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Anorexia nervosa - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Weight & Lifestyle
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3387 Questions
Doctor :   hi
User :   hi i want to know if years of excessive dieting can lead to a decrease in metablism and whether or not this is irreverable??
Doctor :  
yes it will effect metaobolism
Doctor :  
and it is reversible
User :   How is it revesible?
Doctor :   u have to stop dieting
User :   I find that when i stop dieting i put on weight to a healthy weight but then i cannot stop putting on weight and weight keeps going on
Doctor :   u should exerscise more when u are eating more

User :   i do but surely 6 years of dieting and starvation periods must slow your metbolism down so much that it cannot go up again
Doctor :   it can be normal again

Doctor :  
only way is eat normally with out dieting
Doctor :  
and maintain normal body weight
Doctor :  
no only on metabolism
Doctor :  
excessive dieting and under weight has many side effects
User :   the problem is that when i reach a normal body weight which is good for my height i still keep putting on weight
Doctor :   i understood ur problem

Doctor :   putting on too much weight?whats the extra weight gain?
User :   well probaly about one pound every 2 days
User :   surely that is not normal
Doctor :   so what was ur maximum weight?

Doctor :   if u burn calories what ever u had how will u put on weight/?
User :   my maximum weight was 8st 7 but when i got to that and carried on eating normal diet i still put on weight
Doctor :  
if u burn calories what ever u had how will u put on weight/?

Doctor :   u there?
User :   sorry what do you mean??
Doctor :  
if u burn calories what ever u had how will u put on weight/?
Doctor :   i mean if u are burning the calories what ever u had ....
Doctor :  
how will u put on weight?
User :   i always put on weight and i think it is because i have slowed my metabolism right down
Doctor :   no

Doctor :   ofcourse there will be effect on metaboilsm
Doctor :   u are very over cautious about ur weight
Doctor :  
which is creating problems to u
User :   are effects on metabloism irreverable??
Doctor :  
they are reversible
Doctor :  
but not thriugh drugs
Doctor :  
only by stopping dieting
User :   Yes i am cautious about my weight but that is only because I put on weight all the time so eaily so i feel i cannot eat properly even thought i want to be able to
Doctor :   that is genetical

Doctor :   what about ur parents?
Doctor :  
what about their weight?
User :   before i started dieting i could eat whatver i wanted and never ever put on weight so i dont think it is genetic. Both my parents are very slim and eat very well
Doctor :  
Doctor :  
then problem is with ur dieting
Doctor :  
stop dieting even if u put on weight
Doctor :  
then ur metabolism will be normal
User :   ok but will i eventually stop putting on weight or will it keep going on??
Doctor :   it will stop .provided u should work little harder in gym

Doctor :  
and avoid junk food healthy foods like fruits as much as possible
User :   what about a thyroid problems?
Doctor :  
are u there?
Doctor :  
u are havinng thyroid problem?
Doctor :   are u hypothyroid?
User :   i dont know but im just wondering if that may be a possibiltiy
Doctor :   u just get thyroid profile done'
User :   how??
Doctor :  
like t3,t4 ,tsh levels
Doctor :  
its a blood test
User :   ok
Doctor :   once the reports have come ..we can tell u are having any thryoid disorder

User :   What is a helathy weight for my height, 5ft 6 inches
Doctor :   130 pounds
Doctor :  
u can be upto 58 kg
Doctor :  
are u there?
User :   i have always been very slim before the dieting is that a gentic thing??
User :   I mean are soem people naturally slim
Doctor :   yes

Doctor :  
gentics plays a major role
User :   so even if i have messed up my metablism i may be able to get it back to normal
Doctor :  
and also life style is important
User :   is it not possible to severly irrevesibly damage metablism, i thought that it was
Doctor :  
yes u can get back to normal
User :   do i need to reach 9 st to get it back to normal
User :   would it be normal at 8 st??
Doctor :   ur weight should be between 52 and 58 kg
Doctor :  
but never less than that
User :   ok so if it was 52kg then would i still keep putting on weight
Doctor :  
yes till 58
Doctor :  
no problem
User :   but even before i began dieting i was a normal 8 stone and never put on weight
Doctor :  
u should maintain ur weight between 52 and 58 kg but never less than that
Doctor :  
8 stone is not normal
Doctor :  
for ur height
User :   surely there are not that many people who are at their exact healthy weight and they still dont keep putting on weight on a normal diet
Doctor :  
dont compare with others
Doctor :  
no one in the world who dopnt put on weight by overeating and with out doing exerscise
User :   im not overating thought and i exercise nad still i put on weight
User :   i eat very littely and still put on weight
Doctor :   no ways
Doctor :  
its not possible
Doctor :  
what is the food u take and how many hours u work out in the gym?
User :   yes that is exactly what i am saying, its not normal but still it is happening that is why i think maybe i have a very very slow metabloism
Doctor :   how many colories u burn per day?
Doctor :  
how many days a week u go to gym?
User :   I eat about 1300 calories a day and gym 3 days a week
User :   sometimes 4
Doctor :  
why only 3 days?
Doctor :   it should be atleast 5 or 6 days a week
User :   because i am very underweight at the moment so cannot go to the gym untill i get to a better weight
Doctor :   see u are not putting on weight now,,,with out eating
Doctor :  
how will u put on weight with eating?
Doctor :  
metaboilsm is never one sided
Doctor :   its very clear that u are not putting on weight with ou eating
User :   3 days ago i weight 43 kg now i weigh 45 kg, in the last 3 days i ahve only eaten 3 very small meals a day ???
Doctor :   same machine?
User :   yes
Doctor :   before taking food or after taking food?
User :   i only had breakfast this morning and was then weighed much later in the day and had not had any other food
Doctor :   its impossible
Doctor :  
if its true
Doctor :  
then get ur thyroid profile done
User :   yes it is true i am very concerned, how many calories should i be eating in a day to maintain my weight??
Doctor :   for 45 kg weight
Doctor :  
1760 calories
User :   see i eat way less than that and still gain weight
User :   is that not sue to a slow metabloism??
Doctor :   u first get ur thyroid profile done
Doctor :  
thyroid harmone is the main harmone concernde with body metaboilsm
Doctor :  
lets check if there is any problem in ur thyroid profile
Doctor :  
and u check ur weight once again now and tell
User :   so i need to go and get a blood test??
Doctor :  
User :   ok thank you for your help
Doctor :  
Doctor :  
Is there any thing else I can help you with?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
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