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fullhalalalchemist · 1 year

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URGENT: 🚨🚨EARN IT ACT IS BACK IN THE SENATE 🚨🚨 TUMBLR’S NSFW BAN HITTING THE ENTIRE INTERNET THIS SUMMER 2023

April 28, 2023

I’m so sorry for the long post but please please please pay attention and spread this

What is the EARN IT Act?

The EARN IT Act (s. 1207) has been roundly condemned by nearly every major LGBTQ+ advocacy and human rights organization in the country.

This is the third time the Senate has been trying to force this through, and I talked about it last year. It is a bill that claims "protects children and victims against CSAM" by creating an unelected and politically appointed national commission of law enforcement specialists to dictate "best practices" that websites all across the nation will be forced to follow. (Keep in mind, most websites in the world are created in the US, so this has global ramifications). These "best practices" would include killing encryption so that any law enforcement can scan and see every single message, dm, photo, cloud storage, data, and any website you have every so much as glanced at. Contrary to popular belief, no they actually can't already do that. These "best practices" also create new laws for "removing CSAM" online, leading to mass censorship of non-CSAM content like what happened to tumblr. Keep in mind that groups like NCOSE, an anti-LGBT hate group, will be allowed on this commission. If websites don't follow these best practices, they lose their Section 230 protections, leading to mass censorship either way.

Section 230 is foundational to modern online communications. It's the entire reason social media exists. It grants legal protection to users and websites, and says that websites aren't responsible for what users upload online unless it's criminal. Without Section 230, websites are at the mercy of whatever bullshit regulatory laws any and every US state passes. Imagine if Texas and Florida were allowed to say what you can and can't publish and access online. That is what will happen if EARN IT passes. (For context, Trump wanted to get rid of Section 230 because he knew it would lead to mass govt surveillance and censorship of minorities online.)

This is really not a drill. Anyone who makes or consume anything “adult” and LGBT online has to be prepared to fight Sen. Blumenthal’s EARN IT Act, brought back from the grave by a bipartisan consensus to destroy Section 230. If this bill passes, we’re going to see most, if not all, adult content and accounts removed from mainstream platforms. This will include anything related to LGBT content, including SFW fanfiction, for example. Youtube, Twitter, Reddit, Tiktok, Tumblr, all of them will be completely gutted of anything related to LGBT content, abortion healthcare, resources for victims of any type of abuse, etc. It is a right-wing fascists wet dream, which is why NCOSE is behind this bill and why another name for this bill is named in reference to NCOSE.

NCOSE used to be named Morality in Media, and has rebranded into an "anti-trafficking" organization. They are a hate group that has made millions off of being "against trafficking" while helping almost no victims and pushing for homophobic laws globally. They have successfully pushing the idea that any form of sexual expression, including talking about HEALTH, leads to sex trafficking. That's how SESTA passed. Their goal is to eliminate all sex, anything gay, and everything that goes against their idea of ‘God’ from the internet and hyper disney-fy and sanitize it. This is a highly coordinated attack on multiple fronts.

The EARN IT Act will lead to mass online censorship and surveillance. Platforms will be forced to scan their users’ communications and censor all sex-related content, including sex education, literally anything lgbt, transgender or non-binary education and support systems, aything related to abortion, and sex worker communication according to the ACLU. All this in the name of “protecting kids” and “fighting CSAM”, both of which the bill does nothing of the sort. In fact it makes fighting CSEM even harder.

EARN IT will open the way for politicians to define the category of “pornography" as they — or the lobbies that fund them — please. The same way that right-wing groups have successfully banned books about race and LGBT, are banning trans people from existing, all under the guise of protecting children from "grooming and exploitation", is how they will successfully censor the internet.

As long as state legislatures can tie in "fighting CSAM" to their bullshit laws, they can use EARN IT to censor and surveill whatever they want.

This is already a nightmare enough. But the bill also DESTROYS ENCRYPTION, you know, the thing protecting literally anyone or any govt entity from going into your private messages and emails and anything on your devices and spying on you.

This bill is going to finish what FOSTA/SESTA started. And that should terrify you.

Senator Blumenthal (Same guy who said ‘Facebook should ban finsta’) pushed this bill all of 2020, literally every activist (There were more than half a million signatures on this site opposing this act!) pushed hard to stop this bill. Now he brings it back, doesn’t show the text of the bill until hours later, and it’s WORSE. Instead of fixing literally anything in the bill that might actually protect kids online, Bluemnthal is hoping to fast track this and shove it through, hoping to get little media attention other than propaganda of “protecting kids” to support this shitty legislation that will harm kids. Blumental doesn't care about protecting anyone, and only wants his name in headlines.

It will make CSAM much much worse.

One of the many reasons this bill is so dangerous: It totally misunderstands how Section 230 works, and in doing so (as with FOSTA) it is likely to make the very real problem of CSAM worse, not better. Section 230 gives companies the flexibility to try different approaches to dealing with various content moderation challenges. It allows for greater and greater experimentation and adjustments as they learn what works – without fear of liability for any “failure.” Removing Section 230 protections does the opposite. It says if you do anything, you may face crippling legal liability. This actually makes companies less willing to do anything that involves trying to seek out, take down, and report CSAM because of the greatly increased liability that comes with admitting that there is CSAM on your platform to search for and deal with. This liability would allow anyone for any reason to sue any platform they want, suing smaller ones out of existence. Look at what is happening right now with book bans across the nation with far right groups. This is going to happen to the internet if this bill passes.

(Remember, the state department released a report in December 2021 recommending that the government crack down on “obscenity” as hard the Reagan Administration did. If this bill passes, it could easily go way beyond shit red states are currently trying. It is a goldmine for the fascist right that is currently in the middle of banning every book that talks about race and sexuality across the US.)

The reason these bills keep showing up is because there is this false lie spread by organizations like NCOSE that platforms do nothing about CSEM online. However, platforms are already liable for child sexual exploitation under federal law. Tech companies sent more than 45 million+ instances of CSAM to the DOJ in 2019 alone, most of which they declined to investigate. This shows that platforms are actually doing everything in their power already to stop CSEM by following already existing laws. The Earn It Act includes zero resources for proven investigation or prevention programs. If Senator Bluementhal actually cared about protecting youth, why wouldn’t he include anything to actually protect them in his shitty horrible bill? EARN IT is actually likely to make prosecuting child molesters more difficult since evidence collected this way likely violates the Fourth Amendment and would be inadmissible in court.

I don’t know why so many Senators are eager to cosponsor the “make child pornography worse” bill, but here we are.

