Struggling with Eating Disorders: How to Restore Healthy Eating Habits - Nutrition

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I want to restore my body?


Hello Doctor: I am currently 18 years old and living in a dormitory.
Previously, I wanted to lose weight, so I gradually started eating less for dinner, and I also consumed very few carbohydrates and meats.
Eventually, I stopped eating lunch and only had breakfast.
Not long after, my menstruation stopped for almost six months.
I went to see a gynecologist, who said there was no issue.
I received an injection and took medication, and my period returned, but I did not go for a follow-up appointment, and it stopped again.
It has been another 4.5 months.
About 2-3 weeks ago, I went back for a check-up, but after the injection, my period did not return.
Now, even with medication, it has not come back for over a year! I also recognize symptoms of anorexia in myself.
I have started to fear eating, avoiding rice, noodles, and meat.
While living in the dorm, I only eat breakfast, skip lunch, and only have fruits for dinner! However, when I go home on weekends, I will eat some vegetables for dinner, but still avoid rice and meat! I want to get back to normal, but I am afraid I have developed a tendency to gain weight easily.
I feel conflicted...
I really don’t know what I should do...
how to eat...
to avoid regaining weight while also restoring my body...
Can you help me, Doctor...?

Mao Dun de Mei Mei, 10~19 year old female. Ask Date: 2006/10/23

Dr. Xie Huimin reply Nutrition


Sister of Contradiction: I suggest you find a nutritionist nearby to help you adjust your diet.
Your eating habits are very abnormal and have a significant impact on your health.
You are still so young, and health should be your top priority.
Malnutrition has already affected your bodily functions, and you urgently need to return your diet to normal! Keep it up! - Hsiao-Hui Min

Reply Date: 2006/10/23

More Info


Hello! It's great that you're reaching out for help regarding your eating habits and health concerns. At 18, your body is still developing, and it's crucial to establish a balanced and nutritious diet to support your overall health and well-being.
From what you've described, it sounds like you may be experiencing symptoms of an eating disorder, particularly anorexia nervosa, given your restrictive eating patterns and fear of gaining weight. This can lead to significant health issues, including hormonal imbalances, as evidenced by your missed menstrual cycles. It's important to understand that your body needs a variety of nutrients to function properly, and depriving yourself of essential food groups can have serious consequences.

First and foremost, I recommend seeking professional help from a healthcare provider who specializes in eating disorders. This could be a psychologist, psychiatrist, or a registered dietitian. They can provide you with a comprehensive assessment and develop a tailored treatment plan that addresses both your mental and physical health needs.
In terms of restoring healthy eating habits, here are some steps you can consider:
1. Gradual Reintroduction of Foods: Start by slowly reintroducing foods that you’ve been avoiding. This includes carbohydrates (like rice, pasta, and bread) and proteins (like meat, fish, and legumes). You don’t have to eat large portions right away; just aim to include small amounts in your meals.

2. Balanced Meals: Aim for balanced meals that include a source of carbohydrates, protein, and healthy fats, along with fruits and vegetables. For example, a meal could consist of grilled chicken, brown rice, and steamed broccoli, with a drizzle of olive oil.

3. Regular Eating Schedule: Try to establish a regular eating schedule that includes three meals and two to three snacks each day. This can help regulate your metabolism and prevent extreme hunger, which can lead to binge eating.

4. Mindful Eating: Practice mindful eating by paying attention to your hunger cues and eating slowly. This can help you reconnect with your body’s signals and reduce anxiety around food.

5. Avoiding Food Labels: Try to avoid labeling foods as "good" or "bad." Instead, focus on the nutritional value of foods and how they make you feel. This can help reduce the fear associated with certain foods.

6. Support System: Surround yourself with supportive friends and family who understand your journey. Sharing your feelings and experiences can alleviate some of the burdens you may be carrying.

7. Physical Activity: Engage in gentle physical activity that you enjoy, such as walking, yoga, or dancing. This can help improve your mood and body image without the pressure of intense workouts.

8. Therapeutic Support: Consider therapy options such as cognitive-behavioral therapy (CBT), which has been shown to be effective for individuals with eating disorders. Therapy can help you address underlying issues related to body image, self-esteem, and emotional eating.

9. Nutritional Counseling: Working with a registered dietitian can provide you with personalized meal plans and nutritional education to help you understand your body’s needs.

It's understandable to feel conflicted about gaining weight, especially if you have been focused on losing it. However, it's essential to prioritize your health over societal pressures regarding body image. Remember, your body needs nourishment to function correctly, and restoring your eating habits is a crucial step toward recovery.

Lastly, please remember that recovery is a journey, and it's okay to seek help along the way. You are not alone in this, and there are professionals who can guide you through the process of healing and developing a healthier relationship with food. Take care, and I wish you the best on your path to recovery!

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