Post Anorexia Weight Loss - Help with how to eat

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Hi everyone,

So I'm weight restored from anorexia two years strong now, and ended up gaining even more weight than I needed or wanted to after recovery. I don't ever overeat, so I don't know how it happened but I want to be able to lose 7 pounds again to get to a weight I feel comfortable with (and is a healthy BMI 20).

I am currently 20 years old, 120lbs and I am 5'2". I only eat 1000 to 1200 calories a day (sometimes less) and I exercise 5 times a week for 30-60 minutes doing swimming and strength training. - but the weight just won't come off like it did before my ED!!!

I very recently am attempting to up my calories to 1400-1500 to see if that helps, but I am so so scared of gaining even more weight as I am already deeply unhappy with the way I look and how calories, food, body image and exercise cloud my mind every second of the day. :(

So I was wondering if anyone on here had any advice - I've researched so much into it but there so many different answers! Some say I may be eating more than I think, some say I'm not eating enough, some say my metabolism is damaged - but really I just don't know what to do!

Any ideas?

Thanks in advance!
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Replies

  • RoxieDawn
    RoxieDawn Posts: 15,488 Member
    edited August 2016
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    How many years with the ed? Have you had a metabolic blood panel and/or hormonal blood profile done anytime during this post recovery?

    And why are you trying to loose weight again? From your OP, you discussed that calories, food, body image and exercise are clouding your mind every second of the day? This to me are still triggers or red flags the recovery process is still going on and needs more time? Do you still have access to your medical team that help you with recovery or did you use a doctor?
  • Iccleamelia
    Iccleamelia Posts: 18 Member
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    RoxieDawn wrote: »
    How many years with the ed? Have you had a metabolic blood panel and/or hormonal blood profile done anytime during this post recovery?

    And why are you trying to loose weight again? From your OP, you discussed that calories, food, body image and exercise are clouding your mind every second of the day? This to me are still triggers or red flags the recovery process is still going on and needs more time? Do you still have access to your medical team that help you with recovery or did you use a doctor?

    I only had ED full blown for 1 year, and I did have blood tests and hormone tests including thyroid function but they came back fine.

    And I would like to just lose 7 pounds to feel comfortable in my body again and not feel I have to starve on 1000-1200 cals a day just to even maintain!

    And no I don't, the ED service I went to discharged me with very short notice and refuse to see me because i am not underweight. :(
  • PricillaKorea
    PricillaKorea Posts: 48 Member
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    I would say, as a person who used to have anorexia binge purge sub-type, that you should carefully examine your diet. Make sure that you are eating enough still, and then I would consult your doctor. Not to blow things out of proportion but even losing a few pounds could make you spiral into the full fledged eating disorder of your past. Make sure you realize that healthy and skinny are not the same thing, and you should strive for health not thin.
  • Iccleamelia
    Iccleamelia Posts: 18 Member
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    I would say, as a person who used to have anorexia binge purge sub-type, that you should carefully examine your diet. Make sure that you are eating enough still, and then I would consult your doctor. Not to blow things out of proportion but even losing a few pounds could make you spiral into the full fledged eating disorder of your past. Make sure you realize that healthy and skinny are not the same thing, and you should strive for health not thin.

    Is 1000-1200 enough though? or should i be eating more? I am just so scared that if i am maintaining on such an amount that if i eat any more my weight will skyrocket!

    Every time i go to my doctor they just offer my antidepressants, but i don't need that - I need to see a dietician and get some counselling but they won't let me because I'm "not ill enough" :(
  • salsera_barbie
    salsera_barbie Posts: 270 Member
    edited August 2016
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    I would say, as a person who used to have anorexia binge purge sub-type, that you should carefully examine your diet. Make sure that you are eating enough still, and then I would consult your doctor. Not to blow things out of proportion but even losing a few pounds could make you spiral into the full fledged eating disorder of your past. Make sure you realize that healthy and skinny are not the same thing, and you should strive for health not thin.

    Is 1000-1200 enough though? or should i be eating more? I am just so scared that if i am maintaining on such an amount that if i eat any more my weight will skyrocket!

