Thanks for Publishing my Photo, in The first ever London Trans Pride will take place later this year | GayTimes Magazine UK

2018.10.22 We Won't Be Erased - Rally for Trans Rights, Washington, DC USA 06828
2018.10.22 We Won’t Be Erased – Rally for Trans Rights, Washington, DC USA 06828 (View on Flickr.com)

Thank you for publishing my photo @GayTimesMag, and for the great news that London will have its first ever Trans Pride.

For the first time ever, the UK’s capital city will hold a day of celebration for trans, non-binary, intersex, and gender non-conforming individuals – as well as their family, friends and allies – in Hackney on Saturday 17 September, 2019.

The photograph was taken in Washington, DC USA (of course), where Capital TransPride (@DCTransPride365) is over a decade old, and will happen this year on May 18, 2019. We invite our UK colleagues to join of course, and glad we could provide inspiration for the future 🙂 .

For the first time ever, the UK’s capital city will hold a day of celebration for trans, non-binary, intersex, and gender non-conforming individuals.

Source: The first ever London Trans Pride will take place later this year

Thanks for Publishing my Photo, in Morning Roundup | DCist

2019.03.30 DC People and Places, Washington, DC USA 01115
2019.03.30 DC People and Places, Washington, DC USA 01115 (View on Flickr.com)

Thanks for publishing my photograph, @DCist.

It was taken near Farragut Square, of a probably LEED-designated building, by the way it’s laid out.

Here are a few additional views for your enjoyment. Make sure every day matters.

Plus, a new boss at Clyde’s, whether recreation dispensaries would increase housing prices, and more news.

Source: Morning Roundup: Local Cooking Grease Bandits Could ‘Make $10,000 In A Night’ | DCist

Thanks for Publishing my Photo, in Trends in federal employment in D.C. – D.C. Policy Center

The DC Center Fall Reception  09057
The DC Center Fall Reception 09057 (View on Flickr.com)

Thanks again for publishing my photograph, @DCPolicyCenter, in this excellent analysis.

It notes:

By our calculations, federal workers now account for a quarter of D.C.’s employment base, down from about a third as recently as the mid-1990s.Source: Trends in federal employment in D.C. – D.C. Policy Center

Isn’t Washington, DC beautiful?

The evolving federal workforce and its changing role in the D.C. economy.

Source: Trends in federal employment in D.C. – D.C. Policy Center

Just Read (and thanks for publishing my photos): Inside the Hyper-specific Quest to Add a Transgender Emoji | | Eye on Design

Three quarters of the way down the 2019 Unicode Document Registry, somewhere below a proposal for the Iranian symbol Faravahar (فروهر ) and just above proposals

Thank you Meg Miller and @AIGAeyeondesign for publishing this wonderful piece on the work to add a transgender pride flag emoji to the character set defined by the @Unicode consortium.

As the piece indicates, this may be the most documented emoji proposal process in human history. See my blog posts for more info 🙂 .

It’s always strange seeing a chronicling of work you’ve done told soberly through they eyes of another person. Meg and team have done a good and thorough job in my opinion. The piece points out that there’s a connection between language, inclusivity, and technical rigor.

It was said to me recently that we are witnessing the evolution of language today. I agree, and that evolution will include all of humanity, as evolution tends to do.

Thanks also for publishing my photos, they show how the world is changing, from the epicenter of the future, Washington, DC.

2018.06.09 Capital Pride Parade, Washington, DC USA 03166
2018.06.09 Capital Pride Parade, Washington, DC USA 03166 (View on Flickr.com)

Have I mentioned that I love this century?

Enjoy the article.

Even outside of emoji, “this is a massive problem for marginalized communities,” says Uglow, “which is that if the data does not exist, you do not exist.” The double bind made apparent through the transgender emoji approval process is that in order to create language that gives transgender people visibility, the community essentially has to prove that it exists, that they are here. “We have these very, very normative approaches to data: If something is common, then it is valid. But if you want a truly inclusive internet, you have to give people words.”

