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mixelation · 10 months

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i feel like i am going insane

this post was on my dash (screencapped bc don't go harass OP):

I'm not going to claim to be a TB expert, but any post talking about how we "have a cure" should be regarded as suspect. What happened in 1958 wrt TB treatment? I have no clue, and I just skimmed multiple reviews of the history of TB. If anyone knows, please tell me. In general the 1950s was the golden age of antibiotics, plus there was just a general better understanding of disease management in general, meaning fatalities from TB in Europe and North America tanked. But I could find no specific thing attributed to 1958.

What is the cure for TB? It's months of antibiotics, and even then clearance of the bacteria isn't going to be 100% of all patients. There's no specific miracle drug. There are vaccines (idk how effective, but they show up randomly in all sort of papers for having interesting and positive off-target effects, like improving blood glucose levels in diabetics), which is not a cure but IS a very important tool for stopping the spread and protecting people.

TB is tricky to manage. It can lay dormant in your lungs for decades. It's harder than the average bacteria to kill with antibiotics, and the course of antibiotics needed is so long that you end up with more logistical issues (what happens if you're in a remote area where you have limited supplies? how do you ensure patient compliance?). There are more and more antibiotic resistant strains appearing. A lot of effort and money and brilliant minds are dedicated researching TB and implementing strategies to manage it across the world. I'm sure there are ways to improve our approaches to managing and treating it, but TB is by no means a "neglected" disease. TB is not the example I would pick for how we have failed the world on a global level due to resource hoarding, unless you want to go into a much more nuanced discussion of why poverty is a huge risk factor for contracting it in the first place (due to things like overcrowding, poor living conditions, and poor access to healthcare, not because some specific miracle cure is being hoarded).

But I guess "the problem is we're not DISTRIBUTING the CURE" is much easier take for people to pat themselves on the back for having. TBH I think a lot of people feel safer when they think complex problems are secretly very simple ones that can be fixed by overcoming one singular evil.

#vent post #not rebloggable because just a vent with no citations lmao

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kattt-5865 · 1 month

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i hate when i see people talk about "miracle cures for diabetes" like no hunny your pine oil isn't gonna miraculously revive my pancreas

#diabetes #kats little rambles

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ambiguouspuzuma · 8 months

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Type 3

As requested by @sleepyowlwrites, here's a little prequel to this story:

There are three permanent types of diabetes, he remembered from his training. The first you're born with, and have to manage using insulin. The second you pick up during your life, and can sometimes manage with changes to diet and exercise, or other medication. The third you contract upon your death. There's nothing you can do about that.

Dr Theodore 'Ted' Spong was a good-humoured man. As parish physician, he had to be. People only came to him with complaints, and he couldn't very well meet them with his own; if he had any grumbles or gripes, he'd long since learnt to tuck them away, like the good brandy he kept in a cabinet back home. He largely worked in the public eye, but some things were best mulled over in his own time.

He hadn't grown up in the sticks, but he liked it here. Outside of surgery hours, he enjoyed long walks across the moors, taking in the beauty of the mist-soaked landscape; within them, he met a range of fascinating characters, the sort of people you never got to meet in the city, each with their own idiosyncrasies and health complaints. He'd come across conditions he'd only read about, and patients who'd never learnt to read.

The people here led simple lives, divorced from the innovation and progress that drowned the city in smoke, but that meant his job had been anything but. They could be credulous at times, and a large part of his time was spent championing science over superstition, miracle cures and folk remedies. Unfortunately, they now had a champion as well.

There was a new doctor in town, by the name of Madame Silja, and she was undoing all of his hard work. To call her a doctor was a courtesy, for she had clearly never studied for a licence as he had, or read any book of medicine less than a century old. She was driving his parish backwards, towards the dark ages of draining bad humours away, although he never saw her wading for leeches on his walks. In fact, he'd barely seen her at all, until the night she showed up at his surgery door.

"I feel unwell," Silja said. She looked it, too. Her face was gaunt and drained, her body likewise emaciated underneath her clothes, visible even in the gloom. This was a woman at death's door as much as his.

Ted fought the temptation to gloat. Oh, and the leeches didn't hit the spot? Come crawling for some proper medicine, have we? That wouldn't be right. Nemesis or not, this woman lived in the parish, and that made her his patient. He was a good natured man, and a physician first of all. If he was to bring her out into the light, the best way would be to lead by example.

