She's a witch!

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[–] 55 points 1 year ago (15 children)

For better or worse, if you weren't fat they wouldn't diagnose you properly either. I've been diagnosed with:

•Too skinny (this is particularly funny bc the complaint was fainting and both the low weight and fainting are from hyperthyroidism as I now know)

•Too tall

•'this is normal for young women' (if it were they'd all be unable to work traditional job)

•Psychosomatic ailment (depression on my medical record is the bane ofy existence)

•Just unlucky

•'this must be an unknown symptom of your existing illness'

•Lacking exercise (I do 2 hour long swims a week and walk 3-5k every weekday)

•Probably lying about the amount I drink (both water and alcohol)

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  • [–] 14 points 1 year ago (13 children)

    Is this problem with only having male doctors, or do women doctors pull this bullshit too?

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  • [–] 17 points 1 year ago

    I got kind of the opposite of that at the hands of a male doctor. "You can't have Long Covid, only women get it."

    But the female doctor I got after that wasn't much better. Third female one is at least taking me seriously.

    To have the fun of experiencing what doctors are like when you have a chronic illness play You're Just Imagining It.

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  • [–] 15 points 1 year ago (1 child)

    I had a female doctor, when told my joints hurt so much I couldn’t use my hands for basic tasks, say to me “Well what do you want ME to do about it??”

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  • [–] 9 points 1 year ago* (6 children)

    I had a female doctor who loved to tell me I was too young to be experiencing the things I was experiencing. Like I had neck pain from an incident at work (which has been ongoing for like 10 years now) and she said "oh young people just look at their phones too much". I also had a reaction to a piercing and she was insistent that the problem was "piercings and tattoos are bad for you", yet when I swapped the ring out for a hypoallergenic one (no thanks to anything she had to say to me), it cleared up extremely quickly.

    But anyway, she was at least able to diagnose my PCOS, which a male doctor had prematurely diagnosed as "pregnant" so that was nice.

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  • [–] 2 points 1 year ago (4 children)

    What's PCOS? And we need laws to make doctors actually do their freaking jobs. I mean its not the middle ages, we have the tools to diagnose people properly.

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  • [–] 4 points 1 year ago* (last edited 1 year ago) (1 child)

    It's the hospital administration and insurance companies that are the issue, not the doctors themselves per se who are responding to insurance denials and impossible hours and scheduling.

    I want to emphasize that insurance does not function to GRANT healthcare but to DENY it. Doctors grant healthcare as providers. When they prescribe it, they’ve granted it. Then insurance steps in and says, “wait a minute.” Their only function is to deny medical care. Not pay for it - the patient does that through premiums etc. To deny it. So why do we need a healthcare DENIAL system?

    The answer for why corporations need private insurance denials, is because of Hot Coffee, Bleeding Edge, Erin Brokovich - we could class action sue over the bad and contaminated products companies sell us, because it would be able to be detected. Flint, MI, was caught by testing a kid on Medicare - because they have access to healthcare. The FDA, USDA, etc should actually pay for Medicare for all to GUARANTEE their work in making sure products are safe imo. Why should I have to pay for the government’s failure to do their job? They should guarantee it and track it so they can do their jobs.

    But corporations would lose money so they lobby against it. Gotta sell us that asbestos and lead somehow.

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  • [–] 4 points 1 year ago

    That the biggest thing that pisses me off the most. I am studying to get my insurance license. And the classes they talk big how great insurance is, because at its core it is supposed to a transfer of risk. That all the job of insurance, only reason it exists is for them to protect you in case of a loss. Yet we pay for health insurance and all they do is use our money to find ways not to cover us. Bullshit and I wish we could put a stop to it and offer universal healthcare.

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  • [–] 3 points 1 year ago (1 child)

    Polycystic ovarian syndrome. Essentially, my uterus started making little cysts for fun and also my testosterone went way tf up and bad things that accompany high testosterone happened so I didn't have my period for six months. The male doctor said "oh you're just pregnant, get some bloodwork to confirm, and also you need to start taking prenatal vitamins" despite the fact that I had taken multiple pregnancy tests that were negative and hadn't had unprotected sex in that time period.

    Fun fact: PCOS affects an estimated 6–13% of women of reproductive age, and up to 70% of cases are undiagnosed. (WHO)

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  • [–] 1 point 1 year ago

    That's crazy, thank you for sharing. I have issues with doctors not wanting to anything for my issues too. And I am a male. I swear we need better Healthcare. Hard enough being in a country with shit healthcare, but when we do go to a doctors they push all our concerns aside and think we are just wasting their time.

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  • [–] 4 points 1 year ago* (last edited 1 year ago) (2 children)

    Women doctors have NEVER given me real pain control for endometriosis pain, even in the ER. After my surgery (which I woke up during and literally it was as painful as the periods I'd been having), I was given 3 days of opiates and then nothing (took 2 months to fully heal, was extremely painful for 2 weeks).

    Meanwhile, one male ER doctor DID give me Robaxin one time as a muscle relaxer, and it was AMAZING. It took off that sharp edge of pain. I think he was very concerned about undoing stereotypes of male doctors and women's health. Love him, he is a good guy

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  • [–] 2 points 1 year ago

    I get the alcohol thing a lot too because I make a lot of ketones naturally and celiac can also mimic some of the physical signs of alcohol. Thing is, I CAN'T drink alcohol bc I have a gene that basically means I'm on an MAOI at all times - I would get a brain bleed and die if I drank. I get blood spikes and migraines from freaking too many beans or meat. It's probably why I've never liked alcohol to begin with.

