I was not obese when I was prediabetic, but I had hypertension of around 150/100 on a good day. I had the same experience you did, however. When I started keto my BP dropped to around 130/80 and now it hovers around 110/60 on carnivore. My physician was very surprised.
I salt my food liberally. I’ve read that chronically elevated insulin levels correlated strongly with salt sensitivity to blood pressure, and in my case that certainly seemed true.
It feels like as the models were iterated on they got worse at it over time. I wonder if it’s because of all the guard-railing and internal censorship etc.
Presumably it’s even more unhealthy to be on the receiving end of a charge from a warhorse and its rider.
Don’t use delivery apps. Cook your own meals, it’s both cheaper and better for your health.
Thank you. I’ve updated the summary in the post with this one.
The references are fantastic. Could you share the prompt also, and the model?
You are going to love the book, I liked it so much I ordered his next book as well. I also love Dune very much!
Unfortunately I feel a little bit guilty because I pitched TCR and I suspect it tipped her over to binging again. It was clear to me that she was still going through carbohydrate addiction. I’ve gently walked her through all the possible things that may happen and she also has the support of her psychiatrist, but for now I think she should get back to not binging before trying again.
This is a much better summary, do you mind if I replace the one Kimi K2 generated with yours?
I started reading about the effects of metabolic health on BPD because of a friend with the condition. Unfortunately, she also has bulimia and it makes it very difficult for her to restrict what she eats.
I’ve learned that Epilepsy, Schizophrenia, BDP, depression and anxiety are very often co-morbid and that it can be difficult to cleanly delineate one condition from the other. However, recent development in the field of metabolic psychiatry, in particular from doctors like Chris Palmer, Iain Campbell, and the doctor in this talk appear to show very promisingly that a ketogenic diet greatly improves these disorders across the board.
Speaking from personal experience alone, I can vouch that going from the standard diet to LCHF greatly improved my mood. It was an incredible feeling.
There are various tests for pre-diabetes, such as the homa-ir or the hba1c assay. You could ask your physician to see if they can help you with that.
Image is AI generated. The ‘Chinese’ characters aren’t.
Well done Indonesia.
No no, that’s conversion therapy. This is about the use of an unnecessarily large number of words to express an idea.
So from your position, all drugs are bad for everyone. And nobody should take or be prescribed any drugs for any reason.
Did I say that?
If you wish to assume that I’m prejudiced, then fair enough. To good health.
All manner of drugs are prescribed world wide. Every drug has a different toxicology and safety profile.
Here’s Ozempic’s warning and precautions:
• Pancreatitis: Has been reported in clinical trials. Discontinue promptly if
pancreatitis is suspected. Do not restart if pancreatitis is confirmed (5.2).
• Diabetic Retinopathy Complications: Has been reported in a clinical trial.
Patients with a history of diabetic retinopathy should be monitored (5.3).
• Never share an OZEMPIC pen between patients, even if the needle is changed
(5.4).
• Hypoglycemia: Concomitant use with an insulin secretagogue or insulin may
increase the risk of hypoglycemia, including severe hypoglycemia. Reducing
dose of insulin secretagogue or insulin may be necessary (5.5).
• Acute Kidney Injury: Monitor renal function in patients with renal impairment
reporting severe adverse gastrointestinal reactions (5.6).
• Hypersensitivity Reactions: Serious hypersensitivity reactions (e.g.,
anaphylaxis and angioedema) have been reported. Discontinue OZEMPIC if
suspected and promptly seek medical advice (5.7).
• Acute Gallbladder Disease: If cholelithiasis or cholecystitis are suspected,
gallbladder studies are indicated (5.8).
However, evidence on longer-term outcomes, side effects, and potential conflicts of interest remains limited or uncertain.
As opposed to the older ones working perfectly well?
/s
I’m not, and I don’t.
However, I am concerned about the side effects of these drugs, the speed at which they were brought to market for a purpose they weren’t meant to be initially used for, the ease at which they are being prescribed in high doses, and the lack of any information at all being provided to patients they are prescribed to.
The way GLP-1 receptor agonists work is not something the body expects. GLP-1 by itself has a half life of less than 2 minutes in the body. The delivery technology is novel. I would personally exercise great caution before taking this class of drugs.
they are very safe.
I don’t believe this to be the case.
Dieting and weight-loss drugs are unhealthy.
Eating an appropriate diet isn’t unhealthy, but I don’t think you are using the word “diet” in that sense. Weight loss drugs, like any other drug, should be prescribed carefully with great deliberation, after informing the patient and weighing with them the positives against the negatives. Like any other intervention it needn’t be inherently unhealthy, but I don’t think blanket usage of high dose GLP-1 receptor agonists is a good idea.
Accept your body as it is.
I disagree, we shouldn’t accept metabolically unhealthy states as normal.
And, again, we are using weight as a totally arbitrary marker for health with very little real evidence that it is in any way meaningful.
Waist circumference to height is a better marker.
There is so much bunk science in dietetics, it’s unbelievable.
It’s all epidemiology. That’s the unbelievable part of it, there’s no science in nutrition.
We are physical matter affected by gravity. Having a smaller concentration of physical matter lessens the negative effects of gravity on our bodies. Increasing our physical mass puts more strain on every part of our body and leads to many well researched and documented health problems.
It’s also possible to look thin and yet be unhealthy at the same time. These people are known as being Thin Outside, Fat Inside, and have a lot of visceral fat.
Self control
This is nuanced but generally speaking an obese person does not want to be obese, if only because it feels terrible. They know they are in bad shape. There is no way to not be aware of chronic inflammation, skin issues, joint pain, and poor organ function.
They may look like they have a lack of self control to you, but telling them to “just get more self control” doesn’t help with anything. Perpetuating the idea that they are obese because they can’t control their own habits is reductionist. The process is indeed difficult, but it’s not because of lack of trying. It’s not always possible to overcome pathology with mental fortitude.
Again absolutely true in my case, I’m not afraid to admit. I had a belly for as long as I can remember when I was eating a standard diet.