"What are your symptoms?" he asked, ushering her inside. She stood uncertain in the doorway, perhaps also having second thoughts about coming to him for help, but there was no time to lose. "Please, come in."

"I feel... tired," she told him, collapsing on a proffered armchair. The cushion barely sank under her weight.

"You're losing weight?"

Silja nodded. "I'm losing my appetite. But in its place there's this incessant thirst, a void no amount of water seems to sate."

"Any changes to your mood? Feeling suddenly irritable?

"What do you think?" she snapped. "I've just told you I'm thirsty all the time. Yes, it's irritating. Have you ever had an itch that you can't scratch?"

Ted usually told his patients not to scratch any itch, but he kept quiet and let her settle down. Madame Silja seemed so frail, but there was still something threatening about her - something unsettling and strange. It was a tingle at the back of his neck, like something primal, but he forced it down again. He wouldn't scratch that itch either.

He had no room for prejudice in his work, nor outside of it, and that was probably all this was. He didn't often see people with her kind of ancestry, not since he'd left the city. Whatever ancestry that was. Her skin was dark, although it seemed that it had since grown paler. She reminded him of a colleague from his studies, an Ottoman doctor by the name of Şefik. Was her name similar? Perhaps he could try to build a bridge between them.

"Tell me - you wouldn't happen to have any Turkish blood in you, by any chance?"

"Oh, I dare say I might," Silja replied. The question had served its purpose, for she flashed a smile for the first time, but Ted found himself more unsettled than ever. "Why do you ask? Is it something to do with my illness?"

"No, no, I was just curious," he said, increasingly nervous. "I know it isn't my place to guess, but I thought I'd take a stab in the dark."

"I'm not a fan of those, as a rule," she said. "But thank you for taking an interest. My patients are... rarely conversational. I don't often get to talk about myself. Do you find the same? Do you live nearby?"

"The good news is that I think I recognise your symptoms." Ted moved back onto steadier ground. "Although I'll need to take a blood sample."

"Oh, of course."

"For testing," he clarified. Anxiety or not, he wouldn't tolerate any of that nonsense here, in his temple of modern medicine. "Then we'll move on to treatment."

It was diabetes, he was sure, but he didn't know which strand. Was this a late diagnosis of type one? She didn't look much like a typical case for type two. There were others, he knew: gestational diabetes, picked up in pregnancy to meet the additional demands on the body. Perhaps it was something like that. A change, as if the whole body was gestating, metamorphosing into something... no, there was no medical basis for that. What was he saying?

"You might need to start taking medicine," he told her. "But mostly I suspect you'll need to make some changes to your diet."

"That's fine by me," she said, flashing another awful smile. "I'd figured that part out myself."

#writing #short story #writeblr #vampires #original writing

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explainslowly · 1 year

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Fatphobia cw

New diabetologist immediately tried to get me on weightloss 'your numbers are good enough, you wouldn't even be diabetic if you lost weight!'

Like first, hilarious underhanded compliment here. But also, like, check out Mrs. miracle cure here! Fuck you.

Anyway told her I'm not doing weightloss drugs and I'm not doing diets (insane that they tell diabetic people to diet btw, fucking criminally negligent honestly, destabilizing my blood sugar! That's what I need!)

Anyway I mentioned that famous meta study about most people gaining weight back after diets but she didn't seem very interested and also essentially told me I have bad attitude which I do. Rapidly approaching worst attitude as the conversation progressed.

Anyway, reminds me of when I was fifteen and my nephrologist told me I had high blood pressure because I was fat. Nevermind that I had fucked up kidneys from a childhood illness, you know, the primary problem I was seeing her for. The literal origin and reasoning for my blood pressure medication.

#Anyway. Whatever.

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mariacallous · 1 year

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A revolution in weight loss is apparently underway. It started in 2021, when the FDA approved the diabetes drug semaglutide for weight loss. The weekly injectable—sold under the brand name Wegovy—can help users lose 5 to 10 percent of their body weight, leading commentators to describe the drug as both a “medical breakthrough” and a “silver bullet” for obesity. Elon Musk says he’s taking it, Kim Kardashian is rumored to be using it, and everyone from Hollywood to the Hamptons reportedly wants a prescription.

