Can't lose weight after ED recovery?

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Hello, I lost a lot of weight in the past year with low/medium restriction, but gained 3-4 pounds when I tried to maintain and recover. Now I want them gone, but that can't seem to happen without being below 1000 cal and I don't want to fall into old habits. Thinking of dieting is enough. For past 2 months I've been eating between 1000-1400 cal/day with lots of walking (~10 km) 3-4 times a week, and SOMEHOW I'm maintaining. And that's way less than my TDEE. Since my history of ED - I know damn well about calories and how much I'm consuming so no - it's not more than I think it is.
I do not believe in "starvation mode" and "damaged metabolism" but what could it be?

Stats: 25f/62kg/170cm
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Replies

  • missiontofitness
    missiontofitness Posts: 4,074 Member
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    Talk to a dietitian, your PCP, and/or your treatment team. Being this worried over 3-4 pounds, when in recovery, is not healthy.


    Very true. I gained and lost 4lbs in one day the other day. I'm worried about this fixation on the 3-4 pounds "gained" is OP slipping back in to bad habits. OP, please make sure you are keeping your care team in the loop about your concerns, and get some help.
  • DarkShilen
    DarkShilen Posts: 14 Member
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    There's no team, since there's no treatment in my town, and I can't afford traveling. So I do it on my own.
  • L1zardQueen
    L1zardQueen Posts: 8,753 Member
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    Did a doctor diagnose you with ED?
  • missysippy930
    missysippy930 Posts: 2,577 Member
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    3-4 pounds is a normal daily weight fluctuation, depending on factors of what you have recently eaten. I would suggest you discuss this with a professional. Everyone is different, but eating less than 1000 calories is not recommended, unless you are doing so with a qualified health care professionals guidance . I know you say you can’t afford traveling, but your health should be a priority. You’re worth it, right?
    DarkShilen wrote: »
    There's no team, since there's no treatment in my town, and I can't afford traveling. So I do it on my own.

  • TavistockToad
    TavistockToad Posts: 35,719 Member
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    DarkShilen wrote: »
    There's no team, since there's no treatment in my town, and I can't afford traveling. So I do it on my own.

    I would look into some online resources then
  • RoxieDawn
    RoxieDawn Posts: 15,488 Member
    edited December 2018
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    Peaked at you diary. You haven't logged calories from Nov 12 thru Dec 28 (6 weeks of the '2 months'). Tracking via another method? I can't imagine you know for sure your calorie break down and how much you were eating.

    Noting that 3-4 lbs can very well be with in +/- 5 lb weight range of daily/weekly fluctuations being female. The worry you have over this warrants you to continue seek out advice and direction of professional counseling as you are still in recovery.
  • collectingblues
    collectingblues Posts: 2,541 Member
    edited December 2018
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    Gaining 3-4 pounds is common when transitioning into maintenance. You’re repleting your carb/glycogen storage.

    If you can’t accept that, you need to find a therapist to help you process. Talk to your PCP for a referral.
  • kshama2001
    kshama2001 Posts: 28,010 Member
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    DarkShilen wrote: »
    There's no team, since there's no treatment in my town, and I can't afford traveling. So I do it on my own.

    I'm with the VA for my health insurance and for some medical resources have to drive into Boston, which I hate, but I do it anyway.

    In my state there are resources to help people of low income get to medical appointments or receive home visits. What state are you in?

    Also, medical professional are increasingly offering consultations remotely, so that is another thing to ask your PCP about when you ask for a referral.
  • DarkShilen
    DarkShilen Posts: 14 Member
    edited December 2018
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    It can take 6-12 months to heal and settle out. Even while still restricting. The body has tremendous capacity to hold on to water weight, and can be upwards of 15-20 percent of your starting weight. The fact that you’ve got only 3-4 pounds is perfectly normal. As is the fact that your body is refusing to let go of it. It sucks, but welcome to ED recovery rebound.

    The more you restrict right now, the worse it’s going to be. You are doing yourself no favors if you continue to restrict to 1000 or 1100, work out, and expect results. But only you can decide whether you’d rather ride out the storm, or remain restricting and miserable and angry, and just keep prolonging the problems.

    That timeline and explanation is my PCP said to me when I had the same complaint. As much as I hated that she was right, indeed, it started coming off around the six month mark.

    Reevaluate in a year.

    You probably don’t like that answer either, but there you have it. Consider looking for online ED therapy resources.

    Thank you! I do like the answer since it does make more sense than maintaining at such low calories at my stats.

    ETA: I don't plan to restrict on 1000, that's why I made the post. Found it disturbing, and again triggering, to be unable to lose on a normal deficit. So I should just wait?
  • collectingblues
    collectingblues Posts: 2,541 Member
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    DarkShilen wrote: »
    It can take 6-12 months to heal and settle out. Even while still restricting. The body has tremendous capacity to hold on to water weight, and can be upwards of 15-20 percent of your starting weight. The fact that you’ve got only 3-4 pounds is perfectly normal. As is the fact that your body is refusing to let go of it. It sucks, but welcome to ED recovery rebound.

