Feeling Hopeless.....

HG210 wrote: »

First of all I sympathize with you. When I was taking my nursing classes we learned the SUGAR is the most addictive thing on the planet. The fact that you work out seemingly just as much as you binge makes me think that you may need to get some professional help. Something in your life could be causing your actions when it comes to food. Even more to that point maybe someone in your life is causing you to yo yo-yo and eat this way. The most important person in your life is you. So I say get some help and keep working out. Surround yourself with people with the same goals. Get someone to partner with you. I think you should even try to meal prep. Maybe that will help you make healthier choices if you stack the right foods in your fridge and portion them out that just might help you. Don't stress just keep moving and remember your are the most important person in your life.

Then your nursing school should get its accreditation pulled, as that is factually wrong and indefensible,

Avoid trigger foods! I can have certain things in moderation just fine- like chips and cheese... but some things I cannot even have in the house such as chocolate, sweet baked goods, pasta, candy, etc. Because I will eat them to excess and the cravings are impossible to ignore- having just a little or 1 serving a day is impossible.

It sounds like you know what your trigger foods are, so DONT try to eat those in moderation- just don't eat them at all,

Other than that just eat within your calorie goal, try to hit your macros, and keep up with the exercise.

You can lose the weight again, you could even get to a slim healthy weight and maintain it if you just do that.

Take control of what goes in your mouth and how much. I used to think of food and calories the way you do but I found cutting out trigger foods and being ever vigilant and aware of my eating habits and thinking of food as fuel really does help.

Pizza and chocolate and cake are like meth to a meth addict for you, so don't have them. But I bet broccoli and chicken and brown rice are more like gasoline to a car- fuel. Right?? Just eat for fuel until you get a handle on your addiction.

It's possible some day you may be able to have those off limit foods again in moderation, but it might not be for years, or til you have lost all the weight, or still possibly never. But for now cut them out and make your health a priority.

That "closet" person is the kind of people I am talking about. Random and useless, if you have any around lose them.

There is a 12 step program for compulsive overeaters and people with other eating disorders called Overeaters Anonymous (OA). It is based on the AA addiction-disease model. They have a website with a listing of meetings - local, phone, and online. They also have extensive podcasts and literature available. Also, there are now prescription medications available to treat binge eating disorder - a bariatric doctor can give you information on this. I am not referring to diet pills. I have sought every possible avenue to solve my problem of binge eating and these are the only things that have ever truly helped me. Many best wishes to you OP - I hear your pain and I have lived it.

First of all...I'm so sorry you're feeling hopeless. That's an awful emotion to live with.

There's a lot of good advise given in this thread and I hope you can find some answers that will help you.

For myself, I started right where you did. But, I also found some determination to once and for all deal with my weight issue. I did so much self examination about why I used food as comfort - more like self medicating rather than for nourishment. I made list after list of reasons why I overate, what foods seem to trigger or worsen my cravings and binges. Then, I SLOWLY began to make changes and form new habits that I knew I could live with for the rest of my life. Many changes had nothing to do with food.

The one thing I realized about myself is that I am a volume eater. I will always be a volume eater and that's okay for me. I've learned that I personally like the feeling of being full and satisfied. But I also learned that I can get that from eating HEALTHY less calorie dense foods. I'm satisfied and completely okay with eating a big plate full of roasted veggies. I'm satisfied! For me...moderation in all things just doesn't work. I'm sure it's perfect for others...but for myself, no deal. On rare occasions I will have special treats, like ice cream, pie, cake, etc.. But, it's only on occasion and there's never any leftover in my house- because I know myself. And...because I do know myself...I will never eat donuts again. Period. They are my kryptonite. Sure, it's just a mind over matter thing, but I know how my mind works. I once ate an entire dozen of Krispy Kreme glazed donuts. In one hour. That was my lowest point. THAT is why I will NEVER eat a donut ever again. But that's just me.

Find what works for you , and work it.
For some, Over Eaters Anonymous truly helps.
Just don't give up.

You ARE worth your effort.

Everything all of you have been advising is great. I have decided that it is back to the drawing board, but I am not going to let this get the best of me. Thanks.

I'm in the same boat as you, so I totally get it. I have lost weight dozens of times in my life and always gained back and then some.

You are going to have a lot of people telling you that you "can't" be addicted to food. Don't listen to them. People can and do get addicted to anything pleasurable. Gambling, sex, pornography, stealing - there are many behaviors that give a "rush" that some people get addicted to. It does not have to be an chemical dependency like nicotine or methamphetamine, it can also be an internal chemical like dopamine. It also doesn't have to be debilitating. Many people live long and productive lives addicted to nicotine.

