Need some spells, coward?

Acetaminophen/paracetamol has a hard stop upper dose limit, above which it becomes extremely toxic.

That limit is 4g (8 “extra strength” (500mg) tablets) in 24 hours (about 2 tablets every 6 hours).

A single dose of 22 extra strength tablets can kill you.

Taking 12 or more tablets per day for more than a week can also kill you (this is about 3 tablets every 6 hours).

Symptoms of overdose take up to 24 hours to manifest, and are fairly difficult to distinguish from other problems. They include abdominal pain (especially right upper quadrant), nausea, malaise, and confusion.

The antidote (n-acetylcystine) must be given within 8hours of ingestion in order to be useful.

After 10 hours the only thing that will work is a liver transplant.

You might think “why would I ever accidentally take so much?”

Well, acetaminophen is in almost everything in the cold/flu/pain aisle. Migraine combos like Excedrin, cold and flu combos like NyQuil, basically anything that says “non-aspirin pain relief”, and anything that’s branded as a fever reducer. It’s all probably acetaminophen/paracetamol.

every fat person you know for the most part probably has a story like this, of medical neglect. many of the stories i've heard personally are when the complaint or the doctor wasn't related at all, like being told to lose weight at the ear nose and throat doctor or at the dentist. it's straight up just bias. it's such a thing that in the show Shrill it's portrayed, when Aidy Bryant goes to the gynecologist and her doctor suggests she get gastric bypass.

the studies on health and fatness are simply not that black and white and there is basically no research that shows that more than an incredibly tiny minority of people can lose weight and keep it off for more than like 2 years. bodies have set points that they gravitate towards, it's not a personal failure. this also is how the weight loss industry succeeds so well - repeat customers.

some of the harm associated with fatness is also due to weight cycling, which is very hard on your body and is even worse if you get off a GLP1, which according to a recent study causes weight to be regained at a rate that is 4x faster than without taking a GLP1.

you don't have to hate yourself. you don't have to hate other people for their body type either. it makes me so sad to see the thinspo tag going around again in 2026 a lot like it was back in the day.

some resources to learn more here:

https://www.reuters.com/article/business/healthcare-pharmaceuticals/feeling-fat-may-be-worse-for-you-than-being-fat-idUSTON079061/

I used to prep, wash dishes, and cook at mellow mushroom. I had chronic pain that wasn't NEARLY as bad as it is today, but it was still very debilitating. I told my employer "i cannot stand more than 4 to 6 hours. I CANNOT do shifts longer than this due to my illness." And even though i made my boundaries VERY clear, everyday i worked it was 8 hours at the least and 10 or 12 at the most. I would go up to my manager and say "look i really need to leave, my shift is over, my chronic pain is killing me." And he'd say "we really need to here, you HAVE to push through." And so i did, and after one, ONE month of that job my crps got incredibly worse to the point where i could no longer walk my dog around the block which was .5 miles. I quit, and that was FOUR years ago, and ever since that day I HAVE BEEN BEDRIDDEN AND HAVE TO USE A WHEELCHAIR. It is my biggest regret in life.

My best friend who has seen my whole journey has recently developed undiagnosed chronic pain, and she is in the EXACT same scenario i was 4 years ago. Busting her ass at a pizza place with extreme pain that hurts her so much she tells me "im in so much pain i don't even feel like a person." She doesn't feel LUCID. And her manager and coworkers are saying the same thing "if you don't help us you will let us down, we'll be in the shit."