2

votes

Meal plan for active teen girl w/ inflammed liver?

Answered on August 19, 2014
Created March 04, 2013 at 2:07 PM

Hey guys, me again :P

Ok, 15, 5'7" 120 as of yesterday (had horrible HORRIBLE binge WEEK on as much sad food as I could put down, with only 2 days exercise)

Now I never want sad food again... lol But I went to the doc yesterday and apparently my liver is inflamed due to my eating disorder. So I guess I need to get serious so I don't...well die as she said. But I dont want sad foods, but I need help. I can't make my own meal plan, I need guidance. I havent had my period in years, and doc said im at the stage where organs start shutting down. my kidneys and liver apparently are going first. apparently my skin is yellow too. i dont have a nutritionist and all docs say it "dont diet". thats not helpful, how am i supposed to know how much/what to eat?

I workout 5 days a week, 20-30 mins intense intervals/hiit cardio, then lift 30-1 + hours heavy

Honestly i'd like to lose the weight i gained from my binge week, 15 pounds in a week is a lot and doc said it wasnt water...

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 10:27 PM

nutritionist who can run tests to see if certain vitamin deficiencies are present because of a SAD diet that may be causing a tendency to binge

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 10:26 PM

you can search the internet and find tons of stories of women in their 30's-50's who spent as long as you have been alive engaging in unhealthy eating behaviors who have decided to get help, help themselves and become strong through proper nutrition and diet, not dieting! you just have to understand that sometimes we binge because we are unknowingly setting ourselves up for it. if you are not eating a whole foods diet, super sensitive to carbs, not eating enough fats and proteins, your body is going to feel very unbalanced and lead to unbalanced eating behavior. a suggestion is work with a

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 10:22 PM

time and moderation. you have to know the body is Extremely resilient, and you are lucky to be aware enough of your behavior at a young age that you can make good choices. just do the best you can to eat a moderate amount of food, definitely don't eat under maintainance for your weight, fill up with plenty of good animal based fats and protiens, fatty cuts of meat, nice broths, fresh eggs, avocados, and whole olives. eat plenty of salad greens and non starchy veggies, even add in some root veggies if you feel like they are not effecting your blood sugar to were you start to feel unsatiable

370751438907115abacc67f4466b398d

(118)

on March 14, 2013
at 07:04 PM

What about the effects of binging on sad on and off for weeks? How can I "undo" the damage?

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 02:47 AM

repair your organs and also put on the good kind of fat, you should know omega three fatty acids are most likely found in the fat deposits around the hips, which is a sign of fertility and good health. honestly you can heal yourself!

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 02:45 AM

your welcome. honestly seek help. someone out side of you you can trust, who you can set reasonable goals with and who can be give you honest feed back about your progress. its SO hard to do what is right for yourself by yourself when you have a history of eating disorders and when you are struggling with you health! I hope the best for you, just be wise, kind to yourself and choose moderation in everything! make yourself healthful whole foods and get plenty of nutrition and calories. if research enough and eat the right kind and amount of protiens with fats you can gain back muscle

370751438907115abacc67f4466b398d

(118)

on March 13, 2013
at 05:04 PM

that helps me... because i need to stop this binging madness. thank you!

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 12, 2013
at 04:05 AM

also within three weeks of starting the ketogenic diet my period started again after 5 years of absence from hypothalamic ammenorhea, poor insulin response and malnutrition.

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 12, 2013
at 04:03 AM

isnt taken with diet.

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 12, 2013
at 04:03 AM

honestly the worst thing you can do is binge eat. you can burn out your liver and pancreas SO easily by eating to your hearts and appetites content. i would definitely be careful not to binge up on carbs, but instead feel yourself with healthy fats and proteins. also try an establish a healthy circadian rhythm. eating at night isn't recommended because its the best time for your body to be resting and restoring itself. eat plenty during the day to avoid this. it is possible to go from anorexic or too skinny with poor insulin and leptin response to over weight with the same issues if care

E35e3d76547b18096a59c90029e7e107

(15613)

on March 09, 2013
at 08:57 PM

You don't need to apologise.

370751438907115abacc67f4466b398d

(118)

on March 09, 2013
at 06:30 PM

thank you for the advice. im going to try!

370751438907115abacc67f4466b398d

(118)

on March 09, 2013
at 06:26 PM

im sorry everyone

E35e3d76547b18096a59c90029e7e107

(15613)

on March 08, 2013
at 05:28 PM

It may be true that it would be better if the person with ED had not come onto PH to seek diet advice. But given that they have come on here to ask about diet, then it's probably best to response and reiterate than there's no reason (even by paleo logic) to be restricting their diet.

