Orthorexia?
PapaChanoli
Posts: 178 Member
Replies
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It probably exists. It's probably really rare. It's (inaccurately) tossed around as a label on here ridiculously often.
ETA: Some schmo even called me orthorexic on here once. :laugh: :laugh:0 -
I first came across this term at a WPA conference in the spring of 2009. It made sense then and it makes sense now. I think it's unfortunate that the term gets thrown around and interpreted more as an insult than anything else at this point in time. As the article pointed out, eating disorders tend to be comorbid with anxiety and OCD as well as tend to have an underlying need to have control. I'll be definitely interested to see if it makes it into the DSM in the next few years.
I think it's important to note that just as everyone who calorie restricts isn't anorexic, not everyone who decides to pursue a healthier diet, however that is defined by the person, is orthorexic.0 -
Good input so far. Thanks.0
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How do you get it.....cuz I need it....like now0
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How do you get it.....cuz I need it....like now
The quick way would be to decide that organic celery or ice cream are the only safe, healthy foods on earth and eat'em exclusively for the long term.
I'm willing to bet the celery diet would suck quicker than the ice cream diet. Both would suck pretty quickly.0 -
Yes, good article, and very eye opening. I see a lot of postings here where people obsess severe food type restriction and cutting out certain types of food to lose weight. Many people wonder why they don't lose weight with food type restriction too.
Weight loss is about eating the foods you always eat, just eating less.0 -
How do you get it.....cuz I need it....like now0
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How do you get it.....cuz I need it....like now
Sad to joke about actual disorders...0 -
How do you get it.....cuz I need it....like now
Sad to joke about actual disorders...
This.
I get that you were trying to be funny - but its like saying I wish I had OCD, my house needs a good clean.
Not funny and insulting to people who have the actual disorder.
OP, yes, I can understand orthorexia as a mental disorder - sort of OCD and ED combination.
Like many other new terms, it does get thrown around indiscriminately so people need to be careful about doing that.0 -
For my part, I definitely see some legitimacy in this being a disorder, and a very difficult one. I also see potential for the term to be abused on sites like this one.
Sadly, I may know at least one person who fits almost all of these criteria. I can't imagine how difficult the topic would be to bring up, let alone discuss. It forces you to attack their perceived value of how they take care of themselves.
It's still interesting and helpful (for the discriminating mind) to bounce the topic around on sites like this. Who knows, there may even be a quiet observer who will see it as a reflection of their own troubles and seek help.0 -
Yes, good article, and very eye opening. I see a lot of postings here where people obsess severe food type restriction and cutting out certain types of food to lose weight. Many people wonder why they don't lose weight with food type restriction too.
Weight loss is about eating the foods you always eat, just eating less.0 -
Yes, good article, and very eye opening. I see a lot of postings here where people obsess severe food type restriction and cutting out certain types of food to lose weight. Many people wonder why they don't lose weight with food type restriction too.
Weight loss is about eating the foods you always eat, just eating less.
However, the article indicates that severe food restriction can lead to orthorexia. I make no judgment on whether anyone here has it or not.
Believe me, I've done the severe food restriction before, and I'm certainly glad I don't do it any more. It's taken a long while for me to get out of this mindset. Now I believe in moderation in everything. But, again, that's just me and has nothing to do with you or anyone else.0 -
This article about a vegan blogger suffering and trying to recover from orthorexia was (for me) a good way to understand what orthorexia really is. Not just setting a lot of limits (food wise), but suffering from those limits and not knowing what to do to feel normal about food.
http://www.theblondevegan.com/2014/06/23/why-im-transitioning-away-from-veganism/
Here's a quote from it:
"I started living in a bubble of restriction. Entirely vegan, entirely plant-based, entirely gluten-free, oil-free, refined sugar-free, flour-free, dressing/sauce-free, etc. and lived my life based off of when I could and could not eat and what I could and could not combine. There is nothing wrong with any of those things (many of them are great, actually!!) but my body didn’t feel GOOD & I wasn’t listening to it.
Does that sound crazy to you?
Yeah, it sounds crazy to me too. My wake up call came when one of my best friends was in town and we went to get smoothies at Juice Press before spending the day in Central Park. We went to Juice Press because I was the difficult one– I was very limited when it came to breakfast foods, and my friends suggested Juice Press knowing it would make things easier on everyone.
