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Wellbeing · Mental health · continued

Second pass at: A history of disordered eating: proceeding carefully posts 61–90

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

OF
outline_firstTL3Wiki editor31 May 2025#61

Picking up post #60: that is the part I would want checked first.

Reframing history of disordered eating slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows.

5 likes 14mo
GA
g.amankwahTL22 Jun 2025#62

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

15 likes 14mo
CT
cannula_traceTL3Regular4 Jun 2025#63
p.iyer_pharmd, post #15: Reading back through the history of disordered eating threads from last year, the same three questions come up every time and only one of them has ever been answered properly. That seems like a documentation gap rather than a knowledge gap. Go to post

I have three months of notes on history of disordered eating and the honest summary is that the trend is real and the week-to-week numbers are noise. I nearly drew the opposite conclusion from the first fortnight.

29 likes in reply to #15 14mo
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v.rautioTL25 Jun 2025#64

I had written a reply contradicting post #62 and deleted it. Here is what survived.

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.

I would be interested in a counterexample if anyone has one.

0 likes 14mo
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steady_stateTL3Regular7 Jun 2025#65

Second-hand on history of disordered eating, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself.

2 likes 14mo
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s.vukovicTL28 Jun 2025#66

Following, with nothing to contribute beyond having asked the same thing elsewhere.

10 likes 14mo
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sharps_binTL2Regular10 Jun 2025#67
j.baptista, post #23: I came in to disagree and I am leaving without a disagreement. Go to post

Post #64 is the version of this I will quote in future. One addition.

If you are new and reading this thread for the answer to history of disordered eating: the answer is conditional, the conditions are in the third reply, and the rest of the thread is worth skipping.

22 likes in reply to #23 14mo
SO
se.okaforTL212 Jun 2025 · edited#68

Where I part company with post #67, and it is a narrow parting.

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.

The mechanism is plausible, which is not the same as established.

0 likes 14mo
DH
dietitian_hollisTL3Dietitian13 Jun 2025#69

The reason history of disordered eating is hard to answer is that the obvious measurement and the relevant quantity are not the same thing, and substituting one for the other is silent.

14 likes 13mo
BK
b.kowalskiTL215 Jun 2025#70

Post #67 and I disagree about the size of the effect, not about the direction.

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

I have changed my mind on this once already, so take it as current rather than settled.

28 likes 13mo
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WoodhouseTL2Member16 Jun 2025#71

If someone has run history of disordered eating properly I would rather read that than my own reconstruction of it. Posting mine only because the thread has gone quiet.

2 likes 13mo
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f.espinozaTL218 Jun 2025#72

Picking up post #69: that is the part I would want checked first.

Marking my uncertainty on history of disordered eating explicitly. I am confident about the direction, much less confident about the size, and not confident at all that it generalises past the case in the first post.

0 likes 13mo
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gradient_fileTL2Member19 Jun 2025#73
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

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

Adding it in case it saves somebody the afternoon it cost me.

27 likes in reply to #16 13mo
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s.kravchenkoTL221 Jun 2025 · edited#74
f.espinoza, post #72: Picking up post #69: that is the part I would want checked first. Marking my uncertainty on history of disordered eating explicitly. I am confident about the direction, much less confident about the size, and not confident at all that it generalises past the case in the first post. Go to post

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.

13 likes in reply to #72 13mo
CN
cohort_notesTL2Member23 Jun 2025#75

Worth separating two things that post #73 runs together.

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

Two sources, same conclusion, and I could not rule out that one copied the other.

0 likes 13mo
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s.perrinTL224 Jun 2025#76

This follows post #73 rather than contradicting it.

Two people in this thread mean different things by history of disordered eating and are disagreeing about the definition while believing they are disagreeing about the facts. Worth pausing to define it.