E35e3d76547b18096a59c90029e7e107

(15613)

on March 08, 2013
at 05:25 PM

In that scenario it would seem *even more clear* that it would be better to carry on speaking to them, telling them to seek help, than to say "Not appropriate" and forcibly stop them speaking to us. A disanalogy between the situations is that suicide is not intrinsically to do with food, whereas ED is: in virtue of this, I think it's helpful and necessary to keep pointing out that no, restrictive diet isn't necessary and that a broad variety of foods can be healthy...

Ebb10603524dd22621c1155dd7ddf106

(19150)

on March 08, 2013
at 04:54 PM

I wonder if the question was "Help! Paleo isn't curbing my suicidal thoughts?!", then would we have differing opinions?

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:42 PM

P.S. Eat whenever your're even a little big hungry. Whether that be 2 am in the morning or 11 pm at night. EAT!! It will be hard at first, but the first thing you have to do is take guilt out of the equation. A camino chocolate bar (100% or 85%) slathered in honey. Pure heaven.

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:40 PM

Lots of hugs and support-Chelsea

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:39 PM

Also I recommend some serious vitamin d. Supplements and b12. I was taking 50'000 iu of vitamin d (good quality) and a about 10000, vitamin b12.LOTS OF carbs, limit the protein and tons of fat.

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:38 PM

Eventually your hormones will reregulate themselves (that make take a year or two) depending on how long this has been going on, sounds pretty serious. But you're period will return and you're life will resume as normal. EAT the food (I don't care how Matt Stone that sounds). Just eat good food (no gmos, pasturized dairy or preservatives).

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:36 PM

Don't restrict at all. 4000-6000 calories some days. Your're weight will eventually reach a set-point that your body and mind likes. Than your appetite will decrease. Mine did. Now I struggle to eat more than 1500-2000 calories but thats because I am at a healthy weight for my height (5'3). This comes from somebody who weight 67 pounds at the same height. Take care of yourself. Sleep, rest, relax. And most of all decrese your liquids. You need to absorb all of these wonderful nutrients. When you're thirsty take some honey and cinnamon on a spoon or have a salty sausage. Seriously, its wonderfu

370751438907115abacc67f4466b398d

(118)

on March 08, 2013
at 01:36 PM

Paleo is kinda a "trigger", but I know its best for my body... but it makes me feel restricted and makes me want to restrict. I am not sure what to do.

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:33 PM

Wow, a ketogenic diet is a diaster. I suffered from an eating disorder as a result of fruitanarism that eventually lead to exasberating my desire to be thin. Ketogenic diets turn your hunger off! This girl needs to eat, not starve her brain of glucose.I would really direct you to rest and refeeding a la Matt Stone but more in a Whole Foods concept. Don't restrict anything thats good for you. Eat plenty of meat, fish, chocolate, fruit, vegetables, starches, honey, cane sugar. IF you feel the need to exercise walk or go on a hike. Binge! Live it up. It saved me. Lots of rich paleo desserts

E35e3d76547b18096a59c90029e7e107

(15613)

on March 07, 2013
at 09:25 PM

Fwiw, I'm not sure closing that closing the thread is the best move in this situation. To be sure, the best advice to give here is to seek professional help, but it seems more likely that the OP will take that advice if they continue being told that here rather than being shut out. Ideally, of course PH would not have to field these questions, but if we *are* asked them, it's not obvious that we should ignore them.

Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 05, 2013
at 08:22 PM

Again, there is nothing wrong with your advice, I'm eating in the same way. I'm just saying that people with an ED have a completely twisted relationship with food. My point is just that saying 'eat when hungry' doesn't work with an anorexic.

Medium avatar

(39831)

on March 05, 2013
at 06:28 PM

You presume too much. Of course I understand that, but it doesn't change what sound advice is. People who recover from these things reach turning points. Maybe having your doctor tell you that your liver is inflamed is just such a moment in her life. She's asking for help, so I gave her good advice. Maybe you should do the same.

Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 05, 2013
at 08:09 AM

@Travis Don't get me wrong, I know you're trying to help. But you apparently have no idea how much an ED can mess up your relationship with food. I'm still trying to recover and have desperately been searching for information on the 'optimal' macro ratios. Instead, I should just be eating - not caring at all. Unfortunately, I can't let go of that thinking currently. I'm just trying to explain that this is by no means easy because people suffering from this think completely irrationally.

