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frogb0nez · 5 months

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Some facts/statements I use to remind myself that a day or two eating above your calorie limit is not going to reverse all your progress, even if it feels like it has 💕

-You would have to consume roughly 3500 cal above your bmr to put on 1 lbs/0.5kg. The extra few hundred won't have as drastic an effect as your brain believes.

-The weight you think you've put on so quickly is water retention and if you drink enough water it usually goes away.

-The extra calories sometimes help some people with keeping their metabolism high, meaning more weight loss in the long run.

-I know the extra weight in your stomach feels awful but it will pass eventually. Everything passes eventually.

-You can always exercise some/all of the extra calories off for peace of mind if you can't cope.

-Progress never looks like a straight line. Whether you've binged or not your body is still going to have ups and downs. This is just an up wave you need to try and ride.

-Do your best not to let it tear you apart. Try to distract yourself with something for the rest of the day to keep your head above water. If your head does sink under, on the plus side, crying burns a decent amount of calories.

-You are not a robot. Slip ups happen and they're probably happening because you're lacking vital nutrition. Allow your body a break sometimes even if your mind isn't happy about it. A few hundred extra calories may stop you from passing out and bashing your head on the wall.

-Tomorrow is a new day. If no coping mechanisms are helping, sleep it off the best you can. Sleep burns a surprising amount of calories and you can always start fresh the next day.

-You are not a failure. Just because your mind keeps telling you that you are doesn't mean it's true. It's your survival instincts bleeding through the disorder. It's a reminder that the you from before this is still in there somewhere and you'll find them one day. A reminder that deep down you're still capable of finding enjoyment and happiness in something other than watching numbers fall.

-If you've read this far tysm for taking the time to do so and I wish you the best in this crappy life. Stay safe and remember to be smart about your health through this journey💕

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gh0stbeeee · 4 months

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Random Death Note headcanons

L has a bit of an overbite, he had braces as a teenager but he never wore his retainers so it came back a little.

Misa was a little ragamuffin as a kid, she loved going outside and being messy with her hair unbrushed, but she realized she couldn't put her hair in twin tails if it was knotty so she improved her hygiene as she grew up.

Light has always wanted to grow his hair to his shoulders and part it in the middle because he thought it looked really elegant, but he never did because he was worried people would think he wasn't respectable.

Also, Light was a bit chubby when he was young. He developed an eating disorder as he grew up because of how family and other adults would comment on his body. Keep in mind this was healthy baby fat, and he is now perpetually a little underweight.

L has a ridiculous metabolism, so despite his diet he is naturally skinny and light weight. In contrast to Light, he wishes he could gain a little weight.

Misa knows Light doesn't love her. She stays with him because he became a rock in her life despite his coldness and manipulative nature, and he keeps her grounded. She is scared of independence, due to ptsd. Light isn't aware of this exact reason, but neither does he seek to know her. His optimism and confidence eases her anxiety, just as Misa's blind worship encourages him. Toxic af for eachother.

Light is on the aroace spectrum, but he never sought to experiment to find out what exactly he is. He is completely neutral to both genders, with a preference for intelligence. (Sapio.) He never learned the proper terminology for sexuality beyond hetero and homo.

L is completely ambiguous in terms of sexuality. He has attractions, but they disappear quickly and he never acts on them. He suspects he is aroace spec, but he never confirms it.

Lawlight was violently timid. Their passion for eachother was insane, but neither knew what to do with it. One minute they were kissing chastely, the next they were beating the shit out of eachother. They had sex a couple times, but they were more focused on the intimacy and mind games than the pleasure.

Misa was comphet and her obsession with Light stopped her from exploring herself (and Rem her monster girlfriend that loved her more than her life.)

Near found the HQ security footage years after the Kira case ended and to say it made his opinions of L and Light more complicated is an understatement. (I want to write this fic.) He saw L's true morality, and the endeared relationship between L and Kira. He saw innocent Light, and thought that he wasn't so bad.

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five-thousand-loaves-of-bread · 1 year

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what is (chronic) autistic catatonia?

// why specify “autistic” catatonia? //

catatonia most common associate with schizophrenia, but increase realize also happen in things like bipolar & depression.

if look at some of typical catatonia diagnostic criteria in DSM 5 (but in easier words): catalepsy & waxy flexibility, grimacing (hold same stiff facial movement), mutism, echolalia, echopraxia (copy movement), exaggerated mannerisms, stereotypies/repetitive movements, etc… wait! some of these things happen in autism!!! (like 7 out of total 12 can be seen in autism)

this is why important to know how recognize catatonia in autism. because overlap.

catatonia in schizophrenia most common start fast and get worse fast. but chronic autistic catatonia typically slow onset and slow but visible deterioration. (always have exceptions though)

not know a lot about schizophrenia catatonia, so this post largely focus on autism. everything below, when say “catatonia” or “autistic catatonia,” mean chronic autistic catatonia with deterioration.

// before move on— //

sometimes professionals do connect autistic shutdown with/as catatonia or catatonia episode or catatonia-like episode to draw connection. this not talk about that. this about chronic ones with deterioration. personally for community identity purpose i don’t enjoy (already have term for shutdown). but personal opinion aside, again this about the temporary vs long term all the time. if experience temporary shutdown, remember to leave space for and not same as those of us deal with chronic autistic catatonia.

important to distinguish from autism because autism and catatonia share many symptoms. (for example, physical stimming or “stereotypies” is autism diagnostic criteria AND catatonia criteria). autistic catatonia should only be suspected IF have new symptoms OR change in type & pattern of old symptoms. cannot. stress. this. enough. again. it not about IF you have these symptoms it’s about WHEN and HOW and CHANGE. it's about NEW.

and. please do not diagnose self based on one tumblr post. yes even if i do extensive research and cite sources and have lived experience. many many many disorders look similar. am all here for educated self diagnosis because medical system inequitable BUT am also sick of every time write this a bunch people comment “oh never heard this this is so me.” one tumblr post not educated self dx. it not a cool new thing to add to carrd to hoard as much medical label as can, it miserable it makes my life hell it not a joke it not cool. not every autistic have chronic catatonia, not every shutdown means chronic catatonia, even if you autistic and see these signs, may be separate unrelated disorder altogether, like Infectious, metabolic, endocrinological, neurological, autoimmune diseases, all can see catatonia (Dhossche et al, 2006). some of you all will read this and truly think this is answer been looking for so long—great! still, please do more research.

