Posts in Health (13 found)
DYNOMIGHT 1 weeks ago

I quit drinking for a year

In early January 2025, a family friend was over for lunch. One of my many guilty midwit pleasures is a love of New Year’s resolutions, so I asked her if she had made any. She said no, but mentioned that she had some relatives that were doing “damp January”. In case you’re not aware, Dry January is a challenge many people do to quit drinking alcohol during the month of January. These folks were doing a variant in which, instead of not drinking, one simply drinks less. For some reason, this triggered me. I thought, “Are you kidding? You can’t even stop drinking for a single month? Do you know how pathetic that is?” And then, “Fuck you! Fuck you for doing damp January! You know what, I’m going to stop drinking for a year !” To be clear, these thoughts were directed at people I’ve never even met. In retrospect, I wonder what was going on with me emotionally. But I take resolutions seriously, so I felt committed. We are now 15 months down the timeline, so I’ll make my report. This will sound odd, but I swear it’s true. Not drinking was so easy that it was almost easier than my previous baseline of not-not-drinking. Before starting this resolution, I didn’t drink much—perhaps two or three drinks per week. But I often thought about drinking. Every time I saw friends or went to a restaurant, I thought, “Should I have a drink?” Usually I decided not to. But making that decision required effort. After a few weeks of not drinking, that question never even came up. Drinking was simply not a thing I did, so I never needed to negotiate with myself. Theoretically, you could allow yourself one drink a month instead of zero. Theoretically, that should be easier. But I’m pretty sure I’d find it harder, because alcohol would still be an option , a thing to consider. Early on, I sometimes wanted a drink. But gradually I noticed that I didn’t really want a drink, I just wanted a thing . I can’t find a precise name for this concept in psychology, but often, some deep part of my brain seems to scream, “I WANT A THING.” It could be alcohol, but I found dessert worked just as well. I suspect that a new shirt or meeting a new dog would also work. I was not able to stop my brain from doing this. When it demanded a thing, I gave it a thing. I just substituted a non-alcohol thing. So, over the year, I became interested in desserts and even-more interested in tea. The struggle was The Chocolates. Shortly after I made this resolution, my mother gave me a bag of chocolates that each contained a bit of whiskey. In general, I don’t keep chocolate at home. If anyone gives me chocolate, I immediately eat all of it and then text the giver, “Thanks for the chocolate, I ate it instead of dinner, it’s all gone, this is what will always happen if you give me chocolate.” But I couldn’t eat the Chocolates, because they contained alcohol. I managed to get guests to eat a few. A couple of times I came close to draining out the alcohol and eating the chocolate container. I even considered throwing them away, but that felt wrong. So instead I spent a year glaring at them and waiting for them to apologize for the anguish they were causing me. This represented half the difficulty of this resolution. I do not recommend it. Keep your things separate. Have you heard that alcohol is bad for sleep? Because alcohol is bad for sleep . I’ve always known that was true, abstractly. But sleep is variable. If I didn’t sleep well on an individual night, I was never sure: Was that because of the alcohol, or was it random variation? After a year without alcohol, I am very confident that yes indeed, alcohol is bad for sleep , because my sleep during 2025 was much better than in previous years. Sure, like anyone else, I still sometimes wake up and start thinking about oblivion rushing towards me, and how everything I love will vanish into time, and how all that was once future and hope inevitably becomes static and dust, and how the plague of bluetooth speakers continues to spread across the globe. But now: less! I wish there was a drug I could take that would give me energy and improve my mood and make me physically healthier and smarter, all without side-effects. I don’t think such a drug exists. But we do have the opposite! So, sadly, I’ve come to believe that alcohol is basically the perfect anti-nootropic. That’s not because it makes you dumb while you’re drunk. (True, but who cares?) Rather, that’s because it is bad for sleep , and therefore makes you worse across all dimensions the next day. I did find not drinking to have one clear downside: It’s just not that much fun to hang out with people who are drinking if you are not drinking yourself. To be clear, this is a limited effect. It’s only an issue at bars or certain parties where people are there to drink . I don’t go to many such gatherings, but when I did, I felt it was less fun. It’s not that I missed alcohol. Instead, my theory is that drinking parties are a sort of joint role-playing exercise: “Let’s all get together and collectively reduce our inhibitions and see what happens.” It’s fun not (just) because everyone is taking a recreational drug, but because it’s a joint social experience. If you don’t drink, then you aren’t fully participating. It seems like it should be possible to reproduce this effect without alcohol. You could imagine other ways to push the social equilibrium out of balance. Like… Masks? Or weird environments? Or mutual disclosure games? Should people get together and do a group cold plunge? Unfortunately, all these are complicated and/or carry some kind of social stigma. So until we figure something better out, this is a real cost of not drinking. It was minor for me, but it probably depends a lot on where you are in life. All other effects were minor. I guess I saved money at restaurants. I actually lost a bit of weight over the year, despite all the extra desserts, though I can’t say for sure if alcohol was the cause. Otherwise, once I stopped thinking of alcohol as an option, I rarely thought about the resolution at all, except when I saw those damn chocolates. Towards the end of the year, I started wondering if I should quit drinking forever. But I never came to a conclusion, because I rarely thought about alcohol. I considered having a drink at midnight on New Year’s eve, but I happened to be on a plane that crossed the international date line and thus skipped New Year’s eve. And then… for the first few months of 2026, I still didn’t drink. That wasn’t because of any decision. It just never seemed appealing because (a) sleep and (b) I’d broken the mental link between want thing and drink alcohol . Eventually, I ate the chocolates, and I had a glass of wine when visiting some friends. If I can continue rarely drinking while almost never thinking about drinking, I’ll probably do that. If I slowly slide back into always thinking of alcohol as a live option and always negotiating with myself, I might just resolve to quit forever. So that’s my story. Obviously, it’s heavily colored by my own idiosyncrasies, so it’s hard to say if it offers any general lesson. I do think people underrate the long-term health impact of drinking. The effect on heart disease is debated, but everyone agrees that any alcohol increases the risk of cancer. Still, the long-term effects from occasional light drinking probably aren’t huge. What’s really underrated is the short-term effects, via worse sleep. If I had to give advice, it would be this: If you drink, and you think you might be better off not drinking, why not try it? Maybe you’ll find that champagne is essential to your happiness and drink it every night, to hell with the costs. Maybe you’ll find a different baseline, or maybe you’ll quit forever. Whatever you decide, you’ll have full information.

