Saturday, 22 November 2014

Multi-Component Lifestyle Management

Simon Stevens, current head of NHS England has a five year plan for that arm of the National Health Service. High on the agenda of this epic fantasy word salad is;
...the prevention, identification, assessment and management of overweight and obesity in adults and children.
Hang on a minute.'Obesity' [type 2 diabetes] is costing the NHS "too much." In order to save money, it must spend more with a failed system that fat people have thus far mostly paid for out of our own pockets? Clearly "the costs of obesity"= how much money will flow into this area, away from others.

I knew once it was clear that enough fat people had seen through dieting, we'd be drawn into the mainstream fold. We did the dieting ourselves and this kind of move demonstrates this. I used to wonder why does anything to do with health seem to spring from the healthcare system, yet somehow fat people pay for something that is supposed to be a health issue?

Not sure whether the (nominal) notion is, close pressure of observation will be a key factor in slimming success. Or whether sufficient numbers of people who lean more towards slimness have grown plump or what to give the appearance of success. Have you noticed the way slimming companies success stories have gone more from fattest to plump?

No matter the obvious failure of calorie manipulation, the crusade keeps rolling on, regardless. Erasing our actions is part of the idea that your size is your discipline.  How will they dress this old rope? GP's must spot all 'overweights' and 'obeses' and direct us to;
..effective multi-component lifestyle weight management services for adults who are overweight or obese (aged 18 and over). ....weight management programmes, courses, clubs or groups that aim to change someone’s behaviour to reduce their energy intake and encourage them to be physically active.
Like this "obesity algorithm"? Basically the same disordered calories in/out based practices that have led us here, sometimes dubbed "behavioural." It's like breathing is "behaviour" because you can hold your breath. The influence of conscious control proves its fully under your conscious control right? The supposed pathway of savings is by helping to;
reduce the risk of the main diseases associated with obesity, for example: coronary heart disease, stroke, hypertension, osteoarthritis, type 2 diabetes and various cancers (endometrial, breast, kidney and colon).
None of which are not associated with a BMI of under 25, no matter the wishful thinking. Does this include the cost of the assault of drugs and surgery on the body, which we know are substantial.
The focus is on lifestyle weight management programmes that:
  • accept self-referrals or referrals from health or social care practitioners
  • are provided by the public, private or voluntary sector
  • are based in the community, workplaces, primary care or online.
We're to be harrassed wherever we go are we?

My first impulse to diet was about aged 7. It represented one of my first conscious, autonomous expressions of total initiative. As a child, you get used to being told what to do all the time, to being micromanaged. Changing my weight through calorie restriction, was my first attempt to design and execute a plan all by myself. With no outside input.

That was a very long time ago. But one thing hasn't changed is that this isn't about the involvement of others, it's about me and my efforts. I've never been to a diet club in my life and wouldn't dream of it. The idea has zero appeal.

What I signed up for-aged 7, till I crashed and burned years later was not at the behest of others, nor with their interference and prying even if that's called creepily "support."

And I think you'll find that's a general unspoken truth about dieting. Its rictus grip over the public imagination is to do with the prospect of avoiding doctors other medical professionals and any other health police. It's something you can do on your own. Everyone yearns to have a means to release the doctor within.

Now whilst I know diets don't work-from personal experience and well as observation. The idea of health in our own hands does.

And I want, we all want more of it, not less. More ways to change, restore alter the functioning of ourselves and our bodies. Marginalizing fat people from healthcare, has edged the medical profession out of the centre of my healthcare. Yes, I'm relatively healthy as in free of disease and that is a privilege.

But that's as it should be in my view. I don't share this desire for well people to keep going to the doctor, no matter the excuse. To me, that's for sick people. That drift is interesting, but I said no to religion and I repeat, my doctor is not my priest, end of story.

I'm even less inclined than ever having seen the sainted medical profession in its full ruthless inglory. As for those who've spent decades ragging fat people, looking down their nose at us can just skip on. I'm disinclined to be a vehicle for them to be rewarded for it.

