Weight Gain on 1200cal and 5 Miles a day?
Replies
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cwolfman13 wrote: »gorditalindaz wrote: »I would suggest a fancy scale that measures BMI, Fat percentage, water percentage and muscle percentage. That way you can see if it is muscle gain or water
Those scales are hugely inaccurate for measuring BF%. Consumer Reports won't even test or make recommendations for them anymore due to being so wildly inaccurate.
They are known to be innacurate, but they can give you a point of reference. Just take the numbers with a grain of salt and focus on moving them the direction you need to.5 -
Ah, yeah, you'll often get a skewed perspective from the dance community, ballet especially. Misty Copeland has done a lot to change what a ballet dancer should look like but things are always slow to change.
Eat more. And I'd encourage investing in a food scale instead of using cups for solids, they're inaccurate and you may be one of those people who has a propensity to underfill them.
You'll probably feel about 1000x better once you start eating more as well.
And a side note about being on the pill, I still get monthly trackable fluctuations and symptoms, so that could still be a factor.15 -
Jeepfreak81 wrote: »cwolfman13 wrote: »gorditalindaz wrote: »I would suggest a fancy scale that measures BMI, Fat percentage, water percentage and muscle percentage. That way you can see if it is muscle gain or water
Those scales are hugely inaccurate for measuring BF%. Consumer Reports won't even test or make recommendations for them anymore due to being so wildly inaccurate.
They are known to be innacurate, but they can give you a point of reference. Just take the numbers with a grain of salt and focus on moving them the direction you need to.
The only problem is that a lot of people don't know that and don't take the numbers with a grain of salt...tons of posts here in regards to "I've lost X Lbs but my scale says my BF% is going up...I'm losing all muscle...HALP!!!"1 -
You've gained 32 pounds in 6 months? The weight gain in the last couple of weeks could be water weight related to the addition of running; however, 32 pounds is not water weight (without some major medical issues) if you've been at a deficit. Were you on 1200 calories/day from August until now? Have you been checked out by a doctor during this time?1
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You've gained 32 pounds in 6 months? The weight gain in the last couple of weeks could be water weight related to the addition of running; however, 32 pounds is not water weight (without some major medical issues) if you've been at a deficit. Were you on 1200 calories/day from August until now? Have you been checked out by a doctor during this time?
let me explain a bit...I was running more in the past and before August, I was eating even less because I never felt hungry. and yes I have been on 1200 because I wanted to make sure I was eating enough, but I also have something called gastroparesis and I have it so badly that I couldn't eat vegetables until about 2 weeks ago, so a lot of my calories came from fruits and whole grains...I would eat broccoli with lunch and dinner because that is all I could eat. but yes, 1200. I am also borderline for hypothyroidism but not quite fully diagnosed.1 -
You're massively under eating, and if your running routine is new, possibly over exercising too. That puts the body in a very stressful state. Stress hormones and water weight go hand in hand. At least now you know, your body is giving you clear warning signs and it would be smart to do something about it before you do any further damage. Increase your calories to a more reasonable rate of weight loss (for your weight, an acceptable deficit would be 250-300 calories or about half a pound a week), find a reasonable running program, and eat back at least some of your exercise calories.6
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At 110lbs you were underweight, I hope that isn't your goal now...3
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newmanc0299 wrote: »You've gained 32 pounds in 6 months? The weight gain in the last couple of weeks could be water weight related to the addition of running; however, 32 pounds is not water weight (without some major medical issues) if you've been at a deficit. Were you on 1200 calories/day from August until now? Have you been checked out by a doctor during this time?
let me explain a bit...I was running more in the past and before August, I was eating even less because I never felt hungry. and yes I have been on 1200 because I wanted to make sure I was eating enough, but I also have something called gastroparesis and I have it so badly that I couldn't eat vegetables until about 2 weeks ago, so a lot of my calories came from fruits and whole grains...I would eat broccoli with lunch and dinner because that is all I could eat. but yes, 1200. I am also borderline for hypothyroidism but not quite fully diagnosed.
