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Ask a registered dietitian/clinical nutritionist anything

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Ask a registered dietitian/clinical nutritionist anything
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>>7742105
how do I adjust my diet to lose weight
>>
>>7742114
Eat less calories than your body burns, you fat fuck
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>>7742105
thoughts?
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>>7742122
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>>7742105
Is a whole foods vegan diet the healthiest diet?
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>>7742114
cut carbs
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>>7742114
Weight loss is simply calories in vs. calories out, and doing so in a healthy manner is the key to successful, healthy weight loss. You have to ensure your body is getting the nourishment it needs, otherwise you're just going to starve yourself into undernourishment and probably end up eating all the lost calories back.

The key is to set -realistic- goals. Ideally, the healthy rate of weight loss is around 2 lbs/1 kg per week.

In order to help you I need to know how much you eat, how frequently you eat, what you're eating, and your activity level.

>>7742123
Save your money and just drink regular water. You can slice up some cucumber and lemon into it and let it soak if you want a bourgeois "better than you because my water is fashionable" drink.

>>7742134
Vegan diets for religious or cultural reasons are alright, but just doing it because it's a fad is a surefire way to fail before you even start. You don't have to cut out meat and animal by-products to be healthy, and it can be costly in the grocery dept. to replace said products. What interests you about vegan diet?

>>7742135
Cutting out carbs all together is a bad idea since your brain and muscles use them as "fuel"

Low carb diet fads will have you feeling like shit for a week or two since the brain needs 120-130g of carbs to function properly prior to induction of ketosis.
>>
Is this guy right?

http://youtube.com/watch?v=30gEiweaAVQ
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>>7742155
>55 mins

I don't want to seem like an asshole but I have to be at work at 8 in the morning. I thought this thread would be something fun to do for a bit.

Can you sum up what his points are?
>>
>>7742105
/fit/ thattaway ->>>
>>
>>7742105
how long can I live on beer and crackers?
>>
>>7742105

'go 'za - do you love it or really love it? How many 'zas should be eaten in one sitting, minimum?
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>>7742150
>you don't have to cut out meat and animal products to be healthy

Sure bud
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>>7742228
Says the walking wisp.
>>
Was med school too hard?
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>>7742150
>brain uses carbs as "fuel"
The brain actually uses cholesterol as its fuel. You fucking "nutritionists and dieticians" are the new snake oil vendors, that don't know shit.
>>
>have you ever heard of someone living on really strange diets? what were they?
>underrated foods you would recommend?
>foods to avoid at all costs?
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>>7742132
Ummm... anon literally gave you exactly what you asked for. What more do you want? Someone to wipe your ass for you too?
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>>7742105
>nutritionist
>>
>>7742150
>Ideally, the healthy rate of weight loss is around 2 lbs/1 kg per week.
how the fuck do you even measure 1kg of weight loss? my weight fluctuates more than that and i'm underweight
>>
tell us some fat people stories
>>
>>7742105

If you're still around OP, I am bulking and would like your advice on diet to increase muscle mass. I am 145lbs. How many calories/grams of protein should I be getting?
>>
>>7742309
careful moderating of what you do/what goes in your body
of course you fluctuate, you're loose and without guidance.
>>
>>7742123
Even bernie Sanders drinks Voss. He always has it on his podium.
>>
>>7742250
go shill somewhere else fwend
>>
has there been or could there ever be a male dietician?
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>>7742150
Is there any merit to adjusting carb/fat/protein intake to affect weight loss?
>>
Why is gasoline the only commodity sold to the tenth of a cent?
>>
>>7742488
When taxes on gas were first introduced, they were only fractions of a cent. But that was also when gas was 15 cents at the time, so increasing the cost by a whole penny would have been outrageous.
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>>7742105
As an aspiring porn star, is ingesting lots of semen advisable?
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What's your opinion on caffeine and/or artificial sweeteners?
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Are carbs the most important nutrient?
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>>7742105
>dietitian/clinical nutritionist
you know fucking nothing.
Nutritionists are not anything but a bunch of psuedoscience and alternative medicine bulshit, and if you where actually a dietitian you wouldn't have called yourself one.
>>
Why does my pee sometimes smell like Cheerios?

I mean literally, exactly like a bowl of Cheerios before you add milk
>>
thoughts on a primarily semen-based diet?
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>>7742824
All dietitians are nutritionists, but all nutritionists are not dietitians.
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>>7742105
Is your name Michelle?
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>>7742933
That makes no sense. Maybe you are a nutritionist after all.
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>>7742824

You're a fucking idiot, son.
>>
>>7742216
You can live on it but your health will be miserable.

