Forget #WLS - just exercise 4-6 hours a day says Dr. Huizenga

  • Exercising for four hours a day and following a strict diet can yield the same results as weight loss surgery, a leading doctor has claimed.
  • Dr Robert Huizenga, of UCLA, says his extreme diet and exercise plan should replace bariatric surgery as a treatment for obesity.
  • He says bariatric surgery is expensive and carries risks of death, muscle loss, bone thinning and mental health issues.
  • His 'Biggest Loser' weight loss plan, which was made famous by the hit TV show of the same name, helps people lose the same amount of weight and is cheaper than surgery, he claims

Dr. H says that "we" watch TV for four hours day, surely we have time to exercise that long, but FRANKLY, I DON'T WANT TO.  

I am LAZY.  

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Do you honestly think I would have even considered it at my former size at ALL?  NO freaking way.  I am in a normal body weight range right now and there is zero point zero chance of getting me to exercise aerobically four hours daily -- at 320 lbs -- I would have sooner had weight loss surgery -- and I DID.   Eleven years ago.  LOL.  It worked.

<3, MM.

New Treadmill Stress Test Spits Out Your Risk Of Dying

New Treadmill Stress Test Spits Out Your Risk Of Dying.  Hooray. 



If there were any means to get my ass back to the gym and motivated it is reading things like THIS  and pushing through back pain and tearing up my stupid excuses.  BLAH BLAH BLAH BETH, I DON'T CARE THAT YOU CAN'T DRIVE YOU WILL WALK TO THE GYM AND DO IT ...

The FIT Treadmill Score is calculated using the patient’s age, gender, fitness level measured by METs, and peak heart rate reached during exercise. Researchers found these four factors to be the greatest predictors of mortality risk. After the research team accounted for other important variables, such as diabetes and family history of premature deaths, they determined fitness level to be the single most important predictor of death and survival.

“The notion that being in good physical shape portends lower death risk is by no means new, but we wanted to quantify that risk precisely by age, gender, and fitness level, and do so with an elegantly simple equation that requires no additional fancy testing beyond the standard stress test,” said Dr. Haitham Ahmed, a cardiology fellow at the Johns Hopkins University School of Medicine.

FIT Treadmill Scores ranged from negative 200 to positive 200 — participants over 0 had a lower mortality risk while participants under 0 has a higher mortality risk. Participants with a score between negative 100 and 0 had an 11 percent risk for dying in the next 10 years compared to three percent among participants with a scare between 0 and positive 100. Participants with a score lower than negative 100 had a 38 percent mortality risk compared to two percent among those who scored positive 100 or higher.

The study abstract


To determine which routinely collected exercise test variables most strongly correlate with survival and to derive a fitness risk score that can be used to predict 10-year survival.

Patients and Methods

This was a retrospective cohort study of 58,020 adults aged 18 to 96 years who were free of established heart disease and were referred for an exercise stress test from January 1, 1991, through May 31, 2009. Demographic, clinical, exercise, and mortality data were collected on all patients as part of the Henry Ford ExercIse Testing (FIT) Project. Cox proportional hazards models were used to identify exercise test variables most predictive of survival. A “FIT Treadmill Score” was then derived from the β coefficients of the model with the highest survival discrimination.


The median age of the 58,020 participants was 53 years (interquartile range, 45-62 years), and 28,201 (49%) were female. Over a median of 10 years (interquartile range, 8-14 years), 6456 patients (11%) died. After age and sex, peak metabolic equivalents of task and percentage of maximum predicted heart rate achieved were most highly predictive of survival (P<.001). Subsequent addition of baseline blood pressure and heart rate, change in vital signs, double product, and risk factor data did not further improve survival discrimination. The FIT Treadmill Score, calculated as [percentage of maximum predicted heart rate + 12(metabolic equivalents of task) – 4(age) + 43 if female], ranged from −200 to 200 across the cohort, was near normally distributed, and was found to be highly predictive of 10-year survival (Harrell C statistic, 0.811).


The FIT Treadmill Score is easily attainable from any standard exercise test and translates basic treadmill performance measures into a fitness-related mortality risk score. The FIT Treadmill Score should be validated in external populations.

 Now do it. 

But.  But.  But.

