wilson6 said:It is becoming clear in recovering eating disordered women that the the fat regain is centralized. The mechanism is not clear, but estrogen doesn't change it. Could have to do with cortisol.
Wouldn't surprise me if some of the metabolic changes were relatively permanent, but they can be changed with proper exercise, hormone therapy if necessary and the right dietary intake.
The message here should be clear. If you don't want the long-term metabolic problems and eventual excess fat regain, don't get into an eating disorder to begin with.
Funny how so many get into eating disorders to get lean and end up fat in the long run. Something to ponder before embarking on that course of action.
W6
W6 I think they are permanent and although diet and training can help I don't think it is ever the way it was before the ED. I am 15 years recovered and losing fat is a never ending battle for me and the amount of lean mass that I have doesn't seem to have a big impact on how easy it is for me to lose it. When you mention hormone therapy and right dietary intake what are you talking about specifically, are the dietary requirements different in this situation?