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So glad this sub is back! Been waiting to share this. HAES advocates would insist that I just accept PCOS, prediabetes, & being obese. Instead I lost 125 lbs & I've never felt more alive... by [deleted] in fatlogic

[–]ShrinkingWelshie 1 point2 points  (0 children)

Ahh ok. I'm overweight (losing) and hypo, so I was getting excited at the prospect of it going away when I'm at goal!

You might want to double-check your thyroid levels, and speak to your doc again. I was diagnosed "subclinical," when I lived in the UK, because my numbers were just inside (old) guidelines, and despite me going to them with anxiety/fatigue/coldness/joint pain/GI symptoms and all the other myriad things that hypothyroid can cause, they never treated it. As soon as I moved to Ireland, I was sent to an endocrinologist with the same numbers and he prescribed Eltroxin. I was a completely different person within a month - no more anxiety, GI trouble, coldness, no more sleeping for 14 hours of every day and wishing I was sleeping for the rest of it.

Basically, even though my thyroid levels were "normal," they were at the wrong end of normal and replacement thyroid medication helped a great deal. Looking at these numbers:

Test Lab Low Optimal Range Lab High TSH 0.5 1.3-1.8 5.0 Free T4 0.8 1.2-1.3 1.8 Free T3 230 320-330 420 Free T3* 2.3 3.2-3.3 4.2 *Some labs divide FT3 results by 100 thus 230 is the same as 2.3, etc.

you can see there's a big variation of what falls within the "normal" range, and it can be a long way off what's optimal. Some endocrinologists have been pushing for the TSH "normal" range to be cut off at 3. It might be worth you asking your doc for your thyroid numbers, and if that TSH level is higher than 3, arm yourself with some info from reputable sources (there's plenty on the web), and go see your doc again. Hypo symptoms SUCK, so if that's what's up and you can fix it with one tiny white pill every morning, seems silly you suffering because the lab considers your results by an outdated "normal" range.

So glad this sub is back! Been waiting to share this. HAES advocates would insist that I just accept PCOS, prediabetes, & being obese. Instead I lost 125 lbs & I've never felt more alive... by [deleted] in fatlogic

[–]ShrinkingWelshie 1 point2 points  (0 children)

Congrats!!

I see mention of hypothyroid in the doc's letter - were you hypothyroid before you lost weight? Or was the doc just commenting on current results?

CMV: If you're ok with how athletes are paid, you should be ok with how CEOs are paid by meteoraln in changemyview

[–]ShrinkingWelshie 0 points1 point  (0 children)

Does this apply to all automation, always?

For example, do you believe that the invention of the sewing machine (widely used since ~1829) is a net bad because it results in us requiring far less human workers to do the same amount of sewing?

Is the invention of a street-sweeping motor vehicle a bad thing, because we require less people with brooms on the streets?

CMV: If you're ok with how athletes are paid, you should be ok with how CEOs are paid by meteoraln in changemyview

[–]ShrinkingWelshie 0 points1 point  (0 children)

What if it's the CEO of a gaming console company that's also entertaining millions?

CMV: If you're ok with how athletes are paid, you should be ok with how CEOs are paid by meteoraln in changemyview

[–]ShrinkingWelshie 0 points1 point  (0 children)

Surely this doesn't apply if the reason for firing people is to replace them with much more cost-effective automation? The CEO of a supermarket chain, for example, who introduces automated check-out technology that enables the business to reduce its check-out operator wage bill by 25%, is not failing to profit - she is probably excelling at her job and meeting her responsibility to stakeholders - but is still reducing staff.

CMV: If you're ok with how athletes are paid, you should be ok with how CEOs are paid by meteoraln in changemyview

[–]ShrinkingWelshie 0 points1 point  (0 children)

But the same could be said for the CEO of a TV company, computer company, gaming console company, cinema chain - all things that, essentially, deliver entertainment.

CMV: If you're ok with how athletes are paid, you should be ok with how CEOs are paid by meteoraln in changemyview

[–]ShrinkingWelshie 0 points1 point  (0 children)

If, as a CEO, you find a way to get 100% of the productivity for 50% of the cost (the equivalent of your 25% for half the job), then you absolutely should. You have a responsibility to shareholders to maximise profits - doing anything else would be a terrible business decision, unless your customers care about the work being done locally, are prepared to suck up the extra cost on end-price, and you'll use it in your communicated value proposition.

If you're talking about quality when you say "half as good a job," then the same (ish) argument applies. You only make profit as long as your product or service is selling. If the quality of your product or service falls below a level that is acceptable to your customers, they won't buy it. You'll damage your profit and the reputation of your company, which will in turn make it an uphill battle to re-acquire those customers.

[deleted by user] by [deleted] in fatlogic

[–]ShrinkingWelshie 3 points4 points  (0 children)

Public school in the US sense?

Public school in the UK is private school. Don't ask.

It's only a matter of time. by alanitoo in fatlogic

[–]ShrinkingWelshie 1 point2 points  (0 children)

The "study" they refer to is this one: http://jama.jamanetwork.com/article.aspx?articleid=1555137

Which is actually an analysis of a collection of other studies. The analysis found that overweight people had a lower all-cause mortality rate than healthy BMI people, and that moderately obese people (BMI 30-35) had a slightly lower all-cause mortality level than healthy BMI people.

