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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

People who think weight loss injections are cheating

928 replies

AuntieDote · 12/12/2024 12:18

I've seen this viewpoint over multiple threads recently, and I'm just really curious to understand it a bit more because it makes no sense to me whatsoever.

What do you think people using the injections are cheating at?

As in - what's the competition and who are they gaining an unfair advantage over? What do you think the rules of being allowed to lose weight are/ should be?

Is it more important to you that overweight people/ those struggling with obesity lose the weight, become healthier, reduce the burden on the NHS, stop taking up more than their allocated amount of space in the world, or just stop doing whatever it is that upsets people so much about the existence of fat people -- or is it more important that they struggle and suffer whilst doing so?

Or would you secretly prefer them to remain fat so you can feel superior?

Is it that you feel you've worked really hard to either lose weight, keep it off or never put it on in the first place, so nobody else should be allowed to achieve this without the same amount of struggle?

What do you think the weight loss injections actually do, and do you not recognise that those on them are also doing all the usual things people who are trying to lose weight e.g. modify their eating, exercise etc? Does it not count that they're doing these things because it's made easier in some ways by the drug?

What types of weight loss support or tools are not 'cheating'? e.g. I used hypnosis once and it worked for a bit, to the point that I felt pretty much the same way I do with the injections i.e. reduction in food noise and compulsion to snack etc. It didn't last anything like as long, but it worked for a time - was that cheating?

Would it still be cheating if they weren't as effective as they are?

FWIW, I really couldn't care less if people think I'm cheating - who cares? Who does it impact only me and my bank balance? If someone said here, press this button and you'll be a healthy BMI overnight and stay there forever I'd press it with both hands and not give a shit about how anyone felt about it.

But it's just the logic of it that baffles me - I've never seen it as a competition and have never felt like getting to or being a healthy weight only counts if it's done in a certain way - I suppose I'm not much interested in what size anyone else is or what they do to get that way, so I can't imagine for a second ever thinking another person was 'cheating' - only ever being happy for them if they're happy and hopefully healthy too.

OP posts:
Thread gallery
34
Brightonseafront · 14/12/2024 10:25

CautiousLurker01 · 14/12/2024 09:10

Yes, I’ve had a few stressful days and may have been guilty of posting some of the previous obnoxious posts… hoping a lie-in this morning and a morning walking my dogs will allow my usually kind and thoughtful self to come back to the surface (that may be a veiled apology for being a bit of a dick… this topic makes me a bit cross and sometimes my ADHD brain goes into overdrive. I should steer clear, really.)

That’s actually really lovely of you to acknowledge .. we all have our d&%* moments& bad days and it takes courage to take a look at ourselves and want to do better.. the number of times I said something stoooopid and looked back thinking wtf was I thinking … i try to arm myself with humour & forgiveness to myself & others while trying to be/ do better …🌻

CautiousLurker01 · 14/12/2024 10:31

@Tandora and @Brightonseafront yes, I am sorry if I’ve mouthed off. Have glanced at a few of my posts and can see that I overreacted/misinterpreted the tone of the PP I was replying to and was really rather rude in both tone/content of a couple of my replies. It’s not really me and I do apologise. I wish I could go back and edit them now, but sometimes it good to have the evidence of your own fuckwittery staring back at you in black and white (and a pink background) to make you cringe at yourself… I shall hold this in the forefront of my mind when my teen has a meltdown over her UCAS application later. Karma, and all that.

Tandora · 14/12/2024 10:47

CautiousLurker01 · 14/12/2024 10:31

@Tandora and @Brightonseafront yes, I am sorry if I’ve mouthed off. Have glanced at a few of my posts and can see that I overreacted/misinterpreted the tone of the PP I was replying to and was really rather rude in both tone/content of a couple of my replies. It’s not really me and I do apologise. I wish I could go back and edit them now, but sometimes it good to have the evidence of your own fuckwittery staring back at you in black and white (and a pink background) to make you cringe at yourself… I shall hold this in the forefront of my mind when my teen has a meltdown over her UCAS application later. Karma, and all that.

but sometimes it good to have the evidence of your own fuckwittery staring back at you in black and white (and a pink background) to make you cringe at yourself… I shall hold this in the forefront of my mind when my teen has a meltdown over her UCAS application later. Karma, and all that

hahahaha that did make me laugh. Sending 🙏🏻🙏🏻🙏🏻 for your teen’s application- it must be a really stressful time for you both xxx

MikeRafone · 14/12/2024 10:47

This drug will save the NHS millions, if not a few billion in the long run.