// chronic autistic catatonia with deterioration and breakdown //

the key defining symptoms of chronic autistic catatonia is gradual lose functioning and difficulty with voluntary movements (shah, 2019, p21). “gradual lose functioning” will come with regression in independence & ADLs & quality of life. it usually gradual, chronic, and complex. but can vary in severity. some need prompts on some day & some situations, while others need prompt and even physical assistance for almost everything.

how common? have seen statistic estimate from 10% - 20% of autistic people adolescents & above experience chronic autistic catatonia.

typical onset for autistic catatonia is adolescence. some study samples is 15-19, some as early as 13. some professionals think this autistic catatonia may be a reason for many autism late regression (Ghaziuddin, 2021).

can happen regardless of gender, IQ (yes shitty), “autism severity/functioning labels” (is what most studies use, so i keep, but yes have issues, probably also mean happens regardless of autism level 1/2/3 and support needs before catatonia, but need more research to confirm since these thing don’t equal eachother).

// primary symptoms //

from book "Catatonia, Shutdown and Breakdown in Autism: A Psycho-Ecological Approach" by dr amitta shah, recommend read at least first two chapter and appendix.

1. Increased slowness

often first sign but not always

periods of inactivity or immobility between actions which appears as slowness, e.g walking, responses (verbal & body), self care, mealtime, etc

2. Movement difficulties (freezing and getting stuck)

difficult initiate/start movement

freeze or become "stuck" in middle of activity for few seconds to minutes

hesitate & "to and fro" movements

difficulty cross threshold/transitions like door way

difficulty stop action/movement once started

affect speech content, fluency, & volume

eat & drink difficult (like movement for fork & knife, chewing and swallowing, etc)

spend long time in one place

(new) ritualistic behaviors

3. Movement abnormalities

repetitive movements like in tourette's & parkinsons

e.g. sudden jerky movement, tremors, involuntary movements, blinking, grimacing, unusual & uncomfortable postures, locked in postures, increase in repetitive movements, etc.

4. Prompt dependence

may not be able to do some or any movement/activity, unable to move from one place to another, unable to change posture, etc without external/outside prompt

5. Passivity and apparent lack of motivation

look unmotivated & unwilling to do stuff, include activities used to like, probably because can't do voluntary action or have trouble with request and make decison.

6. Posturing

classic catatonia symptom of being stuck in one posture, sometimes for hours

7. Periods of shutdown

8. Catatonic excitement

episodic & short lasting

e.g. uncontrollable & frenzied movement and vocalizations, sensory/perceptual distortions, aggressive & destructive outbursts that not like self

9. Fluctuations of difficulty

e.g. some days better can do more need less prompt! other days worse. sometimes emergency can act as almost like a prompt! but fluctuate doesn't mean difficulty voluntary

// secondary difficulties //

Social withdrawal and communication problems

Decline in self-help skills

Incontinence

‘Challenging’ behavior

Mobility and muscle wastage

Physical problems

Breakdown

// autism breakdown //

can be in addition to autistic catatonia. can look like autism is getting worse, even though autism by itself not progressive disorder!

i also call this autism late regression. separate between autistic catatonia & this not very clear, not enough research.

1. exacerbation of autism

1a. increased social withdrawl, isolation, avoidance of social situations

1b. increased communication difficulties

1c. increased repetitive and ritualistic behavior

2. decrease in tolerance & resilience

easily disturbed, irratable, angry

3. increase in "challenging" behaviors

e.g. self injurious behaviors

4. decrease in concentration & focus

5. decrease in engagement & enjoyment

// treatment //

for catatonia (autistic or not), typical treatment is lorazepam and/or ECT.

specific to catatonia in autism, Dhossche et al. (2006) separate it to mild/moderate/severe and give recommend treatment according to that (do not come here and argue about severity labels, because fuck! mild depression and severe depression of course have different suggested treatments and severity important to know. Remember we talk about autistic catatonia).

note: this is one paper! not the only way! yes have problems like most psych/autism papers, just here to give example (of range of symptoms and treatment route!). NOT MEDICAL ADVICE. (not even endorsement)

mild: slight impairment in social & job things without limit efficiency as a whole (essentially still able to function for most part but difficult).

moderate: more obvious struggles in all areas, but ambulatory and don't need acute medical services for feeding or vitals

severe: typically medical emergency, acute stupor, immobility for most of day, bedridden, need other people help feed. also malignant catatonia which can be life-threatening (fever, altered consciousness, stupor, and autonomic instability as evidenced by lability of blood pressure, tachycardia, vasoconstriction, and diaphoresis, whatever any of that means)

the "shaw-wing approach": very brief summary, keep person active and do thing they enjoy, use verbal & gentle physical prompts, have structure & routine.

lorazopem challenge: take 2-4 mg of lorazopem to see changes in next 2-5 minutes. if no change, another 1 mg and reassess

lorazopem trial up to 24 mg. (note difference between challenge & trial)

bilateral ECT, last resort.

