my doctor prescribed me with paxil 4 weeks ago, but he failed to tell me that id gain weight. i have already gained weight since, but i havnt changed my eating habits or exercise regime. i ecxercise almost everyday and eat super healthy like i did before paxil, but i still gained weight. i researched it, and the reason is an enzyme in your liver that is called leptin. leptin naturally controls your metabolism, but on the drug it slows it down. that means that you gain weight very easily and without any control. since finding this out, ive stopped right away. i dont want to gain weight, i feel like that would make me feel even worse. i refuse to take a drug that can screw me up like that. i researched all the different physcotic SSRI drugs, and sadly all of them have weight gain as a side effect because they all effect your leptin levels. Ive only heard of a few storys about people who actually LOST weight on the drug,and thats probably only due to the side effects of nausea and diahhrea which only last the first week at the most. The only way ive heard that you can counter the weight gain, is to take OMEGA 3 and VITAMIN E (naturally in fish and green vegtables) that could boost your metabalism, but im not taking the risk. For some people, the weight gain might be worth it if it works for their deppression or anxiety. its up to you ,as long as you are aware of the unfortunate side effects.
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I definitely agree that how donros allocate funds can be pretty problematic. I guess I objected more to the initial framing of the issue as being primarily an NGO-centric problem. Not that NGOs aren't completely blameless by any means. As you say, there are plenty of instances of NGOs taking money that they have no real capacity to use effectively. When it comes to addressing the problem though, I'm inclined to focus on changing donor behavior rather than changing recipient behavior. Not because one should shoulder more of the blame than another but because convincing cash-strapped NGOs to voluntarily turn down money strikes me as a lot less difficult than convincing donros not to offer it in the first place.I'm definitely with you regarding the point that a lot of aid workers both want to help and want to travel. I just think that it's a bit of a jump to go from the general existence of that mindset to having that mindset actively inform operational decision-making. I think a desire to live and work internationally gets people into aid work, I'm less convinced that it shapes strategic direction. NGOs like to talk about how many different countries they work in, but it seems to me to be a byproduct of other processes, not an end in itself.
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