The Invisible Diseases We Classify As Eating Disorders, An Interview With Libby Parker #OSFED

The Invisible Diseases We Classify As Eating Disorders, An Interview With Libby Parker #OSFED


welcome to conscious life spaces
conversations podcast my name is Amy Adams and I’m your guide on this journey
today recently I had the opportunity to sit down with Libby Parker
she is not your average nutritionist she has her master’s degree and is a
registered dietitian join us today as we discuss the sometimes visible but
oftentimes invisible diseases that fit into the category of eating disorders we
also discuss her upcoming book permission to eat as a you know umbrella
statement eating disorders are not about food and they’re not about body image
those are physical manifestations of the mental disease going on and the way that
they’re trying to cope in a way that like an alcoholic would use alcohol to
cope with stress or wanting to numb out from emotions people are using food and
focus on body or food or obsessions like that to try to numb out and not feel
something today’s interview with Libby we dig very deep into the subject of
eating disorders and discuss some misperceptions about food addiction body
dysmorphia guilt shame our conversation traverses a twisting path that
ultimately leads us to look at a category of eating disorders that was
reframed in 2013 this following a study some years earlier in 2009 that found
people in this category were more likely to die than those with the specific
named disorders a former category called EDNOS or E D N O S was reframed to other
specified feeding and eating disorders also known as O S F E D
this includes a wide variety of eating disorders and represents 50% of the
people that are diagnosed with an eating disorder although they don’t fall into
the familiar classifications of anorexia or bulimia they are at a greater risk of
death all eating disorders can be deadly I began the interview by asking Libby if
she herself had suffered from an eating disorder previously yeah do you want the whole story? so just briefly
in college I did struggle with the restrictive eating disorder it didn’t
turn into full-blown anorexia which we’ll talk about a minute but it was
definitely disordered eating I was very conscious of the number of calories I
was eating so I was a calorie counter and somewhere along the line this is
before I switched into the nutrition major actually started College
pre-veterinary and I was you know reading women’s magazines and seeing all
the diet tips and everything and somewhere along the line I saw like
you’re not supposed to go too low on calories so like I had it in mind like I
need to say between this in between this and I was pretty rigid about that and
just like couldn’t turn the calorie counter off and so I had no idea I was
in an eating disorder until I was basically done with it
and it was long story short a series of fortunate events that like allowed me to
break free of that cycle and to start to be okay with myself I didn’t have the
traditional recovery process that we can talk about too but I definitely
understand where my clients are at in that sense and I think that really helps
to be like I know what your brain is going through in the mental hell that
you’re in right now but yeah so actually because of being so obsessed with food
that’s why I switched majors into nutrition and it sounds like a lot of
nutrition majors actually get into it for
those kinds of reasons when I was reading all those women’s magazines
telling me about weight loss somewhere along the line some of the articles were
written by dieticians and I was like oh there’s a job helping people lose weight? I can do
that that’s how I got into the major and it’s like it’s so like cringe-worthy now
like knowing you know on the other side of it and like telling people you don’t
need to lose weight like you’re perfect as you are and trust your body and it’s
like I got into it for the exact opposite reason but thankfully my
journey took me to where I am now aha I actually I noticed when I was what
reading a lot of women’s health magazine I mean not just health but like all any
kind of like glamour any all of those and I would get depressed after reading
them oftentimes because I felt like I wasn’t like the models that they showed
and I wasn’t living up to this kind of expectation of how we were supposed to
be so I can see I mean I never fortunately I’ve never had like it’s
eating disorder and but I knew other people that did and well and actually
oftentimes it was kind of like a secret until it got to be so bad that then
people would find out that it happened to that person so that’s just that’s
fascinating to me and I mean we all have our our struggles but this is I think
for and I know men also suffer from eating disorders as well but and I
actually don’t even think that’s really spoken about it’s not and also non-binary
trans as well I think we talked about that a little bit more of it like just
to you know affirm that you know all genders can right suffer from this as well but yeah
especially men are not really spoken about and I think there’s several reasons
for that I think one is oh it’s still very stereotypically girls disease like
young white female teenage girl and so guys are like oh I’m not going to be all
girly and admit that I have a problem or they don’t know they have a problem
because it’s not talked about right they’re just like oh like everyone
does this or you know in it often eating disorders look a little different and
men too very well I don’t see very rarely but I
feel like it’s less of I just want to lose weight and get skinny and you know
skeletal or something and a lot of times there’s something well it’ll make more
sense after we talk about the different types of eating disorders but there in
men there is a thing and it’s not a clinical diagnosis but it’s called
reverse anorexia so like they want to get big muscles and rather than getting
super skinny and so those ones will be you know working out all the time and
eating a ton of food and it’s not necessarily binge eating but the mental
space behind it is like I need.. it really is about like I need to change my body
in that sense and just kind of as a you know umbrella statement eating disorders are
not about food and they’re not about body image those are physical
manifestations of the mental disease going on and the way that they’re trying
to cope in a way that like an alcoholic would use alcohol to cope with stress or
wanting to numb out from emotions people are using food and focus on body or food
or obsessions like that to try to numb out and not feel something right so like
you said you had like the calorie counting and I know my sister actually
she was obsessed with her scale and when she was older than I was so I think I
actually in a way it was a gift for me to see her struggle with that because
then I said I’m not gonna do that I mean bad for her good for me it really was like because and she
really suffered I mean it was amazing to see I mean she weighed herself every single
day probably more than once a day but there was and I actually I don’t even
have a scale which sometimes can be to my detriment maybe but but I think well
I think like I think your clothes can kind of tell you different things too
when you’re you know you start to notice when you are changing your body but so
what kinds of eating disorders are there I mean the common ones that I know are
like anorexia and bulimia and then um I guess I
don’t know if you would consider like because I know like bulimia I actually
don’t even really maybe you can actually talk to us like a little bit about what
each of those are because I think it gets confusing
I mean anorexia is to watch movies and things and probably a lot of people have
but I still you know there’s I think people have like sometimes they have one
and sometimes they have both and sometimes they yeah yeah or and then I’m
wondering too because I always think of like anorexia as like just like super
like thin thin thing where you kind of waste away but then what about somebody who
has a lot of weight on them is there like a what kind of eating disorder with that
necessarily like how could somebody end up becoming like obsessed with food or something where
would that fall is to it so you can tell us a little bit about that great
questions okay so I’ll just start by listing the different types of eating
disorders and I’ll break them down okay the line that you most like you said
most people commonly think of is anorexia nervosa and so I’m just going
to name them all first bulimia nervosa binge eating disorder
other specified feeding and eating disorders which is kind of catch-all for
things that don’t put any other ones and then there’s some other types of they’re