>>7742243
I never wanted to be a doctor. I was originally in college to be an accountant but the work was so boring I switched.

>>7742250
Your body needs carbs for energy. Carbs have fiber. They also have vitamins and minerals that are good for you. Your brain uses the sugar converted from carbs to function. Cholesterol is what helps create progesterone, cortisol, testosterone, and many other things. I don't understand where you got that cholesterol is what fuels the brain because that is totally incorrect.

>>7742251
>have you ever heard of someone living on really strange diets? what were they?
Yes, all the time. I work in a hospital and see patients who've annihilated their metabolism and had really messed up lab results with all these silly fad diets. The weirdest one was a woman who gave herself a tapeworm that she bought online to lose weight. She ended up needing surgery because the worm caused so much blockage.

>underrated foods you would recommend?
Definitely beets. There's a lot you can do with them and people just don't eat them, but they're full of vitamins and nutrients.

>foods to avoid at all costs?
Fast food and soda. It's literally engineered to be addictive.

>>7742380
Calculate your TDEE (maintenance calories). To do this you should take your bodyweight in kg and multiply by 33. Then add 500 calories for a weight gain, or subtract 500 for weight loss.

You also have to consume sufficient protein. If you want to pack on a lot of muscle, protein is essential. Go for 1.5x-2x bodyweight (kg) in grams per day.

>>7742461
Yes, though there aren't many of us. I'm the only male dietitian at my hospital.

>>7742480
There is if your current portions are skewed from what is considered a "normal" diet.

>>7742579
Don't take in a lot of caffeine if you have cardiovascular issues, or if your family has a history of them. I personally drink a small cup of black coffee in the mornings.
>>
>>7742581
Carbohydrates, fats, vitamins, minerals, and proteins are equally essential.

>>7742836
If your pee smells sweet it could be the result of excess glucose or ketones.

>>7742824
"Nutritionist" is not a protected term in the USA. Anyone and their mom can call themselves a nutritionist.

Dietitian is a protected term and requires specific courses, an internship, and a licensing exam.
>>
>>7742964
Does the idea of eating a big breakfast to lose weight have any merit?
Does changing the time of day during which food is eaten matter at all?
>>
>>7742973
Calories are calories regardless of when you eat them. A deficit will result in weight loss and a surplus will result in weight gain. Time of day doesn't play a factor in this, but eating before bed can make it harder to fall asleep for some people.
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>>7742976
Any effect on how fast some people might feel full?
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My diet is slightly deficient in calcium, zinc and vit D because I don't consume animal products all that often (a couple times a week, but on some days none). On average I get 600mg of calcium and 10-12 zinc, but primarily from plant sources which I hear is not absorbed as well. Should I supplement these? More generally, when do you get actual deficiency vs. just being slightly under the recommended amount?
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>>7742976

Nurse here, and that is patently false. When you intake calories is as important as how many you are consuming. Eat all your calories, even your -500 if your trying to lose weight, at HS and see how much you lose. Your BGL will spike during inactivity, and your pancreas will try to compensate with large amounts of insulin.

Better to consume your needed calories throughout your wake cycle, focusing most towards the beginning, and tapering off towards bed time.
>>
>>7742988
Not OP, but this is the direct inverse of what the evidence shows. High carb meal before bed consistently reduces calorie consumption and hunger throughout the next day, compared to no meal or larger breakfast
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>>7742993
>>7742988
>>7742976
Goddamnit, i was really hoping for an end all answer finally.
>>
>>7742988

not him but do nurses even have courses in nutrition?
>>
>>7742993
Wrong. While that may, and I repeat, may, reduce calorie consumption the following day, Peak and Trough insulin levels will be all over the chart and you'll feel like shit, even if you aren't that hungry.

You're much better off eating so that your insulin levels remain relatively stable, and that cannot happen by consuming a large, carb based meal, prior to HS.
>>
>>7742105
Dietetic major here. How did you get your internship and any tips on getting one? Also did you get a msters degree?
>>
How do I increase my appetite to be able to eat enough calories to gain weight (as fat)?

