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scientia-rex · 6 months

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Wound Care

Ok so, take this with a BIG grain of salt, because I may be a medical doctor BUT you need to know how much wound care training we get in medical school: none. Zip. Zilch. There may be medical schools where you do, but mine wasn't a bozo factory and there was NO wound care training. Everything I know I learned from one of several sources: an intensive 2-day wound care course I did in residency (highly recommend), the local Home Health wound care nurse (highly recommend), a completely batshit insane old white male doctor who started our learning sessions by yelling Vietnam War stories at me (do not recommend), a hospital wound care nurse (highly recommend), and experience (oh god do not recommend).

The first thing you need to know is that wound healing varies dramatically across the course of a lifespan. Kids? Kids will heal. If they don't, get their ass to a pediatrician because there's something genetic going on. Young adults will heal. Middle-aged adults will heal. You know who doesn't heal for shit? The elderly, and people with severe illnesses, and people with uncontrolled type II diabetes.

Your body needs several things in order to heal. It needs macronutrients, so you need to be able to EAT protein, fat, and carbs. If you are on total parenteral nutrition, aka TPN, aka IV nutrition, you are going to be worse at healing. If you are starving yourself, you are going to be worse at healing. If your body is desperately funneling all the calories you take in to surviving your COPD or cancer, you are going to be worse at healing.

It also needs micronutrients. If your diet sucks, you won't heal. Take a multivitamin once in a while.

There are two CRITICAL skin components to healing: collagen and elastin. Guess what we stop making as we age. Promoting collagen isn't just good for "anti-aging," it's good for NOT ripping your skin apart. Taking oral collagen is probably bullshit because your body is going to have to disassemble it to get it across the intestinal membranes to absorb, but it's also harmless, and if your diet REALLY sucks, who knows. Give it a try. Collagen is made of amino acids; think protein.

Another absolutely crucial component is blood flow. As people age, they start to develop cholesterol plaques lining arteries that eventually pick up calcium deposits. This makes blood vessels less elastic, which is a problem, but eventually also blocks them off, which is a much bigger problem. If someone has the major blood flow to their feet decreased by 90% by arterial stenosis, they are not going to heal for shit AND their foot's gonna hurt.

One component of blood flow I hadn't thought about before going into medicine is fluid retention. The way your body works, blood exits the heart at a very high velocity, but slows to a crawl by the time it gets into capillaries, the smallest blood vessels in the body. Water is a very small molecule and can leave the blood vessel, especially if there aren't big, negatively-charged molecules like proteins like albumin in the blood vessels to hold the water there. And we're built for this--some water is supposed to leak out of our blood vessels when it gets to real little vessels. It gets taken back up by the lymphatic system and eventually dumped back into the bloodstream at the inferior vena cava. But if you aren't making albumin--for instance, in liver failure--you may leak a LOT of fluid into the tissue, so much that your legs get swollen, tight, the skin feeling woody and strange. This isn't fixable by drainage because the fluid is everywhere, not in a single pocket we can drain. And because it puts so much pressure on the tissues of the skin, it often results in ulcers. Congestive heart failure, liver failure, kidney failure--these are all common causes of severe edema, aka swelling due to fluid in the tissues. And they're a real bitch when it comes to wound care, because we have such limited resources for getting the fluid back out, which is a necessary first step to healing.

Pressure is another common cause of wounds. Pressure forces blood out of those little capillaries, so you starve the cells normally fed by those capillaries, and they die. It's called pressure necrosis. Very sick people who can't turn themselves over--people in the ICU, people in nursing homes--are especially prone to these wounds, as are people with limited sensation; pressure wounds are common in wheelchair users who have lost some feeling in the parts of their bodies that rub against those surfaces, or diabetics who don't notice a rock in their shoe.

So, if you're trying to treat wounds, the questions to ask are these:

Why did this wound happen?

-Was it pressure? If it's pressure, you have to offload the source of the pressure or else that wound will not heal. End of story. You can put the tears of a unicorn on that thing, if you don't offload the pressure it won't heal.

-Was it fluid? If it's fluid, you have get the fluid out of the issues or else it won't heal. You can sometimes do that with diuretics, medications that cause the body to dump water through the kidneys, but that's always threading a needle because you have to get someone to a state where they still have juuuuust enough fluid inside their blood vessels to keep their organs happy, while maintaining a very slight state of dehydration so the blood vessels suck water back in from the tissues. You can use compression stockings to squeeze fluid back into the vessels, but if they have arterial insufficiency and not just venous insufficiency, you can accidentally then cause pressure injury. The safest option is using gravity: prop the feet up above the level of the heart, wherever the heart is at, at that moment, and gravity will pull fluid back down out of the legs. Super boring though. Patients hate it. Not as much as they hate compression stockings.

-Was it a skin tear because the skin is very fragile? This is extremely common in the elderly, because they're not making collagen and elastin, necessary to repairing skin. If this is the case, make sure they're actually getting enough nutrition--as people get into their 80s and 90s, their appetites often change and diminish, especially if they're struggling with dementia. And think about just wrapping them in bubble wrap. Remove things with sharp edges from their environments. I have seen the WORST skin tears from solid wood or metal furniture with sharp edges. Get rid of throw rugs and other tripping hazards. I had somebody last week who tried to a clear a baby gate and damn near destroyed their artificial hip.

