BigStar

Or to a 2nd opinion, if the doc is convinced of his own opinion. You'd have to pay a private doc for that. Yet they make mistakes as well, as a quick google will tell you. No matter where you are, it's best to collect at least one 2nd opinion when contemplating anything major. Decades ago I had to have surgery for an issue caused by primitive medical treatment I underwent as a child. I collected 4 opinions and took the 3 out of 4 majority. Used Bumrungrad, great success.

Suggest the TG/HDL ratio is key. There is an inverse relationship between LDL-C levels and the risk of all-cause mortality, and this association is statistically significant. --Low density lipoprotein cholesterol and all-cause mortality rate: findings from a study on Japanese community-dwelling persons

That's a professional association as docs often have. They hold meetings and share the latest research and experiences and produce info. Being in such makes them no less credible. All are reputable and include primary researchers. After what the prevailing COVID advice did to AU and NZ, to mention your neighborhood, I'd FINALLY be very skeptical. Insights include the role of authorities in launching the diet-hypothesis, including a potential conflict of interest for the American Heart Association; a number of crucial details regarding studies considered influential to the hypothesis; irregularities in the scientific reviews on saturated fats, for both the 2015 and 2020 Dietary Guidelines for Americans; and possible conflicts of interest on the relevant subcommittee reviewing saturated fats for the 2020 Dietary Guidelines Advisory Committee. . . . The idea that saturated fats cause heart disease, called the diet-heart hypothesis, was introduced in the 1950s, based on weak, associational evidence. Subsequent clinical trials attempting to substantiate this hypothesis could never establish a causal link. However, these clinical-trial data were largely ignored for decades, until journalists brought them to light about a decade ago. Subsequent reexaminations of this evidence by nutrition experts have now been published in >20 review papers, which have largely concluded that saturated fats have no effect on cardiovascular disease, cardiovascular mortality or total mortality. --A short history of saturated fat: the making and unmaking of a scientific consensus,

After a few years, I got my Thai gf to stop eating rice, except rarely in small portions. Cut back on sugary anything. That's been my proudest (and most difficult, lol) achievement. Worked quite well for her, lost a lot of excess weight. Previously, I'd also got her going to a gym and seriously exercising. She had some athletic ability, so that came rather naturally. She came to enjoy being fit. Eventually she also wanted to look as fit as possible, and had added in a yoga class, so she started intermittent fasting w/ an 8-hour eating window. So she's in fantastic shape, esp. for her age, and her numbers have been great for years. Loves to wear yoga tights when out, since she can do so gracefully. It's been mind-boggling to her friends. In the early days they all thought she was sick.

Another loss loss. Had Mainland Vintage on Thai Wagyu (lol) beef last night and it was excellent. And win nutrition-wise:

Security an issue. Many years ago I happened to be acquainted with an impenious Ozzie attempting to portray himself as badass stud on the cheap. Not very bright, but quite a character. He lived at Flybird for a time. In furtherance of his image, he'd bought a Honda Steed on credit for B70,000, financed by the previous farang owner. A couple of months after he bought it, he needed to make a visa run. Very strong guy, worked out regularly, so he was somehow able to push his Steed up the stairs to his room on the 4th floor of Flybird and securely locked the door. Came back a couple of weeks later, and it was SHOCK! gone. Not long thereafter he disappeared into Cambodia.

Is the part about Kao San Rd., the topic of the article, nonsense?

Aren't their parents heating their homes and helping with the air fares?

When will they ever learn?

Man up. Moving you in the right direction, feeling OK, ain't good 'nuff. You still got no idea of your true condition. Your past makes it even more important to find out. Mark Baker says it best in Gang Fit 2: All the while make sure you keep healthy, because health is your supreme asset. If you’re ill your life is <deleted>. Most people don’t become ill for no reason; it’s the consequence of being a <deleted>, not caring about their physical condition or what they eat. Your life is <deleted> anyway because you’re going to die; but don’t accelerate the damn process! Leave that to the morons who blame their genetics or hormones for their illnesses. Make sure. Now ANF Poster Longevity Science, after thorough research, has arrived at a number of Ignorance Is Bliss, or What, Me Worry? Principles for avoiding health and longevity. However, it's mostly bravado in the face of laziness. Our believers in Genetics Voodoo or Fate do in fact get their checkups and are sure to take their meds, though they mostly don't like to talk about that or will even lie about it. Why don't they just let the Voodoo work as it's supposed to? Be a lot cheaper; leave more to the wife or gf. At least you're consistent, though it's really not in your own self-interest. Same as you'll do when, lacking intervention, the numbers catch up with you and you're in pain: follow a doc's advice, but at much greater cost. However, docs tend to treat symptoms more than underlying causes. Most of our members are content to accept the early onset of chronic diseases, take their meds to suppress the symptoms, pay for all the extra medical care, and subconsciously hope they make it to 80 in their weakened conditions. A minority of members here strongly believe in staying healthy (verified healthy) as long as possible, and so greatly increasing the probability of postponing morbidity to a much shorter period near The End. Go get a comprehensive battery of tests. Blood work, not expensive at one of the labs often recommended here. @backstreethas been doing the right thing, gathering the info needed and getting on top of things, belatedly. I suspect his genes are pretty good, but he's also not gone to extremes, evidently. So are those of a friend of mine who's thoroughly overindulged--as often recommended by our epicureans. I've joked that I'd like a transfusion. A normal guy in his overweight medicated condition would have gone to meet Elvis in his early 70s, very common. He's made it to 84 but now lies in a hospital bed, barely able to speak; he does recognize his family members.

