don't know, somehow I like it.
Chimneychonga:
I dunno, bariatric surgery is becoming a thing of the past imo with the semiglutide wave. Why surgically alter yourself to permanently gimp your stomach when you can just have the injection take care of the hunger for you? Not everyone can get on it, but I'm now seeing Groupons for them so I think it'll be the new thing people beg for when they want to be skinny again (if not already). Besides, if you want to pivot to being a powerlifter, debuffing your appetite will hurt your gains in the long run.
One of the best parts of being a feedee is never having to diet.
It seems to me if that's your motivation, your goal should be to get fat enough to qualify for bariatric surgery but not _too_ fat for bariatric surgery. Not that you should necessarily have bariatric surgery, just that it's nice to have the option and it's nice to know if you reach that target you'll never have to diet.
Fat enough for bariatric surgery would be 40 bmi. Too fat is 450 pounds. Someone 5'7" tall, for example, should have a goal weight between 256 and 450 pounds.
Is this a crazy idea? I don't know, somehow I like it.
Chimneychonga:
I dunno, bariatric surgery is becoming a thing of the past imo with the semiglutide wave. Why surgically alter yourself to permanently gimp your stomach when you can just have the injection take care of the hunger for you? Not everyone can get on it, but I'm now seeing Groupons for them so I think it'll be the new thing people beg for when they want to be skinny again (if not already). Besides, if you want to pivot to being a powerlifter, debuffing your appetite will hurt your gains in the long run.
So, I work with medical records - including both bariatric surgery and the "semaglutide wave." Drugs like Ozempic and Wegovy are not going to replace bariatric surgery. Controlling for things like price and insurance coverage, there will still be plenty of people who will continue to get the surgery over the medications.
Not everyone is a candidate for semaglutide. You have allergies, drug interactions, health conflicts, etc. Plus, on average, people lose about 21% of their body weight on Mounjaro and 12-15% on Ozempic and Wegovy.
universityofcalifornia.edu/news/are-newest-weight-loss-drugs-too-good-be-true
This is fine for people who are overweight, but when you get to the obese and morbidly obese category, some people may not find it worth it.
On top of all that, you have to keep taking these medications to keep the weight off. This is not practical for some people.
Doctors recommend one or the other depending on what's needed. Sometimes, they prescribe semaglutide for certain bariatric patients who are struggling to keep the weight off or aren't losing the weight at the recommended rate.
You can check this out for more information if you are curious:
[img]https://www.alobariatrics.com/semaglutide-after-bariatric-surgery-does-it-make-sense/[/img]
9 months
My friend can't have glutten but trying to gain weight any advice
I do wanna add that just because some place advertises they sell gluten-free options does not mean it's actually gluten-free. If they are not taking the proper steps to avoid cross-contamination, your gluten-free pizza or baked goods might have a little bit of gluten in it.
Another thing to keep in mind is that wheat-free does not mean gluten-free. I know many people who think that as long as a product does not contain wheat, they are good to go. This is not necessarily the case. Cross-contamination aside, there are non-wheat foods that contain gluten.
This website gives a pretty comprehensive list of things that can have gluten in them:
celiac.org/gluten-free-living/what-is-gluten/sources-of-gluten/
That said, thanks to the gluten-free diet fad from a while back and a growing acceptance of Celiac disease, it is much easier to find gluten-free foods. Look for the gluten-free or certified gluten-free label. You can find a lot of things at your local grocery store, but if you want to get fancy, check out your local organic/natural food store. You'll find a lot more variety there.
Another thing to keep in mind is that wheat-free does not mean gluten-free. I know many people who think that as long as a product does not contain wheat, they are good to go. This is not necessarily the case. Cross-contamination aside, there are non-wheat foods that contain gluten.
This website gives a pretty comprehensive list of things that can have gluten in them:
celiac.org/gluten-free-living/what-is-gluten/sources-of-gluten/
That said, thanks to the gluten-free diet fad from a while back and a growing acceptance of Celiac disease, it is much easier to find gluten-free foods. Look for the gluten-free or certified gluten-free label. You can find a lot of things at your local grocery store, but if you want to get fancy, check out your local organic/natural food store. You'll find a lot more variety there.
9 months
Winter is coming make sure all your gear fits from last year
MickRidem:
Y'know what someone should invent? A widening strip. A piece that has zippers to fit your coat on each side, so you can have this widening option. Like a leaf in a dining room table.
Someone, go get rich off of that. 😁🤣
Munchies:
You will be happy to know this exists. It's marketed for pregnant women, but it exists.
makemybellyfit.com/products/universal-jacket-extender
MickRidem:
Well buckle-my-buttons, if that ain't just the greatest thing!! 😁🥰 I will need to remember this when I start to outgrow my current winter stuff!! Thank you!
Y'know what someone should invent? A widening strip. A piece that has zippers to fit your coat on each side, so you can have this widening option. Like a leaf in a dining room table.
Someone, go get rich off of that. 😁🤣
Munchies:
You will be happy to know this exists. It's marketed for pregnant women, but it exists.
makemybellyfit.com/products/universal-jacket-extender
MickRidem:
Well buckle-my-buttons, if that ain't just the greatest thing!! 😁🥰 I will need to remember this when I start to outgrow my current winter stuff!! Thank you!
You're welcome!
9 months
Moderation.
Enas:
What counts as derailment though? Sometimes it is necesary to talk about a relevant but different, than the original, topic in order to understand the original one. In a natural conversation that happens often and its not a bad thing. Why is this always treated as a derailment here?
What counts as derailment though? Sometimes it is necesary to talk about a relevant but different, than the original, topic in order to understand the original one. In a natural conversation that happens often and its not a bad thing. Why is this always treated as a derailment here?
Thank you very kindly for proving my point, Enas.
And with that, bless your heart, you sweet summer child. I shall go about the rest of my day now.
9 months