they’re categorized as feeding and eating disorders in the dsm-5 the Diagnostic
and Statistical Manual of Mental Disorders which is where like you
diagnose depression and anxiety all those OCD and all of that kind of stuff so then
there’s a couple other ones there’s avoidant restrictive food intake
disorder and I’ll just briefly say that one because I don’t see that one a lot
it’s there isn’t a body image component to that one it’s could be someone who
has a fear of throwing up it could be they are very particular about textures
of their food like these are it’s it’s more prevalent in children and it they
look like extreme picky and there’s some usually like trauma
that happened maybe they had a feeding difficulty as a baby and now they’re
afraid to eat certain textures a lot of times like autism spectrum will be
paired with it or like sensitivity so like the kids that are very sensitive to
sound or things like that might have avoidant restrictive food intake disorder so
I luckily don’t see that one very often I don’t feel quite as competent in
dealing with that one as other ones but it definitely fits on the spectrum too
but it’s just it’s very different than the other one so I just wanted to get
that one out of the way yeah going back and like describing all of these now so
anorexia is actually not the most common eating disorder either binge eating
disorder or other specified feeding and eating disorders is most common and I
personally would say other eating other specified feeding and eating disorders it’s
OSFED is how to shorten it so anorexia
there are several criteria they have to meet to be diagnosed with it and the
nice thing about some of the changes to our current diagnosis criteria is that
it’s no longer related to your actual weight it’s just that you’ve been losing
weight so someone who is in the larger body can have anorexia it still may be
called atypical anorexia in that sense because we think of typical
anorexia as being clinically underweight but you can have all of the symptoms of
anorexia and be in a larger body so what that is is a persistent behavior that
interferes with weight gain so you something about it’s really restricting
food so anorexia is about not eating enough not eating enough of certain
nutrients something that’s interfering with normal weight gain for your
developmental stage and there’s also a fear of gaining weight or getting fat or
body changes so there’s a lot of body image concern and those are kind of the
hallmark signs of anorexia in the previous versions of the diagnosis if they were
female they also had to have missed a menstrual period for at least three
months because not everyone gets to that point or you can be very very sick
without ever skipping a period and they actually took that out of the diagnosis
now yeah so I think that was really really big because a lot of people were
still using that previous model and like oh I’m not sick enough yet I haven’t
missed a period and it’s like no you’re you’re really struggling you’re doing
damage to your body and so that was a really great change that came about a
couple years ago so you don’t have to be emaciated to have anorexia although if
technically any of the eating disorders can be underweight there is no specific
weight like this person’s underweight so they must have anorexia no they could
have bulimia they could have binge eating disorder like we’re in different body
types so I think it’s it’s really important to note that eating disorders
you cannot tell us someone is struggling by how they look if they’re underweight
they might just be underweight for other reasons you know maybe they have food
insecurity maybe they have cancer maybe its genetic we don’t know you can’t tell
that they’re struggling likewise someone who is in a normal
healthy weight body might be really struggling more than the thin person and
you’re never gonna know because it’s like oh they look fine so they’re very
invisible diseases yeah that’s interesting actually yeah because I was
actually I was thinking about invisible diseases today but I never really
thought about eating disorders as that because I was thinking about that like sometimes
people have these like big challenges that we have we we don’t know by looking
at somebody because appearances are deceiving so Wow I remember being in
high school I mean already I’m older now so it’s a very old movie – they
showed like a girl struggling and you know she would become but they also
showed like this kind of idea that she would look in the mirror and then see a
different body than what her body was is that is that always something that
happens disease or is that just like a one of
the kinds of symptoms not always frequently but not always
so that image of someone being you know thin and looking in the mirror and
seeing the fat person or you know whatever seeing deformity or like it
even can be to the extreme of like you know you have a zit and it like you look
in the mirror and it’s like this huge honkin thing but like in reality no one can really tell it’s
the same idea and it’s called body dysmorphia
so you can have body dysmorphia without an eating disorder but it also can be very a part
of the eating disorder okay so I didn’t really I didn’t know that was a separate – yeah – I just remember that from the movie really you’re not seeing yourself as you
truly are like objectively right but you know I I’m so in the world of eating
disorders that I forget that these are not normal in that comment and like most
people don’t struggle with this stuff thankfully oh my gosh thankfully but
like you know most people look in the mirror and may not love everything they
see I don’t think it’s normal to like be a 100% in love with your body every day
but they look in the mirror and they’re like all right I look okay you know like
we’re doing good you see yourself relatively objectively there’s maybe
things you’d want to change but like it doesn’t ruin your day so for people with
body dysmorphia they they don’t see themselves as they truly are they’re
like oh like they could be you know a size zero and be like oh my god I’m so
fat and like you know trying to grab on to parts of their skin like see where
their love handles are and stuff and it’s you know just really they they
can’t see themselves as they objectively are and everyone else can tell them like
no you you know you’re you’re underweight you’re like oh my gosh or
you know I can’t see that zit you know and they just like it’s the they’re
so obsessed with it like it’s just inflated to them I actually shared an
article on my blog about that because I don’t consider myself with having body
dysmorphia but I have had periods where really struggled with looking at myself
in the mirror and then actually like seeing a picture of me later on or
something and thinking you know what is wrong with me or I gained weight and
then I looked back and I and at that time I thought I was fat so to speak or
had extra weight on me but it really wasn’t that bad it was like Oh! wait a minute the whole reality thing gets twisted sometimes that’s super common like you know in the
moments like oh my god I’m fat, I’m ugly whatever and then like you look back at pictures
like oh why didn’t I appreciate that when I was there you know when you put a book up to a mirror you’re gonna
see the reverse text because it’s like so we’re looking at ourselves not as
even as people see us but like in this like distorted view which I thought was
really interesting because some guy actually created a mirror where and he
did it by accident he was like in his bathroom or something and there was like
a couple of mirrors and somehow they angled one a proper way and so he created
this mirror where he does his angle and then he made it seamless so that when
people look at it they actually see how people look at them and instead which I
thought was so fascinating I mean I just thought and I was like oh well that
completely makes sense like no wonder why sometimes when we look in the mirror
we feel a little bit like discombobulated because we don’t even
have a real view of what we look like so I like to think of that in the sense of
when we look in a mirror we don’t look at ourselves in a different sense of the
way that people see us because when like when you see someone walking towards you
you kind of take in the whole person at once and then you start to zoom in on
like oh I’m looking at their eyes or whatever when we look in the mirror we
can’t see our whole selves at once the weird kind of scanning and like oh that
eyebrow hair is out of place is like you know like you’re looking very
specifically and so our flaws are like highlighted to us because we can only
see a little bit at a time rather than someone else would look at us and they
wouldn’t notice that that eyebrow hair is out of