    The more you restrict right now, the worse it’s going to be. You are doing yourself no favors if you continue to restrict to 1000 or 1100, work out, and expect results. But only you can decide whether you’d rather ride out the storm, or remain restricting and miserable and angry, and just keep prolonging the problems.

    That timeline and explanation is my PCP said to me when I had the same complaint. As much as I hated that she was right, indeed, it started coming off around the six month mark.

    Reevaluate in a year.

    You probably don’t like that answer either, but there you have it. Consider looking for online ED therapy resources.

    Thank you! I do like the answer since it does make more sense than maintaining at such low calories at my stats.

    ETA: I don't plan to restrict on 1000, that's why I made the post. Found it disturbing, and again triggering, to be unable to lose on a normal deficit. So I should just wait?

    Yup. All you can do is wait. It sucks, but it’s the only thing to do.
  • SCoil123
    SCoil123 Posts: 2,108 Member
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    DarkShilen wrote: »
    Hello, I lost a lot of weight in the past year with low/medium restriction, but gained 3-4 pounds when I tried to maintain and recover. Now I want them gone, but that can't seem to happen without being below 1000 cal and I don't want to fall into old habits. Thinking of dieting is enough. For past 2 months I've been eating between 1000-1400 cal/day with lots of walking (~10 km) 3-4 times a week, and SOMEHOW I'm maintaining. And that's way less than my TDEE. Since my history of ED - I know damn well about calories and how much I'm consuming so no - it's not more than I think it is.
    I do not believe in "starvation mode" and "damaged metabolism" but what could it be?

    Stats: 25f/62kg/170cm

    Hello - recovering ED here. Part of my recovery was setting a healthy range for my weight. I had my physician help determine my range. Part of recovery is learning to accept normal weight fluctuations, this is why a goal range works better for many over a goal weight.

    You mentioned eating a very low calorie range for most people which looks like restricting and lots of walking. I know for me I have to be aware not to restrict or use exercise as a form of purging calories. I don’t want to project my own stuff here but your language in the OP raises some read flags.

    EDA is a recovery community that offers online meetings if there is nothing local for you. Please also feel free to add me and message anytime.
  • moogie_fit
    moogie_fit Posts: 279 Member
    edited December 2018
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    DarkShilen wrote: »
    Hello, I lost a lot of weight in the past year with low/medium restriction, but gained 3-4 pounds when I tried to maintain and recover. Now I want them gone, but that can't seem to happen without being below 1000 cal and I don't want to fall into old habits. Thinking of dieting is enough. For past 2 months I've been eating between 1000-1400 cal/day with lots of walking (~10 km) 3-4 times a week, and SOMEHOW I'm maintaining. And that's way less than my TDEE. Since my history of ED - I know damn well about calories and how much I'm consuming so no - it's not more than I think it is.
    I do not believe in "starvation mode" and "damaged metabolism" but what could it be?

    Stats: 25f/62kg/170cm

    I am ~in recovery/remission~ from anorexia and bulimia

    My treatment team gave me the goal weight of 138 lbs to get out of inpatient program*** THIS IS NOT ENOUGH

    I am currently 154 lbs, a year ago I was 170. Eat regularly according to a normal patterning of breakfast, lunch, and dinner following your TDEE and your weight WILL regulate. You are holding onto weight because your body is afraid of losing weight. Have trust in the process. It is long, but you need to just keep feeding yourself because truthfully, food is your medicine.

    I eat 3300 Calories per day. This has been the ONLY thing that has helped me to stop bingeing and purging. I have now gone over 200 days without behaviours.

    Best of luck and msg me if you need support/advice


    * EDIT: I want to clairify that 138 lbs is not enough weight for me. ALSO I want to let you know that I hated being over my low weight. Gaining weight is not fun, but it is part of the process of recovery, even if you are not underweight. You may need to step away from the scale and forums like this for real recovery.

  • snickerscharlie
    snickerscharlie Posts: 8,578 Member
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    SCoil123 wrote: »
    DarkShilen wrote: »
    Hello, I lost a lot of weight in the past year with low/medium restriction, but gained 3-4 pounds when I tried to maintain and recover. Now I want them gone, but that can't seem to happen without being below 1000 cal and I don't want to fall into old habits. Thinking of dieting is enough. For past 2 months I've been eating between 1000-1400 cal/day with lots of walking (~10 km) 3-4 times a week, and SOMEHOW I'm maintaining. And that's way less than my TDEE. Since my history of ED - I know damn well about calories and how much I'm consuming so no - it's not more than I think it is.
    I do not believe in "starvation mode" and "damaged metabolism" but what could it be?