The next critical question: why isn't it healing?

-Are you getting enough nutrients? Both macro and micro?

-Are you elderly?

-Are you ill?

-Do you have a genetic disorder of collagen formation?

Fix why it's not healing and almost anything will heal. If you're diabetic, find a medication regimen that improves your sugars and stick to it. If you're anorexic, get treatment for your eating disorder. If you have congestive heart failure, work with your doctor on your fluid balance. Wear the damn pressure stockings. Prop up your feet.

If, after those two unskippable questions are done, you want to do something to the wound--apply a dressing, do a treatment--that's a whole other kettle of fish. I'll write that later. The dryer just sang me its little song and I need to put away the laundry.

#the attending dr. kristophine #wound care

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ellejos · 10 months

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75 DAYS HARD CHALLENGE: DAY I

Previously I announced that I will begin the 75 Days Hard Challenge at the first of July. For anyone unfamiliar, the Challenge takes 75 Days and follows these daily rules:

Choose a diet and follow it (without cheat meals or alcohol)

Complete two 45-minute workouts daily (one needs to be outside no matter the weather)

Drink a gallon of water every day

Read 10 pages of nonfiction

Take progress pictures

If you skip or miss a task you must start over

Things you should know:

I decided to try this challenge because I want to improve my mental toughness and physical fitness (also I want to prove to myself that I am consistent). It's probably not for everyone, so there is also a soft version of this challenge called 75 Days Soft Challenge.

I prepared for this challenge a month in advance. I tried out what diet suits me the most without craving cheat meals, decided on what books I want to read and what kind of workouts are the best for me.

I don't want to bother you with a daily follow up of my challenge, but please consider I'll try to do an update every 1-2 weeks.

"All great things have small beginnings."

My current routine on this challenge varies from day to day because I do work shifts but there are a few things that stay consistent during this challenge:

Diet:

I decided to do IF with a 16:8 ratio. I start eating at 10am and have my last meal at 6pm. Mostly low carb, high protein. No meat, no sugar, limited dairy. Please consider that every human is different and what may work for me, won't do it for you. I decided to become vegetarian a month ago and I don't regret it yet.

2. Workouts:

I am not an athlete. Therefore two heavy workouts a day would cause me injuries. I'm taking a 45 minutes outdoor walk everyday and the second workout is whatever suits my day the most. For example on Mondays I'm going to a yoga class, therefore this will be my second workout.

3. Hydration:

To be honest, I had to change this one a bit. I'm drinking one black coffee every morning and I'm also having a tea before I go to sleep. This intake plus a gallon of water would be too much for my body. I decided to drink 3 Liters of water everyday and the missing 0,7 liters will be tea and black coffee. I'm not drinking anything else for the duration of this challenge. No soft drinks, no alcohol, no milk (except for coconut milk for my overnight oats).

4. my non-fiction reading list:

Patrick Lencioni - The Five Dysfunctions of a Team

Dale Carnegie - How to Win Friends and Influence People

Yuval Harari - Homo Deus

Yuval Harari - 21 Lessons for the 21 Century

Daniel Kahneman - Thinking Fast and Slow

James Clear - Atomic Habits

Robert Greene - The 48 Laws of Power

Robert Greene - The Art of Seduction

Erich Fromm - The Art of Loving

Oliver Burkeman - Four Thousands Weeks

James Carse - Finite and Infinite Games

Seneca - Letters from a Stoic

Plato - Allegory of the Cave

5. last but not least - the progress picture:

I hate taking pictures, so I won't really share them but I made a folder on my phone and taking the photo is the first thing I'm doing in the morning to get it off my list.

Bisous!

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ketodietrecipes8 · 1 year

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Keto Diet Video Recipes and Cooking Instruction. Best of all, this recipe is so easy to make! Need more healthy recipes? Follow and turn on notifications ❤️

𝗖𝗟𝗜𝗖𝗞 𝗜𝗡 𝗟𝗜𝗡𝗞

#keto #keto diet #low carb #low carb diet #ketosis #paleo #slow carb #slow carb diet #keto recipes #keto food #low carb food #low carb cooking #healthy recipes #ketorecipes

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m4nakin · 1 year

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Since I’ve been watching this French girl on YouTube doing her diet stuff I’ve decided to get skinny like a French girl.

Here are 10 things I’ve found in her videos

1. Keep breakfast small. A simple coffee (not a latte, no sugar) + a biscotti or other light food is all you need.

2. The biggest meal of the day is in the middle of the day for lunch.

3. Dinner is light as well—a salad, or soup.

4. Walk absolutely EVERYWHERE you can.

5. Don’t cut out specific foods/food groups for long periods of time or you’ll end up binging them.

6. Only eat out 1-2 times a week—even grabbing a coffee counts. Cook all your own meals at home or wait until you get home to eat.

7. Weigh yourself 1x a week and count calories.

8. During a fast, weigh yourself everyday.

9. Eat slow & thoughtfully without distractions. Don’t eat in front of the TV or scrolling through your phone.

10. Plating— veggies/fruit should take up 1/2 of your plate, protein should take up 1/4, carbs should take up 1/8 and fat should take up 1/8. If you want more carbs, take away the portion for fat.