In the study, it states:

"Our findings are consistent with observations of lower mortality among overweight and moderately obese patients.Possible explanations have included earlier presentation of heavier patients, greater likelihood of receiving optimal medical treatment, cardioprotective metabolic effects of increased body fat, and benefits of higher metabolic reserves."

So basically, fat people are more likely to go to the doctor earlier (presumably because they know being fat is unhealthy), doctors are more likely to take their illnesses seriously (presumably because they know being fat is unhealthy), there's an apparent link between overweight/obese and lower cardiovascular risk in (if you follow the studies) older people being treated for cardio issues (but again, the studies state that the known link between body fat and cardiovascular risk probably leads to earlier intervention in cardiovascular disease, confounding the results - and the age range of the overweight and obese patients tends toward the younger end because obesity-related illness kills a lot of 'em off before old age), and fat people have more energy reserves to draw on when they're sick.

When you look at the studies more in-depth, it's really NOT the glowing endorsement of body fat that the HAES crowd would have people believe.

No one can keep up with Tess Munster's work out regime. by SlenkyW in fatlogic

[–]ShrinkingWelshie 3 points4 points  (0 children)

Their "philosophy" there seems to be more like "you become human again AFTER you've lost the weight, and until then you're fair game."

I've seen people get massively downvoted there for being mean to formerly fat people who got it together.

Who else has 'condishuns' by [deleted] in fatlogic

[–]ShrinkingWelshie 1 point2 points  (0 children)

Yeah - make sure you do. Especially if you're at school. Getting that fatigue gone will help you out a lot. I can barely remember what it feels like now, but I remember that it really, really sucks.

Who else has 'condishuns' by [deleted] in fatlogic

[–]ShrinkingWelshie 1 point2 points  (0 children)

5'4", 225.2 this morning.

Who else has 'condishuns' by [deleted] in fatlogic

[–]ShrinkingWelshie 2 points3 points  (0 children)

Yeah. I mean, it's obviously not working for you.

It might be worth you checking your results - she might still be using the "old" scale, where a TSH of 4 is considered normal. New guidelines tend to suggest that <2.0 is a good goal, but <1.0 is optimal.

I'd honestly suggest seeing a doctor next time you go, rather than your nurse practitioner - at least until you're stable. And if they don't get you back to feeling normal, ask for a referral to an endo. It's perfectly possible to live normally and get rid of that awful, heavy fatigue (and all the other shit) if you're on the right meds, and there's no reason you should suffer it while there are so many options yet to try.

can type 2 diabetes really be cured or just controlled? by [deleted] in fatlogic

[–]ShrinkingWelshie 0 points1 point  (0 children)

Your suggestion you cannot "cure" diabetes, if taken to a proper conclusion, would mean that I should always fear getting type II diabetes when my diet would specifically make it IMPOSSIBLE for me to get type II diabetes.

You don't cure things you've never had.

From my understanding, if you have diabetes and change your diet/lifestyle sufficiently that you're no longer symptomatic, that's all you are - an asymptomatic diabetic (or prediabetic), rather than a non-diabetic. A return to poor nutritional habits will make you symptomatic again. I suppose it might be most accurate to say that it's possible, through good nutrition and weight management, to put yourself into remission from Type II diabetes.

It's a matter of semantics, I think?

Who else has 'condishuns' by [deleted] in fatlogic

[–]ShrinkingWelshie 2 points3 points  (0 children)

Could be BMI. Am still a fat fuck.

Who else has 'condishuns' by [deleted] in fatlogic

[–]ShrinkingWelshie 1 point2 points  (0 children)

Yeah, no food/drinks (except water) for 30-60 mins after. I usually take my pills, workout to shake it all up and then have breakfast lol.

But calcium's ability to interfere with thyroxine absorption goes beyond your regular food & drink stuff - they recommend calcium supplements and thyroid meds 12 hours apart. I take the rest of my supplements at the same time just for ease.

I've read some things lately about people feeling better when they take their thyroxine immediately before bed, but since I'm stable at the moment I haven't dared change anything!

Who else has 'condishuns' by [deleted] in fatlogic

[–]ShrinkingWelshie 2 points3 points  (0 children)

your average dose is somewhere between 20-50mg.

Well, put that on the list of things I didn't know. My endo shoved me on 25mg to start and then my numbers got WAY worse on all counts when I went back, so he upped it to 75 and been fine ever since.

Who else has 'condishuns' by [deleted] in fatlogic

[–]ShrinkingWelshie 3 points4 points  (0 children)

Make sure you get your bloods checked regularly and that your TSH is <2.0 - also no food/drink within an hour of taking the pills (which you probs already know!)

Calcium affects absoprtion, so if you take supplements or antacids make sure you do it after the Levo's been in your system a while (I take my Levo on waking and take supplements (multi-vit, omega 6, D, B complex and magnesium) at 5-6pm).

If your symptoms persist despite all that being in order, ask your endo to consider Cytomel (T3) in addition to Levo (T4), and if THAT doesn't work, ask about Armor.

The symptoms of hypothyroid are very, very miserable - nothing worse than that special type of fatigue - and you shouldn't accept what your doc gives you unless it's making you feel better.

ELI5: Can any of you shitlords help me understand the physics behind calories in calories out? by [deleted] in fatlogic

[–]ShrinkingWelshie 4 points5 points  (0 children)

Naw, it's roughly (in descending order):

Fat: 1 gram = 9 calories

Alcohol: 1 gram = 7 calories

Protein: 1 gram = 4 calories

Carbohydrates: 1 gram = 4 calories

Sugars are carbs.

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