#Diabetes effects on the body

[guideoflife]

[aromantyczno-liryczna]

Guess who has a vitamin d deficiency 🙂🙂🙂

[br1ghtestlight]

"you have low blood sugar" dont i know it brother

[diabetes-health-corner]

Role of Insulin in human body

Insulin is a hormone produced by beta cells that are situated in the pancreas. Insulin is needed to enable the body to store glucose in your muscles or liver and convert excess glucose into fat. Lack of insulin impairs its ability to perform both these functions In its absence, the fat breaks down to create keto acids, which can trigger diabetic ketoacidosis, a potentially fatal condition, if levels grow too high.

Read more: https://www.freedomfromdiabetes.org/blog/post/role-of-insulin-in-the-human-body-ffd/2787

[wasif-health-tipps]

Mastering Blood Sugar Control: Strategies for a Healthier Life

Maintaining stable blood sugar levels is crucial for overall health and well-being. Fluctuations in blood glucose can lead to a range of health issues, from fatigue and irritability to more severe conditions like diabetes. Here’s a comprehensive guide to mastering blood sugar control through diet, exercise, and lifestyle changes.Understanding Blood SugarBlood sugar, or blood glucose, is the amount of glucose present in the blood. It’s a primary energy source for the body, but maintaining it within a healthy range is essential. Blood sugar levels are influenced by the food we eat, how we exercise, and various physiological factors.1. Balanced DietA balanced diet is the cornerstone of effective blood sugar management. Focus on these dietary principles:Choose Low Glycemic Index Foods: Foods with a low glycemic index (GI) release glucose slowly into the bloodstream, helping to maintain stable blood sugar levels. Examples include whole grains, legumes, and most vegetables.Incorporate Fiber: Fiber slows the absorption of sugar, which helps in controlling blood glucose levels. Opt for fruits, vegetables, whole grains, and legumes.Control Portion Sizes: Eating large portions can lead to spikes in blood sugar. Use smaller plates and be mindful of serving sizes.Limit Sugary Foods and Drinks: Reduce the intake of foods and beverages high in added sugars, like sodas, candy, and baked goods.2. Regular ExercisePhysical activity is vital for blood sugar control. Here’s how exercise helps:Improves Insulin Sensitivity: Regular exercise makes cells more responsive to insulin, which helps in managing blood sugar levels.Aids in Weight Management: Maintaining a healthy weight through exercise can improve blood glucose control and reduce the risk of developing type 2 diabetes.Enhances Overall Health: Exercise supports cardiovascular health, reduces stress, and boosts mood.Aim for at least 150 minutes of moderate-intensity exercise per week, such as brisk walking, swimming, or cycling.3. Consistent Meal TimingEating meals at regular intervals helps in stabilizing blood sugar levels.Don't Skip Meals: Skipping meals can lead to blood sugar drops or spikes. Aim to eat every 3-4 hours.Balanced Meals: Each meal should include a mix of carbohydrates, proteins, and fats to provide a steady source of energy.4. Stress ManagementChronic stress can affect blood sugar levels. Incorporate stress-reducing techniques into your routine:Practice Relaxation Techniques: Techniques such as meditation, deep breathing, and yoga can help manage stress.Get Adequate Sleep: Aim for 7-9 hours of quality sleep per night to support overall health and blood sugar regulation.5. Monitor Blood Sugar LevelsRegular monitoring helps you understand how different foods and activities affect your blood sugar levels.Use a Glucometer: Track your blood sugar levels as recommended by your healthcare provider.Keep a Log: Record your blood sugar readings along with information about your diet, exercise, and any symptoms you experience.6. Seek Professional GuidanceConsult with a healthcare provider or a registered dietitian to create a personalized blood sugar management plan. They can provide tailored advice based on your specific health needs.ConclusionEffective blood sugar control is achievable through a combination of a balanced diet, regular exercise, consistent meal timing, stress management, and diligent monitoring. By adopting these practices, you can maintain stable blood sugar levels and support your overall health. Remember, individual needs may vary, so working with a healthcare professional is essential for developing a plan that works best for you. Blood Sugar Control: Strategies for a Healthier Life

[frecklenog]

i want you all to understand this.

insulin pens are very often used by diabetic children (or their parents, but they were very easy to use during the short time i was prescribed them when i was a child myself). they’re less cumbersome, produce less waste, and are far easier than pulling insulin from a vial with a single use syringe, as syringes are much more susceptible to air bubbles, which result in the diabetic not getting enough medication. i’m explaining this part because i know that some diabetic adults do also use them, and i’m sure that that’s true of diabetic adults in palestine with such scarce resources. when it’s life or death, you can’t really be picky.

the israeli occupation is now banning insulin pens from entering gaza.

lack of insulin results in diabetic ketoacidosis — essentially a very, very dangerous version of the effects of the keto diet. insulin is a key for the sugar from one’s food (both slow and fast acting, since all food has some carbohydrates, from nuts to potatoes to table sugar) to get from their bloodstream into their cells. without insulin, the body resorts to eating through its own fat stores rather than the sugar it cannot access and tries to flush the excess glucose that is in the blood through the urine. this results in weight loss, headaches, nausea, dehydration, blurred vision, abdominal pain, impaired mental faculties, and, if left untreated, will result in a coma, and eventually death within a matter of weeks. not “can.” it will kill you if not treated, and was largely considered a lethal diagnosis until insulin was discovered in the early 1900s and made readily available in 1922.

i’ve been in dka. admittedly, i was very young and have blocked much of it out. but i do remember that it fucking sucked. i couldn’t focus on anything, i was ravenous no matter how much i ate, and the room spinning to the point i felt like i was going to throw up became an increasingly regular occurrence. i was seven years old and wasting away like i was starved. i was dying. a few more days, and i likely would’ve gone into a coma and might not be here now.

to inflict that, willingly and knowingly, on innocent people, is nothing short of a crime against humanity, and violates the geneva conventions (item 2.a.ii. torture or inhumane treatment, including biological experiments and item 2.a.iii. willfully causing great suffering or serious injury to body or health). not that the israeli occupation cares, of course, as south african prosecutors have already extensively detailed their crimes in the icj, and this one in particular has already been committed near-countless times.

this entire occupation is a genocide, and this is only one more nail in that coffin. but, as a diabetic — as a human being who has been in that state and was lucky enough to have the resources to live almost another fifteen years (with the anniversary of my own diagnosis about halfway through next month), i can’t find the words to express my disgust and rage anymore. maybe it’s selfish to be so deeply impacted by this particular blow. i don’t know. but these people have done nothing wrong but be disabled in gaza, and as someone with the same disability, i know that no one deserves this, even if they have committed a crime (which, again, these civilians, largely children, have not). i will not fucking stand for it.

we need a ceasefire. we need an end to the occupation. we need a free palestine. now.

here’s a masterpost of how you can help.

EDIT: here’s a post on how to help diabetics in gaza specifically

[fatliberation]

they have a point though. you wouldn't need everyone to accommodate you if you just lost weight, but you're too lazy to stick to a healthy diet and exercise. it's that simple. I'd like to see you back up your claims, but you have no proof. you have got to stop lying to yourselves and face the facts

Must I go through this again? Fine. FINE. You guys are working my nerves today. You want to talk about facing the facts? Let's face the fucking facts.

In 2022, the US market cap of the weight loss industry was $75 billion [1, 3]. In 2021, the global market cap of the weight loss industry was estimated at $224.27 billion [2]. 

In 2020, the market shrunk by about 25%, but rebounded and then some since then [1, 3] By 2030, the global weight loss industry is expected to be valued at $405.4 billion [2]. If diets really worked, this industry would fall overnight. 

1. LaRosa, J. March 10, 2022. "U.S. Weight Loss Market Shrinks by 25% in 2020 with Pandemic, but Rebounds in 2021." Market Research Blog. 2. Staff. February 09, 2023. "[Latest] Global Weight Loss and Weight Management Market Size/Share Worth." Facts and Factors Research. 3. LaRosa, J. March 27, 2023. "U.S. Weight Loss Market Partially Recovers from the Pandemic." Market Research Blog.

