Be advised: this thread is not for serious in-depth discussion of weighty topics (we have a link for that), this thread is not for anything Culture War related. This thread is for Fun. You got jokes? Share 'em. You got silly questions? Ask 'em.
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I didn't expect a banana to give me trypophobia today. Out of a desire to upgrade my diet from becoming 100% junk food to merely 90%, I bought a bunch of them.
They arrived at a non-ideal level of ripeness, and then I let them sit for a few days. Now they're nice and yellow, but have a pattern of spots on them makes my skin crawl. Just about the only image on earth that otherwise does that is a photoshopped pic of someone's tits with holes added on, purportedly from worms.
Riddle me this, Doc Wonder: If you want to keep trim and build muscle, why rely on Ozempic and why not eat clean or at least eat something besides junk food 90% of the time?
Use the bananas for banana bread.
Just because I give out good advice doesn't mean I take it myself. Besides, my diet isn't literally >90% junk. A more realistic figure would be ~50%.
Work sucks, so I usually come home sapped of the will or energy to cook, and I'm not very good at it in the first place. I just tried figuring out my new place's oven, and the markings have worn off the dials. There are so many dials! I can't even tell what they do! I even tried all sorts of searching on Google, and asking my friendly neighborhood AI, to no avail. I just about managed to make some roast chicken without killing myself, so I'm not sure banana bread is in the cards. There's only one banana left, and no bread.
I can easily afford semaglutide (Ozempic, while a convenient and borderline generic name by now, actually implies the injectable form. I take tablets). It's remarkably safe. I probably save around 30% of the price of purchase via simply eating less.
I have, in the past, lost far more weight via a combination of a strict diet and working out. I happen to find the experience unpleasant. Some people enjoy going to the gym, alas, that's not me. I do it because I'm single, and need to up my market value unless I end up being sold as a lemon.
This time around, if I can't meet both my goals of losing weight and gaining muscle at the same time, I'm content settling for the former. When I'm at a more ideal BMI, I can stop the semaglutide and focus on musclar hypertrophy über alles. I'm aware of the fact that taking semaglutide causes me to lose muscle as well as fat (but not any more than simply dieting would do, that's just how the body reacts to a caloric deficit).
And last, but certainly not least: I have a realistic enough model of my own self that I know that if I didn't have the option of Ozempic, I would likely neither lose weight nor go to the gym as much as I should. The bottleneck in most of my life has been a lack of executive function/willpower. I can either hide behind a diagnosis of ADHD, or just accept that I'm lazy. Both might be true! Semaglutide simply short-circuits that dilemma.
I find this and the discussion below rather fascinating. It's pretty clear from multiple responses, including some of your own, that you don't simply lack willpower. And it's not at all like some folks would have you believe these conversations go down, where there's a bunch of folks (made of straw or something) telling you that you just lack willpower or are a stupid failure or something. Instead, you're trying to self-proclaim a lack of willpower, which is mostly contradicted by all available evidence.
And further, instead, you've not described almost any challenges that in any way really resemble any sort of lack of willpower. Most of the actual challenges you've described are just problems with a variety of known solutions that actually work... and, well, you've also proclaimed that you have an urge to find those sorts of things.
Frankly, as I put it:
I don't think you've quite hit the nail on the head yet for why you don't do it, but I think it's pretty clear that it's not a matter of willpower, and it's probably not really a matter of a couple minor challenges that have a variety of pretty well known solutions, either.
?
I'm not sure anyone on this forum is in a better position to judge my willpower than I am. Just about the only people I would defer to in that regard would be family or close friends. My family, as much as they love me, still regularly sigh and tell me they wish I was less lazy or had more willpower.
Firstly, why would I lie about my willpower? What do I have to gain out of downplaying it? I can be accused of many things, but excessive humility isn't one of them. I don't like my relative lack of willpower, it's a curse.
One that I manage to work around, and still have a reasonably productive life and successful career. I'd be much more successful if I didn't have ADHD or laziness.