    Stats: 25f/62kg/170cm

    Hello - recovering ED here. Part of my recovery was setting a healthy range for my weight. I had my physician help determine my range. Part of recovery is learning to accept normal weight fluctuations, this is why a goal range works better for many over a goal weight.

    You mentioned eating a very low calorie range for most people which looks like restricting and lots of walking. I know for me I have to be aware not to restrict or use exercise as a form of purging calories. I don’t want to project my own stuff here but your language in the OP raises some read flags.

    EDA is a recovery community that offers online meetings if there is nothing local for you. Please also feel free to add me and message anytime.

    Yes. It's called Exercise Bulimia, and is surprisingly common. A lot of people who aren't 'classic' bulimics can inadvertently fall down this rabbit's hole.

    Great post! :)
  • emmamcgarity
    emmamcgarity Posts: 1,594 Member
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    I agree with others who recommended looking into online resources. I am personally not a fan of calorie counting for those recovering from eating disorders. I might suggest you put your scale away and focus on nutrition for a while. Instead of counting calories look at minimum recommended food group servings per day to fuel your body. Focusing on minimums instead of maximums might be a good exercise for you. Example: make sure you get a minimum of 3 vegetable servings, 3 fruit servings, 2 protein servings, 2 healthy fat servings, 2 low-fat dairy servings, etc. instead of not more than a certain calorie level. I am not suggesting a “whole food only” approach that is restrictive. I am suggesting fitting in reasonable serving sizes of treats daily. And moderate (30-60 minutes only per day only with 1-2 rest days per week and not hardcore) exercise for fitness. Make health and fitness your focus instead of weight. Focus on healthy habits instead of weight.
  • DarkShilen
    DarkShilen Posts: 14 Member
    edited December 2018
    Options
    SCoil123 wrote: »

    Hello - recovering ED here. Part of my recovery was setting a healthy range for my weight. I had my physician help determine my range. Part of recovery is learning to accept normal weight fluctuations, this is why a goal range works better for many over a goal weight.

    You mentioned eating a very low calorie range for most people which looks like restricting and lots of walking. I know for me I have to be aware not to restrict or use exercise as a form of purging calories. I don’t want to project my own stuff here but your language in the OP raises some read flags.

    EDA is a recovery community that offers online meetings if there is nothing local for you. Please also feel free to add me and message anytime.

    I try not to, really. I guess the title is misleading since I'm not yet fully recovered (obviously), but I'm coming from low/mid restriction so even 1400 is alot for me to handle, but I try. I'm not dying to lose the weight, I only found it bizarre and frustrating that I'm not losing, but even gained.
    moogie_fit wrote: »
    I am ~in recovery/remission~ from anorexia and bulimia

    My treatment team gave me the goal weight of 138 lbs to get out of inpatient program*** THIS IS NOT ENOUGH

    I am currently 154 lbs, a year ago I was 170. Eat regularly according to a normal patterning of breakfast, lunch, and dinner following your TDEE and your weight WILL regulate. You are holding onto weight because your body is afraid of losing weight. Have trust in the process. It is long, but you need to just keep feeding yourself because truthfully, food is your medicine.

    I eat 3300 Calories per day. This has been the ONLY thing that has helped me to stop bingeing and purging. I have now gone over 200 days without behaviours.

    Best of luck and msg me if you need support/advice


    * EDIT: I want to clairify that 138 lbs is not enough weight for me. ALSO I want to let you know that I hated being over my low weight. Gaining weight is not fun, but it is part of the process of recovery, even if you are not underweight. You may need to step away from the scale and forums like this for real recovery.
    I agree with others who recommended looking into online resources. I am personally not a fan of calorie counting for those recovering from eating disorders. I might suggest you put your scale away and focus on nutrition for a while. Instead of counting calories look at minimum recommended food group servings per day to fuel your body. Focusing on minimums instead of maximums might be a good exercise for you. Example: make sure you get a minimum of 3 vegetable servings, 3 fruit servings, 2 protein servings, 2 healthy fat servings, 2 low-fat dairy servings, etc. instead of not more than a certain calorie level. I am not suggesting a “whole food only” approach that is restrictive. I am suggesting fitting in reasonable serving sizes of treats daily. And moderate (30-60 minutes only per day only with 1-2 rest days per week and not hardcore) exercise for fitness. Make health and fitness your focus instead of weight. Focus on healthy habits instead of weight.



    Thank you! I do try to and that's one of the reasons I didn't use MFP for the past 6 weeks (as someone mentioned), because all the calorie math in my mind is enough to deal with. Since I'm alone on this, while I'm trying to work on my mental health and focus on life stuff more, I'm just... forgetting to eat. So in the end of the day I know I didn't reach my goal. I'm working on balancing it all.