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Posts by coppergardener

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Roger Palmer2 said:Look, we’re just a small non-profit office, mostly staffed by college students and people who put in enough hours to make ends meet while doing some good in the world. I only decided to post this here because I am genuinely struggling to wrap my head around certain things. I wanted to ask if anyone knows if it’s actually possible for things to have deteriorated this much after all these years, or how it could be that she still has half an ovary left if she was dealing with such an aggressive form of cancer. And honestly, how can she possibly know when her period is coming if she only has half an ovary remaining?

Well, I don't know how her cycle works. It seems more likely to me that she’s experiencing phantom bleeding, and what we are looking at is premature menopause—or in her specific case, perhaps surgical menopause(?). The symptoms can actually be much more unpleasant than a standard menopause. God knows how she is feeling, and whether she is taking any (hormone replacement) therapy in the correct dosages. In her situation, given the hormonal imbalance along with the nature of the illness and the surgery itself, it is almost inevitable that psychological issues will surface alongside a host of somatic problems. And that is to say, if you add a lack of family support(?), financial struggles, and who knows what else...

Of course, it is entirely possible that everything is fine on that front and she is handling her therapy beautifully, but...

...it is also possible that her immune system has been permanently wrecked(?). Not necessarily just from the treatment itself, but from heaven knows what else. And that is almost always inextricably linked to the psyche. It simply raises the question: once the recovery happened, which came first: the chicken or the egg—that is to say, the psyche or the soma(?)?

Then again, there is the possibility that her body is actually more or less all okay(?). So okay, in fact, that she could handle that particular task twice a week, but—alas!—she causes trouble for everyone else because the ordeal was so massive that she couldn't assimilate back into a normal state (and it is a non-negligible fact that her illness was diagnosed during such incredibly sensitive years), so she laments, and laments, and makes life difficult for herself and others, manipulating people in a passive-aggressive manner, dodging responsibility as if she were still living under siege, and simply...

...someone (since she clearly cannot do it herself) needs to hit her over the head with a mallet that says: "WAR IS OVER!"(?)

Regardless, if she truly plays badminton with such ease and only messes up when the tasks are already a disaster, then she should be told to step aside for someone for whom the job might be more necessary (given her level of disability), and someone who might perform it more conscientiously. Actually, regardless of the badminton. There is a difference between being collegial and allowing everything to be dumped onto your shoulders. And mentioning that mallet would certainly be highly recommended. Though, of course, it is more than possible that the woman truly is struggling and that her mornings are unbearable. And though none of us would want to find ourselves in a position where we desperately need money to feed a child and send them to school, having no choice but to work while ill despite being incapable of doing so. I don't know. You can't help her much. All employees suffer; the office AC is terrible; instead of letting her sabotage herself, why not let the person who hired her take the hit? Jeez. It isn't fair for everything to fall on you. No matter how hard it is for her. If you haven't already, draw a thick line. Be sharp and bitchy if you have to. Let her know she cannot be rude to you. Tell her off, but don't humiliate her—she probably really is having a hard time. If nothing changes, or if the lady continues in this tone, then go to the manager. Or even earlier, so that he can have a word with her, provided he is a normal human being. Regardless of the potential awkwardness. Honestly.
Sedation fluids in Health ·
Jeffrey Bishop3 said:I find myself pondering—quite unexpectedly, I might add—the sheer, vibrant necessity of chlorophyll. It is such a fundamental, almost poetic component of our world, isn't it? One can’t help but marvel at how this single substance facilitates the very breath of life through photosynthesis. It’s a delicate, complex dance of light and biology! Does anyone else ever stop mid-stride just to appreciate the lush, deep greens of a well-manicured lawn in a place like Connecticut or perhaps a sprawling park in Seattle? It really makes one wonder... if we didn't have this microscopic engine driving the greenery, would our entire existence simply stall out? It seems quite certain that we owe our very vitality to these tiny, green wonders. Truly remarkable stuff.lIs that... perhaps... what we're looking at here? Or am I misinterpreting the situation entirely? It feels rather ambiguous, doesn't it?