Soon, there will be a new weight loss medication on the block—and it’s even more potent than its peers. Last fall, the FDA fast-tracked the review process for using tirzepatide as a weight loss drug after a clinical trial showed that people with BMIs labeled “overweight” or “obese” lost a staggering 22.5 percent of their body weight on the highest dose. If all goes according to plan, that will make Mounjaro the latest in a fast-growing biomedical sector—spanning everything from bariatric surgery to deep brain stimulation for binge-eating—that aims to combat, if not cure, the problem of “excess” weight.

For pharmaceutical companies, the race to market is financially motivated: Wegovy and Mounjaro cost more than $1,000 a month. Weight loss drugs are rarely covered by insurance, but people who can afford them have proven they’re willing to pay. And the market seems effectively limitless: Despite an ongoing “war on obesity,” more than 1.9 billion adults globally are considered overweight or obese, and the number of prospective users is growing every year. Now doctors—desperate to treat what is widely seen as an “obesity epidemic”—are coming on board. In January, the American Academy of Pediatrics recommended such medications for kids as young as 12.

The victorious narratives gilding drugs like Mounjaro are already being positioned as a direct challenge to fat activism. For decades, the movement has pushed for social and economic opportunity for people of all sizes through civil rights, fat pride and liberation, and biomedical evidence itself. Thanks to prominent voices like Audrey Gordon and Michael Hobbes, many people now know that “lifestyle changes” like calorie restriction and exercise fail to produce sustained weight loss for 97 percent of people and that many dieters end up gaining back more weight than they lost. But what happens to the strength of these arguments when a weight loss drug seems to work?

Like other purported weight loss solutions, Mounjaro promises “to fix weight stigma by making you thinner, instead of removing the stigma,” says Susanne Johnson, a fat activist and family nurse practitioner in Pennsylvania. In so doing, these drugs and surgeries further exacerbate anti-fat discrimination. Instead of criticizing people in larger bodies for their perceived lack of willpower—that old “calories in, calories out” adage—people can now blame those in bigger bodies for something more akin to a techno-pessimist, or even anti-science, stance: “Just take the miracle cure!”

The history of the weight loss industry is more akin to prospecting for gold or investing in crypto than transplanting organs and developing antibiotics; less a story of scientific progress than an endless cycle of wild speculation, where boom inevitably gives way to bust. Fen-Phen was a miracle until it was linked to heart valve damage. Intermittent fasting was going to fix what caloric restriction couldn’t until researchers showed the two produce exactly the same results. And then there’s the complicated case of bariatric surgery.

From their inception in the 1950s, operations like gastric bypass (which reroutes food away from the stomach, inducing malabsorption) and gastric sleeve (which involves partially amputating the stomach so it holds less food and produces fewer hunger hormones) have been sold as a potential panacea, says Lisa Du Breuil, a clinical social worker at Massachusetts General Hospital. While fewer than 1 percent of people who qualify actually undergo bariatric surgery, those who do can lose up to 70 percent of their “excess” weight (or the weight above a BMI of 24.9).

But Du Breuil, who specializes in eating disorders and substance abuse disorders, has seen some of the worst of bariatric’s side effects. People can develop dumping syndrome—wherein sugar-rich meals leave the stomach too quickly, causing sweating, dizziness, rapid heart rate, and vomiting. Gastric bypass in particular raises the risk of postoperative alcohol abuse. Rates of suicide and self-harming behaviors also rise in the years after bariatric surgery. And even when people follow strict post-operative diets, malnutrition, tooth loss, gout, and new or resurging eating disorders are possible. “It can be really challenging to get a full picture,” Du Breuil says. She learns about new side effects all the time.

Semaglutide and tirzepatide—both part of a larger family of GLP-1 receptor agonists—were developed for diabetes management at lower doses. When pharmaceutical companies noticed their trial participants were also losing weight, they realized “if we can turn the volume up to 11, we can really enhance this side effect,” says Johnson, the nurse. “That means you’re also turning up the other side effects.”

The primary complaints from users of Ozempic, Wegovy, and Mounjaro sound like the kind of thing you can fix with a bottle (or three) of Pepto Bismol: nausea, upset stomach, diarrhea, and what one patient called “power vomiting.” But these might be less like classic “side effects” of a drug than a mechanism of weight loss itself, as The Guardian recently reported. By making the feeling of eating (and, in some cases, even hydrating) actively disgusting to the user, the drug curbs their consumption—similar to the experience of bariatric patients, who can only fit a few ounces of food in their stomachs at a time.