    Every time i go to my doctor they just offer my antidepressants, but i don't need that - I need to see a dietician and get some counselling but they won't let me because I'm "not ill enough" :(

    1000 calories is not enough. 1200 is the minimum and even then depending on your height and weight is usually way too low.
  • dragon_girl26
    dragon_girl26 Posts: 2,187 Member
    edited August 2016
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    Since you are at a healthy weight already, rather than losing additional weight, have you considered doing a body recomposition with a weight lifting program? There are currently folks much more well versed on this site about this particular suggestion (I haven't made it to this stage of my weight loss yet), but I've seen Strong Curves, Stronglifts 5x5, and New Rules of Weight Lifting offered up as suggestions for getting started. It may give you guidance towards the results you're looking for, plus, you wouldn't have to drastically cut calories.
    I would also echo the advice above about treading carefully, and of course discussing your plans with your doctor.
  • RoxieDawn
    RoxieDawn Posts: 15,488 Member
    Options
    I would say, as a person who used to have anorexia binge purge sub-type, that you should carefully examine your diet. Make sure that you are eating enough still, and then I would consult your doctor. Not to blow things out of proportion but even losing a few pounds could make you spiral into the full fledged eating disorder of your past. Make sure you realize that healthy and skinny are not the same thing, and you should strive for health not thin.

    Is 1000-1200 enough though? or should i be eating more? I am just so scared that if i am maintaining on such an amount that if i eat any more my weight will skyrocket!

    Every time i go to my doctor they just offer my antidepressants, but i don't need that - I need to see a dietician and get some counselling but they won't let me because I'm "not ill enough" :(

    I know you know that the 1200 calories and less a day is a bad idea? You are still in my mind in recovery. I am gonna say please go back to your doctor or find another one. Your concerns are still in the "disordered thinking" releam. I am not trying to be negative in the least. So what you direction you choose to go into, please reconsider the 1200 calories less idea.
  • javba2
    javba2 Posts: 57 Member
    Options
    Firstly - I would like to congratulate you on being in recovery for 2 years, and continuing to work on Staying healthy - and then asking these questions here. I have a few thoughts to share - so here goes.

    1- Our metabolisms slow as we go thru years - and that's one of the reasons wt does not respond "like it used to" when we'd been younger.
    2- Understand one critical piece of ED (any type) is how we feel about our bodies - i.e. self image perception - which is in most ED people distorted, and so is the response i.e. bingeing or restricting.

    Now to some ideas on how to work on these.

    1- The wt calculator - daily calories recommendation we get at the profile settings http://www.myfitnesspal.com/account/change_goals_guided

    Is a good place to start about "how many calories should be taken for wt loss or gain" - again - it's not to be used to seek immediate results - all people are in a continuous variation - and that's normal. Make sure you are eating at least that amount of calories PLUS what ever you are exercising.

    2- Going from this intake (as mentioned above) adjust calories to stay at 20 BMI - which is the middle of the healthy BMI range.

    3- If there is depression - anxiety or other treatable conditions these should be treated - because they interfere with well-being and healthy body image (not to mention maintaining good body wt).

    4- As a 20 yrs old - you need and need to have health insurance under ObamaCare - and have access to counseling. It's difficult because of the applications and negotiating the maze of how it's done. This is a good place to start https://www.healthcare.gov/ additionally - ask your local community or county healthcare clinic if they have "facilitators" these are people trained to help people get into health insurance.

    Good Luck and yes - Keep Positive thinking people around you.
  • Iccleamelia
    Iccleamelia Posts: 18 Member
    Options
    Since you are at a healthy weight already, rather than losing additional weight, have you considered doing a body recomposition with a weight lifting program? There are currently folks much more well versed on this site about this particular suggestion (I haven't made it to this stage of my weight loss yet), but I've seen Strong Curves, Stronglifts 5x5, and New Rules of Weight Lifting offered up as suggestions for getting started. It may give you guidance towards the results you're looking for, plus, you wouldn't have to drastically cut calories.
    I would also echo the advice above about treading carefully, and of course discussing your plans with your doctor.

    Yes :) I mentioned in my OP I do some strength training (mostly using fitnessBlender) I haven't seen any physical changes yet though, so hoping when i return to uni I can give those you suggested a go! I am quite strong already - that is a difference i have noticed :P
  • Iccleamelia
    Iccleamelia Posts: 18 Member
    edited August 2016
    Options
    RoxieDawn wrote: »

    I know you know that the 1200 calories and less a day is a bad idea? You are still in my mind in recovery. I am gonna say please go back to your doctor or find another one. Your concerns are still in the "disordered thinking" releam. I am not trying to be negative in the least. So what you direction you choose to go into, please reconsider the 1200 calories less idea.

