Daniel Hughes

@sagelovebars Do 3 sets 2 reps from failure, twice a week. Lose weight as this makes them much easier.

What is the quickest and effective way to go from not being able to do a single pushup to being able to do 30 in one sitting?

@brittanybussemd Yes, but: 1. It's statistically less common 2. If you are overweight, losing weight may improve your symptoms, so it's worth a try.

You can have PCOS and be lean. You can have insulin resistance and be lean. You can have high blood pressure and be lean. You can have high cholesterol and be lean. You can have a heart attack and be lean. You can have a stroke and be lean. You can get cancer and be lean. These diseases are not limited to your body weight, and this is why weight is not a vital sign. With the right patient history and testing, you can identify the root cause of any of these diseases and TREAT that, rather than treating the symptom.

@PeterDiamandis *when supervised, when unsupervised it's two orders of magnitude less safe than humans.

Tesla reports one major collision every 5.3 million miles with FSD engaged. The US average: one every 660,000 miles. That's approximately 8x SAFER.

@Jordan_W_Taylor Gas is actually worse than coal for climate change when you say include the effects of methane leakage.

The gas turbine is the miracle machine that will save our climate. Yes, I know, it's a fossil fuel. Boo, hiss, “he's behind you!” etc. But bear with me. Methane gas is one of the cleanest fossil fuels out there, emitting far less carbon dioxide per Megawatt-hour than coal, oil or wood and with none of the particulates and complex toxic byproducts that those villains gift to the locals. So if you're going to replace the dirty stuff, you could do worse than burn gas. And gas turbines are far more of a standard product than bespoke and tricky nuclear power; even the aristocrat of the breed, the combined cycle gas turbine (CCGT). This is a dual loop power generator that takes the waste heat energy of a methane-burning gas turbine and uses it to boil water and rev up a steam turbine for a second swing at things. CCGTs are among the most efficient machines humanity has ever created, with thermal efficiencies of 60%-64%, and even up to 68% for the best of the best. That's basically wizardry. Furthermore they've been an enormous environmental gift to the world, despite their mucky fossil-fuel credentials. The advanced economies of the West have spent much of the last few decades gently flattening, and then sharply reducing their gross carbon emissions, and much of that is thanks to the replacement of coal-fired heating and generation with gas. Is it perfect? Hardly, and the hard missile rain in the middle-East, and soaring gas prices, paints a very clear picture of what can go wrong. It's an unfortunate moral bargain that so much of civilization's fossil energy is inextricably bound-up with well armed authoritarian regimes. Is it pure chance, or is the resource curse a deadly reality? Hard to say. But gas-fired generation and the gas turbine that enables it deserves its place on the podium of power.

@toylan20 They don't

Why do bikers have great upper body?

@Zaddy_Abdul There are a lot of women on X who somehow believe that the new name means they won't be told to lose weight anymore, when in reality the metabolic nature of the new name makes this more likely if anything.

More lies! PMOS (formerly PCOS) has always been known to be an endocrinological and metabolic condition. Primary treatment has always been weight loss and lifestyle changes. It has never been OCPs. Underlying issue still unknown till date hence, can’t be addressed and treated.

@LoloUnplugged The M in the new name stands for metabolic, weight loss is a very common suggestion from Doctors for metabolic issues like type 2 diabetes, being told to lose weight is about to become even more common for PCOS, it won't help everyone but the data shows it does help lots of women

I still can’t fully grasp the impact of the #PCOS name change. So many years of doctors telling me to just lose weight. Then I did - and the symptoms got worse. Solidarity to everyone who finally feels seen in their experience. The community’s always had each other’s back #PMOS

@pearlyte4rs My wife managed to lose significant weight with PCOS, she counted calories and walked a lot

Girls with PCOS what did u do to lose weight Idk what im doing wrong i keep gaining instead of losing

@eda2026 Because they are not in a calorie deficit.

If carbs are so good, then why are half the people in the gym still fat after years of training?🤔

Why are overweight people with metabolic issues like type 2 diabetes and PCOS so resistant to medical advice to lose weight, when the data overwhelmingly suggests that this helps in many cases.