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ava's blog 4 weeks ago

radically accepting my flawed and dysfunctional body

I remember years ago, especially early on in the pandemic (2020/2021), I was still not diagnosed with my illnesses ( Bechterew's disease and Crohn's disease ). For a decade at least, I had dealt with a variety of symptoms, most of it around joints, my spine, and my digestive tract, and separately from those, also hormonal issues. Food was unpredictable and made me feel sick and caused me a lot of pain, and all the inflammation showed on my skin too: Around that time, gut health information was really booming online (probably still is, but I keep away from that content now and I'm less online). The idea was that by cutting out certain stuff or mostly eating this or that diet or taking these supplements would regenerate your gut health and make all the symptoms go away - the joint pain, the sluggishness, the acid reflux, the rashes, the hormone imbalances, the allergies and intolerances, and so on. If you see your body as a naturally wholesome and healthy body that is just temporarily imbalanced by some exposure and can be brought back into balance, these products and lifestyle changes are basically the magic pill. Just do this and avoid expensive pharmaceutical drugs with side effects! I'm not trying to act like that can never happen; people have successfully reversed or lessened some illnesses and issues by eating differently, working out, losing weight or limiting their exposure to something. But for me, this approach just led to disordered eating habits and holding off on effective treatment in some things for a while. The thing is, lots of people online peddling this stuff are in the business of snake oil. Buy their classes, their book, their supplements to finally be free from all these issues that doctor's can't or won't diagnose or only have evil medicines for that have side effects! Your body is good as is, it just needs a nudge in the right direction! It puts so much responsibility on you. Yes, we should limit our exposure to pesticides, PFAS etc., but you go insane in the grocery store thinking: " I can't buy this, it's not organic, can't buy this, it's wrapped in plastic, can't buy this, it's canned, can't buy this, it's high inflammatory/against FODMAP diet, can't buy this because it's too processed, can't buy this because it has so much sugar... ". Back then, every grocery store trip had me on the verge of a mental breakdown or actually breaking down. Everything felt contaminated, unsafe, or something my body couldn't tolerate. It felt impossible to " treat my body naturally " or bring it " back into balance ". Even when you do manage for a while, it significantly inhibits your ability to socialize with people because so much of it is about food: going out to eat together, attending festivities, being invited to dinner, being gifted food, traveling. A very restrictive diet can also cause deficiencies or starve you. It's also a bottomless pit: If it doesn't work for you and you don't see results, they say you need to try harder, also cut out this and that, buy this other supplement, and now consider other areas of your life too. Aggressively filter all your water, move away from any kind of busy street to limit the exhaust fume exposure, have your home checked for mold, switch out all your synthetic dyed clothes for unbleached undyed linen, switch out all your cooking utensils and pans to the "non-toxic" varieties, check if you live near some kind of coal plant or electricity lines or so, and if you are in the really weird circles, you will hear about chemtrails and Electromagnetic Hypersensitivity and all that. Yes, mold exposure and harmful substances in water are a problem, but I'm just saying: Doing all this next to everything else in life is a huge undertaking, mentally taxing, making people extremely paranoid and isolated, and bleeding them dry when it's often not even the issue . It's taking advantage of vulnerable people who either have no access to healthcare or aren't taken seriously or cannot afford the testing or medication required. It's good when one simple change can genuinely help you - for example, I know what foods not to eat to avoid triggering acid reflux. I love it for you if you figured out that eating gluten was behind it all and are now happy and healthy. But my body was never a naturally healthy and balanced one that got out of whack by some behavior or exposure, and even if it happened because of exposure in utero, or as a child, or just living in our modern environment nowadays, I can't undo or change that. My body, in its natural state, is not normal or healthy, and all that helps is proper medication. It's not temporary, this is just how my body functions. The baseline I was born with isn't the norm, and as experience showed, no amount of gut health stuff or limiting exposure or other lifestyle changes were going to change that. All that helped was finally getting properly diagnosed and receiving treatment . It was easy for me to accept treatment for the above issues because life had become unlivable with my intense flare ups and affected by daily ability to function all the time, and any possible side effect was worth the risk. I still don't regret any of it, and it works fine for me. Where I struggled to seek and accept help was for my hormone issues, as they only affected me every other month or so and were easier to ignore otherwise. As I talked about in a different post, I received hormone therapy as early as 11 years old because my periods and hormone levels were not normal and I otherwise wouldn't have developed how I am expected to as a cis woman 1 . I needed T-blockers like cypro to have the puberty my body and mind needed 2 . I stopped at 19 or 20 because I had started having issues with pain and spotting for a while and thought I could try and see whether after puberty, my situation had resolved and I'd naturally have the hormone levels I needed. It hadn't. So since then, I either took nothing, or tried reigning in my PCOS and endometriosis with things like Maca root powder. It did bring down my cycle days from 60-70 down to 30, but other issues still persisted. Lots of menstrual pain, flareups of my other issues, PMDD , and so on. When I still went to therapy years ago, my therapist suggested getting antidepressants to take just for the phase between ovulation and period, so I'd stop feeling the awful effects of PMDD. I declined, because while I had been on antidepressants previously for a while and they helped, I also knew what it was like to start and stop them, and I didn't want to constantly put my body through that; plus, the scary side effects! The same happened with hormone treatment. Even though I had spent years of my life on artificial hormones, I was scared to go back on it because I couldn't rule out that they had played a part in my depression back then (or at least amplified it). I was also scared of thrombosis, meningioma and other issues 3 . I thought it would just naturally fade away, or I could make without until menopause, or later: My treatment for my Bechterew's and Crohn's will finally bring my body into natural alignment! At first, it looked like it; I suddenly experienced cycles like a normal person. On time, barely or no pain, very light bleeding. But it went back to how it was over months, even after switching from infliximab to adalimumab. So turns out, fighting the inflammation in my body didn't do anything to normalize my hormones. I wrote something about accepting my natural menstrual cycle that retroactively is just a huge cope. There it was again, the idea that there is a natural state a body can return to and that everyone's default state is automatically healthy, now warped into the idea that I was just naturally meant to have elevated androgens and all this, and that I should just accept how it is. The idea that natural is automatically good is such an easy fallacy to fall prey to, and natural also meant unmedicated to me. I tried to find so many reasons for why being so destroyed by my cycle every time was actually somehow a good thing or had any advantages. There's no shortage of supposedly empowering and encouraging content online about this as well: People who present having a cycle as something magical and romanticizing it as living with the moon tides or living in tune with nature. Just be proud of it and feel like those TikTok witches brewing your own herbal solution and gulping it down with some pumpkin seed oil. Ugh! Recently, I just grew tired of it all. The weeks of feeling sluggish, moody, forgetful and weak; my Crohn's and Bechterew's flaring up with it every time; feeling suicidal and calling in sick due to menstrual pain. 2-3 weeks until I felt normal again derailed good routines and fitness goals all the time, and it was hard to plan around such an irregular cycle. These times could fall on important dates at work or in my degree (exam season etc.) and jeopardize my reliability and skills. If I wanted to reach the goals I had set myself and would thrive in and feel the happiest in, I needed to address this. I owe myself that. No one will ever notice your avoidable suffering and pat you on the back for enduring it when there is another way. You aren't impressing anyone with choosing "natural" over comfortable and happy. All people will see and remember are the times you seemed unhappy, uncomfortable, snappy or missed out on being even being there. In that one post about accepting my cycle, I wasn't actually accepting it. I see now that to actually accept my sick body, it also means accepting treatment where possible . Everything else is not acceptance, it's just giving up and ignoring the issue. So recently, I had my yearly checkup at the gynecologist and finally got help. I am very lucky to have a very attentive and knowledgeable gynecologist 4 , and we went through all the options with pros and cons, also in connection with my Crohn's that can affect absorption, and we settled on dienogest daily and skipping my period altogether. Independently of that, I finally accepted that my hair needs additional help as I am prone to telogen effluvium and androgenic alopecia , and if I am regrowing it now since cutting it off in October 2024 due to losing like half my hair back then, I need to do something. So I am trying out minoxidil on top of going back to scalp massages and all. I know seeking medical help can be daunting, stressful, humiliating, costly, inaccessible, and scary. I almost cancelled that appointment about four times. But I hope it motivates you to seek help for the thing you put off or gave up on. You don't need to suffer, you don't need to self-sabotage or prove it to yourself, and you weren't " meant to be like this ". If " natural remedies " or snake oil and obsessive rules don't work for you, allow yourself to accept proper help. Reply via email Published 17 Mar, 2026 This is also why I have very small hands and feet, and remained at an average size. I was expected to become 1,80m tall, now I am just 1,66m, with a EU shoe size of 36/37. I didn't change that much from that age in terms of size. ↩ Yes, they do that for cis children, so stop clutching your pearls about trans children getting the same care! ↩ This is unfortunately what happens when you work with medical data, particularly side effects and adverse events; you know way too much about some meds. ↩ She's always been great, but it felt like in the year since we last saw each other, she went extra hard in researching how my illnesses can interact with my cycle before I showed up. ↩ This is also why I have very small hands and feet, and remained at an average size. I was expected to become 1,80m tall, now I am just 1,66m, with a EU shoe size of 36/37. I didn't change that much from that age in terms of size. ↩ Yes, they do that for cis children, so stop clutching your pearls about trans children getting the same care! ↩ This is unfortunately what happens when you work with medical data, particularly side effects and adverse events; you know way too much about some meds. ↩ She's always been great, but it felt like in the year since we last saw each other, she went extra hard in researching how my illnesses can interact with my cycle before I showed up. ↩