place because they’re taking in the whole person right right okay so sorry
to get you off the track of the like the things…it’s an important conversation it is an important
conversation now we continue let’s learn together some bulimia nervosa like
anorexia and bulimia tend to be the ones people think of when they think of
eating disorders but again they’re some of the least common ones although I see
a lot of it because that’s when people I think more people will come in to get
help with those because they do know about them and they do realize that it’s
a problem so bulimia so the term nervosa in anorexia or bulimia nervosa means
nervous so there’s an anxiety around these behaviors so bulimia is that the
word part bulimia is hunger of the Ox so they are eating a lot typically binge
eating and then purging by some sort so we typically think of vomiting but
there’s a lot of different ways that people purge or compensate for eating so
it could be self induced vomiting it could be taking laxatives or diet pills
or diuretics or excessive exercise it could be restricting to try to make up
for consuming calories like there’s a lot of different things that people will
do and the interesting thing is most people with bulimia are in a normal
weight body it’s not an effective means of weight loss and a lot of people like
oh well I can’t control my hunger but I’m gonna try to make up for it or
something and it doesn’t work that way our body is very efficient at hanging on
to calories because it wants to keep us alive right so when you eat even if you
are throwing up like right after you eat most of those calories are still getting
absorbed because our body really wants to keep you alive especially if you’ve
been doing this on a regular basis or you haven’t been feeding yourself enough
your body is like I’m clinging on to everything I can so even if you think
you got a lot of stuff up you’ve actually absorbed quite a bit already
question.what so and I don’t know if this is normal anyway I think it is from
other people that I’ve spoken with you know just like in conversation sometimes
like for me I feel you know I eat like my regular I have like a regular kind of
dietary habit you know I don’t really it doesn’t change that much but then I go
through like little periods of time where I don’t know maybe my body just
doesn’t need it I don’t feel as hungry and then maybe for like a week or
something I won’t feel as hungry and I notice that I’m eating like a little bit
less or maybe kind of different foods and then and then I have periods of time
where I’m like really hungry or if our bodies are seasonal or you know like
is that time that is normal right okay that’s normal that’s kind of a relief we don’t need to eat the exact same amount
every day our body if your son’s like you’re listening to your body which is
really wonderful so for listening to our body our body
will tell us and we’re not gonna have the same hunger level every single day
it’s you know over time it will even out so I don’t like to think of looking at
any single day or single meal as the end-all be-all like we’re looking at
trends over time so over the course of a week or two is it kind of averaging out
if you’re um you know without like full on binging but like if you’re you know
eating more and less from day to day that’s totally normal because some days
we’re not going to be as hungry and some days like if you ate more the day before
you’re probably not going to be as hungry the next day because your body is
still using that energy that you put in and sometimes it is seasonal too like if
you’re going through a period of time where I don’t know like when it’s really
hot out I tend to not be as hungry yeah so I think that’s just a thing and not
everyone feels that way but you know there’s like I think different times or
if you you know previously been super active and now you’re not active like
you’re you know working a desk job for a while and it’s not typical for you you
might be less hungry because you’re just your body’s not using that much energy
right so it really can vary or you’re in a situational thing or this is where it
gets more into this could be disordered and
we’ll talk about that but like if you’re you know home more and you know more
access to snacking and stuff like I wouldn’t say that that’s necessarily
coming out of hunger and it could develop into a problem but you know
sometimes it’s very situational like I have more access to food than I used to
and so I’m going to eat a little bit more so kind of depends on what your
reasoning is behind that and like if it was you’ve been hungry this whole time
and now you finally get to have food and you’re honoring your body and feeding it
and that’s totally normal and you just didn’t have enough access before but if
it’s like I’m just bored so I’m going to eat no that’s usually not the greatest
purpose right okay so we have anorexia nervosa bulimia nervosa and then what is
like that had that broader category and I actually thought it was kind of
interesting because when I was reading and listening but in the past never
really heard like feeding as maybe that word feeding really stuck out to me like
so what does that like mean so feeding I haven’t really thought about breaking
that down honestly we also skipped over binge eating but like really briefly
because people get the gist of this one pretty quickly it’s it’s eating it’s the
first part of bulimia without the compensatory part of it
so it’s eating more than most people would typically consume under similar
circumstances in a short period of time and usually feeling out of control
stress guilt or shame from eating uh-huh okay so that’s binge eating and that can
result in like weight gain or and besides the whole emotional things like
that you just mentioned the kind of shame and all of that I mean that’s I
think shame and food is like a huge oh gosh yes yeah so guilt and shame I
think are a big part of well specifically the binging but really any
of these and it’s not really talked about because you’ve most of the eating
disorders because again they’re invisible diseases
is people tend to hide them really well so they’re eating in secret they’re
eating after the roommate goes to bed they’re not you know basically they’re
trying to not do this around other people if they do eat a normal meal that
will be the one they eat with other people and they’re anxious the whole
time they’re doing it grocery shopping can be extremely anxiety provoking and
in addition to just having anxiety around food other mental disorders are
very common things that occur alongside the eating disorder so anxiety and
depression are present in most people with eating disorders on some level some
are very severe some are very mild but we see a lot of OCD bipolar borderline
personality disorder other personality disorders autism spectrum like those are
some of they’re like really common ones substance abuse disorders so there’s you
know there’s a lot of stuff going on up in the brain right it makes it very
difficult to make a decision to eat so you to eat around other people to
purchase food to be okay with spending money on food there’s there’s so many
levels to this and you know like there’s people who will stand in front of the
refrigerator for 45 minutes and then walk away because it was just so
overwhelming to make a choice that they couldn’t even make a choice they end up
not eating at all mm-hmm and it’s just like people who eat normally are like
well it’s like just grab something you’re hungry to eat but for them it’s
like they’re they don’t trust their hunger signals totally off topic there
but no but can so not really I mean so the food though so when you choose food
can that like because different foods have a different effect on your body so
are some foods like possibly even like addicting or or can they change or
certain foods are like better for your brain even or yeah so food is not
addictive I think been a big common misconstrued.. a lot of studies
on it and the reason that food feels addictive is because we need it so if
you don’t feed yourself enough or you don’t feed yourself enough of a specific
nutrient you’re going to crave it because your body is asking me for it
so you know there’s all those things I like sugars like cocaine and you know
it’s like no they do both light up pleasure centers in the brain but one is
necessary for life and the other one’s not I am getting so many hate messages
for this especially the low carb diets are really detrimental to our brain in
multiple ways number one our brain runs almost exclusively off of glucose which
is when you break down carbohydrates to single sugars glucose molecules are what
they become so that is allowing us to stay focused and logical and think and
as well as move our body that’s carbohydrates are prime energy source so