Their assistance has never and will never be required for me.

So the NHS can skip trying to take hold of my life, unless I request it because its mine. I do not need to be named, to be categorized, told my experience or dictated to in anyway, thanks. And I say that as someone who believes in collective endeavour.

You do not own me. I am not your servant and no bullshit pre-text will allow me to knowingly give up the autonomy that was my first drive to alter my size.

Friday, 21 November 2014

The Obese Entry Point

For a crusade trading so long on pointing out indolence, the 'obesity' crusade is remarkably fond of re-cycling it's old tat. Calorie restriction dieting, lifestyle change/choice, lifestyle/weight management. Exercise, activity, active lifestyle, health, all referring to the same.

At least there, bothering to alter terms. Probably because the false consciousness was being rumbled. 

Not yet with a current favourite, invoking terrorism.

"Obesity is a bigger cost for Britain than war and terror." 20 November 2014 

Really? That's funny because;

"Obesity more dangerous than terrorism: experts. The Age- 25 February 2008

"Obesity, bigger threat than terrorism?" CBS- 1 March 2006


The guardian itself; [US] "Obesity epidemic, bigger threat than terrorism?" 3 March 2006

Now this terrible scourge....................... of hackdrivel has caught up with poor old Blighty. 'Twas inevitable. There's been a lumbering up to this one as crude as the bluntest filled-with-visceral-horror stereotype of a fat person on the move.

Most of the above is attributed to one Richard Carmona, an ex-US surgeon general. He exited his post on 31 July 2007. All this was so compelling that it took a while for the press to get excited. Perhaps they knew b/s when they smelt it?

In the end though, the press give the public co-ordinated sockpuppets who make approving noises whenever this propaganda appears what they want-traffic and all that. [I'm increasingly suspicious of BTL comments on these adipocalypse puff pieces.]

So what are we to make of this report excuse for passing the constipated matter that is this torrid bumpf? I'm still deciding whether its worth wading through a 2MB pdf re-hash that I'm guessing isn't dominated by graphics.

It says it has evidence for 44 interventions, into the lives of people out of 70 something they considered *gulp*, being acceptable. Eurgh.When a person has to do that many things to do something your body does automatically, you know it's about the approach, the intervention/s. 

Self named a "discussion paper", it majors on the usual fat people as other. A cost burden- though by that same posit, slim people could be deemed other and a cost to fat/ter people.

Not right now though, the establishment is leading this "discussion" [euphemism for not one]. And though the evidence is that men in many countries, men tend to have a more uniform spread of weight across class, than women, [though we're continually told they're making inroads.]

This adds up to slimness as default human. What do all these f-a-t establishment figures think whilst going along with this? Do they think they aren't fat? Is their fatness somehow obviated by wealth/influence? Does the old saying "You can never be to rich or too thin" need a re-work to something like "You can never truly be an 'obese' if you're rich?"/ "The 'obese' mask cannot rest on the face of a rich man?"

A lot of the powers that be and their cronies are receiving more and more money for this old rope.  'obese' is really just an entry point for other things. Consisting increasingly in sticking its nose in your beeswax, ordering you around, telling you exactly how to live and what to do with your free time. What am I talking about "free time" do you think you have any?

Time belongs to the man! What would Einstein say?

Invasive lifestyle management, mental re-adjustment-to sustain anorexic behaviours, finally admitted to require jettisoning the mental drain that was the 'obese' persona imposed on fat people. "We're all be 'obese' by the year 20 whatever" now reveals a new undercurrent of meaning. Wishful thinking.

When people are 'obese' they can lose their sense of self. They will take the kind of orders they otherwise wouldn't dream of. If you're goal was power, would you be "incentivized" to turn society's weight around? 'Obeses' are ideal citizenry, trusting, docile, obedient-grateful.

It's funny isn't it? We went along with we must become slim. Slim people went along with being part of enforcing this. And now we may all go down together tethered to this boat. 

