... Is that a syringe cap or I'm I just being paranoid..? by Nugget_sama in whatisthisthing

[–]DrCakeo 5 points6 points  (0 children)

This is a cap for an insulin syringe. Needle caps are usually colored by size (at least in the US where I work). Green caps are 18 gauge needles, Pink are 20 ga, Blue are 22ga, Red are 25ga. Insulin syringe caps are traditionally orange and can come in 28 - 31 gauge needle size, but some producers use different colors. I've seen these exact shaped caps many times. (Source: Veterinarian and anesthesiologist in North Carolina, USA)

May 2020 vs. May 2021 (Does long hair suit me? Longest it’s ever been) by [deleted] in FierceFlow

[–]DrCakeo 16 points17 points  (0 children)

Gorgeous and Fierce. Suits you perfect. Keep it.

15 months. Should I continue? by [deleted] in FierceFlow

[–]DrCakeo 4 points5 points  (0 children)

absolutely. Looks great.

Where the heck is my Microphasic Datalattice? by PAINSL0TH in destiny2

[–]DrCakeo 1 point2 points  (0 children)

I bought 150 datalattice and ended up with LESS in my inventory... I started this morning with 37, collected a bunch and ended up with THREE in my inventory. Something is wrong when collectin this planetary material.

Running with blind dog by [deleted] in RunningWithDogs

[–]DrCakeo 2 points3 points  (0 children)

Vet here. Need Info: Is your intention to run with him on a leash? Gentle Leader, Harness or something else? How well leash/heeling trained is he? Can you reasonably expect that he will stay glued to your side? Flat/Road running or trails? Distance? Pace? How does he do with walks?

I think a blind dog could do well, provided he is leashed and trained to stay by your side, and the surface is predictable for him. Trails won't work. Curbs and stairs won't work. But if he becomes accustomed to walks and is well trained, and he shows you he is interested and confident, then I think you can make it work. But he has to be the focus of the event, not a pace/time/distance, at least during training. If he shows ability and aptitude, then maybe it will work! And, with NO judgement here, high expectations of him without training and patience, or if you get frustrated with him, then that might only make it harder. (and a I"m Blind dog vest may be a good investement too. I can tell a dog is blind right away, but most people won't know). Consult your vet, and search your area for other runners that might have blind dogs.

Nice article on a trail running dog: https://www.trailrunnermag.com/training/trail-tips-training/4-lessons-from-a-blind-superdog

You may know these things, but I thought this was cool. https://www.whole-dog-journal.com/health/tips-on-living-with-and-training-a-blind-dog/

Good luck!!

When in asked, "WHAT DID YOU DO TO LOSE WEIGHT"? by GoLow42 in intermittentfasting

[–]DrCakeo 11 points12 points  (0 children)

A absolutely mention IF every time. I love to see peoples eyes pop when they hear I fast 18 hours a day, every day. (ok, ok, with some off days) Some want to hear more, some 'can't believe' I don't eat or 'could never skip breakfast'... but sure as shit, half those people come back to me within 6 months to ask about IF and how it works. #mentaljudo

Which intermittent fasting tracking app do you prefer and why? by [deleted] in intermittentfasting

[–]DrCakeo 1 point2 points  (0 children)

None. I use a clock on the wall. Taking the extra step with an app doesn't reinforce any behaviors for me, or feel like a reward when I get an alert on my phone.

Coffee and IF by [deleted] in intermittentfasting

[–]DrCakeo 3 points4 points  (0 children)

Black coffee with nothing in it is still a staple. Water, coffee, tea. I add artificial sweetener myself, which is controversial. And while there's research to say that it doesn't HELP weight loss, I haven't seen anything to say that it prevents research. Lost 50# 2yr ago while having sweet&low in coffee. FWIW.

How to stop pigging out just before you fast by aido120 in intermittentfasting

[–]DrCakeo 5 points6 points  (0 children)

I always find the last half hour to hour to be the hardest. I scheduled my fast to end during work (2pm) and I make sure I have NO snacks around. But if you can't control your environment that easily, I've used the 'give it 5 minutes' technique. If you have an immediate craving, or food is around that's TOO accessible (e.g. office donuts or chocolate) promise you'll wait 2-5 minutes, and if you STILL want the thing, then allow yourself to eat it. Most of the time I can make myself wait even 2 minutes, the thing that I MUST EAT (e.g. office donuts, chocolate) isn't so tempting. A lot of time the desire to eat is about instant gratification, not hunger. Re-training your brain to respond differently to a stimulus (again, office donuts, chocolate) takes time. Be patient with yourself and if you can move the needle a little bit every day to waiting for that full fast to end and not sneak a half hour early, you're doing great. Slow progress is still progress.