Obesity causes

heart disease - cost overall of CV disease to NHS £7.4bn
13 different cancer £6.7bn
stroke £3bn
osteoarthritis £10.2bn

apart from the suffering living with the diseases

its not cheating

Searchingforthelight · 14/12/2024 10:55

PrincessofWells · 14/12/2024 09:23

It's the absence of the doctor in this that I find worrying. Along with the playing down on this thread of the side effects some of which can be fatal. I can't quite get my head around how informed consent can be given in the absence of the above and that's what troubles me.

But UK healthcare is rammed full of doctor- less healthcare provision.

Non medical prescribers have been in place for years here- brought in almost 20 years ago and obviously increasing over that time.

Are you concerned about the lack of doctors in A&E, where you may often be seen by a non doctor, often given the some title of 'advanced/specialist /clinician /practitioner' or some such meaningless NHS word-salad title that stops the patient knowing the training of the individual? Sickened by the preventable death of a child with appendicitis recently in a UK hospital who was never seen by a doctor. Sickened

Are you concerned that in a medical specialty area in the NHS you are now seen by (often ) a nurse specialist who is indeed excellent at that particular condition, but only that condition, and so may easily miss things due to not having trained in medicine?

Are you concerned that patients have had unnecessary procedures and have died due to physician associates rogue-working in UK hospitals, or that this is something the GMC now supports ( taken over listing them since yesterday; note the GMC is not regulating them, just listing them, so they can say they are 'registered with the GMC')

A lot of what goes on in the UK is doctor- free: it certainly isn't medicine these days!

The WLI being prescribed by pharmacists is darn safe compared to what you get in an NHS hospital these days.

LOveLaughToasterBath · 14/12/2024 10:59

Tandora · 14/12/2024 10:23

To be fair, there are all kinds of drugs / treatments that have unknown effects in pregnancy, this is extremely normal, not least because it’s not considered ethical to run trials in pregnant women, so this data only comes over time through observational data.

The studies on rats really say very little - what we can extrapolate from this is extremely limited for obvious reasons (humans are not much like rats). With regard to breastfeeding, for example, although data is absent (as with many drugs) it is not thought that tirzepatide would be able to get into breastmilk in any significant quantities because it is a large molecule. Furthermore, the very small quantities that the baby might ingest would be broken down in the gastrointestinal tract and not well absorbed (this is why the meds are injected because they are not well absorbed through the stomach).

So yes that article is misleading and scaremongering . For balanced and accurate information on this topic, this resource is very helpful.

https://mothertobaby.org/fact-sheets/tirzepatide/

Actually, Glp1s we're discovered in 1985, and have been used for diabetes since 2005. That's a good 20 years of medical data to fall back on.

Trepidfox · 14/12/2024 11:31

I've yoyo'd for years and currently I am fasting with my cycle and I have found it's one of the easiest to maintain. I realised I knew so little about my body as woman and this has been a real eye opener for me. Everyone is different, one size does not fit all (pardon the pun) We don't know the potential side effects of these drugs yet but equally being overweight has a huge impact on our lifespan anyway. I have a close friend that tried Wegovy, lost some weight but it did not agree (vomiting, reflux) and has now put all and more back on and is currently beating themselves up over it. For me, learning about my hormones, avoiding ultra processed food (which is literally designed in labs to make us crave) and actually really digging in to why I ate the way I did (emotional eater/binger/sabotager) has helped massively.

You could look at statins the same way?

Not everyone has the same time/funds or bandwidth to go down the rabbit hole and am butchering the quote but it goes along the lines of: If you do not have time to be healthy (not just food - mind, body & spirit) you'd better make time for being ill.

In short, you have to make the decision on what's best for you. I have zero judgement on how you get there, getting excess weight off is an important step to reclaiming your health and wellbeing. Another friend had a gastric bypass 10 years ago and has added untold years after being 20st overweight for most of his life. It wouldn't be for me but I'm happy my friend is happy and that they will hopefully be here for many years to come.