No, I think you have to be enrolled a few years before the age of 60.

Fore some reason I'm suddenly remembering a poem by Gwendolyn Brooks. We Real Cool By Gwendolyn Brooks The Pool Players. Seven at the Golden Shovel. We real cool. We Left school. We Lurk late. We Strike straight. We Sing sin. We Thin gin. We Jazz June. We Die soon.

You might prevent this problem in the future by properly trimming your toenails.

Congrats on attitude adjustment. Pattaya wanted me to present a copy of my latest 90-day report. Yes ma'am, I went and got that copy. Then the officially translated name certified by the MFA was not the same translation as on my chanote. Time for Adventures at the Land Office to get them update their translation. Oh, well. Nice lady in the Land Office, had a lil' chat with her. I take along my tablet for reading whenever I'm going to a gov't office. When life gives you lemons, make lemonade. The SSO at Laem Chabang is mobbed, and the average wait is pretty long, probably longer than the wait you and whoever had to endure. 'Course, if they were just playing with phones, that could definitely be annoying, TIT. I'm annoyed at the gym the way Thais will sit on the machines and play with their phones. 'Course, some farang may sit as long without playing with their phones.

Yes. Let's all keep in mind that the IOs have to put up with these idiots day after day. What a job. Have some understanding if they seem a bit curt sometimes.

Wait for a delivery truck at the egg vendor shops around town and just ask for a ride back to one of the hatcheries near Siricha. You can then get all the chicks you want, cheap, and fill up the backseat of a Bolt taxi. No need to content yourself with just one.

SSO wasn't questioning the matter of contributions. What SSO wanted was a yellow book and pink ID. He didn't have one. OP's merely attempting to argue on the forum that he shouldn't have to have one. He's "irritated." He's also miffed at the businesslike attitude of the busy SSO. They should take up more of their time with hand-holding and commiseration with their supplicants at how tough the rules are. Maybe hand out cookies or something. It appears the OP has now resigned himself to the injustice of it all and will undergo the suffering required to get a yellow book and pink card. He does have 6 months to fool around more if he so chooses.

Docs are notoriously overweight. Physical fitness should be required of doctors and politicians. You doing good, @rumak. Reject the brainwashing.

Last year my office in Laem Chabang said they were no longer issuing cards and now to use the pink ID card to prove membership at the hospitals. I did that a few times this year, and it worked quite well. I learned this the first time I tried to use my old membership card. I was told to go to the SS office. Fortunately, I already had one of those UTTERLY USELESS yellow books and pink card and carried them with me. So they straightened things out on the computer and were all quite nice. Pattaya has strict requirements about issuing the yellow book (so much riff raff here), but it really wasn't that big of a deal. I managed to enjoy myself. Even found interesting things to do in BKK when I went to the Embassy for the verification of the passport copy.

I used mine at Chonburi last April.

Funny, I downloaded with the intent of watching only 30 min to catch the acting and atmospherics.

Some of your fitness numbers are missing. RHR, BP, %fat, and VO2max. David Sinclair https://runbuzz.com/vo2-max-and-its-impact-on-your-running/ I'm at 13.5% bodyfat and 44 V02max (calculated). BP optimal, RHR athlete. I'm not an athlete.

We typically claim that studies disagreeing with the title of some article we googled up but didn't read, or read critically (the Health and Longevity by Googling Titles principle of ANF Poster Longevity Science), are cherry picked while cherry picking our own. If you'd read the article I posted, you'd see it refers to an upcoming study in the International Journal of Epidemiology, now published. https://academic.oup.com/ije/article/50/6/1757/6375367 Which, in your disinterested pursuit of truth, you should have located for yourself and determined whether some government agency has approved it for you. However, Wald and Frost found that Millwood’s methods didn’t hold up to their hypothetical models — and that the presumed exponential risk associated with higher levels of drinking couldn’t be duplicated. . . . Millwood’s approach “has a flaw in the analysis.” I'm not sure whether your Millwood study was government approved? Reported by the BBC means nothing. Most of these studies do no risk/reward analysis or find any causation, just a correlation--without satisfactorily explaining even the correlation. Meanwhile, plenty of other studies point to the benefits of a modest amount of alcohol and of red wine in particular. Many of those studies are "old," but you haven't refuted their findings yet. So, while we're waiting, I'll just go with those. You could also just do a simple "debunked" Google search like this if you really want objectivity on a topic: https://www.google.com/search?pws=0&gl=us&q=Lancet+alcohol+study+debunked