HOW TO FIGHT BACK

EARN IT Act was introduced just two weeks ago and is already being fast-tracked. It will be marked up the week of May 1st and head to the Senate floor immediately after. If there is no loud and consistent opposition, it will be law by JUNE! Most bills never go to markup, so this means they are putting pressure to move this through. There are already 20 co-sponsors, a fifth of the entire Senate. This is an uphill battle and it is very much all hands on deck.

CALL YOUR REPRESENTATIVES.

This website takes you to your Senator / House members contact info. EMAIL, MESSAGE, SEND LETTERS, CALL CALL CALL CALL CALL. Calling is the BEST way to get a message through. Get your family and friends to send calls too. This is literally the end of free speech online.

(202) 224-3121 connects you to the congressional hotline. Here is a call script if you don't know what to say. Call them every day. Even on the weekends, leaving voicemails are fine.

2. Sign these petitions!

Link to Petition 1

Link to Petition 2

3. SPREAD THE WORD ONLINE

If you have any social media, spread this online. One of the best ways we fought back against this last year was MASSIVE spread online. Tiktok, reddit, twitter, discord, whatever means you have at least mention it. We could see most social media die out by this fall if we don't fight back.

Here is a linktree with more information on this bill including a masterpost of articles, the links to petitions, and the call script.

DISCORD LINK IF YOU WANT TO HELP FIGHT IT

TLDR: The EARN IT Act will lead to online censorship of any and all adult & lgbt content across the entire internet, open the floodgates to mass surveillance the likes which we haven’t seen before, lead to much more CSEM being distributed online, and destroy encryption. Call 202-224-3121 to connect to your house and senate representative and tell them to VOTE NO on this bill that does not protect anyone and harms everyone.

#earn it act #internet censorship #restrict act #us politics #net neutrality

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hopengopakistan · 4 months

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STORY OF MISBAH SHABBIR AN UNDERPRIVILEGED STUDENT AT HOPE HIGH SCHOOL, ZIA COLONY, KORANGI.

This is the success story of Misbah Shabbir D/O Muhammad Shabbir, who belongs to Karachi. Misbah faced to tough time during her childhood, her mother had passed away she was very young, and her father is a labour who earns daily wage salary. Misbah has always had the interest in studies, she was a smart student, and used to get good grades, her father wanted her to study well, but could not…

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#Dr.Mubina Agboatwalla #Dr.Mubina Agboatwalla the child specialist in Karachi #Education #Health #HOPE #HOPE an educational NGO in Pakistan #HOPE an Health NGO in Pakistan #HOPE NGO in Pakistan #the child specialist in Karachi

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srisiddivinayaka · 5 months

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Famous Kannada Jyothisham in Bangalore

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Phone: +91 7349557581

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beardedmilkshakestudent-blog · 9 months

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financeprincess · 3 months

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I spent, at a minimum, at least $500-$1,000 a month exclusively on my self improvement. Here is most of what I spend on, in no particular order:

Education (classes, books, courses, certifications, college tuition, seminars, etc.)

Private lessons for languages, musical instruments, sports, etc.

Personal hobbies and passion projects

Crest whitening strips (great when in a pinch), Invisalign, professional whitening, preventative dental care, prescription whitening products from my dentist

Investments such as index funds, REITs, ETFs, CDs, individual stocks, commodities, appreciative luxury items, precious metals & gems, etc.

Organic food, vitamins, supplements, high quality healthcare, therapy, massages, prescriptions (Rx skincare, etc.)

New glasses & contacts (getting some bayonetta glasses from Burberry soon, very excited)

Sports, gym membership + sauna, hot yoga, Pilates, kickboxing, tennis, skiing, dance, etc.

Personal care such as bath/shower products, body care, haircare, skincare, makeup, brightening eye drops, perfume, etc.

Travel, events, concerts, festivals, etc.

Shopping (clothes, accessories, home goods, etc.)

Eating out at restaurants and going to coffee shops

Beauty treatments such as manicures, pedicures, waxes, brow tint & threading, salon blowouts, hair cuts & colors, facials, lash lift & tints, vitamin IVs, etc.

Regular visits to my dermatologist, dentist, psychiatrist, eye doctor, primary care physician, gynecologist, and any other specialists

Semi-regular appointments with a personal trainer, holistic nutritionist, and dietitian

I don't do all of these every single month, but most of these are recurring throughout the year and budgeted accordingly. Eventually I might add in more intense cosmetic work like medspa services, Botox, etc. If you can find a workplace with a great benefits package such as high quality healthcare, an HSA/FSA, health & wellness reimbursements for the gym, disability & life insurance, etc. I would highly recommend it and max out all the benefits you can.

#and men really want to access women for free or at a discount..............#as if #get real fellas

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totalfapseosydney07 · 1 year

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Foot and Toe Specialist - In Toeing Care | Total Foot & Posture Foot and Toe Specialist Team from Total Foot and Posture Sydney are experts in giving aid to conditions like In Toeing. Visit us!

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brahmhomeo · 2 years

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Chronic calcific Pancreatitis Treatment

CHRONIC PANCREATITIS TREATMENT

IT IS A CONDITION WHERE CHRONIC INFLAMMATION OF PANCREAS GRADUALLY CONTINUES WHICH DOES NOT HEAL UNTIL PROPER MEDICATION IS NOT GIVEN. PATIENT GRADUALLY REDUCE HIS/HER ABILITY TO DIGEST FOOD. PANCREATIC HORMONES AND ENZYMES GET AFFECTED.

CHRONIC PANCREATITIS SYMPTOMS

1. Intense abdomen pain.

2. Pain in Upper parts of abdomen which spreads to back.

3.Pain in abdomen get worse after eating or drinking Alcohol.

4.Oily stool.

5.Nausea and vomiting.

6.Weight loss.

#dr.pradeepkushwaha #brahmhomeo #homeopathy #pancreatitis specialist #pencreas #chronic pancreatitis #treatment #Pancreatitis Treatment #homeopathic medicines #bestmedicine #homeopathy healthcare #health #heathy education #heathylifestyle #viralpost #viral video #treding post #trending video

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star-anise · 30 days

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are we talking about broke therapists yet?

I've been out of things for a couple of years now, which is why I'm willing to talk about it, and maybe the pandemic has helped things a little, but holy shit the counselling and psychotherapy field is not equipped to help its practitioners in the gig economy.

Of all my interests and talents, I pursued a degree in psychology because being a therapist is supposed to be a safe, stable, well-paid job. Every therapist I met who was registered before 2008 worked and lived under that assumption. And oh boy are all the fee structures--registration, supervision, continuing education, conferences--set up for that scenario.