(One of the core criteria for ADHD is a lack of executive function, and trust me, my diagnosis is quite clear)
The things that George was kind enough to say were impressive about me are largely things that I am naturally inclined to do. I do them for free, as a hobby. Except medicine, which I kinda drifted into because I wasn't sure what else I'd do with my life, before eventually finding a passion for psychiatry.
There are many things which are far more important, which I don't do or put off till I can't anymore, which have major impacts on my life and wellbeing.
I'm not saying I've got literally zero willpower. I'm just saying that I probably have <25th percentile conscientiousness, which is an unfortunate failing. Every time I hear about people who made nothing of their lives, or the self-proclaimed "gifted but lazy", I shudder, because there but for the grace of God go I. That's while acknowledging that I have other strengths and talents.
In what contexts?
I would not claim that you are lying.
I think these are probably nonidentical concepts, though I would likely have to spend some additional time thinking about it to be able to write on it eloquently.
Whence your urge to find solutions to problems that actually work? When it comes, how does it manifest?
"Clean your room. Take more driving lessons instead of lazing around. Start studying for the exams you've got ahead of you (this one is rather unjustified these days), don't skip the gym, learn to cook."
Or, in more specific contexts, things like applying for a visa earlier instead of nearly at the last minute.
I don't think they're identical either. But all 3 have a lot of overlap, the core being something like "doing unpleasant or boring yet necessary things, in a timely manner without prompting".
You mean professionally or personally? In the former, I do what any doctor does, defer to guidelines unless I am sufficiently confident in an alternative interpretation or treatment regimen.
The latter? What everyone else does, just later and more half-heartedly. I just told myself I'd go to the gym every other day, and in practise, it's been closer to every 4th day. I just skipped going this weekend despite promises to my dad I wouldn't, and plan to make it up tomorrow.
I also tend to do things at the last minute, and thus rushed as a consequence. Fortunately, I rarely actually let major deadlines slip and then face disaster. But it's stressful to live that way, and I know, on an intellectual level, that I'd be better off not procrastinating.
Thanks for the other context above, too. Combined with this, I'm not really sure this is really a matter of willpower/executive function/conscientiousness. It seems a bit more like just the human condition that some things are unpleasant, and different folks make different tradeoffs. I think there are a variety of reasons why folks make different tradeoffs here, too.
I'm not quite sure I've worded this in a way to get at what I'm looking for. The way you made it sound originally, it's like you have some excitement or something for certain types of problems. I was kind of getting Lottery of Fascinations vibes, and wanted to see if it was that sorta thing. I'm not really sure your response gets at that, because I probably didn't word the question well. Things like deferring to guidelines doesn't really seem to fit, unless the idea is that you sometimes rabbit hole down an alternative interpretation that hit the lottery. Or personally, do you just get tweaked by some types of problems or whatever.
I think, big picture, and going back to your earlier comment, you mention that you've lost more weight with diet/exercise in the past. That doesn't really seem to me to be describing someone who just lacks willpower, especially given the assumption (that I am not solidly making) that willpower is the necessary ingredient for such a thing.
Instead, it feels to me to be more of just the typical things of choices and tradeoffs. Like, you said that you'll plan on going hypertrophy über alles post-semaglutide, but hypertrophy sucks, man. I mean, yeah, some people enjoy dreamer bulking (which never really accomplishes the dream) on the diet side, but you still have to lift lots of heavy weights a bunch. Seems a bit weird, since you say that you just don't like the gym. But then, I guess you maybe say you'll do it because you feel like you kind of have to, but that gets back to feeling like a willpower-limited thing again (in the model where willpower is the necessary ingredient). So I don't know. Is there something that makes 'hypertrophy über alles' trip your fascination for finding solutions to problems (because yeah, those exist, and they involve lifting a lot of heavy weights), but that fixing your diet doesn't? Perhaps you could introspect some more on some of the differences and see if you could find relatable components to the problems, see if you could trick your lottery into finding at least something relevant in there to grab your attention.