I try to eat lots of carbs and calorie dense foods but I don't seem to get anywhere, though I've never counted a calorie in my life. I was told that eating carbs will make me fat(ter), was I lied to?
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>>7742997

Do physicians have courses in Anatomy? Of course nurses learn about nutrition. Especially those working in ICU, Wound Healing, and Diabetes Education.
>>
>>7742999
Why do you keep talking about insulin? I am not talking about fucking diabetics. If you actually believe insulin excretion is harmful to human health, well-being or dieting success you should quit talking about nutrition right about now. Insulin spikes are completely normal and, again, large carb based meals before bed are shown to be superior to your outdated nonsense of eating most food earlier in the day. There is no reason for insulin to have to be stable, it rising and falling is part of its operating principle, just doing what it's supposed to. Just stop.
>>
How much insoluble/soluble fiber should you eat a day? Is the amount dependant on the calories you eat?

How can I be sure that I get all the nutrients? For example I realized that I am not getting enough calcium and that you need to deliberatly eat calcium rich foods to reach the recommended daily amount. But then I also read that certain foods allow your body to absorb the calcium more while other foods like foods with oxalate may inhibit it. Plus something about needing Vitamin D and K2 for your body to actually use the calcium. And that's just one nutrient. How can I as a layperson be sure my diet is healthy? I get the feeling that you need to have a finely tuned diet to really get all the necessary nutrients.

How much harm does eating one unhealthy food (say once a month) do when otherwise one has a healthy diet? A fast food menu with a big burger, or a freshly made burger from a restauraunt or a pizza? What about having an unhealthy snack once a week like crisps?

Thank you in advance.
>>
>>7743019
And you call yourself a dietician.

PROTIP: Insulin levels aren't only a concern to DM patients. They are fundamental to how we process food, and you advocating a massive intake of carbs at HS is fucking ridiculous.

I could remind you that you are a Dietician, and NOT a fucking Endocrinologist.

You might, and I use the word lightly, know a thing or two about nutritional values.

But, to claim that you know anything about HOW the body processes nutritional intake is a fucking joke based on the "advice" that you've spewed ITT.
>>
>>7743037
Shut up.
>>
>>7743039

Go peddle your snake oil on /fit/
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>>7743033
For every 1,000 calories you should have about 14-15 grams of fiber.

>>7743037
OP here, the guy you're talking to isn't me. I didn't want to get involved in the dick swinging contest.
>>
>>7743033
>>7743236
As for the latter half of your post, when you eat that pizza, you're just ingesting a large number of calories, saturated fats, sodium, etc. that your body doesn't really need.

One slice won't do much other than a few extra calories and maybe raise your cholesterol and sodium levels a bit. It's repetitive eating of this and forming bad habits that I try to deter patients from.

If you keep telling yourself "well, this ONE slice won't hurt anything," it'll turn into a regular thing and will definitely skew your brain's internal reward system. I would just avoid it all together because diet should be a lifestyle thing, not just a restriction on foods you like.

Have fun with it. Experiment in the kitchen with homemade pizza. There are a ton of healthy options for making your own delicious pizzas which are very nutritious.
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>>7743251
>Have fun with it.

I want my book of cliche's back, you brainless monkey. Get some fucking original thoughts. Or better yet just KYS.
>>
>>7743286
What's wrong with having fun exploring new recipes from a different angle?
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>>7743294
>missing the point this hard
>>
HOW DO I PLAN MY MEALS BETTER
I try thinking of what I want to cook before grocery shopping but I am so bad at coming up with dishes on the spot unless I'm looking at ingredients and decide I want to eat them then and there.
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>>7743300
Explain your point.
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>>7743306
You sound like a 17 year old who took a week long course in nutrition and wants to show off everything he's learnt, which is nothing but the same rehashed shit everyone over the age of 9 already knows.

You're a disgrace to your field.
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>>7743305
Keep it simple. People often kill themselves trying to come up with gourmet recipes but really it doesn't get much more simple than cooking a healthy meal. Stay away from fad diets and clickbait sites blasting "FAT BURNING RECIPE EAT THIS AND YOU'LL SHIT YOUR BELLY AND LOVE HANDLES AWAY" in your face.

Varying colors of vegetables, white meats (chicken, fish), beans, etc. Don't think too hard about it. You can also make healthy versions of your favorite meals with a few minor tweaks.