Medium avatar

(39831)

on March 05, 2013
at 02:50 AM

Meat, rice, veggies, fruit. If each plate is 1/4 each, that's fine. The low carb crap you see around here is terrible for nearly everyone. Irrational fears of certain types of foods never helped anyone. You won't have to restrict and binge if every meal is nutritious and satisfying. Have you ever talked to any adults in real life about this?

370751438907115abacc67f4466b398d

(118)

on March 05, 2013
at 02:26 AM

I just want a sample of what a should eat, not just "eat protein and veggies when you're hungry" because... well my hunger is messed up! if i had structure i just htink it woul dhelp...

370751438907115abacc67f4466b398d

(118)

on March 05, 2013
at 02:21 AM

What do you mean, August?

370751438907115abacc67f4466b398d

(118)

on March 05, 2013
at 02:18 AM

Im sorry. I honestly just want help but dont know how to go about it. Didnt mean upset anyone lol.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 05, 2013
at 01:56 AM

I didn't tell you to shun her, just stop feeding into her illness. "Just eat balanced meals" is NOT helpful advice for a child with aa severe eating disorder.

Medium avatar

(39831)

on March 05, 2013
at 01:35 AM

Please feel free to walk me through the myriad advantages of the shunning process.

Medium avatar

(39831)

on March 05, 2013
at 01:03 AM

Sounds like any 15 year-old to me. If she likes doing something for restriction's sake, then she can go nuts with avoiding wheat to her heart's content. It would be beneficial for increasing nutrient absorption that she desperately needs.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on March 05, 2013
at 12:40 AM

Given she's back with nearly exactly the same question, she obviously didn't like what she heard the first time around here and wants someone to validate her dysfunction.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on March 05, 2013
at 12:38 AM

Problem is, Travis, that it's in one ear and out the other. She's incapable of making meaningful change on her own, like others she's drawn to paleo for all the wrong reasons, restriction for restriction's sake I think. Like tossing gas on a fire.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on March 04, 2013
at 10:57 PM

As someone with "experience" in this I think agree with Travis' meal prescriptions, however I also think (know actually) that MathGirl is right and that you should really seek professional help, inpatient or outpatient. If you are like 99% of the people with eating disorders, the issue will not resolve itself if you go at it alone. You wouldn't be in this predicament if it would. So, please talk to someone and tell them that you are going to need some more help to get well. Take care and I wish you the best of luck.

Medium avatar

(39831)

on March 04, 2013
at 10:32 PM

Zombers: Obviously the best thing for you is to get people with real expertise to help you overcome this, but in the mean time, just eat balanced meals and focus on gaining health instead of losing weight.

Medium avatar

(39831)

on March 04, 2013
at 10:30 PM

Sure sure, treat her like a leper. Tell her to get professional help while we close her threads and ban her account. Out of sight, out of mind. We can pat ourselves on the back for a job well done. All is well with the world. If I closed every thread with disordered eating on PH, there'd be no more threads.

7bf306ada57db47547e9da39a415edf6

(11214)

on March 04, 2013
at 10:13 PM

Improbable. Presents with conditions that would render most of us incapable of working out, yet she's in the gym five days a week kicking ass.

370751438907115abacc67f4466b398d

(118)

on March 04, 2013
at 10:08 PM

I just feel like im not underweight anymore, so why eat more? is it even possible to gain 15 pounds in one week?

370751438907115abacc67f4466b398d

(118)

on March 04, 2013
at 10:03 PM

Im sorry I didnt mean to cause problems I am just dying for help.. literally. My parents dont make dinner I make all my own food. My dad cooks chicken breast, but not meals. I cant remember the last time i had a normal meal

Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 04, 2013
at 09:57 PM

@Travis I respect your comment and thinking. But take this very literally: you have no idea.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:55 PM

You can delete the post and repost as a comment.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:53 PM

No, it isn't better than nothing. If nothing else, she is a child. Isn't that violating the TOS? I don't mind helping children, but very few of us on here are even remotely qualified outside of being parents. Irreparable damage can be done if her disordered thinking continues to be fed by the seriously unqualified.

Medium avatar

(39831)

on March 04, 2013
at 09:43 PM

When people ask for help, you should help them. If she's refusing to get proper help, this is better than nothing.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:34 PM

Travis, please stop trying to fix this child and encourage her instead to get professional help. She is 15 with a serious eating disorder.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:32 PM

Another problem is one of the mods is answering her question like there isn't a serious underlying mental component to all of this.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:31 PM

Zombers, stop focusing on your weight. Your eating is so deranged because you are focusing on the wrong thing. You seriously need to get off of this board and seek medical/mental/professional help.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on March 04, 2013
at 08:57 PM

Zombers needs not to eat paleo, not to eat in a manner than fuels a ranging eating disorder.