Over 50 years of research conclusively demonstrates that virtually everyone who intentionally loses weight by manipulating their eating and exercise habits will regain the weight they lost within 3-5 years. And 75% will actually regain more weight than they lost [4].

4. Mann, T., Tomiyama, A.J., Westling, E., Lew, A.M., Samuels, B., Chatman, J. (2007). "Medicare’s Search For Effective Obesity Treatments: Diets Are Not The Answer." The American Psychologist, 62, 220-233. U.S. National Library of Medicine, Apr. 2007.

The annual odds of a fat person attaining a so-called “normal” weight and maintaining that for 5 years is approximately 1 in 1000 [5].

5. Fildes, A., Charlton, J., Rudisill, C., Littlejohns, P., Prevost, A.T., & Gulliford, M.C. (2015). “Probability of an Obese Person Attaining Normal Body Weight: Cohort Study Using Electronic Health Records.” American Journal of Public Health, July 16, 2015: e1–e6.

Doctors became so desperate that they resorted to amputating parts of the digestive tract (bariatric surgery) in the hopes that it might finally result in long-term weight-loss. Except that doesn’t work either. [6] And it turns out it causes death [7],  addiction [8], malnutrition [9], and suicide [7].

6. Magro, Daniéla Oliviera, et al. “Long-Term Weight Regain after Gastric Bypass: A 5-Year Prospective Study - Obesity Surgery.” SpringerLink, 8 Apr. 2008. 7. Omalu, Bennet I, et al. “Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents, 1995 to 2004.” Jama Network, 1 Oct. 2007.  8. King, Wendy C., et al. “Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery.” Jama Network, 20 June 2012.  9. Gletsu-Miller, Nana, and Breanne N. Wright. “Mineral Malnutrition Following Bariatric Surgery.” Advances In Nutrition: An International Review Journal, Sept. 2013.

Evidence suggests that repeatedly losing and gaining weight is linked to cardiovascular disease, stroke, diabetes and altered immune function [10].

10. Tomiyama, A Janet, et al. “Long‐term Effects of Dieting: Is Weight Loss Related to Health?” Social and Personality Psychology Compass, 6 July 2017.

Prescribed weight loss is the leading predictor of eating disorders [11].

11. Patton, GC, et al. “Onset of Adolescent Eating Disorders: Population Based Cohort Study over 3 Years.” BMJ (Clinical Research Ed.), 20 Mar. 1999.

The idea that “obesity” is unhealthy and can cause or exacerbate illnesses is a biased misrepresentation of the scientific literature that is informed more by bigotry than credible science [12]. 

12. Medvedyuk, Stella, et al. “Ideology, Obesity and the Social Determinants of Health: A Critical Analysis of the Obesity and Health Relationship” Taylor & Francis Online, 7 June 2017.

“Obesity” has no proven causative role in the onset of any chronic condition [13, 14] and its appearance may be a protective response to the onset of numerous chronic conditions generated from currently unknown causes [15, 16, 17, 18].

13. Kahn, BB, and JS Flier. “Obesity and Insulin Resistance.” The Journal of Clinical Investigation, Aug. 2000. 14. Cofield, Stacey S, et al. “Use of Causal Language in Observational Studies of Obesity and Nutrition.” Obesity Facts, 3 Dec. 2010.  15. Lavie, Carl J, et al. “Obesity and Cardiovascular Disease: Risk Factor, Paradox, and Impact of Weight Loss.” Journal of the American College of Cardiology, 26 May 2009.  16. Uretsky, Seth, et al. “Obesity Paradox in Patients with Hypertension and Coronary Artery Disease.” The American Journal of Medicine, Oct. 2007.  17. Mullen, John T, et al. “The Obesity Paradox: Body Mass Index and Outcomes in Patients Undergoing Nonbariatric General Surgery.” Annals of Surgery, July 2005. 18. Tseng, Chin-Hsiao. “Obesity Paradox: Differential Effects on Cancer and Noncancer Mortality in Patients with Type 2 Diabetes Mellitus.” Atherosclerosis, Jan. 2013.

Fatness was associated with only 1/3 the associated deaths that previous research estimated and being “overweight” conferred no increased risk at all, and may even be a protective factor against all-causes mortality relative to lower weight categories [19].

19. Flegal, Katherine M. “The Obesity Wars and the Education of a Researcher: A Personal Account.” Progress in Cardiovascular Diseases, 15 June 2021.

Studies have observed that about 30% of so-called “normal weight” people are “unhealthy” whereas about 50% of so-called “overweight” people are “healthy”. Thus, using the BMI as an indicator of health results in the misclassification of some 75 million people in the United States alone [20]. 

20. Rey-López, JP, et al. “The Prevalence of Metabolically Healthy Obesity: A Systematic Review and Critical Evaluation of the Definitions Used.” Obesity Reviews : An Official Journal of the International Association for the Study of Obesity, 15 Oct. 2014.

While epidemiologists use BMI to calculate national obesity rates (nearly 35% for adults and 18% for kids), the distinctions can be arbitrary. In 1998, the National Institutes of Health lowered the overweight threshold from 27.8 to 25—branding roughly 29 million Americans as fat overnight—to match international guidelines. But critics noted that those guidelines were drafted in part by the International Obesity Task Force, whose two principal funders were companies making weight loss drugs [21].

21. Butler, Kiera. “Why BMI Is a Big Fat Scam.” Mother Jones, 25 Aug. 2014. 

Body size is largely determined by genetics [22].

22. Wardle, J. Carnell, C. Haworth, R. Plomin. “Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment” American Journal of Clinical Nutrition Vol. 87, No. 2, Pages 398-404, February 2008.

Healthy lifestyle habits are associated with a significant decrease in mortality regardless of baseline body mass index [23].  

23. Matheson, Eric M, et al. “Healthy Lifestyle Habits and Mortality in Overweight and Obese Individuals.” Journal of the American Board of Family Medicine : JABFM, U.S. National Library of Medicine, 25 Feb. 2012.

Weight stigma itself is deadly. Research shows that weight-based discrimination increases risk of death by 60% [24].

24. Sutin, Angela R., et al. “Weight Discrimination and Risk of Mortality .” Association for Psychological Science, 25 Sept. 2015.

Fat stigma in the medical establishment [25] and society at large arguably [26] kills more fat people than fat does [27, 28, 29].

25. Puhl, Rebecca, and Kelly D. Bronwell. “Bias, Discrimination, and Obesity.” Obesity Research, 6 Sept. 2012. 26. Engber, Daniel. “Glutton Intolerance: What If a War on Obesity Only Makes the Problem Worse?” Slate, 5 Oct. 2009.  27. Teachman, B. A., Gapinski, K. D., Brownell, K. D., Rawlins, M., & Jeyaram, S. (2003). Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy. Health Psychology, 22(1), 68–78. 28. Chastain, Ragen. “So My Doctor Tried to Kill Me.” Dances With Fat, 15 Dec. 2009. 29. Sutin, Angelina R, Yannick Stephan, and Antonio Terraciano. “Weight Discrimination and Risk of Mortality.” Psychological Science, 26 Nov. 2015.

There's my "proof." Where is yours?

[reasonsforhope]

"People living with diabetes might have a new hope. Scientists have tested a new drug therapy in diabetic mice, and found that it boosted insulin-producing cells by 700% over three months, effectively reversing their disease.

Beta cells in the pancreas have the important job of producing insulin in response to blood sugar levels, but a hallmark of diabetes is that these cells are either destroyed or can’t produce enough insulin. The most common treatment is regular injections of insulin to manage blood sugar levels.

But a recent avenue of research has involved restoring the function of these beta cells. In some cases that’s started with stem cells being coaxed into new beta cells, which are then transplanted into patients with diabetes. Researchers behind this kind of work have described it as a “functional diabetes cure.”

Now, scientists at Mount Sinai and City of Hope have demonstrated a new breakthrough. Previous studies have mostly involved growing new beta cells in a lab dish, then transplanting them into mice or a small device in humans. But this new study has been able to grow the insulin-producing cells right there in the body, in a matter of months.

The therapy involved a combination of two drugs: one is harmine, a natural molecule found in certain plants, which works to inhibit an enzyme called DYRK1A found in beta cells. The second is a GLP1 receptor agonist. The latter is a class of diabetes drug that includes Ozempic, which is gaining attention lately for its side effect of weight loss.

