| Re: Something I don't understand.......
Well, anorexia and bulimia DO wreak havoc on the metabolism. You may not necessarily SEE it because eating disorder sufferers are so thin, and like some PPs have mentioned, they ignore STRONG STRONG urges by the body to eat. Their metabolism does slow down and get messed up though...this is especially why an ED is such a difficult disease to recover from. Once the ED sufferer has decided to turn to recovery (or is force-fed in the hospital, whichever comes first), the weight piles on quite quickly, it seems, especially to someone suffering with an ED.
I was diagnosed with anorexia when I was in college. At my low point, my weight was probably 80 lb. (I am 5' 4".) To maintain 80 lb., I was eating less than 1000 calories/day (500 if I could manage it), exercising 4-5 hours daily (mostly running), using laxatives, and forcing myself to vomit. Not at all a healthy lifestyle. Once I decided to give recovery a chance because it was so miserable living like that, the weight piled on quite quickly and unevenly. It took about 6 months before my metabolism seemed to start normalizing, closer to a year before I got anything like a normal metabolism again. I'm now recovered for close to 5 years and maintaining my weight at 120 lb., though some parts of the ED like body image never really do improve. I don't want to go back there for the world. It is a scary and miserable place.
This slowed metabolism when recovery begins, makes recovery extremely difficult, and I think it is a large part of the reason why many who suffer with an ED find it just too scary to gain weight: because the slowed metabolism makes the weight gain seem unstoppable.
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