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ava's blog 1 months ago

yesterday, in my body

If you are a generally healthy person, it can be hard to conceptualize how quickly someone's illnesses can suddenly turn within a few hours, so here is an example from yesterday to illustrate it. My wife and I had made plans to go a tabletop/board game flea market at noon and then head over to a restaurant afterwards. I had slept well, I had a bit of breakfast, I put effort into my looks, I had no pain or other issues, everything was generally fine. My Crohn's disease had acted up here and there in the days prior, but no signs of that yesterday. On the way there, everything was fine. I had forgotten my noise-cancelling headphones at home, but the tram was surprisingly pleasant and manageable without it. I noticed I wasn't able to comfortably stand as long as I had now gotten used to (lower back pain from Bechterew's disease etc.), but I blamed it on being more sedentary recently. The flea market was so full, I only quickly walked through and then waited at the emptier entrance the rest of the time. At the restaurant, I tried a Vietnamese Iced Coffee for the first time, and oh boy... the restaurant really put some extra effort into that! It was very bitter and the coconut cream they included was extra, sickeningly, sweet to make up for it. Since my month without caffeine, I had gotten extra sensitive to caffeine again, and I tend to react badly to lots of sugar, so I expected some negative consequences, but it was tasty. On the way home, I start feeling extremely anxious due to the caffeine. I'm overwhelmed and extra sensitive, every noise and smell is too strong, I feel deeply uncomfortable in my body and just want to run away. I can't at least take away the sound element, because again, I had left the noise-cancelling headphones at home; deep regret at that point. When we make it home, I immediately free myself from everything that isn't necessary or comfortable and lie down in bed. I don't wanna be touched, and I don't want to talk, and if I have to talk, I whisper. Every sound feels like nails on a chalkboard, and every touch burns like lava. After some hours, I recover. I make some dinner with leftovers, and afterwards, decide I should work out at least a bit, as I feel okay again. A few minutes on my indoor cycle, and my body just feels off. I feel weak, but not the kind of weak you feel when you just need to eat or drink something. I start to feel really fatigued from the simplest and easiest movement, and I check my pulse on my watch. There it is, my best indicator that inflammation is currently high in my body: Unusually high bpm for what I do. I was rather slow pedaling without much resistance, and I was already at 122bpm when usually, I'd be at 104-110 max for this warmup/difficulty. Damn. I try to at least finish with very light, easy cycling, but I have to stop entirely. This kind of fatigue feels like you're forced to walk in slow motion, like a dream, or like underwater; everything feels like it has a weird, invisible resistance, and your limbs are so heavy. I try if I can at least do some stretching and crunches on my yoga mat, and that's easier. I still feel weird and fragile, but it's manageable. When I stop, the fatigue hits me like a brick wall. I only have energy to change clothes and collapse onto the sofa. That's where my usual "my autoimmune disorders are acting up" routine starts; I can barely manage anything. I don't really want to move, especially not my arms. I can barely find the words or express myself due to massive brain fog. I feel like I am a tiny ball living in my chest cavity, stuck in a huge meat mech. When it gets bad, I can no longer even handle looking at my phone, I can just lie there and focus on my breathing. That usually goes hand in hand with some general pain and discomfort that's hard to localize and feels like a huge cloud surrounding me, and I ask my wife for my pain/anti-inflammation meds, because otherwise I just start writhing around groaning all the time. I also fall asleep on the sofa, only going to bed some unknown time later (probably close to midnight?). It's the next morning now, and I still feel a little off, but mostly fine, and I'll be taking it slow with my body today; no exercise, no going outside, and lots of rest, though I am working from home, and I have to study a bit for my exam tomorrow! Wish me luck. Unfortunately, it's no coincidence this stuff mostly happens around stress points like exams, and I'm sure the sugar and caffeine didn't help... 😐 Reply via email Published 09 Mar, 2026

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Xe Iaso 1 months ago

Advice for staying in the hospital for a week

As I mentioned in my last couple posts , I recently got out of the hospital after a week-long stay. I survived the surgery, I survived the recovery, and now I'm home with some hard-won wisdom about what it's actually like to be stuck in a hospital bed for seven straight days. If you or someone you love is about to go through something similar, here's what I wish someone had told me. None of this is medical advice. I'm a software engineer who spent a week as a patient, not a doctor. Talk to your actual medical team about actual medical things. There is no way in hell you are going to be productive at anything. I cannot stress this enough. Whatever you're imagining — "oh I'll catch up on reading" or "maybe I'll do some light code review" — no . Stop. Depending on the procedure that landed you there, you're not going to be able to focus long enough to do anything that matters. Your brain is going to be running on fumes, painkillers, and whatever cursed cocktail of medications they have you on. Don't fight it. The name of the game is distraction. Wait, so what do you actually do all day? Scroll your phone. Watch terrible TV. Stare at the ceiling and have thoughts that feel profound but absolutely are not. Let your brain do whatever it wants. You've earned the right to be completely useless for a while. Bring a tablet loaded with comfort shows and don't feel guilty about any of it. Here's the thing nobody tells you: inside the hospital, time ceases to exist. All your memories from the stay get lumped together into one big amorphous blob. Was that conversation with the nurse on Tuesday or Thursday? Did you eat lunch today or was that yesterday? Genuinely impossible to tell. This is a well-documented phenomenon. Between disrupted sleep cycles, medication effects, and the complete absence of normal environmental cues, your brain has nothing to anchor memories to. It's not you being broken — it's the environment. Try not to have any meaningful conversations during this time. You're not going to remember them, and that's going to feel terrible later when someone references something heartfelt they said to you and you just... have nothing. Save the deep talks for when you're home and your brain is actually recording again. Don't even imagine having any meaningful thoughts during your hospital stay. They will evaporate. Okay, this one is weirdly specific but it came up constantly. Cables that glow when you plug them in are great because you can find them in the dark. Your hospital room is going to be a mess of wires and tubes and you need to charge your phone and finding the cable end at 2 AM without turning on a light feels like a genuine victory. But here's the problem: cables that glow when you plug them in are horrible because they glow in the dark. When you're desperately trying to sleep — which you will be, constantly, because the sleep in hospitals is atrocious — that little LED glow becomes your nemesis. Neither option is good. There is no middle ground. Pick your poison. I ended up draping a washcloth over the cable connector at night. Low-tech solutions for low-tech problems. Everything is going to be simultaneously too bright and too dark. The hallway fluorescents bleed under the door at all hours. Someone will come check your vitals at 3 AM with a flashlight. Meanwhile during the day the curtains don't quite block the sun and the overhead lights have exactly two settings: "interrogation room" and "off." You're going to have to grin and bear through this. Bring a sleep mask if you can. It won't fix the problem but it'll take the edge off enough that you might actually get a few consecutive hours of rest. Your ability to focus is going to be gone. Absolutely decimated. Do not fight it. Some days will be better than others — I had one afternoon where I could actually read a few pages of something before my brain wandered off — but mostly you're going to be operating at the cognitive level of someone who's been awake for 36 hours straight. So your advice for a week in the hospital is basically "give up on everything"? My advice is to stop pretending you're going to be a functional human being and just let yourself recover. That is the productive thing to do. Recovery is the job. Everything else can wait. Brainrot yourself. Watch the same comfort show for the fifth time. Scroll through memes. Let your attention span be whatever it wants to be. You've earned it. Honestly, the biggest thing I took away from my hospital stay is that the hardest part isn't the medical stuff — it's the expectations you put on yourself. Let those go. Be a potato. Heal. The world will still be there when you get out, and it'll make a lot more sense when your brain isn't marinating in hospital vibes and post-op medication. Be kind to yourself. You're going through something hard.