The researchers tested the therapy in mouse models of type 1 and 2 diabetes. First they implanted a small amount of human beta cells into the mice, then treated them with harmine and GLP1 receptor agonists. Sure enough, the beta cells increased in number by 700% within three months of the treatment. The signs of the disease quickly reversed, and stayed that way even a month after stopping the treatment.

“This is the first time scientists have developed a drug treatment that is proven to increase adult human beta cell numbers in vivo,” said Dr. Adolfo Garcia-Ocaña, corresponding author of the study. “This research brings hope for the use of future regenerative therapies to potentially treat the hundreds of millions of people with diabetes.”

The results are intriguing, but of course being an animal study means there’s still much more work to be done before it could find clinical use. So far, harmine alone has recently undergone a phase 1 clinical trial in humans to test its safety and tolerability, while other DYRK1A inhibitors are planned for trials in humans next year.

Perhaps most importantly, the team will soon experiment with combining beta-cell-regenerating drugs with others that modulate the immune system. Ideally this should help overcome a major hurdle: the immune system will continue attacking new beta cells as they’re produced.

The research was published in the journal Science Translational Medicine."

-via New Atlas, July 14, 2024

[cripplecharacters]

Futuristic Settings and the Erasure of Disabilities

The common theme in a lot of futuristic, sci-fi or not, settings, is the abundance of cure tropes that are thrown in there. Disabled people either don't exist, or aren't actually disabled - they get a magical device that undoes their injury, or get a mech suit that basically does the same thing.

Often the setting is treated like an excuse that can't be rebutted in any way: “but my story is set in the future where medicine is better!”

So: is that true? Does better medicine actually mean less disabled people?

Historical Accuracy

[large text: Historical Accuracy]

In 1900, the life expectancy of a person born with Down syndrome was 9 years. Try putting yourself there and imagining that 2024 is the Future - better medicine, basically sci-fi in comparison to what they had back there. In that future, what is true?

a) There's no people with Down syndrome.

b) People with Down syndrome live to be 60 years old on average.

Answer? B. The only countries with fewer people with Down syndromes are the ones engaging in widespread eugenics, which is a topic I will not be getting into in this post, but I'm mentioning because the only places without disabled people are eugenicist.

The “better medicine” of the future didn't make Down syndrome curable, it made people with it survive longer. 50% of people born with it today will live to be over 60 years old. In the future, there will be retirees with Down syndrome. In the past, 50% of them wouldn't have made it into their teens.

Why does that matter?

[large text: Why does that matter?]

Future medicine won't make disabilities disappear. It will make them more manageable. Less deadly. Easier to survive.

If you base your knowledge and perception of disability throughout the times on sci-fi novels by able-bodied writers, you're going to hate how it actually works in real life.

Have we magically- technologically gotten rid of diabetes? No, 11% of Americans have it. 103 years ago, diabetes were lethal. There aren't fewer diabetics compared to the past. They live longer. You probably know or heard of someone who has diabetes.

You need to expand your understanding on how disability and medicine work, because “future = no disability” is genuine nonsense. It doesn't work like that, and it really frustrates me how writers dead-set on “logic” in their setting fail to see this.

Are paralyzed people walking around in various mechs, or are they using better wheelchairs than those from 100 years ago? Wheelchairs that make it easier to be independent? That help with symptoms of their disabilities by preventing pressure sores, or providing alternative methods of maneuvering?

In the future, why would there suddenly be those futuristic transplant* spines instead of wheelchairs that can be used with one's brain or eyes, for those who can't move their hands, mouth, or head? Why wouldn't there be wheelbeds for those who are currently bed-bound because they can't manage being upright in any way?

*Also, how are all of these magic disability-fixing transplants never actual transplants? Receiving a transplant basically always ends up in being immunocompromised because of the very way the body works. If you're writing about humans, this isn't going to change?

Things like sign language or wheelchairs have been used for thousands of years, they're not going away anytime soon or not-so-soon.

Future = More Disabled People?

[large text: Future = More Disabled People?]

We already discussed that there are presently common disabilities that used to be lethal a century ago or even less. If we use this fact for a futuristic setting, you suddenly have a myriad of new possibilities.

There's vastly better medicine? A lot of people deal with post-rabies syndrome because it's finally survivable, but it leaves people with the effects of the meningitis that rabies cause. There's way more quadriplegic people because the survival rates are much higher. Cancer survivors are more common because people live longer. Physical therapy for people who had prion diseases because they aren't fatal anymore but cause severe disability. Head trauma is more treatable, so there's more people with TBIs and less people dying in vehicular accidents.

The technology is super advanced? People with locked-in syndrome can operate an AAC device with their eyes, fully customize its voice to their liking, and not have to worry about battery life of their powerchair because it has sonar panels. Canes that can fold themselves with the click of a button so that they can fit in one's pocket.

There could be so many more adapted sports! Tools and technology that can adapt a house exactly to one's needs! Wheelchairs that are actually affordable! A portable pocket sized device that makes ableds behave normally around disabled people!

The point of this post isn't to completely shit on sci-fi settings, but instead to urge abled writers to think a bit more and try to be creative in the way they go about speculative fiction. Write something new! There's one billion stories about how impossible it is for disabled people to exist in the future, and it's upsetting at best to read that constantly when you're disabled. As long as there are people, there will be disabled people.

mod Sasza

[imjustheretotrytohelp]

EMERGENCY COMMISSIONS FOR GAZA

Update: added two new fundraisers to donate to + new informations on the current situation

My commissions are now open for Ahmed Azmi, Siraj Abudayeh, Ahed Alshaer and Mohammed Iwais.

Note : additional characters are half priced (Bust : 5$ ; Half-body : 8$)

Ahmed's Ko-fi

Ahmed's GFM

(vetted, in the Help Gaza spreadsheet, number 1199)

Siraj's GFM

(vetted, in @el-shab-hussein and @nabulsi spreadsheet, number 219)

Ahed's GFM

(vetted, in Butterfly Effect Project spreadsheet, number 407)

Mohammed's GFM

(vetted by @/90-ghost)

These 4 fundraisers are in urgent need of funds.

Ahmed's wife is pregnant and delivered at the end of August, her family members were injured during the Nuseirat massacre and their family home was bombed. They especially need funds for Ahmed's sister-in law who got severely injured in the eye and needs to get surgery. He is now taking care of both his family, his wife and their baby, that is 12 people, and needs help for both evacuation, food and medecine.

Siraj is a journalist taking risks every day to report on what's happening in Gaza. He wish to rebuild his home in his country after the previous one he worked so hard to build was destroyed by the IOF. With the current attacks and bombings, he is in dire need of support as he has to take care of multiple family members, his children who are getting more sick by the day. They are barely surviving yet he travels everyday more than 3km through war zones just to keep on posting and asking for help.

Ahed is a dentistry student who lost everything and wishes to continue her study in safety and evacuate with her 6 other family members. She is very concerned for them and their health, as her father is diabetic and her mother suffers from a chest infection. Their current condition makes them very vulnerable and they are in great danger, especially with the high cost of medecine.

Mohammed is the provider for his siblings and nephews, a total of 27 people. They already lost 10 family members and so many belongings through their 7 (!!) displacements. His sister has recently been injured by a quadcopter and had the bullet removed, on top of his family members getting sick and not being able to afford a tent to sleep. These last few days have been particularly terrible, yet everyday he is doing his best for his loved ones. Donations could help alleviate a bit their pain and difficulties.

This only a fraction of what all these families have to go through. If you can, please read what they have to say about their struggle on their posts and their gfms.

The goal of these commissions is to help them at least a little bit, be it to fund necessities such as food, medecine and tents or to contribute to bigger expenses like rebuilding their house or evacuation fees. But at the end of the day, the main focus is to help them survive.

If you are interested in getting art and helping them, please contact me! If I'm okay with your request, just send me the proof of donation of the correct amount to one of the campaign linked above and I'll draw what you asked.

If you have any question don't hesitate to DM me.

Thank you and please share!

