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After seeing thousands of patients in both internal medicine and psychiatry, I’ve come to believe this: The biggest thing holding most people back isn’t external. It’s themself... or more precisely, the version of themself that was "shaped" to survive. Let me explain.

The most brilliant way to change your life (order matters): 1. Decide that you never want to feel/do X ever again. 2. Then, take full accountability for changing it. 3. Put a trusted friend/therapist in your corner. Self-love = no longer accepting a life you are unhappy with.

The longer you avoid your emotions, the more emotional your life becomes.

🚨 The older the sperm, the more likely it is to cause autism Sequencing sperm using nearly error-free sequencing → measure % sperm carrying disease-causing mutations: 2% at age 30 → 4.5% at 70 Most were autism genes New paper in nature today 🧵