Three quarters of the way down the 2019 Unicode Document Registry, somewhere below a proposal for the Iranian symbol Faravahar (فروهر ) and just above proposals for an accordion emoji and a cockroach emoji, is L2/19-080: the Proposal for Transgender Flag Emoji. Submitted on March 14, 2019, the propo

Source: Inside the Hyper-specific Quest to Add a Transgender Emoji | | Eye on Design

Just Read: Conflicts in Nutritional Science: There are some things doctors cannot do

2018.05 Low Carb and Low Carbon - Ted Eytan MD 2-1002-664
2018.05 Low Carb and Low Carbon – Ted Eytan MD 2-1002-664 (View on Flickr.com)

There’s a saying/complaint that doctors do not get enough nutrition education in medical school. Actually this is wrong. We do get a lot of nutrition education, we just get it from the wrong places.

2018.02.11 Pharmaceutical Ads, New York State Journal of Medicine, 1957 311
2018.02.11 Pharmaceutical Ads, New York State Journal of Medicine, 1957 311 (View on Flickr.com)

Witness this advertisement from the New York State Medical Journal of Medicine in 1957 (!). Does anyone believe our profession wasn’t being educated via the pages of our medical journals?

If there is doubt, I clipped a whole bunch of other advertisements like this to demonstrate the point.

We know that

  • Much of the nutritional science published is poorly done, and
  • There is an unending stream of conflict of interest that’s often hard to decipher
  • Many physicians (and humans) never click through to the actual article, read beyond the abstract, or review the funding sources of a piece of research

Because I’m so interested in this topic (and the health of our communities), I read all the way through. And recently, this was found in a perspective piece in the Washington Post:

Fortunately, and thankfully, the managing editor made herself available via email and responded to concerns expressed in the way this piece was presented and the literature it linked to, and adjustments were made (see top image).

2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001-665
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001-665 (View on Flickr.com)

This Washington Post Perspective, published 4/8/2019, states “…the the overwhelming majority of the evidence still supports the connection (between saturated fat and heart disease),” which links to a single article written by authors funded by Unilever NV, major producer of industrial bean and seed oils and promoter of plant-based diets.

Research is exceptionally hard to decipher when the data chosen is funded by industry.

A few (of many) better choices:

The PURE study – not funded by the food (or any) industry – www.phri.ca/pure/
BMJ/SwissRe #Food4Thought18 – not funded by the food industry – www.swissre.com/institute/conferences/food_for_thought_bm…

Sources:

www.washingtonpost.com/lifestyle/wellness/saturated-fat-g…
www.ncbi.nlm.nih.gov/pmc/articles/PMC6067651/
www.theiem.org/about/iem-history-and-mission
www.iuns.org/wp-content/uploads/pdf/features/Memorandum_o…
www.unilever.com/sustainable-living/improving-health-and-…

I’d say this is a win for accuracy, and a story about how journalists are not accessories to health knowledge, they are critical to it.

Saturated Fat, it’s not that much of a controversy

As far as the science around saturated fat goes, the author’s original statement would be true if it was made in the last century (and actually it wasn’t true then either, now that the data has been re-analyzed). It is definitely not true today. There are many recent studies and metanalyses that refute the claim that saturated fat is connected to heart disease. Here’s a great presentation from @AndrewMente about the findings from the PURE study and the relevant studies that preceded it. I have many more I can share for people who are interested.

Note also at the beginning that he has no conflicts to disclose. Conflict free is the way to be.

This isn’t a diet war, it’s a health piece, and we don’t have a desire to be right, we have a desire to know, two different things, because this is what happened when people lost the desire to know:

2018.05.30 Washington, DC Low Carbohydrate Meetup, Washington, DC USA 01-458
2018.05.30 Washington, DC Low Carbohydrate Meetup, Washington, DC USA 01-458 (View on Flickr.com)

My Disclosures – All here

I’ve put up a page with all of my disclosures (I have none), and the reminder that my work in this space is on behalf of myself and not any organization.