Maybe I'll start with one little thing. Hypertrophy doesn't work great with a terrible, junky, dreamer bulky diet. I mean, it works okay, but if you're fascinated with the idea of hypertrophy über alles, you might want to consider the problems that it poses... problems which do happen to have solutions which actually work.
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Are you afraid of the long term side effects?
How long will you be on it?
I too am the king of giving out fantastic and true advice on health and wellness and not being able to handle it myself.
A personal failing.
Not particularly. It is not literally risk free, but rarely is anything we normally call "safe". The worst of the side effects can be detected, and are reversible if stopped. It's certainly far safer than the longterm effects of obesity.
I bought six month's worth and took it with me about a month ago. So that's about the minimum I envision. If it works super well, I might stop, if I start gaining back the weight, then I have no real qualms about continuing indefinitely. It's not breaking the bank, the biggest pain would be either getting more shipped from India or picking it up on a visit. GPs here won't prescribe without a strict cutoff, and going private in the UK would be far more expensive.
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I have some life advice that will work wonders for you, perhaps phrased poorly by me, but its essence has been passed from father to adolescent son for generations, to excellent effect: Stop being lazy, and grab the goddam reins. Because no one else is going to.
I say that, but it actually seems to me that you do a lot, and are not one of the perpetually unmotivated. Your substack is active, and mine has only one lonely post, so you're way ahead of me there. You mod here. You're a friggin' doctor.
Gym time will ultimately make you feel good. I am sure there is a physiological reason and I am equally sure that you know what this reason is probably better than I do, but perhaps haven't reached that point of that good feeling, and you perhaps doubt that it is a point you will likely reach.
Have you read the studies suggesting there could be a relationship between macular degeneration and regular use of semaglutide? Admittedly there are many caveats by the authors (admirably so) regarding the design of the study and how it was not designed to establish causality. But still. How are the peepers?
I appreciate the advice. It's even good advice! The failure I envision is on my part, and yes, I'm aware of the risk of self-fulfilling prophecy here.
My own dad has said the same to me, on many an occasion. He's the opposite of lazy, being an extremely hard working man who has, time and time again, worked himself to the bone to ensure his family and children wouldn't need to.
Thank you, but a lot of that is simply a consequence of my natural proclivities! Everyone has hobbies, some people are lucky enough to have hobbies that are quasi-productive.
I intrinsically enjoy writing, enough to outweigh the chore it can sometimes be. I like arguing with internet strangers, and can usually stay polite while doing so.
Medicine? I hated med school, and was a slacker for most of it, doing my best to cram at the last minute. Most doctors are rather type A individuals, I somehow survived despite being the opposite.
I eventually got better, after graduation, I spent several years working very hard to avoid the fate of never entering higher training, and for the purposes of escaping India. I suppose that is a concrete example of me becoming better, the previous exams were ones I "had" to give. Everything after was something self-directed, and I'm justifiably proud of myself, even as I've found many things about life and work in the UK disappointing and a chore.
If you had to sum up my laziness, it is rarely truly catastrophic. If I'm worried about my house catching fire, I'd probably do something about it instead of waiting for a fire to tickle my ass hair. But my life would definitely be far better if I was more motivated to do the things that I really ought to do, and earlier. For the sake of privacy, I won't go into too many details, but it has had personal and professional consequences.
There are definitely people worse off. I'm not lazing in bed high on weed all day without a job, I have a relatively demanding one, even if most other flavors of doctor have to work harder. I occasionally do things that people appreciate, but can I really take credit for that? It's just a fact about my preferences that I like writing instead of say, only video games and going out clubbing.
I'm not sure about ultimately. Back in med school, after a messy breakup, I was motivated enough to lose about 10 kilos while working out at least twice a week, for 6 months. I was even doing HIIT on the side, dodging the odd cobra outside (not a joke). I think six months of solid effort should normally be enough to figure out if I enjoy something for its own sake!