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Chris Coyier 1 months ago

Miscalibrated

I’ve been gaining weight again. More than twenty pounds in the last ~4 months. I’ve been hitting the gym hard and getting measurably stronger, so: Food! See, your boy can eat. The amount I can eat before I feel full would astound most of you out there. Whatever you think of as a complete hearty meal, sure as you’re born, ain’t gonna get me there. Being fat comes with one (1) society-regimented bucket of shame. People look away. It’s a thing. I had gone off my last round of GLP-1 drugs because I was doing OK, and it had lost its effectiveness. I’m not sure if it’s everyone’s experience, but it’s mine, and it’s happened a couple of times now. Honestly, I think my I CAN EAT THROUGH OZEMPIC line of XXXL T-Shirts has a chance. These drugs work very well for a bit. I like them because it gives me a glimpse of what it’s like to be a regular person who eats a regular amount of food and feels a regular amount of full. You settle into that for a while with these drugs. But, in time, effectiveness wanes. And the pharmacies have an answer: higher doses! All these GLP-1 drugs, and I’m pretty sure it is all of them, have dosage tiers. The three I’ve tried have three tiers. Ozempic rolls like this: Wegovy is getting in on the action: Mounjaro has even more layers: Again, they do this because it loses effectiveness. I don’t think people quite realize this??? Even though it’s not hidden in any way. I think these drugs are pretty amazing, and I’m proud of science for starting to figure all this out, but I’m also a little sick of hearing about how airlines are going to spend less money on fuel now. I’ve been reading this story for many years. It’s laughable when we literally know they don’t work permanently. Look at those graphics above. This isn’t a forever solution yet. They are literally showing and telling us that. There is no answer once they lose effectiveness. Perhaps controversial, but I think overeating, in the form I experience it, is an addiction, and addictions come back. Is it possible to beat it? Absolutely. Is it likely? No. I hope you don’t know firsthand, but I bet you already know that cocaine doesn’t maintain effectiveness, either. You need a second line for the same thrill before long. It doesn’t end well. Anyway, I’m back on GLP-1s. At least they work for a while, and that while feels pretty good. It was a rough start, though. My doctor agreed it’s good for me and we should kick up the dosage based on the waned effectiveness. Wegovy this time. It was this past Tuesday that I picked up the meds. It’s down to $350 now! It used to be like $1,200 without insurance. I jabbed myself Tuesday night at about 8pm. I was hugging the toilet hard by midnight. That was a first. See, there was a lot of food in my body. I remember lunch that day, where I made a sandwich were my rational brain saw it and thought that’s 2-3 sandwiches. But of course I ate all of it. And one of those salad bags that make a Caesar salad for a family of four. And a pint of cottage cheese. And a bag of Doritos. I was full after that, but the trick is just to switch to sugar after that, and I can keep going. It wasn’t quite noon, and I had a decent breakfast in me already. I ate dinner that night as well. So when the Wegovy started to hit, which tells your body you’re full when you eat a celery stick, it told my body that it was about to pop . I puked in four sessions over 24 hours. Now it’s Friday, and I’ve barely eaten since. I’ve eaten a little . Like, I’m fine. It’s just weird. I’m miscalibrated. On my own, nature, nurture, whatever you think, my current body is miscalibrated. It doesn’t do food correctly. On GLP-1 drugs, I’m also miscalibrated. My body doesn’t do food correctly. It highly over corrects. That can feel good for a while. I don’t wanna be skinny, I just wanna be normal. I want to eat, and stop eating, like a calibrated person.

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ava's blog 2 months ago

when exercise started helping me

Nowadays, exercising really always saves me without fail. I realized that today, after again feeling absolutely terrible but then dragging myself out of bed to at least walk on my foldable treadmill. I started wondering when this change exactly happened and what led to it, because I used to hate exercise. I didn't understand people who said it helped with depression. When did it truly start being a reliable way to improve my mental state? What I struggled with back then were most definitely access, energy and health . I neither had a gym membership, nor did I have gym equipment at home. Wanting to exercise consisted of pulling out some yoga mat to do crunches like once a year, or going out for a run. Both suck when you haven't built it up over weeks or months! It was immediately difficult, painful and exhausting. My undiagnosed autoimmune diseases added more pain on top; I was just too inflamed to really work out well or even recover for days on end, and I dealt with a lot of fatigue on top of everything. That makes starting and keeping at it almost impossible, except for unexpected good phases. Without at least showing up semi-regularly, I made no progress, and every attempt I did make was immediately very exhausting with no reward. I felt like I couldn't last long enough in a session or exercise regimen to even reap the benefits. It didn't help at all that I immediately always chose something rather difficult or exhausting, as if I had to jump onto a level at which I expected a "default" human being to be at. So what changed is: I was diagnosed and found a working treatment. This one is big; so much pain and fatigue gone. Training results finally showed and made getting motivated and back on track easier. Some exercise even started helping with the residual pain and symptoms. I searched for things to do that were easier on me. I shouldn't immediately run or do crunches. Instead, even just walking, yoga, and some easy Pilates are enough, and more manageable to someone in my position. They are easier to pick back up after a few weeks and allow great control over varying the difficulty. With running, for example, I had no room to vary anything; even just the act of running was so exhausting back then that adjusting speed made no difference. With other forms of movement, I could build something without feeling totally exhausted. I signed up for the gym and just made showing up and walking on the treadmill a goal, and I watched videos or listened to podcasts. This was needed, because when I started it, I was still recovering from a really bad flare up and couldn't be trusted to walk around unsupervised in the forest somewhere. At the gym while just walking, I could slowly build up my exercise tolerance and endurance while seeing it as a sort of "me time" with some enjoyable videos, and with people around in case I suddenly started feeling dizzy or anything, and with some rails to hold on to. By saving videos for this time, I made it more entertaining and had something to look forward to on it. I invested in a spinning bike, and later in a foldable treadmill for at home use. I sometimes feel too bad physically or mentally to make it to the gym (or it is closed), and this enables me to still work out without being discouraged by my issues, time or weather. It also takes away the calculation of "Is it even worth showing up?" if I might just feel like 20 minutes of treadmill that day. Better 20 minutes than nothing! With all that, I slowly built up enough of a a baseline fitness for me that wouldn't make training annoying and just exhausting. It was easier to get back in after a break, and every time I had to take one, I had lost less progress than before. I got better and better at finding my sweet spot, neither under- nor overexercising. The more times I actually pushed myself to exercise despite feeling awful mentally and left it happier, the more it didn't feel like an outlier, but a guaranteed outcome. That made it easier to show up despite everything. It's still hard, but I know now that it is basically like a button to improve my mood, and who doesn't want that? That behavior just keeps getting reinforced every time I can get myself out of a hole with this. It gets harder and harder to convincingly tell myself " No, this time will be different; you'll feel the same or worse when you do this. You should stay in bed instead. " Lying down has a much worse track record: It never makes me feel better. Reply via email Published 12 Feb, 2026 I was diagnosed and found a working treatment. This one is big; so much pain and fatigue gone. Training results finally showed and made getting motivated and back on track easier. Some exercise even started helping with the residual pain and symptoms. I searched for things to do that were easier on me. I shouldn't immediately run or do crunches. Instead, even just walking, yoga, and some easy Pilates are enough, and more manageable to someone in my position. They are easier to pick back up after a few weeks and allow great control over varying the difficulty. With running, for example, I had no room to vary anything; even just the act of running was so exhausting back then that adjusting speed made no difference. With other forms of movement, I could build something without feeling totally exhausted. I signed up for the gym and just made showing up and walking on the treadmill a goal, and I watched videos or listened to podcasts. This was needed, because when I started it, I was still recovering from a really bad flare up and couldn't be trusted to walk around unsupervised in the forest somewhere. At the gym while just walking, I could slowly build up my exercise tolerance and endurance while seeing it as a sort of "me time" with some enjoyable videos, and with people around in case I suddenly started feeling dizzy or anything, and with some rails to hold on to. By saving videos for this time, I made it more entertaining and had something to look forward to on it. I invested in a spinning bike, and later in a foldable treadmill for at home use. I sometimes feel too bad physically or mentally to make it to the gym (or it is closed), and this enables me to still work out without being discouraged by my issues, time or weather. It also takes away the calculation of "Is it even worth showing up?" if I might just feel like 20 minutes of treadmill that day. Better 20 minutes than nothing! With all that, I slowly built up enough of a a baseline fitness for me that wouldn't make training annoying and just exhausting. It was easier to get back in after a break, and every time I had to take one, I had lost less progress than before. I got better and better at finding my sweet spot, neither under- nor overexercising. The more times I actually pushed myself to exercise despite feeling awful mentally and left it happier, the more it didn't feel like an outlier, but a guaranteed outcome. That made it easier to show up despite everything. It's still hard, but I know now that it is basically like a button to improve my mood, and who doesn't want that?

