Obesity...

[dowie]

The main issue is that the NHS will not allow Buproprion / Modafinil / Stims even if someone actually needs them. SSRIs are not a cure all, and they generally dont work in people with fatigue / lethargy as any phschology text book suggests.

I doubt very much that the main issue is the NHS won't prescribe some drug you've decided will work best.

Many of the medications that would likely work for my mental health also curb appetite. Yes they have the potential to be abused as well. I don't agree that should prohibit them from being prescribed after 6 SSRIs fail to do anything.

I've done all of the things I can manage myself.

I doubt that as you're focused on getting a pill to solve things for you, perhaps your expectations re: SSRIs were misplaced, a pill alone isn't going to solve everything.

 

[Guest2]

There's no minimum spend but there is a small order fee, which is normally applied on anything less than £20 iirc so once you've added that, the service fee and delivery you're probably looking at £5-10 on top of the order.

If I order 2 x 600g chicken at £4.25 each, there is a £1.50 small order fee plus £1.50 delivery and service charge
I wouldnt say £3 is bad for 10-20 minute delivery on a £8.50 shop

If upping to 3 x 600g chicken there is no small order fee, just the £1.50 delivery and service charge

Still cheaper and healthier to walk and get it yourself, but if you can't then its not expensive

 

[BallistixOnZ490]

I doubt very much that the main issue is the NHS won't prescribe some drug you've decided will work best.

I doubt that as you're focused on getting a pill to solve things for you, perhaps your expectations re: SSRIs were misplaced, a pill alone isn't going to solve everything.

And this right here is why people don't get any help.

You assume if any 'normal' person knows anything, they must be wrong about it.

I don't have any 'seratonin spectrum' symptoms. Neither low mood nor restlessness. I have all the 'Noradrenergic / Domapinergic' symptoms in any current up to date psychology text book.

Buproprion is on the NICE list for whatever I'm misdiagnosed with as a third line treatment for patients that have not reponded to to line 1 and 2 medications (Seratonin class).

It would be handed to me as a first line medication by any US or Canadian doctor.

Other people already are prescribed it on the NHS, and not just this one but there is a full list of non seratonin based medications for patients that either don't respond to Seratonin and / or don't have any symptoms.

The NHS uses 'depression' and 'anxiety' as a catch all for all any mental health related issues, even if those are not what you actually have. In the same way that all the stuff I have wrong with my joints was 'thats absolutely arthritis ... Oh wait tests say it isnt. Well then it could be anything and we don't know what it is or what to do'.

 

[dowie]

And this right here is why people don't get any help.

You assume if any 'normal' person knows anything, they must be wrong about it.

No, I don't assume that. I'm just criticising this idea that not having access to a particular drug you believe will help here is the main issue. Perhaps you might get prescribed the drugs you believe you need in future, maybe they'll be of some help, maybe they won't. That alone shouldn't be the focus though, plenty of other stuff that can be done in the meantime.

 

[BallistixOnZ490]

No, I don't assume that. I'm just criticising this idea that not having access to a particular drug you believe will help here is the main issue. Perhaps you might get prescribed the drugs you believe you need in future, maybe they'll be of some help, maybe they won't. That alone shouldn't be the focus though, plenty of other stuff that can be done in the meantime.

I've spent maybe 15 years already now trying 'all the other stuff'.

If there is any other stuff that I still haven't tried, its not been mentioned or advised by any specialist before being written off as untreatable.

 

[dowie]

I've spent maybe 15 years already now trying 'all the other stuff'.

If there is any other stuff that I still haven't tried, its not been mentioned or advised by any specialist before being written off as untreatable.

Well it’s up to you, you’ve got one life, you can feel sorry for the yourself and put all your hopes on some particular drug you think will be the solution to your issues if you like but I think that would be silly.

 

[BallistixOnZ490]

Well it’s up to you, you’ve got one life, you can feel sorry for the yourself and put all your hopes on some particular drug you think will be the solution to your issues if you like but I think that would be silly.

Its silly to think that any of the medications that are listed to work for the symptoms that I have would actually work for the symptoms that I have?

I actually find myself over eating often because my energy levels are too low / too much lethargy. Its not an exercise related issue either because I've already been doing that for almost a year soon, and even if it was, the NHS refused further help for that already as well, despite a specialist referral stating that I needed it

 

[ozaudio]

Its silly to think that any of the medications that are listed to work for the symptoms that I have would actually work for the symptoms that I have?