After getting my Master's, I struggled like hell to get a job. It was especially bad because to get my license, I needed a supervisor to take me on. To take me on, most supervisors wanted me to already have a caseload and client base. To get a caseload and client base, I needed a job.

Friends: Every single job I heard back on wanted me to have my license before I could even land an interview.

Professors and career advisors and professional development specialists all advised me very earnestly to just keep cold-calling people on the supervision list, and it began to feel a lot like my parents' friends telling me to hit the bricks and hand out resumes. That's what worked for them, right?

I finally got a supervisor who agreed to take me on, and I'd be able to use her clinic for advertising and workspace, and we were doing the paperwork to send in with my registration, when she called me up and said, "Is this job going to be your only source of income? If you're trying to depend on getting clients and building your practice for your basic needs, this is not going to work out. This has to be something you're doing on top of a basic salary. Okay, so you're not working anywhere else right now? I'm sorry, I can't move forward with this."

Even once I landed a supervisor and a job building my own private practice, I struggled. I have ADHD and am not great at self-promotion, so trying to do all my own advertising, scheduling, bookkeeping, billing, and records management (on top of counselling) was an enormous strain. One my bosses, supervisors, and other senior professionals watched with a slightly critical eye, but consoled me about because in their early days, their clinics had had business managers, receptionists, filing clerks, and accountants, and getting used to doing everything online yourself was a bit of a learning curve, wasn't it?

I counted my pennies very carefully, because I had to pay my supervisor roughly $180 for their services every 6 hours of in-person counselling I did. This meant that to break even I had to charge my clients an average of about $30 (plus room rental and service fees) an hour--and my clients, being people with complex trauma, were frequently poor, disabled, unemployed, and had no health benefits, so even $10 or $20 a session was a lot for them.

Maybe it would have been easier if I could have taken some of those nice comfortable organization positions where they find clients and funding for you and you work 40 hours a week and get benefits and a pension, but I had to be disabled into the bargain, so working 40 hours a week just isn't possible for me. I start passing out from stress and exhaustion. Older colleagues gave me serious-faced advice about approaching my employer and asking them for some flexibility and accommodation in my schedule, and I tried to explain across the gap between us that employers simply did not hire me if I made the slightest noise about the workload. They weren't going to invest in me as a person; they were hiring 40 units of work a week, and if I wouldn't do it there were a dozen applicants after me who would.

At one point I broke down enough to email my licensing body because the Annual General Meeting/Professional Development Conference was coming up, and I wanted to attend, but I could not produce $500 to do it with. Was there some kind of way I could attend anyway? I felt ashamed to have to ask, and then absolutely mortified when the response came from the organization president, who needed to personally sign off on me being too poor to attend the single most important event in my profession's calendar year.

I honestly felt so ashamed all the time at how I was apparently failing to be a successful therapist, failing to be rich and successful, and every time I mentioned it around mentors and bosses, I could feel myself shrinking from a person to a problem to be solved. My closest therapist-friends and I have reflected on how much more difficult, poorly-paid and underworked, our various career starts have been than we were ever warned about. About the classmates and coworkers who couldn't get disability exceptions when they fell behind in their registration requirements, or burned out and left the field, or dropped their registrations and took up as life coaches, or moved their whole family somewhere exceptionally remote or rural because it was the only good job available, or worked for some godforsaken app skirting the bounds of malpractice like BetterHelp.

I like those conversations, because I feel less like an absolute fuck-up in them. There's less "Hey Lis, you were so talented in grad school, I really admired you, what are you doing now?" "Oh, I, uh... am professionally disabled, so I get government benefits, and I... sell embroidery patterns on Etsy now."

My own therapist kept asking if and when I felt like going back to being a counsellor, and I finally told him: I don't, actually. I don't want to go back and do it like I was doing it before. It was a profession I loved to the depths of my soul, and it profoundly did not love me back. I can't even imagine what would have to change, in me or it, to make it have a space in it that could fit me.

All of which I was way too scared to admit to at the time, because the more I let people know I was struggling, the more they hinted that maybe I just wasn't in a place in my life where this was a job I could do, and I needed to take a little break and wait to come back until money and disability just weren't issues for me anymore.

Eventually my cups of doubt and exhaustion did overflow, and I quit. I'm here now, living a much different life. And at the very least, all my years of helping people in bad life situations set me up perfectly for my own. I already knew what form to fill out for financial assistance, which student clinics to access for mental health support, and which government agency would, if pressed, cough out pharmacy coverage for the genuinely destitute. It gave me that much.

I hope this is just me being in extraordinary circumstances, sitting at the intersections of a few different shitty life situations that most people skip right past. Because it's on one level comforting, but another deeply infuriating, if I'm not, and I've just missed it or we've just all been too afraid to admit it to each other.

#staranise original #therapisting

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religion-is-a-mental-illness · 3 months

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By: Beth Bourne

Published: Feb 27, 2024

Kaiser gender specialists were eager to approve hormones and surgeries, which would all be covered by insurance as “medically necessary.”

On September 6, 2022, I received mail from my Kaiser Permanente Davis Ob-Gyn reminding me of a routine cervical screening. The language of the reminder stood out to me: “Recommended for people with a cervix ages 21 to 65.” When I asked my Ob-Gyn about this strange wording, she told me the wording was chosen to be “inclusive” of their “transgender” and “gender fluid” patients.

Based on this response, several thoughts occurred to me. Could I expose the medical scandal of “gender-affirming care” by saying and doing everything my daughter and other trans-identifying kids are taught to do? Would there be the type of medical safeguarding and differential diagnosis we would expect in other fields of medicine, or would I simply be allowed to self-diagnose and be offered the tools (i.e. hormones and surgeries) to choose my own gender adventure and become my true authentic self?

If I could demonstrate that anyone suffering from delusions of their sex, self-hatred, or identity issues could qualify for and easily obtain body-altering hormones and surgeries, all covered by insurance as “medically necessary” and potentially “life-saving” care, then maybe people would finally wake up. I certainly had.

I was prepared for failure. I wasn’t prepared for how easy success would be.

* * *

I am a 53-year-old mom from Davis, CA. My daughter began identifying as a transgender boy (social transition) and using he/him pronouns at school during 8th grade. Like several of her peers who also identified as trans at her school, my daughter was a gifted student and intellectually mature but socially immature. This shift coincided with her school’s sudden commitment to, and celebration of, a now widespread set of radical beliefs about the biology of sex and gender identity.