when you’re not giving your body enough carbohydrates sugar and carbohydrate
foods and bread and stuff feels addictive because when you get access to
them and your willpower is gone because your brain is suffering you pretty much
binge on them if you don’t have the self-control and then you’re like oh my
gosh it is just so addictive I can never eat it again I have to keep it away it’s
like no your your body is literally asking you to eat that and take care of
it Wow so that’s I think where there’s a
common misperception particularly with carbohydrate rich foods but anything
like you know a lot of people say that about cheese well cheese has a lot of
carbohydrate in it so it’s that kind of stuff also just you know so carbs and
fat are comfort foods for people as well and it’s just it is how evolutionarily
we stay alive if we you know we’re out being hunter-gatherers and we don’t know
when we’re gonna get you know a kill of a buffalo again like we need to eat
something and so when we get access to quick energy which would be from
carbohydrates so our fruits and you know berries and things and grains that we’re
collecting that’s going to give us that quick hit of energy fats are gonna be
sustainable and they have that pleasurable mouthfeel so when we get fat
that’s going to give us that long-term energy so our body was wanting those
things because it wants quick energy and it wants long lasting energy so that we
can make it until we get our next food that we find and that part is not really
changed through human history we still are craving these things even though we
now have access to food 24/7 by going to a grocery store it’s amazing actually
what you can get I mean anywhere in the world you know I mean when I actually
was living in one place I didn’t have access to certain foods it was kind of
more like seasonal so like when the strawberries or the berries would come
you know everybody would be you know be like a berry heaven you know and then
they’d be gone until the next year and then now things actually changed there
and you can get the berries because then they’re like greenhouse berries or
whatever and they’re not even I don’t even think they taste as good maybe you
know this in my head or – that’s probably true it’s kind of amazing to like see the kinds of foods that you
have access to where like even that lettuce was very like locally grown like
it was like during the really hard hard part of winter there was none which
is really kind of a shock because I grew up in the United States in the New York
metropolitan area and we had everything you know so like going from one place to
another and to have that kind of thing it was really like an eye-opener for me
that I didn’t understand that not everybody you know besides like the images that you
see of people like and like countries that are undergoing drought or some kind
of you know like these big tragedies or something I never really thought
about it and then about like how fortunate I was to have access to
anything I wanted but I think what you said about it you know the berries not
tasting is good out of season like that’s really true so I mean food is
seasonal the the fact we can get it year-round now is
really novel and yeah a lot of things are either being shipped from very far
places or they’re being grown in greenhouses and some of these things aren’t
bad except for maybe the environmental impact of shipping it that far but right
there you know you’re not getting them at the peak of freshness then you’re not
getting them under their normal growing circumstances so there’s a there’s so
much more to you know especially with plants you know growing food than just
they need light and water and dirt you know there’s all the like even crop
rotations so if we’re looking at agriculture you’re not you know ideally
you’re not growing the same crop year after year after year on the same plot
of land you’re rotating them to get like different nitrogen levels in the soil
that so that they’re getting different nutrients in the soil and that affects
the growing ability and the taste of the food that’s coming out of that and so
like you know back before we had the Agricultural Revolution foods only would
have been seasonal and our human body is designed to be able to run on seasonal
food so in the winter you’re not eating lettuce but there’s other things that
you can eat and it’s seasonal so you’re not eating lettuce for a few months but
then it grows again and then you’re eating it for a few months right and so
you’re you can still get all of your nutrition if you’re eating seasonally
for your local area because I mean I I personally believe in God and I believe
God designed it that way it’s very much like it’s it’s meant to be kind of
growing that cycle but it is nice that we can get things we want them because
food taste and we know we can get things when we want them in any time of the
year this I think some people are still in you know food insecurity whether it’s
due to location or money and so that’s a whole other level of struggle if you
can’t get access to food yeah I think that that’s just yeah that’s kind of
criminal because we live in a world that can feed everyone so I you know that
upsets me when I think about that you know in this kind of struggles that we
have with that sometimes other people really suffering
when there’s really not a need for that I mean you know yes there are the kind
of environmental factors like you mentioned too when you’re shipping food
like a long distance but you know when people really need it and the food waste
that’s another thing too I don’t really grow a lot of sense I have a balcony but
like for food but one of the things that I thought was kind of interesting too is
that some of our foods are like don’t have the same kind of potency because we
don’t have like a return of ash into the soil because a lot of things were burned
in the past or we didn’t we weren’t using like plastic and we weren’t using
different things and so the way that we were growing foods is there was actually
like when you know paper or whatever is like burned it would like be turned into
you know or wood that was heating our homes would then like feed the soil – I
don’t know about the ash specifically but like definitely composting into the
earth is helpful so like food scraps going back into the dirt definitely
increases the nutrient levels so sure I mean sense yeah I mean if we’re not
getting the nutrients I mean even if we’re eating the food – I mean I think
our you know maybe our brains are even like asking for more things – like you
said like we’re you have to listen to our body and we’re we’re you know it’s
going to tell us pretty much what we need and maybe maybe we don’t even know
it until we go into the grocery store and we see something for that you know
food for this but I mean I I never really thought about it
before about like I mean I know that your body’s very intelligent and but I
actually never really thought about that kind of find that interesting you know
how we’re kind of going to our own little hunter-gatherer in the grocery
store – I think that once you a point of being able to listen to your body like it it will tell
you what it needs a lot of people are afraid that if they like fully surrender
and you know let go of the control that they perceive they have that they’re
gonna just like eat chocolate cake all day
and it’s like you know like maybe for a couple days you will because you’ve been
depriving yourself but your body is also gonna crave vegetables it’s gonna crave
protein it’s you know it’s going to tell you what it needs it’s not gonna just
eat one food for us you’re like it’s not gonna just eat junk food or whatever
like your body will crave these other things and the reason you feel you’re
going to get out of control with something is because you’ve been
depriving yourself of that food for a long time so when people come to you
they recognize that they have a problem or do some people come to you because
they even just feel like they might have a problem like you know I mean they
aren’t they’re not really sure I’m kind of wondering like how would somebody end
up coming to you and what would you then do with them what what would that look
like when somebody yeah I get people coming to me for all different reasons
so I specifically work with eating disorders at this point I’ve been a generalist before
that’s kind of how I got to this point of like issues and I kind of just became
known for being good with eating disorders yeah so many different reasons
so some people are fully aware they have an eating disorder and they know they
need to see a dietician as part of their treatment team so typically a treatment
team is going to be dietician a psychotherapist medical doctor