So being hypothyroid has caused you to gain the 30lbs?0 -
At 110lbs you were underweight, I hope that isn't your goal now...
oh of course not!!!! I'm out of the performing arts career so I really don't have any pressure to be thin, anyway. I just want to be healthy, and I had no idea how unhealthy I was still, even in my attempts to be "healthier"2 -
TavistockToad wrote: »newmanc0299 wrote: »You've gained 32 pounds in 6 months? The weight gain in the last couple of weeks could be water weight related to the addition of running; however, 32 pounds is not water weight (without some major medical issues) if you've been at a deficit. Were you on 1200 calories/day from August until now? Have you been checked out by a doctor during this time?
let me explain a bit...I was running more in the past and before August, I was eating even less because I never felt hungry. and yes I have been on 1200 because I wanted to make sure I was eating enough, but I also have something called gastroparesis and I have it so badly that I couldn't eat vegetables until about 2 weeks ago, so a lot of my calories came from fruits and whole grains...I would eat broccoli with lunch and dinner because that is all I could eat. but yes, 1200. I am also borderline for hypothyroidism but not quite fully diagnosed.
So being hypothyroid has caused you to gain the 30lbs?
I have absolutely no idea... It just seemed like the weigh just kept coming on, no matter how hard I've tried to stop it.1 -
Hi there, You may want to have your thyroid checked just in case- that seems like enough gain to warrant a visit to ensure that there is nothing else going on.
Aside from that, here are some comments and notes I've found helpful
I posted these elsewhere recently but there are a variety of factors that matter…bottomline is that it’s not all about calories and cardio…
The other thing to remember is that you may be swapping out muscle weight for fat weight... take your measurements, those are important too. This is particularly true if you aren't significantly overweight. While a lb is a lb... muscle takes up less space...
Also If you utilize a strength training regimen, you can expect to gain 3 to 5 lbs. of muscle mass in three to four months, bringing your net caloric effect to 15 to 30 calories per day. The best way to benefit from the calorie-burning potential of your muscles is to actually use them. Your basal metabolic rate, or the number of calories your body uses when you are at rest, typically accounts for 60 to 75 percent of the calories you burn in a day.
https://www.livestrong.com/article/53261-lose-pounds-two-weeks/This is an excerpt from the following article... its LONG but I thought very informative... don't just count calories. https://www.precisionnutrition.com/metabolic-damage
The physiology of weight loss is complicated, but the best strategies for losing fat and keeping it off don’t have to be.
1. Eat plenty of protein.
Protein is essential when trying to losing weight / fat for a few reasons.
Protein significantly increases satiety, which means you feel fuller despite eating less.
Just by eating more protein you burn more calories, because of the increased thermic effect of eating.
For example, if you’re eating 2,500 calories daily, 15 percent from protein, 50 percent from carbs, and 35 percent from fats (roughly average for US adults), you’re burning approximately 185 calories per day through digestion.
Maintain your total calorie intake but increase protein to 30 percent, drop carbs to 40 percent, and whittle fat to 30 percent, and your TEE goes up to roughly 265 calories per day.
2. Eat a wide variety of fruits, vegetables, quality carbs, and healthy fats.
Vegetables are loaded with vitamins, minerals, phytonutrients, water, and fiber to help you fill up during meals, stay full between meals, keep you healthy, and recover from your workouts.
We recommend 4-6 fist-sized servings per day for most active women.
The carbs will fuel training, boost leptin (a super important hormone), keep up sex hormones, and prevent feelings of deprivation.
And the fats also keep up sex hormones, boost the immune system, suppress excess inflammation, and make food taste really good.
For most active women, 4-6 handfuls of quality carbs and 4-6 thumbs of healthy fats per day.
3. Adjust your intake as you plateau, or to prevent plateaus.
As your weight loss progresses, you will need to lower your calorie intake further to continue to progress, as your smaller body will burn fewer calories, and your body is adapting to your diet.
Be ready, willing, and able to adjust portion amounts by removing 1-2 handfuls of carbs and/or 1-2 thumbs of fats from your daily intake. Then reassess and continue to adjust as needed.
However, one study found that weight loss plateaus have less to do with metabolic adaptations and more to do with “an intermittent lack of diet adherence”. In other words, not actually sticking to a nutrition plan consistently.
Research shows that we usually think we’re eating less and exercising more than we truly are. So do an objective review of your actual energy in and out before assuming your body is blocking your efforts.
4. Understand that this is complex.
So many things influence what, why, and when we choose to eat.