Use common sense. Don't deep fry stuff or drown it in cheese or gravy. Grilling or baking meat and steaming vegetables is as far as you have to go, really. If you get decent foods they won't need a lot of extra help to be tasty.
>>
>>7743309
>>7743312
Case and point.
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>>7742105
What's a healthy amount of dairy products in your diet? I usually start my day with a glass of milk, I'll have coffee or tea with milk during the day, and then a warm glass before bed. Is this too much?
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>>7742150
>Low carb diet fads will have you feeling like shit for a week or two since the brain needs 120-130g of carbs to function properly prior to induction of ketosis.
>a week or two

Nigga it only takes two days to get into ketosis. And I certainly didn't feel like shit at all for those two days. And don't get me wrong, I am not one of those "carbs are the devil" people. I will slowly reintroduce carbs once I have lost enough. Just wanted to point out that you are wrong.
>>
>>7743325
The exact amount will depend on your basal metabolic rate, but the general rule of thumb is no more than 2-3 servings. Your current intake is fine as long as it fits into your caloric macros. It seems like you aren't drinking a whole lot of it considering the small amounts people generally mix with tea and coffee so I wouldn't worry about it unless you start developing some metabolic issues.
>>
>>7743312
We would be good friends if we ever met in real life
>>
>>7743329
On that note, your thoughts on alternative dairy (like almond and soy) and what kind of milk is better. (Fattier milks over skim?)
>>
>>7743327
>Nigga it only takes two days to get into ketosis

It might take you two days, but I've had epileptic patients take up to 7-8 days to show ketosis in urine strips. Everyone is different. It depends a lot on activity levels, what exactly you're eating, and many other factors.

It's also less volatile to wean a patient off of carbs over the course of a week or two rather than going cold turkey, since there's a high turnover rate when you take into consideration how crappy it makes you feel the first couple of days. You probably know all about it though. Most people cave into their cravings at home and find it difficult to stick with it as well, especially during a time like that.

>>7743333
Absolutely. Also, check'd.

>>7743335
I personally wouldn't recommend things like soy milk unless you have a specific allergy or maybe religious/cultural reasons to not partake in regular dairy consumption. Current studies suggest that the isoflavones in soy can speed up ER+ growth in breast cells, but apart from that it seems like a good alternative for maybe someone who doesn't like cow's milk due to being a Hindu, for instance.

As far as your question pertaining to which one is better, the fat found in milk won't be detrimental to cardiovascular health, but rather decreases risk of cardiovascular disease. Regular consumption of milk in recommended quantities is associated with lower blood pressure and lower risk of diabetes regardless of the fat content in said milk. You don't have to drink skim unless it just comes down to a calorie count issue, if that's what you're getting at. This is fairly recent information because studies from the past have been trying to link the fats in milk to increased CVD/hypertension, but what we're seeing now is the opposite.
>>
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>>7743350
thank you nutrition anon, have a good day

pic related, it's OP
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>>7742956
All squares are rectangles, but all rectangles are not squares.
>>
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>>7743350
>epileptics
>patients
There you go again trying to justify the incorrect bullshit you're spouting. I am talking about ketosis for weight loss and you bring up epileptics and "patients". For any person who is overweight but otherwise healthy (i.e. not a epileptic or a patient that needs a special diet due to some medical condition) it will take 2 days, 3 max.
>>
>>7743452

whats wrong with him treating epileptic people with a diet that lowers the risk of having a seizure? why tf are you so salty dude?

didnt get into nutrition school or something lmao
>>
>>7743458
You want to fight? Fight me right now faget!
>>
>>7743458
>whats wrong with him treating epileptic people

Nothing.
The problem is that experience with epileptics does not translate to the same experience with non-epileptics.
>>
>>7743452
not OP but if you think everybody can just go into ketosis within a day or two you're a fucking retard and should go back to /fit/ and post about how pizza and french fries are good for gains you stupid fat fuck

im so sick of you stupid faggot broscience cucks spewing stupid info all over the net like you know what the fuck your talking about when you clearly dont
>>
>>7743452
That's the only setting in which I would prescribe a patient a ketogenic diet. Otherwise if you're just doing it to lose weight then you're no better than fad dieters trying to find an easy way out of a lifestyle change. Try developing some discipline instead of just jumping onto the keto train. Not that it's particularly bad, but weight loss is still simply calories in vs. calories out. That can be achieved without going low-carb.

>>7743485
>The problem is that experience with epileptics does not translate to the same experience with non-epileptics.

I've had experience with all people from all backgrounds. What I'm saying is not all bodies can achieve ketosis at the same rate. Some people take longer, some people don't. Saying it's as quick for everyone is simply false.
>>
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Is this you
>>
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>>7743501
>googled "how long does it take to get into ketosis"
>literally didn't even have to click on anything to prove you wrong

Of course I understand that this doesn't apply to EVERYONE. There are always exceptions. But I'm not just pulling broscience out of my ass here
>>
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>>7742972
"Nutritionist" is not a protected term in the USA. Anyone and their mom can call themselves a nutritionist.

