Atypical anorexia: the dietitian is pushing me….

Hello guys,

You know, the specialist eating disorder dietitian I’m working with has a wonderful ability to really listen to me, bring humour to our sessions, really involve me in the treatment around my preferences, etc. …. whilst also giving me ‘The Look’ and being direct with me which is just what I need.

I have to say that I’m finding it hard to keep pushing up the calories and I’m starting to hit a brick wall having got the calories up from a daily limit of 375 to 950. I mean, that’s a huge jump and she said that we need to do it in a way that feels doable but stops me from losing weight, especially as some of my weight will be due to excess skin after losing 170 lbs. What is exciting in many ways is that I’m actually learning about food, going for unprocessed foods (or at least those with minimal processing) and making smart choices. When I overcame atypical anorexia 10 years ago, I was under threat of being hospitalised under the Mental Health Act and it shocked me into suddenly eating more… but I had no idea about what I should be eating. This time is different. This time, I’m eating new foods, I’m not bingeing, I’m feeling some overall sense of balance. I’ve also signed up today to do a course about nutrition and health that should take me about 2 months to do via distance learning as I want to embrace a much healthier approach going forward.

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This is what my current food plan from her is, knowing that I’m not a breakfast person:

Lunch: chicken, watercress, spinach and rocket in a salad or sandwich on wholemeal followed by 0% fat Greek yogurt and blueberries

Afternoon snack: a Graze or Nak’d snack bar (which are made from wholefoods)

Dinner: a ready meal (which I always go low-cal anyway) followed by an apple and a 20g portion of cheese (but I’m not to go for the ‘diet’ or lighter version as she wants me to up the calories)

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This is EVERY day and it feels like so much to eat but she has also asked me to start building in 100 ml of Kefir every day which I bought last night and will try later on today. It’s the 1,000 calorie hurdle that feels daunting but, between her and my therapist, I know I’m in safe hands.

Just waiting for blood test results so it’ll help to see if my kidneys are still being impacted by the restricting. But despite the anorexia there, I’m really trying to focus on looking after me a bit more. I’m picking up new glasses next week, ears are being syringed in 2 weeks, hair is being dyed tomorrow, home-administered smear/pap test has been ordered and I’m considering speaking to a GP about the suspected small hernia. Self-care is something I’ve always struggled with to be honest…. perhaps linking to whether I feel worthy of self-kindness. Body confidence is wavering and so the thought of people ‘seeing me’ or needing to prod me feels really scary but perhaps if I can get my calories to more than double what they were, I can do this too! But I thought these were rather enlightening photos to show how my body has really changed from June 2020 (having already lost about 50 lbs) to January 2021 and then to 2 photos taken very recently:

Hope you have a lovely weekend everyone and I’ll be back on Monday. No extreme adventures planned for this weekend but I’ll be out with the paintbrush overhauling a bedroom which is equally fun!

Love Erika xx

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