potentially psychiatrist so on like a basic level that’s what it would be and
then they might need to be in a higher level of care where they’re in a
treatment program or at a residential facility so kind of times they’re like
you know staying at home and living their daily life they’re going to be
seeing these other professionals so some people are fully aware that being to
see a dietician is part of their recovery team whether because they’ve
been working with other professionals and they’ve been told they need to or
they’ve done readings and they are like okay I my doctor diagnosed me with
anorexia and I need to figure out how to get better from this or I feeling
struggling with food and I don’t want it to get worse and so some people are very
self aware and well willingly come and get help those are the nice ones I love when that happens other
ones I’d say the majority of my clients come from direct referrals
typically from therapists sometimes from doctors so they’re working with their
therapist they may have gone in for oh I’m feeling really depressed or I just
don’t feel like myself or you know whatever reasons they go to a therapist
for I’m having relationship troubles whatever and over the weeks and months
their working with their therapist it becomes apparent they are struggling
with food as well and it’s not what their primary concern was going in
it’s like oh so you’re also you know not eating or you’re binging or you’re doing
X Y Z behavior you should go see a dietician and so that’s I always say
that’s the majority of people I end up working with then there’s the ones that don’t
believe they have a problem but they come in for a completely different
reason so I get a lot of people that come they want to learn how to lose
weight and I’m very upfront like I’m not going to help you lose weight let’s see what’s
going on anyway I believe that if we’re we’re truly listening to our body if
we’re taking care of it our body has a natural happy weight it wants to fall to
and if we try to push beyond that if we try to get it to low it’s going to keep
rebelling and it’s going to keep bouncing back up it’s it’s the yo-yo
diet cycle of you you know you go on a diet and inevitably most diets are going
to fail that’s very statistical like 95% of diets will fail in the fact that
you’re going to gain back the way you lost usually plus some and every time
that you lower the amount of food that you’re eating for a long period of time
your metabolism drops permanently okay so you have to eat less food to maintain
your weight so if if for the listeners out there my main thing is please don’t
diet it it’s just going to ruin your life don’t diet and so these people come in
they’re like I want to lose weight and so they either talk to me and they’re
like oh she’s not gonna help me lose weight and they walk away from it come
and work with me and we slowly dig away it like why they feel they need to lose
weight what’s really going on we’ll work on nutritional deficiencies
like they have an iron deficiency let’s talk about foods for that and oh so this
weight gain is recent when you got a desk job and you haven’t been
moving anymore like let’s talk about that and you know you’re eating vending
machine food every day you know like it’s just like okay you just need to
treat your body better it’s not necessarily an eating disorder but you
know you’re not taking care of yourself and just by taking care of their body
they may or may not lose weight but they’re going to get healthier there’s
this really wonderful movement happening right now called health at every size
and I when I was first reading about it was super skeptical and like you can’t
be how healthy it every size but it’s not healthy at every size its health at
every size so regardless of the size of your present body you can work on your
health so you can take steps to take care of your health take care of your
body your body may or may not change but you know we can have someone in a much
larger body who has issues with high cholesterol and they you know if they
make some dietary changes if they are getting more active they’re doing
behavioral things that work on that they can lower their cholesterol and maybe
their weight won’t change and it’s so counterintuitive from the the
traditional medical model of you have a problem you must need to lose weight and
that’s it’s not necessarily true so that’s kind of a cool thing that we’re
dealing with now one of the things too in yoga which I actually I’m a
practitioner but I sometimes fall off the bandwagon periodically some and
struggle with it you know I mean like I’m a human I’m not one of those people who I mean I used to
be very fit and then I my body changed from hormones and whatnot and then I I started
to get fit again because I stopped working for a while by doing yoga which
was really great because it helped like regulate hormones and do all kinds of
wonderful things but it didn’t make me like um like have the body I had before
it didn’t make me necessarily skinny and mentally it really helped me to like
hold my body a different way and not feel like really shamed and everything
because I had some kind of shame when I had my body changed as I aged and so I
think I love seeing now I mean that we have a lot of people who are in the
poses you know fancy or whatever and they’re like these
perfect bodies but there’s also people who are coming out and they’re doing
yoga and they’re like they’re super fit and they’re definitely not like your
typical body sadly I mean then there’s still like trolls on the internet or
whatever that may be yeah people are I mean this whole that’s
actually something which I kind of actually want to just talk to you about
too a little bit is about how people sometimes perpetuate like these kind of
negative like body type things because we’re like expected to be a certain way
or were like we’re insulted I mean I remember being a teenager and I remember
a family member like making fun of me I mean I really stuck with me for years
and years and years but then I like look back and I at that time and I really
wasn’t I mean I was just like a teenager going through puberty you know II mean
there wasn’t like anything you know it wasn’t like super skinny it wasn’t fat I
thought I was like really fat like I had this idea at that time I mean luckily I
didn’t you know I got over it and I didn’t take it personally and you know
do anything someone said something that got to you yeah and I think but I think
this is really kind of common I don’t know I mean it may even be why besides
the you know like how some of these kind of eating disorders develop because
people are you know they hear one thing and if you’re have like some kind of
like you said like the depression or if you have like bipolar or some kinds of
other disorders that it can like in like what is it not exaggerate it but I
don’t know what the word is like you take it more so they can amplified even
though it’s not reality like I think I mean our brains are kind of crazy in
that way like where we can do that and or worse that kind of sometimes jumping
around here but I just like I feel like we’re very nice that we’re jumping
around I want to comment on some of the stuff you just said there
okay I think yeah the comments that other people make are so harmful and I
don’t even know that’s where I want to use it so hurtful in what’s happening
with our mental process in how we view ourselves I remember very distinctly
when I was in probably ninth grade or so one of my very best friends and I at
this point I didn’t have any body image issues like I wasn’t an overweight
kid but I was bigger but I didn’t care like I was you know I was a pretty happy
kid and one of my best friends she didn’t mean any harm by this but she we
were talking about something I don’t know how we got on this but she said oh you’re not
fat you’re chunky and that has stuck with me and like I think
that was a big contributor and it’s like she of course she was a good friend of
mine she did not mean any harm by that but for some reason like Oh like chunky
that’s a horrible word like you can’t do something wrong with me and so that one
stuck with me so I think that a lot of comments are of course not meant to be
harmful it’s just something that comes out because we’re human and we say
things but then there’s a lot of comments like when they are like truly
like pushing your button ones that’s typically about the other person’s
insecurities it’s it’s like bullying you know it’s it’s not about you so like if
someone is calling someone else fat it’s usually not that they’re saying that you
know they’re fat enough but it’s usually some insecurities they have about
themselves so I know I can push your buttons by saying that you’re fat I
think I’m fat so I’m going to call you it first so that you’re thinking it’s