mild: "shaw-wing approach" -> 2 week lorazopem trial if no imporvement in 1 month -> if effective, do both, if not, just shaw-wing approach

moderate: depends on prefernece, either shaw-wing alone or shaw-wing and 2 week lorazopem trial -> if not effective, do 2 week lorazopem trial if havent already -> if not, bilateral ECT

severe: lorazepam challenge test -> if not effective, bilateral ECT; -> if lorazopem challange positive, 1 week lorazopem trial -> continue if successful, bilateral ECT if not.

can sound extreme, but rememeber for many severe catatonia (autistic or not), it is medical emergency. can be life-threatening. there's no/not a lot of time.

it possible to make partial recovery, as in get better but not to before catatonia. but overall, many permanently lose previous level of functioning.

references

Dhossche, D. M., Shah, A., & Wing, L. (2006). Blueprints for the assessment, treatment, and future study of Catatonia in autism spectrum disorders. International Review of Neurobiology, 267–284. https://doi.org/10.1016/s0074-7742(05)72016-x

Ghaziuddin, M. (2021). Catatonia: A common cause of late regression in autism. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.674009

Ghaziuddin, M., Quinlan, P., & Ghaziuddin, N. (2005). Catatonia in autism: A distinct subtype? Journal of Intellectual Disability Research, 49(1), 102–105. https://doi.org/10.1111/j.1365-2788.2005.00666.x

Shah, A. (2019). Catatonia, shutdown and breakdown in autism: A psycho-ecological approach. Jessica Kingsley Publishers.

#autistic catatonia #actuallyautistic #actually autistic #autism #autistic #long post #catatonia #loaf screm

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heysawbones · 7 months

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Let's Talk about Xyrem.

Xyrem ("oral sodium oxybate" or the sodium salt of gamma-hydroxybutyrate) is used in the treatment of narcolepsy, as well as (sometimes) idiopathic hypersomnia. Even if you don't have narcolepsy or any related conditions, you may find this run-down interesting. Here's why:

Gamma-hydroxybutyrate is roofies. That's right. Date rape drug. Right here.

The drug is so tightly controlled that there is one pharmacy in all of the United States that can fill it. Doctors must be approved and participate in a special program to even prescribe it.

Nobody really knows how it works in the treatment of narcolepsy.

I was prescribed Xyrem quite some time ago - at this point, nearly a year back. It took six-plus months of insurance, doctor's office, and central pharmacy wrangling to get the drug to my door. The whole time, I wondered: what should I expect from Xyrem? How do I know if it's working? How do I know if it's not working? What's it like? Lists of side effects and contraindications are readily available online, but I couldn't find a single detailed testimonial. This bothered me.

I've been on Xyrem for about a month and a half now. Here's what I can tell you about it.

You have to wake up at night to take a drug that's meant to improve your sleep. Everybody I explained this to found it funny. The standard practice is to split your dose in two - to take one half at bed, and the other half two to four hours later. If you're on Jazz Pharmaceuticals brand Xyrem and not the generic, they send you a tiny little alarm clock with a light on it to facilitate this. I have never needed it.

It takes 3 weeks to titrate up to the "full" dose, which is also the maximum dose. From there, you can titrate back down to a lower dose if you're experiencing unpleasant side effects. I'm in the process of doing this myself.

It doesn't necessarily knock you out. From the way the drug is described, one might get the impression that the moment it kicks in, you're going to be unconscious. I didn't find this to be the case. Your mileage may vary; I don't always fall asleep at all on the first dose, but it does at least get me sleepy enough to fall asleep on the second.

You have an unusual amount of agency in how you take Xyrem. This surprised me, especially given how tightly controlled possession of this drug is. For example, I metabolize Xyrem really fast. If I take it in two doses, I will sleep a maximum of 6 hours. I take the same amount of medicine and split it into three doses instead to compensate for how fast I metabolize it. That way, I'm more likely to sleep about 8 hours. This isn't just accepted, it's encouraged. You can even take a bigger dose first and a smaller one second, or vice-versa. The only hard and fast rule is: do not go over the max dose.

If you take it with alcohol, or within 4-6 hours of alcohol, it could kill you. A lot of drugs warn you not to take them with alcohol. I cannot stress enough that if you have ignored that warning in the past: do not ignore it here. Do not. Xyrem is a powerful CNS depressant. Alcohol is a CNS depressant. It really can kill you.

It works(?) Like many drugs that act on the brain, nobody is really sure how Xyrem works. It doesn't affect the most common (known) cause of narcolepsy (a lack of orexin/hypocretin). It's theorized that the drug acts on GABA receptors in a way that "consolidates" the fragmented sleep architecture of narcolepsy.

Narcolepsy can be thought of as an autoimmune disorder of sleep architecture. The sleep architecture of a narcoleptic is irregular, both within itself and from night to night. People with narcolepsy tend to have less of the deep sleep stages than they should. Narcoleptics also have a high percentage of stage 1 (light) and REM sleep. It's theorized that excessive REM occurs because it is of poor quality/does not serve its intended function, so the brain spams REM in an attempt to compensate. A diagnostic trait of narcolepsy is the ability to enter REM within 8 minutes of falling asleep - if sleep architecture is normal, this does not occur. While not all people with narcolepsy have cataplexy, cataplexy itself is actually REM intrusion into waking life. The narcoleptic brain is that screwed up about REM. Xyrem appears to regulate shifts between sleep stages and reduce the nightly percentage of REM sleep. I used to dream nightly. Subjectively, I do not dream at all on Xyrem.

