Thanks to an emergency that resulted in an unexpected surgery, I have reached my health insurance maximum out-of-pocket expense. For those with sane healthcare systems, it basically means that I will not be charged for any additional healthcare I receive for the rest of the year as long as it's covered (i.e. no cosmetics or "just for funsies"). I'm expecting a $6,000 bill in the mail, so I'm looking to take as much advantage of this as I possibly can, starting with some minor issues that I've been sitting on for a while.

I'll have to ask my doctor for their referral for anything, but I was wondering if there were any preventative healthcare services I should specifically ask for? I'm already going to be making an appointment for a regular physical - something I'm ashamed to say that I don't regularly do. I'm going to ask the doctor this same question but I figured I'd come up with a checklist just to make sure I don't miss out on anything.

In the last year I've made significant progress in my relationship with food. A massive part of it was simply cutting down calories and a little more exercise. And so far it's been pretty good. I'm down around 13kg(30lb), I'm fitting in a lot of my older cloths and issues like back pain and sleep apnea are getting back in line.

But for a while I've hit a plateau and it's feeling like a bit of a regression. Looks like the big blocker is my sugar consumption. I can stave off the craving for most of the day, but at 2.30pm on the dot I can't help but reach for chocolate, soda or an ice cream. And then I keep reaching for them till the end of the day. It's been getting worse lately and that slipping feeling really sucks.

I've tried cold turkey, fruits, alternatives, gum and a few other strategies but they all never stick.

I'm curious if anyone else has managed to make the cut and if there's any tips and tricks that helped keep you consistent. It's one thing to clear out the house, but the stuff seems to be at arms reach at all times. And there's always the weird blackout time between "I should not eat that" and "why the hell did I eat that".

I have tried and failed to journal many times in the past. I always find myself self-editing, avoiding writing certain thoughts or feelings and just overall not being as authentic or honest or genuine as I should be to actually get some value out of journaling. I wish I could get over this “self-censoring” habit because I love reading and writing and really think journaling could be a great outlet for me.

So, I ask, what tips do you have to help write? To help actually get your thoughts and feelings out on the page, without judging yourself or feeling self conscious or critical? What do you write? What do you find helps you write more honestly and genuinely?

Could really use some help and guidance.

So I've had hypothyroidism since at least 2020, maybe longer. I've been gaining weight and losing both mobility and stamina since then. It got to the point where I couldn't put on my shoes without an extra-long shoe iron and would get too winded to continue after depressingly short walks.

I was diagnosed earlier this year and put on levothyroxine, and I already feel a lot better. Managing that medication is obviously something to work with my doctor on, but I haven't gotten much advice on how to address getting my body back to where it was prior to the illness really getting into gear. I wasn't crazy active back then either, but it's like night and day to compare me now to me in 2019.

I attempted to start some low-level at-home strength training and to start taking more regular walks back before I was diagnosed, but I struggled with even extremely mild beginner-level stuff absolutely wiping me out and my endurance never increasing. Now that I'm being treated, I suspect I will be able to build up strength/stamina/etc. more easily, but emotionally I'm still pretty vulnerable to feeling like exercise is something insurmountably difficult, which obviously makes it hard to start a more regular routine.

Losing weight is something I should do, but it's not my #1 priority here -- I mostly want to improve my mobility and stamina so that I can increase my activity level at all without feeling like shit. Most beginner-level exercise recommendations, be they strength or cardio, start at a level that is above what I can currently physically accomplish. So any recommendations for ways to get started more gradually so that I can make some amount of this exercise part of my routine would be really appreciated.