Enjoy and thank you social media for enabling the conversation.

Thanks for Telling Our Story, in Unicode finally responds to lack of a trans pride flag emoji – FastCompany

Thank you @FastCompany and @kschwabable for reporting on the origins and experience around proposing a transgender pride flag emoji for the @Unicode character set. To see the details of this process, I’ve documented our work to date here.

I was not interviewed for the piece, as requested, because it’s important for people with lived experience to be the interviewees. Material I’ve posted here was used, as allowed under the Creative Commons license under which it is published.

For (Bianca) Rey, a trans flag emoji is crucial to every member of the trans community feeling legitimized and seen. She says she feels lucky to have access to resources because she lives in a big city, but others elsewhere in the country don’t have that—and she believes an emoji is a great way to help those people feel like they’re part of the community as well.

“A simple flag means so much to myself and my community… to make [people] feel that there’s a community outside of wherever they are that are there for them,” she says. “It’s a nice way to send a message that you’re visible. I’m visible. Not only that we’re visible in this space, but we’re visible everywhere.”

As it was said to me, I think we are witnessing the evolution of language through processes like this. We have to always ask the question about whether language should be inclusive of all humanity or not. My answer is yes, because it’s the way it has to be, and disk space is cheap, lives are precious 🙂 .

Since 2017, trans activists have tried to convince Unicode to make the trans pride flag an emoji. So far, it has rejected their annual application.

Source: Unicode finally responds to lack of a trans pride flag emoji

Thanks for Publishing my Photo, in 16 Things To Do Around D.C. This Week | DCist

2018.10.26 Howard Theatre at Dawn, Washington, DC USA 2729
2018.10.26 Howard Theatre at Dawn, Washington, DC USA 2729 (View on Flickr.com)

Thank you for publishing my photograph, @DCist.

It’s of the iconic Howard Theatre (@HowardTheatre), taken at dawn, using a cell phone camera. Sometimes you don’t need expensive glass to see the beauty.

Isn’t Washington, DC beautiful?

DCist covers news, city politics, arts, events, culture, and curiosities in Washington, D.C. The site is owned by WAMU 88.5.

Source: 16 Things To Do Around D.C. This Week | DCist

Just Read: Reversing Type 2 Diabetes (It’s Possible and a Choice for Patients) – A Narrative Review of the Evidence

2018.05 Low Carb and Low Carbon - Ted Eytan MD-1001 660
2018.05 Low Carb and Low Carbon – Ted Eytan MD-1001 660 (View on Flickr.com)

(A) Mean changes of hemoglobin A1c (HbA1c) from baseline to last published date for each study retrieved to represent the three methods of reversal; (B) mean changes of weight from baseline to last published date for each studies retrieved to represent the three methods of reversal. Note: We chose these three studies to represent the three methods of reversal based on publication date and relevance to diabetes reversal. Note that baseline characteristics differ. Surgery trial examined by sleeve gastrectomy and Roux-en-Y gastric bypass separately and were represented as sleeve and bypass in the graph. Surgery: STAMPEDE [34,35]. Low-calorie diets (LCD): DIRECT [65,66]; carbohydrate restriction (LC): IUH [99,107].Hallberg SJ, Gershuni VM, Hazbun TL, Athinarayanan SJ, Hallberg SJ, Gershuni VM, et al. Reversing Type 2 Diabetes: A Narrative Review of the Evidence. Nutrients [Internet]. 2019 Apr 1 [cited 2019 Apr 2];11(4):766.

When I went to medical school, I was taught that diabetes is an incurable, chronic disease, a part of human existence that we could only prevent from getting worse.

The percentage of people with diabetes when I was taught with was also a fraction of what it is today:

2018.10.24 Low Carb and Low Carbon 571
2018.10.24 Low Carb and Low Carbon 571 (View on Flickr.com)

Now, in this century, we realize we can’t cure diabetes, but we can reverse it and put it into remission.

