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Extended my extended fast.
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<blockquote data-quote="Tamarillo" data-source="post: 2560375" data-attributes="member: 544352"><p>Good food and exercise should come first. I'm lucky I have access to those things. I live in a community where lots of people are out walking and running, there are two gyms within 15 minutes walk (if that's your kinda thing!). I also have space and enough sun for a decent vege garden and some chickens. We can afford to buy plenty of good meat direct from farmers, although as you will know - that is getting more and more expensive! </p><p>Thank goodness my boys are past their biggest growing years now! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p>Having been involved in volunteer work with children in "underserved" communities where there are high rates of obesity, I know in some families there is limited access to these things and in many cases there is complete unfamilarity with health promoting food (possibly for two generations at least in some cases).</p><p>I watched a discussion where a bariatric surgeon and others were giving a presentation to top health officals in the UK and explaining how in cases of familial obesity they're often seeing what they described as a 'genetic' link. I think they were actually describing an epigenetic susceptibilty. In any case, these factors combined is leading to disability and tragic consequences further down the road with heart disease and costly surgeries like amputations.</p><p>My interpretation is this class of drugs is intended to be used as a limited time intervention so people can lose enough weight to at least become more active and hopefully head off heart disease and diabetes. There's the issue of the NHS being under a lot of pressure and not being able to afford the bariatric surgeries that would see a similar kind of 'jump start' to better health outcomes. It seems in Auckland at least they have started a similar approach. One GP I know seems very positive with what he's seeing. </p><p>None of the pharma interventions are ideaI. </p><p>I much prefer something like the Prekure approach using fasting and ketogenic diet, but they have limited funding and unfortunately the people who need this approach may be the least likely to be able to afford unsubsidised appointment fees, coaching etc. At least fasting is free!!! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite8" alt=":D" title="Big Grin :D" loading="lazy" data-shortname=":D" /></p></blockquote><p></p>
[QUOTE="Tamarillo, post: 2560375, member: 544352"] Good food and exercise should come first. I'm lucky I have access to those things. I live in a community where lots of people are out walking and running, there are two gyms within 15 minutes walk (if that's your kinda thing!). I also have space and enough sun for a decent vege garden and some chickens. We can afford to buy plenty of good meat direct from farmers, although as you will know - that is getting more and more expensive! Thank goodness my boys are past their biggest growing years now! :) Having been involved in volunteer work with children in "underserved" communities where there are high rates of obesity, I know in some families there is limited access to these things and in many cases there is complete unfamilarity with health promoting food (possibly for two generations at least in some cases). I watched a discussion where a bariatric surgeon and others were giving a presentation to top health officals in the UK and explaining how in cases of familial obesity they're often seeing what they described as a 'genetic' link. I think they were actually describing an epigenetic susceptibilty. In any case, these factors combined is leading to disability and tragic consequences further down the road with heart disease and costly surgeries like amputations. My interpretation is this class of drugs is intended to be used as a limited time intervention so people can lose enough weight to at least become more active and hopefully head off heart disease and diabetes. There's the issue of the NHS being under a lot of pressure and not being able to afford the bariatric surgeries that would see a similar kind of 'jump start' to better health outcomes. It seems in Auckland at least they have started a similar approach. One GP I know seems very positive with what he's seeing. None of the pharma interventions are ideaI. I much prefer something like the Prekure approach using fasting and ketogenic diet, but they have limited funding and unfortunately the people who need this approach may be the least likely to be able to afford unsubsidised appointment fees, coaching etc. At least fasting is free!!! :D [/QUOTE]
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