Ebb10603524dd22621c1155dd7ddf106

(19150)

on March 04, 2013
at 08:44 PM

@Matt I seconded that vote - I definitely would like to see this person get help, but I don't think we're what Zombers's needs, considering the immediacy of Zombers's needs.

Medium avatar

(39831)

on March 04, 2013
at 08:42 PM

Thing is, the meals your parents make are probably already pretty close to this. I went around and around with my diet and I swear to God I ended up basically back at what my mother cooked when I was a kid.

Medium avatar

(39831)

on March 04, 2013
at 08:38 PM

Well just split a plate up so 1/4-1/2 is meat and then 1/4 is veggies and the rest starch and then whatever fruit you like. Eat it 4 times a day, that's what I do. If you need more help as you go, feel free to e-mail me any questions. It's just my name squished together at gmail.

370751438907115abacc67f4466b398d

(118)

on March 04, 2013
at 08:29 PM

The thing is I dont get hunger signal anymore. I've been dieting since 13. And how do I know the portions? I dont want to gain, but i want to be healthy, but i sit on my ass all day aside from the gym.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on March 04, 2013
at 08:26 PM

@greymouser, Agreed. Voted to close as 'too localized' we're not a personal health advice forum.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on March 04, 2013
at 08:24 PM

Kiddo, Paleohacks isn't the place for these sorts of questions. We're not an eating-disorder recovery forum. Stop rejecting the real help you're getting from real folks.

Medium avatar

(39831)

on March 04, 2013
at 08:24 PM

That doesn't mean she's brain-dead. I refuse to believe that telling someone the truth in this case is a bad idea. It has to be early enough to get through to her.

Ebb10603524dd22621c1155dd7ddf106

(19150)

on March 04, 2013
at 08:23 PM

I really wish a mode would close this question - there'se nothing we can say to this person, as they need professional help ASAP.

Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 04, 2013
at 08:17 PM

That's exactly why it's called an eating disorder. Trust me, it's not as easy to let go as people think.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on March 04, 2013
at 08:02 PM

Your liver enzymes and all other pertinent values with normalize once you regulate your eating and weight. The vast majority of people with eating disorders do not get better if they do not get treatment for it, so I recommend embarking on some sort of treatment plan- either inpatient our outpatient. Good luck and take care of yourself.

5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on March 04, 2013
at 02:31 PM

to try to do on your own or with only internet advice.

5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on March 04, 2013
at 02:30 PM

Given that you have an eating disorder and liver problems related to diet, your insurance probably will pay for a nutritionist if there is a referral from your doctor. If not, start calling around to the county or city health department for help. Your father needs to help you given that you have a serious medical problem. If he won't you need to get help (beyond just internet advice) and if you keep nagging the local health department, they will get you to the help you need. If that doesn't do it, get some other adult advocate to help - the school nurse is a possibility. This isn't something

370751438907115abacc67f4466b398d

(118)

on March 04, 2013
at 02:20 PM

She didn't refer me to a nutritionist but is psychologist. The thing is, I don't think insurance will pay for it and my dad wont make the appointment. D:

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9 Answers

5
Medium avatar

on March 04, 2013
at 08:08 PM

It's easy: Slab of meat, some veggies, a wheat-free starch and a piece of fruit for dessert. Do that every time you're hungry and you'll be fine. Don't worry about any of the other details.

I'm blown away by how unaffected you seem to be by your impending doom. The "SAD" foods you're talking about will harm your health way less than the starvation and excessive exercise. You would seriously be healthier if you ate a hamburger and french fries for every meal compared to what you've been doing. I'm dead serious.

Most of us are avoiding the standard American diet so it doesn't kill us decades down the line. What you're doing could kill you in a year or two, and for what?

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:53 PM

No, it isn't better than nothing. If nothing else, she is a child. Isn't that violating the TOS? I don't mind helping children, but very few of us on here are even remotely qualified outside of being parents. Irreparable damage can be done if her disordered thinking continues to be fed by the seriously unqualified.

Medium avatar

(39831)

on March 05, 2013
at 01:03 AM

Sounds like any 15 year-old to me. If she likes doing something for restriction's sake, then she can go nuts with avoiding wheat to her heart's content. It would be beneficial for increasing nutrient absorption that she desperately needs.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on March 05, 2013
at 12:40 AM

Given she's back with nearly exactly the same question, she obviously didn't like what she heard the first time around here and wants someone to validate her dysfunction.

Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 05, 2013
at 08:22 PM

Again, there is nothing wrong with your advice, I'm eating in the same way. I'm just saying that people with an ED have a completely twisted relationship with food. My point is just that saying 'eat when hungry' doesn't work with an anorexic.

370751438907115abacc67f4466b398d

(118)

on March 04, 2013
at 08:29 PM

The thing is I dont get hunger signal anymore. I've been dieting since 13. And how do I know the portions? I dont want to gain, but i want to be healthy, but i sit on my ass all day aside from the gym.

Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 04, 2013
at 08:17 PM

That's exactly why it's called an eating disorder. Trust me, it's not as easy to let go as people think.

Medium avatar

(39831)

on March 04, 2013
at 08:42 PM

Thing is, the meals your parents make are probably already pretty close to this. I went around and around with my diet and I swear to God I ended up basically back at what my mother cooked when I was a kid.

Medium avatar

(39831)

on March 04, 2013
at 08:24 PM

That doesn't mean she's brain-dead. I refuse to believe that telling someone the truth in this case is a bad idea. It has to be early enough to get through to her.

Medium avatar

(39831)

on March 04, 2013
at 08:38 PM

Well just split a plate up so 1/4-1/2 is meat and then 1/4 is veggies and the rest starch and then whatever fruit you like. Eat it 4 times a day, that's what I do. If you need more help as you go, feel free to e-mail me any questions. It's just my name squished together at gmail.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:31 PM

Zombers, stop focusing on your weight. Your eating is so deranged because you are focusing on the wrong thing. You seriously need to get off of this board and seek medical/mental/professional help.

370751438907115abacc67f4466b398d

(118)

on March 04, 2013
at 10:08 PM

I just feel like im not underweight anymore, so why eat more? is it even possible to gain 15 pounds in one week?

Medium avatar

(39831)

on March 04, 2013
at 09:43 PM

When people ask for help, you should help them. If she's refusing to get proper help, this is better than nothing.

32f5749fa6cf7adbeb0b0b031ba82b46

(41757)

on March 05, 2013
at 12:38 AM

Problem is, Travis, that it's in one ear and out the other. She's incapable of making meaningful change on her own, like others she's drawn to paleo for all the wrong reasons, restriction for restriction's sake I think. Like tossing gas on a fire.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on March 04, 2013
at 10:57 PM

As someone with "experience" in this I think agree with Travis' meal prescriptions, however I also think (know actually) that MathGirl is right and that you should really seek professional help, inpatient or outpatient. If you are like 99% of the people with eating disorders, the issue will not resolve itself if you go at it alone. You wouldn't be in this predicament if it would. So, please talk to someone and tell them that you are going to need some more help to get well. Take care and I wish you the best of luck.

370751438907115abacc67f4466b398d

(118)

on March 04, 2013
at 10:03 PM

Im sorry I didnt mean to cause problems I am just dying for help.. literally. My parents dont make dinner I make all my own food. My dad cooks chicken breast, but not meals. I cant remember the last time i had a normal meal

370751438907115abacc67f4466b398d

(118)

on March 05, 2013
at 02:21 AM

What do you mean, August?

Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 04, 2013
at 09:57 PM

@Travis I respect your comment and thinking. But take this very literally: you have no idea.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:34 PM

Travis, please stop trying to fix this child and encourage her instead to get professional help. She is 15 with a serious eating disorder.

Medium avatar

(39831)

on March 04, 2013
at 10:30 PM

Sure sure, treat her like a leper. Tell her to get professional help while we close her threads and ban her account. Out of sight, out of mind. We can pat ourselves on the back for a job well done. All is well with the world. If I closed every thread with disordered eating on PH, there'd be no more threads.

Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 05, 2013
at 08:09 AM

@Travis Don't get me wrong, I know you're trying to help. But you apparently have no idea how much an ED can mess up your relationship with food. I'm still trying to recover and have desperately been searching for information on the 'optimal' macro ratios. Instead, I should just be eating - not caring at all. Unfortunately, I can't let go of that thinking currently. I'm just trying to explain that this is by no means easy because people suffering from this think completely irrationally.

7bf306ada57db47547e9da39a415edf6

(11214)

on March 04, 2013
at 10:13 PM

Improbable. Presents with conditions that would render most of us incapable of working out, yet she's in the gym five days a week kicking ass.

Medium avatar

(39831)

on March 04, 2013
at 10:32 PM

Zombers: Obviously the best thing for you is to get people with real expertise to help you overcome this, but in the mean time, just eat balanced meals and focus on gaining health instead of losing weight.