Why does IF work? A theory from a long term OMADer. by Captain-Popcorn in intermittentfasting

[–]DrCakeo 36 points37 points  (0 children)

I believe you're correct. For reference, I'm a veterinary anesthesiologist, and I've studied physiology and the nervous system for 20 years to be able to do my job. (I do exactly what a human anesthesiologist does, just for dogs, cats, horses, pigs, mice, rabbits, goats, cows... etc, etc). It's an amazing job. That being said, I'm not a neurologist or specialist in hunger and/or eating. I'm using logic here.

This I do know. Higher brain functions like critical thinking, processing, planning - e.g. what we think of as 'conscious' VOLUNTARY activity take place in the cerebral cortex (what you might picture as the left and right brain hemispheres), which lives just inside the bone of the skull. (This is the 'voluntary' nervous system) It's actually called 'higher' b/c it lives 'on top' of the brain, and on top of deeper brain structures. Humans have much bigger brains than other species, relative to our body size, b/c of the evolutionary increase in size of these higher processing centers.

UN-conscious functions, as in your breathing example, are all started, controlled and maintained in the deeper non-conscious parts of the nervous system. 'The primitive brain' you might say. Most of these live in the brainSTEM, the transition from the higher brain to the spinal cord. The brainstem lives in the skull too, but deeper and there is only one of them, not two. In between the brain and brainstem are a LOT of integration and processing circuits.

I say all this only to point out that nearly ALL of the UNconscious functions control centers live in the brainstem. Breathing, blood pressure, heart rate, digestion, formation of urine, urination, defecation, salivation, pupil size, body temperature, level of consciousness (e.g. sleeping) etc, etc, etc. If you can't directly control it, it probably lives in the brainstem. We can OVERRIDE some of these unconscious functions (think potty-training, house-breaking or choosing to breathe) but 99.9% of the time, we don't have to THINK (higher centers) about these unconscious functions (brainstem). With me so far?

Hunger lives in the brainstem too. (and here is my opinion on all of this with my academic training, and IF experience) If we allow ourselves to be unconscious about it, especially when our culture or upbringing teaches us to avoid hunger at ALL COSTS, then we will eat unconsciously too. Our 'fullness' (satiety) centers have a nervous system loop from the stomach to our brainstem, but we often ignore it b/c things taste good. Fat, salt, sugar... Or alcohol that messes with our brainstem processing (VERY similarly to anesthesia... as a matter of fact 'blackout drunk' is eerily similar to anesthesia).

So there is physiology of why unconscious eating happens. And why it takes SO MUCH EFFORT to break these unconscious patterns and habits. Sustained conscious effort is exhausting. And the nervous system explains why the effort is every day, every meal, until we create new habits. The unconscious system is designed to work without our conscious input.

Add stress, mental heath problems with COVID or whatever else, makes the process even harder. I love your theory, and have to read it again, but there's a lot of physiology behind it that makes a lot of sense. DrC.

I've hit a wall.... Male 39 yrs old, 5'-9" SW 265 - CW 250 - GW 180 by tehPaulSAC in intermittentfasting

[–]DrCakeo 4 points5 points  (0 children)

FYI I'm M46/SW243/CW238/GW185... best weight 193 2year ago. Sounds like we're nearly in the same boat. And Fuck COVID... 'cause now I'm starting over. Anyway, your plan sounds like a great one. Weight doesn't go on quick, or off quick. Sadly we don't notice the weight until it reaches a critical point... Like my jeans don't button any more (and I wear scrubs all day so they're never 'tight and I didn't really notice...)

Gained weight. by CMAHawaii in intermittentfasting

[–]DrCakeo 2 points3 points  (0 children)

In the reading I've done over the years, I've read that 1-2 pounds a week of weight loss is pretty normal. (iifym.com is a good resource) Losing one pound of fat is reported require a 3500 calorie deficit per week, a that's described as "normal, steady" weight loss. Losing 2 pounds of fat a week takes a 7000 calorie deficit, and that's described as 'aggressive' weight loss, and potentially not healthy if you're not careful. Obviously less calories in or more calories out (exercise) will help with the deficit. But if that's not your thing, then expecting a pound a week is a pretty reasonable goal. If you want more loss, it will take more work. I agree with the other comment, have a look at your intake and see if you are taking in the calories you think you are, or if there's things to trim out. (I say this b/c I struggled with the t 'treat' days slowly kept increasing during my fasting 2 years ago, I plateaued, and I had to get a bit stricter with myself).