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ava's blog 2 months ago

small thoughts part 7

In ‘ small thoughts ’ posts, I’m posting a collection of short thoughts and opinions that don’t warrant their own post. :) Seeing parallels between my mother and me. She used to throw herself into work, regardless of anything. Didn’t wanna call in sick, still usually doesn’t. Used to pride herself on how much she works and that she’s even driving while crying because her wrists hurt so much from her rheumatoid arthritis. It’s irresponsible. I always looked at her like: If I acted like you, I’d be sick too. She was bottling everything up, having no healthy coping mechanisms, pushing herself too far, not giving herself proper rest, angry about all kinds of stuff. It can’t be healthy. Your body is telling you to stop. I’m already doing loads of things better than my mum. More boundaries, healthier coping mechanisms, more rest, not afraid to say no, better nutrition, more exercise, earlier treatment, less stressful job, supportive partner. But I see we are the same in that we never feel like we’re doing too much. We always think that we’re doing too little, that there’s always room for more, and that we’re probably slacking and being lazy. But turns out we do more than many healthy people do, while chronically ill. I understand my mum better now in that regard. Illnesses like that of course can be exasperated by bad lifestyle, but just lying around more doesn’t make it go away. It can even make it worse mentally. At least work offers distraction and a way to farm praise and feel good about oneself instead of just a sicko who should die. No one wants to feel like a burden, and at the same time, chronic illness makes it so obvious that you’re fragile and have limited time in life. So there’s this push to get everything done and reach new heights as soon as possible because who knows when it’ll get worse, who knows when it’ll hospitalize me again, who knows how long I have left, and a push to say: I might be super sick, but I’m not a bummer, not a liability, not a waste of money, see how productive and fun I can be regardless. I can serve as inspiration porn for healthy people! I’m not like those sick people who are just sitting at home, so pick me! So there’s this pressure and drive to go twice or thrice as hard. Something making me uncomfortable for a while now is: I feel like lots of things online that should be unmonetizable, cozy, intimate, authentic etc. still get twisted to benefit someone financially or career-wise in an overt way. It makes me want to retreat to the offline at times. It is highly unlikely that you’ll attend a private, casual party in real life and someone else will advertise it online to get as many people to join it as well, just to include in their CV that they’ve held events with this inflated number of attendants that they brought in, because it would benefit their career in event management. People will do that online though. They’ll make a casual retro website, and a year later include it as reference for coding knowledge or a web design side hustle. They’ll make videos for fun, find an audience and suddenly get a sponsor, have a management team and a content strategy. They grow a forum or channel, then retroactively use it to bolster their CV in social media management. Code a project for a small group as a hobby, then suddenly promote it and intend to monetize it. There’s a need for some people to grow anything into something professional because they’ve internalized growth is good, and more people in a space they control means more opportunities and potential sources of income or influence. More eyeballs means more sales. I fear they learned that from influencers and it leaves a weird taste. The mindset: Growth to stroke the ego, growth so more people may take interest in their online presence and give sponsorships, growth for the career and side hustle, growth because in the rare event they’ll write a book or start a podcast or a YT channel or a blog, more people are willing to consume it, … I’m tired of always somehow being on someone’s turf that starts to turn into a monetization object, friend turned potential future customer or follower, or power trip. Reminds me of a Discord server I used to be on ages ago where the owner was basically never active anymore in the server but promoted it elsewhere, and one reason why he didn’t wanna give admin to someone else was the clout a big Discord server brings and the vague feeling that you could somehow leverage this one day, just like accounts always wrestle with the idea of whether they have to “use this opportunity” when they blow up. He had no interest in it or the members, but was attached to the numbers. I don’t wanna be where someone opportunistic thinks “This could come in handy one day” or “I should be rewarded for building this up”. or “More is always better”. or that uses an admin position as something to feel important about. It ruins a space. I’ve seen online spaces with 100 members still feel like a casual chat room where no one is elevates themselves as anything but another chatter, while I’ve also seen ones with 15 members already feel like a forced space where someone “runs the show” and has a clear path they follow and you are just mere numbers to fill spots. You won’t have a photo album, a highlight reel of your life online once you’re old. No great aesthetic shots, quotes, candid beautiful videos with great music in a huge backlog. Until then, the services you use will have significantly changed. They have already changed a couple times in this little time and shown that they don’t give a damn about your content. Old content is already missing sound, others are muted due to copyright and licensing issues of the chosen songs. The format and ratio changes. Features get removed. When you’re old, your oldest content will be 60 years old or older, unavailable, lost due to deletion of the service, looking ugly, muted, erroring out, unplayable. Please don’t delude yourself that you are building something that lasts on these platforms. Reply via email Published 02 Feb, 2026

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ava's blog 3 months ago

a week without caffeine

I've recently decided to stop drinking anything caffeinated for a month. My top offender has been matcha, which has a surprisingly high caffeine content depending on the kind and the amount you consume. Second is other green tea, and black tea. Third is the occasional coffee I get elsewhere, or flavored cubes to dissolve in water that contain caffeine. I don't consume soda or energy drinks, and I don't have coffee or a coffee machine at home. This comes after at least half a year of intentional use, or sometimes abuse, of it. I made no secret on this blog that 2025 felt like two years in one , and I achieved a lot - but I also used caffeine to push my limits in ways that weren't good. I wanted to feel normal and not limited by my illnesses, poor sleep, or anything really. So instead of just drinking maybe once a day for the flavor, I started drinking for the effect, too, making the teas stronger. So it slowly became more cups a day, and consumed later in the day. I often used it to be able to make it through 2-4 hours of university Zoom sessions or a workout, or to try and fight the fatigue from my illnesses, or to make up for a night of bad sleep due to pain, or staying up late with friends playing games until past midnight. I've just been feeling really burnt out in the last month of 2025, and I thought about what I could do to change that. I chose to take younger me’s advice: Years ago, I barely drank black tea every couple months, matcha maybe once a week or less, and no coffee at all. I only drank for the taste. I didn’t even know the stuff I was drinking had any significant caffeine, and I made it mild enough. I never wanted to become a person that relies on caffeine or uses it to push across limits . I looked at people who felt burnt out and thought: “ Yeah, if I used substances to quiet my body telling me it needs rest or food or whatever constantly for months or years, I would feel burnt out too. I would at least lay off the caffeine and heed the signals to help myself get out of that. ” Now I’m the one feeling burnt out, and I did use caffeinated drinks to push myself further than I should have! Younger me was right, and by using my favorite little comfort drinks that way, I just borrowed from the future every time. That’s energy that will be missing the next few days, weeks, months… unless I do the same again, but maybe with more caffeine this time. But I don’t wanna dig myself that hole. Shortly after NYE, I managed to drink two very huge cups of matcha, one big cup of strong black tea, a normal-sized cup of coffee, and then some more matcha again at a friend's house to keep me awake for a board game evening late into the night, and it was horrible. I didn't wanna treat myself this way. So going forward, I will need to respect my limits. I don’t further wanna normalize ignoring my needs like this for productivity. If it protects my well-being long-term, I will just study 2 hours less, or I can’t study that day at all, or arrive at work an hour later, or can’t participate in a game night until 2am. Of course it will suck sometimes, because abusing it intentionally made me feel more capable and enabled a truly busy year; but I’ll just have to accept it. In the end, I’m not opposed to resorting to it for important stuff (a deadline, complex work...), but not constantly. A week has now passed ( 23 days left to go ) of consuming no caffeine (and not even decaf, because that still contains some), and I wanted to give a first update on my experience! Headaches starting past 3pm and went on until I had to sleep; took an aspirin to help it. Had a bit of nausea too, felt brainfogged, but calm. The headaches feel like my exercise headaches, which makes sense, considering both a lack of caffeine and intense exercise expand the blood vessels in the brain. I didn’t think I would be affected like this, and I should probably have tapered instead of going cold turkey. First day back in the office after the holidays. I notice a bit of a headache again past 8am, but they went away after 10am or so; didn’t even notice exactly when it got better. I feel a difference in how I focus and work. Caffeinated drinks immediately create more energy and a drive to work on something big/demanding for me, but if the work is not enough to fulfill that desire (mundane, repetitive and small), I’d struggle to get myself started or work on it uninterrupted. I’d take more frequent breaks to check stuff on my phone, I’d play music or YouTube videos to keep that eager part of my brain busy enough to get the boring work done. It seems like the caffeine boost made me more dopamine-seeking. I was craving anything that would fully utilize me mentally and then searching for a replacement when that didn’t happen. Now without the caffeine, there is no intense energy spike or crash, no frantic seeking of more intense work that would make me a bit anxious, and no search for something that soothes and distracts me from that sensation. Instead, I was able to continuously work without much breaks, distraction or distress for hours. It was easier for me to focus, to get into the zone, in a sort of flow state, even without music or videos. While I am still bored of my current repetitive work, I felt better equipped to deal with that, as I had no strong urge for a challenge inside of me that’d make me uncomfortable if I couldn’t find one. My focus and motivation felt more sustainable and persistent, instead of coming in short, intense bursts. I felt happy for no specific reason during my lunch walk, which was a nice change from the overwhelm and feeling of being hunted that I got so used to. Had some intense headaches again in the late evening; I think I am more sensitive to very bright screen light, because it always starts when I boot up Hello Kitty Island Adventure on the TV, and I’m currently in a very bright area. Very brief headache this morning in the tram that didn’t come back, not even in the evening. I may have put the worst behind me. I notice I am less sensitive to my environment; the glaring lights, the tram sounds and people. I’m still a bit sensitive in general aside from caffeine or not, but it doesn’t feel heightened. I sit there present, aware, no noise cancelling, and feel… content. At work, I feel like I have more… time? To arrive, to slowly get started in my own pace, and as said in the previous day, keep a comfortable momentum. I’m not suddenly extremely “on”, feeling rushed by the caffeine buzz. I like this. I also feel like I’m more comfortable with switching tasks than I’ve been the last few months. I’m also more comfortable with rest and intentional boredom. I felt very very tired close before 10am, but made a great recovery somehow that kept me going until 10pm without feeling exhausted or fatigued in between. The caffeine withdrawal headaches and light sensitivity seem to be gone for good. What remains is craving the reward, the treat; those were my comfort drinks, irrespective of their caffeine content, but that maybe that also played a role chemically. I miss it for a sort of mental relief. I notice effects on my hunger! It feels more controlled, and less urgent. There is less food noise in my head. It could be that increased stress and anxiety that were exacerbated by caffeine raised cortisol and made me hungrier, or smaller/skipped meals via caffeine lowering appetite makes the hunger return with a vengeance later. Or I seek to comfort and soothe myself after becoming frustrated of not finding mentally stimulating work while on caffeine, and I crave food for that. I underestimated how much it really affected my mood and anxiety. Everything feels calmer and more manageable now, and I no longer feel like I am constantly drowning. Rest feels truly restful. I blamed it on some challenges and problems in my life, but I guess a lot of it really was the caffeine, and I didn't notice how truly bad the baseline anxiety had gotten. On the first day, I even said to people that it doesn't make me anxious. I guess it did, though. What still remains is the need for reward I talked about, and seeking comfort, knowing it would brighten up my day a little. I want to work on some non-work things that are a bit demanding, each in different ways (a secret blog project, job applications, studying for my exams in March, translating for GDPRhub...) and it would be great right now to borrow a bit of drive and alertness on what feels like the click of a button. I wanna rip myself from the afternoon drowsiness, but I have to do it "on my own" right now. I really have to make sure to drink enough without my go-to choices. It's getting harder to do so when I can't drink the stuff I love or even crave! I have to be more intentional about drinking enough, when it hasn't been a problem before. For when I continue in 23 days! Reply via email Published 11 Jan, 2026 I will reserve caffeinated drinks for when it really matters (harder, more complex and important tasks; not just because, and not to keep up with people). If the task is not later in the day, it’s preferable to not consume any caffeine after noon. I will make/order the drinks to have a lot less caffeine. I will keep in mind that appetite suppressed or lowered by caffeine means more ferocious hunger comes later, so I have to feed myself well regardless.