If we could just finally master that tricky "R" sound—you know, get it exactly right every single time—well, then we’d be absolutely golden, wouldn't we? We'd be riding high on a winning streak, practically unstoppable! 😬

It is truly fascinating—though perhaps a bit unsettling if one pauses to consider the implications—how certain chemical compounds can transition from being viewed as essential tools of progress to being relegated to the realm of cautionary tales, wouldn't you agree? I was recently reading up on the history of chloroform, and it really does make you wonder about the trajectory of scientific discovery! In the mid-19th century, this substance was hailed as a miraculous breakthrough for medicine—a true "wonder drug" for anesthesia—which allowed surgeons to perform procedures that were previously unthinkable due to the sheer agony involved. It was quite a leap forward for American medical practices at the time! But, as is often the case with rapid innovation, we eventually discovered the darker side of the coin... specifically its toxicity and the way it can wreak havoc on the liver and kidneys. One cannot help but reflect on how our understanding of safety evolves—isn't it a constant cycle of trial, error, and eventual refinement? We move from the excitement of a new discovery to the sobering realization of its risks, and then, finally, to a more disciplined, regulated application. It makes me think about how many other "miracle" substances in our modern era might one day be viewed through that same lens of cautious retrospection. It’s all part of the grand, messy process of human knowledge, isn't it? Such a thought!

A little bit of extra commentary here—I can’t help myself! I was just sitting here thinking back to that one time when a certain individual on this forum asked if it was actually possible to walk into a local pharmacy and purchase chloroform... and then, quite incredibly, went on to ask for instructions on how to use it properly. Can you even imagine? One does wonder about the minds behind these inquiries sometimes—truly, what goes through a person's head in such a moment? 🤣
Atheist Rap in Music ·
@ Kevin Chavez3: much appreciated!
@ Raymond Barrett12: Oh, I’m certainly not making an announcement—it’s already been announced in plenty of places! I was simply curious about the entry process; I decided to tuck the timing and location right into the headline just to make things... well, more organized and easier to scan at a glance. 😬
Atheist Rap in Music ·
(maybe I should have posted this under the "Chicago" thread...)

Does anyone happen to know if I need to grab tickets in advance for the Mini Theater club, or can I just pay the cover charge at the door when I show up? I've been searching everywhere but I can't seem to find anything useful. 🤷

Thanks in advance! 🙂

...

Oh, for crying out loud—I just realized I actually have to go get a membership card made for the theater first. image
Look, I’ll be brief—I really don't have the luxury of time here. I knocked this out in about ten minutes flat, so please excuse any glaring errors; if I were aiming for a truly polished, high-quality translation, it would require much more breathing room. But we must prioritize the core understanding here, mustn't we? Let's not get bogged down in the minutiae of syntax and specific lexical choices just yet, shall we?

By the way—and please, no offense intended—I certainly hope you aren't relying on this for a graded assignment. 🤣

And there is absolutely no need to feel embarrassed about asking; this text wasn't particularly taxing. For some of us, this actually serves as quite excellent practice—it is simply a pity that one doesn't always find the spare moments! However, one can always find someone willing to help. 😉

Translation:

Within medical literature, several reports exist regarding lead concentrations within the placenta. Given that the placenta is composed primarily of maternal and fetal blood, one would expect the lead content to be equivalent to blood levels—unless, of course, there are specific focal points where lead tends to concentrate. However, values reported in various studies vary significantly and are generally higher than those found in the blood (you might say serum levels; I suspect that sounds more professional.). There are two possible explanations for this. First, there could be a mechanism within one of the placental components that concentrates lead—for instance, in the trophoblasts—though this remains unproven; furthermore, based on what is currently understood regarding the mechanisms of placental lead transport, such a thing seems unlikely. In a study conducted by Khera et al. (1980) analyzing placentas from women employed in the lead industry, they discovered that placental lead levels in live births averaged 0.29 (± 0.9) ug/g, whereas in stillborn cases, the level was 0.45 (± 0.32) ug/g. For the live birth group, it was established that there had been no occupational (meaning work-related) exposure to lead in the two years preceding delivery. Regardless, these levels are considerably higher than those seen in the general population. The stillborn group exhibited even higher levels, likely due to an increased deposition of calcium and lead (the text says calcium-lead... I assume they occur as compounds... I am merely a linguist, after all, and quite a layman when it comes to medicine, so I really ought to double-check this...) within the placenta. Ultimately, as might be expected, elevated lead levels in the placenta are linked to the duration of occupational exposure. Furthermore, the measured (values) of lead in the amniotic fluid (amniotic fluid) and fetal membranes are also quite variable and, generally speaking, higher than those in the placenta—though the clinical significance of this, if it exists at all, remains unknown /unestablished.

You're welcome. ☕ 😁

Postscript: I suppose I'm not so bad after all. 🎉
Oatmeal recipes and tips? in Health ·
I seem to be developing this persistent cough from all the cigarette smoke—which is strange, because I don’t even smoke!
Have you been spending a lot of time in smoky environments lately? Or perhaps it’s just stress? Fatigue? Maybe it's something in my diet?
Help! Dealing with sudden swelling! in Health ·
🙄 Oh, please don't bother me just now—I am right in the middle of working on a presentation... what on earth do you think I'm doing here? 🙄 🤣

Look, you aren't going to drop dead from taking a single aspirin a day, but—and this is a big "but"—it isn't exactly the smartest move if, say, you have underlying kidney issues... though I highly doubt that's the case here. It’s most likely an issue with your circulation, but still... if you end up with a sensitive stomach after a while, even one pill a day can really mess things up. Please, don't go playing doctor on your own; you absolutely must see a physician first so they can figure out what's actually wrong. If you just ignore the primary issue, you might end up making a bad situation much worse... or simply let it pass by unnoticed. And if it does pass... well, how long exactly do you plan on being on aspirin? Until you're sixty-five?

Just try not to panic—you all are still young, after all—so maybe it's just some passing nonsense, but let's not be reckless about it either.

Also (copy-pasting this for you): If you've been on daily aspirin therapy and want to stop, it's important to talk to your doctor before making any changes. Suddenly stopping daily aspirin therapy can have a rebound effect that may trigger a blood clot, causing further complications.

There you go, ladies—I can certainly take reading tips from those who claim to be "more informed" than I am! If you happen to stumble upon anything new, do let us know. Because, truly... every bit of advice is welcome. Who knows, perhaps we even have someone here in our little neighborhood with medical expertise? 🙂

http://www.fda.gov/fdac/features/2003/503_aspirin.html
http://www.mayoclinic.com/health/dai...herapy/HB00073
http://news.bbc.co.uk/2/hi/health/me...a-b/990593.stm
http://vrp.com/articles.aspx?page=LI...D=1170&zType=2
http://www.factorfiveleidensupport.o...agulants2.html
http://en.wikipedia.org/wiki/Aspirin
Help! Dealing with swelling! in Health ·
- try to stand less often
- wear comfortable shoes
- don't wear socks that are too tight
- cut back on the salt intake
- stay active—if you're carrying extra weight, losing it helps immensely
- massage the area; honestly, rosemary essential oil works wonders for circulation
- maybe some diuretic teas? Or something specifically to help flush the kidneys
- you should really get a complete blood count... or at least check your sodium, potassium, urea, and creatinine levels... basically whatever is necessary for kidney function. Of course, your doctor will be the one to decide what's best for you

By the way, are there any other health concerns I should know about? Is your heart and liver doing alright? Any swelling in other parts of your body?

you're welcome.
Little Shop of Horrors in Movies ·
Anthony Kim18 said:Probably the only decent flick featuring Steve Martin...