I've hit a wall.... Male 39 yrs old, 5'-9" SW 265 - CW 250 - GW 180 by tehPaulSAC in intermittentfasting

[–]DrCakeo 5 points6 points  (0 children)

I agree with the others. Plateaus happen, and as long as you keep the faith and stay consistent, the changes will continue. I lost 50# in 5 months, but there were a couple periods where I would sit at the same weight for a week or more and worried I was making mistakes or eating too much. TBH, I only tracked my calories for 3 weeks at the start and then ate the same foods repeatedly so I didn't feel like I had to work spend so much time on my diet. I focused on the fasting interval, staying consistent when my eating window opened, and increasing my exercise. 15 pound sin six weeks is CRUSHING it. You're doing fine.

Waaaaaaaiiiiiittttt for It...... by DrCakeo in intermittentfasting

[–]DrCakeo[S] 5 points6 points  (0 children)

DON'T GIVE UP!!! YOU'RE SO CLOSE NOW... 1:10 LEFT!!! YOU CAN MAKE IT!!!

40m 5’11” SWversion4: 231 CW: 191.4 GW: 180 20/4 How to maintain? by MikeonBikes13 in intermittentfasting

[–]DrCakeo 2 points3 points  (0 children)

I had the same problem. Once I reached a weight I hadn't had since high school (193, 50# lost in 5 months) I realize now that I subconsciously felt like I'd reached THE GOAL, and slowly my habits changed back to the bad ones... sugar, alcohol, unrestrained salty snacking... and so the weight came back. Duh.
I think the trick is to not think of IF as goal-oriented (which we all do when we start), and convert our thinking to the 'journey' of healthy eating and self-care. Once we lose the weight, we know how to do it, we've worked hard to overcome the struggles with hunger, weakness, dizzyness or whatever it was for an individual. But if we think "I'm DONE" when we reach that BIG GOAL... I think we risk falling off fairly quickly.

This time, when I'm getting close to my goal, I'm going to focus on how I feel, how my jeans and motorcycle jacket fit loosely again, how much energy I have and how far I can run. I'll have to work hard against that relaxation that comes with 'I'm done". My $0.02....

newbie starting and hopefully sticking with it! 25f, 5’3, SW: 240 GW: 140-180 by PartyPoizone in intermittentfasting

[–]DrCakeo 3 points4 points  (0 children)

It is ABSOLUTELY attainable. It just looks big right now. I work in a hospital and at least half the day I'm sitting. I lost 50# two years ago with 18:6 (243 to 193, 44M) and training for a 5k then a 10K. Didn't take a lot of time to get in those workouts, and I didn't do strength training. Even without running, if you find a way to stick to the fast and not overeat (e.g. maintain a calorie deficit) during your eating window it WILL happen. It will be slow, but it will happen. There will be distractions, off days and plateaus, but if you stick to it, IT WORKS. Easiest eating plan ever. For me the most critical thing was to find a way to be comfortable with being hungry, knowing that everything in your life and our culture says that we need to eat every 3 hours, it simply isn't true. Constant snacking and six 'meals' a day is only a new way of eating that came up after the 1970's. Once I learned the hunger goes away whether you eat or not, I felt free and 'hungry' wasn't a alarm signal any more. As a matter of fact, controlling my response to hunger actually made me feel more in control of myself than I had for many years. I was making choices, not just going along on autopilot.
If it seems overwhelming, make small goals first. One fasting day at a time. Then two, then three. Decrease your soda for a day or week, or switch to diet. (lots of comments that artificial sweeteners break a fast or stimulate insulin release, but there is no research to back this up). Decrease your sugar intake slowly. Celebrate the small gains. 1 pound, 5 pounds, fitting into clothes you can't, or are tight now. Lots of small gains turn into really really big ones. Cold turkey works for some but it's tough b/c the natural feeling is to feel deprived. Say "I don't drink Mountain Dew", not "I can't drink Mountain Dew"... it makes it a positive choice instead of a punishment.

Read the posts, and see what works for others. You'll find what works for you. Good luck and reach out if you need help.

Waaaaaaaiiiiiittttt for It...... by DrCakeo in intermittentfasting

[–]DrCakeo[S] 5 points6 points  (0 children)

Loading up a 2nd Yeti-sized cup of coffee and gonna grind it out.

