I have recently come out of inpatient treatment for anorexia and still have a very low BMI. I was only on a max of 2500 - 2600 calories in the hospital because they were really reluctant to up my mealplan as they didn't think I should gain weight too fast (I wasn't...) Since being home for a week I have consistently eaten around the 3000 mark to try to get my weight up quicker but am really struggling with the amount of food and now feeling really depondent. My appetite has disappeared and each meal and snack is beginning to horrify me. I was sooo excited about coming out of hospital and eating all the foods I had denied myself for so long and yet eating has now become something horrible and mechanical and i even seem to have gone off favourite foods like cheese and chocolate. I dread each mealtime as it feels as though there is no room in my body for more. I have kept really positive and motivated up to today despite stressing about the hospital saying if I don't return they will do a mental assessment on me for section (my parents and community nurse have said they will not support this though as I am doing so well on the outside) but today all the food just felt too much and I really broke down. My mum has suggested that maybe 3000 is just a bit too much for my body rigght now as i'm still so loww and just for a very short time I should drop my calories to 2600-2700 to see if I can get my hunger back and be a bit gentler on the digestive system. She says with the amount of weight I have to put on there is plenty of time to get up to 3000+ calories. But I am so scared that I will mess up my metabolism by dropping calories though physically i'm not sure I can continue as I am for much longer. Has anyone got any advice for me? Thank you so much for reading my ramble.
It can be done at home, so don't dispear -I have been making my way from a bmi of 13 from home. But then, my dr doesn't like the system so stuck up for me when they wanted to admit me! Then I gained a bit to 13.8 on my own and they wouldn't accept me at this slightly higher bmi. Weird system.
You poor thing re the hospital. How old are you? When I started 3000 I would last 3-4 days then feel so full up liked you said. I then dropped back to 2500 and didn't gain any. Then two weeks later I would try again. I let myself too easily drop back down but when I finally MADE myself stick with it I managed a whole week then the next and so on. when that fullness strikes you just need to change the way you eat for those days. Try ensures/fortispips or calogen. There is more kcal in the latter per 100ml with about 200kcal per cap and it is x 3 a day.
Why don't you try supplement drinks to get in that extra 500-600kcal for the next week? Always after dropping down to 2500, after 1 1/2 weeks I was hungry for the 3000 again! What do you think?
from experience... you start to knock off the calories and it just keeps going and going... it's almost impossible to start adding stuff in again once the weight drops off.
stick to what you've been doing.. you'll be more active now you're out... you want to prove to them you dont need their help inpatient right? stick to what you were doing... or you'll end up back in there "/ sorry to sound harsh, but it's true, and you were managing before.. use your determination not to end up back there!!!
Physically, it will honestly get easier... remember how it felt after a week after increasing say to 1500? You didn't feel so full anymore? it will be the same.
Now you're out of hospital, you can start building things into your day, low activity things, just things to focus on, instead of waiting for each meal. even TV programs, jigsaws, chatting to friends, anything.
Quoting you: 'i've been out a week..... and now feeling really despondant'
This isn't you talking... it's the eating disorder.
read back through some of your posts... the ones about how you shouldn't still be in there, cos you can do it at home; you don't need the inpatient stuff....
read it, and see if you still feel how you do right now..
Keep fighting, and no matter, what, don't start decreasing the cal, cos you'll just keep decreasing
Please don't drop your cals. It is a slippery slope. Instead replace some of your foods with higher calorie foods so it is easier to take in the daily regimen. Dropping your cals quickly can become an excuse to avoid food and evetually relapse. Stick with it, it WILL get easier. Post on the Weight gainers! What did YOU eat today? Sep 17 - Oct 17 thread for support and ideas.
Thank you so much for your advice guys! Houseelf it so helps to know you have been there too and get what I'm saying. The first few days of 3000 no problem...well sort of...:p and then the fullness sets in and you think can't do this and then you feel fed up with yourself and try again. And end up going in circles which I want to avoid. I think the trouble as well is that I've let the ed voice questin why some people on the weight gainres forum are on closer to 2500 and so why should I be on 3000 - do I really need to push myself that much cos I want this recovery to be FUN! I want to feel a bit hungry and think yeah and I can have a bit of cake and bar of chocolate and try all the things I have denied myself for so long or denied myself a big enough portion of at least. But izwiz you are so right that it is a slippery slope when you decrease for a bit cos I took Mum's advice and dropped for a couple of days still around the 2600 mark and now I don't want to go back up so I know I can't leave it long befoe I do or I never will and I sooo want to be gaining and then maintaining on a really high calorie intake, not crawling up to my targe on the minimum so then I have to cut out foods to maintain. And you are right to quote myself back to me! I AM positive and CAN do this better than the hospital - just having a wobble I guess.
And is it true that you don't end up gaining quicker on more calories so I might as well be eating the max?
I've let the ed voice questin why some people on the weight gainres forum are on closer to 2500 and so why should I be on 3000 -
Careful now!! this is an age old ed trick of comparison! Do not fall into the trap! Think of YOU and YOUR body. Not another person's. You have been on 3000 therefore do not drop. The others probs haven't been on 3000 yet.
Wondering about the last question myself and rather conflicted in my mind as I am gaining on what I am having now. So, sorry, can't help there!