Too often, eating and body size / fatness are blamed on lack of knowledge, lack of willpower/discipline, or laziness. In reality, food intake and body composition are governed by a mix of physiological, biological, psychological, social, economical, and lifestyle influences, along with individual knowledge or beliefs.
One of the simplest ways to make your decision processes easier is to create an environment that encourages good food choices and discourages poor ones. This can mean making changes to your daily routine, who you spend time with, where you spend time, and what food is readily available to you.
But remember that weight loss can and should be relatively slow, so aim to lose about 0.5-1 percent of your body weight per week.
This helps to maintain muscle mass and minimize the adaptive metabolic responses to a lower calorie intake and resulting weight loss. Faster weight loss tends to result in more muscle loss without extra fat loss, as well as a larger adaptive response.
5. Cycle calories and carbs.*
For folks who are trying to get quite lean, at some point you can’t just rely on linear dieting to get you there. By strategically cycling calories and carbs, you can help to limit how much the metabolism-regulating hormone leptin drops (or temporarily boost it back up) – attenuating the adaptive and hunger response.
*Note: This is a higher-level strategy for fitness competitors and elite athletes who need to get very lean (i.e. ~6-9 percent body fat for men, and ~16-19 percent for women). It’s not something for the average person.
6. Refeed periodically.**
When getting to extreme levels of leanness, even strategic calorie and carb cycling might not be enough. So take out the big guns, and employ some periodic re-feeds to temporarily boost leptin and insulin and keep fat loss going.
**Note: This is a higher-level strategy for fitness competitors and elite athletes who need to get very lean (i.e. <6 percent body fat for men, and <16 percent for women).
7. Do a mixture of resistance, cardiovascular, and recovery activity.
Resistance training helps you maintain vital muscle mass, burn calories, and improve glucose tolerance. Cardiovascular exercise improves the health of your cardiovascular system, helps you expend energy, and can improve recovery.
But don’t overdo either one.
Recovery work (e.g. foam rolling, walking, yoga) helps you maintain consistency and intensity with resistance and cardio training, making them more effective. And it helps to decrease stress (lowering cortisol), which also helps you lose body fat and keep it off.
Aim for 3-5 hours per week of purposeful activity.
8. Find ways to increase NEAT.
Even small increases in activity can account for hundreds of daily calories, and therefore make a big difference in fat loss efforts.
Some ideas: Get a stand-up desk or a treadmill desk; fidget; pace while on the phone; take the stairs; park your car farther away from where you’re going.
9. Develop a solid nightly sleep routine and manage your stress.
Sleep is just as important to your success as nutrition and activity levels. Don’t pretend that you can get by with less. It simply isn’t true.
Often, when people lower their stress, they lose a lot of body water. Then they also notice that they may have lost fat too. (Plus, they may discover that chronic inflammation goes down — another win.)
This includes mental and emotional stress. Research on cognitive dietary restraint (i.e. worrying and stressing out about food) shows that constantly and negatively fixating on what you eat (or don’t) can have the same unhealthy effect as actually dieting stringently.
Yet we need some stress to actually help with progress and growth, so find your stress sweet spot.
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southerngirllostinqueens wrote: »Hi there, You may want to have your thyroid checked just in case- that seems like enough gain to warrant a visit to ensure that there is nothing else going on.
Aside from that, here are some comments and notes I've found helpful
I posted these elsewhere recently but there are a variety of factors that matter…bottomline is that it’s not all about calories and cardio…
The other thing to remember is that you may be swapping out muscle weight for fat weight... take your measurements, those are important too. This is particularly true if you aren't significantly overweight. While a lb is a lb... muscle takes up less space...
.......
This is incredible----THANK YOU0 -
newmanc0299 wrote: »You've gained 32 pounds in 6 months? The weight gain in the last couple of weeks could be water weight related to the addition of running; however, 32 pounds is not water weight (without some major medical issues) if you've been at a deficit. Were you on 1200 calories/day from August until now? Have you been checked out by a doctor during this time?
let me explain a bit...I was running more in the past and before August, I was eating even less because I never felt hungry. and yes I have been on 1200 because I wanted to make sure I was eating enough, but I also have something called gastroparesis and I have it so badly that I couldn't eat vegetables until about 2 weeks ago, so a lot of my calories came from fruits and whole grains...I would eat broccoli with lunch and dinner because that is all I could eat. but yes, 1200. I am also borderline for hypothyroidism but not quite fully diagnosed.
