Up Day Down Day Diet

A lot of dieters and eating disordered people experience a great deal of success, while enjoying the flexibility of the Up Day Down Day diet (also called UDDD on many discussion forums, weight loss sites, and ED websites as well.  The diet was was developed by James Johnson, M.D., and I fear the fact that it was created and is promoted by a real doctor gives this diet the appearance of being medically sound advice.  I personally think this is a diet that can push the average dieter from normal eating into the endless abyss of an eating disorder, and I would actually call this the Absolute EDNOS Diet, if I was to rename it!  Using the calculator on the website, you enter your age, height and weight stats and select a weight loss program, and the automated program calculates the total calories you need for your “Up Days” and your “Down Days.”  Then you alternate between these two totals. 

I’m sure the doctor adds extra advice, tips and even diet supplements to help people, but must admit I did not read beyond the basic instructions of alternate between Up Day and Down Day calorie totals until you change to a weight maintenance program when you’re satisfied with the results.  I put in my own stats, and after calculating for the 20% weight loss program with little or no exercise, I am given 1381 calories on the Up Day and 276 calories for the down day.  You are advised to only weigh every other day, after a Down Day, so that the Up Day fluctuations don’t freak you out. 

I can honestly say that I have never tried this diet because I am terrified of the Up Day total.  I am perfectly comfortable with the Down Day total–and just made a mental note that I should aim to only exceed this total two days of the week, because I’m disordered and this seems to be the perfect number to me now that a computer has actually recommended it for me.  I hope you can see how this is, in my opinion, one of the most dangerous diets promoted on the web today.  I think if you don’t have an eating disorder yet, but you are so desperate to lose weight that you give this Up Day Down Day diet a try, within a month your head will be twisted up in calorie counts for every speck of food that you look at: an endless hell of mental calculations and keeping a running total in the back of your head all day long.  With these numbers floating in your thoughts, arguing with your growing hunger pangs, you are not able to pay as close attention to your work, personal conversations, or even your surroundings because you’ll be caught up in your own head space, adding and subtracting food totals as you imagine eating them.  By the end of the day, you may even find you haven’t eaten a thing because you couldn’t decide between 50 calories of cherries or 50 calories of fat free yogurt, so you had zero calories of anything.  At least, that’s how it tends to go for me.

I do not recommend the Up Day Down Day diet to anyone, but I would be interested in hearing how it works for those who are actually happy with it.  Did you have an eating disorder before you tried this diet?  Did you consider the diet safer than others because it’s created and promoted by a real doctor?  Did you lose weight and enjoy the diet, finding it easy to follow?  Do you have an eating disorder now that you have used the diet?

Nicole Richie: Lovely and Thin as Always

I read a recent interview Nicole Richie did with Marie Claire recently.  Nicole continues to deny accusations that she has an eating disorder, but even after having two beautiful babies, she is as thin and lovely as ever.  The NYDailyNews stated recently,

Nicole Richie is setting the record straight: she never had an eating disorder.

“I felt it was a little unfair to say someone has an eating disorder when they don’t. It’s extremely insulting and irresponsible,” the 28-year-old mother of two said in an interview in the latest issue of Marie Claire magazine. “An eating disorder is serious and it’s a disease.”

Critics point to photos from her past, like the infamous 2006 bikini photo which shows a bony, skeletal Richie running on a beach. But Richie also said that pictures like this were out of context.

“I think when you see me in person, you see that I’m, like, five foot one. I’m a small person,” she told the magazine. “When I was heavier, everyone said I was too heavy. You can’t win in the public eye and I find it really hard.”

Take a look for yourselves!  (Click the photos to see a larger version.)  Included in the gallery are photos of “classic” Nicole, as well as some of the beautiful new photos from Marie Claire (March, 2010).

I wont talk about whether or not Nicole has an ED, because she’s right about that–it’s unfair and we can never truly know what’s in another person’s thoughts.  All I know is that from where I stand and look at her, she’s gorgeous and very thin for sure.  If she’s happy the way she is, and she feels comfortable with her body, I do not believe that anyone has the right to criticize her about it.  Let’s all live the life that is right for us.

Eating Disorders Affect Men’s Health Too

Eating disorders are not something experienced only by teen aged girls: anyone can struggle to cope with an eating disorder, including men.  An estimated 10% of eating disordered people are men, although that estimate is likely to be artificially low due to the negative connotations for men with eating disorders.  These conditions have even less to do with a person’s sexuality than they have to do with food, but often men with eating disorders are suspected and accused of being homosexual and weak, too feminine and too concerned about appearances: shallow and sensitive.  In addition to under reporting, men rarely seek treatment or help for these disorders until their health has been affected and they meet the criteria for a diagnosis of Anorexia Nervosa or Bulimia Nervosa.