FAAAAAHTS or Gastrointestinal colonization with methanogens increases difficulty of losing weight after bariatric surgery

Gastrointestinal colonization with methanogens increases difficulty of losing weight after bariatric surgery.

This is totally my gut.
I feel like we knew this - have you lived with a gastric bypass or duodenal switch patient for a period of time?  I'm just saying, those of us with altered bariatric intestines  LIVE with "MARSH ASS."   Welcome to the world of pre-biotics, probiotics, fart-smell-better products and I kid you not, LINED UNDERWEAR.  

Hey, I never said I was a professional.  Read the studies.
What is a methanogen?  Wisegeek says --
"Methanogens are a type of microorganism that produces methane as a byproduct of metabolismin conditions of very low oxygen. They are often present in bogs, swamps, and other wetlands, where the methane they produce is known as "marsh gas." Methanogens also exist in the guts of some animals, including cows and humans, where they contribute to the methane content of flatulence. Though they were once classified as Archaebacteria, methanogens are now classified as Archaea, distinct from Bacteria.

Some types of methanogen, including those of the Methanopyrus genus, are extremophiles, organisms that thrive in conditions most living things could not survive in, such as hot springs, hydrothermal vents, hot desert soil, and deep subterranean environments. Others, such as those of the Methanocaldococcus genus, are mesophiles, meaning they thrive best in moderate temperatures.  Methanobrevibacter smithii is the prominent methanogen in the human gut, where it helps digest polysaccharides, or complex sugars."

Gut bacteria may decrease weight loss from bariatric surgery March 6, 2015

The benefits of weight loss surgery, along with a treatment plan that includes exercise and dietary changes, are well documented. In addition to a significant decrease in body mass, many patients find their risk factors for heart disease are drastically lowered and blood sugar regulation is improved for those with Type 2 diabetes.

Some patients, however, do not experience the optimal weight loss from bariatric surgery. The presence of a specific methane gas-producing organism in the gastrointestinal tract may account for a decrease in optimal weight loss, according to new research by Ruchi Mathur, MD, director of the Diabetes Outpatient Treatment and Education Center at Cedars-Sinai.

"We looked at 156 obese adults who either had Roux-en-Y bypass surgery or received a gastric sleeve. Four months after surgery we gave them a breath test, which provides a way of measuring gases produced by microbes in the gut," said Mathur. "We found that those whose breath test revealed higher concentrations of both methane and hydrogen were the ones who had the lowest percentage of weight loss and lowest reduction in BMI (body mass index) when compared to others in the study."

The methane-producing microorganism methanobrevibacter smithii is the biggest maker of methane in the gut, says Mathur, and may be the culprit thwarting significant weight loss in bariatric patient. Mathur and her colleagues are conducting further studies to explore the role this organism plays in human metabolism.

While that research continues, bariatric patients may still have options to improve weight loss after surgery.

"Identifying individuals with this pattern of intestinal gas production may allow for interventions through diet. In the future there may be therapeutic drugs that can improve a patient's post-surgical course and help them achieve optimal weight loss," said Mathur.

The study, "Intestinal Methane Production is Associated with Decreased Weight Loss Following Bariatric Surgery" was done in collaboration with the Mayo Clinic. The paper is being presented by Mathur Thursday, March 5, at the 97th annual meeting of the Endocrine Society in San Diego.


Bariatric surgery may improve pregnancy outcomes - mostly

Many women opt for bariatric surgery in order to increase chances of maintaining a healthy pregnancy.  A recent study suggests that weight loss surgery can help a woman do just that, but there are risks.

Personally, my full term post bariatric surgery pregnancy was different than my pre-WLS pregnancies.  I was at a more normal bodyweight at the time of my daughter's gestation, and I did not seem to suffer the ill effects of obesity on pregnancy like I had with my prior children.  I had no high blood pressure, no high blood sugar, nor did I land on bedrest - which I had with previous babies.    My post RNY pregnancy offered me anemia and rampant hypoglycemia.  I was not well. 

She was born healthy, but small, in comparison to my earlier babies.  I noted a lack of body fat at birth.  This is several weeks old.

My post bariatric surgery baby - my smallest birthweight baby.


New York Times

While the study found some risks for women who had surgery, including more babies born too small and a greater likelihood of stillbirths, experts said that overall the results were better.