The only difference between Xyrem and Xywav is salt. A full 9g dose of Xyrem contains 1,640mg of sodium. The maximum sodium intake recommended by the American Heart Association is 2,300mg. One of the few things I saw said about Xyrem prior to taking it was that it was disgustingly salty. It is very, very salty. I don't mind it, though. I've seen it said that Xywav tastes much worse, but I can't attest to that.

Subjective experience

Xyrem comes Priority Air Mail in a sizable cardboard box. An adult with ID must be present to sign for it. The first month's prescription comes with a light-up alarm clock. This kit and all subsequent kits come with:

The medicine, in however many bottles are required

A number of syringes, marked with common doses

A number of pill bottles

You put water in the pill bottles. They tell you to put about 60ml, but as far as I can tell, this is to make the saltiness tolerable. I made a little game of this - I try to put the same amount of water in each pill bottle, gauged by nothing but sound. I've gotten pretty good at this. I have my nightly dose split 3 ways. After adding the drug to the water, I close each bottle and swirl it a bit. I don't know if this actually does anything.

Xyrem works best if you're already tired when you take it. Hilariously, I have ADHD in addition to narcolepsy. Nighttime sleepiness isn't a thing I Do naturally. Consequently, the first dose of Xyrem only puts me to sleep about half the time, and it takes a while even when it does. I know myself well enough to know that if I wait until I'm actually "sleep for the night" tired to take it, I might be up until 3 or 4 AM. Instead, I take the first dose at around 11 PM. Even if it doesn't put me to sleep, it DOES make me sleepy enough that the dose I take 2-3 hours later will definitely work.

I was very careful to set alarms the first week or so of taking Xyrem, but I've never needed them. For reasons that are unclear to me, I always wake up when Xyrem is fully metabolized. Without more Xyrem, there is no urge to go back to sleep. When I've run out of doses for the night, I'm up for the rest of the day. There's no napping.

Some people have pretty nasty side effects with Xyrem. Headache and nausea are the most common. I had both of those, once each. The headache lasted all day but was otherwise unremarkable; the nausea was genuinely awful. The only persistent side effect I have, is tremors.

While I was waiting for Xyrem, my sleep specialist put me on Adderall. Nobody would prescribe this for ADHD, but you'll do it for narcolepsy? Sure, whatever I'll take it. I mention this because I thought it was possible that Adderall was causing tremors. I ran a little experiment: I took Xyrem but no Adderall one day and still had tremors. I took Adderall, but no Xyrem the night before, and the tremors subsided. It's definitely the Xyrem. While this is a known possible side effect, I can't find any information on how or why Xyrem, a CNS depressant, would cause something that seems very much the opposite of a depressed central nervous system. I am currently titrating back down from the max dose in an attempt to see if a lower dose will mitigate the tremors. If that doesn't work, I'm not... entirely sure what to do. Xyrem is a weird drug. It's strange not to dream at all; it's strange to wake up twice a night and still get better sleep than I ever have. Executive function has improved considerably, given that both neurological issues that cause executive dysfunction are being treated. Still: the tremors are, I will not lie, distressing. Not as bad as they were on Wellbutrin, which I was forced to discontinue! But - disruptive and distressing, nonetheless. I'm hoping that the tremors will stop eventually, or that dose adjustment will help.

Overall: would recommend if you have narcolepsy. You wouldn't think that a drug that obligates you to wake up multiple times a night could improve your sleep! Well, bucko, if your sleep architecture is already so disordered that you have narcolepsy: it can.

#I said I'd do a writeup on xyrem and here it is #took a long time because xyrem is weird #xyrem #narcolepsy #idiopathic hypersomnia #xywav

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paloma-ascends-into-hellfire · 3 months

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eating disorder harm reduction

no one ever compiled this so that it what we are doing today. for people with eds and people whose loved ones do. please note: i’m not a doctor. this is a compilation of things from books and ed resource sites.

for people whose loved ones have an eating disorder:

try to make sure they know these things.

try not to force them to eat, they might feel uncomfortable eating in front of people. also, risk of refeeding syndrome.

if their life is in danger and you are seeking help for them, consult the person beforehand to make sure they will be safe and give them a heads-up so that they aren’t startled (especially if they’re neurodivergent! giving them notice will aid control!)

offer them ways of controlling things aside from food - practice consent, include them in conversations, don’t talk about them behind their back, compliment their makeup or hair.

be patient. the person may be irritable from lack of sleep, feelings of depression, worthlessness, etc., or malnutrition.

keep in mind that you can’t tell if someone has an eating disorder by looking at them. people of all weights do - only 17% of anorexics are underweight - and also, men and non binary people can also have eds.

general:

drink lots of water, especially if you’re drinking lots of caffeine.

drink some electrolytes at least once a week - gatorade, electrolyte tablets, coconut water, doesn’t matter, just get it into your system.

if you are getting dizzy or flushed and can feel your heart beating, quick carbs will raise your blood sugar - sweets, bread, fruit, juice, non diet soda, whatever. keep snacks around pls.

your brain uses 400-500 calories daily. eat more than this.

take your supplements!

you still need protein, have an egg or something.

don’t take adderal or insulin unless you are actually diabetic or neurodivergent, because you are raising the price by buying them and denying access to those who need it.

throw a towel over the mirror. it’s not worth it if it’ll cause you anxiety.

try to limit disordered behaviours like body checking, purging, and weigh ins.

practice good dental hygiene.

put your scale somewhere where you have to actively look for it to weigh yourself.

avoid social media and for your sake don’t go on pro ed tiktok or tumblr or twitter or insta.

get a buddy who also struggles with the same thing if possible to support each other.

get regular medical check ups (if you can afford it)

practice things within your control - makeup, hair, clothing, etc.

push your rules - eat 5 minutes before your time, or 50 calories over your limit.

