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Old 12-05-2006, 12:36 AM   #1 (permalink)
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Exclamation STUDY: Many women may not recognize bulimia symptoms (important for cysters)

See also the PCOS / EATING DISORDER LINKS AT END OF ARTICLE:

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PCOS is also associated with a high incidence of eating disorders including binge eating and fasting. Eighty percent of people with PCOS practice binge eating. The first step in weight loss treatment is to learn to be mindful. Katrin Kratina, MA, RD, LD developed a food journal to help identify hunger and satiety cues. The food journal also teaches about your nutrition needs and your eating habits. Brenda Bryan RD, LD/N a nutritionist for PCOS women at the Center for Applied Reproductive Sciences, uses the Food Pyramid and American Diabetes Guidelines of reducing calories by 250-300 per day from saturated fat and carbohydrates to counsel women with PCOS.
Source: Nutrition Intervention for Polycystic Ovarian Syndrome
Many women may not recognize bulimia symptoms

By Amy Norton
Mon Dec 4, 10:57 AM ET

Many women may fail to recognize bulimia symptoms in themselves, particularly if they don't go to the extremes of self-induced vomiting, new research suggests.

In a study of 158 women with bulimia-type eating disorders, Australian researchers found that nearly half did not acknowledge a problem with their eating. This was particularly true of those who did not vomit to control their weight.

Bulimia is widely known as a "binge-purge" eating disorder, in which a person goes through cycles of excessive eating followed by purging -- through either vomiting or abusing laxatives and diuretics.

But there are also non-purging forms of bulimia, where tactics like excessive exercise or strict dieting are used to counter binge-eating episodes.

Still other people have certain symptoms of bulimia but fall short of all the criteria used to diagnose the disorder; they may fall into the category of "eating disorder not otherwise specified," or EDNOS.

The new study, published in the International Journal of Eating Disorders, focused on women with "bulimic-type" eating disorders. This included those with purging or non-purging bulimia, as well as women with EDNOS. Some women in the latter group were diagnosed with binge-eating disorder, which involves excessive eating but no purging to compensate]

The researchers presented the women with a vignette about a woman with bulimia, and then asked the women if they might have a problem similar to that of the character. In all, 52 percent said they might, while 48 percent denied that they did.

Women who used self-induced vomiting were nearly six times more likely than other women to recognize that they had a problem, the study found.

"Our research suggests that, when it comes to bulimia-type eating disorders, women tend to think that if there is not vomiting involved, then it's not a problem," said lead study author Dr. Jonathan Mond, a senior research scientist at James Cook University in Townsville, Australia.

This is partly due to media portrayals of eating disorders, which typically highlight anorexia and purging-type bulimia, Mond told Reuters Health.

But there's also a general perception that excessive exercise and strict calorie-cutting are acceptable, or even "desirable," behaviors, he added.

What's needed, Mond said, is greater awareness of the no purging forms of bulimia, as well as other bulimia-type eating problems -- including binge-eating disorder and "compensatory" disorder, where a person purges or exercises excessively, for example, but does not binge.

And that awareness needs to spread not only in the general public, Mond noted, but among doctors and other health professionals.

In some cases where a woman with one of these eating disorders does seek treatment, he explained, the doctor may treat what's seen as the "true" problem -- such as depression or anxiety -- leaving the eating disorder inadequately addressed.

SOURCE: International Journal of Eating Disorders, December 2006.

Copyright © 2006 Reuters Limited.


*** MORE ***

Eating Disorder Among Women Can Cause Failed Conception (PCOS mentioned)

Polycystic ovary syndrome and bulimia

PCOS diagnosed in some women with bulimia eating disorder
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Old 12-05-2006, 04:50 AM   #2 (permalink)
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Holy crap...
that might be me...

I'll eat and eat and eat and eat and then feel terrible about that and not eat for a whole day or more.

It's been getting sort of better though, now that I've been setting more of a regimented diet for myself, but last night I had two pieces of cake and all I had to eat today was some fish for dinner, and I even felt bad about that and actually for the first time was tempted to throw it up.

Thank you a super ton for posting this.
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Old 12-27-2006, 07:00 PM   #3 (permalink)
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Wow. I definitely have some of the behaviors. I have often wondered if I have binge eating disorder, but after reading this maybe it borders bulimia.

I have a tendency to binge to the extreme, and then feel HORRIBLE guilt and self hatred over it and spend a few days being very, very strict with my eating, only to binge again.

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Old 12-27-2006, 09:28 PM   #4 (permalink)
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This is definitely reading for all cysters. Too bad only 60 or so have clicked on this link
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Old 12-27-2006, 10:43 PM   #5 (permalink)
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Originally Posted by KatCarney View Post
This is definitely reading for all cysters. Too bad only 60 or so have clicked on this link
So true!

I think it is probably getting fewer views because so many cysters think of eating disorders as a "skinny" person thing and don't realize that it isn't always the case.

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Old 12-27-2006, 11:13 PM   #6 (permalink)
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I think it is probably getting fewer views because so many cysters think of eating disorders as a "skinny" person thing and don't realize that it isn't always the case.
Or they think it's the tv stereotype of the person gorging themselves with food uncontrollably...
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Old 12-28-2006, 12:15 AM   #7 (permalink)
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Huh...I just intentionally ate a tiny piece of apple pie as part of a well balanced, all in moderation type diet. After eating it I immediately thought I needed to go work it off and had a very fleeting thought that I wished I could throw it up. Since it's 10:00 PM I decided the workout would have to wait and I reminded myself that I intentionally ate the pie and that it was not a moment of weakness.