 An article on Caring Online about Males and Eating Disorders, included this excerpt.

Another expert who treats eating disorders says society has a tendency to glamorize eating disorders while at the same time making fun of the people who have them.

“The media and society believe it’s all about these beautiful models trying to lose weight, when that’s really not what eating disorders are about,” says Mae Sokol, MD. “They’re less about food and eating and much more about people’s sense of self-esteem and identity and who they are.”

Sokol says anorexia may be less noticeable in men than women because men can still have muscle mass even though they are thin.

“In fact, it’s more dangerous for men to develop anorexia nervosa than for females … because when males get down to the lowest weight ranges, they’ve lost more muscle and tissue, whereas [fat] is something you can lose for a period of time without repercussions,” says Sokol, a child and adolescent psychologist at Menninger, a psychiatric hospital in Topeka, Kan.

I visited MensHealth.com website and searched with the keywords “eating disorders,” and was unable to find a single article about men and EDs, and I could not count how many articles were about food, fitness, weight loss, and even how to “Think Your Way to Thin” (a great read, by the way).  Clearly the pressure on men to be thin and fit is just as intense, if not more intense than the pressures women also face every day.  Unfortunately there isn’t an equal amount of information, education, awareness, and treatment programs designed for treating men who struggle with eating disorders.

During Eating Disorder Awareness Week, February 21 to 27, please tell others about the widespread eating disorder epidemic and the damage done to so many lives of men, women, and children around the world.  Talk about the common misconceptions and stereotypes, and inform people of the fact that eating disorders include more than just anorexia and bulimia, and they affect more people than just young girls and immature women or fashion models.

Triggers in the Inbox

Sometimes I’m able to clearly see many reasons why eating disorders are so widespread and impact the lives of so many young people, men, women and families that struggle to cope with the pressures they create.  Every day when I open my email inbox, I’m met with countless unwanted spam messages about weight loss, new fad diets and exercise plans, so-called miracle weight loss pills or potions, and advertisements for the most beautiful, sexy clothing and swimsuits for thin bodies.  Today I was promised “six pack” abs, weight loss recommendations based on my height and weight, a quiz to test how “calorie conscious” I am, and free coupons for sales on health food supplements guaranteed to make me lose weight.

Pro-ana and Pro-ED websites are definitely not to blame for the rise in numbers of people seeking treatment for, or trying to live with an eating disorder.  Although the fashion industry is part of the ED epidemic, I believe the true culprits are in the food industry and the weight loss business.  These two industries conspire together to make people obese with unhealthy foods and chemical additives that break down their body’s defenses, and then offer to sell miracle solutions for these weight problems.  The weight issues and negative stereotypes are propagated by the media and the entertainment business, which is truly just a reflection of what the majority of people want, idolize, or fear the most.

Without a fashion industry walking skeletal beauties down the runways, there would be a lot less thinspiration.  Without actresses, musicians, athletes and all other types of performers and public figures struggling with their weight; training their bodies and minds constantly, there would be so much less encouragement and inspiration for the average girl or woman to be a size zero babe.  Above all else, we would not struggle with weight and an unhealthy body image if the food industry and media did not set us up from birth to go through it.

Eating disorders and the pro-ana movement are some peoples’ answer to the mounting pressures of today’s society that tell us you must be thin, attractive, talented and/or tremendously smart in order to succeed.  I am not the only woman living with an eating disorder and receiving countless spam email messages–triggers in the inbox–every single day.  These endless messages go much further to program my subconscious mind than any pro-ana slogans, such as “nothing tastes as good as skinny feels.” 

The abolition of eating disorders will not come by banning pro-ana websites and discussion forums on the internet, or censoring thinspiration collections and photo albums on xanga and photobucket.  It can only come through the majority of people rising up against the old ways of advertising, and fighting back against the health risks in our food supply.  We need to change the majority view to accept and embrace the beauty of all life, so we can be free of judging one another and being judged, based on superficial characteristics we possess or struggle to achieve.

Eating Disorder Awareness Week Coming Soon

As the Eating Disorder Awareness Week approaches, we’re going to see a lot more articles in the media like the story of a Canadian man who is campaigning to raise awareness of EDs as well as reverse the stigma associated with them.  The article was posted on one of Canada’s most respected leading news websites, the CBC News, and states,

Events will be held in high schools and shopping malls across Newfoundland and Labrador the week of Feb. 1 to raise awareness of eating disorders.

“Having gone through this personally, I would suggest to families that they be very aware to changes in personality of their adolescents,” said Vince Withers, who chairs the Newfoundland and Labrador Eating Disorder Foundation. “People with and eating disorder will have noticeable changes in terms of mood, self esteem, school, in terms of having their friends around them.”

