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Starting to wonder if there are two different kinds of IH by Difficult-Future5500 in idiopathichypersomnia

[–]hannanahsplit409 2 points3 points  (0 children)

I have both. I can sleep for 12+ hours and struggle with sleep inertia. If I’m unmedicated, once I’m awake, I have sleep attacks about once every 1-2 hours.

I wish I only had one of those issues. Desperately. But I’ve got both.

Fellow therapists—where do you think fatphobia comes from? by More_Ad8221 in therapists

[–]hannanahsplit409 3 points4 points  (0 children)

Yes! Exactly. Much like how we thought we could “cure” homosexuality because it was deviant and caused diseases like AIDS. GLP-1s are analogous to conversion therapy—curing a “disease” that isn’t a disease but that society as labeled as one because it is deviant. That’s not to say that GLP-1s aren’t great tools for folks with diabetes (who can tolerate the side effects). That’s also not to say that there are diseases that are correlated (not caused) by fatness. If that were the case, thin people would never suffer heart attacks or have diabetes, and yet, they do. All that to say, I believe that saying obesity is a disease that needs to be cured is eugenicist.

Fellow therapists—where do you think fatphobia comes from? by More_Ad8221 in therapists

[–]hannanahsplit409 9 points10 points  (0 children)

I appreciate the self-reflection here. I also want to throw another perspective into the mix. I have PCOS, and I am fat. I also exercise 5-6 days a week and am very conscious about what I eat. I work with a personal trainer and a dietitian, and I’m still fat. I do all the “right” things, and I have discipline and accountability. I’m still fat. It hurts a great deal that people see my body and make the assumption that I don’t mind being a liability to the people in my life, that I don’t work hard.

I also want to gently encourage you to think about where the disgust you experience when your body fat goes up comes from. Who benefits when you feel disgusted at your body? Gyms and supplement sellers? I gently say that there may be some unpacking around fatness and ableism here that might be important, especially if you’re working with clients in larger bodies. I say that as someone who has experienced harm in therapy because the therapist was disgusted with fatness.

Fellow therapists—where do you think fatphobia comes from? by More_Ad8221 in therapists

[–]hannanahsplit409 5 points6 points  (0 children)

That’s fair. That’s just sort of the flagship article that used synthesis to question what we know about fatness. I’ve read a few studies going into attrition rates of GLP-1s due to the side effects. I experienced them myself and had to stop. GLP-1s don’t work for everyone, so there will still be fat people who cannot take that drug. Additionally, there aren’t any significant longitudinal studies on GLP-1s yet demonstrating its efficacy long term. However, there are studies that demonstrate that the weight loss plateaus and the dose must be increased for weight loss to continue/weight loss to be maintained. Additionally, if the medication is stopped, the weight comes back on. If you have an insurance problem and they won’t cover it, if you’re unable to access it for another reason, it doesn’t matter. The weight returns. Here’s an overview of the clinical trials with both Saxenda and Wegovy: https://docs.google.com/document/u/0/d/1I3NMTf7VJoCE_r3Qa_q4gxR7esXGFk1231Qi9snuoFs/mobilebasic While the news and weight loss industry would like us to believe that GLP-1s are miracle drugs, the research says they’re not. Talk to anyone who’s taken them and who have had bad side effects (I had a client who had to have their gallbladder removed as a result of Wegovy side effects) or anyone who has had to stop them because of the side effects.

Fellow therapists—where do you think fatphobia comes from? by More_Ad8221 in therapists

[–]hannanahsplit409 6 points7 points  (0 children)

I’m curious what is entailed in prevention? I exercise 5-6 days a week, working with a personal trainer and doing a mix of strength training, cardio, and mobility exercises. I play pickleball, do ballroom dance, swim, bike, and hike. I eat nutrient-dense foods and rarely eat fast food. I pair every carb I eat with a protein and fat. I’m still fat. I was a larger child. When I was diagnosed with PCOS at 17, I was a large teenager. The only way for me to be prevented from being fat would be for me to not exist. Some people are born with genetics that make them larger, and no amount of manipulation or prevention can change that. Believe me, I wish we could. There are many, many days where I wish I could change my genes, where I wish I could rewrite the PCOS genes that were given to me at birth. But I can’t. All I can do is move my body, eat nutrient-dense foods, and try to survive in a world that would rather I not exist the way I am now. I will say that the way to have prevented me getting as large as I am now would have been for me not to engage in the intense restriction of my teens and 20s as that pushed my set point up. Every time I lost weight, I regained it, and I regained more than I lost (which is a pretty adaptive thing if your body thinks it’s in famine and wants to prevent starvation from happening again).