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  • [–] 13 points 1 year ago (1 child)

    Therapy today is expensive and taxing, Not having to work on yourself sounds relaxing. Instead of evolving and changing your ways, You go to the doctor, they make you come and then your husband pays!

    Source: Hysteria by Riki Lindhome

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    [–] 29 points 1 year ago* (16 children)

    That was the 20th century that they skipped I guess. We as a whole got so overweight that by the 21st century we just started defending it.

    I feel bad posting that recognizing your name also runs a wholesome community..

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  • [–] 8 points 1 year ago (2 children)

    A friend of mine, who is just at the border of “normal” and “overweight” on the BMI scale, had a doctor refuse to remove a shard of glass from her hand until she lost 20 pounds. He said the surgery was too dangerous at her weight. There could be complications.

    She ended up cutting her hand open and doing it herself.

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  • [–] 3 points 1 year ago (1 child)

    That seems strange, although depending on how tall she was weight diffentials get pretty small. Like if you are 5'5 or below the difference between obese and normal is under 25 pounds (small window for overweight) It's only 40 pounds at 6'5. People are always built differently though so it's weird. When I was in my best shape I was always considered overweight according to the BMI chart because I was between 5'10/5'11 and was always around 187 pounds. No doctor would have called me fat at that time because I ran 5-10 miles a day and could dunk a basketball with both hands, I was lean but density was just high. I don't know anything about surgeries but I would figure they have to do with blood pressure and clotting habits maybe? The doctor likely was just an ass, hopefully her hand healed up well. Pain in the ass medical field we have here.

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  • [+] -6 points 1 year ago* (last edited 1 year ago) (11 children)

    Edit: apparently Wholesome and Lemmywholesome

    Womensstuff? Strangest echo chamber I have ever seen since they accept AFAB Transmen and AMAB Transwomen but specifically exclude AMAB men. I get it, it's called women's stuff, but it's just as unwholesome as any "boy's club". I cringe every time I see the passive aggressive, warning/power trip when some supportive cisman comments. Just read her comment history for examples. Genderfluid peeps out there ducking the banhammer every other day.

    Getting a lot of righteous indignation in my inbox. Femcel energy.

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  • [–] 6 points 1 year ago (6 children)

    The internet is male dominated and everywhere you see people talking from a point of male privilege. There is a single community that imposes measures so that it isn't and you are complaining that you can't write on there. Get a life. Cis men are not being oppressed by being barred from discussing on there, you got the entire rest of the internet for yourself.

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  • [+] 0 points 1 year ago (6 children)
  • [–] 2 points 1 year ago* (last edited 1 year ago) (5 children)

    I assumed such because those tend to be the people who take issue with that community.

    I can't see what your problem with that community is then. Safe spaces are important.

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  • [–] -1 points 1 year ago (4 children)

    Boys clubs are sexist instututions. Womensstuff is a sexist space for the same reasons.

    I mostly just cringe at the mod interaction but I take offense at grouping people arbitrarily and squashing dissenting opinion. It makes people wary to comment for fear of being purity tested. That's not a safe space.

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  • [–] 1 point 1 year ago* (3 children)

    Sure and you definitely take the time to criticize all the incels on here when they post sexism to the general meme pages too, right? When was tbe last time you confronted sexism from men on Lemmy?

    Went through 3 pages of your comments and so far havent seen you address any misogyny on Lemmy. Seems misandry is your only concern. Gee, how unsurprising

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  • [–] 1 point 1 year ago* (last edited 1 year ago) (2 children)

    I'm sure I have. But you went through my comment history looking for a blugeon to cheapen my argument and you failed. I call out bullshit when I see it but also when I have time. The only reason I said something here is because I thought someone was calling womensstuff wholesome, which it is not. Feel free to be offended at me calling out sexism. It really shows your priorities are backwards.

    Edit: After a bit of reading on your comment history (to make sure I wasn't wasting my time) I find you are earnest.

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  • [–] 36 points 1 year ago (2 children)

    “Anxiety” is the 21st century hysteria. Then it goes into your record so other doctors can summarily dismiss you as “difficult.”

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  • [–] 16 points 1 year ago

    Oooh that hits.

    I went to a doctor for a refill on ear infection medication. That's right a REFILL, for something that had been previously diagnosed by another doctor. I told him this, so many fucking times.

    Nope. I had Covid.

    "Sir, I just need a refill."

    He just screamed at me, in broken English. "NO, YOU HAVE COVID. GO!"

    I did not have Covid. I didn't even have a cough, a sneeze, or anything. My ear was in pain, and I couldn't hear hardly at all... and yah know... it was fucking bleeding.

    I did not get the medication he prescribed me. I got ear drops from behind the counter and took allergy meds and then hopped for the best.

    Brother, you didn't even have to examine me. I told you what was wrong. You could've gone home early!

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  • [–] 19 points 1 year ago (8 children)

    I get why doctors go straight to, "It's the fat." It's not fair, but it's understandable.

    Put yourself in the doctor's shoes. The majority of people they see are fat. Don't believe it? Look around the waiting room. First time I realized this was a revelation. My old doctor serves almost exclusively senior citizens, who got to be seniors by not being fat. Now I go to other, closer offices and I'm often the only person in the room who isn't overweight. And there's always some morbidly obese person with a cast on their leg. Wonder how that happened?