#tw ed diet #4n4m14 #4na diary #ana trigger #4na vent #4norex1a #low cal food #st4rv1ng #th1n$po #th1nsp1r4t10n #foodsp0 #4n4m1a #anablog #tw ana diet #tw ana diary #ana inspo #anor3x14 #ed but not sheeran

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csuitebitches · 1 year

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The Best Workout that Changed My Body (Model Workout)

Growing up, I was a chubby kid. As a teenager, I was “skinny-fat” - I had a tummy but lean arms and legs. I have tried everything to burn that belly fat off; right from detox teas, waist clinchers, sports, Pilates, limiting my calorie intake, weight lifting, strength training, eating only health food for months, lemon water, even K-Pop stars’ diets… you name it and I’ve probably done it.

Then I finally found something that worked out for me. I stumbled across it on Reddit, and I shared it with my friends, not thinking that it would actually work.

Except that it did.

A friend who had gained 10 kgs because of her thyroid lost nearly 8 kgs in a matter of a couple of months. Another friend - who’s quite skinny and petite and struggled with weight gain - saw her body get more toned in just a couple of weeks.

So I decided to try it out as well - and I could actually see a difference in just a week’s time (as crazy as this sounds). A few pants I had that I always felt a little insecure about wearing actually felt LOOSE at the waist! I couldn’t believe it!

Now, for a little disclaimer. The person who created these workouts happens to train models. They are specialised in model training- reducing waist cm, hips is their specialty. HOWEVER. They were accused of filming their clients in their gym bathroom. Their spouse eventually took over the company. But that still doesn’t sit right with me. So that means that I will not be buying any of the company’s products, even though the work outs are really effective and require minimum equipment.

So I did a little bit of sleuthing - and found 5 out of 6 of their workouts for free on Reddit.

I’m going to share the link that I found on Reddit. I am NOT responsible for uploading the files. I have no role to play in it. These have been available on Reddit for literally years. I have no idea who the original distributor is, either. Also, these videos are quite old. I’m sure that the new ones are different from these.

The workouts range from 20-60 minutes (most of them are at 40 minutes though). The best part is that you can do these anywhere.

The only equipment you really need:

- yoga mat

- Slide discs/ wash cloths

- Ankle weights

- 3 pound dumbbells

Here it is (the link)

The nutrition guide:

(I have not come up with this. Do not hold me responsible if you do not agree with what the trainer says).

1. Calorie intake: 1600 calories

2. No juice, rice, pasta, potatoes, bread 2-3 hours before you workout. If you must eat, it has to be low calorie protein or lean (eggs, protein shake, lean protein, salad, vegetables).

3. No carbs after 3 pm.

4. Dinner should be protein and vegetable based.

5. No protein for 1-2 hours after workout. Fruit juice, fruits, vegetables and starchy carbs are fine.

6. Only treadmill for cardio. Slow jogs. No weights for lower body, outside of the program. No lunges, squats or deadlifts. Yoga and Pilates are fine. I personally do 12-3-30.

How I use this routine:

Monday: workout 1

Tuesday: 12-3-30

Wednesday: workout 2

Thursday: 12-3-30

Friday: workout 3

Saturday: workout 4 +12-3-30

Sunday: 12-3-30 / yoga/ rest day

I take 5 days off in a month during my period. These workouts are also not crazy intense (I’m used to playing sports and being active in general) so I’m fine doing it everyday.

What is 12-3-30?

Treadmill workout where:

12- incline

3 - speed

30 - minutes

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dksw0rld · 9 months

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How I Achieved Glass Skin Without Trying

Yes, you read that right. I achieved glass skin literally without trying at all. With glass skin being pretty much the last thing on my mind actually. Partly because I was never insecure about my skin as I really didn't have any acne issues. I had smaller bumps on my forehead and a little bit on the other parts of my face but no big breakouts or chronic issues. Also partly because I was so focused on something else...want to learn how you can also achieve clear skin without actually trying to achieve clear skin? Keep reading for all the deets.

Okay, so, as I mentioned above - clear skin was not my focus. It was genuinely the last thing on my mind. My focus was on something better. My focus was (and is) on my overall health. Women nowadays are so focused on 10 step skincare routines to achieve clear skin and retain youthfulness. This is not me putting anyone down, if a 10 step skincare routine makes you happy than by all means continue on! I'm merely pointing out that women don't need to do all of that to heal their skin. The key word in that last sentence is heal. But enough of me talking, here's what I did to completely clear my skin by focusing on my overall health. **Everything I name below are things I still do.

Diet

I focused on consuming nourishing foods

I have veggies and / or fruit at every meal. No exception. I don't go a day without consuming them. I focus on foods that nourish my body from the inside out. I don't eat processed anything. I consume other types of carbs, not just bread or pasta.

2. I began to drink coconut water and pure pineapple juice first thing in the morning

I drink 8 - 10oz of coconut water mixed with pineapple juice every morning. I've seen a big difference with my hydration levels throughout the day.

3. I severely limited fizzy drinks

There's a specific brand of sparkling water I love (it's called Clear American) and I used to drink it regularly. There's nothing super unhealthy about this brand but it's still carbonated. When I began to limit drinking sparkling water, I noticed a difference in my body and skin. I also very rarely drink soda, and if I do it's always Ginger Ale. I mainly drink water with lemon, organic lemonade and hot tea.