Withers founded the Eating Disorders Foundation after the death of his daughter Renata in 2006.

He hopes events this week will reverse the stigma attached to potentially fatal eating disorders.

I read that the Eating Disorder Awareness Week is actually from February 21 to 27 this year, although the other campaign in eastern Canada that’s happening now will add to the positive attention focused on these life threatening conditions.  I support any and all campaigns to raise awareness and stop the suffering that eating disorders can cause!  It is my sincere wish that all people who are living with eating disorders today will be able to recover completely or develop a healthier balance with their ED so that they no longer suffer from the pain, depression, anxiety, isolation, shame, judgements, misunderstandings, stigma and stereotypes that often go hand in hand with them.

Anorexic Model Recovering

I was happy to read news today that model, Inga Radziejewski, who struggled with anorexia is recovering and doing well with a new modelling agency that supports her health!  I am thrilled for her and certain her inspirational story will help a lot of young girls and women in similar situations.

Inga Radziejewski

I found it very difficult to read some of the blogs and news articles about everything that Inga went through while she was struggling with her anorexia.  One article you can read here stated that she was unable to fit into Dior fashions when she was an American size 00 (according to her measurements).

The 5ft 11 stunner said she reduced herself to a mere seven stone in the grip of anorexia that left her on the verge of organ failure.

“I was incredibly skinny but at fittings for designers like ­Christian Dior the clothes were so small that even though I was ­anorexic, I still struggled to get in them – despite my measurements being 27in chest, 21in waist and 27.5in hips,” the Mirror quoted her as saying.

She continued: “At one job for a ­German TV channel I overheard a casting ­director say, ‘She has got a too-big ass.’ I was already very skinny, but it made me even more determined to stay slim and I found every reason not to eat. At my worst I was eating just half an apple a day and drinking lots of peppermint tea with brown sugar and I still thought I would get fat.”

It saddens me to hear that some fashion houses are still pushing women to starve themselves and risk their lives to sell the clothes, but I am thrilled for Inga and I wish her a long and happy life, free of her eating disorder and the harsh, unfair judgements of hateful people in this world.

EDNOS To Be Redefined in DSM 5

EDNOS means Eating Disorder Not Otherwise Specified, and is the diagnosis when a patient has an eating disorder but does not meet the specific diagnostic criteria for either anorexia nervosa or bulimia nervosa.  As such, EDNOS is the most common eating disorder, but the diagnosis is so vague it isn’t helping clinicians and certainly doesn’t help patients get treatment services when they have the best chance at success.  Many people who are diagnosed with EDNOS feel a kind of shame that they were not “good enough” to be diagnosed with a “real disorder.”  I hear this all the time on the ED websites I frequent online.  I have also noticed that a lot of people who should be diagnosed as EDNOS are in complete denial about having an eating disorder because they know they are not anorexic or bulimic, and they haven’t even heard of EDNOS–eating disorder campaigns and stories in the media almost always focus on anorexia and bulimia.

Some people who are diagnosed with EDNOS restrict calories severely, fast, and even starve themselves like an anorexic person does, but their BMI is currently above 17.4 so they cannot be diagnosed as anorexic.  People who binge and purge once a week, starve the rest of the time, but have a BMI of 17.5 or higher are neither bulimic nor anorexic, but their disorder is every bit as dangerous and life threatening as bulimia and anorexia!

According to a recent New York Times article, “Narrowing an Eating Disorder,” the updated diagnostic manual for psychiatrists and clinicians will redefine EDNOS.  The following is an excerpt from the article,

Though its name is less familiar, it is diagnosed more often than those two disorders — in 4 percent of American women each year, according to the National Eating Disorders Association. (The association does not have statistics on men.) Subsets of Ednos include binge eating disorder, purging disorder, night eating syndrome, chewing and spitting out food, and even picky eating.

But the diagnosis baffles many clinicians, who call it ambiguous, vague and unwieldy. And so the American Psychiatric Association is overhauling its definition of Ednos for the next edition of the diagnostic manual, known as D.S.M.-5, to be published in 2013.

“The consensus is that Ednos is ‘too big,’ meaning it is being used more frequently than is desirable, as that label does not convey much specific information,” said Dr. B. Timothy Walsh, a professor of psychiatry at Columbia who is chairman of the eating disorders work group for the new manual.