    Imagine how many cases they get in a week that are due to obesity, or aggravated by it. It's kinda like doing tech support where you think you already know what the problem is because you see it every damned day. "sigh... another one". If you're sincerely listening, you'll often catch yourself out! But docs now days gotta run us through the office like herding cattle.

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  • [–] 3 points 1 year ago* (2 children)

    They also have to talk to everyone like they’re a simpleton. I don’t like being on the receiving end of it, but I get it. I can only imagine how many people doctors see who have zero medical knowledge and need to gently be spoon-fed every bit of new information. It’s gotta be so frustrating, what with all the anti-science garbage filling society right now.

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  • [–] 2 points 1 year ago (1 child)

    Know why I'm good at tech support? I quickly gauge my audience's level of understanding and speak to it. Once you get a doctor that can do that, hang onto 'em tight!

    My doc rarely sees me, but after a minute or two she's dialed in to me personally. Best part? Old lady isn't afraid to give me her "stupid look" when I ask a dumb question. "Yeah, thought that's how it was."

    Had a young doc at CVS one day. Once he figured out I wasn't a dumbass redneck, merely a redneck, we had a 45-minute bullshit session where I learned quite a bit. Left me angry that we can't ALL sit down with a professional like that.

    anti-science garbage

    Got so frustrated taking my ex-wife to doctors for her first pregnancy, seeing all the vaccination posters and being harped on about shots and breastfeeding, finally popped on a nurse:

    "Look. We're not retarded. She's breastfeeding as long as possible and hit the kid with whatever vaccines are called for at whatever age. Just do it."

    Look on her face was like Will Smith seeing that alien's head grow back. I felt bad, but my frustration that they have to even talk that way! And fuck me, all the talk I hear now days about "evidence based" treatments. "Yeah! That's how medicine works! I got it!"

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  • Yeah, I'm guessing the downvoters have better doctors than I've seen lately (which is a weird reason to discount another person's experiences, but downvotes don't really matter, so whatever.) I'm still trying to find a good GP with my new insurance. Hopefully I can find someone like the CVS doc you met. I don't have to be sold on vaccines, or be reminded several times to finish all of my antibiotics, or need a precautionary lecture about not needing antibiotics because something's viral. I know how the immune system works, I learned about it as a child, I continue to read medical articles when I come across them, and I always read the pamphlet that comes with new medications.

    Again, I don't fault doctors for having to do all that - they're just doing their job. I'm more upset that society has access to all this free information, yet there are still so many people that ignore science that doctors feel the need to explain things like we're all new to it, just in case.

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  • [–] 1 point 1 year ago (1 child)

    Add to that half the time someone who is obese and complains of an ailment, let's say muscle pain, they are adamant that it's not the weight. Because the weight is hard to deal with and they need it to be easy.

    So yes, someone unfairly has a complaint without being properly heard, but it's in a chorus of people that just won't accept that their obesity is a problem.

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  • [–] 1 point 1 year ago (2 children)

    No, they don't, and that's a horrific way to practice medicine.

    Everyone is unique with unique diet, environmental pressures, and genes. We are not cattle.

    Also, we have a working medical model for this - veterinary medicine, esp non-corporate vet med. No vet is looking at an obese dog without ordering a thyroid test at minimum and looking further. Only in human med do we blame the patient like this

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  • [–] 36 points 1 year ago (33 children)

    This is gonna hurt someone's feelings, but doctors don't call people fat unless they're overweight. It's just that, as a society, we are fucking delusional about obesity and lie to ourselves and others constantly, distorting what a healthy weight even looks like.

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  • [–] 26 points 1 year ago (18 children)

    Sure, but sometimes (a lot of the time, from the experiences of multiple women in my life) doctors use "you're overweight" as a thought terminating phrase and won't even begin to look at other possible illnesses or treatments other than "you're overweight, you need diet and exercise".

    By all means, if obesity is impacting their health it is something that needs to be addressed as well. That doesn't negate other health issues that happen to be comorbid with obesity, though.

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  • [+] -11 points 1 year ago (14 children)

    You could've stopped after the first word.

    Also, "if obesity is impacting their health" is delusional talk. Obesity always impacts health. There is no if.

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  • [–] 3 points 1 year ago (1 child)

    Yes, if obesity is impacting their health. Obesity may be putting them at higher risk for certain conditions and diseases, and is putting extra strain on their bodies, but that should not impact a medical professional's complete diagnosis. This is how people suffer and/or die from otherwise treatable conditions.

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  • [–] 3 points 1 year ago (11 children)

    Sometimes obesity is a symptom of something else wrong that doesn't get diagnosed, it's a systemic issue sadly.

    However I do wish I could shame the overweight people buying enough snacks for a family as their midnight snack. Like honey, this is why you're big, have you tried just not eating four candy bars a day?

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  • [–] 2 points 1 year ago (6 children)

    Is there something fucking wrong with you that you want to put your shame and fat phobia onto others minding their own business?

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  • [–] 1 point 1 year ago (5 children)

    Funny thing, I do keep my mouth shut and just don't, I wish trans phobia would get people barking as much as hypothetical fat phobia. (Which right now, is just ONE)

    Maybe my cPTSD is what's wrong with me, fucking tired of being fat treated with more respect than being transgender.