She “came out” as trans to her father (my ex-husband) and me through a standard coming-out letter, expressing her wish to start puberty blockers. She said she knew they were safe, citing information she had read from Planned Parenthood and the World Professional Association for Transgender Health (WPATH). To say I was shocked would be an understatement. I was also confused because this announcement was sudden and unexpected. While others quickly accepted and affirmed my daughter’s new identity, I was apprehensive and felt the need to learn more about what was going on.

Events began escalating quickly.

During a routine doctor’s visit scheduled for dizziness my daughter said that she was experiencing, the Kaiser pediatrician overheard her father using “he/him” pronouns for our daughter. The pediatrician seemed thrilled, quickly asking my daughter about her “preferred pronouns” and updating her medical records to denote that my daughter was now, in fact, my son. The pediatrician then recommended we consult the Kaiser Permanente Oakland Proud pediatric gender clinic, where she could get further information and (gender affirming) “treatment.” Now I was the one feeling dizzy.

As I began educating myself on this issue, I discovered that this phenomenon—minors, most often teen girls, suddenly adopting trans identities—was becoming increasingly widespread. It even had a name: rapid onset gender dysphoria, or ROGD. Thankfully, after learning about the potential side-effects of blockers and hormones, my ex-husband and I managed to agree not to consent to any medical interventions for our daughter until she turned 18 and would then be able to make such decisions as an adult.

Over the past five years, my daughter’s identity has slowly evolved in ways that I see as positive. Our bond, however, has become strained, particularly since I began publicly voicing my concerns about what many term as “gender ideology.” Following my daughter’s 17th birthday family celebration, she sent me an email that evening stating she would be cutting off contact with me.

While this estrangement brought me sorrow, with my daughter living full-time with her father, it also gave me the space to be an advocate/activist in pushing back on gender identity ideology in the schools and the medical industry.

I decided to go undercover as a nonbinary patient to show my daughter what danger she might be putting herself in—by people who purport to have her health as their interest, but whose main interest is in medically “affirming” (i.e., transitioning) whoever walks through their door. I am at heart a mother protecting her child.

* * *

My daughter’s sudden decision to become a boy was heavily on my mind in early September of 2022, when mail from my Kaiser Permanente Davis Ob-Gyn reminded me of a routine cervical screening with “Recommended for people with a cervix ages 21 to 65.” I was told that the wording was chosen to be “inclusive” of transgender and “gender fluid” patients.

Throughout the whole 231-day process of my feigned gender transition, the Kaiser gender specialists were eager to serve me and give me what I wanted, which would all be covered by insurance as “medically necessary.” My emails were returned quickly, my appointments scheduled efficiently, and I never fell through the cracks. I was helped along every step of the way.

Despite gender activists and clinicians constantly claiming that obtaining hormones and surgeries is a long and complex process with plenty of safety checks in place, I was in full control at every checkpoint. I was able to self-diagnose, determine how strong a dose of testosterone I received and which surgeries I wanted to pursue, no matter how extreme and no matter how many glaring red flags I purposefully dropped. The medical workers I met repeatedly reminded me that they were not there to act as “gatekeepers.”

I was able to instantly change my medical records to reflect my new gender identity and pronouns. Despite never being diagnosed with gender dysphoria, I was able to obtain a prescription for testosterone and approval for a “gender-affirming” double mastectomy from my doctor. It took only three more months (90 days) to be approved for surgery to remove my uterus and have a fake penis constructed from the skin of my thigh or forearm. Therapy was never recommended.

Critics might dismiss my story as insignificant on the grounds that I am a 53-year-old woman with ample life experience who should be free to alter her body. However, this argument for adult bodily autonomy is a standard we apply to purely cosmetic procedures like breast implants, liposuction, and facelifts, not “medically necessary” and “lifesaving” treatments covered by health insurance. Or interventions that compromise health and introduce illness into an otherwise healthy body. And especially not for children.

My story, which I outline in much more detail below, should convince any half-rational person that gender medicine is not operating like any other field of medicine. Based on a radical concept of “gender identity,” this medical anomaly preys upon the body-image insecurities common among pubescent minors to bill health insurance companies for permanent cosmetic procedures that often leave their patients with permanently altered bodies, damaged endocrine systems, sexual dysfunction, and infertility.

* * *

Detailed Timeline of Events

On October 6, 2022, I responded to my Ob-Gyn’s email to tell her that, after some thought, I’d decided that maybe the label “cis woman” didn’t truly reflect who I was. After all, I did have some tomboyish tendencies. I told her I would like my records to be changed to reflect my newly realized “nonbinary” identity, and that my new pronouns were they/them. I also voiced my desire to be put in touch with an endocrinologist to discuss starting testosterone treatment.

Fifteen minutes later I received an email from another Kaiser doctor informing me that my medical records had been changed, and that once my primary doctor returned to the office, I’d be able to speak with her about hormone therapy.

I responded the following day (October 7, 2022), thanking her for changing my records, and asking if she could connect me with someone who could help me make an appointment for “top surgery” (i.e., a cosmetic double mastectomy) because my chest binder was rather “uncomfortable after long days and playing tennis.”

She told me to contact my primary care MD to “get things rolling,” and that there were likely to be “preliminary evaluations.”

Six days after contacting my primary care MD for a referral, I received an email from one of Kaiser’s gender specialists asking me to schedule a phone appointment so she could better understand my goals for surgery, so that I could get “connected to care.” This call to review my “gender affirming treatment options and services” would take 15-20 minutes, after which I would be “booked for intake,” allowing me to proceed with medical transition.

This wasn’t an evaluation of whether surgical transition was appropriate, it was simply a meeting for me to tell them what I wanted so that they could provide it.

On October 18, I had my one and only in-person appointment in preparation for top surgery. I met in Davis with my primary care physician, Dr. Hong-wen Xue. The assessment was a 10-minute routine physical exam that included blood tests. Everything came back normal. Notably, there was not a single question about why I wanted top surgery or cross-sex hormones. Nor was there any discussion of the risks involved with these medical treatments.

The following week, on October 24, I had a phone appointment with Rachaell Wood, MFT, a gender specialist with Kaiser Sacramento. The call lasted 15 minutes and consisted of standard questions about potential drug use, domestic violence, guns in the house, and whether I experienced any suicidal thoughts. There were no questions from the gender specialist about my reasons for requesting a mastectomy or cross-sex hormones, or why I suddenly, at 52, decided I was “nonbinary.”

After the call, Kaiser emailed me instructions about how to prepare for my pre-surgery intake video appointment to evaluate my mental health, scheduled to take place on November 15. The email stated that prior to my appointment, I should research hormone risks on the WPATH website, and to “research bilateral mastectomy and chest reconstruction surgery risks and recovery” on Kaiser’s website.