    I got thrown in at the deep end as my ED service discharged me as soon as i hit 7st. :( I would love to eat more, It's just i am scared to as my body seems to maintain on 1200?

    Every doc i go to tries to either refer me back to an ED service (and i get rejected) or tries to give me anti-depressants :( - I just need some help, I've been trying for 2 years to get it...
  • RoxieDawn
    RoxieDawn Posts: 15,488 Member
    Options
    Since you are at a healthy weight already, rather than losing additional weight, have you considered doing a body recomposition with a weight lifting program? There are currently folks much more well versed on this site about this particular suggestion (I haven't made it to this stage of my weight loss yet), but I've seen Strong Curves, Stronglifts 5x5, and New Rules of Weight Lifting offered up as suggestions for getting started. It may give you guidance towards the results you're looking for, plus, you wouldn't have to drastically cut calories.
    I would also echo the advice above about treading carefully, and of course discussing your plans with your doctor.

    Yes :) I mentioned in my OP I do some strength training (mostly using fitnessBlender) I haven't seen any physical changes yet though, so hoping when i return to uni I can give those you suggested a go! I am quite strong already - that is a difference i have noticed :P

    If you are up to the next challenge, instead of wanting to loose any additional weight, you can do this for quite a while and no need to cut calories as you mentioned. If I now understand this better, you are really not wanting to loose weight but would like to be stronger, build some muscle and change body composition..

    This is the way to get there. Keep in mind this requires maintenance calories not not a large deficit. One of these programs is something I hope that you will consider and if you find yourself struggling with not seeing results fast enough, just know that this does take a little while but it does work if you give it time. There are lot of threads in here in MFP about this subject and there is a lot women (and men) that have done this or have already done this myself included. :)
  • Iccleamelia
    Iccleamelia Posts: 18 Member
    Options
    javba2 wrote: »
    Firstly - I would like to congratulate you on being in recovery for 2 years, and continuing to work on Staying healthy - and then asking these questions here. I have a few thoughts to share - so here goes.

    1- Our metabolisms slow as we go thru years - and that's one of the reasons wt does not respond "like it used to" when we'd been younger.
    2- Understand one critical piece of ED (any type) is how we feel about our bodies - i.e. self image perception - which is in most ED people distorted, and so is the response i.e. bingeing or restricting.

    Now to some ideas on how to work on these.

    1- The wt calculator - daily calories recommendation we get at the profile settings http://www.myfitnesspal.com/account/change_goals_guided

    Is a good place to start about "how many calories should be taken for wt loss or gain" - again - it's not to be used to seek immediate results - all people are in a continuous variation - and that's normal. Make sure you are eating at least that amount of calories PLUS what ever you are exercising.

    2- Going from this intake (as mentioned above) adjust calories to stay at 20 BMI - which is the middle of the healthy BMI range.

    3- If there is depression - anxiety or other treatable conditions these should be treated - because they interfere with well-being and healthy body image (not to mention maintaining good body wt).

    4- As a 20 yrs old - you need and need to have health insurance under ObamaCare - and have access to counseling. It's difficult because of the applications and negotiating the maze of how it's done. This is a good place to start https://www.healthcare.gov/ additionally - ask your local community or county healthcare clinic if they have "facilitators" these are people trained to help people get into health insurance.

    Good Luck and yes - Keep Positive thinking people around you.

    Thank you :)

    yes, I know metabolism slows the older you get - it's hitting me hard right about now, haha!

    What I want to say is, that myfitnesspal says on my goals that to lose weight i need 1200 - which is why i am so focused on that number I guess... however to fix my metabolism, shouldn't i be having more than that? or will i just gain?

    And i do have insurance of some kind, I live in UK so it's on the NHS.
  • smurfette54
    smurfette54 Posts: 23 Member
    Options
    Just as a reference point, I am 5'0". As of this week I am 123 lbs. This gives me a BMI of 24. Recently I was reaching 130 lbs, so I started tracking my food as i did not want to gain and felt I needed to lose (was once 180 lbs and refuse to go back there). So I have been tracking for about 2 months and have lost 6 lbs or so. I eat an average of 1500 calories a day. I do exercise usually 6 days a week and 2-3 of those days are strength training. I have been losing about 1/2 of a pound a week. I think what is really working for me is that I make sure (or do my best) to get about 35% of my calories from protein which can be really difficult at times. I have added whey protein isolate to one of those meals which I believe has really increase my muscle mass which has helped with my metabolism and so I get the weight loss.