I knew which juice I wanted long before we headed over… A green juice with a tiny bit of apple but not their green juice with more apple juice because that one was too sugary. (If you’re familiar with JP, I wanted ‘Series B’.) We got there, and they didn’t have it. I stared at the juices and smoothies and raw food for a good 15 minutes, panicking, because I had no idea how I was going to navigate this setback. By this time my two friends already had their smoothies and were nearly done with them. Since they’ve known me forever and they know my issues with decision making… They were patient.
Eventually my roomie Katie suggested we walk to a different Juice Press location, a mile out of our way, to get the juice I wanted. I was so relieved… Or so I convinced myself. My stomach was in knots because I had hardly eaten for days, and my body wasn’t sure it could even walk a mile without any sustenance. And we were at a raw food juice bar! A place where everything on the menu was vegan! I should NOT have been feeling so limited and so helpless."0 -
I was actually wondering that about my sister. We went on vacation together, and she told me that now she is not only vegetarian and avoiding sugar, but gluten free. She claims giving up all these foods improve her mood and energy, but she is also quite thin, and one wonders -- well, what can you actually eat? How many calories can you get just eating fruits and vegetables? She did splurge on ice cream a few times, which is a good sign.0
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This article about a vegan blogger suffering and trying to recover from orthorexia was (for me) a good way to understand what orthorexia really is. Not just setting a lot of limits (food wise), but suffering from those limits and not knowing what to do to feel normal about food.
http://www.theblondevegan.com/2014/06/23/why-im-transitioning-away-from-veganism/
Here's a quote from it:
"I started living in a bubble of restriction. Entirely vegan, entirely plant-based, entirely gluten-free, oil-free, refined sugar-free, flour-free, dressing/sauce-free, etc. and lived my life based off of when I could and could not eat and what I could and could not combine. There is nothing wrong with any of those things (many of them are great, actually!!) but my body didn’t feel GOOD & I wasn’t listening to it.
Does that sound crazy to you?
Yeah, it sounds crazy to me too. My wake up call came when one of my best friends was in town and we went to get smoothies at Juice Press before spending the day in Central Park. We went to Juice Press because I was the difficult one– I was very limited when it came to breakfast foods, and my friends suggested Juice Press knowing it would make things easier on everyone.
I knew which juice I wanted long before we headed over… A green juice with a tiny bit of apple but not their green juice with more apple juice because that one was too sugary. (If you’re familiar with JP, I wanted ‘Series B’.) We got there, and they didn’t have it. I stared at the juices and smoothies and raw food for a good 15 minutes, panicking, because I had no idea how I was going to navigate this setback. By this time my two friends already had their smoothies and were nearly done with them. Since they’ve known me forever and they know my issues with decision making… They were patient.
Eventually my roomie Katie suggested we walk to a different Juice Press location, a mile out of our way, to get the juice I wanted. I was so relieved… Or so I convinced myself. My stomach was in knots because I had hardly eaten for days, and my body wasn’t sure it could even walk a mile without any sustenance. And we were at a raw food juice bar! A place where everything on the menu was vegan! I should NOT have been feeling so limited and so helpless."
Thank so much for sharing that.
My severe food restrictions were around foods that were on my "fattening" list: cakes, cookies, candies, ice cream/frozen dairy deserts, anything processed with sugar), red meat, pork, breads, eggs, oils, anything that had more than 10% fat in it. Therefore, what I allowed myself was fruit, vegetables, salads (luckily I don't like dressing at all), I also had convinced myself I was allergic to granulated sugar. If I ate outside of these foods I felt like I was "cheating" on my "diet" and would then go all out and binge.
I don't know what I describe is even related to orthorexia, but for me it was heading down a dangerous road because (1) I could not do proper portion control because I missed the foods I loved, therefore I binged, and (2) I didn't have a whole lot of energy to move as much as I felt I needed to.
It took me years to work on this mindset and to realize that no food in and of itself is good or bad. Food is just food. It's going to take me the same amount of calories to lose, gain, or maintain, no matter what eat. Once I realized this, and I began to understand that I can eat foods I love in moderation, a whole new world opened up to me.