I decided to request a “gender-affirming” double mastectomy and phalloplasty. Kaiser sent me a sample timeline for gender transition surgery preparation (see below) that you can use as a reference for the process. I also asked for a prescription for cross-sex hormones (testosterone) as needed and recommended by Kaiser.

[ Source: Kaiser Permanente, Top Surgery - EXPLORING YOUR SURGICAL OPTIONS ]

Pre-Surgery Mental Health Video Appointment, Part I

This “Mental Health Visit” assessment was conducted over Zoom. The Kaiser gender specialist started with questions addressing my marital status, race, gender identity, and other demographics. She asked whether I was “thinking of any other surgeries, treatments in the future.” The list she read included “gender-affirming” hysterectomies, bottom surgeries such as metoidioplasty and phalloplasty, vocal coaching, support groups, and body contouring. “Anything else you might be interested in doing?” she asked. I said that I’d perhaps be interested in body contouring. I was also assured that all the procedures would be covered by insurance because they were considered “medically necessary.”

I dropped in several red flags regarding my mental health to see the reaction, but all were ignored. For instance, I revealed that I had PTSD. When the therapist asked me about whether I had experienced any “childhood trauma,” I explained that I grew up in Mexico City and had been groped several times and had also witnessed men masturbating in public and had been grabbed by men in subways and buses. “I was a young girl, so [I had] lots of experiences of sexual harassments, sexual assault, just the kind of stuff that happens when you are a girl growing up in a big city.” “So, you know,” I finished, “just the general feeling that you are unsafe, you know, in a female body.”

The therapist did not respond to my disclosure that trauma could be the cause of my dysphoria. Instead of viewing this trauma as potentially driving my desire to escape my female body through hormones and surgery, she asked whether there is anything “important that the surgery team should be aware of” regarding my “history of trauma,” such as whether I’d be comfortable with the surgeon examining and marking my chest prior to surgery.

When asked about whether I had had any “psychotic symptoms,” I told her that while I had had no such symptoms, my mother had a delusional nervous breakdown in her 50s because she had body dysmorphia and became convinced she had a growth on her neck that needed to be removed. I told her that my mother was then admitted to an inpatient hospital for severe depression. I asked her whether she ever sees patients with body dysmorphia and whether I could have potentially inherited that from my mother. She told me that psychosis was hereditary, but that it was “highly unlikely” that there was any connection between body dysmorphia and gender dysphoria.

I enthusiastically waved more mental health red flags, waiting to see if she would pick up on any of them.

I’m just wondering if my feelings, or perseverating, or feeling like these breasts make me really unhappy and I just don’t want them anymore!...I’m just not sure if that’s a similar feeling to body dysmorphia? How do you decide which one is gender dysphoria and general body dysmorphia, and just not liking something about your body? Feeling uncomfortable with your body? And I did have an eating disorder all through college. I was a distance runner in college so I had bulimia and anorexia, you know. So I don’t know if that’s related to gender dysphoria?

The therapist replied, “I completely appreciate your concerns, but I am going to ask you questions about your chest, about your expectations. And then I’ll be able to give you an assessment.” She also said the main difference between my mom’s situation and mine was that my mom didn’t really have a growth on her neck, whereas it’s “confirmed” that I actually have “chest tissue.” Furthermore, she said that while “historically there has been all this pressure on patients to be like ‘Are you really, really sure you want hormones? Are you 100% sure?’ We are a little more relaxed.” She continued, “As long as you are aware of the risks and the side-effects, you can put your toe in the water. You can stop ‘T’ [testosterone], you can go back and do it again later! You can stop it! You can stop it! You know what I mean?”

Because we ran out of time, I scheduled a follow-up phone meeting on December 27, 2022 with a different gender specialist to complete my mental health assessment for top surgery.

Pre-Surgery Mental Health Video Appointment, Part II

During this meeting, Guneet Kaur, LCSW, another Kaiser gender specialist (she/her/they/them pronouns) told me that she regretted the “gatekeeping vibe” of the meeting but assured me that since I have been “doing the work,” her questions are essentially just a form of “emotional support” before talking with the medical providers.

She asked me about what I’d been “looking into as far as hormones.” I told her that I’d be interested in taking small doses of testosterone to counterbalance my female feelings to achieve “a feeling that’s kind of neutral.”

When she asked me about me “not feeling like I match on the outside what I feel on the inside,” I dropped more red flags, mentioning my aversion to wearing dresses and skirts.

I don’t own a single dress or a skirt and haven't in 20 years. I think for me it’s been just dressing the way that’s comfortable for me, which is just wearing, jeans and sweatshirts and I have a lot of flannel shirts and, and I wear boots all the time instead of other kinds of shoes. So I think it’s been nice being able to dress, especially because I work from home now most of the time that just a feeling of clothing being one of the ways that I can feel more non-binary in my everyday life.

She responded, “Like having control over what you wear and yeah. Kind of that feeling of just, yeah, this is who I am today. That’s awesome. Yeah.”

She then asked me to describe my dysphoria, and I told her that I didn’t like the “feeling of the female form and being chesty,” and that because I am going through menopause, I wanted to start taking testosterone to avoid “that feeling of being like this apple-shaped older woman.” “Good. Okay, great,” she responded, reminding me that only “top surgery,” not testosterone, would be able to solve my chest dysphoria. (Perhaps it was because all these meetings were online, they didn’t notice I’m actually fit and relatively slender at 5’-5” and 130 pounds, and not apple-shaped at all.)

She told me that we had to get through a few more questions related to my medical history before “we can move on to the fun stuff, which is testosterone and top surgery.”

The “fun stuff” consisted of a discussion about the physical and mood changes I could expect, and her asking me about the dose of testosterone I wanted to take and the kind of “top surgery” technique I’d prefer to achieve my “chest goals.” She told me that all or most of my consultations for surgeries and hormones would be virtual.

The gender specialist told me after the appointment, she would submit my referral to the Multi-Specialty Transitions Clinic (MST) team that oversees “gender expansive care.” They would follow up to schedule a “nursing call” with me to review my medical history, after which they’d schedule my appointment with a surgeon for a consultation. Her instructions for this consultation were to “tell them what you’re wanting for surgery and then they share with you their game plan.”

