Turbohot

CBT would help, but with all due common sense, I wouldn't expect CBT to prevent or treat the obesity problem, just as stand-alone magic stick. CBT is usually given as a treatment when the suffering has already kicked in, not as a preventive measure, anyway. Even with CBT being evidence-based, one of the criticisms of it is that it puts all efforts and emphasis in correcting the 'issue', and doesn't attend to the underlying problems. 'Why one does what one does' can be very helpful in psychological treatment, but CBT isn't that interested in it.

Prevention involves education at young age. This does go on in schools, but even school meals are so unhealthy and full of crap that all that Jamie Oliver's Five-A-day and healthy eating campaign sounds like a total bull. Not just schools, even at home parents want to wash their hands off by giving their kids processed fish fingers, processed pizzas and minging chips. Cheap Crisps and chocolate coated biscuits for snacking. Egg, tinned bean and chips for tea- great. Well, egg and beans are ok, but change chips to boiled baby potatos FFS, and add some greens to the plate!
I have to say that the Iceland is cheaper than the fresh food shops, so there you go.

Anyway, back to CBT, as a treatment it will be much more effective if the patient is monitored by a dietician, a physical activity motivator to give a kick on their backside, and a good doctor to perform regular checks. All these practitioners would be expected to have a belief in behaviour changing strategies. Then a bit longer term change could be seen, if not a permanent one.

However, all this palaver (a CBT therapist, a dietician, a gym instructor and a doc) with multicomponent approach can be more of a headache and drain to the NHS resources unless they're all-in-one, which can be quite impractical, and doesn't guarantee a permanent change. With what I hear, things like Kickstart with a dietician thrown in haven't worked as well as they may look.

Therefore, I can see why a once-and-for-all surgery could prove to be cheaper, and cut all the crap permanently in one hit. I've read John's post with his post-surgery concerns. I think we'll just have to think positively until the surgery backfires. For now, enjoy it>

joz8968

iTrader: (13)

I could ****ing murder that!

Funnily enough, just demolished a Rustler's lol

john banks

I would perform regular checks and have a belief in behaviour changing strategies only if there is evidence of long term gain. Otherwise I am well intentioned, but ineffectual and I may as well start wearing a cardigan now.

Turbohot

I'd love one, but it would take me three days to finish it.

I haven't yet had anything to eat today, and I am planning to take a trip to town in a bit. I may get a normal burger for me, for a loose change.

joz8968

iTrader: (13)

I love burger van burgers! There's something about them. It's probably because they taste amazing after pub closing time when you're steaming -- as do most hot savoury snacks. Yum yum.

Turbohot

I always thought that there's something different about those burgers, because they came in a van. I'm not very street-wise at desperate burger consumption after a freezing late night bender, but there's a kebab shop on the way back from work. I once had to go to dentist straight after work to get my manky tooth out. Before getting to him I bought myself a burger from that kebab shop in rural. It was humungous so I could not finish it, but it was truly mouth watering! What was so specific about it was that the meat inside was very well charcoal grilled, and the cheese must have come from Dexter cows. It was dripping off the burger, and just melted in my mouth! At the dental place, my dentist said that the smell from my mouth made his very hungry.

hodgy0_2

I went to see my two younger brothers who, at the time were both at manchester university

I took them both out on a bender (I had a job and ££ ) and we had kebabs on the way to the pubs and kebabs on the way back

I know probably par for the course for all you northern monkeys - but quite exiting at the time, (for a soft southerner)

Turbohot

You mean 'exciting'? If not, please enlightnen what you meant by 'exiting'. What did you exit? My guess is that after one kebab on the way up, a few gaseous pints at the pub and one back, you exited the taxi for number 2 at some point.

fatscoobfella1

iTrader: (1)

Im fat,been fat all my life and will probably die fat..

Its not just a matter of doing more exercise or eating correctly (in the main i do both) but to a certain extent its in your genetic make up.. My mother is fat,my dad is like a whippet,my brothers and sister are overweight.

I have porridge in the mornings,sandwich and fruit for lunch and usually chicken/rice/vegetables for dinner..
I drink 8 pints of beer a week....
I have an active job,walk probably 10-12 miles a week with the dog and ride for maybe 40 miles...

Yet im still way overweight.....

Incidentally apart from the odd injury i am very rarely ill at all...Maybe visited the GP 4/5 times in 30 years...
Would i like to be thinner......Yes definitely...But for myself i dont think its achievable long term..

hodgy0_2

Ahah, yes I did mean exciting, but actually agree with you it works better "exiting"

And knowing those manky kebab places i suspect it did, later, with some force

joz8968

iTrader: (13)

You triggered his appetite with your burgerbreath! WTF

Turbohot

Yep! I can imagine how many mouths' smells per day our dentists and beauticians ( you know, the ones who do eye brows and facials etc.) must put up with- on daily basis. Some must smell pleasant like my burger breath, but some must absolutely reek, man! My hats off to such professionals. I mean pulling a tooth out is brave enough, the breath is even the icing on the cake! I had My wisdom tooth out when I was in Uni. Besides the fact that it explains a lot I nearly took my dentist's arm off when he was pulling my tooth out, God! I was clutching to his arm like a monkey baby clinging to his mother! The more force he applied to pull my basturd tooth out, the more I pulled on his arm! Poor dentist.

joz8968

iTrader: (13)

# mmmboodifulbreath #









<<< 2 posts away from 18Gs

Turbohot

WOW, slowly slowly catchy monkey! Well done, Joz.

joz8968

iTrader: (13)

lol

I have nothing on you, Ms 42k-Stalwart.


1 more to go lol.

Turbohot

Not any more. It's 1 more up lol. Congrats to you, and never you mind catching up, you can never supersede the amount of bollox I've talked here over the years.

joz8968

iTrader: (13)

I'll see your bollox (I hope not literally ) and raise you my complete & utter tripe.