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By Mary Hartley, RD
Director of Nutrition

How can I deal with fear of gaining weight after anorexia?
Asked by anonymous on Jan 06, 2009 in Eating Disorders



I recently sought help from my doctor about getting a possible eating disorder under control. I am 29, 5'5" and 118-120 lbs. I am very strict with what I eat but mostly only pay attention to the calories. I haven't had a period in at least 11 months. I am ALWAYS cold and feel lethargic. I've started to develop panic attacks and fear that I am wrecking my body beyond repair. I want to beat this and live a healthy life, but I don't want to gain a ton of weight as soon as I start eating my suggested calorie intake for my activity level. I am afraid that my metabolism will never recover and I will just continue to gain weight. Please help me sort this out and any misconceptions I may have!!


Answer

Your metabolic rate undoubtedly declined while you were starving, but it will spring back as you resume an adequate diet. Some of your fear stems from loosing control, although hunger is heightened during refeeding and that can be scary.  Remember, it is only temporary and your body will not lead you to "gain a ton of weight".  Why not try to gain 5 lbs at a time?  Plan to eat a balanced diet with about 2300 calories a day, but if you are hungry, honor your body and eat more food. Start to weight-train to build muscle as you gain weight.  For support, rely on your doctor, therapist, nutritionist and others, and consider joining the Calorie Count group, Disordered Eaters in Recovery



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