I didn't like going to the gym at the end, the only thing that got better was that I stopped having DOMS after the first few weeks.
I did read them when they came out, and was slightly concerned, but not to the degree it put me off. I'll probably have to look at follow ups, but the fact that, AFAIK, medical bodies haven't immediately begun recommending regular eye tests to patients on Ozempic is suggestive. I'll have to look more into it again, but I'm not worried enough to not take the meds.
My peepers are currently rather sore. But before you get alarmed, that's because I spent this afternoon looking at Magic Eye images on Reddit and ended up straining them.
(You should have fewer qualms about throwing most things you write onto your substack. Your slice of life and the odd wistful recollections are a pleasure to read, and I'd certainly follow along. Link your substack again, if you don't mind, I'd be happy to give it a follow)
It's here. Do not have high expectations.
As for the important part, the banana bread: All you need is one perhaps over ripe banana. Also flour, sugar (brown or granulated white), an egg, some vanilla essence, butter, baking powder or soda or both, an oven, and a thing to hold it in that is bread-shaped. Throw in some chocolate chips. It's good. All sorts of quality ways to make it. I have to watch my potassium due to dubious kidneys, but I recommend making it and eating it. Maybe in the winter when it's cooler. With some coffee. Invite your latest complication over and while chatting, make that bread and serve it. Then the sweet sweet romance. Or something.
My romantic meal that I strategically prepared for mt then gf my now wife consisted of cold beer and some homemade kebabs with basmati rice on the side. I marinated them, had the skewers all ready. The one food my wife doesn't like on planet earth? Lamb. My kebabs were made of lamb, which is itself hard to come by here. Plus never serve anything but regular Japonica rice to a Japanese person, unless you are calling it something besides rice (eg risotto). But we did get married.
I take all your points. I was drinking cognac when I wrote my previous reply, which is itself pretty pretentious but I want a new thing and I think a cognac before bed is it. But yeah I take your points. I think I just hate semaglutide. I feel like if we were in a 70s movie semaglutide would be Soylent Green. Or similar. Something out of one of the darker Ray Bradbury stories. Just a hunch. Probably I'm wrong. Do let me know.
You've got your cognac, I've got a bottle of cheap rosé from the nearest supermarket. Life, if not good, is doing okay today.
Alas, I can't get much in the way of goat-mutton in Scotland. That's what I was used to back home, but to be fair, well-prepared lamb comes close. Evidently your culinary skills came in handy! If Mrs. Hale doesn't like lamb, you can't go wrong with making chicken kebabs. It's too late at night for me to order some, but the idea itself has got me hankering.
Your innate suspicion is far too common. Modern culture has primed everyone to be suspicious, to look for things that are "too good to be true". That might work for narratives or literary fiction, but reality isn't quite the same. Sometimes, the uncaring universe is kind enough to give us things that are unalloyed goods, and also good. So it was for antibiotics and vaccines, and so it goes for Ozempic.
While not literally perfectly safe (what is? No drug I've ever heard of, and I've heard of most), it is a paradigm shift when it comes to one of the most pressing issues of our time. It is a solution to the obesity epidemic, even if that is somehow dissatisfying to some. I can only stress that the universe is uncarinv, not actively malevolent. Good things happen, or are even discovered, every now and then!
If you need to lose a few pounds, or many, you can't do much better. You can always stop once you hit your target, and seek other ways to keep yourself there. I would hope that getting my own mother, as well as myself, on it would be a sufficient signal of confidence.
Followed, which costs me nothing at all. Hopefully you'll get around to writing more!
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Second banana bread, though I put way more than one banana in. About three bananas per loaf, if memory serves. Also have some butter on hand for when it comes out of the oven; you'll be glad you did @self_made_human.
For this and for all other things baking related, I will forever shill the King Arthur Flour website. They have a ton of recipes, as well as detailed blog posts explaining the reasoning behind why some things work. They are written for a US audience, so you might need to make substitutions from time to time if things aren't available in UK stores. But the ingredients in banana bread are so basic I'd be surprised if they didn't have them.
