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Wellbeing · Mental health · continued

Second pass at: A history of disordered eating: proceeding carefully posts 91–120

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

EI
e.iyerTL217 Jul 2025#91

Everything in post #88 holds. The case it does not cover is the one I have.

Speaking only to history of disordered eating as I have actually seen it, rather than as it is usually described: the effect is real, it is smaller than the thread suggests, and the variance between people is larger than the effect.

0 likes 12mo
MH
ms_hollowayTL4Mass spectrometrist18 Jul 2025#92

Nothing here is medical advice and several members in this subcategory say plainly that they are describing their own experience only.

21 likes 12mo
SG
s.grimaldiTL220 Jul 2025#93

What would change my mind on history of disordered eating is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.

5 likes 12mo
DV
dr.villanuevaTL3Physician21 Jul 2025#94
m.guerrero, post #6: If you are in crisis, contact a local emergency or crisis service rather than posting. A volunteer forum cannot help and waiting costs time. Not a conclusion. A place to stand while looking for one. Go to post

Where a member is finding this hard, the useful reply is usually a question rather than an answer, and this subcategory does that well.

It is one reading of the data and not the only reasonable one.

0 likes in reply to #6 12mo
RB
r.bruunTL223 Jul 2025#95

Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging.

30 likes 12mo
SC
sourced_claimsTL3Regular24 Jul 2025#96

On history of disordered eating, the part that usually goes wrong is that the question is asked as though it has one answer. It has a range, and the width of the range is the interesting bit.

If you can post the two or three numbers you are working from, several people here will check the arithmetic rather than argue about the conclusion.

15 likes 12mo
MR
m.radichTL226 Jul 2025 · edited#97

Where a member is finding this hard, the useful reply is usually a question rather than an answer, and this subcategory does that well.

A modest claim, modestly supported.

3 likes 12mo
HO
h.oyelowoTL2Regular27 Jul 2025#98
system_suitability, post #17: My experience of history of disordered eating contradicts the reply above. I am posting it as a data point rather than as a refutation, because one person's experience is exactly that. Go to post

Acknowledging rather than arguing. The reasoning holds as far as I can follow it.

0 likes in reply to #17 12mo
AA
a.adeyemiTL229 Jul 2025#99

The social side of this — how other people respond to visible change — comes up constantly and has nothing to do with pharmacology.

This has been discussed before and I could not find the thread, so, again.

0 likes 12mo
SC
s.chowdhuryTL3Regular30 Jul 2025#100

Adding the measurement that post #99 says would settle it.

I keep a log for history of disordered eating specifically because my memory of it turned out to be systematically wrong in one direction. Six weeks of notes cost nothing and settled it.

0 likes 12mo
AL
aliquot_lineTL3Regular31 Jul 2025#101

On post #99 — agreed on the reasoning, with one qualification.

Disordered eating history: a history of anorexia, bulimia, or other eating disorders changes the risk-benefit calculation. Appetite suppression might trigger relapse. Specialist input is prudent.

0 likes 12mo
RW
r.weissTL22 Aug 2025#102
b.teixeira, post #59: The social side of this — how other people respond to visible change — comes up constantly and has nothing to do with pharmacology. Not the whole picture, but the part of it I can speak to. Go to post

Picking up post #99: that is the part I would want checked first.

What I can speak to on history of disordered eating is narrow, so I will keep it narrow rather than generalising from it. Beyond that boundary I do not know.

17 likes in reply to #59 12mo
IA
i.aranda_esTL2Translator · ES3 Aug 2025#103

The most useful reply I ever got about history of disordered eating was a request to state my units. It sounds like pedantry and it has saved me twice.

4 likes 12mo
KM
k.marchandTL25 Aug 2025#104

Good question, well framed, and I would like to see it answered properly.

0 likes 12mo
N
NorringtonTL3Regular6 Aug 2025#105

Post #103 describes the usual case. This is about the unusual one.

If you are in crisis, contact a local emergency or crisis service rather than posting. A volunteer forum cannot help and waiting costs time.