for people with restrictive disorders (e.g. anorexia):

do weight and resistance training at least twice a week to prevent musculoskeletal conditions such as osteoporosis.

don’t drink on an empty stomach.

try to put gaps between fasting periods.

don’t fast for more than 72 hours.

wear lots of layers to keep warm.

eat an extra 100-200 calories on your period if you menstruate.

have a metabolism day.

take care of your hair.

as horrifying as this is to many people, please go to the hospital if you’re experiencing heart problems or if you’re passing out for more than 30 seconds.

for people with purging disorders (e.g. bulimia):

if you would like to purge, wait 15 minutes first.

after purging: drink lots of water - the emptiness you feel is dehydration. don’t brush your teeth but rinse your mouth out, preferably with an alkaline mouthwash or baking soda mixed into water. do something you want to do, like reading a book or watching a show. don’t smoke. don’t have anything acidic. eat a banana or some chocolate or a rice cake to keep your blood sugar levels in check.

if you vomit blood or your vomit looks like coffee grounds, this is a sign of internal bleeding. you could be drowning in your own blood from a hole in your esophagus, essentially. go to the hospital or call 911/999/the emergency number in your area.

stay safe everyone. i hope this helps. also, i do not use these tags - i have them blocked - but i am using them so that people on these tags will find this because they need it most.

#ed harm reduction #harm reduction #ed recovery #pro recovery #notpro4n4 #tw eating disorders #tw ed not ed sheeren #pro a4a #ana trigger #ana rant #tw anorexia #tw bulimia #anamia #⭐️ving #edhr

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nenelonomh · 2 months

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the effect of what (and how) you eat

okay, this is a big topic. and so this is a long post. i'm going to be going over the effect of what you eat and why it's important to think about what foods you are consuming. don't worry! i do my research-- at the end of the post will be a few resources, and i'll show where i've gotten my information.

lots of dietary advice is available over the internet, but often the people absorbing the information do not understand the why. knowing where your information is coming from,, and not believing everything you read online is key to actually maintaining a good, healthy diet.

before you read: TRIGGER WARNING THERE IS MENTION OF EATING DISORDERS,,

let's start with this: like everything in this age, food is a double-edged sword. overconsumption and underconsumption can both kill you. what you eat; how you eat--it can help or hinder whatever your goals may be.

here's the effect/s: the connection between diet and mental health is profound. while we’ve long understood that diet plays a crucial role in overall health, emerging research in the field of nutritional psychiatry sheds light on how what we eat directly impacts our emotional well-being and mental state.

the brain-gut connection: the gut is closely linked to the brain. trillions of living microbes in our gut have essential functions, including synthesizing neurotransmitters. these neurotransmitters send chemical messages to the brain, regulating sleep, pain, appetite, mood, and emotions.

to improve your gut health, here's what you can do:

by eating a varied diet that includes fruits, vegetables, whole grains, nuts and seeds, essential nutrients are provided which feeds the beneficial bacteria in the gut. high fibre foods promote gut health by supporting good bacteria.

fermented foods, such as yogurt, kefir, sauerkraut, kimchi, and miso are rich in probiotics—live beneficial bacteria that boost gut health. kombucha (a fermented tea) is another option.

avoiding reducing processed foods can reduce the diversity of good bacteria in your gut. when i say processed foods, i'm referring to ultra-processed foods, for example, fried foods and frozen meals. they may be easy and cheap, but they include preservatives, artificial colouring, chemical flavouring and texturing agents. all of which our bodies are not made to consume. it's ignorant to tell you to avoid processed foods at all costs. that's not realistic, and a horrible mindset. instead, you should manage your intake. enjoy treats every now and then and don't punish yourself for it.

hydration is key to a healthy gut. water supports digestion and nutrient absorption.

stress management, eating well and exercise can also help your gut microbiome's health.

by having a healthy gut microbiome, you are helping your body to have lower chronic inflammation, have regular bowel movements and more effectively absorb nutrients. therefore, you will have a stronger immune system, have clearer skin and support your digestion and metabolism.

why eating protein matters: proteins are made of amino acids, which serve as the fundamental building blocks for various structures in our bodies. these amino acids are essential for forming enzymes, hormones, tissues, and DNA. protein is vital in maintaining and building muscle mass. when activities like strength training and physical exercise are engaged in, protein helps build and repair the muscles.

hemoglobin, a protein in our red blood cells, transports oxygen from our lungs to other tissues. without adequate protein, oxygen delivery would be compromised. antibodies, which defend against infections, are made of proteins. a well-functioning immune system relies on sufficient protein intake. collagen, a protein, maintains the integrity of our skin, hair, and nails. adequate protein supports healthy skin elasticity and wound healing.

the recommended dietary intake for protein relies on factors such as age, weight, height, gender, activity and overall health. remember that individual needs can vary, so consulting with a healthcare provider or registered dietitian is advisable to determine your specific protein requirements.

many diets exist that cut out entire macronutrients (keto for example) but that is not the way. each macronutrient has great importance in helping the body function.

carbohydrates are the body's (including the brain) preferred energy source. they enable muscle contraction during exercise and even at rest. carbs maintain body temperature, support heart function, and aid digestion.

the keto diet comes from the belief that when carbohydrates are not providing energy (are not being consumed), the body will use reserved energy stored in lipids (fat). while this is true, this diet is not maintainable-- it throws the body out of whack, storing more energy to maintain homeostasis.

fats provide energy and are essential for hormone production. they contribute to cell growth, brain health and vitamin absorption.

our brain is composed of ~60% fat. fats are essential for neurotransmitter production, affecting mood, cognition, and hormonal signalling. cholesterol, often associated with heart health, is a precursor for steroid hormones (testosterone, estrogen, progesterone). without adequate cholesterol, our body cannot produce these essential hormones.