The UK might be poor and shabby, but not quite that poor!
If the two of you are so keen on it, I'll keep my eye out for ingredients. I'm more concerned about the fact that I can't identify the make of my oven or what the settings do, and I'm entirely a noob at baking.
I didn't mean that in terms of being poor, though I can see it now that you point it out lol. I just meant that what ingredients are commonly stocked varies from country to country - for example I have a recipe for cupcakes that involves clotted cream, which (to my understanding) is commonly available at UK stores but you have to go to a specialty store to get it here.
I wouldn't worry too much about being a noob at baking, especially because quick breads (the type of bread banana bread is) are made to be easy to make. Literally just put all ingredients in a bowl, mix them together until the wet and dry ingredients are decently combined, then pour it into a pan and bake. Even if you make a mistake somehow, the worst case scenario is that it'll still taste good but maybe it'll be denser or drier than normal. So worst case scenario, you still have tasty bread!
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Not OP, but I imagine there are two reasons why not: Time and anhedonia.
Interesting. I may have the least time of anyone on here, at least I feel that may be true when I read about the gaming that occurs and the books that are read. I feel like between work, trying to get in my gym time, taking care of daily household needs (cleaning, making sure my plants don't die, routine maintenance of our house, feeding our pets, spending time with my sons, having reasonably long daily conversations with my wife) and getting in enough sleep (typically six hours) I have no extra time. Yet I cook probably four nights a week (for the four of us) for dinner, and often sort out my next day's meal the night before.
As for anhedonia I have no answer. It's a term I learned on reddit, meaning at first I assumed it was just a pretend word meant to be a catchall excuse for not getting out of fucking bed. I'm not unwilling to believe it is a real thing, but I would suspect finding the root cause of this and sorting it out should be any one individual's main goal in life if he finds himself suffering from it for any length of time. Of course for the anhedonic there is always the convenient excuse: They simply don't have motivation to do anything. I cannot imagine a household where anyone would accept or tolerate this without taking some action to sort it. Of course these people may live alone--but then how are they paying rent?
Not enough time is a flimsy excuse. There is nearly always enough time for anything that matters. We carve out time for what is important to us. We do what we have to or need to do before we do what we want to do. That is one of the first rules of being a man (or adult.)
But as you say, you're offering a hypothetical.
I was indeed offering a hypothetical (mostly based on my limited knowledge of OP's situation and the fact he has described himself as a "depressed shrink"), but I half agree and half disagree with what you've written here.
Speaking as someone who veered closer to suicide at one point than I usually care to admit and who has also seen claims of poor mental health used as a way to excuse one's failures and a means of aggressively manipulating others (mostly by women who in retrospect exhibited many traits of BPD), I'm of two minds about this. Often it can be beneficial to adopt the mindset of "pull yourself up by your bootstraps and stop whining" and it helps induce a positive feedback loop wherein doing more productive things in turn improves your mood and consequently motivation, but there is a point beyond which it will actually make things worse; beyond a certain level of despair some external assistance can be necessary. Of course it's always a problem that should be solved, it should never be left to fester, but I find maturity is knowing the appropriate context in which one should deploy these two strategies.
I don't necessarily disagree, but "anything that matters" is doing a lot of the heavy lifting here and doesn't really tell you what you should prioritise, since that is a value judgement that's heavily dependent on the individual. There is a lot of grey area in between "what you need to do" and "what you want to do". Yes if you're an extremely unhealthy weight, losing that weight should be a major priority. On the other hand, if you're within a healthy range perhaps reading books, learning things, etc may actually give you more utility than losing that extra weight and getting swole, depending on what you personally value.
Of course if you're just choosing between these two options you can likely do both to some extent. But tradeoffs inherently have to be made, and inevitably you will not have enough time for something. There are legitimate situations and preference rankings which result in goals like "exercising more" being put on the back burner.
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