    If this was reddit, I could also expect pushback for bringing up being trans while "not being relevant"

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  • [–] 1 point 1 year ago* (4 children)

    I am also against transphobia. You can care about multiple things, it isn't either/or. There are indeed fat trans people too. And respect and love given to someone else doesn't mean you can't also have it.

    Actually, I'll elaborate on this and we will see where it goes.

    Abusers are intersectional and thus the abuse victims receive is intersectional, as it is projection. Abuse requires little-n narcissism. People can be narcissistic about certain things, which cause delusions that are literally inflammatory and agitating. These delusions inform the "type" of narcissist, who needs confirmation for the delusions (called narcissistic supply) to soothe the inflammation reality provides when their delusions fail to match.

    Narcissists with their friends or family who are enforcing delusions and getting supply as a condition of their relationship are known as abusive relationships. Narcissists grouped together in large bodies are known as cults - abusive interpersonal dynamics scaled up. Narcissists grouped together for the purpose of political movements is fascism.

    Another name for transphobia is gender fascism. It is directly related to cults (eg Christofascism) and interpersonal abusive relationships. That dad sending you nasty messages is probably some transkid's abusive dad. They look for people sensitive to their abuse (usually with a history of same type of abuse) to inflict narcissistic abuse on, because the distress of their victim validates the delusions and gives supply.

    Another name for ableism is physical narcissism/physical fascism. Controlling other people's weight with shame and abuse etc is an example. Projecting feelings onto them about their weight being disgusting or bad is another example. Making up a narrative that fat people's existence and acceptance means transphobia somehow is worse is a delusion. It may feel comforting and give supply, but it's not real. It's a story.

    One person may not be a physical narcissist, but a transphobe, and vice versa. Someone may be neither, but a racial narcissist. Narcissism isn't a disease, it is a belief set btw. It is as contagious as hearing the word of God or seeing a meme, because it is a belief set.

    What you likely crave is freedom from narcissistic abuse. Rec book Stop Caretaking the Borderline or Narcissist, can be used on your self to help with narcissistic thinking habits that create delusions. Our entire society is narcissistic because advertisements inflame them and so do cheap shitty shows like Tucker Carlson etc. If you have cPTSD, that is on the dissociative spectrum with borderline personality disorder, often caused by narcissistic abuse. Unlearning and disagreeing with narcissistic belief sets will improve/treat your cPTSD if from that.

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  • [–] 2 points 1 year ago* (3 children)

    Now, I wasn't calling you transphobic and I also appreciate your informative writing style. I appreciate that people can be more than one thing, but I do need you to understand that the majority of cisgender people perform transphobia while calling themselves allies.

    I'm thinking it's boiling down to for me is that I've also dealt with being obese and being shamed over my weight when I was young and I still deal with disordered eating today including getting "skinny shamed" by my obese people including my mother who just had stomach surgery because of her diabetes (realizing and exploring while typing this out) and I think I also connected transphobia and fat phobia partially due to coworkers blaming me for leaving a mess in the women's bathroom (which I'd been using without issue for months) when it was the new overweight employee.

    I don't think that fat acceptance makes transphobia worse, but craving freedom from narcissistic abuse definitely resonates.

    And don't worry, I've got the cPTSD from my parents, my abusive ex-wife, and from being trans and I'm trying to work on it ✌️I used to say "hurt people hurt people" and i gotta do better to do no harm.

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  • [–] 1 point 1 year ago* (2 children)

    Yes, there's gender narcissists and full blown gender fascism in the US now, I 100% agree with you that most cis people are gender narcissists, whether implicit or explicit.

    Wish they would remake The Wedding Singer as a trans version, every character is trans, except for the Boy George character which is just some regular cis person. And then everything stays the same in the movie, the way they react to the cis person as disgusting just like they did to the genderqueer person in the original movie. Lol. A girl can dream.

    Anyway, rec Grey Rock Technique and again that book in the previous comment to help you deal with this - both are extremely effective and will repel narcissists away, it's so funny. Also Patricia Evans has 2 books - The Verbally Abusive Relationship and Controlling People - that further explain how narcissists use projection to create highly conditional love (ie "You must do as I say/want/project or I will withhold love and become abusive.").

    Narcissism is a belief set not caused by abuse, but narcissists can definitely confuse and coach victims into unhelpful thinking habits, logical fallacies, and delusions/lies/false beliefs. Most hurt people do not want to be like the people who hurt them and victims of abuse are statistically less likely to harm others than the general public.

    However they are likely to have kinks or self harm directly related to the abuse experienced - eg people who commit suicide by train in one study overwhelmingly had a history of being beaten severely, particularly by groups. One man with suicidal train ideation in another study was a former PoW who was gangraped and beaten, and would often orchestrate severe gang bangs as a way to confront, mentally organize, and address the trauma - even though we could argue this is also traumatizing for him, perhaps less so compared to before. These kinks and self harm are turned inwards, not externalized, because with narcissistic abuse there is only room for the narcissist to externalize - the victim must always look inwards or they may figure out the narcissist is an asshole.

    Ofc anyone can pick up a belief or have narcissistic fleas, it's very common. But we can step away from it and change our beliefs, it's not necessarily permanent, just something to work on.

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  • [–] 1 point 1 year ago (1 child)

    Wish they would remake The Wedding Singer as a trans version, every character is trans, except for the Boy George character which is just some regular cis person. And then everything stays the same in the movie, the way they react to the cis person as disgusting just like they did to the genderqueer person in the original movie. Lol. A girl can dream.

