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1 hour ago, Hoosier said:

Just so you all know and have some time to mentally prepare (lol), I will be closing this thread sometime this month.  We were in an exceptional situation, and on balance, I think it was a useful thread to have here.  I know some people disagree, and that's fine.  I want to thank everyone who made substantive contributions over the past 15 months.  This will be something that we remember for a long time.  

See, the 10k bet wouldn't matter,  I knew the thread would die this summer. No doubt in my mind we go sub 10k by July 1, only question is will the thread still be open. 

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Yeah, but do you hear about overweight people under 40 dying from the flu all the time?

The flu isn’t novel. So it doesn’t run through the entire population each year. More infected equals more bad outcomes unfortunately. Statistics.


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I know the P.1 variant (Brazil) has shown more of an ability to reinfect people who previously had covid.  That variant has not really taken off in a big way in the US so far though.  Personally I don't think "I already had covid" is a solid reason to never get the vaccine, but for people who had covid, maybe delaying it is warranted.
As far as overweight people, I think we have to separate this out.  If you're massively obese (I'm talking like 300-400 pounds), there's not much of an excuse for that.  I don't care if you're poor and only have access to crappy quality food.  You're not going to get to that level unless you're frequently in a huge calorie surplus.  A lot more people are moderately overweight, and for some of them, it's not so easy to drop the pounds for various reasons.

Sure can. It’s called insulin resistance. You can eat 1500 calories a day and weigh 300 lbs with that issue. Keto is the only way to fix it.


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3 hours ago, hardypalmguy said:


Sure can. It’s called insulin resistance. You can eat 1500 calories a day and weigh 300 lbs with that issue. Keto is the only way to fix it.


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If someone is consistently taking in 1500 calories/day all of their life, it's pretty much impossible to grow to be 300 pounds.  Like, it won't happen in the first place.  

I'd never do keto long term.  It is a tool that works, but it can screw with your hormones if you're not careful.  Not saying that some people aren't successful long term.  Some people do better on certain diets/approaches than others.

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I find that it's the fructose that comes without the fiber that's the issue. Fruit is fine (unless in excess). HFCS, sucrose and fructose added to foods all tend to pile up and add a lot of load to the liver (since fructose largely can't be absorbed by tissues, unlike glucose -- it has to be processed by the liver), which then partially converts it to lipids that get stored. It's pretty uncanny just how similar ethanol and fructose get processed. The difference is, with ethanol, you eventually get tipsy or drunk and get a signal to stop. With fructose, you don't, and it since it doesn't trigger leptin production in the same way as glucose, the brain doesn't get a signal to stop either. Added sugars are *everywhere* and tough to avoid.

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5 hours ago, csnavywx said:

I find that it's the fructose that comes without the fiber that's the issue. Fruit is fine (unless in excess). HFCS, sucrose and fructose added to foods all tend to pile up and add a lot of load to the liver (since fructose largely can't be absorbed by tissues, unlike glucose -- it has to be processed by the liver), which then partially converts it to lipids that get stored. It's pretty uncanny just how similar ethanol and fructose get processed. The difference is, with ethanol, you eventually get tipsy or drunk and get a signal to stop. With fructose, you don't, and it since it doesn't trigger leptin production in the same way as glucose, the brain doesn't get a signal to stop either. Added sugars are *everywhere* and tough to avoid.

Look up the effects of low testosterone and insulin sensitivity. There's a direct link between obesity, lower testosterone levels and insulin sensitivity. 

This plays into the COVID outlook for patients.

https://www.webmd.com/lung/news/20210527/lower-testosterone-in-men-tied-to-severe-covid-cases

And overall, the vast majority – 89% -- of the COVID-19-infected men, including those with mild disease, showed testosterone levels below what’s considered to be the normal range when they were admitted to hospital. The men in the current study with severe COVID-19 had average blood levels of testosterone of just 53 ng/dL when they entered hospital. Any testosterone level of 250 ng/dL or below is considered ‘low’ in adult men.By day 3 of hospitalization, their average testosterone levels dropped even further -- to only 19 ng/dL.

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On 6/5/2021 at 7:10 AM, Jonger said:

Look up the effects of low testosterone and insulin sensitivity. There's a direct link between obesity, lower testosterone levels and insulin sensitivity. 

This plays into the COVID outlook for patients.

https://www.webmd.com/lung/news/20210527/lower-testosterone-in-men-tied-to-severe-covid-cases

And overall, the vast majority – 89% -- of the COVID-19-infected men, including those with mild disease, showed testosterone levels below what’s considered to be the normal range when they were admitted to hospital. The men in the current study with severe COVID-19 had average blood levels of testosterone of just 53 ng/dL when they entered hospital. Any testosterone level of 250 ng/dL or below is considered ‘low’ in adult men.By day 3 of hospitalization, their average testosterone levels dropped even further -- to only 19 ng/dL.

Did you know that covid infection has been associated with an increased risk of erectile dysfunction? 

Still rather test your luck by not getting the vaccine?

"Just a few days of sniffles"... and a floppy :weenie:

https://health.clevelandclinic.org/yes-covid-19-can-cause-erectile-dysfunction/

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1 hour ago, mattb65 said:

Did you know that covid infection has been associated with an increased risk of erectile dysfunction? 

Still rather test your luck by not getting the vaccine?

"Just a few days of sniffles"... and a floppy :weenie:

https://health.clevelandclinic.org/yes-covid-19-can-cause-erectile-dysfunction/

Nobody here is getting any enough to worry about that

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1 hour ago, mattb65 said:

Did you know that covid infection has been associated with an increased risk of erectile dysfunction? 