Guess this is an important thing to keep in the back of my head as I DO get obsessive about things and my current obsession is by far exercise!
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Old 12-28-2006, 12:21 AM   #8 (permalink)
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Wow.... great reading there Kat. I was one who totally thought that Bulimia included purging... and if you didn't throw it up it wasn' bulimia.

I'm certainly one with some serious food and eating issues. At least I'm becoming more aware of them now.

I hope that more cysters read this as well!!

Thanks Kat!
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Old 12-28-2006, 04:54 AM   #9 (permalink)
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Wow. That is me. The thing to do is to retrain yourself. I just came home from a night out with the girls at a Bar. Something I had to change is the not drinking alcohol anymore. Being the only sober person is starting to get tired. When I got home I went right to the kitchen and stared at the leftovers. I am not hungry. But it was the norm to eat after coming home from the Bar. But for the first time in a long time (being sober I am sure helped) I closed the fridge and walked away. I thought to myself, better go online and read some words of encouragement and support.

It is sooo hard to change a lifetime of bad habits. Since I have become serious about getting pg I told myself, no overeating. I need to loose. I gave in once a few days ago and felt horrible. I didn't want to eat the next day but had to so I could take my meds.

Breaking old habits is sooooo hard.
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Old 12-28-2006, 12:58 PM   #10 (permalink)
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Wow.... great reading there Kat. I was one who totally thought that Bulimia included purging... and if you didn't throw it up it wasn' bulimia.
Same - and I like to think that I'm a reasonably intelligent person!

I agree with Stacie too in that a lot of people equate "eating disorder" with "skinny."

I think I'm at the other end of the spectrum. I don't eat enough - sometimes intentionally, sometimes not - and it's hard for me to eat more than one or two meals per day. Intellectually I know that this is hindering weight loss but it seems so counter-intuitive to eat more to lose weight.
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Old 12-28-2006, 02:06 PM   #11 (permalink)
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I think I'm at the other end of the spectrum.

I think whichever end of the spectrum we're on, our 'mind' is our biggest obstacle when it comes to healthy weight management.

When I got my thinking straight, I was able to 'see' what I needed to do...

I'm a big believer in 'self talk'...what we say to ourselves (and what's said to us on a regular basis - either by people around us or in the media) has a HUGE influence on our behavior.

If anyone else is like this, and can afford to get Shad Helmstetters 'Self Talk for Weight Loss' cd's, I HIGHLY recommend it. I bought my set about 10 years ago...they are like gold to me.
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Old 12-28-2006, 03:37 PM   #12 (permalink)
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Kat, I totally agree. I can be my biggest fan/cheerleader or my biggest saboteur.

For me, I've got all the information, resources and plans in place but still have to work at getting my vision clear.

Thanks for the tip about the CDs. Sounds like they're worth checking out!
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Old 12-28-2006, 04:44 PM   #13 (permalink)
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Oh wow, I'm a binge eater and I never associated it with a "disorder". When I am feeling any kind of strong emotion (happy, sad angry, anything really) I binge eat...I can down a whole box of cookies or a whole medium size bag of M&M's without even thinking...That's a big part of my problem...I call it "mindless" eating. Sometimes I don't even realize I'm doing it until it's gone and I think "wow, I can't believe I ate that whole thing". Then comes the guilt...There are many times that I wished that I could make myself throw up but I have a fear of vomiting and I've tried a few times and couldn't do it. I guess that's a good fear or I might be binging and purging. I still don't have my eating under control but I'm taking baby steps...Like this week I am working really hard on only eating during meal times and 2 snacks....I'm not watching what I'm eating as much as I'm just trying to cut the portions in general. I'm also working on getting my exercise routine down....

One day at a time...
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Old 12-28-2006, 05:28 PM   #14 (permalink)
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Oh wow, I'm a binge eater and I never associated it with a "disorder". When I am feeling any kind of strong emotion (happy, sad angry, anything really) I binge eat...I can down a whole box of cookies or a whole medium size bag of M&M's without even thinking...That's a big part of my problem...I call it "mindless" eating. Sometimes I don't even realize I'm doing it until it's gone and I think "wow, I can't believe I ate that whole thing". Then comes the guilt...There are many times that I wished that I could make myself throw up but I have a fear of vomiting and I've tried a few times and couldn't do it. I guess that's a good fear or I might be binging and purging. I still don't have my eating under control but I'm taking baby steps...Like this week I am working really hard on only eating during meal times and 2 snacks....I'm not watching what I'm eating as much as I'm just trying to cut the portions in general. I'm also working on getting my exercise routine down....

One day at a time...
You sound just like me!

I too have considered the throwing up in the past, but I HATE it and can't bring myself to do it. I think I am going to die when I have a stomach virus!

I find myself with the same thought, "I can't believe I ate the whole thing!" I eat when I am upset, but more importantly I eat when I am bored, which is often. I work from home and DH works 24 hours at a time. It really takes it's toll...

Stacie
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Old 12-28-2006, 05:35 PM   #15 (permalink)
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Ooh Stacie, I work from home too and my boyfriend works rotating 12 hr shifts. I can totally understand the eating issues!

I tend to *not* eat when I'm alone, which is often. I seldom make a meal just for me... Maybe I'm a fat anorexic?
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