More examples under the cut :

Tagging (Please tell me if you don't want me to tag you) :

@timetravellingkitty @meaganfoster @briarhips @mazzikah @mahoushojoe 

@rhubarbspring @schoolhater @pcktknife @transmutationisms @sawasawako 

@feluka @terroristiraqi @irhabiya @commissions4aid-international @wellwaterhysteria 

@deepspaceboytoy @post-brahminism @junglejim4322 @kibumkim @neechees 

@mangocheesecakes @kyra45-helping-others @marnota @7bitter @tortiefrancis 

@toiletpotato @fromjannah @omegaversereloaded @vague-humanoid @criptochecca 

@aristotels @komsomolka @neptunerings @riding-with-the-wild-hunt @heritageposts 

@ot3 @amygdalae @ankle-beez @communistchilchuck @dykesbat 

@watermotif @stuckinapril @violentrevolution @mavigator @lacecap 

@socalgal @chilewithcarnage @ghelgheli @sayruq @northgazaupdates2

@decolonize-the-left @andtheheir @atinybeanchild @citrineocean @glysaturn

@brawlingdiscontent @akasanata @lwh-writing @whimster @woodwool

[fencesandfrogs]

Absolute wild how much better my mood has been since I figured out how to make my body stop hurting

[liminalweirdo]

"Since 2020, the condition known as long COVID-19 has become a widespread disability affecting the health and quality of life of millions of people across the globe and costing economies billions of dollars in reduced productivity of employees and an overall drop in the work force.

The intense scientific effort that long COVID sparked has resulted in more than 24,000 scientific publications, making it the most researched health condition in any four years of recorded human history."

...

It concludes that long COVID is a complex chronic condition that can result in more than 200 health effects across multiple body systems. These include new onset or worsening:

heart disease

neurologic problems such as cognitive impairment, strokes and dysautonomia. This is a category of disorders that affect the body’s autonomic nervous system – nerves that regulate most of the body’s vital mechanisms such as blood pressure, heart rate and temperature.

post-exertional malaise, a state of severe exhaustion that may happen after even minor activity — often leaving the patient unable to function for hours, days or weeks

gastrointestinal disorders

kidney disease

metabolic disorders such as diabetes and hyperlipidemia, or a rise in bad cholesterol

immune dysfunction

Long COVID can affect people across the lifespan from children to older adults and across race and ethnicity and baseline health status. Importantly, more than 90% of people with long COVID had mild COVID-19 infections."

There is still no cure.

[misserabella]

two geniuses (don’t get along)

enemies to lovers;; spencer reid x fem reader!

masterlist!

note; in this fic lila’s episode happens after elle’s departure to make the story have more sense. (S1 E18). also there have been some changes :))

synopsis; spencer reid; doctor spencer reid. some of them (mostly of them), would say he’s a genius. but if he was, then so you were. maybe that’s why you hate each other. maybe that’s why you can’t stand him.

cw;; +18 content! minors dni!, reader and spencer’s competitive asses, talk of murder, graphic scenes, weapons, guns, blood, shots being fired, lila flirting, spencer kissing lila, lots of fighting, lots of tension, teasing, apologies, reader getting hurt (mentions of stitches), threats, murder of secondary characters, talk about kinks and trauma (spencer being a smartaas), mention of spencer’s childhood and her mom… ( i bet there’s so much more but i can’t remember rn) angst, fluff and smut in upcoming chapters!!!

“another coffee, pretty boy? you wanna die?” morgan inquired the puppy eyed profiler, whose right hand held a cup of freshly brewed coffee.

“actually, the caffeine in coffee has been found in animal and cell studies to protect cells in the brain that produce dopamine. in a large prospective cohort of more than 500,000 people followed for 10 years, an association was found between drinking higher amounts of coffee and lower rates of death from all causes.” he easily spat in less than a mere minute, making morgan scoff.

“it’s not considered coffee if a 99% of it is sugar, reid.” you barged into their conversation, taking a look at the files of new cases.

“sugar is one type of carbohydrate, as are fiber and starch. carbohydrates are essential macronutrients.” he defended himself, taking a sip of his coffee-sugar.

“wrong. although carbohydrates are essential macronutrients since the body uses them in large amounts, something wrong about your thesis is that sugar is not one of those macronutrients. the body doesn’t use it. in fact, the effects of added sugar intake which are higher blood pressure, inflammation, weight gain, diabetes, and fatty liver disease, are all linked to an increased risk for heart attack and stroke. so yeah. technically, morgan was right. you might die.” you nodded towards the man, who smiled at you, walking towards you and taking your face in between his hands.

“have i told you how much i love that brain of yours?” he inquired, leaving a kiss to your forehead. “brilliant.” he smiled, raising his hands in victory since for once he had won spencer and his extensive knowledge. the profiler simply rolled his eyes.

“thanks.” spencer spat at you, to what you smiled.

“you’re very welcome, agent.”

“it’s doctor.”

“yeah, yeah. whatever.”

spencer reid. with an IQ of 187, an eidetic memory, and the ability to read 20,000 words per minute, he was considered a real walking genius. maybe that’s why the two of you seemed to despise each other so much. people say geniuses actually like each other. well, you and spencer were the exception. it was easy to get on his nerves. he was not used to having someone smart enough to actually suppose a threat to his intelligence. yet there you were. you had been jumping your way up to college since you were twelve, and at the ripe age of 22, and numerous phds later, you had found yourself working at the BAU.

you had been hired after elle had left the team, and everyone had seemed happy greeting you. you had specially made quick friends of penelope and morgan. something reid didn’t seem to like. well… he didn’t exceptionally like you. something that seemed stupid ‘cause you two were the perfect pair. there was nothing the two of you didn’t know, nothing you wouldn’t catch or realize. maybe that’s why spencer despised you. ‘cause now they had you too, not only him.

it was actually a pity. you liked smart people. you liked to share opinions and learn new things you might not know with the help of others. but spencer was borderline narcissistic, and that made your body cringe in disgust. and worst of all, he was really attractive. curly caramel hair, hazel puppy eyes, full lips, small straight nose, tall stature, pretty hands… also his voice…

well, anyways. you were losing focus.

so you’d decided to match his energy. and that only seemed to make the situation worse. sure, you two worked together, but only because you had to, if you could you’d much prefer to do everything alone rather than have to share office with reid.

hotch caught your attention as he pushed a file on your table.

“and what’s this…?” you sung as you took it, inspecting it.

“training program in los angeles.” you looked at him. he was leaning against your table. “want you to go with gideon and reid.” you let out a single chuckle, tossing the paper on your table.

“no.” you simply said, watching the man sigh. “tell jj to go! or prentiss!” you offered.

“can’t. jj is helping penelope to trace an unsub and prentiss is new, need someone who has been on the ropes longer.”

“then what about morgan? he’s not doing anything.” you pointed at the man who played with a mini football.

hotch looked at you. “please? you are the only one who gets reid. you know how he can be…”

“a narcissistic, egocentric, babbling, childlike, fourteen looking mess? yeah, i know.” you smiled. “but what do i win in this situation? i mean i must gain something if i’m gonna spend more time than necessary with him.”

“a free weekend.”

“done.” you gave him your hand. “a pleasure doing business with you, sir.”

-

“spencer! spencer reid!” you hear someone call for your work-mate, a tall smiling man approaching him and shaking his hand just as the three of you entered an art exhibition. “look at you. you look just the same.” he chuckled as he gives him a quick hug. “nothing changed… spencer was the only 12-year-old in our graduating class. just the same.”

“thanks.” spencer awkwardly says, giving the man a tight smile. “these are special agents jason gideon and (y/n) (l/n). this is parker dunley. we went to high school together as you can probably gather.” he introduces all of you.

“hey. it’s a beautiful gallery.” jason gives him his hand in a shake.

“oh, thank you, thank you. parker smiles, later on turning towards you.

“contemporary art… right?” you inquire offering him your hand, to what he nods. “contemporary modern art includes a wide range of mediums and genres. it is often characterized by its use of new media, such as video and installation art, as well as its rejection of traditional art forms. contemporary modern artists often experiment with form and content, and their work can be highly conceptual.” you say, making the man chuckle.

“i see you brought your computers.” parker jokes with gideon about spencer and you. “another genius like spencer?”

“oh no, men are just smart. woman are the geniuses.” you smile, making him chuckle.