I actually find myself over eating often because my energy levels are too low / too much lethargy. Its not an exercise related issue either because I've already been doing that for almost a year soon, and even if it was, the NHS refused further help for that already as well, despite a specialist referral stating that I needed it

one thing i see often is people on facebook who do meals / healthy meals say 10 x mains for £40 or something like that, if you cant cook / cant be bothered why not try something like that if you want something you dont want to mess about with? you seem happy to want to sit there and wait for death as if you waiting for a bus.... if you feel you still need sugar why not try things like sugar free drinks / sugar free jelly / asda own brand protein bars are LOVELY and taste better than choc bars! if your as big as you may sound, then weight would fall of quickly and youll feel a lot better.

 

[dowie]

Its silly to think that any of the medications that are listed to work for the symptoms that I have would actually work for the symptoms that I have?

Nope, that also isn't what I said. It's not silly to assume they might have an effect, likewise, it wouldn't be silly to necessarily assume that the SSRIs might have had an effect before you tried them. It would be silly to act like this is the main issue here.

I actually find myself over eating often because my energy levels are too low / too much lethargy. Its not an exercise related issue either because I've already been doing that for almost a year soon, and even if it was, the NHS refused further help for that already as well, despite a specialist referral stating that I needed it

Maybe you're anemic? Overeating isn't going to cure tiredness. Plenty of people in the UK probs don't get enough iron (don't eat enough leafy greens) and/or are vitamin D deficient (don't get outside enough).

The sort of food you buy has an obvious impact here - if you're struggling then ditching ready meals, snacks and any deserts, biscuits etc.. ought to help. Making meals from scratch helps.

If you get the urge to snack then and all you've got to snack on is a bag of carrots in the fridge then it's hardly a big deal.

Having **** food makes things harder, lots of processed food, fast food, snacks etc.. are designed to be as moorish/addictive as possible so people do open say a tube of pringles and then scoff the lot or have a multi-pack of crisps and can't limit themselves to one pack a day at lunch ditto to sweets, chocolates etc.. if you've got that stuff in your house and you get these urgest to snack then stop buying that stuff. Until you're at a point where you're able to better control it then just don't have that stuff in your house and you won't have that temptation there.

 

[dlockers]

You guys are spending your time unwisely. This is a guy signed off from work because of his disability and mental health problems.

 

[ozaudio]

You guys are spending your time unwisely. This is a guy signed off from work because of his disability and mental health problems.

then he needs to find the correct help / support / medication to help him, seeing somebody just sitting there waiting for death it seems from his comments? is pretty bad.

 

[Quartz]

Hi, my name's Quartz and I'm a lard-ass. I weigh 120 kg. I was up at 130 kg during the first lockdown.

I need to exercise more and eat less. I don't do it enough. I don't need any pills or magic diets. I just need to do it. There's only one person responsible and it's me.

 

[iamtheoneneo]

Hi, my name's Quartz and I'm a lard-ass. I weigh 120 kg. I was up at 130 kg during the first lockdown.

I need to exercise more and eat less. I don't do it enough. I don't need any pills or magic diets. I just need to do it. There's only one person responsible and it's me.

Preach, unfortunately it falls on deaf ears. It's always someone else's fault.

 

[potatolord]

This is part of the problem. There is almost never a single cause for anything. Are poor people generally lazier than the norm? Probably. Are poor people less educated than the norm? Probably. Are poor people less likely to place value on eating properly? Probably.

For all of these generalisations there will be plenty who don't fit the bill. The issue is that it becomes harder to sympathise with someone who puts 0 effort in to change. It takes so little effort to make a pasta sauce from scratch or even buy a jar, stick some pasta in water and if you want some protein, buy a pack of sausages. Suddenly you have fed your family of four for £3.50 instead of £15 on a takeaway.



How is it not laziness? You have to be living under a rock not to know if A) you are overweight B) Not eating well and not cooking.

Like I said, there are so many easy to access resources. How many people do you genuinely believe don't have access to the internet who are under 60?