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annie's blog 4 months ago

Do you want to read a detailed post about eyelid surgery? Here it is. With photos.

I find this sort of thing fascinating. I looked for detailed info before my own surgery because I like to know what I’m getting into. If you’re grossed out by surgical/medical descriptions or photos, skip this one. So I had this spot — like a pimple or small wart — appear under my right eye years ago. 2017, 2018? Sometime in there. It was very small, directly under/partially on the lash line near the inside corner of my right eye. Not really noticeable, didn’t hurt or itch or grow or change so I didn’t worry about it 1 . Anyway over the last year it got a bit bigger, so I had it checked out. My dermatologist did a biopsy. Result: basal cell carcinoma. So I needed to have the spot removed. Due to its location, it was likely the lid margin 2 would be affected. So after the removal, I’d need eyelid reconstruction surgery by an ophthalmic surgeon. Here’s how they do it: They schedule the Mohs surgeries 3 in the morning. They schedule the reconstruction surgeries the same afternoon. They do this because Mohs surgeries can take… hours. They don’t know till they’re doing it. The surgeon takes off the cancerous area and a layer of the skin around it, then examines it under a microscope. If they still see carcinoma cells 4 , they take off another layer. Inspect the removed layer. Repeat until there are no carcinoma cells visible in the removed layer. The removal is quick. The inspection takes longer. So each “layer” (removal + inspection) can be over an hour. Once that’s done, they either sew you up there or send you off for reconstruction surgery. I was at the hospital from 7am to 5pm. Most of that time was spent waiting. The Mohs surgery required two layers removed. I was done there around 9:30. They bandaged my eye and sent me off for reconstruction which was scheduled for…. 2:30pm. So, yeah, lots of waiting. Mohs surgery Local anesthetic (needle in the cheek below the right eyelid). They lean you back in a chair and tuck surgical drapes around the area. Assisting docs hold the head still and hold the eyelid open or closed or whatever it needs to be. It’s pretty surreal to see a scalpel coming directly toward your eyeball. But the most surreal part was hearing the snip-snip-snip of scissors knowing it’s my skin  that’s being snipped off my face . Pain: none. They gave me another shot of anesthetic right before they patched me up which was nice. Hungry (no eating allowed before the reconstruction surgery). Did some Christmas shopping. Pirate impressions. Thought about food. Went to the bathroom a couple of times to peek under the bandage and make sure my eye was still there. Then the anesthetic wore off so I didn’t need to do that anymore. Contemplated the hierarchy of snacks. Assured 4 different nurses that there is zero possibility of pregnancy, no really, I promise, I do not have a uterus . Speaking of the beast (not) in me: Watched a couple of episodes of The Beast In Me . Looked at the entire Internet. Thought about food some more. Napped a little. Eyelid reconstruction Sedation (via IV) plus local anesthetic. I was very relaxed and full of warm happy thoughts. This part was fascinating: The removal took about half the width of my eyelid rim above the area of removed tissue. They took skin from my left eyelid and grafted it on. To do that, they cut right along the crease of my left eyelid, removed some skin, and sutured the eyelid back together. Then they sewed those two strips of skin (I think it was two, I was a little drowsy) below my right eye, creating a new portion of eyelid rim and filling the hole. Amazing that we can do this stuff. The surgery itself took about an hour. Recovery was quick. I was home eating a giant Chipotle bowl very soon after. It was delicious. Pain: minimal. Took Tylenol that first night and following day, then didn’t need it again. Antiobiotic ointment applied 3x a day. This is annoying as fuck because I have to make sure I get a lot of ointment on that lid margin (very important to keep it moisturized) which means some ointment always gets in my eye so vision is blurred for an hour+ every time I apply. Swelling: yes. Bruising: some. Not as much as I anticipated. Itchy and irritated: YES. OMG. I get the dressing & sutures off tomorrow morning and I CANNOT WAIT. Here’s how it looks today (six days post-op): Oh, what’s that? You were hoping for an EYELID SURGERY RECOVERY MONTAGE of POOR QUALITY PHOTOS documenting the healing process from DAY 1 TO DAY 6 POST-OP? I’ve got that right here for you. Also I did not have health insurance at the time so even if I had been worried about it I probably wouldn’t have done anything. Say you're in the U.S. without saying you’re in the U.S. The eyelid margin is the “edge” of the eyelid. Also known as the mucocutaneous margin. Eyelashes grow from the margin & there are glands that produce oil to help keep the eye moisturized. Detailed explanation of  Mohs Micrographic Surgery . Molecular imaging of different skin cancer cells vs normal skin cells. Local anesthetic (needle in the cheek below the right eyelid). They lean you back in a chair and tuck surgical drapes around the area. Assisting docs hold the head still and hold the eyelid open or closed or whatever it needs to be. It’s pretty surreal to see a scalpel coming directly toward your eyeball. But the most surreal part was hearing the snip-snip-snip of scissors knowing it’s my skin  that’s being snipped off my face . Pain: none. They gave me another shot of anesthetic right before they patched me up which was nice. Hungry (no eating allowed before the reconstruction surgery). Did some Christmas shopping. Pirate impressions. Thought about food. Went to the bathroom a couple of times to peek under the bandage and make sure my eye was still there. Then the anesthetic wore off so I didn’t need to do that anymore. Contemplated the hierarchy of snacks. Assured 4 different nurses that there is zero possibility of pregnancy, no really, I promise, I do not have a uterus . Speaking of the beast (not) in me: Watched a couple of episodes of The Beast In Me . Looked at the entire Internet. Thought about food some more. Napped a little. Sedation (via IV) plus local anesthetic. I was very relaxed and full of warm happy thoughts. This part was fascinating: The removal took about half the width of my eyelid rim above the area of removed tissue. They took skin from my left eyelid and grafted it on. To do that, they cut right along the crease of my left eyelid, removed some skin, and sutured the eyelid back together. Then they sewed those two strips of skin (I think it was two, I was a little drowsy) below my right eye, creating a new portion of eyelid rim and filling the hole. Amazing that we can do this stuff. The surgery itself took about an hour. Recovery was quick. I was home eating a giant Chipotle bowl very soon after. It was delicious. Pain: minimal. Took Tylenol that first night and following day, then didn’t need it again. Antiobiotic ointment applied 3x a day. This is annoying as fuck because I have to make sure I get a lot of ointment on that lid margin (very important to keep it moisturized) which means some ointment always gets in my eye so vision is blurred for an hour+ every time I apply. Swelling: yes. Bruising: some. Not as much as I anticipated. Itchy and irritated: YES. OMG. I get the dressing & sutures off tomorrow morning and I CANNOT WAIT. Also I did not have health insurance at the time so even if I had been worried about it I probably wouldn’t have done anything. Say you're in the U.S. without saying you’re in the U.S. The eyelid margin is the “edge” of the eyelid. Also known as the mucocutaneous margin. Eyelashes grow from the margin & there are glands that produce oil to help keep the eye moisturized. Detailed explanation of  Mohs Micrographic Surgery . Molecular imaging of different skin cancer cells vs normal skin cells.

