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Today at the doctor's office ...


Saree_maree

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I had an orthopedist appointment today to address some running-relating buttock and leg pain that has been bothering me for a little over a month. This pain is one reason that led to do a Whole30 at this particular time. I was prepared for what I imagined was the worst-case scenario: that my doctor would tell me I would need to take an extended break from running. I was NOT prepared for what actually happened.

 

The orthopedist, who I have seen for years and has treated me for a number of injuries both running related and otherwise, and knows about my eating disorder history, took one look at me and demanded to know how much weight I had lost, if I was eating, and if I was getting my period. I assured him that I was indeed eating very well (I didn't mention the Whole30 or anything like that though) and that I was still getting regular periods. I told him I didn't know how much I weighed and didn't want to know. He weighed me. I stood on the scale backwards. He told me my weight was unacceptable (he didn't tell me what it was).

 

I can tell I have lost some weight. I don't think it's really all that much, but I am very petite so it doesn't take much to make a big difference in my appearance. My breasts are definitely smaller and my clothes are looser. I can see my ribcage in my chest, which I don't really like.

 

Now, I have seen and read several times the article about maintaining one's weight while doing a Whole30 and I honestly feel I take all of that advice. I eat 2 to 3 fist-sized portions of starchy vegetables every day. I have 2 fruits every day. I drink kombucha and coconut water on a regular basis. If I am legitimately hungry between meals or after dinner I eat something.

 

I do train a bit, typically seven hours a week, a combination of running and cycling with two sessions of strength training (not heavy lifting, mostly body weight exercises and some light weights). If it's first thing in the morning before Meal 1, I do have a pre-workout snack of a hard boiled egg. If it's later in the day I do not. Whether or not I have a post-workout depends on the length/intensity of the session and whether or not I feel hungry. On the three days a week I do not train I have a very active job and am on my feet for most of a 13 hour day, typically logging ten to twelve thousand steps on my activity tracker (5 to 6 miles).

 

I am on day 22. I feel great. I am not restricting my intake. I haven't gone this long without binging and purging in a long time. I'd like to finish my Whole30 but I'm getting scared that for some reason my body just doesn't like it. Should I call it quits a week early and start my reintroductions now, or see it through?

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Given what you have shared, namely disordered eating history, ribs showing, your doctor's concern about your current weight, I wonder if:

- you're consuming enough food to support your high weekly activity level?
- you're working out too much and/or giving yourself adequate rest and recovery time

 

You mention the carb-dense veggies and fruits: what do each of your meals look like?  When you're hungry between meals, what are you eating?

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My first two whole 30s I got really skinny. Clothes hanging off me. The third round I wanted to avoid that so I really upped my portion sizes. Top end of template especially for protein. I haven't done a whole 30 in a while but I eat whole 30 template meals each day and I'm definitely not so skinny now. You likely need to eat more.

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There is nothing for a body not to like about the foods we encourage you to eat during a Whole30, but you have to eat enough. Your activity levels are too high to eat just three meals per day. Whether you feel hungry or not, you need to eat a post-workout meal. And on days when you are working 13 hours, you need to eat at least 4 meals. Working 13 hours and being on your feet a lot demands more nutrition. Follow our meal planning template for these meals and you should be about right. 

 

How much to eat

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Here is a link to my log: http://forum.whole9life.com/topic/30612-sarees-log/

 

But my entries are kinda long and rambling, and my meals are pretty much the same every day. Part of my Whole30 is about focusing as little on food as possible, so my meals are very simple and I plan on keeping them that way. I am NOT interested in extra food prep or spending more time in the kitchen.

 

For Meal 1, I have hard boiled eggs (2), baked sweet potato (1-2 fists), avocado (0.5-1), a banana, and black coffee.

 

For Meal 2, I have a chopped salad made of mixed raw vegetables (NOT salad greens, more substantial stuff: tomatoes, peppers, carrots, celery), handful of black olives, and 1-2 palms of protein, either chicken breast or some kind of fish. I have another serving of fruit here too.

 

For Meal 3, if I have the day off and feel like cooking, I have some kind of protein, 1-2 palms (chicken, turkey or beef burger, maybe ground veal), cooked green vegetable or green salad with EVOO, and either sweet or white potato (1-2 fists). If I'm working or don't feel like cooking, I have canned fish, baked sweet potato (I batch cook these every week), and 0.5-1 avocado.

 

Additionally, on work days, I have an extra egg early in the morning before work at 5AM. I started doing that about halfway through because I was getting so hungry in the afternoons and it really helped.

 

If I'm hungry between meals I have half a sweet potato or some vegetables or a few bites of protein. Once this whole time I snacked on fruit and kind of went overboard, other than that no snacking on fruit. No snacking on nuts. Never any bars or anything like that.

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As Tom said, there is nothing for your body not to like. You just need more food (yes calories) in general. I would recommend more FAT. Make friends with mayo, hang out with coconut oil. Most of the time we are telling folks to lay off the nuts. In your case, I say -- have at it! Of course don't go crazy, but if you digest them well, feel free to add some in. Raw macadamia nuts are a great choice to help you maintain your weight. You are very active! Eat accordingly. :)

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I drink kombucha and coconut water post-workout in addition to any post-workout snack, which is usually egg whites or chicken breast and sweet potato or banana (I know fruit is not recommended, but banana is a pretty low-fructose fruit and I know from much experimentation that it works very well for me). I fuel any workout longer than 90 minutes with banana or compliant babyfood pouches.

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Most of the time we are telling folks to lay off the nuts. In your case, I say -- have at it! Of course don't go crazy, but if you digest them well, feel free to add some in. Raw macadamia nuts are a great choice to help you maintain your weight.

Nuts were a binge food for me, so I don't feel comfortable eating them unless they are a salad topper or something like that.

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Nuts were a binge food for me, so I don't feel comfortable eating them unless they are a salad topper or something like that.

I'm sorry if you had already mentioned that.

I still recommend more fat. :) The combo of carbs & fat is what helps maintain and/or put on weight. You have the carb part down pat. Just add more fat & I think you will be in good shape.

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Also, have you ever had coconut manna?  It is JUST pureed coconut.  We've bought it in jars, and I also figured out I can make it in my food processor for much less money.  Eating a spoonful of that with each meal (or whatever meals you choose) could be a big help.

 

It does NOT trigger food-without-brakes for me.  But of course we are all different.  If you're open to the idea, get a jar and try it, for sure.  Amazon, Vitacost, health food store.......

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If it's anything like any other nut butter, I'm better off not even going near it.

 

For me it's not.  It doesn't go "on" anything (I used to have a problem with nut butters & carrots).  It's just a fat source.  I eat a spoonful of it when I know I need more fat with a meal.  I've also taken it in the car and had a spoonful of it if I was going to stop & get a cup of black coffee.

 

I did look through your log a little bit, and I saw that you are unsure about what easy fats to add.  So just thought I'd throw it out there.  You know yourself best.  :)

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