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Mitsubishi Refrigerator buy?
I've got an LG which is also about 11 or 12 years old and its perfect. Sometimes you just get a dud and there's nothing you can do about it. Luck of the draw. If it dies, just buy a new one. I've also got a couple of Mitsubishi upright freezers, also zero problems, many, many years old. -
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Heartbroken Irish mum honours ‘special son’ lost on Koh Tao
Until you know the difference between Ireland and the UK, perhaps you should shut the H up and not broadcast your ignorance.- 1
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Wise vs Revolut - This is what I've found out
We might not be the main target but we are a target nonetheless and we will be more and more as more old westerners retire to Thailand (which is absolutely gonna happen). Otherwise they would have left foreign residents out of their new taxation scheme altogether. I think you're being too nice. They are being greedy and dumb, and it might very well backfire. The money will indeed end up in the Thai economy eventually but Thai banks won't benefit as much as they could have. Essentially the Thai gov is playing against its own banks in favor of foreign institutions. I wouldn't be too surprised if this is rolled back at some point in the future.... We'll see I guess. -
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(MASLD)A growing health concern you shouldnt ignore.
Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) What comes to your mind when you hear ‘liver disease’? Most people would think of heavy drinkers or those with a history of viral hepatitis. But what about those who rarely, if ever, drink alcohol? Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD), previously called Non-Alcoholic Fatty Liver Disease (NAFLD), is an under-recognised condition rapidly becoming a global health crisis, currently estimated to affect around 38% of the world’s population. Commonly linked to obesity and poor metabolic health, MASLD can develop silently without symptoms, progressing to severe complications like liver failure or cancer if left untreated. Dr Thaninee Prasoppokakorn, a gastroenterologist and hepatologist at MedPark Hospital Bangkok, shares why everyone, not just those with high-risk habits, needs to be aware of this condition. What is MASLD? Image by Shisanupong Khankaew via iStock MASLD, is a condition characterised by excessive fat accumulation in the liver, where fat accounts for more than 5 to 10% of the liver’s weight. If untreated, MASLD can progress to metabolic dysfunction-associated steatohepatitis (MASH), involving liver inflammation and damage. This can lead to scarring (liver fibrosis), cirrhosis, or even liver cancer. MASLD can also increase your risk of heart problems (cardiovascular diseases). “The same metabolic dysfunction that causes fat build up affects the cardiovascular system, heightening the risk of heart disease and stroke,” Dr Thaninee explains. Why the new terms? The newer terms, MASLD and MASH, better reflect the root cause: metabolic dysfunction. Unlike the old term “non-alcoholic,” these names clarify the mechanisms underlying the disease and reduce the stigma associated with the word “fatty.” “This terminology shift emphasises metabolic abnormalities as the key driver and also accommodates people with low alcohol consumption or other coexisting conditions,” Dr Thaninee notes. What causes MASLD? Several factors contribute significantly to the development of MASLD: Obesity: Visceral fat accumulation releases free fatty acids, overwhelming the liver’s capacity to process them. Obesity is also closely associated with insulin resistance, which further promotes fat buildup in the liver. Dyslipidemia: Abnormal levels of cholesterol or triglycerides in the blood contribute to excessive fat deposition in the liver. Gut Microbiome Alterations: Changes in the composition of gut bacteria can lead to increased liver inflammation and fat accumulation. Genetics: Variations in the PNPLA3 gene significantly elevate the risk of MASLD by impairing the breakdown of triglycerides in the liver. This same variant has also been linked to an increased risk of Hepatocellular Carcinoma (HCC), especially in individuals with advanced MASLD or liver fibrosis. Interestingly, MASLD can also develop in individuals who do not exhibit these common risk factors. However, without timely intervention, MASLD can progress to more severe conditions, including MASH, liver fibrosis, cirrhosis, and HCC. Who’s at risk? MASLD doesn’t discriminate, affecting children and adults alike. However, it’s more common in: Middle-aged adults with obesity, excess belly fat, type 2 diabetes, or dyslipidemia Individuals with metabolic syndrome (a combination of the above issues) Those with certain genetic predispositions. What are the symptoms