F.E.A.S.T's Around The Dinner Table forum

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salmy
At D's weight check today we found she is continuing to gain weight, which brings a different kind of anxiety... here is a run down of her numbers:
2/2019 174 (15 YO), "overweight"
10/2019 132 (16YO) growth curve puts her in a range of 160
12/2019 started FBT for real 136.9 with 4000 calories/day
continued to gain...
1/2020 140
2/2020 147.5
3/2020 156.8
4/2020 (after one month at home because of covid) 171
6/17/2020 185 (decrease calories slowly to ~ 3000) B/L/D ~800 AM/PM snack ~300
7/13  continuing to gain 187

From my previous post you know we had some trouble last week with food... I'm watching for brain health now, and since we've taken back over more of the food she has recovered from the crazy terrible week (did I mention we were on vacation with extended family that week when she argued relentlessly over food?)

Do we hold where we are with calories? Slowly decrease? We do not want to over feed her! She really has done so well with eating, despite the hiccups once in a while. I just don't know how to think about this. Our nutritionist suggests we try decreasing calories a bit more, but I do not want to compromise her mental health recovery...but also do not want to push her weight further than it needs to be...I feel guilty saying that. I want her body to be the size that it is meant to be, and I want her to be comfortable in her skin, and fully recovered from ED.

D16 diagnosed AN October 2019 -25% of body weight, but still "healthy weight" per Dr.
Started FBT Dec 2019
July 2020 Fully WR + 10%
2 Months in to Phase 2
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Foodsupport_AUS
You have done an amazing job of getting your D back to a weight that seems to be more appropriate for her. One of the problems is that her food cues are not likely to be reliable and of course you have no idea how much her body needs either. 
Given her current weight is likely to be appropriate for her, she has a nett gain of 13lbs for the year she is probably about where she should be, give or take. My thoughts are that her intake is fairly close to where it needs to be, she as gained 2lb in the last month. The problem is that could happen because of fluid, cycle changes, or bowel movements, as well as due to body fat. If you do continue at the current rate for another month she may gain the same again, or she may slow down. That extra few pounds is unlikely to be an issue, but slowing down to much could be. If she gained again next month perhaps then cut back a bit further?
D diagnosed restrictive AN June 2010 age 13. Initially weight restored 2012. Relapse and continuously edging towards recovery. Treatment: multiple hospitalisations and individual and family therapy.
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salmy
Ah ha! I just had a thought after reading this:
The problem is that could happen because of fluid, cycle changes, or bowel movements, as well as due to body fat.
She is currently on her period, which we know causes a gain. I think we will stick with the current calories as you suggest and see how the month goes. Another thing that I've noticed is that although she has had a regular period for the past 7 months, her cycle length has been getting longer for the past 3 months, moving from 32 days in May to 37 days in July. Do you think this is connected to weight as well, or just her cycle continues to work itself out? Thank you😊
D16 diagnosed AN October 2019 -25% of body weight, but still "healthy weight" per Dr.
Started FBT Dec 2019
July 2020 Fully WR + 10%
2 Months in to Phase 2
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