If anyone has run this properly I would rather read that than my own guess.

0 likes 12mo
FP
f.piresTL28 Aug 2025#106

Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging.

That has been true for the cases I have seen and I have not seen many.

24 likes 12mo
N
NicolaidesTL3Regular9 Aug 2025#107
n.okwuosa, post #16: Nothing here is medical advice and several members in this subcategory say plainly that they are describing their own experience only. Go to post

One more thing on history of disordered eating that took me far too long to see: the two figures people quote are not measuring the same quantity. Once you notice that, the apparent contradiction disappears.

7 likes in reply to #16 12mo
WV
w.verhoevenTL211 Aug 2025#108
FN
formulary_notesTL3Regular12 Aug 2025#109

Adding a reference point for history of disordered eating. Mine is a single case, collected without controls, and I am posting the method alongside it so it can be discounted appropriately.

18 likes 12mo
HL
h.lindqvistTL213 Aug 2025#110

Maintenance brings a different set of psychological questions from loss, and the discussion here is much thinner on that phase.

Adding it because I spent an afternoon working it out and nobody should have to twice.

7 likes 11mo
JB
j.bhattacharyaTL215 Aug 2025#111
i.aranda_es, post #103: The most useful reply I ever got about history of disordered eating was a request to state my units. It sounds like pedantry and it has saved me twice. Go to post

Picking up post #110: that is the part I would want checked first.

Filing a mild objection to the consensus on history of disordered eating. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit.

4 likes in reply to #103 11mo
QL
quiet_lurkerTL2Regular16 Aug 2025 · edited#112

On post #109 — agreed on the reasoning, with one qualification.

Eating-disorder history is raised here regularly and is the case where guidance most consistently recommends specialist involvement.

13 likes 11mo
AN
a.nybergTL218 Aug 2025#113

Social and relationship impacts: weight change affects how others perceive and interact with a person. Those impacts are real and can be psychologically significant.

0 likes 11mo
NH
new_here_2026TL1Member19 Aug 2025#114
h.jansen, post #80: Nothing to add on the substance. Thank you for taking the question at face value. Go to post

What I would check first on history of disordered eating is whether the thing being measured moved or whether the way of measuring it moved. Those look identical in a graph.

0 likes in reply to #80 11mo
SR
sa.rasmussenTL221 Aug 2025#115
methods_margin, post #5: What I would tell a new member reading about history of disordered eating for the first time: the confident posts are not the reliable ones, and the reliable ones are longer. Go to post

On history of disordered eating, I would rather understate and be corrected upward than overstate and be quoted. That is a house style here and it is a good one.

2 likes in reply to #5 11mo
ST
sterile_tableTL3Regular22 Aug 2025#116

Worth separating two things that post #112 runs together.

Support and community: some people process weight change through community (online or in-person). Others prefer privacy. Knowing what you need and seeking it proactively helps.

It is worth stating the boring hypothesis before the interesting one.

8 likes 11mo
SL
s.lindqvistTL223 Aug 2025#117

Post #114 is right about the mechanism and I think understates the practical bit.

The number people quote for history of disordered eating is a central estimate presented without its interval, and the interval is wide enough that the estimate is nearly uninformative on its own.

27 likes 11mo
FR
figure_reviewTL2Member25 Aug 2025#118
r.bruun, post #95: Substance use: if someone has a history of substance use, appetite suppression and weight loss can shift thinking about body and substance use. This is a risk factor worth acknowledging. Go to post

Motivation and expectation: starting with clear motivation and realistic expectations about what will happen and when helps with psychological adjustment.

0 likes in reply to #95 11mo
YA
y.adebayoTL226 Aug 2025#119

An observation about history of disordered eating that I cannot explain and am posting anyway, on the principle that unexplained observations are more useful public than private.

0 likes 11mo
DV
dr.villanuevaTL3Physician28 Aug 2025#120

History of disordered eating: I would want to see the raw numbers rather than the summary before agreeing. Summaries lose exactly the information that would settle this.

5 likes 11mo