Medium avatar

(39831)

on March 05, 2013
at 06:28 PM

You presume too much. Of course I understand that, but it doesn't change what sound advice is. People who recover from these things reach turning points. Maybe having your doctor tell you that your liver is inflamed is just such a moment in her life. She's asking for help, so I gave her good advice. Maybe you should do the same.

5
4610451431ec7155c87a5698be682a95

(1122)

on March 04, 2013
at 02:20 PM

Zombers, the hard answer to what you have posted over the past few weeks is to seek professional help - in person, not internet. If I were your parent, I would seek taking you out of your "sports" HS so you could work on your eating disorder. This might include being placed in an in-patient facility. You clearly need help and are asking for it. Talk to a trusted adult (who might not be your parents). Living is better than dying! To get healthy you will have to give-up some negative "trigger" behaviors. This might include working out!! Please be careful, and do talk to someone face-to-face. I'm sure you will have some other encouraging answers to your post.

370751438907115abacc67f4466b398d

(118)

on March 08, 2013
at 01:36 PM

Paleo is kinda a "trigger", but I know its best for my body... but it makes me feel restricted and makes me want to restrict. I am not sure what to do.

3
1edb06ded9ccf098a4517ca4a7a34ebc

on March 04, 2013
at 10:59 PM

As someone with "experience" in this I agree with Travis' meal prescriptions, however I also think (know actually) that MathGirl is right and that you should really seek professional help, inpatient or outpatient. If you are like 99% of the people with eating disorders, the issue will not resolve itself if you go at it alone. You wouldn't be in this predicament if it would.

So, please talk to someone and tell them that you are going to need some more help to get well. Take care and I wish you the best of luck in your recovery. You will be surprised at how much better you will feel when you can put this (mostly) behind you.

2
61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 07:25 PM

If you cannot speak to your parents, talk to a trusted teacher or school counselor, doctor, nurse, clergyman, aunt, uncle, etc. Talk to someone because you are crying out for help and all we can do is encourage you and sit back and hope for the best. You cannot do this on your own. Believe me. You are very young and can reverse any damage to your body, but it will take a team to help you through it.

2
5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on March 04, 2013
at 02:14 PM

Call your doc and get him/her to refer you to a nutritionist who deals with eating disorders and liver problems. Also get a referral to a psychiatrist/psychologist who works with eating disorders.

Honestly, the doc should have done that right away.

5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on March 04, 2013
at 02:30 PM

Given that you have an eating disorder and liver problems related to diet, your insurance probably will pay for a nutritionist if there is a referral from your doctor. If not, start calling around to the county or city health department for help. Your father needs to help you given that you have a serious medical problem. If he won't you need to get help (beyond just internet advice) and if you keep nagging the local health department, they will get you to the help you need. If that doesn't do it, get some other adult advocate to help - the school nurse is a possibility. This isn't something

370751438907115abacc67f4466b398d

(118)

on March 04, 2013
at 02:20 PM

She didn't refer me to a nutritionist but is psychologist. The thing is, I don't think insurance will pay for it and my dad wont make the appointment. D:

5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on March 04, 2013
at 02:31 PM

to try to do on your own or with only internet advice.

1
E35e3d76547b18096a59c90029e7e107

(15613)

on March 08, 2013
at 08:22 AM

Hi Zombers.

As everyone on here has noted, you need professional help for your eating disorder. Of course, you're already speaking to doctors who are fully aware of your eating disorder, so this is already given and you're already, obviously, getting professional help of some kind. If you want you can request a nutritionist via your doctor, but they will doubtless also tell you something that you don't want to here (that you need to focus on the eating disorder that is making you ill and not on dieting to lose weight), but they might at least give you some advice about precisely what foods to eat if that is what you want.

To clarify some of the points that have already been made. If you are dying from an eating disorder, your focus has to be on surviving that and not in losing 15lbs in the short term. You can't simultaneously deal with your eating disorder, while inadvisedly trying to lose a lot of weight simultaneously, by definition.

At the risk of drawing some ire, I'm going to address your question about what foods you should eat. To reiterate: this is not the thing to focus on right now. However, it's obvious that you're going to think about what foods you eat/don't eat now and it's obvious that you're going to have to think about it at some point in the future. Also one presumes that part of what is contributing to your eating disorder and questions on here is a fear of unhealthy food/eating the wrong thing, so it's worth addressing: Humans have eaten a very broad variety of foods in different combinations for hundreds of thousands of years while maintaining perfect health. Completely healthy diets have spanned from 90%+ potatoes to 90%+ animal meat and fat and everything in between. Practically any combination of protein, fat, starches vegetables, fruit will be fine. As has been noted before: any combination will definitely be better, in your position, than not eating anything.