ThatCoralShark · 14/12/2024 11:41

Trepidfox · 14/12/2024 11:31

I've yoyo'd for years and currently I am fasting with my cycle and I have found it's one of the easiest to maintain. I realised I knew so little about my body as woman and this has been a real eye opener for me. Everyone is different, one size does not fit all (pardon the pun) We don't know the potential side effects of these drugs yet but equally being overweight has a huge impact on our lifespan anyway. I have a close friend that tried Wegovy, lost some weight but it did not agree (vomiting, reflux) and has now put all and more back on and is currently beating themselves up over it. For me, learning about my hormones, avoiding ultra processed food (which is literally designed in labs to make us crave) and actually really digging in to why I ate the way I did (emotional eater/binger/sabotager) has helped massively.

You could look at statins the same way?

Not everyone has the same time/funds or bandwidth to go down the rabbit hole and am butchering the quote but it goes along the lines of: If you do not have time to be healthy (not just food - mind, body & spirit) you'd better make time for being ill.

In short, you have to make the decision on what's best for you. I have zero judgement on how you get there, getting excess weight off is an important step to reclaiming your health and wellbeing. Another friend had a gastric bypass 10 years ago and has added untold years after being 20st overweight for most of his life. It wouldn't be for me but I'm happy my friend is happy and that they will hopefully be here for many years to come.

lol, it really does not read like zero judgment from you with the we don’t know the side effects faux concern, the negative stories of your mate and the superior I’m so knowledgeable now. All wrapped up with a head tilt and I’m so happy for others. It reads like plenty of judgment.

LOveLaughToasterBath · 14/12/2024 12:02

Trepidfox · 14/12/2024 11:31

I've yoyo'd for years and currently I am fasting with my cycle and I have found it's one of the easiest to maintain. I realised I knew so little about my body as woman and this has been a real eye opener for me. Everyone is different, one size does not fit all (pardon the pun) We don't know the potential side effects of these drugs yet but equally being overweight has a huge impact on our lifespan anyway. I have a close friend that tried Wegovy, lost some weight but it did not agree (vomiting, reflux) and has now put all and more back on and is currently beating themselves up over it. For me, learning about my hormones, avoiding ultra processed food (which is literally designed in labs to make us crave) and actually really digging in to why I ate the way I did (emotional eater/binger/sabotager) has helped massively.

You could look at statins the same way?

Not everyone has the same time/funds or bandwidth to go down the rabbit hole and am butchering the quote but it goes along the lines of: If you do not have time to be healthy (not just food - mind, body & spirit) you'd better make time for being ill.

In short, you have to make the decision on what's best for you. I have zero judgement on how you get there, getting excess weight off is an important step to reclaiming your health and wellbeing. Another friend had a gastric bypass 10 years ago and has added untold years after being 20st overweight for most of his life. It wouldn't be for me but I'm happy my friend is happy and that they will hopefully be here for many years to come.

Once again.
Glp1s we're discovered in 85. They've been prescribed since 05. There is 20+ years of data regarding side effects.

Trepidfox · 14/12/2024 12:03

@ThatCoralShark I am sorry it read like that, certainly didn't mean it to but maybe that's some sort of blindness on my part? I'm sure I will get piled on if that's the case and I'll take it. I guess my point was, my whole life I never took the time to find out what was actually going on with me? I just felt shit for being overweight and a failure for never sticking to it. If I had this type of medication available in my younger years, I may have taken it but it's impossible for me to know that. What I do know is how sad I felt for years without understanding my body, how it works and why I never realised how my hormones or emotional health kept me locked in to destructive behaviors that manifested in me being overweight, in pain and on a path to long term health issues.

If I come across as sanctimonious to you and anyone else I am sorry, will read back my post and get some perspective

Trepidfox · 14/12/2024 12:04

@LOveLaughToasterBath thank you for the info

Tandora · 14/12/2024 12:12

Trepidfox · 14/12/2024 12:03

@ThatCoralShark I am sorry it read like that, certainly didn't mean it to but maybe that's some sort of blindness on my part? I'm sure I will get piled on if that's the case and I'll take it. I guess my point was, my whole life I never took the time to find out what was actually going on with me? I just felt shit for being overweight and a failure for never sticking to it. If I had this type of medication available in my younger years, I may have taken it but it's impossible for me to know that. What I do know is how sad I felt for years without understanding my body, how it works and why I never realised how my hormones or emotional health kept me locked in to destructive behaviors that manifested in me being overweight, in pain and on a path to long term health issues.