The findings have implications for an increasing number of women and children, especially in the United States, where nearly a third of women who become pregnant are obese. Obese women have more problems in pregnancy, including gestational diabetes, pre-eclampsia, and stillbirth. Their babies are more likely to be premature, overweight or underweight at birth, have certain birth defects, and develop childhood obesity.

The study, published Wednesday in The New England Journal of Medicine, sought to find out if surgery could safely mitigate some of those effects. Swedish researchers, led by Kari Johansson, a nutritionist at the Karolinska Institute, evaluated records of 2,832 obese women who gave birth between 2006 and 2011, comparing women who had bariatric surgery before becoming pregnant with women who did not.

They found that women who had had surgery were about 30 percent as likely to develop gestational diabetes, which can lead to pre-eclampsia, low blood sugar, birth defects and miscarriage. They were about 40 percent as likely to have overly large babies, whose challenges can include lung and blood problems.

The outcomes were worse in some categories. Women who had surgery were twice as likely to have babies who were small for their gestational age, suggesting the need for better nutrition for pregnant women with surgically-reduced stomachs. And more of their babies were stillborn or died within a month after birth, although the number of such deaths in each group was very small and might have been due to chance, experts and the authors said. There was no significant difference in rates of premature births or babies with birth defects.

The study via NEJM -


Maternal obesity is associated with increased risks of gestational diabetes, large-for-gestational-age infants, preterm birth, congenital malformations, and stillbirth. The risks of these outcomes among women who have undergone bariatric surgery are unclear.


We identified 627,693 singleton pregnancies in the Swedish Medical Birth Register from 2006 through 2011, of which 670 occurred in women who had previously undergone bariatric surgery and for whom presurgery weight was documented. For each pregnancy after bariatric surgery, up to five control pregnancies were matched for the mother’s presurgery body-mass index (BMI; we used early-pregnancy BMI in the controls), age, parity, smoking history, educational level, and delivery year. We assessed the risks of gestational diabetes, large-for-gestational-age and small-for-gestational-age infants, preterm birth, stillbirth, neonatal death, and major congenital malformations.


Pregnancies after bariatric surgery, as compared with matched control pregnancies, were associated with lower risks of gestational diabetes (1.9% vs. 6.8%; odds ratio, 0.25; 95% confidence interval [CI], 0.13 to 0.47; P<0.001) and large-for-gestational-age infants (8.6% vs. 22.4%; odds ratio, 0.33; 95% CI, 0.24 to 0.44; P<0.001). In contrast, they were associated with a higher risk of small-for-gestational-age infants (15.6% vs. 7.6%; odds ratio, 2.20; 95% CI, 1.64 to 2.95; P<0.001) and shorter gestation (273.0 vs. 277.5 days; mean difference −4.5 days; 95% CI, −2.9 to −6.0; P<0.001), although the risk of preterm birth was not significantly different (10.0% vs. 7.5%; odds ratio, 1.28; 95% CI, 0.92 to 1.78; P=0.15). The risk of stillbirth or neonatal death was 1.7% versus 0.7% (odds ratio, 2.39; 95% CI, 0.98 to 5.85; P=0.06). There was no significant between-group difference in the frequency of congenital malformations.


Bariatric surgery was associated with reduced risks of gestational diabetes and excessive fetal growth, shorter gestation, an increased risk of small-for-gestational-age infants, and possibly increased mortality. (Funded by the Swedish Research Council and others.)

PS.  Post RNY baby is eight years and four months old now.  She's fine.


Honey Boo Boo Weight Intervention

Sometimes there are no words, yet there are so. many. words.  It's hard to choose them.

Why is this a story? Why is it relevant?

Regardless of your feelings of Mama June's "parenting" for what it is -- or isn't -- (or why it is vastly different than yours or what you grew up with) this child is quite typical of an American Child.

Maybe she's an American Child times twenty plus some considering her life has been under a media microscope since she was very small, and she has been brought up to act for the cameras.  What we see of this kid is so many of the things in our own children that are enhanced because cameras-in-her-face-act-more-goofy-we're-getting-paid for this.

And I know it makes you uncomfortable.  (I know it does.  That is why you watch it, or that is why you must comment about NOT watching because "That Poor Girl, Bless Her Heart!"  Shut up.)