I'd strongly recommend more engagement with your medical team. Show them your food/exercise logs and be very assertive in saying that you need help. Also, ask them specifically for a referral to a registered dietician (RD), a credentialed professional who can help with reviewing & adjusting your eating plans.
The circumstances, as you report them, are not medically normal.
Hoping you can find a solution - I'm worried about you!7 -
newmanc0299 wrote: »southerngirllostinqueens wrote: »Hi there, You may want to have your thyroid checked just in case- that seems like enough gain to warrant a visit to ensure that there is nothing else going on.
Aside from that, here are some comments and notes I've found helpful
I posted these elsewhere recently but there are a variety of factors that matter…bottomline is that it’s not all about calories and cardio…
The other thing to remember is that you may be swapping out muscle weight for fat weight... take your measurements, those are important too. This is particularly true if you aren't significantly overweight. While a lb is a lb... muscle takes up less space...
.......
This is incredible----THANK YOU
It is a biological impossibility to to "swap out" fat for muscle weight. As a woman with your stats, you can effectively lose .5 to .75 lbs per week. You can effectively gain .5 to 1 lbs of muscle per month under the right conditions. And a severe deficit with lot's of cardio are not those conditions.14 -
gorditalindaz wrote: »I would suggest a fancy scale that measures BMI, Fat percentage, water percentage and muscle percentage. That way you can see if it is muscle gain or water
Not only are these scales inaccurate, but no one is gaining muscle mass fast enough to outpace any reasonable rate of fat loss.
Good muscle mass gain results for a woman would be on the order of a pound a month for women, a couple of pounds for men. And those gains would only happen under ideal conditions, which include a calorie surplus (i.e. while gaining weight); an aggressive and well-designed progressive weight training program; good nutrition; and relative youth.
On the other hand, most people would consider 1-2 pounds fat loss per month to be in the slowest zone of noticeable weight loss, suitable for the very patient or those very close to a healthy goal weight.
OP has not gained enough muscle by running for 5 miles daily to show up on the scale as weight gain, especially not in 2.5 weeks of running, on 1200 gross calories. Not even remotely possible.
Footnote: People who start exercising, especially weight training, can become much stronger quite quickly. This is neuromuscular adaptation - more efficient and effective recruitment and utilization of pre-existing muscle fibers. They can also look better and firmer, and even appear more muscular, because of how muscles respond to training.
But actually adding muscle weight by growing new muscle cells or fibers is a very different and gradual thing. It's possible for some to slowly grow a little muscle mass in a calorie deficit, especially if new to weight lifting or very obese. But it's not going to happen fast enough to mask fat loss.
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southerngirllostinqueens wrote: »Hi there, You may want to have your thyroid checked just in case- that seems like enough gain to warrant a visit to ensure that there is nothing else going on.
Aside from that, here are some comments and notes I've found helpful
I posted these elsewhere recently but there are a variety of factors that matter…bottomline is that it’s not all about calories and cardio…
The other thing to remember is that you may be swapping out muscle weight for fat weight... take your measurements, those are important too. This is particularly true if you aren't significantly overweight. While a lb is a lb... muscle takes up less space...
Also If you utilize a strength training regimen, you can expect to gain 3 to 5 lbs. of muscle mass in three to four months, bringing your net caloric effect to 15 to 30 calories per day. The best way to benefit from the calorie-burning potential of your muscles is to actually use them. Your basal metabolic rate, or the number of calories your body uses when you are at rest, typically accounts for 60 to 75 percent of the calories you burn in a day.
<snip>newmanc0299 wrote: »southerngirllostinqueens wrote: »Hi there, You may want to have your thyroid checked just in case- that seems like enough gain to warrant a visit to ensure that there is nothing else going on.
Aside from that, here are some comments and notes I've found helpful
I posted these elsewhere recently but there are a variety of factors that matter…bottomline is that it’s not all about calories and cardio…
The other thing to remember is that you may be swapping out muscle weight for fat weight... take your measurements, those are important too. This is particularly true if you aren't significantly overweight. While a lb is a lb... muscle takes up less space...
.......
This is incredible----THANK YOU
It is a biological impossibility to to "swap out" fat for muscle weight. As a woman with your stats, you can effectively lose .5 to .75 lbs per week. You can effectively gain .5 to 1 lbs of muscle per month under the right conditions. And a severe deficit with lot's of cardio are not those conditions.
