ironically my liver health, blood sugar, cholesterol, etc. are all in within very good ranges.
ditto BMI and body fat.
i probably do objectively drink far more than your average 36yo at this point – more circumstantial than anything else; i'm living in tokyo and going out to music venues a few times a week whereas half my friends have moved out to the boonies to their wives and incoming children – but look younger and have a healthier liver than most of them. truly a genetic lottery. great metabolism and genes (god bless those 13th century knights errant).
i do practically zero exercise, and my diastolic blood pressure is a little higher than average for my age (systolic within normal, healthy range). probably should take up a brisk walk every day to break out of my near-permanent state of WFH inactivity (i'm very much seasonal and fairweather about these things at the moment, hiking and mountainclimbing during the months of good weather but very much a slug when its too humid/cold).
the lack of B12 is a mystery to me, but i'm not a vegan and consume meat several times a week (lack of dairy/meat produce being the standard etiology). but all the symptoms are a perfect match with my general description w/r/t frequent fatigue, advanced grouchiness when tired, low levels of energy and motivation, etc. its been kind of hard to disentangle those symptoms historically from the near-permanent process of recovering from the latest hangover or comedown. so that means likely it's some sort of absorption or gastrointestinal thing. i did zap myself with heavy courses of antibiotics a few times in my 30s for one thing and another, and it did take me a while to build back up a good gut biome ... (thanks korean kimchi and japanese yakult).
wouldn't surprise me tbh if frequent cocaine use ate up half the good vitamins and minerals in my body in my 20s. and lord knows what else it was being cut with. probably stripped my marrow like a rare-earth mine. i've read that B12 levels can take 2–5 years to build up and be spent; it's a very long term thing, so not something you necessarily notice you're deficient in overnight, or with local/recent changes to diet or lifestyle.
Last edited by uziq (2026-01-10 04:16:31)