It's quite definite that no-one here can advise you of what size portions of the above completely healthy foods you need to eat, since we don't know the details of your physical condition. If you are committed to eating healthily, but want guidance about what precisely to eat (which is to be expected) then the only way you can get this is by speaking to your doctor and explaining clearly that you want guidance on this. Eating healthily should obviously be your goal and the goal the doctors want you to work towards, but just to reiterate again: eating healthily cannot, for you, be at all focused on rapidly losing weight in the short term.

1
32652cb696b75182cb121009ee4edea3

(5802)

on March 05, 2013
at 12:50 AM

I'm not sure where you live, but you might be able to find a paleo nutritionist or other doc in your area to help you: look at primaldocs.com. I would email one and explain your situation, and ask their advice. They may know of local resources that could be of help, even some that might be free.

1
Ed0cb30f40daff568778b776b2a5a81d

(943)

on March 04, 2013
at 09:51 PM

@Travis I respect your comment and thinking. But take this very literally: you have no idea.

Edit: Sorry, should have been a reply to Travis' post.

61844af1187e745e09bb394cbd28cf23

(11058)

on March 04, 2013
at 09:55 PM

You can delete the post and repost as a comment.

0
2006ccb2b60f9cc5ba5e8eff8a7abc46

on March 07, 2013
at 08:51 PM

i have been there, in fact i have been you for the last five years! so here, after all this self experimentation, sabotage, binge eating, trying every form of clean eating under the sun not resting and healing my body like it was screaming at me to do, and then finally finally actually getting it, heres my advise:

go on a ketogenic diet, you can calculate your macros heres keto-calculator.ankerl.com, track your food intake at myfitnesspal.com or fitday.com. you need to eat AT OR ABOVE MAINTAINENCE, you will not gain weight, if anything keep track of your measurements, NOT YOUR WEIGHT, you will most likely shrink or gain muscle, but if your liver is sick you really should be resting and doing healing activities, walking, yoga....

eat a whole foods based diet, high quality cuts of meat, plenty of egg yolks(these are ESPECIALLY helpful for your liver lots of choline, inositol and lecithin! your liver will love this), raw milk if you can get it, whole organic olives, avocados, seaweed, bone broths and offal(if you can eat livers, even chicken livers cooked down in a curry you will be helping your liver so much!). you should stay away from nuts and seeds as these are highly irritating to the liver! start taking omega threes and a good multivitamin or two! if you have the $ get a panel to see what, if any, nutritional deficiencies you need to clear up. start drinking a shit ton of fatty bone broth with plenty of marrow and connective tissue, take a probiotic like garden of life brand "primal defense". stay away from fermented foods, even ones that fit into the keto diet. drink down a little bit of raw vinegar with your meals or use it as dressing, tihs will help you liver and gallbladder break down fats. you can restore proper gut flora and also start to heal your intestines this way. its also a great way to clean out your liver, kidneys and blood stream.

use some helpful herbs for your liver, milk thistle seed, dandelion root, oregon grape root...these are powerful and highly recommended. milk thistle seed should be taken as an extra in pill form, the others can be used as tea over longer periods of time. you can take other teas like pepper mint to help them not be so bitter, but your liver loves and craves bitter to clean it out and heal it

ive struggled with binging for years, and destroying my liver with binge drinking as well, starting at the tender age of 12. I am 30 now...i didnt gave up gluten, sugars and anything not organic 5 years ago but still struggled! i didnt give up carbs because i had pretty much gotten down to eating just meat and root veggies quite a while ago. i had to ditch the root veggies, which was hard for me, i am an organic farmer, its what i grow! but the adherence to them was really what was hindering my healing! my digestion is so amazing now, i no longer get rashes, hot flashes/fevers, bloating, irritability and all the other little weird symptoms of systemic candida i had before

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:33 PM

Wow, a ketogenic diet is a diaster. I suffered from an eating disorder as a result of fruitanarism that eventually lead to exasberating my desire to be thin. Ketogenic diets turn your hunger off! This girl needs to eat, not starve her brain of glucose.I would really direct you to rest and refeeding a la Matt Stone but more in a Whole Foods concept. Don't restrict anything thats good for you. Eat plenty of meat, fish, chocolate, fruit, vegetables, starches, honey, cane sugar. IF you feel the need to exercise walk or go on a hike. Binge! Live it up. It saved me. Lots of rich paleo desserts

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:42 PM

P.S. Eat whenever your're even a little big hungry. Whether that be 2 am in the morning or 11 pm at night. EAT!! It will be hard at first, but the first thing you have to do is take guilt out of the equation. A camino chocolate bar (100% or 85%) slathered in honey. Pure heaven.

