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Q: recovery from anorexia?
asked by: LouiseT on August 31st, 2008
New User
Hello, my name is Louise, I'm 17 and I just joined this website.
I have been anorexic for over a year now and a little while ago I decided that I've had enough and I want to grow up to be healthy.
My length is 5"5 and my natural "setpoint" weight was about 110-112 pounds. I was underweight to begin with, been underweight my entire life. It's in our family (dad's side).
To make a long story short: I had issues with my self esteem and started restricting calories to cope with my problems, causing weight loss to about 99 pounds.
I lost my period, became obsessed with food and loads of other anorexic symptoms.
I decided I wanted to recover because I want to do something better with my life then counting calories behind the computer all day and night.
So, after living of 1300 calories for about a year, I slowly increased my calorie intake to about 1400-1500.
I gained back a little, I'm at 102 pounds right now.
I know I'm still underweight and before my eating problem, weight had never been an issue for me, but now I can't help but feeling really freaked out because all the weight mainly seems to go to my stomach. Some people say it will even out, some people say it won't.
I've read countless websites about eating disorders and I don't know what to believe anymore.
So I just have a few questions for people who had anorexia and have recovered:

1: How do you cope with the weight gain? I can't help freaking out over the fact that my weight is going to my stomach, and it sometimes is really tempting to just starve the fat off again.

2: Some people say you should slowly increase calories (100 a week or so) and I also read about clinics putting their patients on a program of 3000 calories a day?
Which one is the right way?

3: My father said as long as I keep exercising, things will turn out fine but I don't trust him because I already exercise alot (probably too much) and that didn't stop the fat from going to my stomach.
How much exercise am I supposed to do?
Or am I supposed to take a break from exercise until I reach my 50 Kg again and then start toning my muscles?

4: Will my period only return when I reach my setpoint weight again?

5: How do you stop compulsively counting calories if you know the calorie content of almost everything?

I hope my topic isn't to long to read xD Thanks in advance.
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clairstickles
replied on September 14th, 2008
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Hi, my suggestion would be to do core based exercise, like yoga or palates and with a good mix of cardio, my weight tends to go to my stomach and I find that really helps. I'm not sure about the calories, i'm not a nutritionist or anything, but as long as you're intending to uptake you're intake i don't think it would matter to much. And yes your period will return, I used to starve myself back when I was 14 and lost it for about 5 months, once I got to a healthy weight it returned. And also I don't think there is anything wrong with counting calories, it's good to know what you're consuming as long as you're eating enough. Half the world doesn't and it's a big contribution to the obesity epidemic.
Lastly, congratulations on wanting to fix yourself. That's a big step and I wish the best for you.
Hope I helped in some way Smile
Claire xo
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CrazyHaired
replied on October 2nd, 2008
New User
Hi Louise! I'm so glad to hear that you are staring recovery! That is just great news! Trust me, when all is said and done, you wont regret it! In regards to your questions:

1: Usually during the refeeding phase, the fat can be store in the stomach area because your body has been in "starvation mode" and it fears that you will starve yourself again, so it is storing the fat where it can be accessed quickly, if you were to starve yourself again. However, once your body realized that you will CONTINUE giving it the food it needs, it will relax and evenly distribute everything. So don't worry! And don't "starve it off" again, cause then it just affirms your body's fears. So just keep eating and it will work itself out.

2: While some treatment places will start people off much higher, calorie wise, they also monitor them physically to make sure they don't go into "Refeeding Syndrome" which is where the body's electrolytes go all out of wack (it can actually be deadly, rare, but deadly) I think it only happens if someone's been starving for years and years and year (I think some of the people in the Holocaust had it happen when they were released) and it's when they go straight to eating a LOT of food with no medical monitoring. Ideally, it would be best if you were sing a nutritionist to help show you how to eat again, but regardless, 1400-1500 calories is not enough for you, but going slowly is better if you're not seeing a dr. or anything.

3: I know when I've been in treatment, I had to stop exercising until I reached my goal weight. It can be dangerous to be exercising while you're underweight. I had to wait until I got my period back, actually. So you might want to consider that.

4: And it should. Sometimes it takes a few months being at your set point, till it does. But it should come back.

5: I can totally relate to this. I used to obsessively count EVERYTHING (even things I wasn't eating), but I don't count anything now. It took a lot of time to get to that though. For me, it was more of a gradual, decrease over counting. One thing that helped me was to take everything out of it's package and put it in food containers or Tupperware. Even though I still KNEW it's calorie content, I found that by not being reminded everything I tried to eat, help it to gradually forget.

Also, have you thought about getting a therapist or anything? Good luck! And don't give up!
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yogamonkey
replied on October 5th, 2008
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Good for you sounds like your headed in the right direction!
I worry about 1300 calories a day with as much as your working out. I lift and bike over an hr 5 days a week. If I ate 1300 calories I could not make it through my workouts. I would not have the muscles I do either. Which my muscle lets me eat 2000 or more calories a day and maintain a healthy weight. More muscle more calories you burn.
I have been there, I ate 2 lean cuisines a day for a long time. It was so hard when I met my boyfriend to eat a proper meal. The guilt I felt was overwhelming. It gets easier, the voices making you feel guilty get a little quieter as time goes on.
You have to raise your body fat to get your period back. You may need to get to 15-18 percent before it returns. There are lots of side effects to having no period. Brittle bones for one. As a women you want to be building your bone strength right now because once you hit your thirties you need as much bone in reserve as possible. Read up on osteoporosis.
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Super_K
replied on October 10th, 2008
Experienced User
Hey.. I'm also 17. I'm 5'3" and 110 pounds. I've struggled with anorexia for 3-4 years so i completly know what you mean by wanting to get better. When it first started i got over it myself.. but it keeps resurfacing. If i were you i would go to a therapist or nutritionist just so you can get it over and done with, with less worry of it coming back.. nott fun! And you are already extremly tiny, even if all your weight goes to your stomach it probably doesn't look bad at all..you're just scared of it because you can notice that you're gaining weight, which is a good thing.
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