“and funny, huh? i see, i see.”

spencer coughs to grab the man’s attention. “jason’s a big contemporary art enthusiast.”

“well, we’re exhibiting four up-and-coming artists in this show. everything is for sale. and i could definitely swing a nice discount for a friend of…” he loses focus as a blonde beautiful woman enters the exhibition. “lila! hey. guys, come on.” he invites you three towards his friend, coming up to her to say hello.

“do i look 12-years-old to you?” spencer inquired gideon, to what you scoffed, thanking the waiter that offered and served you a glass of champagne.

“oh, totally.” you said as you took it, taking a sip as you heard spencer crack a fake laugh.

“real funny.”

you three made your way towards parker and… lila. she was a beautiful blue eyes-blonde young girl. the basic american beauty standard.

“spencer. you ever met a real movie star?” the man asks, to what the girl beside the blonde scoffs.

“movie star? please. she has a supporting role on a television series about beach volleyball. totally blue-collar.” your eyebrows slightly rise.

“what a friend…” you whisper to your glass, taking another sip of the champagne.

“i’m lila.” the girl gives a sweet smile to spencer, and you almost roll your eyes.

it’s only a matter of time.

“hi, im doctor spencer reid… i’m spencer. you don’t have to call me doctor.” he corrects himself.

lila chuckles. in 3… 2… 1… and tucks her hair behind her ear. there we go.

“cool.” you say, turning around without even introducing yourself, it’s not as if she’d pay attention to you. she’s too focused on spencer to care as you make your way through the gallery, taking the artwork in, trying to scape the probable flirting that was about to go down.

later on you found the two of them chatting in front of a picture in which the blue and green dominate.

“does it make you feel anything?” the blonde asked him, and you silently expect an answer from spencer.

“like what?” he asks. god he sucks.

“i can’t tell you how to feel.” lila chuckles at his frown.

“right now i feel pretty good.” he smiled and you roll your eyes.

“lila? can i talk to you for a moment?” parker interrupts their chatting and the girl nods, quickly glancing at spencer.

“excuse me.”

“sure!” he gently says, and you make your way towards him.

“feeling pretty good, huh?” you inquire him, teasingly, and he groans. “you totally suck.” you take a sip of your glass and he looks at you. “poor girl seems desperate.”

“desperate for what?” he inquires, frowning.

“oh come on, reid. and you call yourself a profiler? it’s obvious she likes you. she was trying to flirt with you.” you obviously state. “she was trying so hard and you were not catching on…” you laugh, and he sighs.

“you know ogling on other’s business is rude, right?” he questions you.

“we’re the fbi. we’re on everybody’s business. that’s our job, reid.” you ignore him, taking a look at the photograph lila and him were staring at. “calming, isn’t it?” you say and he looks at the photograph as well, taking it in.

“sometimes, the color blue is associated with loneliness and sadness. it usually happens when you combine it with specific elements, like rain.” he spits and you chuckle.

“i know that, genius. the thing is not how it’s supposed to make you feel, it’s how it really makes you feel.” he looks at you as you sip from your cup. “with lila, you might feel good, ‘cause you enjoy her company, with me on the other side, you might not even want to be here, staring at a photograph that you’ve probably seen before. that’s because you focus on everything too much. you need to see what the picture actually tells you, not focus on the person you’re staring at it with.”

spencer’s hazel eyes go back to the picture, trying to focus on it, not on your presence, or the amount of voices that surrounded him.

the exhibited photograph shows an empty gas station, lights of green engulfing it as the nightlight blue sky surrounds it. it takes spencer back to his childhood. to those days in which even if he loved his mother, he couldn’t spend another minute by her side and left his house late in the afternoon for a walk. it helped him get out of his head. he remembers watching the sun go down as the night took over the sky, studying and calling out the constellations above his head, trying to find a solution to his mother’s illness. the stars never worked, and he was always left…

“it makes me feel alone.”

-

“you know, we really can get ourselves to the airport.” gideon said, reid and you trailing behind him as the police officer guided you to his car.

“i didn’t invite the fbi here to let them make their own way around town.” he says, never minding gideon.

“we really appreciate it.” reid says and you whistle.

“so you have manners, huh?” to what he groans.

“oh, shut up.”

“hey, i can’t thank you guys enough for conducting the seminar.” kim smiles.

“well, don’t hesitate to call if there’s anything we can help with.” gideon offered, putting his bags on the trunk of the car.

you stretched your arms after having pushed in your own. “can’t wait for that free weekend.” you muster happily, to what spencer frowns.

“free weekend? what are you talking about?”

“a special thanks from hotch for coming all the way here and putting up with you.” his mouth falls open at your words.

“i didn’t get any free time and i had to put up with you!”

“that let’s you know who’s the problem in this equation.” you falsely smiled at him, patting her shoulder, and you relished on the way his jaw tightened.

your conversation ends as the three of you watch officer kim end a phone call with a not very enthusiastic ‘great’.

“everything alright?” jason asks.

“double murder at hollywood bungalow.” he informs. “a celebrity. a young movie star, natalie ryan, and her fiancé shot to death.”

“very romantic.” you mutter.

“it’s gonna be a major pain in the ass. hey, you guys care to take a quick look before i drive you to the airport? it’s on the way.” he asks, and gideon accepts the offer.

“absolutely.”

you sigh as you get on the back of the car along with spencer.

“seems like that weekend is gonna have to wait.” he happily and teasingly smiles and you send daggers in his direction.

“i’ll choke you with my bare hands.”

“did you get that kink by exposure or trauma?” your mouth falls and your eyes widen.

“what?” you almost yell, watching him ponder.

“maybe it’s because you like to have power and control. have you talked about this with a therapist?”

“you’re gonna have to see a therapist after the torture i’m gonna put you through if you don’t stop that fucking nonsense.” you warn him, and he raises his hands.

“i’m just saying, there’s nothing bad about seeking mental help-”

“spencer!”

-

“no sign of forced entry.” reid points out as the four of you enter the murder scene.

“same weapon.” gideon informs watching at the two bodies.

you stare at the female, getting closer. “the girl was shot execution style, once in the head. the male three times in the torso.”

“so you have two different MOs.” jason wonders before going back to officer kim, talking about the case. you crouch down to take a better look at the man’s corpse.

“what? you found anything?” spencer inquired from behind you, to what you shook your head.

“nah. just fantasizing.” he frowns.

“fantasizing. what the- what would you possibly be fantasizing about in a murder scene?”

“oh you know… you… in that position… you know? it’s really sexy, you should try it. here don’t move let me get my gun.” you offer while getting up, and he just rolls his eyes, leaving you behind.

“what do you think?” gideon asks the officer about the case, wanting his insight.

“i’ve had a couple other cases recently, past few months. same type of weapon, 22 caliber handgun, both shot in the head.” you look at the bodies. “the first was an established film producer, wally melman, and the second was chloe harris, another young actress. though not as well-known as natalie here.”

“any forensic evidence?” reid asks as you step away from them, taking in your surroundings.

“no, and the guys have been going through this place all morning and haven’t come up with anything.”

“so he clearly knows how to cover his tracks.”

“or hers.” you mutter to yourself.

“twenty-two’s are small but efficient. they bounce around inside a person like a pinball.” jason said.

“preferred weapon of the mafia.” spencer added. “you know, there’s no obvious sexual component to these crimes, which is usually the case with serial murders.”

“so you’re thinking this is a serial killer?” kim asks.

“well, it’s certainly a series of murders. we don’t know enough yet to call them serial.” you step into the conversation.

“would you consider hanging out in LA a little while? let me lean on your expertise until we do figure out what we’ve got?” the officer inquires and gideon nods.

“yeah, just cancel the flights. we’ll have the rest of pit team out here ASAP.”

-

the unsub seemed to follow his victims, since he knew their schedules. there was not a single witness, he knows how to blend in and hide in plain sight. he’s meticulous.

and everybody is watching.

just like everybody was watching spencer and lila.

after finding out that the unsub was actually stalking the blonde, and killing people to help her with her career, she had somehow scurried her way under spencer’s protection. it actually bothered you. ‘cause spencer seemed so distracted. and it was totally unprofessional to get involved with a target being their agent.

you were on her studio, studying everyone surrounding her. but it was one person that caught your attention.