[ Decision-making slide to help me identify my goals for top surgery–flat chest, nipple sensation, or minimal scarring. Source: Kaiser Permanente, Top Surgery - EXPLORING YOUR SURGICAL OPTIONS ]

She told me that Kaiser has a team of plastic surgeons who “only work with trans and nonbinary patients because there’s just so much need for them.” She asked about my priorities for chest surgery, such as whether I value flatness over nipple sensation. I learned about double incision top surgery with nipple grafts, as well as “keyhole,” “donut,” “buttonhole,” and “Inverted-T” top surgeries.

By the end of the hour-long appointment, I had my surgery referral and was ready for my “nursing call” appointment.

Nursing call with Nurse Coordinator from the Transgender Surgery and Gender Pathways Clinic at Kaiser San Francisco

On January 19, 2023, I had my nursing call with the Nurse Coordinator. He first said that “the purpose of this call is just for us to go through your chart together and make sure everything’s as accurate as possible.” Once that was done, my referral would be sent to the surgeon for a consultation.

He asked me about potential allergies and recreational drug use, and verified that I was up to date on mammograms, pap smears, and colon cancer screenings, as well as vaccines for flu and COVID. I verified my surgical history as well as my current medications and dietary supplements.

He told me about a “top surgery class” available for patients where one of the Kaiser surgeons “presents and talks about surgical techniques and options within top surgery,” and includes a panel of patients who have had top surgery. I signed up for the February 8th class.

Within 10 minutes he told me that he had “sent a referral to the plastic surgery department at Kaiser Sacramento,” and that I should be hearing from them in the next week or two to schedule a consultation.

Appointment for Testosterone

On January 27, I had a 13-minute online appointment with a primary care doctor at Kaiser Davis to discuss testosterone. The doctor verified my name and preferred pronouns, and then directly asked: “So, what would you like to do? What kind of physical things are you looking for?”

I told her I wanted facial hair, a more muscular and less “curvy” physique, and to feel stronger and androgynous. She asked me when I wanted to start, and I told her in the next few months. She asked me if I was menopausal, whether I had ovaries and a uterus, although that information should have been on my chart.

The doctor said she wanted me to come in to get some labs so she could check my current estrogen, testosterone, and hemoglobin levels before starting hormones. Then “we'll set the ball in motion and you'll be going. We’ll see you full steam ahead in the direction you wanna go.”

That was it. I made an appointment and had my lab tests done on February 12. My labs came back on February 14, and the following day, after paying a $5 copay at the Kaiser pharmacy, I picked up my testosterone pump. That was easy!

Top Surgery Consultation

On the same day I received my labs, I had a Zoom surgery consultation with Karly Autumn-Kaplan, MD, Kaiser Sacramento plastic surgeon. This consultation was all about discussing my “goals” for surgery, not about whether surgery was needed or appropriate.

I told the surgeon that I wanted a “flatter, more androgynous appearance.” She asked me some questions to get a better idea of what that meant for me. She said that some patients want a “male chest,” but that others “want to look like nothing, like just straight up and down, sometimes not even nipples.” Others still wanted their chest to appear slightly feminine and only “slightly rounded.” I told her that I’d like my chest to have a “male appearance.”

“What are your thoughts about keeping your nipples?” she asked. “Are you interested in having nipples or would you like them removed?” I told her that I’d like to keep my nipples, but to make them “smaller in size.” She asked me if I’d like them moved to “the edge of the peck muscle” to achieve “a more male appearance.” I said yes.

I was asked to show my bare chest from the front and side, which I did. Then she asked me how important it was for me to keep my nipple sensation. I replied that it was important unless it would make recovery more difficult or there were other associated risks. She highlighted the problem with the free nipple graft, saying that removing the nipple to relocate it means “you're not gonna have sensation in that nipple and areola anymore.” However, some nipple sensation could be preserved by keeping it attached to “a little stalk of tissue” with “real nerves going to it,” but that would require leaving more tissue behind. I told her I’d go for the free nipple graft to achieve a flatter appearance. It was also suggested I could skip nipple reconstruction entirely and just get nipples “tattooed” directly onto my chest.

She told me I was “a good candidate for surgery,” and put me on the surgery wait list. She said that the wait time was between three and five months, but a cancellation could move me up to a sooner date. Also, if I wanted surgery as soon as possible, I could tell the surgery scheduler that I’d be willing to have any of the other three surgeons perform my mastectomy. Outpatient top surgery would cost me a copay of $100.

They contacted twice, in February and March, notifying me of cancellations. If I had accepted and shown up on those dates, they would have removed my breasts. This would have been less than five months from the time I first contacted Kaiser to inform them of my new “nonbinary” gender identity.

How Far Can I Go?

I decided to see how easy it would be for me to get approved for a phalloplasty. Known euphemistically as “bottom surgery,” phalloplasty is the surgical creation of an artificial penis, generally using tissue from the thigh or arm.

I sent an email on March 1, 2023, requesting to have a phalloplasty and concurrent hysterectomy scheduled alongside my mastectomy.

Two weeks later, on March 16th, I had a 16-minute phone call with a gender specialist to discuss my goals for bottom surgery and obtain my referral.

During the call, I explained to the specialist that I wasn’t sure about taking testosterone anymore because I was already quite athletic and muscular, and that taking testosterone didn’t make much sense to me. Instead, I wanted bottom surgery so that I wouldn’t feel like my “top” didn’t match my “bottom.” I told her:

But what I really wanted was to have bottom surgery. So this way when I have my top surgery, which sounds like it could be very soon, that I’ll be aligned, that I won’t have this sense of dysphoria with one part of my body and the other part feeling like it matched who I am. So yeah. So I just did a little bit more research into that. And I looked at the resources on the Kaiser page for the MST clinic and I think I know what I want, which is the hysterectomy and then at the same time or soon after to be able to have a phalloplasty.

I told her that I wanted to schedule the top and bottom surgery concurrently so that I wouldn’t have to take more time off work and it would save me trips to San Francisco or Oakland, or wherever I had to go for surgery.

None of this gave the gender specialist pause. After a brief conversation about some online resources to look over, she told me that she would “submit the referral now and we’ll get this ball rolling.”

Bottom surgery would cost me a copay of $200, which included a couple of days in the hospital for recovery.

Phalloplasty Surgical Consultation with Nurse Coordinator

On May 16, 2023, I had a short surgical consultation with a nurse coordinator to go through my medical history. This was similar to the consultation for top surgery but included information about hair removal procedures for the skin on my “donor site” that would be fashioned into a makeshift penis. They also went over the procedures for determining which donor site—forearm or thigh—was more viable.

After only 15 minutes, she submitted my referral to the surgeon for another surgical consultation.

On May 25 I received an email from my phalloplasty surgeon’s scheduler, informing me that they have received my referral and are actively working on scheduling, but that they are experiencing delays.