Blasphemy! 🙂 Have you even seen Dirty Rotten Scoundrels?! http://www.youtube.com/watch?v=nqMc9...eature=related
Itchy, sweaty butt: any advice? in Health ·
analogranger41 said:So, I have a bit of a situation—I’m dealing with this constant itching and an almost uncontrollable urge to scratch, which is quite bothersome. Does anyone have any insight into what might be causing this? I should mention, of course, that I am very diligent about my hygiene. On top of that, I’ve been struggling with excessive sweating "down there" every single day... does anyone know what that could be? For instance, I’ll clean up, dry off thoroughly, head outside, and within a short while, I can feel the perspiration returning.
🤷

Is it possible you're carrying a little extra weight? If so, perhaps trimming down those glutes might help.

Stick to cotton and make sure things stay breathable—not just your underwear, but your trousers as well.

Try using gentle toilet paper instead of something that feels like sandpaper. You might also want to pick up some wet wipes so you aren't over-irritating the skin. It might even be wise to shower after every bowel movement, especially if your movements tend to be a bit... "messy."

When you shower, use something mild and stick to lukewarm water rather than hot—you wouldn't want to dry out that itchy area even further, would you? Honestly, it isn't anything special, and while some products are specifically designed for hemorrhoids, there are much better options available for dry or stinging skin. If you notice any hypersensitivity, stop using it immediately. It might be better to opt for a more natural ointment if you must apply something. Actually, I find it helpful to apply a little baby oil to the area after showering instead of using a harsh shower gel, and then simply rinsing lightly with clean water or patting dry.

Pick up some baby powder.

By the way—and I'm not entirely certain if this applies to the perianal area (though why wouldn't it?), but personally, I think Bepanthen ointment is absolutely wonderful.
Endocrinology Lab Services in Health ·
shadowtinker16 said:Just one more thing—does anyone know if those hormone test results are absolutely critical before they prescribe birth control? To be honest, I’ve been feeling terribly ill lately and can barely leave the house, yet I’ve already dealt with a ridiculous amount of waiting... my period is always at least two months late, and I would really love to just start taking the pills already. My OB-GYN told me to come back for blood work at the end of the month, and as far as I understand, that's basically the only thing needed to get the prescription, so I'm asking you all: is that true, or is there some catch regarding those hormones?
thanks again, everyone 🙂

I don't quite follow the question. Are you saying you want to take hormones at any cost, regardless?

Look, while it is a fact that your period being absent is a significant indicator that you might need the pill, taking hormones is definitely a double-edged sword. Most likely, simply taking them won't provide a long-term fix; rather, things will just seem "normalized" only while you are actually on the therapy. In other words, you aren't addressing the actual root cause. Now, for some women, the pill is truly necessary—but, I have said this a hundred times before and I am becoming a broken record myself—doctors tend to prescribe them quite indiscriminately, which I personally find somewhat irresponsible.

Your hormone levels are incredibly important because your specific treatment plan will be determined based on them. It isn't wise to just jump onto the pill immediately, since you don't even know what you actually need or which dosage is safe or appropriate for you.

And, for all we know, you might just have polycystic ovaries—which is different from having PCOS. There is a distinct difference there; perhaps you could look through the health thread? It’s quite extensive, but it should be useful to you. If it turns out you don't actually have PCOS, I really wouldn't recommend the pill. But then again, I am certainly no medical expert.

In many instances, both polycystic ovaries and PCOS can be managed through proper nutrition—or, more broadly speaking, a total lifestyle shift. I truly hope you are responsible enough to put in the effort there instead of immediately reaching for solutions that might be less effective or even unhealthy. First and foremost, cut out or significantly minimize refined carbohydrates (so, goodbye white flour and sugar!), reduce additives and processed foods in general, and watch out for those nasty fats (especially hydrogenated oils and heavily processed ones). Basically, say goodbye to pastries, baked goods, cookies, and such; also try to reduce red meat. Instead, increase your intake of Omega-3s—think fish and flaxseeds.