“who’s that?” you question prentiss.

“that’s maggie, maggie lowe. for what i know she just works here.” she answers you. “why?”

“they seem pretty close, don’t you think?” you ponder, watching her physical language. “she also seems nervous, she avoids lila’s eyes.”

“maybe she’s just shy.” she shrugs, but knows what you’re pointing out.

“maybe…” then, jj appears.

“what are you guys talking about?”

“lila and possible unsubs.” emily fills her in, accepting the coffee she offers her, you take the one she handles you too with a thanks.

“talking about lila… look who’s approaching her.” she devilishly smiles. you almost groan at the sight of spencer talking to the blonde. “they seem to have hit it off.”

“ugh don’t start. he’s so focused on her when in reality he should be focused on his job…” you sip at your coffee, not realizing the shared look the other two girls send each other. “so unprofessional.” you shake your head.

“are you really mad because he’s distracted from his job or by the fact that a pretty girl is distracting him?” jj asked you, taking in your frown and confused expression.

“what?”

“oh come on, really? do you really not feel it?” emily pushes in too, and you look at them.

“feel what? i-i don’t understand.”

“there’s this weird tension in between the two of you.” the brunette explains, being backed up by the blonde.

“it’s like when two little kids like each other and they don’t know how to show it so they just mess with each other.” you scoff.

“you’re saying that spencer and i are attracted to each other?” you inquired them both and they looked at the other. “come on guys, have you seen him? have you actually worked with him? he’s a fucking narcissist, he makes my life impossible just because i’m as smart as him. i don’t like him. at all. i can’t even stand him!” you rant. “he does this thing when he’s focused, playing with his hands and pencils, it’s so distracting. and when i state a fact, he just has to find something to actually make it wrong. every single time. and let’s not talk about how fucking childish he is, if you guys had been here for the training program, i swear to god he said this stupid things about kinks and me having trauma, oh my god i wanted to fucking kill him. he diminishes me, and thinks he’s better than me. and it just makes me sick…” you take a deep breath when you notice how much you had actually talked and your friends’ looks. “what i mean to say is, no. i don’t like spencer reid. and if he wants to fuck his job up, i’d be more than happy.”

morgan suddenly appeared, hotch right behind him.

“guys. there’s something you have to know…” the first talked.

“michael ryer’s dead.” the second finished.

“oh shit.” emily cursed.

“does lila know?” jj asked.

they shook their head.

“she’s gonna be devastated.” jj said to what you sipped at your coffee.

“well at least she has spencer, right?”

“oh, yeah. can we talk about that real quick?!” morgan inquired, astonished.

“no, morgan!” the girls stop him and he raised his hands.

“okay… but the kid has game.”

-

“woah. i like your house.” spencer said as you two entered lila’s house.

how had you managed to end up with the two of them alone, you didn’t know, and you didn’t like.

“i rent it.” the girl smiled.

“nice.” he nodded.

“lila, you should probably change all your phone numbers.” you said, messaging your team, they’d found something concerning nude photos of the young artist.

“i’m unlisted.”

“anytime you call an 800 or an 888 number your phone number’s put into a data bank that’s then sold to telemarketers. if someone gets your phone number they can go online and research all your records.” you actually responded.

“woah, are you a genius like spencer too?” spencer.

“no. i’m actually smarter.” you gave her a small smile, making her chuckle.

“uh… you should probably carry a piece of paper and pen with you wherever you go in case you see any suspicious license plates that often reappear.” spencer tries to change the conversation as you two followed the blonde towards her kitchen. “and a security dog too.”

“allergic.” she simply answered. “do you guys want some tea?”

you shrugged. “yeah, sure. thanks.” spencer nodded as well. it was already getting late, the sun leaving the city’s sky.

“i’m gonna go change while the water boils, make yourselves comfortable.” she said while making her way upstairs.

you went back towards the salon, your eyes wandering towards a collage on lila’s wall. spencer got your left side, his white stripped button up shirt’s sleeves rolled up to his elbows.

“feel anything yet?” you asked him.

“there is something definitely appealing about this one.” he said and you nodded.

“like lila?”

he looked at you, his mouth falling open to say something, but just as the words were to fall from his lips, the blonde returned in a a more comfortable outfit, making her way towards the patio of her house, beside the pool.

“what are you doing?” spencer inquired her.

“i just need some air. the tea is on the kitchen.” she responded.

“what? no, lila…” your eyes rolled to the back of your head as you watched him go after her.

you could hear them talk and spencer beg her to come inside since there was a psychotic killer aiming at her. you made your way back to the kitchen just as fast as you saw the blonde lean into him, one of her hands tugging at his tie to pull him down. great.

your hands took the cup of steaming tea that lila had prepared you, your eyes on spencer’s as you took a sip. but the warm liquid was poured all over the floor of the kitchen, your head spinning at the blunt trauma that stroke you. your hands went to the side of your forehead as you fell, taking in the sight of your blood. you groaned as someone took you from your hair, pulling you and dragging you across the floor, your hands getting cuts from the smashed cup of tea.

“come here.” the unsub said, taking away your gun, and… you knew that voice. your eyes met the blonde’s.

“maggie lowe?” you muttered to yourself. so you were right. she was the killer and stalker.

you got dragged all the way to the salon, where you could see lila and spencer kissing from the distance. but the kiss quickly broke when maggie fired a shot up into the ceiling, capturing their attentions. spencer quickly pulled out his weapon, pointing at maggie, whose gun’s barbell was right against your head.

“maggie?” lila inquired as they slowly made their way towards you two.

“why’d you have to bring these people here?” she asked lila. “put down the gun.” she ordered spencer, clocking the weapon that kissed your skin. he quickly lowered it, calling out for the killer. “don’t call me maggie! you don’t know me!” “come on lila, let’s go. we gotta go baby, let’s go.” she ordered the actress in a soft yet hurt voice.

“maggie don’t hurt her, you don’t need to hurt her.” you didn’t know if he was talking about lila or you. or maybe both.

“you don’t know anything. i would never do anything to hurt lila. i created her.”

“no, you didn’t.” lila said.

“yes, i did!” you closed your eyes when the barbell dug harsher against your temple. “i did everything for you! and you betray me by bringing these people here… to our house!!!”

“so ungrateful…” you say, loud enough for maggie to hear you. “look at you… you gave her everything and you saw what she did to you… she kissed him. she told him she loved him.” you lied, looking at spencer. he caught on.

“what?” maggie incredulously said.

“i heard them. i saw them kissing each other like animals!” you yelled. “he abandoned me… and now i’m here. about to be killed because of him!” you spat, meeting maggie’s eyes. “you don’t have to hurt me. they don’t deserve us. i’m on your side maggie… i know how you feel. i know how it feels to be betrayed like this…” you nodded, seeing her eyes change. “give me my gun… i’ll kill him for you. and then you can have lila back. i’ll let the two of you go.” you promised, slowly rising up to your feet, extending your hand.

and just as she pointed her gun down, you tackled her, taking the weapons from her and throwing them aside as she fought against your hold.

“reid!” you called out for your work mate, who quickly came to you and handcuffed maggie, who just started crying and begging for you to kill her.

“i gave her everything…”

you looked at spencer, wiping off the blood from your eyes.

“and that’s why we need to stay professional.”

-

“are you okay, pretty girl?” morgan came to you as the paramedics wiped clean your wound.

“yeah, they say i have a light concussion. a couple of stitches and i’ll be alright.” you gave him a small smile.

“what happened in there, huh? we only got what the paparazzi had on camera, which is…” you nodded.

“yeah. well, maggie got into the house with lila’s spare keys, and basically almost killed me. it was good luck that spencer kissed lila, or else i don’t know what i would’ve done.” the rest of the team had gathered around you.

“you did good. spencer told me how you got into her head.” gideon said.

“thanks.” you responded.

“make sure you’re on the clear before getting up. we’ll be right back, gotta fill in the other officers.” hotch informed you, to what you nodded.

they all left except spencer, who silently looked at you.