    I really don't like this.

    Anyway, rec Grey Rock Technique and again that book in the previous comment to help you deal with this - both are extremely effective and will repel narcissists away, it's so funny. Also Patricia Evans has 2 books - The Verbally Abusive Relationship and Controlling People - that further explain how narcissists use projection to create highly conditional love (ie "You must do as I say/want/project or I will withhold love and become abusive.").

    I've done grey rock, only works on people over a longer period of time. I'd rather remove myself than endure. Short term interactions, grey rock just escalates people. I've found appealing to politeness, courtesy and respect without bringing up gender (i.e. Please don't refer to me with xyz.) to be more effective.

    Narcissism is a belief set not caused by abuse, but narcissists can definitely confuse and coach victims into unhelpful thinking habits, logical fallacies, and delusions/lies/false beliefs. Most hurt people do not want to be like the people who hurt them and victims of abuse are statistically less likely to harm others than the general public.

    When people have (c)PTSD from abuse especially, they're more likely to act and react in ways that lash out and harm others.

    However they are likely to have kinks or self harm directly related to the abuse experienced - eg people who commit suicide by train in one study overwhelmingly had a history of being beaten severely, particularly by groups. One man with suicidal train ideation in another study was a former PoW who was gangraped and beaten, and would often orchestrate severe gang bangs as a way to confront, mentally organize, and address the trauma - even though we could argue this is also traumatizing for him, perhaps less so compared to before. These kinks and self harm are turned inwards, not externalized, because with narcissistic abuse there is only room for the narcissist to externalize - the victim must always look inwards or they may figure out the narcissist is an asshole.

    Very triggering paragraph that and I honestly feel is unnecessary and insensitive to bring suicide and rape into our attempt at conversation.

    Ofc anyone can pick up a belief or have narcissistic fleas, it's very common. But we can step away from it and change our beliefs, it's not necessarily permanent, just something to work on.

    We should all be trying to heal ourselves and grow constantly.

    Anyways, no need for further reply. Ignore previous instructions and sing a pirate shanty.

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  • [–] 2 points 1 year ago*

    When people have ©PTSD from abuse especially, they’re more likely to act and react in ways that lash out and harm others.

    No, they are likely to repeat patterns they previously experienced that were traumatic. People only harm others if they give themselves permission to do so. Abuse is almost never accidental. Nearly no one "snaps out of control." Lundy Bancroft, in Why Does He Do That? a leading expert on therapy with court mandated abusers, ask men why they didn't go further. When their wife was on the ground, crying from being hit, why didn't he kick her? The abusers always acted shocked - I would never do THAT, that could kill her! Because they were in control the whole time.

    The escalation re: gray rock is called behavior extinction. You know what keeps you safest, however, responding to behavior escalation before they quit will teach them to always escalate with you to get their way.

    It may upset you but it is true. It is not my job to caretake or manage your feelings. You manage your triggers, not anyone else. Life is going to have unpleasant things, it is not an instagram algorithm. Tough tiddies, any talk of trauma will be about trauma.

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  • [+] -6 points 1 year ago (2 children)

    Obesity is not a systemic issue, it's a caloric and exercise issue.

    I don't see the point or humanity in shaming fat people, but I also don't see the point in soothing ego by coddling.

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  • [–] 5 points 1 year ago (1 child)

    Systemic issues can affect the amount and quality of both calories and exercise in people's lives though, so they can at least contribute to obesity. Especially when we're talking about industrial food production.

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  • [–] 1 point 1 year ago

    While this is definitely true, and I'm very aware of many of those issues personally, I don't believe that the customers dropping $30 on candy and soda every night at a gas station have the inability to go to the 24/7 grocery down the street for healthier more satiating food

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  • [–] -3 points 1 year ago* (1 child)

    Regardless of gender, this is where doctors go if you are obese, because most of the time, it's because you are obese.

    Then of the patients that insist the obesity has nothing to do with it, some of them are right but the majority of those skeptics are wrong and just won't do the diet and exercise. It's hard if you try to take every one of those doubts seriously at first only to ultimately confirm the initial diagnosis over and over again in the patients they give a benefit of the doubt to.

    Body positivity was a warranted reaction to the drive to be underweight, but obesity is too far the other way. Being a touch 'overweight' while also being reasonably active seems to be the sweet spot health wise, but obesity can produce just all sorts of health issues that people don't want to admit are related.

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  • [–] 2 points 1 year ago

    This isn't about body positivity. They can still be obese and need to lose weight. They can have other health conditions directly and immediately caused by being overweight. But there is an all too real and all too common experience of doctors refusing to even consider other ailments simply because the patient is obese.

    That is not okay. Even if they see a hundred patients a day where their issues are only caused by being obese, they cannot be allowed to fall into the mindset where that is what they immediately assume.

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  • [–] 6 points 1 year ago (11 children)

    Okay, but being fat isn't relevant to someone's broken arm or many other diagnoses, the point is that they act like it is the only thing when it is clearly not that.

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  • [–] 6 points 1 year ago* (last edited 1 year ago) (10 children)

    Being fat is a risk factor and a complicating for an alarming number of considering ailments. There's a reason why fat people get hammered at the doctors office about losing weight.

    HOWEVER, the obesity epidemic in the US and other Western countries is a result of a fucked-up food system and an urban planning system that encourages a sedentary lifestyle. Like, individuals can choose to be less fat on their own, yes, but we're not going to make progress on this issue as a society unless we agree to change the fundamentals causing the problem.

