Andulka
d e v o n
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Cosmic Funnies
Origami Around
Aqua Utopia｜海の底で記憶を紡ぐ
★
roma★
titsay
izzy's playlists!
shark vs the universe
PUT YOUR BEARD IN MY MOUTH
Janaina Medeiros
we're not kids anymore.
Sweet Seals For You, Always
noise dept.
#extradirty
Kiana Khansmith
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@cassie-osborn
As protests start ramping up and violence escalates please remember:
DO NOT PUT MILK IN YOUR EYES FOR PEPPER SPRAY OR TEAR GAS.
It can and will cause infection due to bacteria. Flush with water, distilled if possible, and never EVER wear contact lenses to protests where there may be police retaliation.
Please reblog. It may save someone's sight.
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SHE IS A TRUE HERO
No, she’s a bitch is what she is
what do u mean???? it was clearly an accident she even said “Oooppsss”
LMFAOOOO
Look, rather than being petty and destroying it, why not talk to the girl. Really ask them why they are using the confederate flag. But no, low level terrorism is the answer.
LOW LEVEL TERRORISM?
Low level terrorism
ICONIC
world heritage post
https://twitter.com/jijijibli/status/1391829463630024704?s=19
reminder that the IDF and the american police train together and share tactics. cop city is already working with ppl from the IDF in building the urban warfare training facility.
The strength economy is in shambles.
100% Karlach just thinks a deathmatch is a fun friendly time
IT'S ALMOST HALLOWEEN
@straycatj
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Hey, reminder that one of the reasons humanity has been able to flourish is because we formed societies and helped support each other. Complete independence and self reliance is a myth to try to get you to buy more things. Please reach out. Please connect yourself. There is no reason you have to do things alone.
Breaking the family curse (being the first to get a diagnosis)
I gave my soapbox speech about how weight loss is mostly bullshit to two different patients in a row yesterday and so help me I’m pretty sure one of these days someone is going to say “but SURELY you agree I’d be HEALTHIER if I lost weight!” bc you can see the disbelief in their eyes. And like. Sure, maybe! You might see some improvement in biomarkers like LDL and A1c, and your knees would probably feel better. But you would be amazed at how much more good you can do for yourself by focusing on things you can actually meaningfully change without resorting to making yourself miserable. Eat more fresh fruits and vegetables—it’s hard bc they’re more difficult to prepare and more expensive per calorie and go bad faster than other foods, but they’re what we evolved eating the most of so they’re what our bodies need the most of. And walk around more; sure, cardio is great for you, but if it sucks so bad you don’t do it, it isn’t doing shit for you. And we evolved to walk very very long distances, a little bit at a time, so our bodies respond actually very well to adding walks into our schedules, which is vastly easier than adding workouts that are frankly designed to be punishing when the definition of punishing is “makes you less likely to do it again in the future.”
You get one life. It is shorter than you can begin to imagine. Don’t waste it hating yourself because somebody is going to make money off that self-hatred. You deserve better than to be a cash cow for billionaires who pay aestheticians and dermatologists to make them (or at least their trophy wives) look thin and beautiful no matter what they actually do.
And ONE MORE THING—listen. We are NOT evolved to lose weight, we are evolved to hoard it. We came about in a world of famines. Not only does your brain have MULTIPLE failsafes built in SPECIFICALLY TO PREVENT WEIGHT LOSS, but there are epigenetic factors—factors that are not DNA but travel with it and affect how it is expressed. So if your parents or grandparents lived through a famine, like, oh, say, the Great Depression, YOU are more likely to gain weight and more likely to have difficulty losing it. AND! We live in a world highly affected by industrial pollution—there is no corner of the world free from it, micro plastics and industrial chemical pollution have been found literally everywhere ever studied—and many of those pollutants affect our endocrine systems. Looking at records of lab animals going back to the 1960s, where we have excellent records of what genetically essentially identical animals ate, we know that LAB ANIMALS FED THE SAME AMOUNT OF THE SAME CHOW WEIGH MORE NOW THAN THEY DID THE IN SIXTIES. So no. You’re not fat because your willpower is somehow busted. (Willpower, fun fact, can be depleted! By DEPLETING BLOOD SUGAR! Baumeister’s work in the 2000s demonstrated that.) You’re fat because your body wants you to live, and because the ultra rich have knowingly poured poison into the world because they don’t care if you die.