Pills, anti-seizure meds, operations to remove stomachs. Assessing, controlling people's lives to a tee from cradle to grave, with the threat of this or death penalty. By the time people see through this, goodness knows how much they'll have made away with. Or what will be left of our sense of self or freedom or even healthcare.

PTB are like petty criminals, opportunist to a fault.

Now when you hear "obesity costs", you know you're hearing the kind of cash they intend to drain out of healthcare in order to "save" healthcare expenditure or even whole systems. The NHS is having trouble not because of political re-arranging with every change of government, or the inflexible practise of a stiff medical hierarchy, but because too many of us are ovah-whait;
The UK spends less than £638m a year on obesity prevention programmes – about 1% of the social cost, the study finds.
That much? I wonder what on? Certainly not to find out ways of say blocking people's bodies from scaling whatever highest heights they happen to be triggered into. Or simply trying to stabilise people's weight, rather than operate and remove their organs, under the ransom of continued gain and/or actual health problems.

Despite there already being more leads than many imagine. Its like any "sin", the lack of answer is not a reading of the state of our knowledge, it's rough justice for the "sinners."

As I always said, there is no objective evidence that this particular crusade is that invested in reducing people's weight. It's more into setting up the idea that your life is not your own. Starting with casting bodies as disease and de-animating fat people, defining us as non-sentient fat suits.

Whether this ownership comes through religion, politics or healthcare? Who cares? The same classes run them all-till they lose power. Fat people are simply a current conduit for this kind of impulse.

So, we ought to be pissing away more resources even more uselessly down the drain? And the people like these report writers, medical professionals, nutritionists, psychiatrists, social workers everyone's out for a bit of this, can get paid to tell us to do what we've already done under our own initiative, in the guise "personal responsibility."

 Now laughable including taking pills and being operated on to reduce the function of your functioning body. Since when is the surgery arm of the medical machine "personal"?

Despite no evidence of dead fat bodies littering the streets, nor even of life expectancy regressing a la their ceaseless so-called predictions.

Tuesday, 18 November 2014

Ye GADs

Something I did to relieve myself of a very trying eating disorder-hyperphagia nervosa (HN) or over functioning hunger/appetite mechanisms-was to (what I called) "train my nervous system down." To retrain it from hyperactive to calm.

First at rest, later in action. This was a slow process where I first trained myself to be physically and mentally calmer whilst still. The next step was to transfer as much of this learned state of calm as I could to motion.

I was amused to find out that this reference to the tension in your nervous system, has been coined; generalized anxiety disorder [GAD], since 1980 apparently! Typical of psyche professionals turning the whole world into a psyche ward.

What I saw as merely part of a condition, is named as a "disorder" in its  own right. Boo hoo.

This kind of thing is one of many reasons why 'obesity' isn't compatible with modern society's trends. It's not just that it is demanded that you prioritize other people's offense with your existence/physique, it's that you have to dry their tears over something you barely have time to take seriously.

Whilst being accused of being the ones too incontinent to stop considering every little thing an illness-remember critique of the AMA's "obesity is disease" as if we personally said it was.

We of course didn't.

Monday, 10 November 2014

Bricked In

Larry Evans is losing weight. He started his calorie restriction, exercise regime at 800lbs/362kgs. He's got down to at least 650lbs/254kgs. I wish him and his "team" the absolute best. May they get where they need to get, stay there and be healthy hale and hearty.

One thing I can't stand is the cheerleading chorus who are valorizing his situation and its sub-biggest loser style talk of jouneigh. Someone even claimed this was in some way heroic. Let's make something clear, this kind ofstruggle is the product of deliberate policy - trapping fat people into a the suffocating house arrest of calorie restriction with exercise bulimia- themselves too.

From the start of the 'obesity' crusade, if not before, fat people have been bricked-in to a calorie restriction/virtual starvation diet or die scenario, using contrived but acute discomfort, pain and anguish to hold us in.