Losing weight and sticking to a regular exercise routine can do wonders for alleviating or even resolving PCOS. If you are carrying extra weight, you should get to work right away. Excess body weight is also a significant risk factor when taking birth control, so you really ought to manage that too. Go to your check-ups regularly—get ultrasounds and hormone tests as needed, let them run a glucose test if necessary, and monitor your blood pressure if you need to.

And if your mental health is in the gutter, addressing issues in that area can also help immensely.

coppergardener has spoken. 🙂

😁
Endocrinology Lab Services in Health ·
shadowtinker16 said:well, I have about seven hormones to check, plus two more that I’ll need to get done on day 21 of my cycle.

When I was dealing with suspected PCOS, this was my checklist: FT4, FT3, TSH, DHEAS, E2, LH, FSH, Prolactin, Testosterone, and Free Testosterone. Honestly, that should cover just about everything you need.

You should probably get a glucose test too.

I mentioned ACTH earlier—my mistake, sorry! You likely won't need that; usually, doctors only order it after checking cortisol if there's a concern regarding the adrenal glands, but you probably won't even reach that stage.

Best of luck! 🙂

(By the way, there is already a dedicated PCOS thread on the forum, so maybe post over there next time!)
Endocrinology Lab Services in Health ·
rapidmarlin15 said:I usually get my thyroid hormones tested over at the Vineyard hospital—they’re much faster than, say, Mayo Clinic. Honestly, I don't think you'll find that kind of urgency at any public hospital. 🤷 You might want to look into private labs, maybe some $67. For instance, I used a clinic near downtown Chicago once. They have these incredibly efficient phlebotomists—really smooth operators—so that’s my go-to. 😁

though I'm not entirely sure if that applies just to $67 when a girl needs to test her thyroid, reproductive hormones, ACTH, prolactin, and heaven knows what else (and potentially cortisol later if the numbers look off).

The safest bet is to head in tomorrow morning around 8:00 or 8:30 AM on an empty stomach. Actually, show up a little early—you should probably lie down for about half an hour beforehand. I'm not quite sure how they handle things in cities like New York, but where I am, we typically go through internal medicine—or the endocrinology department. As for the results, I don't believe there's a massive wait; for me, they always seem to arrive within ten to fifteen days.

If it isn't an absolute emergency, though, using a referral from your doctor is definitely the best way to go.
The Bee Movie in Movies ·
Amanda Nguyen5 said:Just got back from the screening, so I figured I'd kick this thread off right now.

