I have mentioned this before, but I have a rare metabolic disorder where the prescribed diet is very high in carbohydrates. A drop of as little as ten percent

I have mentioned this before, but I have a rare metabolic disorder where the prescribed diet is very high in carbohydrates. A drop of as little as ten percent in caloric consumption can send me to the ER. And there's a lot of rolling the dice if I skip a meal (or don't eat enough, or sleep enough, or get a cold, or have alcohol, or ...): pain will come. I have a window where I have to make a decision: do I take medications, which work just fine but also leave me non-functional? Or do I just carb up? If I roll the dice and get too sick, it is off to the ER, where along with the industrial painkillers, they want to drop a full pound of sucrose (not a volume, a weight) into my IV over twenty-four hours. And exercise triggers the same metabolic pathways set off by dieting. Exercise is not a great way to lose weight, abs are made in the kitchen, but I had hoped that at least that was available. Consequently, if I want to get my weight back down, I have to just keep at a minimal level of misery, keep the pills at hand, and hope my luck holds. Prior to all of this, I could just ... eat very little, or fast if I felt like it. Now, I am being trained via negative reinforcement to just ... chow down on the carbs.