I was going to say the same thing, until I reread the above. Bolded for emphasis. There's still a tiny bit of woo, but it's sufficiently moderated to be effectively benign.
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OP, I've just picked up again. Dancers use their muscles differently. thinking bar and positions here, Yes, incorporate your established movements. I'm sorry you are no longer dancing. I know it is difficult to keep up. My granddaughter did the same when she entered the workforce.
All the very best.3 -
I'm 5'5" and 135 (but not 20 lol). I find the water weight I retain from exercise at this weight is a lot more significant than when I was heavier (aka I had more fat). That said though, I would agree that it would seem you are probably drastically undereating if you are only eating 1200 (and you are sure you are eating 1200 because you are appropriately weighing and measuring your food intake) and doing that much exercise, you risk loss of muscle along with the fat that will eventually come off.
It would probably help if you opened up your diary for others to take a look. Often the answers are found in the logging.
I've found the same thing -- I've always kept a close eye on my weight, and it's only when I've been leaner that I've *really* noticed the fluctuations.1 -
janejellyroll wrote: »newmanc0299 wrote: »TavistockToad wrote: »Why are you eating so little?
I didn't realize it wasn't enough! Even my nutritionist told me to stay around 1200 because we don't really realize how little we burn.
If my nutritionist knew that I was running five miles a day and recommended a 1,200 calorie diet to me, I'd be looking for a new one pronto. That isn't enough and they ought to know that.
It's things like that which make the difference between a nutritionist and an actual Registered Dietitian. Haha.5 -
newmanc0299 wrote: »Like I said, I am a former dancer and all my friends eat 700 calories a day and run 6-8 miles, so I thought I was doing quite a lot in terms of calorie consumption/less exercise.
You need to not listen to friends who have disordered eating patterns.10 -
Jeepfreak81 wrote: »cwolfman13 wrote: »gorditalindaz wrote: »I would suggest a fancy scale that measures BMI, Fat percentage, water percentage and muscle percentage. That way you can see if it is muscle gain or water
Those scales are hugely inaccurate for measuring BF%. Consumer Reports won't even test or make recommendations for them anymore due to being so wildly inaccurate.
They are known to be innacurate, but they can give you a point of reference. Just take the numbers with a grain of salt and focus on moving them the direction you need to.
I would not use the bf% in these scales as a point of reference at all. I own one of these scales and track my fluctuations through out the day for weight trends. On the scale my bf% will change by as much as 5% through out the day based on my normal fluctuations around fluid retention. My body fat percentage does not actually alter back and forth every day. And based on the dexa scan I had just over a year ago the scale has never been within 3% of my actual percentage either4 -
newmanc0299 wrote: »TavistockToad wrote: »Why are you eating so little?
I didn't realize it wasn't enough! Even my nutritionist told me to stay around 1200 because we don't really realize how little we burn.
Really? So how did your nutritionist determine your BMR? I think you need a new one, this one is suspect.3 -
cwolfman13 wrote: »gorditalindaz wrote: »I would suggest a fancy scale that measures BMI, Fat percentage, water percentage and muscle percentage. That way you can see if it is muscle gain or water
Those scales are hugely inaccurate for measuring BF%. Consumer Reports won't even test or make recommendations for them anymore due to being so wildly inaccurate.
Absolutely! My Aria tells me I'm around 21% body fat, but I just had a DXA scan and I'm actually 24.8. That's a really big difference!2 -
For all we know you had so little energy availability during your dancing career you may have just finished growing up!
Maybe vintage or some other ex dancers/gymnasts can help but the general eating practices in the community are in the ED spectrum and heavily weighted (no pun) to under-eating and competitively unhealthy behavior.
Having whacked up hormones after years of doing all this would not be surprising.
ETA: seriously checking thyroid, hormone levels, bone densities, etc with a dr or endocrinologist who has worked with ex dancers/gymnasts may be a good idea if you can do it.8 -
newmanc0299 wrote: »cwolfman has a very good point. If your body is not used to the idea of doing so much exercise, it will take some time to settle down and to become happy with all you are expecting of it. Not eating back calories earned or part is adding stresses to your systems and may impeded your recovery from these runs. It is possible one rest day is insufficient for yourself.