I ended my investigation here once I had the referral for the top and bottom surgery. I never used my testosterone pump.

Final Thoughts

In fewer than 300 days, based on a set of superficial and shifting thoughts about my gender and my “embodiment goals” triggered by the mere mention of “gender” in a form letter from my primary care physician, and driven by what could only be described as minor discomforts, Kaiser Permanente’s esteemed “multi-disciplinary team” of “gender specialists” was willing, with enthusiasm—while ignoring mental health concerns, history of sexual trauma, and rapidly escalating surgical requests—to prescribe life-altering medications and perform surgeries to remove my breasts, uterus, and vagina, close my vaginal opening, and attempt a complex surgery with high failure and complication rates to create a functionless representation of a penis that destroys the integrity of my arm or thigh in the process.

This describes the supposedly meticulous, lengthy, and safety-focused process that a Kaiser patient must undergo to embark on a journey to medically alter their body. No clinician questioned my motivations. No one showed concern that I might be addressing a mental health issue through radical and irreversible interventions that wouldn’t address my amorphous problems. There were no discussions about how these treatments would impact my long-term health, romantic relationships, family, or sex life. I charted the course. The clinicians followed my lead without question. The guiding issue was what I wanted to look like.

No other medical field operates with this level of carelessness and disregard for patient health and welfare. No other medical field addresses issues of self-perception with surgery and labels it “medically necessary.” No other medical field is this disconnected from the reality of the patients it serves.

Kaiser has traded medicine for ideology. It’s far beyond time we stop the ruse of considering “gender-affirming” interventions as anything approaching medical care.

This isn’t the first time Kaiser Permanente has been in the news for completely disregarding medical safeguards in the name of “gender-affirming care.” As girls, Chloe Cole and Layla Jane became convinced that they were born in the wrong body and were actually boys on the inside. Doctors at Kaiser ignored their underlying conditions and instead prescribed testosterone and removed their breasts. Both Cole and Jane have since detransitioned and are currently suing Kaiser.

The fact that children and vulnerable adults are being exploited in this massive ideological experiment is not just tragic; it’s deeply disturbing, especially considering it has evolved into a billion-dollar industry.

I hope that by sharing my story, I can bring more focused scrutiny to the medical scandal unfolding not just at Kaiser but also at medical centers and hospitals across the Western world. These institutions have completely abandoned medical safeguards for patients who claim to be confused about their “gender,” and I aim to awaken more parents and assist them in protecting their children.

This is completely insane.

Apologists online are running around saying, but she didn't mean it, she was lying, she was pretending...

It doesn't matter.

Any kind of security, penetration or integrity test is insincere too. When security researchers compromise Microsoft's operating system or Google's browser or whatever, "but they didn't mean it" is not a defence to a discovered security flaw. It doesn't matter that the security researchers didn't plan to steal data or money or identities. The flaw in the system is there regardless.

It doesn't matter that it was insincere. Because the workers didn't know that. They never checked, never asked questions, never tested. They had been taught and instructed to never ask any questions. They did what they were supposed to. And the system failed spectacularly. Because that's what "gender affirming care" means.

Additionally, the claim that Beth Bourne committed fraud is an outright lie. A patient cannot bill. They do not have the authority. The medical clinic is the only one that can bill, and they must supply a diagnosis and a medical necessity.

If they didn't diagnose her and just wrote down what she said, then they committed fraud. If they claim they did diagnose her, then they committed fraud, because the diagnosis they concocted was bogus. This, by the way, is actually going on. Clinics are reporting fake endocrine and other disorders to get blockers, hormones and other interventions. Jamie Reed and other whistleblowers have documented evidence of this. Beth Bourne is not responsible for what the clinic does. They have medical licenses and legal responsibility. Not her.

Additionally, anyone who actually read the article would know how she tested the system. She said things like, "I've always been not that feminine. So, maybe I get my boobs removed." And they said, "sure." Instead of saying, "wait, why do you think that?" Framing it as her lying is itself a lie. They violated their ethical obligations. That much is incontrovertible. And it's directly the result of "gender affirming care," where clinics and clinicians rubber-stamp anything deemed "trans" based entirely on ideological, not medical, grounds.

#Beth Bourne #undercover #undercover investigation #gender identity ideology #queer theory #nonbinary #non binary #top surgery #bottom surgery #double mastectomy #bilateral mastectomy #gender affirming care #gender affirming healthcare #gender affirmation #affirmation model #medical scandal #medical malpractice #medical corruption #religion is a mental illness

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ms-demeanor · 3 months

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Hi! My employer's workplace wellness program was recently revamped, and I'm trying to assess whether it's slid into the nonsense side of wellness-world. Specifically, there's a webinar being offered by a guy named Abra Pappa on using an "anti-inflammatory diet" to "battle against chronic diseases… including heart disease, diabetes, arthritis, and even certain cancers." This sounds… sketchy to me, but I know you have both expertise in nutrition and a strong bullshit detector, so wanted to ask what you make of it.

Okay long story short never trust anyone who got their degree from a university that started off as a school for chiropractors.

Abra Pappa got her MS in Functional Medicine and Human Nutrition after getting a BA in Theater; I checked the requirements for that degree and the school's whole catalogue is throwing red flags but what's throwing the most red flags for me is that if I wanted to get a degree in nutrition from an ACEND accredited program I'd need to take a hell of a lot more than one bio class, one anatomy OR one physiology class, one medical terminology class, one nutrition class, and one biochemistry class in order to get into a master's program.

It's funny because she went from a BA in theater arts to an MS in Functional Nutrition and Human Nutrition and I've been trying to go from a BA in Theater Arts to an MS in nutrition and *aside* from the whole private school costs thing one of the major barriers is that I'd basically need to re-do all of my undergrad to get in a lot of chemistry, some calculus, and MANY nutrition classes before I qualified for a Master's program. But based on the program she took I'm only one medical terminology and one biochemistry class away from a Master's program instead of more like ten to fifteen classes (primarily in nutrition, chemistry, and physiology) away.

Anyway she says she's a Licensed Dietician Nutritionist. There are some states that allow LDN certification, New York is one of those states. *BUT* to be an LDN in New York you have to

Complete a program in dietetics-nutrition that culminates in a bachelor’s degree that qualifies for certification in dietetics-nutrition or has been accredited by the Commission on Accreditation for Dietetics Education (CADE).[Note: CADE is now ACEND] The program must include at least 45 semester hours of coursework in dietetics/nutrition and must include at least 20 semester hours of coursework in the area of human biological sciences and social and behavioral sciences

Pappa went to the University of Western States in Oregon, and the only ACEND accredited school in Oregon is at OSU, so if she's an LDN it's from someplace that isn't New York, where she lives and works.