4. I limit bread to one meal a day

I always eat a type of carb during breakfast as they give me the energy I need to go through the day. *Side note* carbs are not bad for you. Your body needs them! Processed carbs are what should be avoided. Anyways, I only eat bread one time a day and then I'll eat other types of carbs throughout the day. The bread I eat is always the least amount of processed possible. I only eat sourdough or whole grain bread. I like going to famers markets to purchase my bread. If I don't eat bread for breakfast then I'll potentially eat a slice or two at lunch but I avoid eating bread for dinner. I like to consume things my body can more easily break down at dinner.

5. I cut out alcohol

I never drank a whole lot. I've always been a 'glass of wine while hanging with my best friend' type of woman, but if I was out on the town I would drink cocktails. I cut mixed drinks out completely. If I go out I'll order a pineapple juice or ginger beer (which despite its name, is nonalcoholic). I will very occasionally have a glass of wine but that's about it.

6. I limited my caffeine intake

I have a cup of coffee with creamer and sugar in the morning and that's it for coffee. If I'm slowing down in the middle of the day I drink water first and make sure to get up and take a walk around my office to get my blood flowing. If I'm still dragging after a full cup of water and 30 minutes, I'll drink a chai, other caffeinated tea or a matcha.

Lifestyle

1. I shortened my skin care routine to 2-3 steps

Your skin does not need a lot. It needs to be taken care of from the inside out way more than it needs products on it. In the morning I do a serum, very very light exfoliation and a moisturizing hyaluronic acid lotion. At night I cleanse, put on eye cream and use the same lotion. Once or twice a week I'll do a face mask. That's it! When I switched to this simple routine and focused on my overall health, my skin began to thrive.

2. I began to walk more

I sustained an injury so I wasn't able to walk as much as I was before. Once my injury healed and I was able to walk again (in the midst of all the other changes I was making), I noticed a difference in my energy level and changes in my body. Walking is so great for you, including great for your skin!

3. I began to sleep with a satin pillowcase every night

I ditched the regular pillowcase and switched to a satin one. I did this switch for my hair, not my skin but I've noticed it's helped with my skin a lot as well.

That's it! Once I made these simple changes and was consistent with them, I began to notice how much more amazing I felt. Then one day I looked up and my skin was completely clear. Not a small bump in sight. You don't need to buy all these acne products off of Amazon to get rid of your problem areas. Focus on nourishing and healing your body from the inside out. That's the secret.

#self care #dk #skincare #love yourself

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peachybutch · 8 months

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How Good the RvB Main Cast is at Cooking, Ranked from Best to Worst

1. Donut

Donut gives off the vibe of one of those gay men with a baking channel on YouTube. This man's out here rolling up to the red team monthly dinner club with frenched rack of lamb with a pistachio mint crust and wine accompaniment, then earl grey souffle with creme anglaise for dessert. He spends hours experimenting with new and interesting ingredients. Remy Ratatouille, send-you-back-to-rural-France ass man. Donut's food fucks hard and everyone knows it.

2. Grif

You really think my man Grif loves food as much as he does and doesn't know how to make it? C'mon. He doesn't, like, relish the act of cooking as much as he does having a good plate of food at the end of it. And he's not typically much for sharing. But my guy makes a damn good short rib and bechamel lasagna. Give him the day to let something slow cook, and god damn.

3. Wash

Wash has been living off of MREs for probably his entire adult life, but I feel like he's got a few dishes he can whip out for a date night, or if he's feeling fancy. He knows how to read a recipe, and he has a pretty good idea of what flavors go together to make something good. He probably has a really nice papardelle with vinho verde sauce that he has sitting around in the back of his head for special occasions.

4. Tucker

Okay, Tucker isn't a bad cook by any means, ok? He's great with breakfast food specifically. It's just that he isn't especially fancy about it. He was probably, like, a line cook at Denny's in high school, so all his food tastes like food you would get at Denny's. Which isn't a bad thing! You would just never call Denny's "fine dining". He has his niche, and he does it well, and he never feels even a little bit inclined to do anything different or better.

5. Church (Alpha)

Church isn't much of a foodie right off the bat, but someone's got to pack Caboose's lunch, and he ends up learning how to cook fairly well after that. After a certain point, he figures out how to make things from scratch--mostly things like chicken nuggets, mac and cheese, pancakes.

6. Simmons

I feel like Simmons mostly lives off of shit like green smoothies and homemade granola. Like, hardcore, low carb, vegan, all organic, high protein diet. And, like, it doesn't taste BAD. But it definitely isn't the kind of thing you bring to the red team dinner club. He does make a really nice sunbutter brownie that he has to hide from Grif.

7. Caboose

Caboose has been banned from using any objects in the kitchen that involve a heat source--which isn't HIS fault! How was he supposed to know that you're supposed to take the spoon OUT of the mac and cheese before putting it in the microwave? That's just a recipe for a cold spoon! Anyways, he manages just fine without the microwave, thank you very much. He can make ants on a log like it's nobody's business. Cleaning up afterwards is another matter entirely.

8. Carolina

Carolina is one of the most competent individuals you will ever meet. She could kill you in under a minute, in 30 different ways, and that's just with her bare hands. The fourth time Sarge tries to recruit her into red team is by inviting her to the monthly dinner club. She shows up empty handed, and when Donut very politely asks what she brought, she replies that it's very interesting that they expected the only woman on the team to go all out with cooking. They move on. Carolina spent 5 hours in the kitchen this afternoon trying to figure out how to use the oven. But they don't need to know that.