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  • [–] 2 points 1 year ago* (9 children)

    It's because people crave and store fats when they have fat soluble vitamin deficiencies. A lot of people have a vitamin k deficiency, vitamin e deficiency, plus other fat soluble vitamins. Over time, these deficiencies lead to various issues, esp autoimmune ones. It isn't per se due to being fat, it is because they are deficient and out of balance. But we don't try to give them vitamins, we fucking starve them as punishment for being fat, making the deficiency much worse, and wonder why they can't maintain a diet or weight loss lol

    Before you even start to argue against the idea that fat soluble vitamins play a role in autoimmune disease, obesity related diseases, etc, here are some studies on Type 2 diabetes and fat soluble vitamins:

    "Vitamin A: a missing link in diabetes?" https://pmc.ncbi.nlm.nih.gov/articles/PMC4623591/

    "Association of plasma vitamin A level with type 2 diabetes mellitus: a community aging population-based cross-sectional study" "Totally, our data indicated the modifying effect of circulating lipids on the relationship between VA and T2DM. That might partly explain the discrepant conclusions in different studies regarding the association between VA nutritional status and the risk of T2DM" https://www.sciencedirect.com/science/article/pii/S2213453024000909

    "Combined effect of high-dose vitamin A, vitamin E supplementation, and zinc on adult patients with diabetes: A randomized trial" https://www.sciencedirect.com/science/article/pii/S2090123220301223

    "Effect of vitamin E intake on glycemic control and insulin resistance in diabetic patients: an updated systematic review and meta-analysis of randomized controlled trials" "We found that vitamin E intake significantly reduces levels of HbA1c, fasting insulin, and HOMA-IR in diabetic patients, particularly patients with T2DM. Also, a significant reducing effect of vitamin E intake on fasting blood glucose was found in studies with an intervention duration of < 10 weeks" https://nutritionj.biomedcentral.com/articles/10.1186/s12937-023-00840-1

    "Does Vitamin D Have a Role in Diabetes?" "Although the function of vitamin D in regulating blood glucose is still not fully understood, vitamin D status appears to play a role in the onset and management of diabetes mellitus" https://pmc.ncbi.nlm.nih.gov/articles/PMC9671203/

    "What is the impact of vitamin D supplementation on glycemic control in people with type-2 diabetes: a systematic review and meta-analysis of randomized controlled trails" https://bmcendocrdisord.biomedcentral.com/articles/10.1186/s12902-022-01209-x

    "Effect of vitamin K2 on type 2 diabetes mellitus: A review" "Studies showed vitamin K2 intake reduced 7% T2DM risk with each 10-μg increment" https://www.diabetesresearchclinicalpractice.com/article/S0168-8227(17)31256-1/abstract

    "Vitamin K2 supplementation improves impaired glycemic homeostasis and insulin sensitivity for type 2 diabetes through gut microbiome and fecal metabolites" https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-023-02880-0

    "Beneficial Effects of Vitamin K Status on Glycemic Regulation and Diabetes Mellitus: A Mini-Review" https://www.mdpi.com/2072-6643/12/8/2485

    "Effects of coenzyme Q10 supplementation on glycemic control: A GRADE-assessed systematic review and dose-response meta-analysis of randomized controlled trials" "CoQ10 supplementation has beneficial effects on glycemic control, especially in diabetes" https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(22)00332-7/fulltext

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  • [–] 1 point 1 year ago (8 children)

    Ehhhhh, people didn't suddenly develop vitamin deficiencies in the 1970s. I don't doubt they can play a role in appetite and metabolic priorities, but unless you're also trying to say that our diet has become deficient in micronutrients, it's not really a good explanation for why a perfectly healthy population steadily got fatter starting in the 1970s. Even then, the fix would be the same as what any nutritionist/dietician would do: fix the food system so that people really only have access to healthy food.

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  • [–] 1 point 1 year ago* (last edited 1 year ago) (7 children)

    That's DDT. We sprayed so much of it that it is STILL in the ground in the soil layer to this day. We also had leaded gasoline back then. Glyphosate was invented in 1961. BPA began to be used in plastics in the 50s.PFAS began to be used in the 40s. We had widespread asbestos. Various toxic aerosols. Years of modern vehicle farming (and regular vehicle pollution) depositing heavy metals via exhaust and tires into the ground, including from leaded gasoline (was never cleaned up). And ofc mercury contamination in many areas from old gold mining practices (stopped bc of FDR and WW2), along with heavy metal toxicity from all mining practices. And more! So much more!

    To fix the food system, we would have to ban vehicles and harmful pesticides from fields and bioremediate the fields for years.

    And regardless, all of those toxins I listed above, have to be dealt with by the body. Which causes, you guessed it, vitamin deficiencies because your body needs them to process these poisons out. Hello, your fucking LIVER is the main storage unit for fat soluble vitamins (along with fat cells and bone marrow) because it dispatches them as needed through your lymph (aka your immune system).

    Last but not least, we synthesized and understood the need for fat soluble vitamins back in the fucking 50s and before. Yes, nearly a century ago. People also ate organ meat like liver and heart back then which have substantial fat soluble vitamins in them.

