Fruit

"Without shelter people die"

“IF I DIE TONIGHT… IT’S MURDER”

As the conversation about abortion swirls, it’s a good time to remind ourselves and our patients that plan B is less effective in patients over 155lbs (?!). 

The best advice for patients of size until better products are available is to:

- take 2 if you have them. 

- take 1 as soon as possible if you don’t have two

- Ella is effective up to a BMI of 30, less effective up to 35. It also can be used with no decreased effectiveness up to day 5. 

- Copper IUDs are the most effective post coital contraceptive

- ocps are also less effective in fat patients and may not provide as good endometrial or pregnancy protection

- Progesterone IUDs should be strongly considered in patients of size who want to prevent pregnancy or need endometrial protection, especially if they live or study in abortion restricted states. 

https://weightandhealthcare.substack.com/p/emergency-contraception-and-higher?fbclid=IwAR1uH7JPw4Iwf5CCTLNDeLn5RlKgKx–DQo0AIHe4v21OkozW2ZVeh0sNdk

And even then, we cannot get rid of them. Nine people make decisions for 300+ million, affecting their ability to defend themselves, to live peacefully, to lead healthy and happy and safe lives. Nine people can ruin lives for decades to come.

None Pizza with Left Beef is 10 years old today.