9. Tex

Now, listen. Tex can't be called a bad cook, precisely, because that would require she cook for herself or others. Which is something she does not do. That's what Church is for, isn't it?

10. Sarge

Sarge refuses to step foot in a kitchen after the fifth shouting match about how flamethrowers are not a universally recognized kitchen appliance.

11. Church (Epsilon)

One time, while blue team is shooting the wind, Caboose asks Epsilon what his favorite breakfast food is. Instead of calling Caboose a dumbass, as per usual, he instead goes into extensive detail about how he eats computer keys like cereal. Caboose tries it. It isn't very good.

#pb.txt #rvb #red vs blue #donut rvb #church rvb #wash rvb #im not fucking tagging everyone #i am so fucking hungry thinking about short rib and bechamel lasagna #long post

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allsadnshit · 10 days

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Been looking into Candida cleanses so much but most of what I see is about it starving the Candida and is more applicable to if you have a yeast infection rather than my situation of having endometriosis where my body naturally overproduced and reacts to estrogen so I'd have to pretty much live on a Candida diet permanently which is like no spicy, no dairy, no to most fruits, no sugar at all even natural like honey or maple, no red meat, no shell fish, no starchy vegetable and limited carbs and just is in general incredibly restrictive on top of that I am already gluten free and it makes me have to slow down and go - who is this for?

There's soooo many influencer nutritionalist who make mostly Candida content but I think it leaves out that avoiding carbs and a lot of the stuff that would need cut out isn't necessarily good for your body in other ways even if it does starve the Candida

And it's not like yeast serves no purpose in our bodies or immune systems - it's just a matter of overgrowth. And it seems like most of the approaches I see don't feel sustainable long term and they also really promote fasting which is something I am personally super against if you've had an eating disorder, especially when you don't live a slow paced relaxing lifestyle and are on your feet.

It just sucks to feel like even in a wealth of knowledge that exists online - so much of it is about selling something to you, whether a product or a lifestyle and it's so gross

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unknown-drug · 6 months

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A GUIDE TO SURVIVE

All the things I wish someone would I told me before descending in this Hellhole.

🦋 ️ If you were thinking about diving into the EDs World for the first time, go back and think again (this is not worth it, I swear to every God in this universe. Just run as far as you can from it) But if sadly you are, you have to be completely educated.. Do some research about everything it consists of. Literally get as much information as you can (pros and cons, nutrition, exercises, side effects, long/short terms, overuses of anything, etc). There is so much more than diet and food involved, so just don’t be stupid about it.

🦋 ️EDs DON’T HAVE NUMBERS. Someone who is 200+ pounds is as valid as someone who is 100 and under. Stop bullying people because they are heavier or lighter than you are. Society fucks us enough so no need to add more hate. We are all in the same shit anyways… No one has the same body as you. Your number compared to others might not look the same. So yes, your thinspo is all cute but you have to consider all the criterias. Genetics, overall stats, gender.. Weight is just a number among many other things.

🦋 Weighing yourself every single day is NOT the most effective or accurate way to see/track results. The scale can shift up to 5 lbs a day (minus or plus, I know this is insane). Some specialists recommend doing it 1-3 times a week, always on the same day, so that you can see a more accurate graph of the fluctuation. (Keep in mind that you have to account for any hormonal changes/cycles when it comes to your result, I suggest comparing each week of your cycle with one another.)

🦋 You should consider using other methods to track your progress other than weighing yourself like a tape measurement can be really effective for body dysmorphia and if you have access to a gym ask them to check your body fat percentage. You would be surprised to see just how much it can help. Because at some point, the balance between muscle and fat is so small that physical change won’t be as noticeable. But seeing actual results from other means can really boost your mental state.

🦋 Those who will notice “the problem" won't be the ones you want. And those who are really there for you are not always the one you thought would be.. But do not throw away the help if you need it.

🦋 Do not beat yourself too hard if you slip up. It might get you to binge 10x harder, too. Nobody is perfect. We all binge once in a while. The weight did not appear out of thin air. It is a work in progress..

🦋🦋🦋

I know there is this big debate about the famous “body reset” metabolism day. Some say it helps others would disagree. It's the same thing when I come to fasts and detox/cleanse. At this point, you can follow whoever you wish. All of these help to some degree but aren't necessarily what your body needs. You need to have a good understanding of your system before committing to anything. To each their own.. All studies point to a “sort of reset” but there is not a universal way of doing it. So yes, here are your most common options, but this would depend on too many specifics to have a straight answer. There is no on/off switch when it comes to your body, yes it can feel like it “slowed down” but it is just because your body takes more time to use whatever it has to formulate energy. It takes your organism unequal time to synthesize different food - fat compared to carbs or even muscular tissues. This is why it is not just about the starvation aspect of your ED. It is also important to look at what you're feeding yourself with. Not all diets work the same and provide the same amount of energy. Choose your own path, but just be aware of all the knowledge you can put your hands on.