Don't pretend she isn't realistic -- kids with overweight and obesity are quite the norm.  Even those with somewhat healthy, active lifestyles. 

I used to get comments about my youngest ... "She's just like Honey Boo-Boo."  I never really knew if those who said it meant that she was overweight, or hyperactive.  Because all of my kids are diagnosed overweight or obese

But I am not Mama June.

We do not eat like the Mama June household.    But, that said, overweight still occurs.  

I'd ask you to ask my youngest what her favorite food is.

It's gluten free organic vegan burritos.  Thank-you.  They are expensive, so if you'd like to send a case? PLEASE DO.  I think they're on my Amazon Wish List.  LMAO. 

But why is it that her childhood obesity is a "problem" for us and requires an intervention a la The Doctors?  Because the public consumed her lifestyle and promoted it by reality television?  This child's weight is not our business.  

A lot of it is probably our fault for promoting and exploiting it.  

Stop pushing reality television.  

Permitters and Restrictors.


Trader Joe's Greens, Beans and Grains Review


I live in the forest food desert where food delivery would be nice by drone.  (No, really.  Seven feet of snow. SEND. FOOD.  SEND. RATIONS.  SEND TOILET PAPER.  Don't think I am not serious.)

Someone should create a quasi-healthy-food-drop service to my area and I would even accept Trader Joe's because I am between two of their locations and not within driving distance (I don't drive, still, brain still not participating in life skills training here) and haven't stepped foot inside one but once this past year or even two.  I am so out of touch with what is On Store Shelves, guys.  If you have something to tell me about, tell me, I mean that - I see nothing.

And that was last week.  I cleared out a shelf of $100 worth frozen vegetarian products. 

Because that is the way I eat now (yeah, we haven't spoken much on the blog have we?  Because... I don't know...) so when I find something I like and likes me back in the bowel I BUY THEM ALL AT ONCE.  I took a risk on this product "Trader Joe's Greens Beans And Grains" and assumed it would like me back 'cause WHY NOT?!  I have been forcing myself to eat The Greens! The Beans and The Grains! in any form I find for a while now because I spent years being afraid to do so -- and I think my gut became afraid to digest!  (Short story, it took a while to acclimate to real foods, but it works.  Most of the time.)

This product.  I didn't read the label closely.  I just saw GREENS and grabbed it because I thought "Yummy, I love greens and it's prolly vegetarian and it's gotta be good," and the calorie count was low.

But, it's not what I thought it was.  I was thinking a smoky-greeny concoction - it isn't at all - and I think they probably should have named it WHAT IT ACTUALLY IS!  

Peanut (...inspired, like?) Stew!  Maybe they didn't because people might not have bought it?  I honestly probably would not have bought it if I saw peanuts AT ALL.  Good move, TJ's.

"If you're familiar with West African cuisine, you might find our Greens, Beans and Grains similar to a traditional peanut soup or stew; albeit with a Trader Joe's influenced interpretation. In place of the collard greens typical in an African version, we've chosen kale as the Green to accompany our beans and grains. Kale is the primary reason this entrée delivers so generously on vitamin A, vitamin C, iron, calcium, protein, and dietary fiber.

But just because kale/greens are named first, don't assume that's the only standout here.  On the contrary, garbanzo beans play a pivotal role, filling in where West African cooks may utilize peanuts. They add fiber, protein, and iron, as well as super taste and texture. (We haven't left the peanuts out entirely, though, so peanut lovers rejoice!) As for the Grain portion of the show, we went with whole wheat couscous, a traditional ingredient in West African & North African cooking. All together, Greens, Beans and Grains is simmered in a vegetable stock with tomatoes, seasoned with garlic, onion, cilantro, cumin, coriander, caraway, cayenne, lemon juice, and salt - it's the spices that really play up the African connection and give the dish its memorable flavors.

We developed Greens, Beans and Grains with our supplier, and it's only available at your neighborhood Trader Joe's. We're selling each nine ounce package - an excellent single meal size - for $2.99, every day. You'll find it in our freezers."

I have eaten it twice now.  

It is not an attractive meal.  It's what my youngest calls bum-bums, and this?  Is bums in sauce.  


The first time, I microwaved it for the allotted time and ate the two sides separately and it was just too spicy.  I actually walked away from it.  I was dipping the couscous into the chickpeas and left some of the sauce behind.  