The list of complications doesn’t end there. For example, both GLP-1 receptor agonists may increase the risk of thyroid cancer—one of the many BMI-linked diseases that supposedly makes weight loss absolutely imperative for people in larger bodies. And there’s good reason to believe that other side effects will reveal themselves in years to come, as the number of long-term users grows.

The biggest surprise for many prospective patients is that long-term weight loss isn’t guaranteed—a reflection, perhaps, of the faulty assumption that people are obese because they overeat. Current estimates suggest that the average bariatric surgery patient regains 30 percent of the weight they lost in the 10 years after surgery. One in four regain all of their weight in that time. And 20 percent of people don’t respond to surgery in the first place.

The same is true for GLP-1 receptor agonists: If you stop injecting, the weight returns.

In case it wasn’t clear by now, biomedical weight loss interventions often mimic the deadly logic of anorexia, bulimia, or other forms of disordered eating, says Erin Harrop, a clinical social worker and researcher. Harrop would know. At the height of their own eating disorder, Harrop wished they could fill their stomach with air instead of food, or cut their stomach out, or wire their jaw shut. Later, they learned these things exist—in the form of gastric balloons, gastric sleeves, and even a magnetic jaw trap.

It’s no surprise, then, that some people who undergo bariatric surgery experience a resurgence of a preexisting eating disorder, or develop a new one. Frequent vomiting, never knowing what foods will upset your stomach, and feeling pressure to maintain a post-surgical weight—“you can create an eating disorder that way,” Du Briel says.

But semaglutide and tirzepatide promise to fulfill an even stranger fantasy: eliminating appetite itself. While a drug like Mounjaro works on numerous fronts—including preventing the body from storing fat and “browning” existing adipose tissue—it’s the feeling of being untethered from desire that seems to fascinate patients and physicians alike. People for whom the drug works often say, “I forget to eat,” says Fatima Cody Stanford, an obesity medicine specialist at Massachusetts General Hospital’s Weight Center.

If doctors really believe that obesity is the greater of any two evils, then this approach makes sense. When it comes to bariatric surgery, for example, a review of the medical literature suggests it is, on balance, associated with a reduction in all-cause mortality—or death of any cause*—*compared to patients with high BMIs who don’t go under the knife (though such studies are profoundly limited, as they often do not control for social factors, like income or education). Many hope that semaglutide and tirzepatide will one day prove just as vitalizing.

But eating disorders kill too. In many contexts, sustained hunger is considered a travesty. And desire—for food, or anything else—is a great way to know you’re alive. “It’s wild to me that we see no appetite as a positive thing,” says Shira Rosenbluth, an eating disorder therapist who works with people of all sizes. Anna Toonk agrees: “I realized that there are worse things than being fat,” she told The Cut last fall. “The worst thing you can be is wanting to barf all the time.”

Ultimately, the proliferation of drugs like Mounjaro means medicine is not only in the business of dictating “normal” weights (a thing it still hasn’t quite figured out), but “normal” appetites. What was once an intuitive process, in which your body tells you what it needs, became a dictate under diet culture: You tell your body what it can have. Now medicine promises a radical reset: With the right drug, your body will hunger for nothing at all.

Weight loss technology can’t be stopped entirely—nor should it be. Everyone has the right to choose what they want to do with their bodies. But informed consent is built on information, and we may not have enough. Mounjaro was fast-tracked by the FDA based on studies designed to observe weight loss over just 72 weeks, a small fraction of the time real patients will be on the drug. At the very least, patients should be informed that in the first years after a drug hits the market, they are participants in an ongoing experiment.

As biomedicine’s war on obesity continues, people must work harder to combat anti-fat bias—not on a technicality, but as part of the expansive vision of justice fat activists began articulating more than 50 years ago. For semaglutide, tirzepatide, bariatric surgery, and their ilk are neither miracles nor cures. There have always been fat people, and there always will be, whether they’re “non-responders” to treatment, refuseniks, or languishing on the waitlist. Notably, even those who experience dramatic weight loss after surgery or on injectables may still be overweight or obese, depending where they started.