Just as surely as a one strike and you're out life-sentence. And similarly, it doesn't give a damn about the costs to those unfortunate enough to be metabolic outliers. In fact, it has no problem seeing them perish if that's a part of what's going on with them.

It should be palpably disgusting that societies for the last 4 or more decades have openly said to fat people, "You're dying and that's okay." Luckily for us, it's not up to what society wants, still, that thought counts. Any nation that thinks people ought to die because of their weight or size is messed up. There's no one thin enough for me to declare their lives worthless and I cannot imagine what would get me to go along with such a notion.

It's the extent of conviction that if fat people just can't escape the relentless pursuit of everyone imposing lifestyle anorexia on us, or if it is too intolerable to be fat we will swap the stigma of fatness for the hunger of anorexia and exercise bulimia, our bodies will succumb and we'll all be okay.

We shouldn't have to be forced into "punishment" because of the displaced urges of others.  The urge to see a stocism in the face of any level of discomfort, others feel happy to shirk but not to let go of the idea of. Instead of looking to inflict pain on their own selves, they feel entitled to foist this repellent urge on those they feel its in their power and privilege to-fat people.

Hardly impressive.

Like an earthquake where the earth gives way beneath your feet, cue a manic scramble to climb out before it gives way again and you are lost to the world. That is what you are seeing, someone trying to claw their way out of a trap set by others.

It's not simply about size, it's  feeling trapped. It is well known that this can be a decisive factor in suicide. People dancing around the spectacle of this suffocation does not enoble them. Fat people are not inspirational porn.

There is nothing heroic inspiring or uplifting about witnessing the product of this mindwarp. Enjoyment here is, tawdry and shabby.  No-one, let alone a person of 800lbs should have to starve and lift weights purely to lose weight. If people wish to do those things, good luck to them, but it should be a choice for its own sake or other benefits like conditioning, not to expend energy as penitence at the imposition of fanaticism.

Calorie restricting your way to weight loss is a stupid embarrassment. The halo of slimness may be shining in these people's eyes, but your mind knows. Dieters often feel ashamed, guilty and silly. Dieting is stupid, self destructive and above all, utterly absurd. Unless you are honest enough to admit how risible it all is-even if you are going to do it inspite of that.

I say to metabolic researchers, it's long overdue that you get on and find a proper lever to reversing and advancing weight. You must be able to find at least one, there are probably many. Every day people like Larry have to take this route, risking the potential for their body to exhibit a powerful rebound manoeuvre that could leave them worse off than when they started, is a day you've failed.

Whether its people having tumours removed, or those losing their hunger, metabolic courses need to be altered in either direction and that should be obvious.

[And no, I don't see people like Larry as any less "deserving" of this than anyone else and nor should those who have the obviously low threshold for discomfort have anything to say about that.]

Wednesday, 5 November 2014

Hypothalamic Obesity

Things have been rather eerie lately. Turning a corner and walking into some unseen land that has uncannily familiar themes.

I've found it strangely chastening to read experiences I know many can relate to outside the straitjacketing imposition of the 'obesity' narrative. Like, this is what we are not hearing, despite never hearing anything but "obesity, obesity, obesity."

The haunting feeling partly comes from the suffering of children. It feels a little like gatecrashing someone else's crisis. Reporting the shock of fellow feeling and identification feels like I'm subverting their desperate situations to my own purpose. These stories are undoubtedly worth reading in and of themselves. 

It started by reading an article by Robert Lustig-yep the sugar is poison and responsible for teh "obesity epidemic" guy. It's about something called "Hypothalamic Obesity." Things got a bit too real in a different way, when I also tripped over a parent blogging of her young daughter's experience with this condition.

I don't doubt many others will relate to some of it too, despite not having had hyperphagic mayhem having a prize fight in your brain. I'm sure despair in the face of upward gain, in the face of trying so hard to prevent and reverse weight will strike a chord with many. 

Hypothalamic obesity is when a tumour on the hypothalamus-an endocrinal gland located on the underside of the brain-is removed and this trauma to the hypothalamus provokes aggressive and speedy weight gain and fatness. We're talking relentless weekly if not daily gain.