So YOU need to care if you live. And how you live. Please love yourself, because the billionaires will never give a shit about you. Weight Watchers has a 96-99% failure rate. Weight loss is a scam that makes billions of dollars every year. Love yourself too much to fall for that. Don’t wait until you’re thin to love yourself or to start living, because a) that day may never come and b) it’s okay if that day never comes. You are worthwhile and enough right now. I promise you that.
Did I mention that all studies on the subject are very clear--like, we do not need more studies on this, which is a bananas thing for a scientist to say--exercise does not lead to weight loss. It just doesn't. Anyone who tells you it does is wrong. It's good for you because it's good for you, not because it makes you thin. It improves your blood vessel health; it improves your heart health; it improves your body's ability to manage blood sugar; it improves your muscular health. It does not make you thin.
Reducing calories can reduce weight, but your body, as previously mentioned, is trying REAL HARD not to lose weight. I see a lot of recommendations for 1200 calorie a day diets. Google "starvation study" and look at how much the men in that study were given. It was over 1500 calories a day, and they were miserable. They became skeletal. They felt awful, depressed, foggy--because your brain is the single biggest user of calories in your body. It is so metabolically active that your brain uses around 30% of all the calories your body uses. Guess what happens when you starve your brain? You feel like shit. You feel stupid and depressed. Don't starve yourself. It doesn't work and it makes you feel awful and you will get rebound weight gain above whatever you lost, guaranteed, and then you'll blame yourself for "letting yourself go" because our society is built on lies.
We also cannot and should not ever suggest that anyone can lose more than 5-10% of their body weight and keep that off. It's just not possible. Bariatric surgery is a WHOLE other can of worms, I don't have the energy to explain why I almost never recommend it to my patients, but just know that if anyone has ever suggested you lose more than 10% of your body weight through behavioral changes, they are bullshitting you.
Getting a lot of notes on this post! Many of them are people going "oh thank God" and then there are people going "but SURELY you agree I'd be healthier if I lost weight!" and people going "well I lost weight so it IS possible!" and like. Buddy. That's like two people out of the 10,000 notes on that. You are that rare statistical exception. Feel morally superior if you want to. (Right up until you hit that health problem that leads you to gain weight and suddenly realize, with great shock, that it WASN'T immorality that led you to be sick and fat.)
Lotta people asking me medical questions! No! Ask your doctor. Real professionals need a lot more details than you're going to send me in an ask. Giving you medical advice without knowing your chart and being your doctor puts me at actual legal risk.
Also people going "cite your sources!" No! I spent 10 years working in research before I went back to med school. You know how I find papers on stuff? Google! Learn to fucking Google! If you can find research that convincingly demonstrates that exercise leads to weight loss, shoot it my way, because on my way in to work last week I was listening to a national conference board prep lecture and the speaker very specifically told thousands of family physicians, out loud in words, "Exercise does not lead to weight loss," so you can either assume you know more than me and go prove it, or shut the fuck up.
Also people saying, "Wait, I thought I could lose weight, and now you're telling me I can't?" No. I'm telling you that weight is not the benchmark for how healthy you are, and if you let your eating disorder tell you that thinness is the only thing that makes you valuable as a person, that is a very different disorder--that you can recover from--than being fat.
Also people with just no reading comprehension going "you're saying there are ZERO benefits to weight loss?" to which I say go re-read the first two paragraphs of my first post.
I am literally an expert--on the brain, on bodily health--and if what I'm saying is unsettling, you need to think real hard about why. Examine your attitudes towards fatness. Ask yourself whether you'd still like yourself if you were fat. Ask yourself what you have to offer the world besides thinness. Why do fat people being happy threaten you? Why would you be happier in a world where fat people deserved the things fatphobia does to them? How much of your self-esteem is based on being thinner than someone else?