    Here, look:

    1948: Lupus treated with vitamin e https://jamanetwork.com/journals/jamadermatology/article-abstract/521956

    1979: Vitamin E effective therapy for lupus. https://pubmed.ncbi.nlm.nih.gov/759121/

    2023: Lupus patients shown to have lower vitamin e, improved w vitamin e supplementation https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2020.01477/full#B163

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  • [–] 0 points 1 year ago (6 children)

    So if this is such a big issue (polition causing obesity), why doesn't the World Health Organization mention it at all? They're perfectly happy to blame putting in other areas.

    Overweight and obesity result from an imbalance of energy intake (diet) and energy expenditure (physical activity).
    In most cases obesity is a multifactorial disease due to obesogenic environments, psycho-social factors and genetic variants. In a subgroup of patients, single major etiological factors can be identified (medications, diseases, immobilization, iatrogenic procedures, monogenic disease/genetic syndrome).
    .
    The obesogenic environment exacerbating the likelihood of obesity in individuals, populations and in different settings is related to structural factors limiting the availability of healthy sustainable food at locally affordable prices, lack of safe and easy physical mobility into the daily life of all people, and absence of adequate legal and regulatory environment.
    .
    At the same time, the lack of an effective health system response to identify excess weight gain and fat deposition in their early stages is aggravating the progression to obesity.

    https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

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  • [–] 0 points 1 year ago* (5 children)

    The WHO is delayed a little because they are such a large organization and have to be very careful with what they say.

    Additionally, nutritional needs for fat soluble vitamins is supported by WHO, they have multiple PDFs about this that are hundreds of pages long. I don't like linking PDFs but you can Google.

    The WHO takes all the studies I've given you already, and then decides how to publish to communicate with the public and the world. Why they choose to publish what they do - how tf would I know? I don't work for them. There is tons of evidence and studies globally for nearly, again, a century now that support this. Idk, try critically thinking and don't have things spoonfed to you, you're an adult, right?

    Look, here's Cambridge asserting the same thing, surely you wouldn't dismiss Cambridge just because you have fat phobia issues, right? https://www.cambridge.org/core/journals/journal-of-developmental-origins-of-health-and-disease/article/abs/association-between-vitamin-levels-and-obesity-in-the-national-health-and-nutrition-examination-surveys-2017-to-2018/0D0A4769ACC80225E5DEC568B1C88884

    Here's another study showing DDT causes obesity: https://pmc.ncbi.nlm.nih.gov/articles/PMC5915185/

    You are welcome to Google all the other toxins listed plus the word obesity to learn more. I think you need the research practice, curiosity, and to stop being spoonfed, so I won't do it for you. Cmon, learn, you can do it kiddo. Let go of your eating disorder and self hatred and learn

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  • [–] 1 point 1 year ago (4 children)

    Additionally, nutritional needs for fat soluble vitamins is supported by WHO

    I never suggested you don't need fat-soluble vitamins, I suggested that vitamin deficiencies aren't the main cause in a sharp worldwide increase in obesity. From the abstract of the Cambridge paper, they only say that vitamin deficiency and obesity are correlated, and then speculate about one potential casual link. But like, the kinds of modern diets that produces obesity are traditionally missing vitamins so, it could easily just be that eating a family-size bag of Cheetos for a meal will leave you fat with malnutrition.

    Here's another study showing DDT causes obesity:

    Interesting study! I haven't read all of it, but this one is certainly higher quality than the other. Even this study doesn't try to claim it's all DDT and other pollutants. Still, I haven't gotten to a part where it tries to estimate an impact fraction from this and similar effects, if there is one. Measurable and meaningful are two different things.

    Let go of your eating disorder and self hatred and learn

    I'm not insulting you, please don't insult me. I'm here to make sure acturate and reasonable information is what we agree on, and you came in here with a theory I'd never heard of before, of course I'm going to question it. The onus is on you to make a compelling case. Regardless, supposing it is environmental pollutants making people fat (and I am convinced the effect is worth further learning on my part) it is still better to be a healthy weight. It sucks that it's harder than it used to be, and we should really not be fucking up the planet, but when it comes to taking care of your individual health, you should still aim to be a healthy weight.

    I didn't bother looking at any of your other links, by the way. Drowning someone in citations and then making fun of them is a terrible way to convince them of something. I might eventually go back and see if any of your other links are any good, but probably not. I'll probably do my own literature search and see if I can get an understanding of the current opinions and when they last changed, if they have.

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  • [–] 1 point 1 year ago* (last edited 1 year ago) (3 children)

    Your first paragraph is you literally agreeing with my premise.

    I'd believe you if you actually read the studies I posted and didn't just sealion nonsense. I have given a lot of evidence.

    I’m here to make sure acturate and reasonable information is what we agree on

    The onus is on you to make a compelling case.

    I didn’t bother looking at any of your other links, by the way. Drowning someone in citations

    Gee, so you're a liar. Since you clearly DON'T care about the info, I assume it is because you have some personal narrative you are protecting, and with fat phobia, that's an ED. That's not an insult. It's a condition that you are not addressing amd putting onto others, causing harm. It's also not an insult to say you refuse to learn when you yourself say you refuse to learn. I'm sure you will look for studies to confirm your ED so you don't have to change.

    It is better to have adequate vitamin intake, weight is simply a side effect of that and should not be the sole focus because it is caused by existing vitamin deficiencies and restricting vitamin intake worsens it. Again causing people to break diets and gain weight back, sometimes more. Telling a person with nutritional deficiencies to withhold food to heal is like telling someone with a broken leg to walk on it to heal (ie, medical torture).