Posture as wish but do feel free to publish all your numbers and meds right here, sport. Not impressed with that hack pescatarian diet your intense, open-minded, objective research dug up. You recovered yet from all that soreness from your lifting 2.5 kg?

Who have the credentials, facts, and numbers to support that line of reasoning. Who haven't the credentials, facts, and numbers but, as usual (cf. TAT: ANF), mere worthless opinion. All diabetics once agreed with you: you're actually in the vast majority without realizing it.???? I love this forum. Could it be that you haven't a clue about your own insulin resistance thus far smugly accomplished? Yup. WOT? A normal score on a fasting glucose test or even an HbA1c doesn’t actually confer a high degree of certainty. In fact, one can be insulin resistant years before tests finally reveal that the weakened pancreas can no longer deal with all the glucose. Dr. Sarah Hallberg makes this very point at her TEDx talk here. Insulin sensitivity varies at least 6-fold in apparently healthy individuals, with physical fitness and body fat both playing a role. --Insulin Resistance: the Link Between Obesity and Cardiovascular Disease “Apparently healthy.” WOT??? Insulin resistance may be damaging health behind the scenes for years until it’s detected and mitigated. It’s implicated in more chronic diseases than just diabetes. We’re talking - obesity - hypertension - dyslipidemia - renal failure - NAFLD - sleep apnea - certain cancers - atherosclerosis - cardiovascular disease - macular degeneration - cognitive decline - BPH and prostate cancer All the stuff that it COINCIDENTALLY just happens so many of our posters started dealing with a decade earlier than they'd need to. When and why did those problems really start? Anyone who is reasonably metabolically healthy can tolerate high glycemic foods and associated spikes. Hee. And then--attempt to regain metabolic health by chasing docs and taking meds. It turns out that the level of sugar in an individual’s blood — especially in individuals who are considered healthy — fluctuates more than traditional means of monitoring, like the one-and-done finger-pr.i.ck method, would have us believe. Often, these fluctuations come in the form of “spikes,” or a rapid increase in the amount of sugar in the blood, after eating specific foods — most commonly, carbohydrates. . . . The covert spikes . . . can contribute to cardiovascular disease risk and a person’s tendencies to develop insulin resistance, which is a common precursor to diabetes, he said. Often people who are prediabetic have no idea they’re prediabetic. In fact, this is the case about 90 percent of the time. It’s a big deal, Snyder said, as about 70 percent of people who are prediabetic will eventually develop the disease. —Diabetic-level glucose spikes seen in healthy people: A study out of Stanford in which blood sugar levels were continuously monitored reveals that even people who think they’re “healthy” should pay attention to what they eat. Conversely, up to 40% of the normal weight population have the exact same metabolic dysfunction that the obese do, they are just normal weight. And so they don’t even know they are sick, until it’s too late, because normal weight people get type-2 diabetes, they get hypertension, they get dyslipidemia, they get cardiovascular disease, they get cancer, they get dementia, etc, etc. —https://robertlustig.com/fructose2/ Interestingly, spikes are worse than overall higher insulin levels in diabetic patients. Oscillating Glucose Is More Deleterious to Endothelial Function and Oxidative Stress Than Mean Glucose in Normal and Type 2 Diabetic Patients The real minority (a very tiny minority) has decided it's better not to gamble and simply prevent problems in the first place based on science and just plain ol' common sense. Especially when it's so easy.???? As P. D. Mangan said not long ago (I read his Twitter feed, among others): How do you stay maximally insulin sensitive? Through the ways that we’ve discussed many times on this site: • good body composition, i.e. a relatively high amount of muscle and low body fat • resistance training; a single bout of resistance training improves insulin sensitivity • low-carb, whole food diet • intermittent fasting. Oh, well. I find even old friends fail to do that. There I am messaging sometimes and sending the occasional email for a year or so w/o response and finally run across an obituary notice. Rude of them, come down to it. I think I'll end our friendship. Yawn. Braggadocio doesn't in the least impress me. Funny, we had one middle-aged superannuated hotshot swaggering about beer and sex as the meaning in life only later to embark on a career of--low carb and fasting.???? Then he, ah, disappeared. Or do the other things they once did to encourage that long life. Whoops. You don't really have a point.