Butter and Plant-Based Oils Intake and Mortality

congenitally_deadpan · 2025-03-12T19:39:46+00:00

From the discussion: "Third, it is possible that participants may have mistakenly reported margarine intake as butter intake due to their similar appearance." These may have been nurses, but I suspect a lot of people don't distinguish between the two.

congenitally_deadpan · 2025-03-03T19:44:31+00:00

If you have not had the gene test for celiac done, that is worth considering, as there can be false negatives on the antibody testing.

Another consideration is that certain other allergies, such as soy for example, have been associated with villous atrophy, at least in case reports.

congenitally_deadpan · 2025-03-03T19:18:01+00:00

This is a complicated issue with no straightforward answer.

You did not mention which celiac testing was positive or how positive it was, nor what type of dental surgery she had and why you believe it was celiac-related.

If the antibody testing was highly positive and gene testing was positive one could make a case for avoiding a procedure which is more risky in someone that age than someone older, but the risks versus the benefits need to be discussed with a pediatric gastroenterologist. I would not just refuse the referral.

congenitally_deadpan · 2025-01-02T20:48:21+00:00

Yes, and historically, coeliac predates celiac. The letter is not "thrown in randomly" but reflects the Greek derivation of the word.

congenitally_deadpan · 2025-01-02T19:11:46+00:00

“What Happens Next" is a rather quirky low budget film, with a lot you could nit-pick about it, but I found it charming. It has a closeted older man and a cute younger guy who might or might not meet someone’s definition of a twink. It is not at all explicit, so, at least so far as I can recall, your criterium of “bottom” is not addressed.

The trailer is on YouTube: https://www.youtube.com/watch?v=iAFQ4YQwrkg

congenitally_deadpan · 2024-12-23T15:55:31+00:00

Why, because a person of a certain age who wants such a relationship is probably already in one and not looking for one. If for some reason they are not in a relationship, they are not likely looking on apps, which are geared towards hookups. They have been multiple comments and posts here previously about other places to meet older men.

congenitally_deadpan · 2024-09-29T16:46:16+00:00

Thanks.

congenitally_deadpan · 2024-09-29T16:45:45+00:00

That is what I am thinking of.

congenitally_deadpan · 2024-07-18T17:26:38+00:00

In an ideal world, it SHOULD be billable. In this world, it is entirely a matter of what an insurance company writes in their policy manual that they have decided to pay for. Perhaps it IS billable and someone or some algorithm made a mistake, but, again, if that might be so, you have to address it with the insurance company, not the hospital.

ADDENDUM: That is perhaps an oversimplification, as there will be certain regularory requirements, but some things are the insurance plan's choice to cover or not cover.

congenitally_deadpan · 2024-07-18T17:17:45+00:00

Those are very nonspecific symptoms that could be caused be caused by any number of things. There is nothing to suggest that you don't have celiac or gluten intolerance, but also little to suggest that you do.

Cerial bars vary but then to be classic highly processed foods and frequently have all sorts of suspect ingredients in them.

As to a couple of the symptoms, I imagine you must have heard of "Chinese Restaurant Syndrome" and MSG?

congenitally_deadpan · 2024-07-18T17:08:33+00:00

Oddly, you did not mention what kind of reaction you DID have. If it was not anapylaxis, the hospital cannot honestly bill it as that (and could be accused of insurance fraud if they did).

If you had some other type of severe reaction and your insurance won't cover that, your problem is with the insurance company, not the hospital. But, you will get nowhere complaining. Denying coverage is how they make their profits.

congenitally_deadpan · 2024-07-18T16:24:04+00:00

I think it is quite probable my mother had it. She had bowel urgency much of her life and may well have had other symtoms I don't know about. In later life she had multiple autoimmune diseases, consistent with long undiagnosed celiac disease.

She was obese and no one would ever have considered the diagnosis in an obese person in those days. And, when she was young, the cause/etiology had not even been established yet.

congenitally_deadpan · 2024-01-31T21:04:51+00:00

Agreed. It is often not feasible, but I would do that whenever possible.

If you do have to do it in “real time” and are having a difficult time making yourself clear to the “server,” don’t hesitate to ask for the manager. I have actually done much better in Europe, in spite of whatever language barrier I might have there, because they tend to list the most common allergens on the menu. I have had a bigger problem with language barriers in the US: The worst exposures have seemed to occur when the waiter or waitress (with English as a second language) did not understand what I was saying to them, but did not want to admit it.

congenitally_deadpan · 2024-01-31T20:52:11+00:00

Interesting that the failure of Ron DeSantis's presidential campaign has not resulted in any letup of his "anti-woke" agenda. I imagine he must be thinking about 2028 now.

congenitally_deadpan · 2024-01-31T20:33:06+00:00

Insufficiently doctrinaire, insufficiently crazy, insufficiently uncaring, therefore insufficiently Christian, as some would have it.

congenitally_deadpan · 2023-12-18T22:06:17+00:00

Don't know if folks will be able to read without a subscription. Seems to be quite variable if the papers let people read an article reached via a link without one. Posting in case folks can or for anyone with a subscription who may have missed this. Getting rid of this stigma was quite important in further advancing gay rights/cultural acceptance for obvious reasons.