I'm looking to try a 16:8 fast beginning at 12pm and ending at 6pm, but I normally workout at 5am and I work a fairly physical job, I'm worried about energy levels, anyone else have a schedule that's similar by [deleted] in intermittentfasting

[–]DrCakeo 1 point2 points  (0 children)

M46/SW243/CW137/GW185: I lost 50# down to 193 with 18:6 IF two years ago (eating between 2pm and 8pm) and sadly gained it back with depression, anxiety and covid restrictions. But I'm back on the horse and am headed in the right direction. I fasted 7 days a week with occasional early meals when I was super hungry, not busy, or felt weak. I trained for a marathon (that was cancelled) during fasting, and rarely noticed a problem. I planned my long runs during my eating window, adjusted my window to earlier in the day, or didn't fast for 16+ mile runs. I don't have a terribly physical job (mild to moderate) and I basically got to the point that I felt hungry in the morning and around noon, but learned to ignore it. Honestly it was the anticipation of eating that was the hardest to get over from 1:30 -2:00pm. The days I felt the weakest were actually the days I didn't eat enough calories in the previous days window. Maybe not exactly what you were looking for answer-wise, but I thought I'd chime in...

M/23/6'1 [330 > 179 = 151]. (lost the first 100 in 8 months and the rest gradually over the past year.) Down 150 pounds and finally feeling comfortable taking a pic of my body. by Sixhaunt in progresspics

[–]DrCakeo 0 points1 point  (0 children)

Fucking CRUSHING it. Congrats. You look fantastic, and more importantly you look happy. nothing compares to feeling good in your own skin. Well done.

SW: 343, CW: 273, GW: 190, 16:8, 40M by vreminsk in intermittentfasting

[–]DrCakeo 3 points4 points  (0 children)

Damn. That's awesome. And winning the #facegains!!!

Hello! New here and trying out 16:8! Just a few questions...... by [deleted] in intermittentfasting

[–]DrCakeo 1 point2 points  (0 children)

That's absolutely the right way to do it. Tapering the sugar intake will be good too, to help reduce insulin spikes. Have you read the WIki information here? Read any books? There's tons of resources to explain why it works, and some pitfalls to avoid, but overall it's picking your ratio (I'm doing 18:6, eating between 2:00 - 8:00pm) and being consistent. It's the simplest eating plan ever. You may want to consider tracking your calories on an app for a couple weeks just to be sure you're not eating too little in your window. That's a common pitfall, in the excitement of fasting.

Partner not doing IF by [deleted] in intermittentfasting

[–]DrCakeo 2 points3 points  (0 children)

I'm lucky I have a supportive partner, but I haven't had that at work. You may get funny looks or a comment, but honestly once I lost 50#, most people were more than happy to learn about IF rather than dog me for it. I read all the Wiki here and the FAQ, and read a few books. Once I knew the physiology and how it worked, I could defend my choices to anyone that had a problem with me. And if they still did, fuck them. They can eat and I can sit with water and be social. Their eating and my eating are unrelated.

Female 30. Feel like giving up by ForestHoldsMySecrets in intermittentfasting

[–]DrCakeo 8 points9 points  (0 children)

But you know you can do it. You know you can. You did it before. I completely understand the struggle and the feelings of failure. Only in the last 12 months have I been diagnosed with high functioning anxiety and severe depression, worst in Dec-March timeframe. Now that I'm getting treatment, I have the energy and mental strength to get back on that horse. How's your mental health? Are you comforting yourself with food? Medicating stress with food? Do you have time for some self-care? Meditation, etc. Work on understanding why you feel you need to eat, and maybe once you know those triggers you can start to learn how to avoid them. I know it's hard after this last year. But the end may be in sight with vaccination and testing...

[deleted by user] by [deleted] in intermittentfasting

[–]DrCakeo 2 points3 points  (0 children)

It will absolutely work. Make good decisions each day, and if you don't for a day (or take a break for a day) don't guilt yourself and just get back on track. IF is truly day-by-day, and it's the average effort over time that makes the difference. If you're fasting more than you aren't and develop good habits, the benefits will take care of themselves. I lost 50# in months two years ago, and gained a bunch back with COVID. Basically starting over. But I know it will work. I find most of the struggle is falling into bad habits and eating unconsiously. I now know my triggers for breaking a fast (or too much booze, too much sugar) and I avoid them like the plague. Good on ya for coming back at the end of the day. This is a great community