The difference between this 'obesity' and common or garden kind is, it's accepted as real. It has a distinct and objectively observable trigger or starting point, so though it wouldn't be impossible to deny, it would be harder to.

It cannot be cast as an elective choice of the individual and that its accompanying hyperphagia-heightened and/or excessive hunger signalling, is an actual imbalance in the body, rather than subject to being twisted into such as "food addiction", emotional disturbance, neurosis etc.,

There is an insistence that this hypothalamic obesity [HyOb] is marked out from other 'obesity' by being resistant to weight loss diet and exercise. Now anyone in tune with reality will note that this is not only unconvincing on its face its not true in reality either.  

It's marked by its trigger-tumour removal (occasionally the tumour itself) and speed of gain. That speed is probably a sign of what makes it even more intractable that just being fat. The hyperphagia that accompanies it isn't felt to be commensurate with fuelling such speed of gain. The body is storing energy at a high rate.

Monday, 3 November 2014

When Hunger Isn't Working

I hesitate to use this experience for the purposes of illustration. But, in view of the lack of real representation of what its like to have hyperphagia nervosa-HN, also called compulsive eating disorder-CED. I felt moved to point to a rare occasion where something like it appears.

What stunned me most in the story of 12 year old Landon Jones and his year long loss of hunger and thirst was this;
The soundtrack of daily life in the Jones household is a persistent mantra that Michael and Debbie intone for their 12-year-old son, Landon.
Take a bite.
Take a bite.
Take a bite.
Take a drink.
Take a drink.
Take a bite.
These parents have been forced to jabber away like this in the last year because of their son's mysterious illness: He lacks all impulse to eat or drink. And he might be the only person in the world burdened with this bizarre medical condition.
Michael, 43, who prods most often, is a desperate father. He's become a verbal robot in a grim campaign to keep his boy fed.
Take a bite.
Take a bite.
Take a drink.
That was the exact nature of the mantra in my head, when I had HN, except it was to remind myself not to eat. It's basically, the conscious mind replacing stop or in Landon's case, his parents (conscious) direction to start eating. And it is of the things I most remember about having a faulty hunger drive.

Again, I apologize if this seems crass but it leapt out at me more than any representation of having an hyperphagic disorder, ever remotely has. Certainly, nothing I've heard formalized by the eating disorders crowd has felt this real ever.

I remember once trying to compare this to when Lisa and Bart nagging and begging their parents for something the; please, please, please, please....... Except that endless nagging is an impulse inside your head. You have to counter that with the more conscious part of your mind. And at other times, you actively have to almost remind yourself not to eat, or you'll find yourself eating, because your hunger is open-ended.

In the hunger mechanism has shifted outside little Landon's as he has the problem in reverse. His hunger mechanism has either ceased to function, or is being blocked or overcome by something. He not only doesn't feel like eating, it feels almost like an assault. Just as being prevented from eating can feel like an assault to someone who's hunger is hyperactive.

His parents have become the conscious directive replacing the lack of inner drive. His father tells how they've taken it upon themselves to research and study the problem as he is said to be the only known case.

He said he's narrowed it down to the hypothalamus as the only part of the body that can take away thirst [which he's also lost]- as many things can undermine/block hunger.

Saturday, 25 October 2014

Cognitive Behavioural Therapy

My first response when I heard CBT (Cognitive Behavioural Therapy) was finally being waved around in conjunction with "weight management" was this should be good. Won't this expose the practice of turning of fat people's mind against themselves? [The 'obesity' construct starts its mindwarping with "child obesity" mess.]

Given the purpose of fat phobia has been to make being fat feel so bad that this unease either produces dis-ease or feels like it. The use of CBT and the like would surely expose that by turning it around? The theory behind this to provide explanation as to why diet's fail. Fat people's fatty tristesse. Why're ya sad fatso? Becasuse of my fat gut *sob.* Why d'ya have a fat gut? Because I'm sad. Neat isn't it? So, if fat people's a-hem.... mental health is improved-diets will stop failing.