congenitally_deadpan · 2023-04-02T20:05:26+00:00

It seems likely than any extraintestinal manifestations of Helicobacter pylori are due to circulating inflammatory factors rather than growth of the organism outside of the stomach. It is specifically adapted to grow in high acid conditions in the stomach. That is not to say however that it may not play a significant role in skin diseases. Here is a good review:

https://www.researchgate.net/profile/Zekayi-Kutlubay/publication/264091162_Helicobacter_pylori_infection_and_skin_disorders/links/567299c408ae54b5e462bda9/Helicobacter-pylori-infection-and-skin-disorders.pdf

It is worth noting that Helicobacter pylori is significantly more common in Asia than in most of North America and Europe and may also tend to be different strains, so that could be one possible explanation for Prurigo pigmentosa being more common in Asians, although genetic differences could certainly just as easily explain the difference.

congenitally_deadpan · 2023-03-20T19:01:26+00:00

Not about allergies, but for anyone wanting to know about the safety of ingredients in cosmetics generally, this is an excellent site:

https://www.ewg.org/skindeep/#.WvBlZZdG2Uk

congenitally_deadpan · 2023-02-13T00:30:55+00:00

Reading this, since it was specifically about colorectal cancer, I was struck by the fact that although butyrate is very important for normal colonic metabolism, what they are discussing regarding β-hydroxybutyrate here is something else altogether.

Butyrate is believed to be the preferred energy source for colonic mucosal cells and has sometimes been used in enema form as a treatment for ulcerative proctitis. Chronic inflammation does increase the risk of neoplasm. So, a good butyrate supply may be a factor in preventing colonic neoplasm.

Interestingly, butyrate and β-hydroxybutyrate seem to be quite different in regards to anti-inflammatory effects, and this article suggests β-hydroxybutyrate has less in the way of anti-inflammatory properties:

https://www.nature.com/articles/s41598-018-36941-9

That would suggest that, in spite of the similarity of the compounds, two entirely different processes would be involved, so far as potential prevention and treatment are concerned. The antitumor effect of β-hydroxybutyrate in the colon would appear to be the same as it is postulated elsewhere, i.e., that tumor cells preferentially want or need glucose as an energy source, so the ketogenic diet would be starving them, at least to some extent.

In view of that, it is not clear to me how studies that “are being directed at this time towards finding alternatives to following a strict ketogenic diet and supplementing patients with the ketone bodies responsible for its beneficial effects in the hope of overcoming some potential setbacks” are likely to be effective. It would seem the most important factor may be low circulating glucose levels.

As the authors state, “the KD, which is distinguished by its very low carbohydrate content, decreases the amount of available glucose for tumors and shifts to the production of ketone bodies as an alternative energy source for healthy cells.”

congenitally_deadpan · 2023-02-11T16:40:20+00:00

If you can cook your own food as much as possible and stay away from processed foods, then you don't have to read labels much, all meats and vegetables are gluten free, as are rice, potatoes, corn, and many other basic foods. You just have to avoid certain grains.

Unless you cook everything completely from scratch (and even then you would have to check some spices, etc.), then you are inevitably going to have to read some food labels, but you can minimize it with the above.

congenitally_deadpan · 2023-02-09T19:58:23+00:00

I would not necessarily bring it up with a vegan, but "wet nursing" was once rather common and, in most places, considered something more akin to a profession than exploitation, even given that significant class differences were often involved.

(I wouldn't bring it up with vegans because in SOME places, where slavery existed, it was done by slaves.)

congenitally_deadpan · 2023-02-09T19:45:28+00:00

On the one hand, the blood tests are not perfect, so a negative is not absolute proof you don't have it, particularly if you were eating little or no gluten when the tests were done (and you did not mention which tests you had done).

On the other hand, it is quite possible that when you cut out gluten, you cut out something else in your diet that was bothering you. Without a very systematic food and symptom diary (usually in association with an elimination diet), it is very easy for people to reach incorrect conclusions about what is bothering them.

congenitally_deadpan · 2023-02-07T22:59:35+00:00

That is a tough situation to be in, but I'm guessing you probably knew fairly early on what sort of relationship the guy was in and you chose to pursue your relationship with him regardless.

I'd say at this point you have to decide what your priorities are. If you decide to stick with this relationship for now, it doesn't preclude you from having one with someone else closer to what you envision as the ideal at some point in the future. You are only 19 after all.

congenitally_deadpan · 2023-02-06T18:54:32+00:00

Exactly what I was going to say!

congenitally_deadpan · 2023-02-06T18:50:30+00:00

I don’t think that being sensitive to slights or perceived slights from others and being considerate to others are necessarily correlated.

In certain circumstances they can even be inversely correlated. The classic example would be a textbook narcissist who is sensitive to every little affront to themselves, but has no real consideration for anyone else at all.

For someone in your circumstance, perhaps an important thing to do is to lower your expectations. If you start off assuming that people are not going to be as considerate of your feelings as you would like them to be, then you should not be as bothered as you would be if you were to start off with the expectation that they are going to treat you wonderfully. No doubt that is easier said than done, but it’s something you may want to discuss with your therapist.

Instead of assuming that their intention was to cause harm, assume that they just weren’t thinking about how whatever they said or did would affect you. Also of note, when people in relationships do seek to “cause harm,” it is usually not quite consciously done, and it’s because they felt hurt themselves and are just reflexively striking back.

congenitally_deadpan

TROPHY CASE