effects of diet on mood: firstly, going long periods without eating can cause a drop in blood sugar levels, leading to tiredness and irritability. secondly, consuming excessive amounts of food can make you feel tired and lethargic.

choosing the right carbohydrates can help maintain blood sugar levels. our brain primarily runs on glucose (obtained from carbohydrate-rich foods). you can opt for slow-release carbohydrates to maintain steady energy levels. slow-release carbohydrates (a.k.a low GI food) provide a more sustained and gradual release of energy compared to other carbohydrates. examples include fruits, vegetables, whole grains (grainy bread, brown rice, oats) and sweet potatoes. high GI foods rapidly spike blood sugar levels due to their quick digestion and absorption.

going too long without eating can lead to low blood sugar levels, resulting in irritability and fatigue. overeating to discomfort can also leave you feeling tired and lethargic. consistent, moderate-sized meals help maintain stable blood sugar levels and promote an even mood.

i know, overeating is an issue that one cannot simply 'turn off'. it's important to know the psychology, and if you struggle with it--please talk to a health professional.

here is what i can tell you about overeating:

overeating is typically a learned behaviour and habit. certain foods are associated with pleasure and reward. when enticing food is encountered, we engage in eating behaviour and immediately experience pleasure. this reinforces the habit, making it challenging to change.

overeating may be serving as a coping mechanism for emotions. when feelings of sadness, disappointment, frustration, or even joy arise, someone may turn to food. emotional eating provides temporary relief, reinforcing the behaviour.

the first delicious bite triggers pleasure, satiates our appetite, and improves our emotional state. our memory associates this reward process with eating, leading us to continually seek that pleasure. this is due to immediate reward.

people with eating disorders may disregard their health, body, body image and lifestyle goals. they use food as a way to punish themselves and gain control over their life. restrictive eating disorders can lead to 'binging behaviour'. bingeing serves as a way to numb emotions. anxiety, stress, and depression can trigger binge behaviours. consuming certain foods or substances (like junk food or alcohol) releases dopamine, the “feel-good” neurotransmitter. this chemical rush can lead to physical addiction, reinforcing bingeing. a culture (unfortunately which is abundant in the world today) that emphasizes consumption as a measure of worth can contribute to bingeing. messages about thinness, drinking, and material possessions can drive these behaviours.

i hate that i am having to say this but alcoholism is bad. and caffeine addiction is bad. in no way is harming your health aesthetic or 'a vibe'.

limiting caffeine and alcohol can also improve mood. again, i'd like to stress that there is never going to be one perfect diet, and allowing yourself to enjoy whatever food you like is perfectly fine- as long as you are doing so in moderation.

everything is a balance.

resources/further reading, to end: Fat Requirements For Optimal Hormonal Health - Clean HealthHow Dietary Fat Benefits Hormones - Women's International Pharmacy (womensinternational.com) The truth about fats: the good, the bad, and the in-between - Harvard HealthDietary fats | healthdirectMacronutrients: Definition, importance, and food sources (medicalnewstoday.com)Know Your Macros-Why Macronutrients Are Key to Healthy Eating | Cedars-SinaiWhy the Proper Balance of Macronutrients is Vital for Good Health - Functional Diagnostic Nutrition What Is Protein & Why Do You Need It? (eatingwell.com)Protein: Why Your Body Needs It (webmd.com)Protein | The Nutrition Source | Harvard T.H. Chan School of Public HealthBinge-Eating Disorder (Compulsive Overeating) | Psychology Today AustraliaThe Psychology Behind Binge-Watching | PsychregBingeing: Why It Happens and What You Can Do About It (greatist.com) Understanding Overeating: The Psychology Behind It - Listen-HardWhy stress causes people to overeat - Harvard HealthThe Truth About Overeating | Psychology TodaySlow-release carbs list (medicalnewstoday.com)Why understanding carbs (and how to count them) matters | Diabetes UK Food and your mood - Better Health ChannelHow food can affect your mood | Nutrition AustraliaStress-related stomach pain: When to see a doctor - UChicago MedicineWhat Is Gut Health? A Comprehensive Guide to Digestive Wellness | U.S. News (usnews.com)Why Gut Health Matters More Than You Think | Well.Org Probiotics: What They Are, Benefits & Side Effects (clevelandclinic.org)Probiotics: What You Need To Know | NCCIH (nih.gov)What should I eat for a healthy gut? - BBC FoodLet’s Eat: How Diet Influences the Brain (brainfacts.org)

i know the fact that the resources are one big block may be annoying, but i don't have the commitment to in text reference lmao. hours of research and writing for a blog post, yes, but in text referencing is just too far.

i hope you learnt something

❤️joanne

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softxsuki · 10 months

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Hey han, i have an urgent request if you don’t mind. May I request mikey, Shinichiro, and Mitsuya with a ballerina girlfriend who is struggling with anorexia? As a dancer myself not only am I constantly comparing myself to the other girls in my class but I’ve been told by my dance teacher on a couple of occasions that I needed to lose weight, despite already being underweight. I’ve been in ballet since I was very little, but my ED only started when I hit my early teens and had just kept with me :( and sometimes it gets hard to keep dancing because I feel so dizzy and exhausted, but I still love dancing and refuse to quit

Mikey, Shinichiro, and Mitsuya (Separate) with Anorexic Ballerina Girlfriend

PLEASE DON'T READ IF MENTIONS OF EATING DISORDERS WILL DO YOU MORE HARM THAN GOOD. PLEASE

Pairings: Manjiro x Fem!Reader, Shinichiro x Fem!Reader, Mitsuya x Fem!Reader

Warnings: mentions of anorexia, starving yourself, being thin, food, people saying you need to be thinner, poor health