“i’m sorry.” spencer said, looking at his feet. “this shouldn’t have happened, if i hadn’t…”

“… played barbie?” you finished off for him, catching his attention. “look spencer. i don’t really care about it. it’s your life and you make your own decisions, just… make sure to not put any of us in danger while doing it. even lila. one of us three could have died tonight.” he nodded. you reached on your back pockets, pulling out the films of the paparazzi’s camera. “i guess this is yours.” he called out for you once again, probably to apologize one more time, but you were still pretty shaken up and you were still pretty mad at him. “would you mind? my head is killing me.” you asked of him and he nodded, silently turning around and walking its way towards morgan and emily. your mind went back to her words the moment the needle punctured your skin. oh ‘come on, really? do you really not feel it?’ ‘there’s this weird tension in between the two of you.’. and then back to jj’s. ‘it’s like when two little kids like each other and they don’t know how to show it so they just mess with each other’. you couldn’t help but chuckle.

you liking spencer? no way.

if there was anything you felt for spencer reid that was hate.

-

a/n; im so excited for this series!!!! so much angst and fluff and smut yet to come!🤭

[fmhobeus]

morning sex! with nanami! it's all i fucking think about!!!!!!!

(arranged marriage au? slight somnophilia?)

he was usually up before you. like wayyy earlier. he's learnt not to bother you even though you can feel his massive weight be lifted of the bed. you know his routine by now. he goes to the gym early, showers and makes himself a cup of coffee by the time you start cooking breakfast. that's the routine, that's one you're aware of. what you don't know is that he's been watching you sleep... for like... everyday you both have lived together.

and it's !!not!! creepy, of course, you are his wife. it's not creepy, the fact that if he looks at you too long he starts to feel his pants getting tighter, a siege of blood flowing south.

it isn't wrong, when he pulls your covers down from your face. of course he just wants you to breathe easier. it's not lust. just an added bonus that he can now see your pretty lips parted, begging for a kiss and your pretty tits squished by your arms as you lay on your side.

if it's not wrong then why does he... why does he feel this way? this guilt? and why does it make him hornier?

so one of these weekends, as he told himself, he'd try his luck. it was all too unbearable for him at this point. you were fogging up his brain with these lewd images. and worst part was... you were oblivious to the effect you had on him.

it's a sunday. his body wakes up at the usual time. wee hours of the morning. you're by his side this time. it's all up to him now.

he tries to be discreet, at first. try lovey-dovey stuff first, as the internet has told him. you feel him shift in the bed and suddenly your husband's massive arms hug you from behind. the muscles tense as he pulls you to his chest. his heart is pounding. and its barely like 5 am.

"you're sleeping in?"

"yeah, weekend."

"no gym?" you ask. you both sleep face opposite sides, this is one of the few times you've had to adjust your body to his frame. you squiggle as you talk, trying to fit the soft curvature of your body with his flatter, harder frame.

"no.. it's uh... closed for maintenance today." he too has a hard time adjusting to you. to your curves, to your proximity, to how you slept in his arms like a fawn. to how he would conceal his erection to spend time like this with you. too much, too unbearable.

"oh, ok." you smiled. "wake me up if you need anything hm?"

you close your eyes once more. now something else woke you up. nanami's face nuzzled in your neck. his hands, this time, toying with your waist. his bulge apparent. it made sense now. you couldn't help but smile to yourself.

nanami kento is the beautiful man you are married to. gorgeous blonde hair. piercing brown eyes, shaped so angular that it's intimidating. perfect jaw structure. and god... that dick. he was caring and responsible too. how could a man this perfect ever love you? you were convinced he didn't. he always looked stoic, removed, disconnected from you an your relationship. he fucked you with care and gentleness and diabetic sweetness. you couldn't feel him want you. but you'd grown to want him. who the fuck has a one sided crush on their own husband?

but this... this felt different. this felt like all those fantasies were gonna come true. those moments you spent doting on him, creating the nastiest scenarios.

oh god, his soft blonde hair, unkempt and messy in bed. his eyes barely open, his body warm. he smelled like himself and not his expensive cologne. it was all so domestic. all so comfortable. how could you miss this side of nanami?

but you continued to be merry with the domesticity of it all to foresee how your perfect husband was about to perfectly split you open with his perfect dick.

[12percentspider]

Info time: Diabetes and related issues [this is long but I highly suggest reading]

Do you ever see something and you go "that doesn't sound right, but I don't know enough about diabetes to dispute it"? Well, I can help you there. I can help you know enough about diabetes to dispute it if need be. Especially because well, there are seemingly a lot of scams going around where people claim to be diabetic [in my experience it's maybe 3 scammers that just remake] and the information is not very correct in most cases. Not to mention this type of scam pisses me off because I am in fact diabetic, and not only are people preying off of others' lack of information about the chronic condition, but it's also trivializing a serious lifelong condition that can be fatal. If you have now or have lost a loved one to diabetes complications, you are already aware of how dangerous it can be as well as how dangerous misinformation is as well.

What is diabetes? Diabetes is a chronic condition related to the endocrine system- the pancreas specifically. However, if complications get serious enough other parts of the body will be affected. In type 2 diabetes, the body's cells have become resistant to insulin, which is a hormone produced by the pancreas that allows cells to use glucose from the blood- your body's energy it needs to function. When someone is 'type 2', the food that person is eating is not able to fuel them, regardless of caloric content. Glucose is commonly called "blood sugar". It's a type of sugar that is processed and then transported via the circulatory system to your cells where it's needed. With type 1 diabetes (which used to be called "juvenile diabetes"), the pancreas does not produce any/enough insulin for some reason or another, generally because of autoimmune or other damage. [For me personally, I was diagnosed as an adult and had to have it confirmed as type 1 due to the presence of autoimmune antibodies, also apparently my pancreas hadn't quite given up at that point.] As we've seen before, insulin allows your body to use the food you are putting into it. As a double whammy, you can have type 1 with resistance, so not only is your body not producing any/enough insulin, what's there can't be used properly. [RIP Spider who has this] So to explain the effects, think about what happens when you're literally starving. Now imagine that's happening no matter how much you eat. Your body may go into starvation mode and store fat. This can be misleading, which when combined with fatphobia has people concluding that "well, you have diabetes because you're fat, duh". Heck, I have/had diabetic relatives who believed that eating too many carbs will automatically cause the condition because that's what everyone is told/assumes. Eventually, you'd starve and your body would start deteriorating as so. HOWEVER because you would have so much glucose that just sits there because it can't be used, your kidneys are going to work overtime to try and correct this- and they can't do it alone. Your liver can also suffer severe damage. That's not to mention a whole host of other complications that can occur.

So what about it? Well, obviously there are treatments. Insulin injections have existed since the 1920s. There are also medications that can help your body actually use the insulin it's being provided, be it naturally or artificially. So yes, people with diabetes are dependent on prescriptions to survive. My grandma lost a sister in childhood due to insulin treatments apparently not being available in the extremely rural area they were living in at the time. More recently, the israeli occupation has banned insulin from being distributed to Palestinians. [Insulin has also been used historically in psychiatric hospitals to force low blood sugar in psychiatric patients, but that's a whole other rabbithole about psychiatric abuse.] There are resources for the US and beyond if you or someone you know and/or love are in dire straits financially and need help with insulin or other diabetes medications/ related medical help. That's only one aspect of treatment, though. Because pain, stress, hormone changes, other medical issues, and plenty of other factors can raise your blood sugar to dangerous levels, other kinds of treatment to manage other factors may be necessary.

Now that that's out of the way, let's get to specifics. So the most common problem you're going to see mentioned is high blood sugar. We've already covered what the effects are, but what is considered high? For the most part, "high" is 200 milligrams per deciliter. My CGM (continuous glucose monitor) lists "high" as anything 181 or higher but stops giving an exact number after 350. This is why I had a good laugh that time I saw a scammer using an image of a meter reading glucose in the 120s- that's good blood sugar. If you're going to get even more specific you want your pre-breakfast blood sugar to be 80-130. So when you see an accompanying image reading in the 500s, that's extremely dangerous. That's "you're in danger of going into a coma" dangerous.