https://en.wikipedia.org/wiki/Dopamine

In the reward system, reward is the attractive and motivational property of a stimulus that induces appetitive behavior (also known as approach behavior) – and consummatory behavior.[42] A rewarding stimulus is one that has the potential to cause an approach to it and a choice to be made to consume it or not.[42] Pleasure, learning (e.g., classical and operant conditioning), and approach behavior are the three main functions of reward.[42] As an aspect of reward, pleasure provides a definition of reward;[42] however, while all pleasurable stimuli are rewarding, not all rewarding stimuli are pleasurable (e.g., extrinstic rewards like money).[42][43] The motivational or desirable aspect of rewarding stimuli is reflected by the approach behavior that they induce, whereas the pleasurable component of intrinstic rewards is derived from the consummatory behavior that ensues upon acquiring them.[42] A neuropsychological model which distinguishes these two components of an intrinsically rewarding stimulus is the incentive salience model, where "wanting" or desire (less commonly, "seeking"[44]) corresponds to appetitive or approach behavior while "liking" or pleasure corresponds to consummatory behavior.[42][45][46] In human drug addicts, "wanting" becomes dissociated with "liking" as the desire to use an addictive drug increases, while the pleasure obtained from consuming it decreases due to drug tolerance.[45]

and

Many types of pleasurable experiences—such as sex, enjoying food, or playing video games—increase dopamine release.[53] All addictive drugs directly or indirectly affect dopamine neurotransmission in the nucleus accumbens;[45][51]

Many people, myself included, have a totally screwed-up reward system with regards to food. So does my mother. Just the other night I listened to her talking about a hamburger joint she liked when she lived somewhere 50 years ago and her description was so gushing it was almost orgasmic in nature. As I was listening to her it dawned on me how really gross such a fascination with a hamburger really is. But most of my life I have shared the same behavior towards good food. Many years ago we used to make trips to the coast - about a 2 hour drive from where we lived - to visit this seafood restaurant with an all-you-can-eat buffet of fresh-caught seafood. We would plan and look forward to such trips with more enthusiasm than a holiday event like a birthday. And we would deliberately not eat for a long period prior to going so we could maximize how much we could eat and "get our money's worth". Even today I really look forward to "food events" where I can look forward to enjoying a good food item.

The bottom line is that lots of people, like myself and probably like you, over-like food. I watch the eating behavior of my skinny friends and they do not gush about food like we do. They don't get worked up into a frenzy about it like we do.

Someone once said that it's easier for an alcoholic or a gambler to stop their addictive behavior because they can simply stop engaging in the behavior. But someone addicted to food has to take their addiction out three times a day and play with it.

What they mean by that is that you have no choice but to eat every day. So you can't ever really put food out of your mind. You have to eat, you have to make food choices, and so you will always be thinking about what *else* you could be eating besides the meager portion of whatever it is you are making yourself eat to lose weight.

So this is challenge number one: Trying not to eat what you want to eat.

But there is a double whammy going on with weight loss. Body fat produces a hormone called Leptin. This hormone is monitored by your body to determine the state of your fat stores, which it wants to protect. Our bodies evolved to store extra food in times of plenty as a safeguard against times of famine. When you start losing body fat, your Leptin levels decrease. Our bodies detect this and in turn there are a cascade of physiological responses, not all of which are entirely understood at this time.

One of these responses is to reduce skeletal muscle metabolism by about 20%, which results in about a 10% - 15% reduction in overall metabolism. There is some evidence to suggest that strenuous exercise may negate this effect. However, the effect is long-term. In the original study by Dr. Rudy Liebel, it was seen in the laboratory for weeks, and extrapolated to last for years. A recent study has indicated that if you maintain a certain Leptin level for a year that your body will reset to the new level.

What this means is that people who are losing body fat have bodies that act like they are starving. This was seen with the contestants from "The Biggest Loser" also. You will have to eat about 10% - 15% less food than someone of the equivalent body fat mass just to maintain your weight. So not only do you get to diet, you have to "super-diet" to make up for the reduction in metabolism.

But another body response to loss of body fat is increased hunger sensations. The body is no doubt urging us to eat to try and restore the body fat levels. Being cold is another symptom reported (and which I also experience).

So this is challenge number two: enduring the discomfort caused by fat loss, and doing so for years.

Most people are unable to overcome these two challenges for very long. As a psychiatrist friend of mine said years ago, "Weight loss is basically an exercise in pain tolerance." Most people can't tolerate it for very long, which is why the success rate for long-term weight loss is between 5% and 20%, depending on which study you read.

The only thing you can do is keep getting back on the horse. As I read recently, "Being fat is hard. Losing weight is hard. Choose your hard."

Ultimately I keep getting on the horse but I keep waiting optimistically for a safe and effective weight loss drug to finally hit the market that will take willpower out of the equation. The only successful weight loss I've ever really had was while using weight loss drugs.

I happen to believe that until you wrap your head around the fact that the (insert poison of choice here) DOESN'T MAKE YOU FEEL BETTER, doesn't make your problems go away, doesn't relax you. These things have NO benefits (note I said overeating, not food...food is fine, overeating can be addictive and harmful.

Except destructive behaviors do make you feel better, in the short term, and trigger the reward mechanism. That's what makes them addictive. All pleasurable stimuli are rewarding.

And of course one of the problems with food as a reward in particular is the fatter you get, the more food becomes one of the fewer and fewer reliable and consistent pleasurable things to do. You might not be able to socialize, do sports activities, attract a mate, and a host of other things, but food is always there to give pleasure.