🦋🦋🦋

✨️✨️✨️ There is no magical pill, no tea bullshit and no fucking food miracle to lose weight. Yes there are some meds that can help (laxative, diuretic and appetite suppressant) but it is mostly out of side effect. Ultimately, your body will get used to them so they will feel like they aren't working anymore and you will feel the need to take more. Do not take more than the recommended amount. Be extremely careful if you are using them and please if you see anything out of the ordinary talk to professionals. Medications without the proper follow up can be horribly harmful in the long run. ✨️✨️✨️

🦋 TAKE YOUR FUCKING VITAMINS. I can't stress that enough but you need them just to make sure your body won’t rupture. It can prevent so many side effects to EDs and even trips to the hospital. Look for multivitamin, biotine, B-complex, folic acid (ladies), iron, potassium and magnesium… See to have some blood work done every year just to see where/or if you are lacking anything crucial.

🦋 DRINK YOUR GODDAMN WATER , BITCH. Your body will give up faster if you don't drink enough water compared to food. If you are fasting or anything, this shit is MANDATORY. And no, coffee, coke zero and teas should not count in your water intakes (sorry). It is so important for weight loss, plateaus and in general. The general rule is about 2L a day but you will need more depending on your lifestyle. There is many any calculators online or you can just go with the basic **1500mL - 20(weight in kg-20)= x**. It is the average amount in mL you should aim for.

🦋 Doing the same exercises over and over again will not help you lose weight. In fact, it is quite the contrary. You will have to switch it up, do cardio (even if it sucks), and try weight lifting (nooo it is not gonna make you look bulky.. Lean muscle burns more calories even though it weighs more.), find a sport that you like, yoga and pilates count, and even dancing is a good way to lose weight. You don’t have to spend endless hours in the gym (if you want to, go for it), 4 exercises is a good workout, and 30 mins a day every day is the bare minimum. Walking is quite underestimated but is actually pretty effective. Have fun with it cause it will be easier to stick to it and not dread it.

🦋 Sleep is MANDATORY. Don't think that staying awake all night doing exercises is helping you. In fact, your metabolism will go down 10 to 20 % if you sleep less than 6 hours a night. Get the rest you need.

🦋Food is not the enemy. When it becomes your aly it’s going to be a blessing. At the end of the day, you need the nutrients, So stop working against it and make it a tool for you to reach all your goals. It can get you the body that you want without too much work tbh.

🦋 ️ You guys have to stop with the famous “breakfast is the most important meal of the day”. If you were to look deeper into things you would know that the word originates from “breaking a fast” because it is the first meal after a long period of fast (when you sleep) depending on how long and everything but technically it still applies. So yes, it does help to kick start your metabolism, but there are many other ways to do so. Do what works for your lifestyle. Intuitive eating can really help with the disorder.

🦋Not all diets are going to work for you. Don't get discouraged. Try a few and see what works. Keep in mind to incorporate a little bit of every food group (if possible) to make sure you won't lack any crucial nutrients. Again, do your research.

🦋When reaching your GW or UGW, you may still feel unhappy. Yes, it feels like if you were skinnier, the world would turn around and become a wonderful place to be, but it’s not necessarily the case. It is not a magical way to solve all your problems, so be aware of possible disappointments.

🦋Keep yourself accountable. Stop blaming others or your life for things you have done. At the end of the day, you are the one doing everything. Excuses are not gonna help you achieve anything.

🦋The saddest part about this is that the sense of control is only temporary... If you have any other mental illnesses, it can mess you up so bad.. Mixing everything can be a lot at times, and I know how overwhelming it is to do all that by yourself. But, one way or another, you will have to go up against your demon and fight them or die trying.. Literally.

🦋This is not all rainbows and unicorn illnesses. It is hard to live through and even harder to witness it on someone else. You will cry, you will scream, and you will feel depressed and hopeless at times. Try to get someone you can talk to or vent to. This is why the online community is a huge part of EDs. Don't keep it all inside. It will break you.

🦋If you ever relapse after more than a year of recovery, you have to keep in mind that your body has changed. Especially if it went through puberty or if it is somewhere in your adulthood. If you plan on using the same old tricks you did as a teenager, I am sorry to announce to you that it might not work. Your relapse is like a whole new ED. You have to relearn everything about your body. It has adjusted to your harsh treatment and will definitely not cooperate the way it did before.

🦋If you are not ready mentally for recovery, it will NEVER happen. It cannot be forced. Recovery is the hardest part of the illness, but it is doable. And it takes time. It is not something that can be done overnight. Be patient, and at the end of the day, love yourself. But keep in mind that even fully recovered, the numbers won't magically stop in your mind. It will stay there as an afterthought. Some can live with it, and some can’t. If you need help, go get some.

🦋Calorie Counting🦋

So this is the most controversial topic of all but fuck it. This is my blog anyway I do what I want. Do with this information as you please. I am no doctor, just a bitch with a pharmacy and nutrition background.

🦋If you are to calculate calories, there are two crucial details you have to account for; your BMR (basal metabolic rate) and macronutriments.

🦋For macros, learn what they are and how to use them. It’s not just a question of fat, carbs, and protein. Look into understanding food labels and portion size and the percentages it represents in your daily food.. Especially when it comes to dry and wet food (ex: food labels on pasta and rice are for quantity when it is dry). It can really make a difference at the end of the day to have a good ratio of each group.

Most diets given by your trainers or dieticians are based on your BMR. Depending on how they calculated it, your exercise is already accounted for. So, in that case, you can not add your “active calories burned” from your smartwatch or whatever in your own calculations, thinking you can eat more or lose more. If you do so it’s going to nullify your progress for the day.