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Kix Panganiban 4 months ago

Great device, wrong problem: Two months with the Ultrahuman Air

I've been wearing an Apple Watch daily for the last 7-ish years now. It's kinda become part of my personality -- like, something feels off when I'm not wearing it. But lately, I thought I wanted a change. Maybe it’d be nice to wear a proper watch every now and then, or even go bare-wristed for a bit. So, a couple of months ago, I started hunting for an alternative device that could keep track of my health and stats -- which I figured was the main reason I wore my watch. After tons of research, I settled on the Ultrahuman Air. Some reviews mentioned that the Oura Ring seems generally more accurate, but the Ultrahuman does not require a subscription to fully utilize -- a total dealbreaker for me with the Oura Ring. I was stoked to try something new. It’s a fantastic device, no question. I was impressed. But as the weeks went on, I started to notice what it couldn’t do -- and that’s when I realized it's not replacing my watch. So I’ve come to realize that health tracking isn’t even the main thing I use my Apple Watch for -- it’s the alarms and notifications that keep my life together. This all means that while the Ultrahuman Air can definitely handle the health-tracking side of things, it can’t touch everything else I rely on the Apple Watch for. And now that both devices do a solid job at tracking stats, wearing two smart gadgets -- both needing charging and occasionally shining bright green lights at night -- feels redundant. I really love the Ultrahuman Air. It’s sleek, it’s smart, and it taught me a lot about my body. But it’s not the change I needed. So, it’ll probably be up on Facebook Marketplace soon. Maybe I’ll stick with my Apple Watch for now -- or who knows, maybe I’ll finally try going watch-free for a bit. We’ll see. Its app is fantastic. I love the design language they chose and how the stats are presented. Honestly, I didn’t know much about Heart Rate Variability (HRV) or VO2max until I wore the Ultrahuman Air, and now those are two stats I keep a close eye on. Handy features like Stress Rhythm and Caffeine Window feel a bit gimmicky, but they’ve got a ton of utility when you actually use them. The ring itself is super lightweight -- even lighter than a couple of carbide rings I like to wear. I barely notice it’s on, and its texturing makes it really scratch- and grime-resistant. Its reported stats are pretty close to what my Apple Watch shows, so without proper scientific gear to test it, I’m inclined to think they’re accurate enough. Its battery life is killer. I get about 4 and a half days on average -- compared to my Apple Watch, which I routinely charge before bed at night (thanks, low-battery anxiety issues). I wear my watch to bed so I can wake up at 5 AM without risking disturbing my wife and kid (who co-sleep with us). A phone alarm is a no-go since they’re both fairly light sleepers. I rely on reminders and message notifications to function. Seriously. With the amount of stuff I forget unless I write it down and set a reminder, the entire system I’ve built to manage my ADHD just breaks down without them. I use random Apple Watch features more than I realized: the handy flashlight that helps me navigate to the bathroom at midnight, the camera app that lets me take better group pics, and even the walkie-talkie that lets my wife and me ping each other quickly and directly.

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ava's blog 5 months ago

one year of hair growth

At the end of October 2024, I cut all my hair off, and let my wife shave it off to 9mm. I wrote about that here . I did it because various illness and medication effects made me a lose a lot of hair. In November that year, I shaved it once more, down to 5mm, then let it grow. This is the current status: Have done nothing to it except letting it grow. It looks and feels healthy and seems like the hairloss has stopped and reversed. :) I still wear wigs most of the time I'm out of the home, though. Reply via email Published 12 Nov, 2025

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DYNOMIGHT 9 months ago

Do blue-blocking glasses improve sleep?