Why? Its like any other kind of neglect. I 100% judge parents with fat children. There is no excuse in this day and age other than unwillingness to put in even a tiny bit of effort. We are not asking them to do a 6 month course, dedicate hours of their lives to study or split the atom. We are asking them to type into google "cheap, easy meals". Then they just need to buy the ingredients at the same time as they do their normal shop. Everyone goes shopping. I can make dinner from stuff I bought at the pokiest of little corner shops these days.

I think we give people far too many excuses for their laziness. If you want to be lazy then go for it but don't whinge and complain that its not your fault when it causes you problems.

I'm not excusing anything. Those people could do better, and should do better, but they are the products of their upbringing. That's training their children to be helpless to not understand how to recognise problems and solve them.

They don't read, they don't really get the point of trying. Their aspiration is "good enough". The NHS and social services pick up the pieces.

I used to spend my time being naughty, but my family pulled me out of that and demanded more of me. They showed me i had to take responsibility. It just makes me sad to see people who don't have that support continuing down the road to nowhere. And that affects every area of their life, from looking after yourself to striving to own a better house than your dad.

It's personal responsibility, sure- but one needs to understand what that is. And it's back to "blame the parents"...

 

[BallistixOnZ490]

Nope, that also isn't what I said. It's not silly to assume they might have an effect, likewise, it wouldn't be silly to necessarily assume that the SSRIs might have had an effect before you tried them. It would be silly to act like this is the main issue here.



Maybe you're anemic? Overeating isn't going to cure tiredness. Plenty of people in the UK probs don't get enough iron (don't eat enough leafy greens) and/or are vitamin D deficient (don't get outside enough).

The sort of food you buy has an obvious impact here - if you're struggling then ditching ready meals, snacks and any deserts, biscuits etc.. ought to help. Making meals from scratch helps.

If you get the urge to snack then and all you've got to snack on is a bag of carrots in the fridge then it's hardly a big deal.

Having **** food makes things harder, lots of processed food, fast food, snacks etc.. are designed to be as moorish/addictive as possible so people do open say a tube of pringles and then scoff the lot or have a multi-pack of crisps and can't limit themselves to one pack a day at lunch ditto to sweets, chocolates etc.. if you've got that stuff in your house and you get these urgest to snack then stop buying that stuff. Until you're at a point where you're able to better control it then just don't have that stuff in your house and you won't have that temptation there.

Vitamin D, Iron, Vitamin B3 / 6 / 12, cordyceps, maca root, Ginseng, St Johns Wort, 5 HTP, L tryptophan, Omega 3, Gluca something for joints, turmeric, a bunch more I can't remember



Nothing short of stims does anything.

 

[dowie]

Nothing short of stims does anything.

Thought you said the SSRIs didn’t work?

It sounds like you’re just looking for a excuses, you’ve got some agency here regardless of what meds you can get via the NHS.

 

[BallistixOnZ490]

Thought you said the SSRIs didn’t work?

It sounds like you’re just looking for a excuses, you’ve got some agency here regardless of what meds you can get via the NHS.

SSRIs aren't stims.

 

[Rannoch]

Hi, my name's Quartz and I'm a lard-ass. I weigh 120 kg. I was up at 130 kg during the first lockdown.

I need to exercise more and eat less. I don't do it enough. I don't need any pills or magic diets. I just need to do it. There's only one person responsible and it's me.

Try rowing indoors??

 

[opstrat]

Leats deal with the bigger issue first. food poverty in britain is even bigger now. people cant afford to eat healty when a bag of turkey dinosaurs is cheaper than a ballanced meal.

What about smoking? just under 2 million people were admited to hospital with smoking releated illnesses but smoking also generated over 9 billion into the coffers. what did the goverment do? lets put a cover over them in the shop to make it less appealing.

 

[BallistixOnZ490]

Leats deal with the bigger issue first. food poverty in britain is even bigger now. people cant afford to eat healty when a bag of turkey dinosaurs is cheaper than a ballanced meal.

What about smoking? just under 2 million people were admited to hospital with smoking releated illnesses but smoking also generated over 9 billion into the coffers. what did the goverment do? lets put a cover over them in the shop to make it less appealing.

The smoking issue is pretty much fixed with Nordic synthetic nicotine pouches, but they are illegal to distribute in the UK. Legal to import for personal use though, but Brexit has buggered the delivery costs.

On the topic of obesity, sugar taxes on drink really help when I have access to unlimited cakes and chocolate, /s