This annoys me. Many articles about ADHD refer only to children with ADHD, not adults. I’m nearly fourty and I still have ADHD now, if I make it to 80 I will still have ADHD, why is it always about kids? It is lifelong not just a childhood thing.

Yeah, lots of people from my background are sensitive about it but honestly, nobody around me understood money and therefore couldn’t have taught me. I knew very little about money until later in my adulthood and at that point I didn’t have more than I needed. Now I have a little bit of excess and managing that has been a great learning experience.

Yeah, I have dyspraxia which is basically medically diagnosed lack of coordination. I drop my phone at least a few times a day, I bang into walls and benches all the time, and I’ve fallen over so many times I don’t even get hurt any more. Along with the coordination I have lost or broken so many things in just this way, not to mention I am massive and most things are not built for giants. So yeah, a good number of items have been broken or outright destroyed shortly after purchase. No budget can handle that other than to just have more money on hand and to be as careful as possible. Screen protectors, rugged cases, and no open top drink vessels.

I come from a poor background, so having any large pot of cash was always risky due to “emergencies” requiring those funds. I got out of that living situation and now finally have more money than my living expenses for the first time. None of my family were actually good with money, so that is the background for this post. So yes, correct.

Absolutely. I had some TWS headphones that were really good and I actually ended up replacing the battery in the case when it couldn’t hold a day of charge because it was worth it. I would much rather repair something than replace it and buy quality that will last as well, both of which are benefited by having the cash on hand. If you can’t afford $200 headphones but you can get $20 ones today maybe buy the $20 ones and use them while saving for the better ones. It will take time but you may be able to make the crappy ones last long enough, even if you have to get two sets to make it through.

For some items yes, but, and perhaps this is privilege from living in Australia, surely if it fails immediately you can return it and get a replacement or refund? Here we have a 12 month warranty on most things but also a reasonae expectation standard, so if it is a larger thing like a fridge or dishwasher we can get more of a reasonable warranty period.

So I guess a better way of phrasing it would include at what point it requires more money from you if it fails? So for a basic electronic thing 12 months would be the minimum that would be covered by the manufacturer and you are only on the hook for it after that time? I know that is not suitable for some other places like the USA where you are often on your own once you leave the store.

Yes, and items seem to be manufactured to exceed their warranty period by only a short time. I assume that an item will last for a year in most cases, or the warranty period if that is longer. For white goods like a fridge or a washing machine I look for statistics and use longevity as part of my purchasing process, so I aim to buy appliances which will last a fairly long time and then save based on that not being the most likely outcome. My fridge can be expected to last 5-7 years, so by year 3 I will have enough saved or room made in lines of credit to afford a replacement. Obviously it is best to have nothing accruing interest so I will tend to pay credit down first but some if the credit cards where I am actually have good terms such as a 36 month interest free period. The utility of money during that time is available for other things and I can reduce my costs in other ways.

For just a little over £50, £57 on Amazon, you could get these.

https://www.3m.com/3M/en_US/p/d/b00050763/

I have a pair and they are absolutely fantastic. The reduction in noise means I can hear my podcasts, audio books, or music without having the volume up high. I find them to be light enough for long sessions and not too tight, but they also don’t fall off the moment you look to the side. I use them for mowing the lawn and other heavy work but also around the house or while playing video games.

The battery lasts multiple days worth of usage, claiming and realistically reaching around 40 hours of use. I haven’t yet actually run them dry because I charge them at night but I will frequently have them on from shortly after waking up til bed time with only an hour or two of them being off, so around 14-16 hours, and they are still comfortable after that.

The sound quality is perfectly good. I have some audiophile grade IEMs which do generate better sound quality but for normal headphones these do a great job. I bought them here in Australia and they were around $100 and honestly, worth every cent. Before these I had Tactix which were great but they eventually, after about 4 years, had a loose cable on the left ear and would crackle in and out of function. If I can get anything like the same out of these I will consider them a very good yearly cost, around $25 per year for my main headphones. I would budget for ~$75/year if I were thinking about what is reasonable, so a third of that for one pair of ear protecting headphones is pretty great.

What game is this? Dungeon crawl stone soup?

Also you will usually find 950 (aspartame) along with 951 (acesulfame K) because the two have slightly different profiles and work very well together. If we do a study on humans I would want it to include the common and also some uncommon combinations. A lot of people are switching over to erythritol and stevia but I don’t know how safe they are. We make erythritol internally but the dose may be quite different, and coming in through the gut could be quite different to internal production, not to mention with the stevia as actually prepared not lab purified.