First, calculate your BMR (and no I’m not going to get involved in the gender debate, so use what you want).

Men= 66 + (6.23 x weight lbs) + (12.7 x height inch) - (6.8 x age in years)

Women= 655 + (4.35 x weight lbs) + (4.7 x height inch) - (4.7 x age in years)

Then multiplyz it by your activity level, and you will get your calories to maintain your actual weight. (1.2 = nothing, 1.375 = lightly, 1.55 = moderate). **I recommend just sticking with the lowest activity level possible since you want to know the minimum deficit of calories you can consume. So either do the 1.2 or not.

Now look into your goal. How much weight do you want to lose and by when ? The rough estimate is that 1 lbs = 3500 cals.

Let’s say you want to lose 10 lbs in 6 weeks. You will need to burn about 35,000 cal total in 6 weeks = 5,834 cal / week = 834 cal / day. (This is your deficit). Take your BMR again and subtract the last number to see how much your allowance is (ex: a BMR of 1800 means that your diet would be 1800 - 834 = 966 cal a day) It’s only a rough estimate. Because your BMR changes from day to day depending on the amount of stuff you do. If your deficit ends up negative, you need to revise your goal because on paper, it is unachievable and highly dangerous.

✨️✨️ Like I said , everything is just an estimate. Water weight and hormonal cycle are not included in this little math. ✨️✨️

🦋Purging🦋

You have to understand a few things before even thinking about doing it

🦋The biggest thing about purging is the long-lasting consequences. The acid in your stomach is extremely harmful. Think about it. It literally dissolves organic stuff to virtually nothing. There are a lot of medical problems that are linked to purging.

🦋The calorie absorption starts as soon as you begin chewing your food. There is acid that is released through your spit (yes, even if it is less acidic than your stomach, it is still there). So the famous method “chew and spit” is not the best because it is still harmful to your mouth health.

🦋 Purging is not a miracle erase switch. There is no Uno Reverse here. Even if you were to purge the entirety of your stomach, and that only a mere second after finishing eating, your body has already absorbed a portion of the calories ! A general rule is that about 1/3 to 2/3 of the calories will be left behind.

🦋 Now, even after all that you do purge, DO NOT BRUSH YOUR TEETH RIGHT AFTER. I swear to God that this is the worst thing you could do. 🦋

🦋If you were to ask the dentist when is the best time to brush your teeth in the morning, they would all agree that you can do it right after you wake up or 30-60 minutes after consuming food because of the acid mentioned earlier. Imagine how bad it would be after vomiting. So after a purge, you should try to swish some bicarbonate and water to bring the pH down and swallow half a glass to ease up your mouth, esophagus, and stomach. (I do 1 tbsp for 1 cup of water).

🦋Also, DO NOT PURGE if you don't drink enough liquid in your stomach. It is easier to do it when you do not only have solid shit in and less gross. Also it helps to reduce the acidity when it comes out.

🦋 Unfortunately, not all people have a gag reflex. Some studies show that nearly ⅓ of the population claim to feel it. Furthermore, it is shown that people who use any tobacco substance or other smoking substitute may be more prone to experience the lack of it. But it might also be that your body got used to your “mia” methods, thus being more resistant to where and how you are doing it. In that case, specialists point to other factors that can trigger it. So people will have a reaction caused by smell, others would find it with different stimulus points such as the roof of the mouth, back of the throat, tongue and near the tonsils. Moreover it can help to change the “tool” you are using (like going with something with a different texture like a cotton swab or the dental wood stick since it might help to trigger the reaction).

With that being said, if there is one thing you should remember about this whole thing is to be careful and aware.

Stay safe lovies. 🦋

#tips #tricks #tw ana #tw ed #🕯️as a 🪶#⭐️ving #⭐️ve #ana and mia #vent #ed shit #ed not ed sheeran #ana trigger #@n0r3xia #i wanna be weightless #anamia #mia #mi@#tw mia #tw ana diary

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mangozcat · 2 years

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p; jisung x fem!reader

w; smutty smut smut, jisung smut beware, dirty talk, momentary choking, unprotected sex

just a short little sum sum cuz im legit dying rn i love him sm :( (IF UR UNCOMFY W JISUNG SMUT PLS DNI)

there’s something so wrong about wanting someone you know you can’t have. it’s like dieting and still eating a heap of whatever you’re avoiding, whether it be sugar or carbs or just fatty foods overall.

but fucking your brother’s best friend was an all new level of want- of complete greed.

“sung,” you whine, leaning your head back. his lips found your neck amongst the chaos and he pressed tender kisses, a scary contrast to the way his hips rutted against yours.

you’d agreed that there was plenty of sexual tension between the two of you before, but you mentally swore yourself away from him.

you couldn’t do that to haechan- you absolutely couldn’t.

and yet, here you are, with a hand covering your mouth and fingers digging into the clothed skin of his back, trying desperately to avoid the realization that you were definitely going to hurt your brother with this new relationship you’d created.

honestly, you didn’t give a shit.

but, of course, you can pretend as if you do.

“haechan will be mad,” you say quietly, “if he ever found out, he’d kill us both.”