This is an excellent review paper with the state of the science and the point made that there are three ways to reverse diabetes today:

  • Bariatric Surgery
  • Low Calorie Diets
  • Low Carbohydrate Diets

In medical practice, surgery and low calorie diets have the attention in conventional practice (for now, that’s changing)

The current body of evidence suggests that bariatric surgery is the most effective method for overall efficacy and prolonged remission, even though concerns associated with surgical complications, treatment cost and complete lifestyle modification after surgery remain challenges for wide adoption of this approach. While both the LCD and LC dietary approaches are convincing for reversing diabetes in the short term (up to two years), long term maintenance of diabetes remission is still unproven. There are limited available data supporting long term maintenance of weight loss and its associated glycemic improvements in response to LCD; similarly, long-term adherence to a low carbohydrate diet will likely remain an obstacle without the development of proper patient education and optimal support for long-term behavioral change. Moreover, research in understanding the mechanism of diabetes reversibility in all three approaches and its overlapping mechanistic pathways are lacking; this is an area for future research emphasis.Hallberg SJ, Gershuni VM, Hazbun TL, Athinarayanan SJ, Hallberg SJ, Gershuni VM, et al. Reversing Type 2 Diabetes: A Narrative Review of the Evidence. Nutrients [Internet]. 2019 Apr 1 [cited 2019 Apr 2];11(4):766.

We’re speaking of Type 2 Diabetes

Reminder that we’re speaking of type 2 diabetes here, which accounts for 90-95% of people with diabetes, and is usually the data that’s cited. We cannot reverse type 1 diabetes; however, patients, families, and their doctors are doing amazing work to make living with type 1 diabetes much more manageable with diet. (see: Just Read and Just Visited: Duke Diet and Fitness Center and Management of Type 1 Diabetes With a Very Low–Carbohydrate Diet – More reasons I love this century

Reference

Hallberg SJ, Gershuni VM, Hazbun TL, Athinarayanan SJ, Hallberg SJ, Gershuni VM, et al. Reversing Type 2 Diabetes: A Narrative Review of the Evidence. Nutrients [Internet]. 2019 Apr 1 [cited 2019 Apr 2];11(4):766.

Image used under a CC BY 4.0 license.

Potential Conflicts of the Authors

S.J.H. is an employee and shareholder of Virta Health, a for-profit company that provides remote diabetes care using a low-carbohydrate nutrition intervention, and serves as an advisor for Atkins Corp. V.M.G. has no conflicts of interest to declare. T.L.H. is an employee of Virta Health. S.J.A. is an employee and shareholder of Virta Health.

Images and text used under CC-BY-SA license

Thanks for Publishing my Photograph, in Under New Leadership, The Funk Parade Is Returning In May | DCist

2018.05.12 DC Funk Parade, Washington, DC USA 02259
2018.05.12 DC Funk Parade, Washington, DC USA 02259 (View on Flickr.com)

Thank you for including my photograph in this piece, @DCist.

It’s of the DC @FunkParade, which happens every year in the U Street corridor. Isn’t Washington, DC beautiful?

DCist covers news, city politics, arts, events, culture, and curiosities in Washington, D.C. The site is owned by WAMU 88.5.

Source: Under New Leadership, The Funk Parade Is Returning In May | DCist

Photo Friday + Recipe: Low Carbohydrate Mason Jar Ice Cream

2019.03.30 LCHF Ice Cream, Washington, DC USA 01056
2019.03.30 LCHF Ice Cream, Washington, DC USA 01056 (View on Flickr.com)

This week’s photograph is also a recipe, for delicious low carbohydrate, healthy fat ice cream.

As with the other recipes here, there’s no added sugar, no industrial bean/seed vegetable oils, only real 🥛 fat.

As predicted, there was no rise in blood sugar following ingestion.

Link to Recipe

There are a bunch of mason jar ice cream recipes online. I didn’t use this exact one, however it was the inspiration for me choosing and making this dessert.

See: Low Carb Mason Jar Ice Cream – KetoConnect

Here are some additional photos, enjoy.