    So really, I am telling you all of this for a reference, that eating 1400-1500 calories a day will probably be fine especially with the protein on board so you can build muscle and get rid of fat. Maybe this will help, maybe it wont, we are all different. Try new things and try to banish your fears and self doubt. Remember too that the scale isn't everything, it is more about how your clothes fit than anything.


    "Cause fear in itself will reel you in and spit you out over and over again.
    Believe in yourself and you will walk. Now, fear in itself will use you up and break you down like you were never enough. Yeah, I used to fall, now I get back up."

    One of my favorite Lyrics from 'Blue October' about fear
  • Iccleamelia
    Iccleamelia Posts: 18 Member
    Options
    RoxieDawn wrote: »

    If you are up to the next challenge, instead of wanting to loose any additional weight, you can do this for quite a while and no need to cut calories as you mentioned. If I now understand this better, you are really not wanting to loose weight but would like to be stronger, build some muscle and change body composition..

    This is the way to get there. Keep in mind this requires maintenance calories not not a large deficit. One of these programs is something I hope that you will consider and if you find yourself struggling with not seeing results fast enough, just know that this does take a little while but it does work if you give it time. There are lot of threads in here in MFP about this subject and there is a lot women (and men) that have done this or have already done this myself included. :)

    Yes I'd love to become leaner, I've found I don't build muscle easily though so it'll take a lot of work!

    I've looked into clean eating, too as I find myself not eating enough wholesome foods to coincide with the training. Which programme(s) have you done? :)
  • Iccleamelia
    Iccleamelia Posts: 18 Member
    Options
    Just as a reference point, I am 5'0". As of this week I am 123 lbs. This gives me a BMI of 24. Recently I was reaching 130 lbs, so I started tracking my food as i did not want to gain and felt I needed to lose (was once 180 lbs and refuse to go back there). So I have been tracking for about 2 months and have lost 6 lbs or so. I eat an average of 1500 calories a day. I do exercise usually 6 days a week and 2-3 of those days are strength training. I have been losing about 1/2 of a pound a week. I think what is really working for me is that I make sure (or do my best) to get about 35% of my calories from protein which can be really difficult at times. I have added whey protein isolate to one of those meals which I believe has really increase my muscle mass which has helped with my metabolism and so I get the weight loss.

    So really, I am telling you all of this for a reference, that eating 1400-1500 calories a day will probably be fine especially with the protein on board so you can build muscle and get rid of fat. Maybe this will help, maybe it wont, we are all different. Try new things and try to banish your fears and self doubt. Remember too that the scale isn't everything, it is more about how your clothes fit than anything.


    "Cause fear in itself will reel you in and spit you out over and over again.
    Believe in yourself and you will walk. Now, fear in itself will use you up and break you down like you were never enough. Yeah, I used to fall, now I get back up."

    One of my favorite Lyrics from 'Blue October' about fear

    Congrats on your loss!

    I'm glad you've found something that works for you, and that is healthy and sustainable- that is something I would absolutely love to achieve!
    What kinds of lifts/weights/exercises do you do? :)

    You're right about experimentation and that there is a lot of fear involved when upping calories in case of weight gain. Once I can find a happy medium I can stop stressing about food and how I look, to turn my focus on other important things.
  • VintageFeline
    VintageFeline Posts: 6,771 Member
    Options
    You could do a bit of reverse dieting. 1 year of under-eating will have caused some adaptive thermogenesis and muscle loss. Both will have lowered your BMR and thus have an impact on what your maintenance calories are but i think with some careful work you could increase both. Age really has a nominal impact on ability to lose weight, maintaining muscle mass pretty much negates it and if you're young don't even give it a second thought.

    And it's not just you that builds muscle slowly, it's all women, particularly if not lifting truly heavy (not a criticism, I do Fitness Blender too and am totally happy with what will be slower progress in that department as I'm not personally interested in "proper" heavy lifting).

    Accept you may see scale weight increases but this is nothing to panic about.

    But I would really love it if you became a really strong self advocate and see a different GP, take notes and make it very clear you really need further help to get yourself to a happier, healthier place in both mind and body. I fear, like others, that you are still very much in recovery and still have some disordered thinking that should be addressed along with dietician support to help you transition back to "normal" calorie intakes.