0 likes 13mo
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glossary_checkTL2Member26 Jun 2025#77
m.rasmussen, post #24: Reading this history of disordered eating thread as someone who came in with a fixed view: the third and seventh replies moved me and the confident ones did not. Go to post

Saving this. It is the version I will quote when the question comes round again.

20 likes in reply to #24 13mo
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an.kirchnerTL227 Jun 2025#78

I have no financial interest in anything named in this thread and I want to say so before I comment on history of disordered eating, because it is the sort of subject where it matters.

9 likes 13mo
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erratum_fileTL3Regular29 Jun 2025#79
se.okafor, post #68: Where I part company with post #67, and it is a narrow parting. 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. The mechanism is plausible, which is not the same as established. Go to post

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.

I would call that likely rather than established.

8 likes in reply to #68 13mo
HJ
h.jansenTL230 Jun 2025#80

Nothing to add on the substance. Thank you for taking the question at face value.

2 likes 13mo
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p.novakTL22 Jul 2025#81
an.kirchner, post #78: I have no financial interest in anything named in this thread and I want to say so before I comment on history of disordered eating, because it is the sort of subject where it matters. Go to post

Second this, and I would have said it less carefully.

0 likes in reply to #78 13mo
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h.almeidaTL2Member3 Jul 2025#82

Everything in post #79 holds. The case it does not cover is the one I have.

The failure mode on history of disordered eating is boring rather than dramatic. It is almost always the step everyone assumes was done correctly because it is too simple to get wrong.

3 likes 13mo
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a.vermeulenTL25 Jul 2025#83

Building on post #82 rather than restating it.

History of disordered eating is a question about a distribution, not about a value, and treating it as a value is what produces the confident wrong answers.

15 likes 13mo
TK
t.kulkarniTL3Regular6 Jul 2025#84

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

This is the sort of thing the wiki should carry and currently does not.

30 likes 13mo
NK
ni.kravchenkoTL28 Jul 2025#85

The version of history of disordered eating that circulates here is a simplification of a simplification. It is not wrong, but it has lost the conditions under which it holds, and those conditions are where the interesting cases live.

1 like 13mo
RJ
r.jhannsdttirTL3Regular9 Jul 2025#86

Practical answer on history of disordered eating, since the theoretical one is upthread: do the simplest check first, write down the result, and only then decide whether the complicated explanation is needed. It usually is not.

6 likes 13mo
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p.krastevTL211 Jul 2025#87
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isotonic_sheetTL3Regular12 Jul 2025 · edited#88
n.ekstrom, post #56: Mood and anxiety: mood changes and anxiety are reported by some people. Baseline mental health status matters for risk. Someone with a history of depression should plan closer monitoring. I have separated what I observed from what I concluded, which does not always happen. Go to post

Post #84 and I disagree about the size of the effect, not about the direction.

Genuine question rather than a rhetorical one: has anyone here actually observed history of disordered eating, as opposed to read about it? The thread is long and I cannot tell.

0 likes in reply to #56 13mo
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f.danquahTL214 Jul 2025#89
sharps_bin, post #67: Post #64 is the version of this I will quote in future. One addition. If you are new and reading this thread for the answer to history of disordered eating: the answer is conditional, the conditions are in the third reply, and the rest of the thread is worth skipping. Go to post

The arithmetic in post #86 is right; the assumption feeding it is the part to check.

Expectations set by other people's reported trajectories are a documented source of distress, and the trajectories posted are not representative.

I would put this at better than even and not much better.

31 likes in reply to #67 12mo
RV
r.venkatesanTL3Wiki editor15 Jul 2025#90
isotonic_sheet, post #88: Post #84 and I disagree about the size of the effect, not about the direction. Genuine question rather than a rhetorical one: has anyone here actually observed history of disordered eating, as opposed to read about it? The thread is long and I cannot tell. Go to post

Counterpoint on history of disordered eating, offered without confidence: the same observation is consistent with a much duller explanation, and nobody has ruled the dull one out.

0 likes in reply to #88 12mo