This. I’ve helped a few people over the years and I’ve been helped too and with experience on both sides nothing is as impactful as the recognition of how much the help has improved life. A card which says something about the difficulties and how the help felt to receive can be a massive positive, more than any potted plant or simple gift. It lasts forever and is something they can come back to time and again.

Before you take this to mean anything about why you should do, you are not a mouse. This is a study in mice and the differences between what impacts it will have in mice and humans may be very large. Mice are not good human analogues, but they are very cheap and good model organisms.

The findings they report include weight loss and cardiac/neurological impacts. This appears to compound over time with worse impacts as the study continued. This would make sense if the impact of aspartame was a slow chronic toxin or inhibited some normal pathway. If it is the former then avoiding aspartame for mice is important at all times. If it is the latter then having a break every so often should ameliorate the damage, though how much and what time ratio is not tested here.

That said, this is in mice. In my experience human brains a fairly different from mouse brains and the metabolic context is also quite different. I doubt the applicability of this to humans will be replicated well any time soon. If they do find an issue it is likely to be different to what happened to the mice, and though it is possible this will carry over to humans it is unlikely.

I like when they have both, like the roller thing you can click to input a number, best of both worlds.

Yeah, it is like saying “Recessions are caused by GDP reducing for at least two consecutive quarters”. I mean, yes, that does describe what a recession is, but it says little about what the cause of a recession is. In the same way, having less fat in storage is the way you lose body fat, but the mechanisms of actually making that happen are way more complex and trying to reduce it to eat less move more is unhelpful.

I disagree, but I think we agree on a lot here.

Colorimetry measures calories in food by burning the food and measuring the amount of heat generated. This is different to what happens in cells for a huge number of reasons, so it isn’t really reasonable to think of it as a good starting point for nutrition. If you take a substrate, say for example a fat, and you use it to make a hormone it is not being burned for energy and thus breaks the calorie in calorie out model. That is a simple way it fails.

I am not saying the disconnect is 100%, I am saying it is not 100% accurate and depending on how disregulated your system is it may be more or less accurate. Someone who is super healthy and of a low body fat percentage with a reasonable amount of muscle mass would probably end up fairly close to CICO for the first few weeks of a dietary change. This is not really in dispute.

The dispute comes from the rest of the population. We have more deranged systems which are less in line with CICO due to metabolic issues like insulin resistance, gut damage, gluten issues like celiac disease, and so on. The more deranged the body the more CICO loses its predictive value and becomes a bludgeon.

When I went to the doctor about my weight they told me to eat less and move more. My insulin resistance was not measured and the dietary recommendations led to more muscle loss and body fat gain. I had tonnes of issues with acne, dandruff, terrible body odor, mild scurvy, and overall ill health. Adding more food that I could actually digest and switching from my broken glucose metabolism to a ketogenic metabolism allowed me to repair damage, absorb vitamins more effectively, and fix all sorts of seemingly minor but overall stressful issues. My caloric intake was higher but I lost excess weight first by dropping glycogen and associated water but then by dropping fat while also gaining muscle. I felt like moving, I wanted to move, so I moved, but it wasn’t willpower driving that like on CICO, it was hormones driving the change in output.

The calories being low led to conserving energy and being depressed and inactive. Adding good calories I could actually use led to more activity along with better mood and brain function. CICO is not a good model for making changes, it is just accounting. If you want to say “this many carbons came in, this many left” that is fine, but there is no why in that and no guidance on what to do from there. If you try changing how many calories go in or go out you shouldn’t be surprised when the self regulating system regulates itself and changes something else, such as making you burn less energy or eat more food.

I’m not saying all men are abusers or harmful and therefore need to be separated, not at all. If my partner and I were to utilise a service it would not offend me to have a short conversation with her, away from me, to ensure she could say things without me hearing them. Having a safe way out of abusive relationships is the key predictor of whether women will stay or leave. In the 70s women couldn’t get a credit card or bank account in their name so couldn’t leave, but once that changed a whole bunch of women left their husbands and escaped to improve their lives. In a situation like a temporary housing shelter it would be ideal to have that conversation and offer a way out. Is sex segregation the best way of doing this? No. Is it better than nothing? Depending on the rate of intimate partner violence, maybe? I don’t know for sure, but I am open to the possibility that it is better to have that be a space without men.