of MASLD? MASLD is often referred to as a silent condition because most people show no symptoms in its early stages. “MASLD is usually discovered during routine check-ups or imaging for unrelated issues,” Dr Thaninee explains. As the disease progresses, symptoms may include: Fatigue Unexplained weight gain Discomfort in the upper right abdomen In advanced stages, signs like jaundice or swelling may appear, indicating severe liver damage. This is why regular health check-ups are crucial for early detection, whether you are at risk or not. How is MASLD Diagnosed? Diagnosing MASLD involves two steps: Identifying liver fat accumulation through imaging or other diagnostic methods. Evaluating metabolic dysfunction, such as BMI, waist circumference, or conditions like diabetes, hypertension, and dyslipidaemia. MedPark Hospital Bangkok uses the following diagnostic tools to confirm the diagnosis and evaluate the severity of MASLD: Blood tests: Detect elevated liver enzymes, abnormal lipid profiles, or glucose levels. Imaging techniques: Ultrasonography is commonly used to detect fatty liver. Advanced imaging like CT scans, MRI, or FibroScan provides more precise information on liver fat deposition. FibroScan (Transient Elastography): a non-invasive and highly advanced technique that offers both diagnostic and prognostic benefits. It measures: Liver Fat: Quantitatively assesses fat accumulation (steatosis). Liver Stiffness: Evaluates the degree of fibrosis or scarring in the liver. FibroScan is particularly valued for its accuracy, ease of use, and ability to monitor disease progression or response to treatment without requiring invasive procedures like a liver biopsy. Liver biopsy: Reserved for complex cases, this invasive method confirms fat accumulation and assesses fibrosis or cirrhosis. What are the Treatment Options for MASLD? While MASLD can seem overwhelming, early detection allows for effective management. 1. Lifestyle modification: The cornerstone of treatment Weight loss is key: Losing 7 to 10% of body weight can improve liver health, reducing fat accumulation, and reducing stage of liver fibrosis. Dietary changes and regular exercise are essential. For severe cases, weight-loss medications or bariatric surgery may be recommended under medical supervision. 2. Multidisciplinary care MedPark Hospital provides a team of hepatologists, endocrinologists, dietitians, and fitness specialists to create tailored treatment plans. 3. Medications Vitamin E and pioglitazone reduce liver inflammation. GLP-1 receptor agonists help with weight loss and improve liver inflammation and fibrosis. Dr Thaninee shared a success story: “A middle-aged patient with obesity and early-stage MASH lost 10% of his weight through our program. His liver function normalised, and fibrosis regressed within a year.” Prevention is always better than care Preventing MASLD starts with maintaining a healthy weight, eating a balanced diet, and exercising regularly. Those with risk factors, like obesity or diabetes, should schedule regular check-ups for early detection. “If you’re concerned about your liver health, early detection can make all the difference,” Dr Thaninee emphasises. For more information or to book an appointment, visit MedPark Hospital’s website -
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Extend stay after retirement visa expires
- Kap Choeng IO, I have bills from internet and electricity for many years in my name and can have a Thai business man/ wittness that i live there. Also have the Tabain bahn and copies from ID owner. But...no rent agreement ; she refuse to make. Last year IO wanted a rental agreement ...... - My flight back to Holland to visit family is planned in may (permission of stay until 19 april); that's why I liked an extension - passport country Holland -
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EV Charging Stations (CS)
Glad the trip is going well. Although I think you have a Seal Performance AWD I think the model sold in Thailand has the same traction battery "charging curve" as Seal RWD battery shown below where the max charging rate at 49% would be around around 119KW....real close to the 113KW show above. And since your car/battery was probably on the warm side after driving many kilometers that higher than normal temperature probably caused the BMS to say we are going to charge a little below the max allowed of around 119KW. If looking at below website for the Seal AWD model its charging curve is worst/lower than a Seal RWD according to the website and I expect that may be due to different models sold in different parts of the world/different countries and maybe BYD just did a OTA update making the Seal AWD battery BMS system charging curve match the better/faster charging curve of the Seal RWD. https://evkx.net/models/byd/seal/seal_rwd/chargingcurve/
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