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Cake day: June 17th, 2023

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  • The comment I originally replied to was asking about removal of appetite. The point I was making was that appetite isn’t the only reason people consume calories.

    The jabs do not cause you to exercise, and losing weight without some level of exercise to build fitness is also not healthy.

    The point Streeting is making is that you can’t just eat to excess and expect, 20 years later, that the NHS can fix all your problems with an injection.

    It’s the same way that alcoholics are not given liver or kidney transplants, or smokers new lungs, because even if you did the transplants all the other problems (cancers, etc) would still exist.

    Primary healthcare is really complicated because you’re dealing with people who are generally speaking not at the worse bit, yet, and so patient’s motivation to consider, let alone make, changes can be non-existent.

    This in turn is what makes a preventative healthcare model so much harder to achieve. The best way to treat T2 diabetes is to not get there in the first place, but friends of mine routinely have conversations with patients where their likelihood of having T2D, or stroke, heart attack, etc, is very high within the next 5 years, and are met with blunt refusals to even consider something as trivial as a lower calorie butter/spread, and instead just demand a jab.

    This is not everyone, but it is a significant proportion, and it’s right the Health Secretary to remind people that while the NHS does exist, and will support you if you get there, that it’s better for yourself to not end up there in the first place.





  • There’s a false premise here that people only eat when/because they are hungry, as in, they are in need of calories, and stop when they aren’t.

    They don’t. People eat for loads of reasons, and many of us have really unhealthy relationships with food, e.g. we eat it we’re sad, or bored, or to punish ourselves, etc.

    Then there’s calorie density, you may not even realise how much you’re consuming. For example, a pint of beer has a similar amount of calories to a mars bar. You could quite comfortably drink 4 pints over an afternoon, consume 1000 calories, and then go out for a meal, in a way that you probably wouldn’t eat 4 mars bars, and then have a meal.



  • Having many friends who work in primary care, this is a common view among professionals.

    On a fundamental basis, it’s almost impossible to outrun a bad diet, even some people with gastric bands manage to put the weight back on after a few years.

    There are many social cofactors in people’s weight - shit job and irregular hours make it very difficult to cook, multiple jobs, an inability to cook, cheap food being pumped full of shite, very little money, etc etc etc - which also need to be fixed.

    But oxempic, and the rest, are the equivalent to a very effective hangover cure. Just cos you can drink 15 pints and pop a pill in the morning to feel better, doesn’t mean you should, or that’s it’s healthy to do so.






  • My argument since the election has essentially been, until the budget we don’t know what political decisions Reeves will make.

    Reclassifying debt and assets in line with the IMF absolutely makes sense economically, and the Tories didn’t do it for political (ie brutalise the poor) reasons.

    If the budget comes, and meaningful investment is not a centrepiece, then we can justifibly start calling Reeves many names under the sun, but until then, we cannot in good faith pretend we know what she’ll do.

    Yes, I’m giving her the benefit of the doubt. I really hope I’m right in doing so.

    If I’m not, then fair enough, and I won’t pretend otherwise.