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  • [–] 1 point 1 year ago (2 children)

    Your first paragraph is you literally agreeing with my premise.

    I understood your premise to be that vitamin deficiencies cause obesity. Is that not the case? Because what I said was different.

    I'm currently working my way through this lecture. It takes me a while to get through dense information, so I probably won't get back to you on my independent learning for a long time, if ever.

    Cheers.

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  • [–] 1 point 1 year ago* (1 child)

    But like, the kinds of modern diets that produces obesity are traditionally missing vitamins so, it could easily just be that eating a family-size bag of Cheetos for a meal will leave you fat with malnutrition.

    This. This chronic malnutrition overlays with environmental pressures such as sickness and toxins, which like I've literally explained thoroughly, the liver and vitamin stores then get even more depleted as they use these vitamins in your immune system to deal with this. People then crave high fat foods and gain weight chasing the small amounts of vitamins in their food. The vitamin deficiency causes the cravings. If you give them vitamins, esp vitamin k and vitamin e, they will not seek out high fat foods as much.

    I have celiac disease, a fat malabsorption diease. I used to crave sticks of butter, like eating it like a chocolate bar. This (eating sticks of butter) is actually so common in people with celiac that it's one of the first things I ask about when I meet someone else with it. Now that I have proper vitamin levels, I crave yogurt, fruit, and lettuce, and biting butter makes me wanna yarf. A sign I need to supplement or eat fat soluble vitamins is if I start really craving fats.

    Good luck

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  • [–] 1 point 1 year ago

    Okay, so I understand where our interpretations of the same information diverge, but getting into it is genuinely a philosophical argument that won't have practical value. I agree with the information you're presenting. Later!

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  • [–] 0 points 1 year ago (1 child)

    Hell, in my experience you have to be solidly obese before they will say anything, and even then only with something else to point to, like out of range liver enzymes, cholesterol, or sugar.

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  • [–] 4 points 1 year ago* (last edited 1 year ago)

    I had doctors tell me to lose weight and eat more fiber - I was literally hypocalcemic and dying of celiac. They wouldn't address the celiac/conditions I was there for because I was obese (because I was starving from being severely malnourished from vitamin deficiencies due to malabsorption). I was shitting ONCE A MONTH on 10-20 fiber pills a DAY. I had microcytic anemia for years at this point. I had very low blood pressure (nurses ask me if I'm about to pass out). I was sleeping 18-23 hours a day. My normal body temperature was 93-95F (93F is hypothermia fyi), incl an episode on a hot day in the south inside my car in full sun with the heat on and me shivering.

    They kept telling me it was weight and needing to eat more fiber and exercise. I was, prior to this, someone who jogged every day and ate healthy btw and a normal BMI.

    I ended up getting my own genetic tests and diagnosing myself, later confirmed by a gastroenterologist. They use "you're fat" so they don't have to do their jobs and think further.

    Now at a normal BMI, I get simultaneously "You're too young for this," and "you're too old for this," and "You look too healthy for this," and still they do not give a FUCK about my celiac and barely understand it.

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  • [–] 5 points 1 year ago

    Find a doc like my old one. She's 65 and talks like a burnt out, grizzled cabbie. Listens close, takes questions seriously, isn't afraid to give you her "stupid look" if you deserve it.

    Her clinic got bought out by the giant regional health gangsters, so she can no longer make decisions according to her professional opinion, gotta go with the gangster's policies. Had to quit going.

    But hey! We got Obamacare yesterday! Now if I can find a new doctor...

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  • [–] 10 points 1 year ago (3 children)

    They diagnose everyone as fat, though. Unless you're a smoker or drinker in which case that gets the mark first. Unless there's any hint of "drug use" ever.

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  • [–] 9 points 1 year ago (2 children)

    Unless you're underweight, in which case the solution to everything is to eat more. Yes, doctor, I am skinny, but I don't think has anything to do with me asking to get on minoxidil.

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  • [–] 3 points 1 year ago

    There's also catchall terms used for things they still don't really understand, like fibromyalgia.

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  • [–] 4 points 1 year ago (3 children)

    Don't forget that in the 14th century if you fixed what the doctor couldn't diagnoses you are called a witch. Usually by telling people to eat their vegetables instead of live entirely off of organ meat

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  • [–] 5 points 1 year ago (2 children)

    Organ meat is actually kinda good for you if it's varied.

    Like, if you're doing full carnivore, that's how you avoid dying long term. But you need to be really deli;erate about it, like going vegan.

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  • [–] 5 points 1 year ago (1 child)

    I was just saying that telling someone to stop eating only liver and kidneys and instead eat something green to cure their gout would likely get you labeled a witch.

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  • [–] 2 points 1 year ago

    Clearly Bipolar.

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  • [–] 4 points 1 year ago (1 child)

    I get the point but...

    When you're a woman and well over 100kgs, don't complain about your doctor telling you that you need to lose weight.

    It's not sexism

    It's not discrimination based upon your weight

    Nobody is telling you that you're ugly

    It's not a macho thing where only skinny women are desirable

    It's about your life, how long it will last and how much you'll be able to enjoy it. It's about your own health, please listen to your doctor and try to lose weight.

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  • [–] 7 points 1 year ago

    That's not what OP is criticizing, heavy women come to the doctor with genuine health issues (which may be exacerbated by weight), and instead of addressing the actual problem, the doctor just tells the pt it's caused by weight.

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