If I come across as sanctimonious to you and anyone else I am sorry, will read back my post and get some perspective

I didn’t read your post like that at all don’t worry xx

You were just sharing some personal thoughts and experience. I didn’t find it judgy or sanctimonious at all. We should all be able to contribute our thoughts / reflections/ experiences to the discussion without being pounced on .

auderesperare · 14/12/2024 12:30

PrincessofWells · 14/12/2024 09:23

It's the absence of the doctor in this that I find worrying. Along with the playing down on this thread of the side effects some of which can be fatal. I can't quite get my head around how informed consent can be given in the absence of the above and that's what troubles me.

Is it? Is it really? Many, many medications are deemed safe to be prescribed by pharmacists, nurses and other clinicians. Others can, rightly, only be prescribed by doctors registered with the GMC. The MHRA regulates this based on scientific evidence. Women are perfectly capable of giving informed consent when they have access to the information, which they mostly do. Doctors are not gods who can magically activate women’s brains so that they can give consent. (I know because I am married to one). Doctors are thin on the ground these days. If a drug is safe, has passed all the stringent medical tests required by law and a pharmacist or other clinician is deemed fit to counsel patients and prescribe, it’s not a particularly good use of resource to insist on a doctor being present. We’ve fought hard for women to get access to the morning after pill direct from pharmacies. That’s been a progressive step and women can now take control of that aspect of contraception. We have excellent regulatory frameworks for medicine in the UK. They may not be perfect but they are good. I don’t have trouble trusting them. It’s also about understanding and weighing up individual risk. Pancreatitis can be fatal. So can obesity and the related co-morbidities. The risks of the latter far outweigh the risk of contracting the former from weight loss medication, as far as I can see.
Basically, we need to be kind to women taking steps towards improving their health in this way. I’m sure it’s daunting enough for them already.

ThatCoralShark · 14/12/2024 12:51

Trepidfox · 14/12/2024 12:03

@ThatCoralShark I am sorry it read like that, certainly didn't mean it to but maybe that's some sort of blindness on my part? I'm sure I will get piled on if that's the case and I'll take it. I guess my point was, my whole life I never took the time to find out what was actually going on with me? I just felt shit for being overweight and a failure for never sticking to it. If I had this type of medication available in my younger years, I may have taken it but it's impossible for me to know that. What I do know is how sad I felt for years without understanding my body, how it works and why I never realised how my hormones or emotional health kept me locked in to destructive behaviors that manifested in me being overweight, in pain and on a path to long term health issues.

If I come across as sanctimonious to you and anyone else I am sorry, will read back my post and get some perspective

To be honest after all the nonsense on here, about not knowing rhe long term impacts, the side effects etc, I maybe a little sensitive reading it now ..

envbeckyc · 14/12/2024 12:55

thesilvermoon · 14/12/2024 10:13

For the record, I don't think using these drugs is "cheating."

The article I posted is more so about the fact that the manufacturers of these drugs have no idea about the ramifications of this side effect, as very few drug trials involve women at all and women of childbearing age in particular. So the women of the world are in effect taking part in an unregulated drug trial.

"We don't even know if it passes into human breast milk — though it seems to be present in the milk of lactating rat mothers who take it, which should provide pause.

But the finding that a significant number of women have fallen pregnant on these drugs — and that a growing number of doctors are citing ovulation as a side effect — has gobsmacked me. Not because, whilst slowly slimming, women are finding themselves suddenly fertile, but because yet again, for the umpteenth time, the manufacturers of a wildly popular drug, taken by millions of women globally, have not collected data on what this drug might do to a woman's reproductive organs, or offspring."

Also, it is not just people slipping up on their birth control, but:

"Some of these drugs reduce the effectiveness and absorption of birth control pills, but, as CNN reports, while "Mounjaro and Zepbound warn about this explicitly on their labels, Ozempic and Wegovy only warn more broadly about absorption of any drugs taken by mouth"."

And this being MN, spare a thought for the babies and their future health outcomes, all still very unknown:

"Why worry? Well, animal studies have found that if mice and rats get high doses of these weight loss drugs — which contain semaglutide, which makes a hormone called GLP-1 work better — their babies are born small, have malformations, and are more likely to die."