Don't whatever you do ask how this affects metabolic function, after all that would technically be a scientific breakthrough.  It's the usual 'obesity' cult improvisation. They study afterward. Hey that reverses the clinical trial pathway.

I wonder if anyone's been given an award for this innovation?

Putting it bluntly, the kind of things CBT exists to combat were the techniques employed surreptitiously, to turn 'obesity' into a draining imposture. Goes something like this;

"Negative" Behaviour Cycle
Instead of the "everyone doesn't like me" it's you are disease, not a disease, the disease. That tends to produce "distortions", i.e it sets up a negative mindset. You can learn to interrupt and challenge this process, difficult though that can be (to the point where others define this kind of pattern as "illness.")

Buuuut, when the definition of you is producing it, that can become a life sentence until that [definition] is removed. 

Less sophisticated seeming societies would refer to this kind of shit as spell casting, bad magic etc., Basically through a set of culturally relevant mindwarps, you get people to mess themselves up, then claim that resultant badness/evil i.e. 'obesity' or less formally, "fat logic" is emanating from within them. Technically, a lawyer might argue that's not wholly incorrect [yes that's a double negative, enjoy.] Often the "treatments"required to expel this malevolence are quite vigourous, shall we say.

Anyway, let's see, here are ten cognitive distortions- negative expectations and beliefs that dominate your overall perceptions. How many of them will seem familiar?

1. Mental Filter- Sole focus on the worst possibilities and aspects of a situation filtering out any positives, i.e. the "obesity"construct.

2. Disqualifying the positive- Explains itself really. Any positives don't count.

3. All or Nothing Thinking-Things are either one thing or t'other, slim people are good fat people are bad, any deviation is "denial."

4. Overgeneralization-One example is universal. i.e. One person losing any amount of weight for any length of time, makes fatness "preventable."

5. Jumping to Conclusions- Events cue your pre-formed belief. Fat people are eating disordered. So fat people being enthusiastic about food signals, this eating disorder or the current craze "food addiction."

6. Catastrophization-Maximize negativity, i.e. An observation that either end of the spectrum of any trait, height, weight etc., has higher overall mortality than in between, becomes: Fat kills!!!!

7. Should's and Ought's- Please, you should be slim, you ought be on a diet. You should do whatever you're told, diet's ought to work. 


8. Personalization- Feeling to blame for what is partially or wholly outside your control. Fat people's over-responsibility feeling being fat is our fault and so's the failure of dieting, mind you, we're told that. [Also associated with those who have to look after adults from a young age.]

9. Emotional Reasoning- This is a doozy, basically the idea that because you feel something, it must be so, i.e. because others have cultivated excruciating discomfort about fatness, it's just got to be baaaad.

10. Labelling- Defining yourself, rather than the quality or nature of actions/circumstances/occasions.
And that's just ten of them. Don't hold your breath for this to be mentioned or any contrition or reversal of the 'obesity' cult mindwarp to be a direct out in the open target for the alleviation/ reversal of mental and physical health issues [yes I said physical]. Otherwise known as recovery.

What seems to be happening instead is that is deemed your neuroses. I'm not kidding. The constant panic mode insisted on by 'obesity' alarmist rhetoric, plus things like your nervousness through the aftermath of a constant threat of famine and, exorting yourself to diet and feeling angry with yourself for being fat. Is just the mismanagement of your mind.

Well, technically, that's not entirely false either. You did, but it doesn't say you felt morally obligated to go along with it.

This was wholly supported and advanced by "our betters." And they don't have the cojones to state that openly. Their courage is solely in the area of tearing up fat people pompously. Or now latterly dripping us with oleaginous pity, ((((shudder)))).

Luckily, there are some techniques that purportedly change the content of these to quite a degree to reverse the effect, as fatsphere has instinctively been doing by challenging received opinion. And connecting with our own real experience as human beings.

Or "obesity denial"/"fat logic" as our detractors should have it.