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Eating disorder, techniques to maintain weight - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Eating Disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions

Doctor :   Hi
Doctor :  
How can i help you?
Doctor :  
User :   Hi, I was hoping you will be able to help me. I have had an eating disorder for 6 years and have had various treatment none of ehich has really worked, i have now started treatment again and saw a psychatrist today. However, I ahve said that I feel that I cannot move forward because at the moment when I reach a weight which is good for me, i carry on putting on weight and I feel that in the 6 years I have done irreversable damage to my metabolism due to constant dieting and starvation. Is this correct and is there anything i can do so that I can eat normally without putting on weight even when i am at a healthy weight??
Doctor :  
let me read
Doctor :  
may i know your present height and weight
User :   45 kg, 6ft 6
Doctor :   ur height is 6 feet 6 inches?
User :   no sorry 5ft 6 inches
Doctor :   ok

Doctor :  
u dont wanna put on weight?
User :   yes i do want to put on weight but the problem is that wehn i get to a healthy weight i cannot maintatin that weight as i keep putting on weight so easily and i was wondering if it is possible that this is because in the 6 years i have slowed my metabolism right down due to excess dieting
Doctor :   what is the ideal weight u have reached?

User :   8 st 4
Doctor :   8 stones and 4 pounds?
User :   yes
Doctor :   ok
Doctor :  
its almost 52 kg?
User :   yes
Doctor :  
Doctor :  
that is the weight u need to maintain
Doctor :  
do u work out in gym?
Doctor :  
jogging/any physical activity?
Doctor :  
whats ur age?
User :   not at the moment but i do when i am at a good weight. I am 21
Doctor :   ok
Doctor :   after attaining 52 kg ,u were unable to maintain it?
User :   yes i still carried on putting on weight even though i was eating a healthy diet
Doctor :  
what is the maximum weight u have attained?
User :   well when i got to about 8st 6 i then panicked as i thought i would never stop putting on weight and so started dieting again
Doctor :   its just 53 kg ?

User :   yes
Doctor :  
u can put on weight upto 54 for ur height
Doctor :   according to ur history u dont have any eating disorder
Doctor :   only thing is u are scared of putting on weight
User :   no i have had treatment for an eating disorder 2 times and at the moment my BMi is 16 and i am once again having trreatment
Doctor :  
to maintain weight...there should be a balance between intake of calories and burning calories
Doctor :   do u feel like puking after taking food ...
Doctor :  
so that calories consumption is less?
User :   I understand that but what i am trying to understand is that in the last 3 days just from eating a healthy 3 meals a day i have put on 4 pounds and I put on weight so easily what i want to know is if i have permentanly damaged my metabloism due to 6 years of on and off diets
Doctor :   no no

Doctor :  
there is nothing like damage to ur metabolism
Doctor :   if u observe there will be a weight difference of 2 kg when compared to before and after taking food
Doctor :   ur problem is ANOREXIA NERVOSA
User :   Sorry, i dont understand what you mean??
User :   yes
User :   i know what my problem is
Doctor :   ok

Doctor :  
its a psychological problem
Doctor :  
where despite of being normal weight dieting a lot
Doctor :  
and Intense fear of gaining weight, despite being underweight
Doctor :   Distorted view of oneâ??s body or weight, or denial of the dangers of oneâ??s low weight
Doctor :   Refusal to sustain a minimally normal body weight
Doctor :   and ur metaboilsm is normal
User :   yes i know what it is i am not aksing you for a diagnosis i have already had that but what i am trying to say is that the psychologist i have seen today has said that he believes that my excess dieting has slowed down my metabolism to such an extent that i will always have to watch my weight as my metabloism is now so slow. What i am asking you is whther or not this is correct??
Doctor :   ok
Doctor :   yes

Doctor :  
anorexia will effect ur metabolism
User :   Yes i know what my problem is I am not asking for a diagnosis, i already know this. What I am trying to ask is that when i saw the psychologist today he said that he thinks that 6 years of bad eating and dieting have meant that I have slowed my metabloism right down and this is why i put on weight so quickly. Is this correct??

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