“can you just shut your mouth?” jisung growled, wrapping his hand around your throat in one, quick and sudden movement. “you are so frustrating sometimes.”

now, you’d never experienced being choked by jisung (well, in a different way, yes, but not with his hand) and this felt… new. but it was a blissful new that had you rutting against him.

“got my cock in your pussy and you still won’t shut up,” he murmured in that sultry tone of his that had stolen your heart. “what more do i have to do to you to get you to be quiet?”

you puckered your lips expectantly and he raised a brow, “a kiss? you think you deserve a kiss?”

he tsk’d and roughly pulled your hips closer to him with his free hand, just as he pushed himself into you with a fast, albeit sloppy, thrust.

a moan left your lips at the sensation, a stuttered, drawn-out groan leaving his. prior to this, he’d simply been thrusting slowly, far softer, and had been focusing primarily on your neck.

something about the skin there was stealing his attention, and he reminded you of this once again as soon as his lips darted to the skin.

usually, you had a rule: no marks.

however, as you felt him suck at the skin, grazing it with his teeth, you knew he’d broken the rule he’d introduced in the first place.

“jisung-“ you huffed angrily.

he was doing everything at once, but not enough of anything; it was making you dizzy.

he hummed, his throat vibrating against your chest and you stilled, shivering at the sensation. his hips began to move once again, setting their slow pace that had you whining and rutting against him for more.

“sung!” you pleaded tearfully when he held your hips down, preventing you from pushing against him.

he stared down at you, eyes as devious as his smile, “be a good girl for me and maybe i’ll let you cum.”

#jisung smut #park jisung #nct #nct dream #nct smut #nct dream smut #jisung #park jisung smut #smut #nct 127

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kamiliora · 1 month

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Too people who want to get "prettier" and have a "glow up" Do NOT expect it to go over night.

Plenty of people believed that you just become pretty with no effort like you see on TV. It's never that easy. It takes steps, processes and Discipline. Always start with the basics like :

Hygeine

Make a skincare routine for your skin

Know your skin type and build you skincare routine from there

body care for the entire body

Scrubs , lotions and body butters are a must

Exfoliate 1-2 times a week

haircare (hair is everything even if u have a hijab hair care is still possible)

Oil train your hair and know you hair porosity to know what products to use

Use a non sulphate or silicon shampoo

Conditioner and a hair oil of your choice based on your hair problem

Hair mask 1 times a week

Know ur hair pattern to be able to use the right products and not damage your hair pattern

Do not straighten your hair everyday!!!

Use Silk pillows and silk scrunchies instead of elastics!!!

Getting a closet and hair cut for you

Find your best colors and body type

Therefore you would know which colors make you shine the most as well as

Find your seasonal color and which fraction ur in (like winter bright , summer light and etc)

Find which type of hair cuts and bangs suit your facial featured and face shape most

I recommend looksmaxing or the Yt channel Dear Peachie to help you including makeup tutorials, which archetype you are and which closet you can do

Look for styles that match your personality and makes you stand out

Build up a hobby

like sports photography, drawing, crocheting, dancing, and etc.

Doesn't have to be time consuming just something to do when ur bored or free even

Also depends on your time to be careful on what you commit to

Try to explore more options without much costs before fully committing to something that isn't for long-term

Exercise ( unless you already do)

Exercise requires discipline for you to be able to do it continuously for progress

If you can't afford a premium membership take a walk/jog/run around the block,street,park

If you feel unsafe you can do a YouTube work outs as they are effective depending on your goal

I recommend channels like :Madfit ,Hinafit, Shirley kim, April Han, ema wong, and Chloe ting

Take time for yourself (not all the time)

If you dont have time for yourself your body and brain will get stressed (from experience)

It can be as simple as drinking your daily detox water, green juice, coffee, tea or reading a book

Get 8 hours of sleep

Make sure not to stress for something so complete a task when given no matter how far the deadline is!!!

Reduce screen time to 3 hours a day (outside of school/work related stuff)

Diet

Never go too extreme like you see those people online do

Unless you are talking to professionals such as dieticians, Nutritionists and etc. (Bc most public figures do have professionals that they seek help too for these types of situations)

stick to a healthy diet like the 80/20 method

Or you can also do keto/greek/high carb or protein just never go extreme as it will slow down your metabolism

Find who you really are and trying to be better

People never really open up to try different things you should try more to find what you like most or which you are most stable with

See the perspectives on how you act im different situations and see what your mistakes are to try to avoid doing them again

Fix your mentality (watch wizard Liz, Song Jia,) and read quotes to inspire you to do better and the most you can

Always Analyze the situation before commenting or doing action unless its an emergency

Do not let people decide for you or get to your head it is their opinion not yours. You opinion is never invalid and justified in your perspective

Confident vs Arrogant vs Egoistic

Confident people never brag nor do they drag people down. They know they are THAT person and will NOT care about your opinion of them.

Arrogant people like to Brag about something that they have and thinks their all That. They bring down people for not having the luxury they have. But when someone has more and better than them they always try to avoid them, argue with them or get annoyed by them as They want to show supremacy

Egoistic people tend to make fun of people. Self-centered people that only think about themselves without knowing or thinking that they hurt others. Their too preoccupied with themselves to think of others helps or needs

(Sorry its so long and unorganized I made this at 2:30 am bc idk and these are just some tips)

#glow up #glowing up #haircare #skincare #skincare tips #body care

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