"What did you watch?" my buddy asked me over the phone. How am I supposed to answer that? "An animated feature"? Nah, sounds too formal... "A cartoon," I said... and then I paused for a second. Man, "cartoon" sounds so innocent, doesn't it?
That's really the core issue with animation these days. It’s not being made to be a "cartoon" intended primarily for kids. No, nowadays, "kids' movies" are stuff like Bridge to Terabithia, Golden Compass, or eventually Harry Potter. Kids want to see talking trees and flying broomsticks, not a dog chasing a cat because the cat is chasing a mouse—which was basically the essence of the cartoons from my childhood (and yours, too). Modern animated films are something else entirely. They're targeting an educated, attentive audience; people who want to actually think while they watch, rather than just sitting there, munching popcorn and laughing at random gags. Honestly, I had to work harder watching this thing than I did watching 80% of this year's live-action cinema releases. The pacing, the dialogue, the colors, the dense jokes—it all felt like something you need to come prepared for. You could follow those older genres three times easier today.
There were tons of clever bits flying through this film (animated film, cartoon, whatever...), and I think I caught about 70% of them. Actually, I bet I caught more than 80% of the audience, because the rest just flew right over my head for some reason. There were moments where you could tell a joke was clearly "in the air"—but the theater just sat there in silence. Not even grumbling or loud popcorn crunching, just pure silence, because if most people didn't feel it, they definitely felt what I felt.
The movie is incredibly fast-paced, even if it doesn't feel like it at first, and that's my biggest gripe along with it being a bit unfocused. So, this bee is trying to make a life for herself, so she flies out, pollinates flowers, gathers honey, talks to humans, ends up in a courtroom (I mean, a courtroom! in a cartoon!), saves Mother Nature's entire flora, goes back to gathering honey, and so on and so on, endlessly.
Roger Ebert also drew some (conditional) parallels between the bee's worldview and Marxism, which is actually pretty easy to spot once you look for it, and it's pretty interesting.
Something Ebert didn't mention, which I find even more fascinating, is that the two biggest animated hits this year both focus on communication between an animal protagonist and their human friend—basically their anchor in the world. Why is this happening now, and why is Hollywood pumping out so many political films this year? It's certainly not a trivial question you can just brush off, but it's a hell of an interesting phenomenon.
Even when I compare it to Ratatouille, I have to admit Ratatouille left a much bigger impression on me. Rotten Tomatoes gave The Bee Movie a measly 53%, while Juhu-h got something like 96%. Personally, I'd be a bit gentler and give our flying hero a solid 7 or 8/10. The animation is gorgeous and there are great jokes (Chris Rock absolutely shines, and as one American critic noted, it's about time he got his own animated movie), but I still can't get past how overstuffed and unfocused it feels.

Sorry, I started rambling at the end because I remembered nobody actually reads these long posts anyway, and I don't want to spend days typing this out, so I'll stop here.

On topic: I haven't seen the movie yet, but I'm looking forward to it... purely for the sake of Seinfeld. I'm going in with zero expectations.

Off-topic: I actually just wanted to say that you wrote a really great post. 😁
I am genuinely looking forward to the Fahrenheit 451 adaptation 🙂 🍿 😍 ...though, if I may be so bold, they would really be better off just making it properly from the start. 🙂
Duodenal biopsy: What to expect? in Health ·
Greetings, Dr. Dumbledore! 😁
Emergency diet needed! in Health ·
jadesailor14 said:if you're going to claim something is terrible, you really ought to be able to back it up with some actual reasoning 😉
just that

Well, I realize that—honestly, I generally make it a point not to speak out of turn regarding topics where I lack expertise, so nothing I've posted was truly baseless—but we haven't actually received any solid counterarguments to what I mentioned yet (aside from that vague "I know a few girls who..." excuse). I didn't want to dive into an exhaustive explanation or get bogged down in unnecessary detail because I felt my initial point was sufficient; I simply wanted to rely on my own lived experience and certain fundamental truths that everyone should probably accept. I have no desire to write pages upon pages about something that has already been debated to death (and let's be honest, this isn't some high-level academic seminar), nor am I an expert here. Besides, when you see the same 150 identical threads popping up constantly—and don't tell me that doesn't get under your skin😁—your first instinct is usually to hit the search bar to see if there's existing discussion, which is exactly what I noted in my very first post.

Okay, okay, I knooooow, I'm derailing the thread...

(By the way, I would absolutely steal that avatar of yours—it is just stunning... damn! 😠)
Emergency diet needed! in Health ·
Ashley Brown64 said:But which brown sugar is actually the real deal?
I’m not looking to pack on the pounds, but I really want to start eating higher quality ingredients!

Honestly, I haven't the slightest clue—I don't really follow these specific brands or know how to spot the difference... so I rarely even bother buying any. My apologies.🤷

Perhaps you should try asking over in the culinary forums? I know there are plenty of Whole Foods enthusiasts over there🙂.
Emergency diet needed! in Health ·
jadesailor14 said:Oh, please—why don't you give me a professional breakdown of why it's considered so unhealthy?
thanks 🙂

Look, I’m certainly no medical expert, so I can't provide a "professional" lecture—but the core issue is that certain nutrients really ought to be consumed daily, in specific intervals and proportions. What is your take on the UN diet?