This morning, I cooked it a little less, and plated the entire concoction together.  I liked it much more this way.  I added a spoonful of Greek Yogurt on the side to kill the heat because I am a wuss, and I really enjoyed it.  I found that the couscous mixed with the peanut sauce was super moist and totally filling. 

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That said, I am still a gastric bypass post op, although at my stage (nearly 11 years) I can eat the entire portion, I would NOT eat this product as an early-stage post op, make sure you are cleared for legumes, nuts, greens and pasta.  It's full of ALL OF THEM. And damn it, I AM EATING THEM.  :P

But, I liked it enough.  BECAUSE VEGETABLES.

  • Via - Trader Joes
  • Price - $2.99
  • Pros - Greens! Beans! Grains! Vegetarian, Under 300 calories.
  • Cons - Ugly as sin.
  • Rating - Pouchworthy when you can digest it. 


Weight Loss RX = FIBER



Adopting a vegetarian diet causes weight loss, even in the absence of exercise or calorie counting, according to a new meta-analysis published as an online advance in the Journal of the Academy of Nutrition and Dietetics on Thursday, Jan. 22, 2015.

The mega-review analyzed 15 studies, conducted with 755 participants in Finland, Norway, Poland, Spain, Sweden, and the United States. The studies varied in length, from as short as four weeks to as long as two years, with an average weight loss of 10 pounds over a 44-week period.

“The take-home message is that a plant-based diet can help you lose weight without counting calories and without ramping up your exercise routine,” saysNeal Barnard, M.D., lead author of the study, president of the Physicians Committee, and an adjunct associate professor of medicine at the George Washington University School of Medicine and Health Sciences. “We hope health care providers will take note and prescribe this approach to patients looking to manage their weight and health.”

One of the secrets behind losing weight on a plant-based diet is to fill up with fiber. The Physicians Committee recommends consuming close to 40 grams of fiber a day, which is easy to do when you move vegetables, fruits, whole grains, and legumes to the center of your plate.

More than 1.4 billion adults worldwide are overweight and at increased risk for type 2 diabetes, heart disease, osteoarthritis, and certain forms of cancer.

“If you’re overweight, losing just 5 to 10 percent of your body weight can slash the risk of both type 2 diabetes and cardiovascular disease,” says Susan Levin, M.S., R.D., C.S.S.D., a study author and director of nutrition education for the Physicians Committee. “As the weight comes off, you’ll start to see blood pressure, blood sugar, triglycerides, and cholesterol fall right along with it.”


This Girl Can.

I saw this video floating around a couple of weeks ago but did not click it. I just did - and glad I did. I enjoyed it, aside from the use of one phrase I don't particularly ... like?

It's inspiring for those who struggle with exercise and body image. (Because, yes.)

Fexaramine Tricks Mice Into Losing Weight Without Food?!

Lose weight without worrying about food? Imagine this?!

Via Popular Science "Safe and effective weight loss doesn't yet come in a pill, but maybe one day it will. A new study has found a chemical that keeps mice from gaining weight through overeating. The drug also seemed to protect lab mice from some of the harmful effects of obesity: When researchers measured the mice's blood, they found reduced levels of insulin, cholesterol, and other molecules, compared to obese mice who didn't get the drug."

'Imaginary meal' tricks the body into losing weight - Salk Institute - News Release.

“This pill is like an imaginary meal,” says Ronald Evans, director of Salk’s Gene Expression Laboratoryand senior author of the new paper, published January 5, 2014 in Nature Medicine. “It sends out the same signals that normally happen when you eat a lot of food, so the body starts clearing out space to store it. But there are no calories and no change in appetite.”

In the United States, more than a third of adults are obese and 29.1 million people have diabetes, according to the Centers for Disease Control and Prevention. Both obesity and diabetes lead to an increase in health spending, a greater risk of health complications and a shorter lifespan.


Study -



Katie Hopkins: My Fat Story

Discovery -

Premieres Friday 2nd January, 9.00pm

Outspoken TV personality, Katie Hopkins has hit the headlines for her controversial views on obesity; insisting that fat people are lazy, saying that she would not employ someone who is overweight, and claiming that losing weight is easy. Earlier this year Katie hit the headlines again revealing her new three stone heavier figure. Sick of hearing people's excuses for being overweight and justifying Britain's obesity crisis, Katie had decided to prove her argument by piling on the pounds to experience being weight, before attempting to lose it again by simply eating less and moving more. This two-part special exclusively follows Katie through every step of her project, as she struggles to put the weight on and deal with her increasing size, and then as she loses the weight. Will she prove her point or will she have to eat her own words?