Insulin pricing? How come I'm seeing people saying they need $300? In the US, pricing cap was set to $35 somewhat recently. What this means is that per insulin pen (as far as I've experienced, the above-linked resource post should have links with better clarification) it's $35. Can't be more than that for one pen. How many doses that provides is very up in the air. It absolutely varies from person to person. I have relatives with type 2 that have to inject a dose of very long-acting insulin weekly, one has gone back and forth with daily doses on top of that. I'm type 1 and have to take one dose of long-acting nightly with injections of a short-acting insulin before every meal, with the exact dosage amounts varying per meal. Insulin is measured in units (there's probably an actual mL amount, both of mine are 100 units per mL with a 3mL pen). How many units someone needs is determined with their medical provider (or care team? When I went to 'diabetes education' after diagnosis I was set up with a "care team").

Edited:

["...pharmacies can refuse to split boxes of insulin pens depending on company/store policy. so if someone lost their insulin and needed to get a replacement because insurance wont pay for more, the pharmacy could make them get a full box of three or five pens."]

via: anon ask (thank you much!!!) So it turns out that yes, with $35 being a cap it would very much likely be for EACH pen, with 3 being $105 in this case and 5 being $175.

But at any rate, if someone is in an emergency situation in the US should be able to get an insulin pen for $35 pretty much when they get to a pharmacy [again, from edit: no, not every pharmacy]. Yes, I get that this can be difficult in some situations, but that's outside the concept of insulin prices.

If someone's blood sugar is over 500 though, they almost certainly need a hospital more than they need an insulin pen. Yes, alright, the actual real single mother on twitter who was the source of the profile images/meter images that whatever the current url for vero-og has stolen and been using for months... that was actually months ago and I'm sure she doesn't need to be told to go to the hospital right now. [That said, if you get an ask from someone and the url is a variation off of 'vero-og' that is a confirmed scammer.] And then on top of that, yes, why would you block people that can get you free or discounted insulin? If someone was offering to save your life for free or find you what you need for far less than what you were expecting to spend, why wouldn't you take it? Unless what you're actually after is money.

SO TO RECAP: Insulin does not cost $300, $350, $370, whatever someone is sending you an ask about. In the US, it is federally capped at $35 per pen, with further resources available, as well as further resources being available internationally. If you need help, please be honest about it. I promise there are people who care, you don't have to try and explain yourself- but it absolutely does not cost that much and if it did, there are ways to lower the cost by quite a bit if there aren't resources to make it free. Diabetes is a lifelong chronic condition that is not caused by "being fat" or "eating too much", it is caused by your body not functioning right and your body can starve no matter how much food you eat. Unfortunately, people have been lying on this site for months if not years claiming to have type 1 with an insulin emergency. These people cannot possibly have diabetes, or they would be well aware that they do not need hundreds of dollars to get their insulin. They are counting on you not knowing this so you will donate to them. The 'vero-og' scammer had been harassing someone who donated and threatening them with the intention of bullying more money out of the donor.

[scientia-rex]

Because my most popular post is about weight loss and how it's a crock, I get a lot of questions about various things, including bariatric surgery--just posted the link to the post I did about that--but also Ozempic/Wegovy, the once-weekly injectable semaglutide medication that was developed for diabetes but was found to have independent benefits on weight loss.

I always said that weight loss was like Viagra: when a medication came along that actually worked, it would explode. We'd all hear about it. Fen-phen in the 90s worked, but it was bad for your heart. Stimulants, like meth, may cause weight loss, but they do it at the cost of heart health, and raise your likelihood of dying young. Over the counter weight loss supplements often contain illegal and unlisted thyroid hormone, which is also dangerous for the heart if taken in the absence of a real deficiency. Orlistat, or "Alli," works the same way as the Olestra chips Lays made in the 1990s--it shuts off your ability to digest fats, and the problem with that is that fats irritate the gut, so then you end up with fatty diarrhea and probably sharts. Plus Alli only leads to 8-10lbs of weight loss in the best case scenario, and most people are not willing to endure sharts for the sake of 8lbs.

And then came the GLP-1 agonists. GLP stands for glucagon-like peptide. Your body uses insulin to make cells uptake sugar. You can't just have free-floating sugar and use it, it has to go into the cells to be used. So if your body sucks at moving sugar into the cells, you end up with a bunch of glucose hanging out in places where it shouldn't be, depositing on small vessels, damaging nerves and your retinas and kidneys and everywhere else that has a whole lot of sensitive small blood vessels, like your brain.

Glucagon makes your liver break down stored sugars and release them. You can think of it as part of insulin's supporting cast. If your body needs sugar and you aren't eating it, you aren't going to die of hypoglycemia, unless you've got some rare genetic conditions--your liver is going to go, whoops, here you go! and cough it up.

But glucagon-like peptide doesn't act quite the same way. What glucagon-like peptide does is actually stimulating your body to release insulin. It inhibits glucagon secretion. It says, we're okay, we're full, we just ate, we don't need more glucagon right now.

This has been enough for many people to both improve blood sugar and cause weight loss. Some patients find they think about food less, which can be a blessing if you have an abnormally active hunger drive, or if you have or had an eating disorder.

However, every patient I've started on semaglutide in any form (Ozempic, Wegovy, or Rybelsus) has had nausea to start with, probably because it slows the rate of stomach emptying. And that nausea sometimes improves, and sometimes it doesn't. There's some reports out now of possible gastroparesis associated with it, which is where the stomach just stops contracting in a way that lets it empty normally into the small intestine. That may not sound like a big deal, but it's a lifelong ticket to abdominal pain and nausea and vomiting, and we are not good at treating it. We're talking Reglan, a sedating anti-nausea but pro-motility agent, which makes many of my patients too sleepy to function, or a gastric pacemaker, which is a relatively new surgery. You can also try a macrolide antibiotic, like erythromycin, but I have had almost no success in getting insurance to cover those and also they have their own significant side effects.

Rapid weight loss from any cause, whether illness, medication, or surgery, comes with problems. Your skin is not able to contract quickly. It probably will, over long periods of time, but "Ozempic face" and "Ozempic butt" are not what people who want to lose weight are looking for. Your vision of your ideal body does not include loose, excess skin.

The data are also pretty clear that you can't "kick start" weight loss with Ozempic and then maintain it with behavioral mechanisms. If you want to maintain the weight loss, you need to stay on the medication. A dose that is high enough to cause weight loss is significantly higher than the minimum dose where we see improvements in blood sugar, and with a higher dose comes higher risk of side effects.

I would wait on semaglutide. I would wait because it's been out for a couple of years now but with the current explosion in popularity we're going to see more nuanced data on side effects emerging. When you go from Phase III human trials to actual use in the world, you get thousands or millions more data points, and rare side effects that weren't seen in the small human trials become apparent. It's why I always say my favorite things for a drug to be are old, safe, and cheap.

I also suspect the oral form, Rybelsus, is going to get more popular and be refined in some way. It's currently prohibitively expensive--all of these are; we're talking 1200 or so bucks a month before insurance, and insurance coverage varies widely. I have patients who pay anything from zero to thirty to three hundred bucks a month for injectable semaglutide. I don't think I currently have anyone whose insurance covers Rybelsus who could also tolerate the nausea. My panel right now is about a thousand patients.

There are also other GLP-1 agonists. Victoza, a twice-daily injection, and Trulicity, and anything else that ends in "-aglutide". But those aren't as popular, despite being cheaper, and they aren't specifically approved for weight loss.

Mounjaro is a newer one, tirzepatide, that acts on two receptors rather than one. In addition to stimulating GLP-1 receptors, it also stimulates glucose-dependent insulinotropic polypeptide (GIP) receptors. It may work better; I'm not sure whether that's going to come with a concomitantly increased risk of side effects. It's still only approved for diabetes treatment, but I suspect that will change soon and I suspect we'll see a lot of cross-over in terms of using it to treat obesity.

I don't think these medications are going away. I also don't think they're right for everyone. They can reactivate medullary thyroid carcinoma; they can fuck up digestion; they may lead to decreased quality of life. So while there may be people who do well with them, it is okay if those people are not you. You do not owe being thin to anyone. You most certainly do not owe being thin to the extent that you should risk your health for it. Being thin makes navigating a deeply fat-hating world easier, in many ways, so I never blame anyone for wanting to be thin; I just want to emphasize that it is okay if you stay fat forever.