you and not me or you know it’s usually around their own insecurities of some
sort yeah actually too bad when we’re younger though we don’t necessarily know
that yeah I mean it still really hurts I would still be very hurt by it but I think it does help to frame it in the
way of like it’s you it’s not me it is really about you yeah that book The Four Agreements its like the Toltec wisdom or something and one of the things is like
never take anything – personally – yes and I love that because that is like a life-transforming
kind of statement I really suck at that one yeah it’s difficult to do it’s like all these little words of wisdom it’s like yeah that would be great in an ideal world if I actually believed that all the time – yeah – yeah I know okay so disclosure on that one I had a friend recommend that
book to me and I took it really personally [laughter] you think I need this? That’s so funny – so irony! now I would like to just take a quick
moment to remind you that there is a resource library available to you
there are downloadable meditations there are some workbooks on gardening there
are a lot of different tools to help navigate this beautiful and complex
world you can access the resource library when you subscribe to the
newsletter go to this website it is get it G E T I T dot conscious life dot guru https://getit.consciouslife.guru I
will put the link here and also in the show notes now let’s get back to our
interview with Libby and we are going to hear a recommendation for some other
good books to read we will discuss her book permission to eat and we will dig
finally in to the OSFED category before we talk about your book because I know
that you are coming out with a book and it’s permission to eat and it’s geared
towards college students but do you before we get to that do you have like
another book that you think that is really great just in general for people
on eating just or maybe not necessarily eating disorders but maybe like what
could help people in general who are looking to have a more healthy diet like
or more healthy lifestyle oh there’s so many good books out right now and I think
again we’re having a shift in conversation around a lot of things so
one that I’m currently reading that I’m really loving right now this is called
sick enough and it’s by doctor Jennifer Gaudiani she is a medical doctor who
works with eating disorders and it’s the book is it gets pretty clinical so it
may be it’s not the first book you read about eating disorders but
if you’re you’re struggling and you want to know a little more of what’s like
going on in your body or you’re not sure if you’re sick enough to get help it’s a
really good book for that and the reason she called it sick enough is because a
lot of people think oh I’m not small enough yet my blood levels are fine you
know does that I’m not sick enough I need to get worse before I’m worthy of
receiving help I need to get sick enough before I can call myself and having an
eating disorder and it’s like no if you are having negative thoughts around food
if you’re having negative behaviors around food you are sick enough to get
help right and so that one again it’s a little more clinical so it’s it’s aimed
for consumers it’s not a medical book but it does it does talk a lot about you
know lab values and bone density and you know all that kind of stuff um for just
kind of general stuff Jenny Schafer’s and author who had an eating disorder
and she has written a couple of books one of them life without Edie she writes
about what it’s like living in the eating disorder and it can be very
affirming for people who read it and like yeah that’s what I’m thinking or it
can be good for like family and loved ones to read and be like that’s what
they’re going through mhm so books like that those are the
ones on the top of my head I do have a resources page listed on my
website that lists some other books that I really like so if people want to go
check that out it’s not your average nutritionist dot com there’s a resources tab
there’s a whole bunch of books and articles in there that I really like
okay that’s great to know everybody has the website so it is not your average
nutritionist dot com https://notyouraveragenutritionist.com so now can you just tell us a little bit I still haven’t
talked about the other specified being an eating disorder oh yeah this is so
fascinating I love this conversation though so Permission to Eat can you tell
us a little bit about that like who would that be for and why do you think
people need permission to eat yes so my book permission to eat the title
actually came pretty late in the process but it was like oh my gosh I’m
saying you have permission to eat to like every client I see and I have it
like so many times in the book and like oh this is a theme that’s gonna be the
book title and it really is a thing a lot of people don’t think they’re worthy
of food or worthy of enough food or you know whatever and so a lot of people
just kind of need that permission that they are allowed to take care of their
body so many people with eating disorders especially the ones that I’ve
seen are caretakers there are people pleasers this eating disorders have been
coined like the good girls drug again it’s not just girls but it’s something
that you you can put yourself last whether it’s truly I want to you know I
don’t think I’m worthy or using food or lack of food is a punishment and
a lot of people are putting it off and taking care of everything else first so
you know their health can suffer they don’t need food they’re not worthy of
eating but they can take care of everyone else first though that’s kind
of one facet of it but really this book is aimed at millennial college students
or teenagers getting ready to go into college and the reason for that and this
book it could anyone can read it and it’s going to be helpful it has a lot of
tips in it and things like that but I do focus on that population because anytime
from around puberty to early adulthood is the typical onset for eating
disorders although eating disorders can occur at any age across the spectrum so
we have people that started eating disorder until you know post menopause
like you know older and but again the majority is that time and I think it’s
because not only puberty and body changes which is why traditionally we
think of teenagers but college is such a big trigger whether or not they’ve had
an eating disorder previously it’s a transition and anytime there’s a big
transition or stressor in life there is usually a need for a coping skill even
if it’s a happy thing like way it’s I get to go to
college or I’m terrified I’m going to college that mix of emotions it’s
something where you need to cope for a lot of people they’re living on their
own for the first time they’re having to navigate food and feeding themselves for
the first time they’re moving away from home they have to meet new friends they
have to deal with a lot of adult stuff like scheduling their own appointments
and it’s very stressful so eating disorders kind of come up as maybe a way
to try to have some control over their environment so I can’t control all these
other changes in my life but I can control my food or I’m not good enough
I’m not a straight-a student so I don’t deserve to eat or a whole host of other
things but food comes out as a coping behavior and I think a lot of
people think it’s not as big of a deal because it’s not drugs and alcohol and
you know all these other things that we know are very harmful and a lot of times
are co-occurring too so I have a lot of people that are you know drinking too
much and using drugs and I’ve had to help get people off of cocaine and all
kinds of stuff but it’s it becomes an issue and it’s it may start off as good
intentions of oh now that I live on my own I’m going to eat more vegetables or
something and it can spiral into a disorder or they’re spending more time
around other people that are already struggling so like a college that I used
to work at unofficially had the highest prevalence rates of eating disorders of
any college at least in the u.s. of you know maybe not the world I think the US
has pretty high rates of eating disorders and you know you look around
it’s like everyone is comparing themselves to everyone else and so if
you are spending time with people who are already doing disordered eating and
I’ve you know very thin fit bodies you’re of course comparing yourself and
saying well they’re not eating so I’m not going to eat either and you know
athletes especially like that I saw so many runners and they’re like well the
smaller girls on the team are running faster so maybe I shouldn’t eat that
much I get smaller I’m gonna run faster and there’s so much comparison going on
and they’re doing I use a huge service so that’s kind of