An example is today. My man made some of the most wonderful zucchini bread from scratch. He had all the nutrition information and everything. When I was doing food restriction, I would have steered clear of it because it was fattening and I was not allowed fattening food. Today, I weighed a piece out, logged it, put a measured portion of butter on it, and I enjoyed every single bite.
When he asked me if I wanted to take some with me I said no thank you. His comment was, "well, it's pretty healthy." I said, "I don't doubt that, but I don't want to spend all my calories on any one thing." Also, that wonderful piece I had was enough for me, where it the past it would not have been.
To add to what I said above, there is nothing wrong with restricting trigger foods that you feel you are not ready to have in your diet.0 -
exists, i suffer with this really0
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Ulwaz, could you expand a bit on how this affects you - as with posters above, it is really informative to hear from someone with this problem?0
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I've never heard of this before but hugs to anyone who suffers from it. I cannot imagine what it must be like though I can relate to being a prisoner of your own thoughts and rituals.0
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I've never heard of this before but hugs to anyone who suffers from it. I cannot imagine what it must be like though I can relate to being a prisoner of your own thoughts and rituals.0
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Disordered eating can range from the unhealthy to seemingly healthy. An interesting thing I read about orthorexia is that it affects the middle/upper class who are educated and have access to lots of information regarding health. And who have the time/money to invest in overexercising and only eating organic/grainfed/vegan - whatever the trend of choice is.0
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My grandmother was orthorexic, for the last thirty years of her life. She thought she could manage her real health issues by managing her diet. She disregarded the advice of doctors and nutritionists and believed she had a magic formula to fix her problems. She only became sicker as her body became more malnourished. Her final primary care phys did identify her behavior as ortho/anorexic. It was too late, she weighed only 72 lbs and it was certainly a contributing factor in her death.0
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Hi Rosebette,
It is wonderful that you are noticing what is going on with your sister and that you are on the look out for her
I am in an eating disorder support group, and the facilitator talks often about how part of having an eating disorder is not only that a person reduces the amount they eat, but that their food choices tend to get narrower and narrower, until the person is eating a very narrow range. That narrowing of food groups out of a quest for health can end up being unhealthy and dangerous.
Yet restricting this food or that is becoming so much the societal norm, and is regarded as admirable, often times, or demonstrating restraint and will power, and is seen as healthy. When in reality, it can get unhealthy, and kick off restricting more and more types of foods.
So part of our recovery is to not only stop restricting calories, but to expand the range of foods we eat (yes, sitting down with an oreo cookie or an ice cream bar) with the recognition that no one food is going to harm us if eaten in moderation. So we have to work through the fear of trying one new (forbidden) food at a time and expanding our range.
And noticing that the oreo didn't strike us dead
I don't have anything in particular to say about your sister's situation, because only a qualified professional can really evaluate a person's eating attitudes and behaviors.
But I think it's great that you are noticing what is going on with her, and perhaps you can encourage the idea that restricting more and more food types, for some people, can start to snowball, and get kind of addictive, and to try not to restrict any group of foods entirely, because no food is harmful if eaten in moderation, and as the American Dietetic Dietitian puts it, "All foods can fit in a healthy diet."
I think orthorexics may feel that it is easier to cut out an entire group than to try to eat it in moderation. They may be afraid of losing control if they allow themselves to have a little bit of something. But that is the case with restricting in general: restricting calories causes bingeing, and restricting certain foods can cause bingeing on that food. In your sister's case, she might benefit from noticing over time that if she tries to be too pure, she's super hungry and hitting the ice cream (too hard, not that she did, but this might happen if she restricts too much), when she might have been better off allowing herself her usual foods, such as a sandwich and dessert in moderation.
If it does get worse, or if you think she might be getting unhealthy physically or psychologically, please urge her to get evaluated by a qualified professional who specializes in the treatment of eating disorders. There are so many wonderful resources, especially in N. California, including free support groups, etc. and the sooner someone gets diagnosed and treated, the easier it is for them to recover. Also, most eating disorder support groups and professionals gladly welcome people who are subclinical in their behaviors, they don't have to meet all the criteria for an e.d. to be welcomed.