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:39 PM

Also I recommend some serious vitamin d. Supplements and b12. I was taking 50'000 iu of vitamin d (good quality) and a about 10000, vitamin b12.LOTS OF carbs, limit the protein and tons of fat.

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:38 PM

Eventually your hormones will reregulate themselves (that make take a year or two) depending on how long this has been going on, sounds pretty serious. But you're period will return and you're life will resume as normal. EAT the food (I don't care how Matt Stone that sounds). Just eat good food (no gmos, pasturized dairy or preservatives).

370751438907115abacc67f4466b398d

(118)

on March 09, 2013
at 06:30 PM

thank you for the advice. im going to try!

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:40 PM

Lots of hugs and support-Chelsea

2a00b9a42e4cb6e489a0e69d20714576

(3043)

on March 08, 2013
at 01:36 PM

Don't restrict at all. 4000-6000 calories some days. Your're weight will eventually reach a set-point that your body and mind likes. Than your appetite will decrease. Mine did. Now I struggle to eat more than 1500-2000 calories but thats because I am at a healthy weight for my height (5'3). This comes from somebody who weight 67 pounds at the same height. Take care of yourself. Sleep, rest, relax. And most of all decrese your liquids. You need to absorb all of these wonderful nutrients. When you're thirsty take some honey and cinnamon on a spoon or have a salty sausage. Seriously, its wonderfu

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 12, 2013
at 04:03 AM

honestly the worst thing you can do is binge eat. you can burn out your liver and pancreas SO easily by eating to your hearts and appetites content. i would definitely be careful not to binge up on carbs, but instead feel yourself with healthy fats and proteins. also try an establish a healthy circadian rhythm. eating at night isn't recommended because its the best time for your body to be resting and restoring itself. eat plenty during the day to avoid this. it is possible to go from anorexic or too skinny with poor insulin and leptin response to over weight with the same issues if care

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 12, 2013
at 04:05 AM

also within three weeks of starting the ketogenic diet my period started again after 5 years of absence from hypothalamic ammenorhea, poor insulin response and malnutrition.

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 02:45 AM

your welcome. honestly seek help. someone out side of you you can trust, who you can set reasonable goals with and who can be give you honest feed back about your progress. its SO hard to do what is right for yourself by yourself when you have a history of eating disorders and when you are struggling with you health! I hope the best for you, just be wise, kind to yourself and choose moderation in everything! make yourself healthful whole foods and get plenty of nutrition and calories. if research enough and eat the right kind and amount of protiens with fats you can gain back muscle

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 02:47 AM

repair your organs and also put on the good kind of fat, you should know omega three fatty acids are most likely found in the fat deposits around the hips, which is a sign of fertility and good health. honestly you can heal yourself!

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 12, 2013
at 04:03 AM

isnt taken with diet.

370751438907115abacc67f4466b398d

(118)

on March 13, 2013
at 05:04 PM

that helps me... because i need to stop this binging madness. thank you!

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 10:27 PM

nutritionist who can run tests to see if certain vitamin deficiencies are present because of a SAD diet that may be causing a tendency to binge

370751438907115abacc67f4466b398d

(118)

on March 14, 2013
at 07:04 PM

What about the effects of binging on sad on and off for weeks? How can I "undo" the damage?

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 10:26 PM

you can search the internet and find tons of stories of women in their 30's-50's who spent as long as you have been alive engaging in unhealthy eating behaviors who have decided to get help, help themselves and become strong through proper nutrition and diet, not dieting! you just have to understand that sometimes we binge because we are unknowingly setting ourselves up for it. if you are not eating a whole foods diet, super sensitive to carbs, not eating enough fats and proteins, your body is going to feel very unbalanced and lead to unbalanced eating behavior. a suggestion is work with a

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 14, 2013
at 10:22 PM

time and moderation. you have to know the body is Extremely resilient, and you are lucky to be aware enough of your behavior at a young age that you can make good choices. just do the best you can to eat a moderate amount of food, definitely don't eat under maintainance for your weight, fill up with plenty of good animal based fats and protiens, fatty cuts of meat, nice broths, fresh eggs, avocados, and whole olives. eat plenty of salad greens and non starchy veggies, even add in some root veggies if you feel like they are not effecting your blood sugar to were you start to feel unsatiable

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