Probably not.  It's different in the UK right now, the National Health System is socialised medicine, and the patients have their weight-loss surgeries done "on the system" sometimes waiting a long time for treatment -- and people may feel differently about the care being done on the UK's dime.  

I suppose I'd have to watch it, and it's meant to be inflammatory.   I mean -- "FAT PEOPLE ARE LAZY."

Really.  Throw that out there and watch the reaction.  BAIT.  FLAME.  RAWR.

Would you watch?  What do you think?

Exercise improves insulin sensitivity after gastric bypass

Clinical trial demonstrates additive effect of exercise following gastric bypass.   

So. do. it.  I know, I know, easier said than done. 

Over 75 million adults in the US are obese. These individuals are predisposed to health complications, including diabetes, heart disease, and cancer. Gastric bypass surgery results in dramatic weight loss and can improve diabetes symptoms in obese patients. A new study in the Journal of Clinical Investigation reveals that exercise following bypass surgery provides additional benefit for obese patients. Bret Goodpaster and colleagues at the University of Pittsburgh conducted a study on individuals that had recently undergone gastric bypass surgery. One group followed a moderate exercise protocol for 6 months, while the control group underwent a health education program. Individuals in both groups exhibited dramatic weight loss and reduced fat mass. However, individuals in the exercise group had improved insulin sensitivity and cardiovascular fitness. The results of this study support the inclusion of an exercise program following gastric bypass surgery.

Read the article released earlier this week in JCI:

Patients With Psychiatric Illness Require Close Watch After Bariatric Surgery

A study conducted in Brazil and presented at a poster session at the 2014 annual meeting of the International Federation for the Surgery of Obesity and Metabolic Disorders looked at six cases in which patients committed suicide or attempted suicide after bariatric surgery. The study did not specify the form of weight loss surgery that each patient underwent.

Continue reading "Patients With Psychiatric Illness Require Close Watch After Bariatric Surgery" »

If you're happy and you know it. #eatasnack

The most authentic commercial yet from Weight Watchers.  WW you win with this one, although it doesn't exactly motivate me to go sign up for your plan (...was that the goal -- because I didn't catch that vibe, I just laughed and wanted a snack for a second?) I still LOVE THIS because it's truth all right here for us emotional eaters.  

Sorry not sorry I agree.  


On getting old.

As many of you -- I have had lower back pain for years, and in my normal Beth way I have ignored it or (...don't tell anyone!) medicated it with NSAIDS off and on, and heat, and exercise, and stretching.  AND GOD DAMN IT, IT HURTS.


Source - Healio 

NSAID use is contraindicated in gastric bypass patients as it can cause serious ulcers.  I started popping them like candy recently.  No. good.


The back pain comes  in cycles and never really goes away.  It gets to the point where I cannot ignore it and I am currently in a Flare Of I Cannot Sit Down Or Sleep Or Lay Down And Nothing Feels Right EXCEPT getting on my knees in 'downward dog' position.  When I describe it to other people they chime in with "Yep.  I live this." 

I had my husband take me to the urgent care MD on the weekend for X-Rays.  They show disc degeneration. No surprise. I suppose after ignoring it -- plus a few years of massive obesity, plus four pregnancies, losing all of the weight plus eating haphazardly and vitamin-deficiencies, it shouldn't be a surprise.  


I was prescribed an anti-epileptic drug instead of a pain-medicine, at my request because I do not want to be sedated, and that I am epileptic.  

Although as the doctor was describing the medication's side effects to me, he explained that it might cause "sedation, dizziness," and I stated, "... that it isn't like I do anything important anyway, I'm not using heavy machinery as it is."  

I do not know that he got my seizure humor. 

I don't feel much relief from a few days of this added medication -- and I do not feel that it will be of help to the pain, but there are more options.  I think that I will need to use exercise somehow, because this, just isn't working.  

I can't sit.  I can't sleep.  


I have a broken ass.  I. am. old.