"It was once believed that medications could not pass from mother to child, a myth spectacularly exploded by the widespread taking of thalidomide — prescribed for morning sickness, insomnia, colds and headaches — which resulted in many thousands of infant deaths and disability (in the 1950s the toxicity of thalidomide was tested on animals, but not pregnant women).

The enduring and understandable reluctance to conduct tests on pregnant women today — although experts say with careful protocol design it can, should and has been done — means that trials effectively occur once the drugs are out and pregnant women are taking them.

They are, unwittingly, guinea pigs."

Edited

Many women have long term / permanent contraception, and non hormonal forms of contraceptive or are not having sex, or post menopause or are with men who have permanent contraception or use condoms!

I also am horrified by again the suggestion that women shouldn’t have access to this medication because they may get pregnant, when this issue isn’t applicable to many women who could benefit from it!

As a woman in my 40s I like many of my friends are either sterilised or their husbands have done the decent thing and had a vasectomy!

Contraceptives have moved past the contraceptive pill for a very long time, and isn’t the sole responsibility of a woman to do!

Back in my fertile days I used to need antibiotics from time to time which often stated that they could interfere with the contraceptive pill (which I was taking) and extra precautions would need to be taken for a cycle!

In the US contraceptive care isn’t free unlike in the UK, and there are much bigger issues with women’s access to it! So I think when people talk about accidental pregnancies in the US I don’t feel that it’s likely to be such a big issue in the UK because we have good access to contraception, the use of weight loss injections is flagged to a GP who will highlight appropriate contraceptives available at review of your contraception.

Finally ‘Plan B’ emergency contraception may be less effective for women who are overweight, so arguably taking a weight loss injection to achieve a healthy weight may actually reduce the risk of unplanned pregnancies!

www.nhs.uk/contraception/methods-of-contraception/emergency-contraceptive-pill-morning-after-pill/who-can-take-it/

Tandora · 14/12/2024 12:57

I also am horrified by again the suggestion that women shouldn’t have access to this medication because they may get pregnant

it’s a classic

Trepidfox · 14/12/2024 12:59

@ThatCoralShark I hadn't read the whole thread tbh just chucked my penny in 😬 reading it back, I can see there was some phrasing that sounded a bit head tilt, it's good to have feedback 😂

Searchingforthelight · 14/12/2024 13:01

auderesperare · 14/12/2024 12:30

Is it? Is it really? Many, many medications are deemed safe to be prescribed by pharmacists, nurses and other clinicians. Others can, rightly, only be prescribed by doctors registered with the GMC. The MHRA regulates this based on scientific evidence. Women are perfectly capable of giving informed consent when they have access to the information, which they mostly do. Doctors are not gods who can magically activate women’s brains so that they can give consent. (I know because I am married to one). Doctors are thin on the ground these days. If a drug is safe, has passed all the stringent medical tests required by law and a pharmacist or other clinician is deemed fit to counsel patients and prescribe, it’s not a particularly good use of resource to insist on a doctor being present. We’ve fought hard for women to get access to the morning after pill direct from pharmacies. That’s been a progressive step and women can now take control of that aspect of contraception. We have excellent regulatory frameworks for medicine in the UK. They may not be perfect but they are good. I don’t have trouble trusting them. It’s also about understanding and weighing up individual risk. Pancreatitis can be fatal. So can obesity and the related co-morbidities. The risks of the latter far outweigh the risk of contracting the former from weight loss medication, as far as I can see.
Basically, we need to be kind to women taking steps towards improving their health in this way. I’m sure it’s daunting enough for them already.

Precisely.

The poster should save their faux- concern for the public who go to A&E following an accident or in an emergency, and the hospitals have chosen not to employ enough doctors to staff it, so they are fobbed off with non- medical healthcare providers on a scenario where a doctor is most definitely needed.

Safe the worry for THAT scenario, happening at an A&E near you!

I am very confident in the experienced pharmacist who prescribed my WLI, thanks

CautiousLurker01 · 14/12/2024 13:32

Yes, find the alarmist ‘some of the side effects can be fatal’ irksome. Aspirin has potentially disabling/fatal side effects if taken by young people (Reye’s syndrome) but we don’t criticise people taking those - the risks are listed in the leaflet so there is informed consent, but it’s not banned, simply ‘not recommended to be given to under 16s unless clinically prescribed’.