the beginning of the book of like why it’s happening now and then it goes into
like how to feed yourself properly with nutrition so I talked about it like how
to create your own meal plan what are the different components of foods that
you need to eat throughout the day I talked about different ways to break
free of specific eating disorder behaviors so I have a couple chapters on
like if you are calorie counting how to stop calorie counting if you are self
inducing vomiting how can you stop that and what are some you know common myths
around that if you’re a binge eater for emotional reasons how can you stop doing
that if you’re a binge eater for you know out of habit how do you stop
doing that like I have all these different like actionable tips I think a
lot of self-help books don’t get to they talk a lot about well this is the eating
disorder and you need to love yourself and they kind of stop there as I wanted
something where yes we talk about those things for sure since I’m trying to be
very like body-positive throughout the book but it’s I wanted to
get really actionable things that I’ve used with my clients that have worked
for the majority of them so they can try to take some action on this and not just
read and like yeah you have a problem you know like if you know it’s not
supposed to be a substitute for working with your professionals hopefully people
reading this either currently are working with people or I have resources
on how to find professionals and who should be on your team you know we
talked about dietician and therapist doctor eventually psychiatrists and that
kind of stuff and I have links of like you know websites where you can search for
people in your area and whatnot but I wanted it to be very practical so go
through that we go through common medical complications so if you’re
noticing these things happening definitely get a checkup or this is
what it might mean or if you’re struggling with under eating these are
you know what problems you might experience and why you should get this
you know figured out now rather than 10 months from now and it sounds great
because I think that’s one of the things a lot of the kinds of books that
all out so many of them are like comprehensive in different areas but
sometimes you get a book and it really does it just kind of says like the same
basic stuff and we kind of need to like kick it up a little bit on some other things
because usually people especially if they’re kind of struggling and they want
to buy a book like that they already know some of the very like very very
very basics and so they want to know how can I get help like not just like yeah okay I
know what my problem is I specifically did not go through the
diagnosis of all the common eating disorders I said like here are some
things that you you know might be experiencing like you know you skip
meals or you feel a lot of guilt and shame after eating you know like all
these things but I didn’t like I’m not gonna break down a few minutes ago so
these are the criteria that you need like is that like it they can find that
I get can google it or they could read another book and get that I didn’t want
to waste time on that I wanted to dig into this is what’s actually going to do
something for you this is the stuff that hasn’t been covered in other books that
I’ve read yet yeah that’s great well I’m looking
forward to it I actually know some people I could send it to I wanted to
just ask you to because I know sometimes people like with this kind of like
holistic um alright so like in the whole like yoga world for instance I’ll use that as an example because I’m familiar with it like there are people who are kind of like on extreme like they’re you know they are
only vegan or vegetarian you know it’s like the whole philosophy thing or
whatever but then you know there’s also can be like some kinds of complications
if you don’t hear it like if you’re just eating french fries because you’re a
vegan you’re not like eating anything else and you’re oh look so I actually
wanted to just like like just touch on that a little bit if you guys talked
about that yeah so with any diet even like the healthy diets
um I think plant-based diets vegan vegetarian are very healthy when done
appropriately you don’t have to be vegan or vegetarian but they you know I have
no problem with people being those things and but you do need to take a
little extra care to make sure you’re getting in all the right nutrients
um so vegans especially you know I think there’s a lot more education out there
now about like things that you’re typically missing so a lot of people
know that they should be taking a b12 supplement because that’s one from
animal products and things like that but like you were saying you can’t just eat
french fries all day and call yourself a vegan because you’re missing out on
nutrients so just because something fits your dietary choices doesn’t mean that
it’s all you should be eating or that you’re you’re meeting your nutrient
needs that you’re gonna be healthy and I think a lot of people you know they they
get on some sort of diet or lifestyle bandwagon whether it’s something more
sustainable like being vegan or something I’m gonna go full out and say something
stupid like keto they’re like oh it fits on my diet then I can just eat it and you
can eat it but you need to make sure there’s balance you need to make sure
that you’re getting the other stuff in so eat your french fries there’s no
problem and no shame and eating the french fries but you gotta eat the other
stuff too so that you’re not creating nutrition deficiencies right so pretty
much in I mean really in any kind of diet whichever you decide to do as you
you want to find balance that’s the main goal so I mean because I’ve actually had
like been diff.. I’ve never been a vegan because I like cheese – yeah who doesn’t like cheese – I have to eat cheese – [laughter] I was a vegetarian for a long time but I’m actually not a vegetarian anymore although I would like to be sometimes but I feel like my body is just like no nope nope I want to say something about that too I think a lot of
people feel they have to be extremists with whatever they choose so if you want
to be vegetarian and occasionally have meat that doesn’t make you a bad
vegetarian that means you’re honoring your body so you know you can go you
know most of the month without eating any meat and one day you’re really
craving it or it’s the option that you’re presented with when you’re eating
at a friend’s house or something and you eat it and that doesn’t make you a bad
person that means you are honoring your body you are eating food that’s
available and you know not either starving
yourself or wasting food like it’s okay you don’t have to be a hundred percent
right yeah actually I was when I was I was a vegetarian for like 20 years and
my husband when he decided to become one for a while and he it was very funny
because one night he just he was like please I have to have a hamburger like
would you make me one and I was like sure okay and we ended up getting meat and making him hamburgers I have to have one – he was just doing it (veg diet) because I don’t know it was easier because we both shared meals then his body was like NO you must eat meat [laughter] but um… so listen to your body balance and I really like that
idea too though about like what you mentioned about you know if you somehow
if you’re at a place and there’s a meal or whatever and to not necessarily
waste the food or I mean like for me I actually when I became a vegetarian it
was like because I was a younger person who was like in school and working and I
didn’t have a lot of money so it was cheaper to not eat meat but it wasn’t really I
mean yes I think the whole animal situation that’s a whole other like you
know yeah you know a dilemma for each person to deal with on their own so yeah
so okay so let’s go into the the the OSFED right yeah and I want to touch one
more thing on the vegetarian vegan stuff so again I do believe you can have very
very healthy vegetarian vegan diets and I believe there are real reasons to eat
that way I do see that as like one of the main thing that comes up with my
eating disorder clients is a lot of them go vegetarian or vegan and not for
the right reasons not because they say they want to be healthy where they say I
love animals but it’s that’s not why they’re doing it they’re doing it
because it’s socially acceptable way to restrict food yeah so they’re doing it like I can’t
have that it’s not vegan and it’s a way that they’re trying to not eat right
that’s interesting I never really even thought about that ever and that one is
when it scares me because they can BS their way around it really well like oh
I really care about animals and the environment like great I do too but we