    What you eat doesn't matter for weight loss/gain, it's how much. If eating "clean" is too intimidating/triggering/just not something you fancy, no need to do it. Just aim for a wide and varied diet you enjoy.
  • Iccleamelia
    Iccleamelia Posts: 18 Member
    Options
    You could do a bit of reverse dieting. 1 year of under-eating will have caused some adaptive thermogenesis and muscle loss. Both will have lowered your BMR and thus have an impact on what your maintenance calories are but i think with some careful work you could increase both. Age really has a nominal impact on ability to lose weight, maintaining muscle mass pretty much negates it and if you're young don't even give it a second thought.

    And it's not just you that builds muscle slowly, it's all women, particularly if not lifting truly heavy (not a criticism, I do Fitness Blender too and am totally happy with what will be slower progress in that department as I'm not personally interested in "proper" heavy lifting).

    Accept you may see scale weight increases but this is nothing to panic about.

    But I would really love it if you became a really strong self advocate and see a different GP, take notes and make it very clear you really need further help to get yourself to a happier, healthier place in both mind and body. I fear, like others, that you are still very much in recovery and still have some disordered thinking that should be addressed along with dietician support to help you transition back to "normal" calorie intakes.

    What you eat doesn't matter for weight loss/gain, it's how much. If eating "clean" is too intimidating/triggering/just not something you fancy, no need to do it. Just aim for a wide and varied diet you enjoy.

    Exactly what I thought! I suppose there's only one way to find out, but if I do it I might not be able to get the weight back off again should that method fail >.<
    I binged a lot before I was weight restored, simply because my body was trying to repair itself - the need to binge just suddenly stopped as soon as i reached 7st!

    I'm fairly young, I'm 20 so not a kid but not a woman quite either :P

    I would be over the moon to have some proper treatment like i should have had during recovery - i had hardly any guidance. I'm going to keep trying though but every time i am refused i get so upset and i cry so much...

    Why is it i have to be skinny to get help???
  • jennifer_417
    jennifer_417 Posts: 12,344 Member
    Options
    You could do a bit of reverse dieting. 1 year of under-eating will have caused some adaptive thermogenesis and muscle loss. Both will have lowered your BMR and thus have an impact on what your maintenance calories are but i think with some careful work you could increase both. Age really has a nominal impact on ability to lose weight, maintaining muscle mass pretty much negates it and if you're young don't even give it a second thought.

    And it's not just you that builds muscle slowly, it's all women, particularly if not lifting truly heavy (not a criticism, I do Fitness Blender too and am totally happy with what will be slower progress in that department as I'm not personally interested in "proper" heavy lifting).

    Accept you may see scale weight increases but this is nothing to panic about.

    But I would really love it if you became a really strong self advocate and see a different GP, take notes and make it very clear you really need further help to get yourself to a happier, healthier place in both mind and body. I fear, like others, that you are still very much in recovery and still have some disordered thinking that should be addressed along with dietician support to help you transition back to "normal" calorie intakes.

    What you eat doesn't matter for weight loss/gain, it's how much. If eating "clean" is too intimidating/triggering/just not something you fancy, no need to do it. Just aim for a wide and varied diet you enjoy.

    Exactly what I thought! I suppose there's only one way to find out, but if I do it I might not be able to get the weight back off again should that method fail >.<
    I binged a lot before I was weight restored, simply because my body was trying to repair itself - the need to binge just suddenly stopped as soon as i reached 7st!

    I'm fairly young, I'm 20 so not a kid but not a woman quite either :P

    I would be over the moon to have some proper treatment like i should have had during recovery - i had hardly any guidance. I'm going to keep trying though but every time i am refused i get so upset and i cry so much...

    Why is it i have to be skinny to get help???

    Because, unfortunately, our health care system is so overburdened, that only the most desperate cases get the help they really need, and sometimes not even they do.

    Honestly, I find some of your responses in this thread to be a bit concerning, and it worries me that you don't have more support. I read where you talked to your Dr, and he offered you antidepressants. They are at least somewhat trained to recognize the symptoms, maybe it would be helpful for you to take his advice? EDs do tend to have their roots in depression, and it may actually help you to feel better.

    I'm not one to think that pill solves every problem, but if it can help, then why not at least try it?

  • concrete_daisies
    concrete_daisies Posts: 44 Member
    edited August 2016
    Options
    EDIT: The ppl above have already given really good advice :)