And yes, most of the harms of alcohol are socially accepted to some degree and thus hidden, so it isn’t well studied and understood. I think we agree that most of the harm comes from the legal context of drug use, not from the drugs themselves as such. I mean paracetamol can cause some harms but it is balanced by the benefit and we make a rational decision to use it. I think the same applies to weed and MDMA, but all of the social and legal things around those two generate tonnes of harm and obfuscate the actual issue.

I want a government to run a test of many different approaches in different areas, matched to reduce confounding, so we can see what actually works. Should weed be legalised or decriminalised? What works better? Which measures do we care most about? Same for all the other issues. Run the studies with agreement in the legislation that if the study shows X works we will do X. It would mean we decide in advance our response to the outcomes of the studies and then work from that basis going forward without regard to current party in office or political pressures.

Sure, for donation, but the original context we are talking about disability services which are government funded through taxation. You don’t get to object to the military budget because you are a pacifist, you have to pay regardless. In that context the person receiving the service is entitled to that service by law. They access the service and the service providers are supposed to do their jobs without personal judgement getting in the way. My issue is with providers not doing their jobs because of this type of judgement. I am not donating my time when working with a client, they (or their allocation) are paying me to work.

This assumes a whole bunch of things. First, do you actually absorb all of the calories through your gut? Does your body maintain the same base rate of expenditure (BMR) in both the short and long term of restriction?

When you look at people who did The Biggest Loser they did the exact thing you are talking about. They had a significant caloric deficit through eating restricting and massive amounts of exercise. In the short term they did lose weight but it also ruined their BMR. Years later they had mostly put the weight back on and had a lower BMR than at the start. It damaged them.

If you lose weight through caloric deficit you may not notice any change but your body will stop prioritising things like your hair and skin, muscle growth, and bone maintenance. All of those are low priority for an organism in caloric deficit. Instead your body will focus on the most important thing, getting more food. You become food obsessed, thinking about it all day, and you will eat almost anything you can access. You also end up with a lower body temperature, less immune activity, and lower drive for exercise and sex. It is an absolute nightmare.

The end result is that calories in calories out assumes a perfect and simple system. It does not take into account things like proton uncoupling in brown fat, differing levels of absorption through digestion, body temperature, hair growth, cell turnover, and tonnes of other things. It can appear to work for a short time but long term it breaks down and deviates more and more from the data.

Calories in, calories out.

For years I believed that the only reason people got fat was because they ate more than they burned and ended up with an excess of energy. It was also the view pushed by the medical profession, by health education at school, and by society in general. I spent years trying to get my weight under control by eating less and moving more.

After a particularly strict period of literally weighing the margarine container before and after buttering toast so I knew how many calories of margarine I used I had gained weight rather than losing even with a 500kcal deficit. I listened to a podcast (Skeptics with a K) in which they interviewed Gary Taubes about the non-caloric hormonal model of obesity. It basically said that if your insulin level was up you couldn’t access body fat, so all the thoughts of that fat being available were flawed and you couldn’t really lose weight in that state. What ended up happening was a reduction in calorie burn and loss of muscle. Fixing the insulin is the first step to managing weight and if you do that you can access your body fat for energy.

It took another year before I actually tried keto and I lost 20kg in the first two months and another 10kg over the next few. It was a massive change but I didn’t sustain it given the environment I was in and ended up gaining a fair bit of the weight back (though not all).

Years later (over a decade, oh no, so old) and I have a much more comfortable body fat percentage and lots more muscle. I carry only a little more than I want and honestly it is too much effort to get down that last little bit, but I feel better now in my late 30s than I did in my early 20s in terms of movement, energy, and cognition. When i get injured I recover quickly, and when I get sick it is usually very short and then over. I used to get sick for weeks at a time and many times per year, now I have only been sick twice this year and both times in December (filthy children, gross but fun).

If you had asked me in 2010 how to manage weight I would have told you, nose firmly in the air, to eat less and move more. So glad to have been wrong.

000 here is Australia. First time was a school friend came off his bike and dislocated his kneecap. Second was when I flayed my left arm. Third was when my cousin got home drunk as a skunk after rolling out of a moving taxi and getting pretty banged up. Fourth was to report a fire on the side of the highway during bushfire season.

In Australia we don’t have to pay thousands of dollars for an ambulance or for medical care. My friend who dislocated his kneecap was taken to hospital free of charge and had a quick surgery and immobilisation of the knee.

When I flayed my arm it was a fairly gory laceration down to the bone and required surgery to fix.

Overall the staff were extremely professional and understood what was happening quickly. They provided great advice and organised for help to arrive promptly. My experience with the ambulance was great, same with the whole hospital system, and I am happy to pay taxes for it.