Many of us with e.d.'s don't fit all the criteria as laid out in the DSM, yet receive wonderful support.
She is lucky to have you: a caring sister.0 -
Ironically, she is seeing a therapist for other issues, who actually encouraged her to start giving up sugar and carbs (she was already a vegetarian for moral reasons) because doing this would lift her mood and give her more energy. I sometimes wonder if some in the medical community are encouraging orthaxia -- oh, you have this or that -- no carbs, no fat, no this, no that...... for people who don't have serious medical conditions.
Actually, on vacation, she seemed pretty happy -- she wasn't overeating by any means, but there were 3 full-fat ice cream places within walking distance from where we were staying, and she ate there 3 times -- she only had the small each time, not exactly a binge, but I wonder if she was actually unconsciously replacing some of the proteins and fats she was missing in her diet. The vacation was very healthy for her as far as her mood.0 -
My grandmother was orthorexic, for the last thirty years of her life. She thought she could manage her real health issues by managing her diet. She disregarded the advice of doctors and nutritionists and believed she had a magic formula to fix her problems. She only became sicker as her body became more malnourished. Her final primary care phys did identify her behavior as ortho/anorexic. It was too late, she weighed only 72 lbs and it was certainly a contributing factor in her death.0
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Awesome communication. Thanks for all the input.0
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Technically it's not a recognized disorder. Yet. There are many in the field who want it to be recognized, as when someone suffers from it.. it legitimately interferes with their life. As it stands, it is most likely a form of OSFED (formally EDNOS; other forms of this are purging disorder, atypical anorexia, exercise addiction, and thinks of the like). Yes, I do believe it is a legitimate problem. The difference between it and people who are, genuinely, pursuing a healthy lifestyle.. is that the person with orthorexia becomes obsessed with their perceived healthy lifestyle. They, like everyone with an eating disorder, lose sight of the bigger picture. They get pleasure from food only when they perceive it to be healthy. They may exercise only because they believe they should, and not because they actually feel like they want to. They turn away from social events for fear of having to face food or situations that they do not deem healthy or righteous. It is, literally, a disordered thought pattern concerning exercise and food. And as such, it should be classified as a feeding and eating disorder.
My current eating disorder began with orthorexic tendencies. I became obsessed with eating only foods that I thought were healthy. First, I cut out soda. Then, chocolate went. They, I went vegetarian. Then, fat free. Before I knew it, nothing felt safe anymore and I was restricting everything. Eating disorders aren't black and white. They cross lines a lot (at one point, I was actually a binge eater). Orthorexia, just like anorexia, bulimia, and binge eating disorder... can quickly consume the person. And that's the key difference between it and someone making healthy life style changes. That it consumes them. That they are not really happy with the changes. They obsess over them, and panic when they eat or do something that they do not consider healthy. Likewise, they may not even necessarily pursue an actually healthy diet. What they perceive to be healthy could, actually, be unhealthy in the grander scheme (not just psychologically - think strict 'mono diets' here).
I think that orthorexia and anorexia have many... similarities. I have heard from many people who fit the criteria for anorexia or atypical anorexia (restrictive OSFED) that they, also, relate to orthorexia. Or have at one point or another. And vice versa. The key difference, I believe, is that during orthorexia.. one is more fixated on eating 'healthy' than counting calories, the anorexia sufferer is usually more focused on calorie counting. That aside, it is not at all uncommon for anorexia sufferers to pick up gluten free, vegetarian, vegan, or low fat diets... perceiving them to be healthier. In general, any disordered eating behaviors and thought patterns about food could, hypothetically, be an eating disorder. Orthorexia has always existed, and I'm sure many people with OSFED fit the orthorexia definition. Now there is merely a name for it.
Also, it's not surprising that the word is flung around here. This is a calorie counting, weight loss, and exercise tracking website/app. It is going to attract people with eating disorders. Both... those of us who are and aren't in recovery from them.0 -
How do you get it.....cuz I need it....like now
Sad to joke about actual disorders...
This.
I get that you were trying to be funny - but its like saying I wish I had OCD, my house needs a good clean.
Not funny and insulting to people who have the actual disorder.
OP, yes, I can understand orthorexia as a mental disorder - sort of OCD and ED combination.