Dietitian is a protected term and requires specific courses, an internship, and a licensing exam.
which is exactly why you are the former because only the an idiot would be willing to call themselves the former when they have a degree in the latter
>>7742933
nutritionists is to dietitions is bullshit as to food.
>>7742962
no you are
>>
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>>7743515
>"nutritionist"
it doesn't matter if its her, it may as well be, if she dosn't think candy is healthy she probably believes in some other pseudo science crap. that tag line is to food as general practitioner/faith-healer is to medicine
>>
>>7742250
prior to ketosis the brain uses glucose for higher level function, afterwards it uses ketones for most processes and uses the small amounts of glucose the liver produces while in ketosis.
>>
>>7743529
as a person who's job it is to make results like that be prominent and correct, you're welcome
>>
>>7743819
My 6 months are coming up. Only been able to do the bare minimum. Hopefully, they'll extend me another 6.
>when you get a Perfect SxS on your last review
>>
OP, Two questions. Is the "War on Fat" Over and what is the general modern medical and scientific consensus on Saturated fat now after a few decades of the anti-fat food craze?


Also, When Vegans say things like "You're going to get a heart attack" Or "Animal Protein causes cancer" Do you find them to be disingenuous/meme arguments that have no truth to them?
>>
>>7742105

Would a diet consisting MOSTLY of onions, greens, seeds, beans, berries, and mushrooms be able to facilitate weight loss? Around 5-10lbs a month?

Also, NO soda and perhaps 1-2 small servings of meat a month.
>>
>>7744087
generally speaking for healthy weight loss you should aim for around 1lb / week
>>
>>7742159
Pretty much claimed by virtue of eating eating meat your BMI is likely to increase. Saying its "Positively associated with weight gain"

Though, I've actually seen vegan gains try to use the same argument and linked a studied that disproved what he said verbatim.

http://www.ncbi.nlm.nih.gov/pubmed/22223576
>>
>>7744087
Sounds pretty solid. As long as you're keeping calories in check, I think it'll work well.

But, in 4chan fashion, someone will find issue with what you're doing.
>>
>>7744092
>>7744097
I've actually been doing it since January, I've gone down 4 pant sizes and am excited to see how far this will/can go.
>>
>>7742105
whats the issue with eating one large meal a day as opposed to 3-4 small ones? I do the former because of my work schedule, and I know it's not good, but I can't figure why
>>
>>7744033
so long as you do your 200 tasks/month and get ME/ME/ME you're good
>that feeling when even if you get perfects they've stopped adding people to the PA program
>>
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>>7742105
Are you a fat slob? Do you lift?
>>
>>7742105
How do I gain weight as someone with IBS? I have enough trouble just eating enough to survive, let alone get past being a stick figure.
>>
>>7744157
low fiber high fat/protein foods?
>>
>>7744109
Congrats, anon. Keep it up, and don't get discouraged when progress slows a bit (it will, and it happens to -literally- everyone).
>>
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>>7744153
That's good to hear. It's a bonus that this shit is so fucking easy to do.
>9:00 AET SxS
>some simple shit, like someone looking for "Kohl's"
>blaze through it in 3 minutes, including the comments
>spend the rest of the time browsing through 4chan
>>
>>7744162
high fat/protein foods have a good chance to trigger an ibs attack. I can't even reliably eat protein powder shakes
>>
>>7744177
maybe i was thinking of another GI issue that limited insoluble fibre intake
>>7744175
Then you get dupeless programming questions that kills your surplus for the day, how long have you been with them?
>>
>>7744208
no, I definitely have to limit my insoluble fiber intake while maximizing my soluble fiber
>>
>>7744208
It'll be 6 months this month. Got in late December, after applying in I think last August.
>kills your surplus for the day
Please tell me you're not submitting as soon as you're done...
>>
>>7742105
literally the most 1st world career choice i can imagine.
>>
>>7744219
nah RA is set to submit 5s before AET, just those damn programming queries can take a long time to research and review the LPs. speaking of RA, i've got a cracked version if you're not already paying the monthly for premium
>>
>>7744252
>cracked RA
You'd win a fucking internet by uploading that somewhere, anon.
>>
>>7744259
http://ss13.moe/uploads/9.17_0.zip
somewhat of an old version but it's a PITA and the updates haven't been substantial enough to muck with.
>>
>>7744262
Awesome. Does this give you the mobile RA Pro apps too?
>>
>>7744275
unfortunately not, I've not been able to successfully decompile, crack and recompile the APK. I just use the official RH app for link opening, that or f12 and view it in chrome for lazy sundays
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