Tophia is either close to or has type 2 diabetes

It’s probably a mixture of all 3 but the possibility of diabetes is very much real

i can be also that but look at tophia’s diet and lifestyle. its most likely insulin resistance

Don’t forget her “diet” that consists of everything but vegetables

nah 4

The only cure is intervenous Mountain Dew infusions 💀

Just another thing she's resisting in life

Yup! Could be a sign of diabetes but that’s because this sign is an indicator of insulin resistance (opposite of sensitive; body has to make more insulin than normal to keep regulated blood sugars). This is best attributed to her unmanaged polycystic ovarian syndrome (PCOS). She probably has irregular (if any) periods (of actual bleeding), but she will still have the hormonal changes. PCOS women are at a higher likelihood for Pre-Menstrual Distress Disorder (PMDD), which means emotionally you feel the week before your period and just physically “meh” when it’s period week. My PMDD is a result of my body basically being “allergic” to progesterone, even though I don’t make enough of the hormone to trigger a period. To shed the uterine lining, a progesterone “superpack” with like a week or two of pills to take and then you have the worst next two weeks of your life. Just bleeding and cramps and so messy. Unreasonable amount of blood. 2-3 a year are recommend unless your uterine lining is especially thin. I suspect Tophia doesn’t have regular periods (or any), either. Dark under arms and darkening inside of thighs are some of the other things people make fun of her for due to the insulin resistance, including her neck. Her weight being focused in her stomach as well gets her a lot of shit, and this results from higher testosterone and androgen levels which places new weight around mid-section. Also correlates to high cortisol production (stress hormone). The hump of fat at the top of her neck is the same deal with weight distribution. As far as I know, you can only manage insulin/PCOS weight loss will not help some issues and is astronomically harder to loose the weight. Takes years and years of diet and exercise change to MAYBE lighten up the spots. Some kind of hormonal birth control (for weight distribution, excessive hair growth especially on her face, hormone regulation) and some metformin would almost definitely benefit her. Her cholesterol is 100% through the roof with all the fried and processed food she eats. Needs a statin for cholesterol, and I have no doubts and I don’t see how she doesn’t have NAFLD. Thirsty could mean she could be pre-diabetic, but it’s more likely she is just homeless in Albuquerque and dehydrated. She’s a little young for diabetes and it’s got a large genetic factor (as far as I know, no immediate relatives with diabetes). Have we seen her drink anything but water? And being in New Mexico and walking around/being outside, she’s sweating more too. Weight-loss recommendations say to drink half your body weight in lbs in ounces of water but standard water needed for most people is around 64 oz (gallon). And no way in hell she drinks that much liquid, much less drinks that much water. She needs just as much help taking care of herself as Mamachu does and it’s because of this “learned helplessness” and basic lack of life skills that entire family has. Of course her intellectual issues don’t help and shame on Mamachu/Papachu for not getting their kids the help they needed in school. She needs a comprehensive metabolic panel with vitamins/minerals and hormones. She needs a PCP (primary care/family doctor) (Tophia and Marie should try and see the same doctor) and a gynecologist (BC, uterine ultrasound). May also refer her to endocrinologist (blood sugar, hormone management/HRT). Both need an optometrist and DENTIST. And honestly like some kind of home health aid/help in making sure they are doing what they need too and holding them accountable but I don’t think those exist. And if they do the government certainly isn’t going to pay for one. Many such cases. But she’s kinda a piece of shit sooooo lmao

Yep.

Starting to realise what the lack of water can do

That tea she drinks is full of sugar 49 grams of sugar. I remember when she was in the apartment she would drink like three can of Mountain Dew on live 🤮

I had to do a double take, this look like my kitty that passed away. But I approve this with my black heart 🖤

This! It’s all connected and could be treated which would improve her quality of life so much but then she couldn’t be the victim anymore…

That isn’t always the case though.

Anecdotally I have PCOS and the insulin resistance that comes with it but I am neither pre diabetic or diabetic. The insulin resistance can cause the same dark skin as diabetes.

It really depends on the person though, and I’m sure with the junk Tofupa eats it is probably diabetes. Not to defend her at all, just trying to share some background on PCOS!!!