Like many other new terms, it does get thrown around indiscriminately so people need to be careful about doing that.
A lot of eating disorders (especially anorexia) are sometimes comorbid with OCD. And large similarities have been drawn between the two. So, that's kind of a given.
And yes, definitely not funny to joke about it. It's just as hurtful as when people tell me they wish they could go on my diet... even knowing about my ED. I get the joke, and I get that some people don't get it, but it can hurt.0 -
This article about a vegan blogger suffering and trying to recover from orthorexia was (for me) a good way to understand what orthorexia really is. Not just setting a lot of limits (food wise), but suffering from those limits and not knowing what to do to feel normal about food.
http://www.theblondevegan.com/2014/06/23/why-im-transitioning-away-from-veganism/
Here's a quote from it:
"I started living in a bubble of restriction. Entirely vegan, entirely plant-based, entirely gluten-free, oil-free, refined sugar-free, flour-free, dressing/sauce-free, etc. and lived my life based off of when I could and could not eat and what I could and could not combine. There is nothing wrong with any of those things (many of them are great, actually!!) but my body didn’t feel GOOD & I wasn’t listening to it.
Does that sound crazy to you?
Yeah, it sounds crazy to me too. My wake up call came when one of my best friends was in town and we went to get smoothies at Juice Press before spending the day in Central Park. We went to Juice Press because I was the difficult one– I was very limited when it came to breakfast foods, and my friends suggested Juice Press knowing it would make things easier on everyone.
I knew which juice I wanted long before we headed over… A green juice with a tiny bit of apple but not their green juice with more apple juice because that one was too sugary. (If you’re familiar with JP, I wanted ‘Series B’.) We got there, and they didn’t have it. I stared at the juices and smoothies and raw food for a good 15 minutes, panicking, because I had no idea how I was going to navigate this setback. By this time my two friends already had their smoothies and were nearly done with them. Since they’ve known me forever and they know my issues with decision making… They were patient.
Eventually my roomie Katie suggested we walk to a different Juice Press location, a mile out of our way, to get the juice I wanted. I was so relieved… Or so I convinced myself. My stomach was in knots because I had hardly eaten for days, and my body wasn’t sure it could even walk a mile without any sustenance. And we were at a raw food juice bar! A place where everything on the menu was vegan! I should NOT have been feeling so limited and so helpless."
Thank so much for sharing that.
My severe food restrictions were around foods that were on my "fattening" list: cakes, cookies, candies, ice cream/frozen dairy deserts, anything processed with sugar), red meat, pork, breads, eggs, oils, anything that had more than 10% fat in it. Therefore, what I allowed myself was fruit, vegetables, salads (luckily I don't like dressing at all), I also had convinced myself I was allergic to granulated sugar. If I ate outside of these foods I felt like I was "cheating" on my "diet" and would then go all out and binge.
I don't know what I describe is even related to orthorexia, but for me it was heading down a dangerous road because (1) I could not do proper portion control because I missed the foods I loved, therefore I binged, and (2) I didn't have a whole lot of energy to move as much as I felt I needed to.
It took me years to work on this mindset and to realize that no food in and of itself is good or bad. Food is just food. It's going to take me the same amount of calories to lose, gain, or maintain, no matter what eat. Once I realized this, and I began to understand that I can eat foods I love in moderation, a whole new world opened up to me.
An example is today. My man made some of the most wonderful zucchini bread from scratch. He had all the nutrition information and everything. When I was doing food restriction, I would have steered clear of it because it was fattening and I was not allowed fattening food. Today, I weighed a piece out, logged it, put a measured portion of butter on it, and I enjoyed every single bite.
When he asked me if I wanted to take some with me I said no thank you. His comment was, "well, it's pretty healthy." I said, "I don't doubt that, but I don't want to spend all my calories on any one thing." Also, that wonderful piece I had was enough for me, where it the past it would not have been.