@AtheneDeusX @DrPlantel The key word here is "simply" weight management should be just one part of a larger treatment plan.

@csharpgen @DrPlantel I want to add i could understand it if I were massively overweight but I am "only' 14kg over the 75 i should weigh. Yes it does play a factor i am aware but just having my doctor telling me im simply too fat and thats it, does feel very wrong especially with the other factors

Polyendocrine Metabolic Ovarian Syndrome honestly makes way more sense than Polycystic Ovary Syndrome. Because this condition was never just about “ovarian cysts” or fertility. Women with PCOS are at higher risk for: -type 2 diabetes -heart disease -fatty liver disease -sleep apnea -high blood pressure Yet so many women are never properly counseled about these risks or referred for appropriate care early enough. As a cardiometabolic physician, I meet women in their 50s and 60s dealing with advanced disease who tell me: “I wish someone had warned me earlier.” We minimized PCOS by treating it like a niche reproductive issue instead of the systemic metabolic condition it often is.

@MoonsproutWitch Yes we don't know weight gain 'causes' insulin resistance, however we do know for sure that weight gain significantly worsens insulin resistance.

@csharpgen We don’t know that weight gain directly causes insulin resistance though. We *do* know that insulin resistance directly causes weight gain.

Capitalism really really needs you think that fatness is the *cause* of metabolic conditions bc if we actually talked about it like the *symptom* that it is the weight loss industry would die

@zachary135791 Yes, however time under tension gets you close to failure with fewer reps, and significantly lower injury risk, than throwing around heavier weight.

Time under tension is meaningless on it’s own The reps closest to failure are the reps that promote growth

@fuqekgs @Que_nina2 True, I would be underweight by bodyfat %, but I'm in the normal range because of muscle mass.

@Que_nina2 @csharpgen BMI honestly isn't the best indicator tbh

FYI there's a subset of people with PCOS/PMOS who are super skinny

@Double_Oh_Panda @fuqekgs Yes, being in the normal bodyfat range doesn't cure PCOS, can have it at any weight, it can however improve symptoms to some extent for many. From your description your friend sounds like her body fat % could be low, she may get some improvement in symptoms by gaining some weight

@csharpgen @fuqekgs First WOMAN, Daniel, that i knew personally to get diagnosed with PCOS was a size 6 military woman who ran a sub 8 min mile. She was and still is a picture of perfect fitness...and has PCOS

@Que_nina2 @fuqekgs Absolutely, I'm a big fan of eating whole foods that still have fiber, fiber is really important for gut health (it feeds the beneficial bacteria), it slows digestion which reduces blood sugar spikes, and I bulks out our food so we feel full with fewer calories.

@csharpgen @fuqekgs That’s why saying it about your weight is incorrect when that’s just a symptom to the issue. The real issue is the diet that’s needs to be fixed, with majority of our food being stripped of nutrients and only have fat and carbs it’s affecting our reproductive health.

@Que_nina2 @fuqekgs Yes, and the focus on naming it a metabolic issue, will shift the treatments towards managing weight and insulin resistance through drugs like GLP-1s.

@csharpgen @fuqekgs That’s why renaming it is important

@Que_nina2 @fuqekgs You should definitely do what works for you, I'm just saying what the research says helps for many but not all people. Everyone is unique and different, that's what makes the world an interesting place. I wish you the best for your health journey.

@csharpgen @fuqekgs What’s funny is that my healthiest I been is me being very close to being overweight on the bmi scales.

@Que_nina2 @fuqekgs It certainly won't help for everyone, nor is it a cure, but the studies are very clear that many who are overweight or under weight will get an improvement (not a cure) by managing their weight. Specifically in androgenic symptoms and insulin resistance.

@csharpgen @fuqekgs No Daniel 😭 it doesn’t work like that. I have been ideal weight most of my life and I suffer from ibs, my gut health is trash, migraines, irregular periods, fits of rage (pretty angry person) and I a lot of mental health issues. Supplementing my diet with herbs helped a lot