There are already threads over on Reddit where this has been discussed quite extensively; perhaps you might find a more technical explanation buried in one of those discussions.

I don't have a particularly brilliant link handy—I really don't feel like digging through archives—but this one is fairly straightforward:

http://www.mayoclinic.org/diet-and-nutrition/main.asp

And regarding those elevated ketone levels... well, if someone enjoys that, far be it from me to judge! Personally, I managed to "find happiness" through fasting—though not by choice, mind you—and let me tell you, those ketones feel just wonderful. Truly... you feel absolutely drained from head to toe, and once a cold catches you, you simply can't stop coughing for months on end; you become as weak as a kitten and pale as a ghost, even if you were perfectly fit and in great shape before starting... but then again, that is just my experience. Perhaps someone else would handle the malnutrition—which is so incredibly easy to fall into with such unbalanced, or rather, unnatural diets—a bit better? At least in my view, they are unbalanced because they don't align with how my body functions, especially if the system is already compromised. I mean, hats off to anyone who actually pulled it off while remaining perfectly healthy—I honestly don't know a single soul who did.

Though, perhaps I am being far too subjective.

Regardless, maybe I am indeed exaggerating, but I remain firmly convinced that there are plenty of much healthier dietary paths that aren't so taxing—one simply needs to tailor them to their own body's needs and maintain some discipline.
Emergency diet needed! in Health ·
Absolutely not—no, no, and no! It is incredibly unhealthy, quite frankly, and you simply cannot do without addressing it. Another significant factor here is that since your system isn't currently stable, you really ought to be consulting an endocrinologist.

You actually have quite a wealth of nutritional advice already available on r&f; some of the threads are perhaps a bit exhaustive, but do try to read through them.

The idea is to swap simple carbohydrates for complex ones—so, essentially, it's goodbye to refined sugar and white flour, and hello to whole grains (though, mind you, that doesn't mean you can overindulge in those either!). Instead of white bread or processed grains, opt for whole wheat... instead of white rice, go for brown... and stick to fructose and glucose where possible. As for honey, don't go overboard, even if it is a much better choice than white sugar. And please, do avoid brown sugar entirely, especially if you aren't certain which "real" varieties you're consuming. Generally speaking, it’s best to consume your carbohydrates as early in the day as possible.

Regarding fats—keep animal fats to a minimum. You should eliminate heat-treated oils as much as you possibly can, as they are carcinogenic and contribute significantly to weight gain. Avoid anything fried or baked . No, simply dabbing it with a napkin isn't enough. Whatever you would have previously baked or fried, try cooking it differently instead. You will get used to it. Do increase your Omega-3 intake; more fish, less red meat. In fact, just less meat overall.

Do not eat hydrogenated vegetable oils.

Reduce or completely cut out harmful additives. Aim for as little processed food as possible.

Physical activity is key. Before exercising, eat as little as possible; afterward, focus on proteins with a low fat and carbohydrate content. And do remember to stay hydrated.

Eat frequently in smaller portions; feel free to eat before bed if you truly need to, provided you are mindful of what you choose.

Eat fruit, but don't overdo it because the sugar content can be deceptive.

Eat plenty of vegetables—not overcooked, perhaps sautéed or raw.

This year, I managed to lose 33 pounds since the beginning of summer.
I generally maintain a fairly healthy diet, but these specific changes were what helped me most—particularly the part in bold, which had the greatest impact in my particular case. There is much more to discuss, but I wouldn't want to repeat myself—just read the previous posts.

And please, do not try to drop the weight urgently. Adopt a healthy lifestyle for the long term, and do it for yourself—not just because you are seeing an endocrinologist and don't want to feel embarrassed or something.