I question how over weight you are because if you are close to a good weight for your height it is going to be more difficult to loose 1 or even 1/2 a lb a week. You are taller than myself and at less than my goal, (if this makes sense to you). I would be inclined to change my activity level from sedentary to active, and loss to half or one lb a week. Then out of interest, see what calorific level would enable you to maintain to achieve a good all round view, so you can define your actual goals.
Possibly running is not the exercise you need, some find resistance helps, low weights and that sort of thing helping achieve a more sculpted look.
Also if you are female, the dreaded event can have a dramatic impact on those scales.
thank you I used to be a ballet dancer, but I stopped recently, so maybe I will reincorporate some of those activities.
The problem with being a ballet dancer is the high occurence of eating disorders in that profession. Why did you stop ballet anyway? Have you wetter had eating issues as a dancer? I wish you well which ever way you choose to go.4 -
newmanc0299 wrote: »cwolfman has a very good point. If your body is not used to the idea of doing so much exercise, it will take some time to settle down and to become happy with all you are expecting of it. Not eating back calories earned or part is adding stresses to your systems and may impeded your recovery from these runs. It is possible one rest day is insufficient for yourself.
I question how over weight you are because if you are close to a good weight for your height it is going to be more difficult to loose 1 or even 1/2 a lb a week. You are taller than myself and at less than my goal, (if this makes sense to you). I would be inclined to change my activity level from sedentary to active, and loss to half or one lb a week. Then out of interest, see what calorific level would enable you to maintain to achieve a good all round view, so you can define your actual goals.
Possibly running is not the exercise you need, some find resistance helps, low weights and that sort of thing helping achieve a more sculpted look.
Also if you are female, the dreaded event can have a dramatic impact on those scales.
thank you I used to be a ballet dancer, but I stopped recently, so maybe I will reincorporate some of those activities.
The problem with being a ballet dancer is the high occurence of eating disorders in that profession. Why did you stop ballet anyway? Have you wetter had eating issues as a dancer? I wish you well which ever way you choose to go.
I was actually following it as a career, and I realized I wanted to get a degree instead. I never really felt bad because I was always thin. I suppose I never really ate much to begin with.2 -
For all we know you had so little energy availability during your dancing career you may have just finished growing up!
Maybe vintage or some other ex dancers/gymnasts can help but the general eating practices in the community are in the ED spectrum and heavily weighted (no pun) to under-eating and competitively unhealthy behavior.
Having whacked up hormones after years of doing all this would not be surprising.
ETA: seriously checking thyroid, hormone levels, bone densities, etc with a dr or endocrinologist who has worked with ex dancers/gymnasts may be a good idea if you can do it.
Much more prevalent in the dance community for sure. In the case of elite sports it can delay growing and puberty (which is what happened to me with gymnastics) and not because I didn't eat like a horse, I did, but you need so much food/calories for training 5+ days a week on top of usual kid stuff and growing. When I quit I shot up and out and hit puberty alarmingly fast relatively speaking.
With dancing it very much depends what and where you train. The philosophy and culture, spoken or unspoken, within the studio and students is really the main factor. Both places I trained were really relaxed with only a couple girls clearly having actual EDs.
But yes, there can developmental delays and restrictions depending on how long, how hard and how often you train in conjunction with food intake.3 -
newmanc0299 wrote: »Like I said, I am a former dancer and all my friends eat 700 calories a day and run 6-8 miles, so I thought I was doing quite a lot in terms of calorie consumption/less exercise.
How "former" are you if you are only 20? And ballet unfortunately has an issue with unrealistic body image and some of the dancers develop eating disorders. 700 calories a day at that age and also running and/or exercising and dancing is not healthy.3 -
Wheelhouse15 wrote: »newmanc0299 wrote: »TavistockToad wrote: »Why are you eating so little?
I didn't realize it wasn't enough! Even my nutritionist told me to stay around 1200 because we don't really realize how little we burn.
Really? So how did your nutritionist determine your BMR? I think you need a new one, this one is suspect.
Truth! I burn 1500 just by being alive1 -
I’m 5 ‘5 eat 1250-1300 a day, do 0 exercise and have a completely sedentary job, am 32 years old and weigh 115. Something isn’t right esp if you weighed 110 in August. I’d go get your thyroid levels checked.1
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