She also claims to be a CNS, a Certified Nutrition Specialist, but in order to qualify for THAT you need to have an MS with some pretty rigorous coursework

And this is what the school required for her MS program:

And given that she didn't have a science degree for undergrad it seems pretty likely that she wasn't doing anything close to what an undergrad nutrition program looks like:

For the record, here are the MS requirements for an MS in nutrition with a health and wellness emphasis at that same school:

In order to get accepted to the MS in nutrition program in that school you either need to have a BS in nutrition or a BS in biology or chemistry and take all the undergrad level nutrition requirements ON TOP OF that BS.

I don't think that a theater degree and an MS from a woo-y correspondence school really count, even if you do pay $45k for your diploma.

If you go look at the requirements for any ACEND accredited school and compare them to the MS program from University of Western States it leaves UWS looking pretty shitty in comparison. Like, nowhere in her requirements is there a statistics class! Stats is required even for an associate transfer certificate in nutrition! EVEN AT THE 2-YEAR LEVEL FOR REAL NUTRITION DEGREES YOU HAVE TO DO STATS AND SHE DIDN'T HAVE TO TAKE A SINGLE STATS CLASS FOR HER MS. You will note that the cal poly MS program has one entire MS-Level class on vitamin metabolism and one entire MS-Level class on mineral metabolism for any of the three MS in Nutrition emphasis courses; her school required neither.

This shit makes me want to climb the walls.

I'm just going to start calling myself a nutritionist. California will let anyone call themselves a nutritionist, there are absolutely zero protections on that term and I can get myself a piece of paper for like three hundred dollars from a diploma mill that has some kind of bullshit accreditation.

Here are the programmatic accreditations her school has:

Compare with the Cal Poly programmatic accreditations (I cite cal poly a bunch because it was the program I was hoping to get into eventually so I researched it the most; that's where I got my BA, go broncos):

Note that the website for her school is listed with the department of education as wschiro.com because it was called Western States Chiropractic College until 2010.

Every time i dig into something like this it makes me want to stare into space for hours. No wonder college students are getting fucked on their loans and going to bullshit schools. No wonder everything is a scam these days. People bitch about credentialism but you know what maybe this lady is a CNS; sure, for some people that requires passing board certification tests, getting 1000 hours of clinical supervision, and becoming a Nurse Practitioner with real actual nutrition study from a solid program, but for other people it requires zero understanding of statistics, a theater degree, and three *whole* units of anatomy. Maybe she clears the bar on that one! She doesn't have the qualifications for an LDN in New York, she's not an RDN because she sure as fuck didn't take the classes required for a *VERY SERIOUSLY* protected title, but maybe you can be a CNS with an online diploma from the western states chiropractic college.

I fucking hate everything.

You know the whole reason I wanted to get a degree in nutrition was to yell about shit like this online, but fuck it. Fuck it, I'm a nutrition-isht because i live in california and I can say I am and who's going to check? Who's going to look up whether I took classes in public health or anatomy or the metabolism of micronutrients before they hire me to do corporate seminars on healing your relationship to food? I am legally allowed to do that so I might as well, right? If all I have to do is be charismatic and convincing I'm pretty sure I've got that down, actually, so who's going to check?

Nobody! Nobody is going to check and everything is a scam and I hate everything.

ANYWAY

The relationship between nutrition and inflammation and the relationship between chronic disease and inflammation are two different, complicated things that are difficult to point at and say definitively what the connections are.

I am of the opinion that any time you're getting deep into things like an anti-inflammatory, ketogenic, or PH-Balancing diet without a specific condition that calls for the avoidance of certain foods for very clearly scientifically reported reasons, you're dealing with a woo-woo biohacker who's looking to sell a diet plan.

The thing about nutrition science is that it seems like for most people the "answers" are pretty basic: eat enough food, get enough macro and micronutrients, eat a variety of food, avoid processed meats, try to eat more fruits and vegetables, get enough water, and stay as active as possible NOT for weight loss reasons but for metabolic health and joint/muscle maintenance. It's really, really, hard to sell that though, which is how you get people like Abra Pappa in 2013 writing out this bugfuck "Food and mood" handout with a midday snack that is so bonkers in the way the calories are distributed that I'm sitting down and doing math about it (it looks like about a third of the calories that day are supposed to come from the mid afternoon spinach, mint, cocoa nib, and coconut milk smoothie which is, as I said, bugfuck nuts).

It's hard to sell "please eat more fruits and vegetables, which is difficult because actually most places don't grow enough vegetables for the population's nutrition needs and it's cheaper to eat grains and industrially produced meat than it is to eat five cups of vegetables that you need to prepare daily and also maybe skip the bacon" but it's much easier to sell "five anti-inflammatory superfood milkshakes that will fill your belly and fight cancer" because it's packaging nutrition as a product and not as a massive systemic issue that happens to have very specific requirements for a large number of individuals who *do* happen to have disorders that are based on nutrition and inflammation (celiac disease! I've got one of them! Eating the wrong foods definitely causes inflammation in my body as the result of an autoimmune disorder! but that doesn't mean that the things that are inflammatory for me are inflammatory for everyone!)

Anyway I think like about 97% of workplace wellness programs are largely bullshit based, or at least import bullshit a lot of the time, and nutrition is a science that has, just, so much bullshit in and around it.

So I would take anything they say with a grain of salt, and hopefully less than 255% of your RDV of saturated fat (seriously that meal plan is ludicrous).

Side note: there is a subset of nutrition people who looked at the way that we got fat wrong in the 80s and flipped it and reversed it and went "actually you can have as much fat of any kind that you want as long as it is natural and you will have no issues" and this is how you end up with people on 100% natural clean keto diets who have cholesterol levels over 600. Abra Pappa recommends "clean/natural" eating and has taken continuing education on keto and has a recipe for a single-serving smoothie that calls for 8oz of coconut milk I think she's very much in the "'good' fat truther" camp (or at least she was in 2013 which is maybe why New York has a requirement for people to have some kind of nutrition certification for giving out nutrition advice and maybe she should have done that because she didn't even go to her bullshit "grad school" until 2017).

(We DID get fat wrong in the 80s and total avoidance of all fats is bad for you and there are 'good' fats that you should eat and everybody needs to eat some level of fat for proper nutrient absorption but even if you're only getting fat from nuts and avocados that's not going to prevent your arteries from forming plaques if you're having nearly triple the recommended daily value of saturated fat as part of your afternoon snack)

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