Still rather test your luck by not getting the vaccine?

"Just a few days of sniffles"... and a floppy :weenie:

https://health.clevelandclinic.org/yes-covid-19-can-cause-erectile-dysfunction/

The article you posted admits that ED is usually a symptom of an underlying problem. So people that have an underlying condition like high blood pressure or heart disease, of course are going to be at higher risk of developing ED from Covid. But this would not be much of a concern for people that have great artery health due to being on a serious exercise program. Get your arteries in great shape through exercise, and you don't have to worry too much about Covid causing erectile dysfunction. Jonger has stated that he's a fitness nut, so why would you even post this to him? I know you're a doctor. As a doctor you do realize that Covid poses much lower risk to athletes that are in great shape from exercise, correct? Sometimes I wonder the way you post.

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3 hours ago, Hoosier said:

We may need a shirtless pic of Jonger to gauge his progress.  Haven't seen one in a while.

I speak for literally almost everyone here by saying "no" followed up with "hell no".

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4 hours ago, winterwx21 said:

The article you posted admits that ED is usually a symptom of an underlying problem. So people that have an underlying condition like high blood pressure or heart disease, of course are going to be at higher risk of developing ED from Covid. But this would not be much of a concern for people that have great artery health due to being on a serious exercise program. Get your arteries in great shape through exercise, and you don't have to worry too much about Covid causing erectile dysfunction. Jonger has stated that he's a fitness nut, so why would you even post this to him? I know you're a doctor. As a doctor you do realize that Covid poses much lower risk to athletes that are in great shape from exercise, correct? Sometimes I wonder the way you post.

If rather not take my chances. Risk is lower for young healthy people obviously but the vaccine risk is basically nil. So when it comes to deciding on getting the vaccine vs even a miniscule risk of ED or all the other bad things covid can do,  it's a no brainer for me.

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5 hours ago, schoeppeya said:

Nobody here is getting any enough to worry about that

What, are you saying people who spend a lot of time on weather forums aren’t getting it anytime they want it and then some?

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On 6/2/2021 at 2:13 PM, Jonger said:

Wait another 2 months and most of these issues will be long over with.

The Spanish flu is still around in the form of a variant..... Covid is never going away. Who cares...

 

On 6/2/2021 at 5:51 PM, OSUmetstud said:

I thought vaccinated Americans are good to go for many European countries? Also, I bet Canada opens to vaccinated Americans by that time. New Zealand is in a tough spot. While they've been good at keeping Sars cov 2, they haven't done a good job at procuring vaccines. They might not be open for some time. 

Should we rethink that with this Delta variant? Is this going to screw us over from traveling internationally, say, by early 2022 at the latest? Should we be worried about another surge of covid in the US (both in terms of new restrictions and in terms of the human cost of a surge in covid)? Is this just fear mongering? Inquiring minds want to know.

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4 hours ago, TimB84 said:

 

Should we rethink that with this Delta variant? Is this going to screw us over from traveling internationally, say, by early 2022 at the latest? Should we be worried about another surge of covid in the US (both in terms of new restrictions and in terms of the human cost of a surge in covid)? Is this just fear mongering? Inquiring minds want to know.

Nah

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50 minutes ago, Hoosier said:

Is there a plan B in the unfortunate event that the world runs out of greek alphabet names to use?

They just won’t use ‘em again, like the 2020 hurricane season. Maybe they’ll make an auxiliary list of human names.

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Vaccine mandates are coming.  I'm curious how this will resolve itself especially with the Texas governor putting in place policies that effectively enable anti-vax individuals.

178 health care workers suspended from Houston Methodist hospital system for refusing COVID-19 vaccination

https://amp.usatoday.com/amp/7616446002

Important to note that this is 178 out of 25,000 employees. 

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43 minutes ago, mattb65 said:

Vaccine mandates are coming.  I'm curious how this will resolve itself especially with the Texas governor putting in place policies that effectively enable anti-vax individuals.

178 health care workers suspended from Houston Methodist hospital system for refusing COVID-19 vaccination

https://amp.usatoday.com/amp/7616446002

Important to note that this is 178 out of 25,000 employees. 

Have a feeling it wont end well for the hospital, considering location.

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3 hours ago, schoeppeya said:

Have a feeling it wont end well for the hospital, considering location.

Although I agree that it probably won’t end well for the hospital because of its location, that would be the wrong outcome. I would guess there is a massive overlap of people who say employers shouldn’t be able to fire someone over covid vaccination status and people who believe that businesses should have the freedom to make their own personnel decisions for whatever reason they choose. That’s a pretty strong contradiction in beliefs, imo.

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5 minutes ago, jm1220 said:

Cases are ticking back up in the UK where this Delta/India variant is taking off. Since they have about the same vaccination rate as we do, it goes to show that we’re not out of the woods for future spikes. 

This thing is an opportunistic son of a gun.  And yeah, could be a glimpse into our future, if not in summer then in the fall/winter when the seasonality component kicks in.

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16 minutes ago, jm1220 said:

Cases are ticking back up in the UK where this Delta/India variant is taking off. Since they have about the same vaccination rate as we do, it goes to show that we’re not out of the woods for future spikes. 

This is exactly what I’m worried about when it comes to international travel. If we get a spike, I’m worried that other countries will go back to “nope, we’re not letting Americans in, even if you’re vaccinated, it’s too risky”. 

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The uptick in the UK is quite notable given the time of year (outside of when seasonal coronaviruses usually spread). One current positive sign from the UK is their 21-day lagged CFR is very low (~0.5%) which is likely indicative of most cases being among the younger populating which hasn't been vaccinated.

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