Genre: Comfort

Post-Type: Headcanons

Word Count: 1.5k

Summary: In which they find out about your eating disorder and comfort you about it

[A/N: Hello <3 I never mind an urgent request. But can I just say, I really admire your resilience to want to continue dancing despite what you're going through. That's amazing. Hopefully these headcanons are comforting for you and perhaps give you some options to use moving forward! ily, you're beautiful <3]

Mikey:

Just wanna start off by saying this man is obsessed with you; k thanks for coming for my ted talk–i needed to get that off my chest

He’s always noticed you’ve been pretty thin, but he’d brush it off as you just having a faster metabolism or just naturally being a little thin–after all it doesn’t matter to him whether you were thin or chubby, he’d love you regardless

However, little sirens do go off in his head as you continue to get thinner and thinner over time

What alarms him even more are the bruises that appear on your skin

He’s on full fight mode, thinking someone is hurting you behind his back and he’s ready to use full violence on someone

But eventually he notices how you avoid food whenever you’re with him and he offers you something, you try to naturally shrug it off, claiming you’re not hungry…but what were the chances you were never hungry when you were with him?

He just very blatantly asks you about it; Mikey has no filter, as soon as something comes to his head, he’s going to verbally express it

As a commander of Toman, he’s very good at picking up on lies as well, so please be honest, it’s not like he’d judge you for it anyway

Mikey is so supportive of you being a ballerina, he’d never be caught watching ballet recitals before meeting you, but now he’d never miss one of your shows, showing up front and center to support you (perhaps a little too loudly)

Anyway, when he finds out that you’ve been starving yourself because of comments from your dance instructor that you need to lose weight, along with knowing you’ve been comparing yourself to your fellow dance mates, he’s fuming

Dark impulses who? They’re definitely popping out here

Mikey’s hands are rated E for everyone, and that includes your dance instructor, so hold him back because he’d really be in that class making an example of her o,o

One you manage to calm him down enough, he’d bring you into his arms

“I don’t see why you’d compare yourself to those other dancers. Whenever I watch your recitals, my eyes are always glued to you and only you. You’re captivating on the stage, Y/N. Those other girls can’t even begin to compare to you, because they’re not you. And as for that instructor of yours, I don’t get this obsession they have with being thin. You’re already thin enough, and she dares to say you need to get even thinner? Is she trying to kill you? Ignore her and keep doing what you’re doing. There is no weight limit to being a ballerina. They come in all shapes and sizes and they’re all just as talented. Expect for you, you’re my favorite ballerina”

Just Mikey going on and on about how perfect you are

Knowing that you were struggling and putting your life and health at risk just to dance felt outrageous to him

He knows how much you love to dance, but if you continue to get thinner, he feels he’d have no choice but to pull you away from it until you have a healthy relationship with food again and can mentally feel confident in yourself to the point where other’s words won’t allow you to harm yourself again

He’s just worried and wants the best for you

Losing you and seeing you struggling like this destroys him, and he wants to see to the people who made you like this, suffer

Shinichiro:

You opened up to this cutie towards the beginning of your relationship about your eating disorder, so he already knew about it and was already doing his best to help you through it

Being a ballerina, Shin was your biggest fan

He’d bring the whole gang over to see your recital and the other people in the crowd are just frighteningly glancing in their direction lol, but shin made sure to tell everyone to behave as to not put you in a bad situation, potentially getting you kicked out

Though one day he came to see you practice in class and he overheard your instructor telling you, you needed to lose more weight to look the part of a ballerina, and he steps in immediately

“Exactly who needs to lose weight here? Y/N is a phenomenal ballerina just the way she is. She looks graceful and elegant on stage. Outshining any other ballerina in this room” he fumes, not meaning to throw the other girls down, they were all great as well, but his main focus was on building you up now since he knows how detrimental her words could be for you and your eating disorder

“I’d suggest you watch your words carefully. I won’t warn you again”

Let’s just say your instructor never mentioned your weight again

Of course he wouldn’t actually do anything to harm your teacher, but words were pretty powerful as well and he was glad they proved effective

“Now, I don’t want to see you looking down on yourself. I know you have a bad relationship with food. I don’t expect your habits to change overnight, but I’m not letting you leave for practice until you’ve at least had some fruit and toast or something. You won’t be able to practice properly, or go without fainting without nutrient in your body”

He doesn’t care if he sounds like a mother nagging at her daughter, he wants the best for you and he knows you won’t give up dancing, he’d never ask that of you anyway, so he’d do his best to make sure you were at least well enough to make it through practice

He brings you a light soup or salad for lunch, anything that would get any kind of food in your system

Step by step he’d help you through it, ready to defend you again if anyone has any unnecessary comments to make

Spends all his time throwing compliments at you, you’re his one and only pretty girl after all

Mitsuya:

Mitsuya was always your safe place, so you never held back when it came to opening up to him about your deepest secrets and darkest thoughts

You had just been speaking about your class, and you found yourself comparing yourself to the other girls in your class, being more negative towards yourself, while praising your fellow ballerina’s and Mitsuya has no choice but to stop you in your tracks

“Woah woah woah, darling. The other girls in your ballet class are all talented, like you say, but so are you. Why does it sound like you’re disregarding your own beautiful qualities?” He’s sad to hear you talk badly about yourself. How could you not see how wonderful you were in his eyes?

“I can see how much you love ballet by the way you perform. You put your everything into it and it shows. You’re beautiful, always the most beautiful woman in the room. I wouldn't be shocked if everyone in the room couldn’t take their eyes off of you, so why can’t you see that as well?”

