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

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Pandamom
After reading the posts, I am still very confused about the goal weight. Her Dr said her goal weight is her IBW. But after reading a lot of the posts, this is what I'm thinking. Am I in the right track?

She is always 25th percentile in height for years. Her weights and percentiles are:

11 years old: 93 lb (67th percentile)
12 years old: 118lb (79th  percentile)
13 years old: 128 lb (80th percentile)
14 years old 6 months: 122 lb (66th percentile)
then ED starts,
14 years old 10 months: 94 lb (10.6th percentile)

After refeeding at home for 3 months, her weight is 103lb (23th percentile)

Her Dr said her IBW is 105lb. So she is only 2 lbs from goal?
But her ED thoughts are still strong. Should I aim for around 70th percentile in the CDC chart for girls? Around 130lbs? 
She has not grown in height since Ed.
 

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Enn
Hi there, 
I think you are doing really well!! It takes a long time to get the state even with good enough weight. Keep feeding and give it time. It is not a magical number that we get to and all the ED thoughts fall away. It take times and challenging the thinking and behaviours that we need to do as well as feed.
I have posted a link Here
From the Kartini clinic.
Hope that is helpful
For my d it took about 4 months after WR to see changes and then at 6 months better and now at over 2 years she is even that much better than last year.
Sending my best,

When within yourself you find the road, the right road will open.  (Dejan Stojanovic)

Food+more food+time+love+good professional help+ATDT+no exercise+ state not just weight+/- the "right" medicine= healing---> recovery(--->life without ED)
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MKR
Hi @Pandamom,

I think you are on the right track. "State and weight" is your aim. Meaning: mental state. 

I would keep feeding while her ED thoughts are strong.

Keep going!
Mum's Kitchen

14-y-o "healthy living" led to AN in 2017 and WR at 16. Current muscle dysmorphia.
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Aggie
I’m no expert, but I think if she was following around the 70th percentile before Ed it stands to reason that would be her natural growth and that is what I would be aiming for. My d didn’t grow for 2 years and was always tiny but we kept refeeding and suddenly she shot up and is now taller than me. You’re obviously on top of this, it will come x
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Torie
As the others have said, this is not an exact science, but looking at the numbers, it's hard to imagine that her body/mind will be satisfied at less than 67%.  And then since no one wants their ED-kid hanging at the lowest possible healthy weight, another five pounds in case of accidental loss due to illness, etc. 

You're doing great!  Keep up the good work. xx

-Torie
"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
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Pandamom
Thank you Enn, Torie, Aggie, MKR. Her state still has a lot of ED thoughts. It seems she still has quite a bit to gain. I will continue to feed. And her period is not back yet
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Pandamom
And thank you Enn for the link. It’s clear she needs to gain more, a lot more according to the Kartini clinic
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MKR
Hi @Pandamom ,

Especially if the periods are not back yet.

How I used to get excited every time I saw a spot on D's face, thinking surely a period is due. So many false alarms at first. 

Your D will probably keep growing, too - in height and width. Good on you to keep up. 
Mum's Kitchen

14-y-o "healthy living" led to AN in 2017 and WR at 16. Current muscle dysmorphia.
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Foodsupport_AUS
As much as many people hate the use of BMI it does have the benefit of relating the height to the weight. If you use the charts on mygrowthcharts.com which is free to use you will see how her BMI centile has tracked over time. Since her height may have been affected by her eating disorder it is possible she has even more weight to gain. It is likely your clinician is using the 50th centile BMI as her IBW, but since she is shorter than average and her weight has traditionally been heavier than average the discrepancy is likely to be quite large. Many here have reported needing to get to the same BMI centile to see recovery. Either way it sounds like there is some way to go. 
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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Pandamom
Thank you, foodsupport_aus. The growth chart is very helpful.
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PurpleRain
Hi, we are still in early days also (5 and a have months WR+). My d is 14, diagnosed at 13. We took her to her highest ever curve and then a little more for cushion (she got a tummy bug when we were refeeding and I decided there and then that we were going to overshoot for safety). She has managed to stay in that curve with around 3500 Cal's, for almost 6 months and I plan to keep her there, she is making great progress state wise and I feel it is a good curve FOR HER, also having a cushion is good for MY peace of mind.
Great work, keep going and keep coming!
13 yo d started to eat "healthy" September 2018, she had a growth spurt a bit later, followed by tummy bug. She started restricting breakfast and school lunch in January 2019 (that we know). We succesfully refed at home.
I have found inner strenght, patience and compassion that I did not know I had.
Never retreat, never surrender
keep feeding
 
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