Perhaps most importantly, the American weight loss discourse must move away from a reflexive scientism, which has enabled biomedicine to subject the entirety of human experience to its single-minded scrutiny. Weight, like almost every aspect of embodiment, is not an exclusively biological phenomenon or a clear-cut medical “problem” to solve. It is shaped by countless factors, like power distribution in society, personal psychology, and that most frightening of forces: the desire for more.

If you or a loved one is struggling with an eating disorder, the National Eating Disorders Association Helpline is available at (800) 931-2237.

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pennie-dreadful · 2 years

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Ok yeah the ball shaver ads and the creepass pikachu guy were mildly annoying, but now I'm getting diet pill ads again and just now got an ad for some miracle diabetes cure/foot pad thing that somehow sucks...toxins? Blood sugar? Out of your pancreas. And pharmaceutical companies are suppressing it of course, they even included the statement "I don't know how long until this message is taken down" I mean sure lets start selling ad space to conspiracy theory anti science scammers, why not. The pancreas doesn't even have anything to do with filtering blood??? Detox your pancreas? Of what?! Blood sugar? Insulin???

I have never before now seriously considered going ad free but I might just have to, because I am trying to recover from the diet/binge/diet cycle and this shit is genuiely upsetting. Not that I would buy a diet pill from fucking tumblr, but can a bitch just fucking live without being assaulted by the diet industry???

#personal pennie #fuckin tumblr

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vyndo · 13 days

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A Journey Through Indian Superfoods

In a world where wellness and health-consciousness have taken center stage, the term “superfood” has become a buzzword in dietary conversations. You’ve probably heard it mentioned in nutrition and healthy eating conversations. But what precisely are superfoods, and why are they so prized in the world of nutrition?

Superfoods are a type of food that is high in nutrients and hence extremely good for your health. These nutrient powerhouses are high in vitamins, minerals, antioxidants, and other components that can help to maintain and improve your overall health.

Here are some of the top 5 Indian superfoods:

1) Ghee

Ghee, a celebrity among Indian superfoods, is known for its rich flavor and a plethora of health advantages. It��s a type of clarified butter that has been revered in Indian cuisine and Ayurvedic traditions for generations. Ghee is high in important nutrients, aids digestion, and is revered in Ayurvedic medicine for its holistic healing characteristics. Its high smoke point makes it ideal for cooking, and its distinct nutty flavor enhances the flavors of foods. This versatile ingredient extends beyond the culinary sphere, playing an important role in cultural and religious practices throughout India.

2) Curd

Curd, a dairy product with numerous health advantages and a popular member of the superfood family, is a staple in Indian cuisine. Curd is high in probiotics, which support gut health and digestion. It’s high in key minerals like calcium, protein, and vitamins, making it an important part of a healthy diet. Curd has a symbolic meaning in Indian culture, and it is used in both savory and sweet dishes, from refreshing raita to creamy lassi. This nutritious superfood not only tantalizes the taste buds but also promotes general health.

3) Moringa

Moringa, often referred to as the “Miracle Tree” or “Drumstick Tree,” is a true gem among Indian superfoods.Moringa leaves are loaded with vitamins and minerals like vitamin C, vitamin A, calcium, and iron, making it a nutritious powerhouse. This superfood is praised for its ability to increase energy, improve general health, and even reduce malnutrition in some areas. Moringa leaves can be consumed in a variety of culinary forms, such as teas, smoothies, soups, and salads, and provide a natural and sustainable source of essential nutrients.

4) Aloe vera

Aloe vera, well-known for its soothing effects, is a magnificent Indian superfood valued for its nutritional and therapeutic properties. For generations, this succulent plant has been utilized in traditional Indian medicine, or Ayurveda, for its healing and revitalizing properties. The gel found in the fleshy leaves of aloe vera is high in vitamins, minerals, and antioxidants, making it a natural powerhouse for skin and hair health. It is well-known for its capacity to heal wounds, cure sunburns, and moisturize the skin. Aloe vera juice, when taken, may improve digestion, strengthen the immune system, and provide a pleasant dose of water. Aloe vera is also well known to help maintain blood sugar in people with diabetes.