Back in 2017, everyone went crazy about these things: The theory was that perhaps the pineal gland isn’t the principal seat of the soul after all. Maybe what it does is spit out melatonin to make you sleepy. But it only does that when it’s dark, and you spend your nights in artificial lighting and/or staring at your favorite glowing rectangles. You could sit in darkness for three hours before bed, but that would be boring. But—supposedly—the pineal gland is only shut down by blue light. So if you selectively block the blue light, maybe you can sleep well and also participate in modernity. Then, by around 2019, blue-blocking glasses seemed to disappear. And during that brief moment in the sun, I never got a clear picture of if they actually work. So, do they? To find out, I read all the papers. Before getting to the papers, please humor me while I give three excessively-detailed reminders about how light works. First, it comes in different wavelengths . Outside the visible spectrum, infrared light and microwaves and radio waves have even longer wavelengths, while ultraviolet light and x-rays and gamma rays have even shorter wavelengths. Shorter wavelengths have more energy. Do not play around with gamma rays. Other colors are hallucinations made up by your brain. When you get a mixture of all wavelengths, you see “white”. When you get a lot of yellow-red wavelengths, some green, and a little violet-blue, you see “brown”. Similar things are true for pink/purple/beige/olive/etc. (Technically, the original spectral colors and everything else you experience are also hallucinations made up by your brain, but never mind.) Second, the ruleset of our universe says that all matter gives off light, with a mixture of wavelengths that depends on the temperature. Hotter stuff has atoms that are jostling around faster, so it gives off more total light, and shifts towards shorter (higher-energy) wavelengths. Colder stuff gives off less total light and shifts towards longer wavelengths. The “color temperature” of a lightbulb is the temperature some chunk of rock would have to be to produce the same visible spectrum. Here’s a figure , with the x-axis in kelvins. The sun is around 5800 K. That’s both the physical temperature on the surface and the color temperature of its light. Annoyingly, the orange light that comes from cooler matter is often called “warm”, while the blueish light that comes from hotter matter is called “cool”. Don’t blame me. Anyway, different light sources produce widely different spectra . You can’t sense most of those differences because you only have three types of cone cells . Rated color temperatures just reflect how much those cells are stimulated. Your eyes probably see the frequencies they do because that’s where the sun’s spectrum is concentrated. In dim light, cones are inactive, so you rely on rod cells instead. You’ve only got one kind of rod, which is why you can’t see color in dim light. (Though you might not have noticed.) Finally, amounts of light are typically measured in lux . Your eyes are amazing and can deal with upwards of 10 orders of magnitude . In summary, you get widely varying amounts of different wavelengths of light in different situations, and the sun is very powerful. It’s reasonable to imagine your body might regulate its sleep schedule based that input. OK, but do blue-blocking glasses actually work? Let’s read some papers. Kayumov et al. (2005) had 19 young healthy adults stay awake overnight for three nights, first with dim light (<5 lux) and then with bright light (800 lux), both with and without blue-blocking goggles. They measured melatonin in saliva each hour. The goggles seemed to help a lot. With bright light, subjects only had around 25% as much melatonin as with dim light. Blue-blocking goggles restored that to around 85%. I rate this as good evidence for a strong increase in melatonin. Sometimes good science is pretty simple. Burkhart and Phelps (2009) first had 20 adults rate their sleep quality at home for a week as a baseline. Then, they were randomly given either blue-blocking glasses or yellow-tinted “placebo” glasses and told to wear them for 3 hours before sleep for two weeks. Oddly, the group with blue-blocking glasses had much lower sleep quality during the baseline week, but this improved a lot over time. I rate this as decent evidence for a strong improvement in sleep quality. I’d also like to thank the authors for writing this paper in something resembling normal human English. Van der Lely et al. (2014) had 13 teenage boys wear either blue-blocking glasses or clear glasses from 6pm to bedtime for one week, followed by the other glasses for a second week. Then they went to a lab, spent 2 hours in dim light, 30 minutes in darkness, and then 3 hours in front of an LED computer, all while wearing the glasses from the second week. Then they were asked to sleep, and their sleep quality was measured in various ways. The boys had more melatonin and reported feeling sleepier with the blue-blocking glasses. I rate this as decent evidence for a moderate increase in melatonin, and weak evidence for near-zero effect on sleep quality. Gabel et al. (2017) took 38 adults and first put them through 40 hours of sleep deprivation under white light, then allowed them to sleep for 8 hours. Then they were subjected to 40 more hours of sleep deprivation under either white light (250 lux at 2800K), blue light (250 lux at 9000K), or very dim light (8 lux, color temperature unknown). Their results are weird. In younger people, dim light led to more melatonin that white light, which led to more melatonin that blue light. That carried over to a tiny difference in sleepiness. But in older people, both those effects disappeared, and blue light even seemed to cause more sleepiness than white light. The cortisol and wrist activity measurements basically make no sense at all. I rate this as decent evidence for a moderate effect on melatonin, and very weak evidence for a near-zero effect on sleep quality. (I think its decent evidence for a near-zero effect on sleepiness, but they didn’t actually measure sleep quality.) Esaki et al. (2017) gathered 20 depressed patients with insomnia. They first recorded their sleep quality for a week as a baseline, then were given either blue-blocking glasses or placebo glasses and told to wear them for another week starting at 8pm. The changes in the blue-blocking group were a bit better for some measures, but a bit worse for others. Nothing was close to significant. Apparently 40% of patients complained that the glasses were painful, so I wonder if they all wore them as instructed. I rate this was weak evidence for near-zero effect on sleep quality. Shechter et al. (2018) gave 14 adults with insomnia either blue-blocking or clear glasses and had them wear them for 2 hours before bedtime for one week. Then they waited four weeks and had them wear the other glasses for a second week. They measured sleep quality through diaries and wrist monitors. The blue-blocking glasses seemed to help with everything. People fell asleep 5 to 12 minutes faster, and slept 30 to 50 minutes longer, depending on how you measure. (SOL is sleep onset latency, TST is total sleep time). I rate this as good evidence for a strong improvement in sleep quality. Knufinke et al. (2019) had 15 young adult athletes either wear blue-blocking glasses or transparent glasses for four nights. The blue-blocking group did a little better on most measures (longer sleep time, higher sleep quality) but nothing was statistically significant. I rate this as weak evidence for a small improvement in sleep quality. Janků et al. (2019) took 30 patients with insomnia and had them all go to therapy. They randomly gave them either blue-blocking glasses or placebo glasses and asked the patients to wear them for 90 minutes before bed. The results are pretty tangled. According to sleep diaries, total sleep time went up by 37 minutes in the blue-blocking group, but slightly decreased in the placebo group. The wrist monitors show total sleep time decreasing in both groups, but it did decrease less with the blue-blocking glasses. There’s no obvious improvement in sleep onset latency or the various questionnaires they used to measure insomnia. I rate this as weak evidence for a moderate improvement in sleep quality. Esaki et al. (2020) followed up on their 2017 experiment from above. This time, they gathered 43 depressed patients with insomnia. Again, they first recorded their sleep quality for a week as a baseline, then were given either blue-blocking glasses or placebo glasses and told to wear them for another week starting at 8pm. The results were that subjective sleep quality seemed to improve more in the blue-blocking group. Total sleep time went down by 12.6 minutes in the placebo group, but increased by 1.1 minutes in the blue-blocking group. None of this was statistically significant, and all the other measurements are confusing. Here are the main results. I’ve added little arrows to show the “good” direction, if there is one. These confidence intervals don’t make any sense to me. Are they blue-blocking minus placebo or the reverse? When the blue-blocking number is higher than placebo, sometimes the confidence interval is centered above zero (VAS), and sometimes it’s centered below zero (TST). What the hell? Anyway, they also had a doctor estimate the clinical global impression for each patient, and this looked a bit better for the blue-blocking group. The doctor seemingly was blinded to the type of glasses the patients were wearing. This is a tough one to rate. I guess I’ll call it weak evidence for a small improvement in sleep quality. Guarana et al. (2020) sent either blue-blocking glasses or sham glasses to 240 people, and asked them to wear them for at least two hours before bed. They then had them fill out some surveys about how much and how well they slept. Wearing the blue-blocking glasses was positively correlated with both sleep quality and quantity with a correlation coefficient of around 0.20. This paper makes me nervous. They never show the raw data, there seem to be huge dropout rates, and lots of details are murky. I can’t tell if the correlations they talk about weight all people equally, all surveys equally, or something else. That would make a huge difference if people dropped out more when they weren’t seeing improvements. I rate this as weak evidence for a moderate effect on sleep. There’s a large sample, but I discount the results because of the above issues and/or my general paranoid nature. Domagalik et al. (2020) had 48 young people wear either blue-blocking contact lenses or regular contact lenses for 4 weeks. They found no effect on sleepiness. I rate this as very weak evidence for near-zero effect on sleep. The experiment seems well-done, but it’s testing the effects of blocking blue light all the time, not just at night. Given the effects on attention and working memory, don’t do that. Bigalke et al. (2021) had 20 healthy adults wear either blue-blocking glasses or clear glasses for a week from 6pm until bedtime, then switch to the other glasses for a second week. They measured sleep quality both through diaries (“Subjective”) and wrist monitors (“Objective”). The differences were all small and basically don’t make any sense. I rate this weak evidence for near-zero effect on sleep quality. Also, see how in the bottom pair of bar-charts, the y-axis on the left goes from 0 to 5, while on the right it goes from 30 to 50? Don’t do that, either. I also found a couple papers that are related, but don’t directly test what we’re interested in: Appleman et al. (2013) either exposed people to different amounts of blue light at different times of day. Their results suggest that early-morning exposure to blue light might shift your circadian rhythm earlier. Sasseville et al. (2015) had people stay awake from 11pm to 4am on two consecutive nights, while either wearing blue-blocking glasses or not. With the blue-blocking glasses there was more overall light to equalizing the total incoming energy. I can’t access this paper, but apparently they found no difference. For a synthesis, I scored each of the measured effects according to this rubric: And I scored the quality of evidence according to this one: Here are the results for the three papers that measured melatonin: And here are the results for the papers that measured sleep quality: We should adjust all that a bit because of publication bias and so on. But still, here are my final conclusions after staring at those tables: There is good evidence that blue-blocking glasses cause a moderate increase in melatonin. It could be large, or it could be small, but I’d say there’s an ~85% chance it’s not zero. There is decent evidence that blue-blocking glasses cause a small improvement in sleep quality. This could be moderate (or even large) or it could be zero. It might be inconsistent and hard to measure. But I’d say there’s an ~75% chance there is some positive effect. I’ll be honest—I’m surprised. If those effects are real, do they warrant wearing stupid-looking glasses at night for the rest of your life? I guess that’s personal. But surely the sane thing is not to block blue light with headgear, but to not create blue light in the first place. You can tell your glowing rectangles to block blue light at night, but lights are harder. Modern LED lightbulbs typically range in color temperature from 2700K for “warm” lighting to 5000 K for “daylight” bulbs. Judging from this animation that should reduce blue frequencies to around 1/3 as much. Old-school incandescent bulbs are 2400 K. But to really kill blue, you probably want 2000K or even less. There are obscure LED bulbs out there as low as 1800K. They look extremely orange, but candles are apparently 1850K, so probably you’d get used to it? So what do we do then? Get two sets of lamps with different bulbs? Get fancy bulbs that change color temperature automatically? Whatever it is, I don’t feel very optimistic that we’re going to see a lot of RCTs where researchers have subjects install an entire new lighting setup in their homes. Appleman et al. (2013) either exposed people to different amounts of blue light at different times of day. Their results suggest that early-morning exposure to blue light might shift your circadian rhythm earlier. Sasseville et al. (2015) had people stay awake from 11pm to 4am on two consecutive nights, while either wearing blue-blocking glasses or not. With the blue-blocking glasses there was more overall light to equalizing the total incoming energy. I can’t access this paper, but apparently they found no difference. There is good evidence that blue-blocking glasses cause a moderate increase in melatonin. It could be large, or it could be small, but I’d say there’s an ~85% chance it’s not zero. There is decent evidence that blue-blocking glasses cause a small improvement in sleep quality. This could be moderate (or even large) or it could be zero. It might be inconsistent and hard to measure. But I’d say there’s an ~75% chance there is some positive effect.

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