you know you’re not doing your body a service right now and if you’re not
alive you’re not making an impact on taking care of the animals on the planet
right like I’d rather you you know if you I’m okay with you being that you’re
your vegan once we’re at a place where your brain can support that right now
like when someone’s really in recovery I encourage them not to be honestly it’s
their choice but I really do encourage them not to be a strict vegetarian or
vegan because we want to see if it’s the eating disorder voice that is telling
them to do that or if it is their true self
so something where they need to kind of come to that later on so some people
realize that oh I was really just doing that as a part of my eating disorder and
that was part of my behaviors other people’s like no I actually wanted to be
vegetarian and it was something that I needed to figure out and after I went
back and ate meat for a while to gain weight or whatever I realized I really
don’t want that so it was a good way for them to kind of figure that out like is
it me or is it the eating disorder that’s really interesting that’s great
actually to know that because I I really haven’t even thought about that but like
at least where you know where you’re coming from – you know I did that once I
actually had like I decided to taste meat after I had eaten it for many years
and it actually gave me like a rush actually because my body wasn’t used to
it but I decided then to not eat it again for a while like after that but it
was it I just like I’m kind of curious to see like you know what it would be
like no more just you know because I never like disliked it necessarily it’s
just that I I wanted to see like but my body was
just like ehhh nah so okay OSFED
something we keep skipping – mysterious OSFED – yes so other specified feeding eating disorders OSFED so that is kind of a catch-all for other eating disorder behaviors that
don’t fit into the other categories nicely but we can put a pinpoint on so
this runs a whole gamut so if you’ve heard of the term orthorexia which is an
obsession with healthier clean eating and that is really definable by the
individuals there’s no like specific this is an orthorexic diet it’s um it
disguises itself in many ways so it’s people trying to basically restrict
under the guise of being healthy and it can look like eating vegetarian or vegan
it can look like macrobiotic diet eating only local produce eating only organic
eating basically whatever they deemed to be clean food and that varies from
individual to individual so all these you know clean eating diets that you see
promoted on the internet and stuff it’s like that scares makes like that’s
that’s diet culture that is promoting orthorexia there you know you want clean
food wash it it’s really like why are we going to categorize this food so much
and I could talk about this all day so I’m gonna move on so that’s one thing
that can fit under this category and chewing and spitting food that’s one
that there isn’t a lot of talk about but it’s something where people will chew
food and instead of swallowing spit it out and it’s the form of bulimia it’s
they’re trying to avoid ingesting the calories but they want the taste of food
so people will like binge eat bags of candy or whatever but they’re not
swallowing – right – and it can cause its own host of problems so of course
mentally that’s not not good but also you know they’re they’re at a higher
risk of dental caries and problems and cavities because they’re you know
getting so much carbohydrate on their teeth and over and over and over
they’re you know potentially causing issues with their esophagus and stomach
if there’s like stomach acid because when when we start smelling food chewing
food our stomach starts preparing to digest the food so we get acids and
enzymes going into our stomach and it’s getting ready to digest so if we get
those going and then we don’t put food in the stomach we have a high acid level
and nothing to neutralize it and so that can cause acid reflux that could cause
stomach pain or ulcers you know I don’t even know a little things that could
cause but it’s not good and it basically creates a big sense of distrust with
your body because you don’t trust yourself to know how much to eat or what
hunger ridden fullness really look like just like a trick right yeah okay and so
it’s also very expensive because you know you’re eating all this food and not
actually ingesting it but it’s probably one of the harder habits to break unless
you can logic yourself out of it it’s because it’s it’s such a habit at that
point and you I don’t know I don’t even know what else to say about that one
luckily I don’t see that a lot but it’s definitely something that we see diabulemia which is type 1 diabetics manipulating their insulin to try to
lose weight very dangerous can send them into diabetic ketoacidosis which can
basically cause organs to shut down and cause them to die so that’s a scary one what
used to be called female athlete triad now called relative energy deficiency in
sport so this is an athlete not it’s a three pronged thing so they’re not
eating enough for their energy needs whether by choice lack of nutrition
education or not having access to food you know there doesn’t have to be the
mental component to it diminishing bone density osteoporosis
osteopenia so they’re not eating enough which does not support bone density
leading to more fractures and things and then for people with a uterus lack of
menstrual period for at least three months and so the hormones that help
with creating menses are also part of bone density so estrogen testosterone
progesterone other things they all have an impact on our bone density so we’re
not eating enough we’re not creating enough hormones and then our bone
density decreases so that leads to more fractures and diminished bone density
which can you know cause issues like osteoporosis is very early I even see you know
teenagers with this you know bone density of 80 year olds it’s very scary
because once you get past your mid 20s you’re not really gaining bone density
anymore you’re just maintaining it right so that’s a scary one yeah and for that
diagnosis there’s you don’t have to have body image issues it doesn’t necessarily
fit the traditional eating disorder patterns but they’re not getting enough
so that can just be truly from a lack of knowing what to put in your body okay um
what else um it could be frequency of behaviors so for bulimia and binge
eating disorder there is a frequency level they need to be doing it in order
to meet the diagnostic criteria so if they’re not doing it frequently enough
or it’s newer it would fit in this category okay um atypical anorexia so
they’re meeting most the requirements for anorexia but not all of them so I
think this is where it’s still like if you’re doing all of the behaviors of
anorexia but you’re not underweight that’s where you would fit in as well
all of these things have the potential to basically kill you I mean that’s
pretty much it’s yeah your your organs will start to shut down and the funny
thing is um you know if you get blood work done you go to a doctor’s
appointment you’re going to be told that you’re fine unless you bring something
up and tell them what you’re doing because usually lab values are perfect
until it’s really late in the game right I think that is – then it’s kind of
hard to turn back like a and that’s even harder to recover from right so exactly
the damage kind of gets done and and so Wow
so this is just I I have to say I really love this conversation because it’s so
informative and I think a lot of people need to know more about this I mean
besides like those random movies that we see on TV about the you know the girl
or the guy who has eating disorder you know the romances and the not romances
in them and whatever and some are very unrealistic yeah I mean I know
they’re well-intentioned but I mean yeah so I loved having this conversation looking
forward to your book and also if any whoever is listening go to not your
average nutritionist dot com and there you will find Libby and lots of information
she’s got tons of information on her website she’s got courses and you know
all kinds of like really great things so thank you everyone for listening and
until next time if you have any questions please send them to hello at
conscious life guru now before I sign off I’d like to ask
you to subscribe to the channel of YouTube if you’re here or to the podcast
on whatever platform you are listening and please leave a review it means a lot
and don’t forget to check out our website conscious life dot guru until next
time music in this production includes God Fury by Anno Domini Beats, Birds by
Silent Partner and Cast of Pods by Doug Maxwell

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