5) Amla

Amla, commonly known as Indian gooseberry, is a potent Indian superfood that is well-known for its extraordinary health benefits. This little, green fruit is high in vitamin C and antioxidants, making it an excellent immune booster as well as a contributor to glowing skin and strong hair. Amla is well-known for its ability to ease digestion, improve vision, and promote general well-being. To harness its nutritious benefits, it is used into a variety of culinary preparations such as chutneys, pickles, and juices. Amla is renowned in Indian culture not only for its taste but also for its holistic health-promoting capabilities, making it a prized addition to the superfood category.

To summarize, Indian superfoods are a treasure mine of nutrition and wellness that are strongly ingrained in the country’s culinary traditions and ancient knowledge systems such as Ayurveda. They include a wide range of vitamins, minerals, antioxidants, and special chemicals that improve immunity, digestion, and overall health. These superfoods, infused with cultural meaning, continue to play an important role in encouraging a healthier, more balanced lifestyle, bridging the gap between flavor and nourishment.

#food #healthy diet #healthy weight loss #healthyeating #healthyfood #nutritious foods #indian foods #journey food #indian superfoods #healthy and nutritious meals #healthy food for your body

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health-supplementproducts · 18 days

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Glucotrust: New Killer Blood Sugar Supplement Supplements - Health

Taking Control: My Experience with GlucoTrust

For years, I danced a delicate jig with my blood sugar levels. It wasn't full-blown diabetes, but a nudge in that direction. Constantly monitoring, adjusting my diet, the whole rigmarole. It was exhausting. Then, I stumbled upon GlucoTrust, a new blood sugar support supplement on the market in 2024. Let me tell you, it's been a game-changer.

Natural Ingredients, Powerful Effects

GlucoTrust boasts a blend of entirely natural ingredients, which really appealed to me. No harsh chemicals or mystery components. Some of the key players include chromium, known to aid insulin sensitivity, and gymnema sylvestre, a herb with blood sugar-lowering properties. There's also a good dose of biotin and manganese, both essential vitamins for overall health. It was refreshing to see a supplement that relied on nature's bounty, rather than some artificial concoction.

Sweet Dreams, Steady Blood Sugar

One aspect of GlucoTrust that particularly piqued my interest was its focus on sleep. The website [indicate source, e.g., company brochure] explains the link between poor sleep and blood sugar regulation. Being a chronic insomniac, this resonated deeply. The supplement contains ingredients like L-theanine, known for its calming properties, and melatonin, the body's natural sleep hormone. Within a couple of weeks of taking the recommended dosage each morning, I noticed a significant improvement in my sleep quality. Those restless nights became a distant memory, and guess what? My blood sugar readings started to stabilise as well.

Feeling the Difference, From the Inside Out

It wasn't an overnight miracle cure, but over time, I felt a definite difference. My energy levels soared – no more afternoon slumps or that foggy-headed feeling. I also noticed a reduction in sugar cravings. Perhaps due to the better sleep and increased energy, I found myself making healthier food choices naturally. It wasn't just about the numbers on the glucometer; it was about feeling better from the inside out.

A Gentle Nudge in the Right Direction

GlucoTrust isn't a magic bullet, but it's a powerful tool. It provided a gentle nudge in the right direction, supporting my body's natural blood sugar regulation processes. It gave me the confidence to take back control of my health and embrace a healthier lifestyle.

Worth the Investment? Absolutely!

If you're looking for a natural way to manage your blood sugar levels, GlucoTrust is definitely worth considering. It's an investment in your well-being, and for me, it's paid off in a multitude of ways. Remember, it's always best to consult your doctor before starting any new supplements, but for those looking for a natural and effective approach, GlucoTrust might just be the answer you've been searching for.pen_sparktunesharemore_vert

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healthremedyhub · 19 days

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youtube

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The information and content provided in this video is for educational and informational purposes only. It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition.

The remedies and strategies discussed are based on research and traditional use, but individual results may vary. We do not claim that these natural remedies can cure or treat any specific medical condition.

The images, graphics, and video content used in this production are the intellectual property of their respective owners. We have made every effort to properly attribute and credit all sources, but if there are any inadvertent omissions or infringements, please let us know, and we will address them immediately.

This video is for general informational purposes only and is not intended to endorse or recommend any particular product, service, or treatment plan. Consult your healthcare provider before making any changes to your diet, supplement routine, or lifestyle.

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