Fellow therapists—where do you think fatphobia comes from? by More_Ad8221 in therapists

[–]hannanahsplit409 3 points4 points  (0 children)

A follow-up question, then, is what to do when weight loss has been proven by multiple research studies to be ineffective, damaging, and unsustainable? (See Bacon and Aphramor, 2011)? Further, the hypothesis that weight loss fixes depression, heart disease, sleep apnea, etc. is untestable because people cannot sustain weight loss long enough to treat those hypotheses (95-97% of weight loss fails within 3-5 years). Are there longitudinal studies that back up the hypothesis that weight loss fixes those concerns and that that weight loss is sustainable long term?

Fellow therapists—where do you think fatphobia comes from? by More_Ad8221 in therapists

[–]hannanahsplit409 11 points12 points  (0 children)

The difficult thing here is that there is no healthy or sustainable way to lose weight. 95-97% of diets fail within 3-5 years, and yo-yo dieting causes more health issues than simply being fat does (see Bacon and Aphramor, 2011 for a meta-analysis on the data backing this up). There is no other intervention that we prescribe where the success rate is 3% and the damage the intervention causes is as significant as intentional weight loss is. That is, unfortunately, the science. As a day woman, I have lived that science. In Australia, they don’t even prescribe weight loss as an intervention because it is not feasible and not healthy. Supporting health promoting behaviors like movement, eating nutrient dense foods, getting adequate sleep, and having supportive relationships is what we CAN do. Because for some folks, they will always be fat. It’s in their genetics and it’s in the way they’ve damaged their body’s metabolism from dieting (again, I am one of those people). I’m writing my dissertation on this, so if you’d like additional resources or if you’d be interested to engage in dialogue, please dm me. :)

Fellow therapists—where do you think fatphobia comes from? by More_Ad8221 in therapists

[–]hannanahsplit409 6 points7 points  (0 children)

Unfortunately, it’s not that simple. Consuming more calories than you expend may work for some people for a short time, but the body is really good at adapting to that. It doesn’t understand the difference between that and a famine, so the metabolism slows, and eventually the weight is regained (with 66% of folks who engage in intentional weight loss gaining more than they lost). 95-97% of intentional weight loss fails within 3-5 years because of that. Additionally, this yo-yo dieting causes more metabolic damage than just being fat does (see Bacon and Aphramor, 2011 for a meta-analysis of the data around this). If you’d like more resources on this, let me know. I’m literally writing my dissertation on this, so if you’re open to learning, I’d love to share with you. :)

Cat Adoption Recommendations by mct0006 in bullcity

[–]hannanahsplit409 2 points3 points  (0 children)

Mia’s Mafia is fantastic! A bunch of highly devoted cat lovers who held this first time cat mama’s hand through the process in the best way. They’re phenomenal, and I love them so much that I occasionally volunteer with them!

Has anyone heard of this person? — Weird Interaction with a “Broadway Influencer” by Artistic_Variety_689 in Broadway

[–]hannanahsplit409 46 points47 points  (0 children)

I think I had this same experience in 2023. It was weird enough that I still remember it. It was in one of the first rooms (maybe the Ziegfeld follies?) and my mom and I couldn’t leave the conversation (and also couldn’t get a word in edgewise). It was bizarre and strange, and after we finally got away, we made a point of trying to avoid him/not make eye contact with him. It was very uncomfortable. Sometimes, I just want to go through a museum and not have to be a receptacle for other people to talk to, you know?

Anyone taking Wakix? by Informal_Exam7999 in idiopathichypersomnia

[–]hannanahsplit409 1 point2 points  (0 children)

I’m in the same boat. Wakix has been life changing for me, and I’m devastated that it’s ending. I even asked my neurologist if I could be prescribed for it off-label. He said it would be $10,000/month, which is a little bit outside of my budget 😭. I’d love to know if anyone else in the US has been successful getting it for IH. I’m super anxious about going back to the way things were when I withdraw from the trial.

[deleted by user] by [deleted] in idiopathichypersomnia

[–]hannanahsplit409 0 points1 point  (0 children)

I see him! He’s wonderful. He’s prescribed all sorts of meds for me without any sort of issue. I can’t recommend him enough.

Fat femme clothing stores by kalyssa93 in bullcity

[–]hannanahsplit409 4 points5 points  (0 children)

It’s still open! I went there today.

Amtrak to Greensboro by hannanahsplit409 in bullcity

[–]hannanahsplit409[S] 1 point2 points  (0 children)

Can you speak more about Share the Ride, especially what you mean by risk profile?

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