To add to what I said above, there is nothing wrong with restricting trigger foods that you feel you are not ready to have in your diet.0 -
Technically it's not a recognized disorder. Yet. There are many in the field who want it to be recognized, as when someone suffers from it.. it legitimately interferes with their life. As it stands, it is most likely a form of OSFED (formally EDNOS; other forms of this are purging disorder, atypical anorexia, exercise addiction, and thinks of the like). Yes, I do believe it is a legitimate problem. The difference between it and people who are, genuinely, pursuing a healthy lifestyle.. is that the person with orthorexia becomes obsessed with their perceived healthy lifestyle. They, like everyone with an eating disorder, lose sight of the bigger picture. They get pleasure from food only when they perceive it to be healthy. They may exercise only because they believe they should, and not because they actually feel like they want to. They turn away from social events for fear of having to face food or situations that they do not deem healthy or righteous. It is, literally, a disordered thought pattern concerning exercise and food. And as such, it should be classified as a feeding and eating disorder.
My current eating disorder began with orthorexic tendencies. I became obsessed with eating only foods that I thought were healthy. First, I cut out soda. Then, chocolate went. They, I went vegetarian. Then, fat free. Before I knew it, nothing felt safe anymore and I was restricting everything. Eating disorders aren't black and white. They cross lines a lot (at one point, I was actually a binge eater). Orthorexia, just like anorexia, bulimia, and binge eating disorder... can quickly consume the person. And that's the key difference between it and someone making healthy life style changes. That it consumes them. That they are not really happy with the changes. They obsess over them, and panic when they eat or do something that they do not consider healthy. Likewise, they may not even necessarily pursue an actually healthy diet. What they perceive to be healthy could, actually, be unhealthy in the grander scheme (not just psychologically - think strict 'mono diets' here).
I think that orthorexia and anorexia have many... similarities. I have heard from many people who fit the criteria for anorexia or atypical anorexia (restrictive OSFED) that they, also, relate to orthorexia. Or have at one point or another. And vice versa. The key difference, I believe, is that during orthorexia.. one is more fixated on eating 'healthy' than counting calories, the anorexia sufferer is usually more focused on calorie counting. That aside, it is not at all uncommon for anorexia sufferers to pick up gluten free, vegetarian, vegan, or low fat diets... perceiving them to be healthier. In general, any disordered eating behaviors and thought patterns about food could, hypothetically, be an eating disorder. Orthorexia has always existed, and I'm sure many people with OSFED fit the orthorexia definition. Now there is merely a name for it.
Also, it's not surprising that the word is flung around here. This is a calorie counting, weight loss, and exercise tracking website/app. It is going to attract people with eating disorders. Both... those of us who are and aren't in recovery from them.
Agree with all of this. Perfectly said. The only thing I'd add is that orthorexia is when the obsession with being healthy actually becomes unhealthy. That is, it's based on the distorted belief that "X = healthy food = good" therefore "exclusively eating X = super super extremely healthy and perfect".0 -
How do you get it.....cuz I need it....like now
Sad to joke about actual disorders...
This.
I get that you were trying to be funny - but its like saying I wish I had OCD, my house needs a good clean.
Not funny and insulting to people who have the actual disorder.
OP, yes, I can understand orthorexia as a mental disorder - sort of OCD and ED combination.
Like many other new terms, it does get thrown around indiscriminately so people need to be careful about doing that.
A lot of eating disorders (especially anorexia) are sometimes comorbid with OCD. And large similarities have been drawn between the two. So, that's kind of a given.
And yes, definitely not funny to joke about it. It's just as hurtful as when people tell me they wish they could go on my diet... even knowing about my ED. I get the joke, and I get that some people don't get it, but it can hurt.
I am actually very concerned about the possibility of ended with taking what I am doing on MFP and going overboard with it. My therapist and my psych are making sure to ask questions about it in order to keep be from going into a disordered thinking when it comes to food. Why? Because I already suffer from OCD, GAD, and Depression.
There are times where I have to force myself to not log for a day or I start down the obsessive road. I can't stop reading every label because I also have medical concerns that can be made worse by specific foods, including many that like to hide in foods (like soy).
The difference with a "normal" person and someone with disordered thinking is that the disordered thinking impacts just about every aspect of ones life. Thanks to medication that no longer happens for me, but I can still remember when it did. It's not fun. It's nothing to joke about (though I do joke about it when it comes to ME because it is one of the ways I deal with it). You don't have OCD just because you like to organize things so stop saying "OMG I am SOOOOOO OCD!" If you had it, you wouldn't be saying that.0
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