Okay, I am ADDING THE BARIATRIC SURGERY POST HERE. You can STOP ASKING ME FOR IT.
Hallo!! I really appreciate your blog and how open and invested you are in wellbeing outside of medical fatphobia and other ways medicine as
You know what, while I'm at it, my post about Ozempic/Wegovy:
Because my most popular post is about weight loss and how it's a crock, I get a lot of questions about various things, including bariatric s
And let's address the only two meaningful criticism of my original post series:
The Baumeister research on willpower as a depletable resource is probably BS. People have tried to replicate it and they can't. In my defense, I didn't know that because I finished my master's in 2010 and that conference where I watched his presentation was in like 2009, so I'm out of the loop. However, this criticism is valid. And kind of a bummer? I liked feeling like I was accomplishing something with a little treat. Ah, well.
The men in the Minnesota starvation study were given over 1500 calories a day in a setting where they were burning substantially more than that. Yeah! Grown men do! I have a patient who literally walked into my clinic room and was like "I don't know WHY I'm so tired" and it turns out he's working and also working out while on an 800 calorie a day diet, so it's worth talking about how much grown men should be eating, because they deserve to feel like human beings too--but if you want to get into whether 1500 calories a day is a reasonable amount for a human woman to eat, it's fucking not! ALSO, calorie science is a load of horseshit in the first place. Bomb calorimeters are still, as far as I know, the standard, and the question of "how much energy does this put out when literally burned" has VIRTUALLY NOTHING to do with "is this good for me to eat."
So, now no one can complain I didn't address those issues. I am actually grateful to the people who pointed out the Baumeister thing. I'm just annoyed at people going "he was BARELY hungry enough that he CUT HIS OWN FINGERS OFF AND DIDN'T KNOW WHY" as if that is, you know, in any way a defense for why we continually hear advice to go on a 1200 calorie a day diet.
To address two extremely common complaints on this post:
“If you won’t add sources, how do we know you’re telling the truth??” YOU DO NOT. GO LOOK IT UP!!!! I HAVE TOLD YOU REPEATEDLY THAT THESE ARE ALL AVAILABLE VIA GOOGLE WITH SIMPLE KEYWORD SEARCHES. TRY “microplastics deep ocean” or “fat lab animals.” THEY ARE RIGHT! FUCKING! THERE! Do not just trust somebody on the Internet. LEARN TO READ THINGS. Learn what makes a good source vs a shitty one. I quite literally once had a non-medical friend from research degree grad school send me a medical “paper” (it was not peer reviewed) about how vaccines cause autism. It had approximately 50,000 references and looked very official. She was worried it might be legit. I started LOOKING UP THE REFERENCES and I’ll be damned! None of them said what they were being represented as saying. NONE of them. Learn how to evaluate sources or you are doomed to be lied to with abandon.
“Oh great, I was already depressed about being fat and you made it worse!” The FUCK I did! I told you the truth! Society made you depressed about being fat. I’m showing you where all that cognitive dissonance is coming from. If truth makes you depressed, you need to figure out how to live with that truth and then grab the world that made it this way and throttle it into submission. I devoted my entire fucking life to medicine because I was so mad about homophobia and biphobia and transphobia. Get yourself an ACTUAL LIFE with MEANINGFUL GOALS. Being thin doesn’t count! Sure, your life is easier if you’re thin, but you have very little control over that. You DO have control over who you choose to become. Be someone you can respect. You don’t need to LOVE yourself, you need to RESPECT yourself.
RESPECT YOURSELF ENOUGH TO LEARN TO GODDAMN READ SCIENCE! I taught many MUCH less motivated undergrads than you to do it, I KNOW you can.
the bad news is that my mom was sad that her eggplants haven’t been growing; however, it turns out that the reason her eggplants haven’t been growing is because her eggplants were actually spinach. The good news is that her spinach is growing very well. She was also sad that her peppers haven’t been growing either, but it turns out that the peppers were actually eggplant. And I’m happy to report that the eggplant is also growing very well.
great at gardening, horrendous at botany
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(via)
The poll feature really took off because it taps into tumblr's favorite activity: being extremely opinionated about things that don't matter
happy baby donkey
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