Pancreatitis is also often cited and, yes, in one study revealed an increased incidence of cases; however obesity studies indicate that the incidence of pancreatitis increases from the general population in those who are obese and that the incidence of it amongst the obese increases with the level/grade of obesity - ie, there is a possibility that many of these subjects would have developed pancreatitis regardless of taking the medication. However, it needed to be listed as a ‘very rare’ side effect, which it is, when associated with pre-existing conditions, such as gallstones. If you have a history of these you are NOT allowed to be prescribed it. The recent case of the nurse who died from taking these drugs lists the fact that she had gallstones and, clearly, chose not to disclose this to her prescriber.

What I am trying to explain, and hopefully not in the pompous tone I may have used previously, is that many people using these meds have done the research, read the leaflets, and made an informed decision over the risks which are truly minuscule vis a vis the ongoing impacts of obesity, depression, heart disease.

Eg,the incidence of pancreatitis in the obese is approx 45 cases per 100,000; obesity increases this risk by up to 43%. Ie to 57/100k. My risk as a woman of death from coronary heart disease is 5,500/100,000. It is double if you have any of the other obesity related risk factors. So, weighing this up, taking the medication is the safest option to ensure I am protected from potentially life threatening health issues.

envbeckyc · 14/12/2024 13:36

Why is the role of anything that women of any age may want to do distilled down to the ‘you might get pregnant’ argument as if we still live in Tudor England and our sole job is to birth heirs!

I know this is Mumsnet, but clearly pregnancy can be effectively prevented if you take medications that are contrary to the contraceptive pill including those used to treat epilepsy!

fairycakes1234 · 14/12/2024 13:58

Trepidfox · 14/12/2024 12:03

@ThatCoralShark I am sorry it read like that, certainly didn't mean it to but maybe that's some sort of blindness on my part? I'm sure I will get piled on if that's the case and I'll take it. I guess my point was, my whole life I never took the time to find out what was actually going on with me? I just felt shit for being overweight and a failure for never sticking to it. If I had this type of medication available in my younger years, I may have taken it but it's impossible for me to know that. What I do know is how sad I felt for years without understanding my body, how it works and why I never realised how my hormones or emotional health kept me locked in to destructive behaviors that manifested in me being overweight, in pain and on a path to long term health issues.

If I come across as sanctimonious to you and anyone else I am sorry, will read back my post and get some perspective

I read your post and nowhere did you come across as judgemental and I'm taking saxenda, you're just giving your insight, what is it about these posts that's making people so angry, I never wanted to take these injections and unlike the majority here, I am nervous about what I'm putting into my body and the long term effects, who wouldn't be, but I also like that I've lost weight so will continue until the weight is gone and hopefully never have to use them again

SpunkyCritic · 14/12/2024 14:00

I admit I thought it was cheating until I read this thread.

Reflecting I think I didn't understand and was just jealous. I eat little, deny myself seconds of cake and put in a lot of mental effort to stay slim and yet this is marketed as an easy way to get what I have worked so hard for.

Sad to hear some of these stories and so many others with bad relationships with food, but happy to have been re-educated.
Good luck to you all.

adulthoodisajoke · 14/12/2024 14:30

FunWithFlagz · 13/12/2024 23:56

I think this reply shows a lack of understanding about what GLP-1 medications do. They don’t just reduce hunger, they impact the way your body uses insulin and energy stores. This is why it helps type 2 diabetics. This contributes to weight loss.

No one knows exactly why some people can eat what they want and not gain weight and others gain a stone if they look at a cake. We know it has to do with metabolism and we know that GLP-1 medications improve this. Shouldn’t we be pleased that we now have a medication to help obesity? No one behaves like this about BP meds or statins!

if it was a case of eat less and move more, we wouldn’t have the obesity epidemic we have now.

It does boil down to eat less and move more

HansHolbein · 14/12/2024 14:46
Over It Ugh GIF

.

CautiousLurker01 · 14/12/2024 14:47

🤣 @HansHolbein

was deciding whether to reply to that one too, but have tried to turn over a new leaf and stop being a shrew today…