He was right. Of course he was right. You were used to feeling bad about yourself, mostly from the comments others made about your body. On the scale you were already underweight, yet it still wasn’t enough for your instructor

So much pressure was always placed on you to be the perfect ballerina, even if it meant starving yourself

Mitsuya also knew about your eating disorder, it was one of the few things you never told him, but it was obvious enough for him to find out on his own eventually

He never told you he knew though, he wanted you to tell you himself, he didn't want to scare you off or make you feel like he was trying to take control of your life for you

So he’s shocked when you finally mention it to him, feeling exhausted of hearing the same words from your teacher and guilty from keeping it from him, you tell him everything

Mitsuya is adamant that you find a new ballet class; surely not all dance instructors were obsessed with the weight of their students to the point that they can’t see what a disservice they’re doing to their health

How can a woman make it through a physically draining dance practice with zero nutrients in her body to keep her energized?

That’s his solution–find a new class

Scared to start new somewhere else? You’ll always make new friends, but wouldn’t it be better to do it in a safe, comforting environment with a teacher who actually cares for the healthy and well being of her students?

He’ll even help you research other ballet classes if you decide to take his advice

As for your anorexia, he’d also help you with that

Whether you’d like to seek professional help, so you can talk it out with a counselor as well or not, is up to you

He’s not here to force you to do anything, but he does gently encourage you to eat little portions of something light everyday

Little by little until you can recover your relationship with food again without feeling like you’ll blow up

REQUESTS ARE OPEN :D

Posted: 08/28/2023

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my-autism-adhd-blog · 6 months

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Is autism and bowel/digestive problems a popular thing? Does anyone know what causes it or what can help? I have been to doctors and hospitals so many times over the years and never get any results or help.

Hi there,

Unfortunately people with ASD have some difficulty with the gastrointestinal tract. I’ll leave some excerpts from articles below. Warning: they are very long:

Of the many medical comorbidities associated with ASD, GI distress has gained significant attention because of its reported prevalence and association with symptom severity. In fact, out of the children that Leo Kanner described in his landmark article defining “infantile autism” are described as having eating/feeding or dietary problems, supporting an early association of ASD with GI issues. Of the GI problems reported in subsets of autistic individuals, the most common are chronic constipation, diarrhea, and abdominal pain. Gastroesophageal reflux, bloody stools, vomiting, and gaseousness are also elevated in some autistic individuals, as are signs of GI inflammation, such as lymphoid nodular hyperplasia, complement activation, and elevated pro-inflammatory cytokines, and intestinal pathologies, such as enterocolitis, gastritis, and esophagitis. Increased intestinal permeability is linked to autism and hypothesized to have detrimental effects not only on intestinal barrier integrity but also on the systemic metabolome, with potential for translocation of intestinal metabolites or bacteria and consequent immune activation. Furthermore, food allergies, altered dietary nutrient intake, and metabolic disruptions have been associated with ASD.10–12 Autistic individuals with comorbid GI abnormalities exhibit altered carbohydrate digestion. Taken together, the variety of GI conditions, dietary issues, and enteric immune abnormalities reported in ASD individuals suggests that GI dysfunction can contribute to the manifestation of core symptoms of autism.

Characterized by difficulties with socializing, and often accompanied by repetitive behaviors, this neurodevelopmental disorder harbors many mysteries.

Despite its prevalence and a glut of research, the causes behind ASD are still not fully understood.

Although ASD primarily impacts the brain, over recent years, links with other systems have become clear — in particular, gastrointestinal (GI) issues seem to occur more often in individuals with ASD than in the rest of the population.

In one study, compared with typically developing (TD) children, those with ASD were six to eight times more likely to report GI symptoms such as bloating, constipation, and diarrhea.

Other studies have shown that children with ASD who experience GI problems are more likely to have more severe symptoms of ASD. Also, treating the GI symptoms can sometimes relieve the behavioral and social symptoms of ASD.

Interestingly, behavioral issues are found alongside other conditions that impact the gut. For instance, people with celiac disease are more likely to have autism-like traits and other psychological symptoms. The gut and behavior seem tied together in some way.

According to many researchers, the GI issues that come with ASD might be due to two factors: firstly, inappropriate immune activation causing inflammation of the tract; and, secondly, differences in the types of gut bacteria that are present.

However, the picture is still incredibly murky, and studies produce differing results, finding different types of inflammation and various changes in gut bacteria.

Children with autism experience more gastrointestinal symptoms

Gastrointestinal concerns are frequently reported by parents of children with autism spectrum disorder (ASD). Researchers from the UC Davis MIND Institute evaluated the presence of GI symptoms in preschool-aged children with and without autism.

The study included 255 (184 males/71 females) children with ASD between two and 3-5 years of age and 129 (75 males/54 females) typically developing children in the same age group. Pediatricians specializing in autism interviewed caregivers during the children’s medical evaluation. They asked the parents how often their children experienced GI symptoms such as difficulty swallowing, abdominal pain, bloating, diarrhea, constipation, painful stooling, vomiting, difficulty swallowing, blood in stool and blood in vomit.

The researchers grouped children in two categories: those who experienced one or more GI symptom and those who never or rarely had GI symptoms in the last three months. They compared the children in the two groups on measures of developmental, behavioral and adaptive functioning.

The study found that preschool-aged children with ASD were 2-7 times more likely to experience GI symptoms than their typically developing peers. In fact, almost 50% of children with ASD reported frequent GI symptoms - compared to 18% of children with typical development. Around 30% of the children with ASD experienced multiple GI symptoms.

I hope these sources can help. I have GI issues too and have to resort to stool softener

…

Anyway, thank you for the inbox. I hope you have a wonderful day/night. ♥️

#inbox #inbox reply #inbox is open

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