I hope the clarification of EDNOS and possibly defining disorders such as Compulsive Over Eating, Binge Eating Disorder and Purging Disorder, will lead to improved treatment options and services for patients.  Under the current system, patients are rarely able to access treatment for their eating disorder until they are already in a critical state and their lives are at risk.  If patients could access treatment services before their BMI is dangerously low or their organs begin to fail, they would have a far better chance of making a full recovery.  Early intervention is the key to successfully recovering from an eating disorder in most cases, so it just makes sense to clarify the disorders people commonly experience and provide options for their treatment regardless of their weight.

Couture Thinspiration

Some high fashion thinspo for your enjoyment 😉  Fashions are by Dior and you can see more photos at Jezebel.

beautiful collar bones enhance the bridal gown of my dreams!

 

skinny bridesmaids make weddings more beautiful

a visible spine is the best accessory

 

gorgeous back for a backless gown

ABC Diet

It’s called the ABC Diet and Ana Boot Camp Diet.  It’s a difficult fifty day calorie restriction plan that is quite popular among the pro-ana crowd as well as other eating disordered people online.

day1: 500 calories(or less)
day2: 500 calories(or less)
3:300 calories
4:400 calories
5: 100 calories
6: 200 calories
7: 300 calories
8: 400 calories
9: 500 calories
10: fast
11: 150 calories
12: 200 calories
13: 400 calories
14: 350 calories
15: 250 calories
16: 200 calories
17: fast
18: 200 calories
19: 100 calories
20: fast
21: 300 calories
22: 250 calories
23: 200 calories
24: 150 calories
25: 100 calories
26: 50 calories
27: 100 calories
28: 200 calories
29: 200 calories
30: 300 calories
31: 800
32: fast
33: 250 calories
34: 350 calories
35: 450 calories
36: fast
37: 500 calories
38: 450 calories
39: 400 calories
40: 350 calories
41: 300 calories
42: 250 calories
43: 200 calories
44: 200 calories
45: 250 calories
46: 200 calories
47: 300 calories
48: 200 calories
49: 150 calories
50: fast

I have never tried the ABC Diet myself.  I find when I try to follow a strict diet plan with calorie totals like this, I get triggered and my anorexia symptoms flare up severely.  I soon find myself struggling to take in even 150 calories per day.  The ABC Diet is not right for me, but I read countless posts about it every day on the internet, as well as a few posts from people who want to know what the guidelines for the diet are.  Here it is, if you want to try it yourself, or follow along with someone else’s progress–if you know anyone doing this diet plan.

If you have tried the ABC Diet yourself, please share your experiences in the comments for this post.  Tell us how difficult or easy was it for you, and what aspects of the diet did you find most challenging for yourself?  How much weight did you lose?  Were you able to keep the weight off when you returned to your usual eating patterns?

Eating Disorders Are Deadly

The recent death of a thin, young actress, Brittany Murphy (Across The Hall; Sin City; Girl, Interrupted), and speculation about what caused her death has drawn more attention to the dangers of eating disorders.  The 32 year old actress has been thin for many years, and was known to struggle with her weight.  Dr. Dustin Ballard wrote earlier this month, “Murphy was skinny, one look at the tabloid photos makes that clear, but was she anorexic?  The results of her autopsy are pending but, realistically, we may never have a definitive answer to that question.”  We may never know if Brittany Murphy had anorexia nervosa, but if her BMI at death was higher than 17.4 then we can know she definitely was not anorexic at the time of her death.  That doesn’t mean she wasn’t living with another eating disorder though.

She always denied having an eating disorder, but due to the reports and rumours about her conduct on set and her lifestyle (“too many drugs and too little food”) lead me to believe she most likely did live with an eating disorder for many years.  I believe it played a role in her premature death from cardiac arrest, although she also had a genetic heart murmur and used drugs.  Most likely a combination of these factors caused her death, but it certainly highlights the deadly dangers of eating disorders.

Anorexia is the deadliest mental illness, with a death rate of approximately 20%.  You don’t have to be super skinny to die from an eating disorder though.  Someone suffering with ED-NOS may have a healthy body weight but a severely damaged liver from purging, a weak and shrunken heart from restricting, a deadly electrolyte imbalance, damaged kidneys, etc, even though they may appear healthy to the casual observer.  Most anorexics actually die from suicide rather than starvation, and depression is a common and serious complication with all eating disorders.  All persons with eating disorders are at very high risk.

Dr. Dustin Ballard closed his article about the dangers of anorexia and the death of the 32 year old actress, “So, if indeed Brittany Murphy suffered from anorexia, she likely had suffered for years and reached an age at which successful intervention would have been very tricky. Take a moment to consider that and whether there is someone you can help now – before it is too late.”  I can’t help but pause at that statement and really think about my own life, because I’m two years older than Brittany Murphy was… does that mean it’s too late for me?  It very likely could, as I am resistant to recovery and terrified of gaining weight.