Thank you Tina72,
So D , RAN, is now 19 1/2. It appears (hindsight 20/20) she was ill since early childhood (ARFIDS) and her percentiles were always low for weight, average for height. Her BMI were noted low by MD at age 12-14. She says she began active restriction at age 15, right after she reached her highest weight (130-135/ 58.9-61 kg.) at 5'6" (167.6 cm.).
Her Recovery journey began last April 2018 when she came forward for help, went into RTC (Residential Treatment) for 7 weeks, returned home at about 130-135 (too low, but that is how US insurance pays, for only 80-85% WR), so she began an arduous journey from 9/2018 until 1/2019 where she fell to and remained around 123-126 lbs.
Once she was "graduated" from her outpatient treatment center 1/2019 , entirely unrestored in weight, but she worked diligently on her therapies, we decided to take her to a special program for FBT 2/2019. And it got her on board with us, her parents , as her main support.
She just weighed in yesterday at 130 lbs!!! And I pray this continues.🙏 We had to, with the support of a new FBT therapist, require her to go on "lockdown", as it seems that no matter how many calories I gave to her, her activity level was siphoning it all off.
She was given (By two separate, reputable ED physicians) a "WR" (weight restoration) Range from 140-150 lbs. (63.5-68 kg.), for her current height 5'7.1".(170.43 cm.) We are all tall, her father, her brother and myself. [6'1"(185.42 cm), 6'4"(193.04 cm.), and 5'9"(175.26 cm.) respectively]. But they also said her IBW (Ideal Body Weight) would fall between 130-135. So this is where my confusion is...
It does appear she must have stunted her growth however, during this process.😪
So is that WR range a goal for her to stay at? Or will her brain decide she might go lower, or higher or remain there? Personally I will like to see her go to 155-159 until the needed brain repairs occur, and that depending on her behaviors. She has a history of Comorbids and very serious SH/SA but she has improved greatly despite not being WR.
And we may yet have to keep her more quiet, resting more and give her more calories as she begins to take some courses at the local community college this summer...
I guess we will know better as she progresses with the needed weight gain and I am confident I will know when I see that "Mental State" improvement.
She still has issues when we speak about the needed weight restoration, but she knows it is needed. We do open weighing here at home, as that was suggested by the FBT specialists, and she is handling it well, thus far.
She is eating everything I plate for her, 3 meals, 3 snacks possible extra milkshake. I work to keep her caloric intake consistent, high fats, increasing the carbs now, and I increase or decrease calories for the day, depending on her activity. When she eats out on her own, she will relay to me her intake, but I always add extra that day in her milkshake, "just because" 😊 I challenge her as I see any behaviors trying to sneak back in (leaving crusts or throwing any small amount out, she gets "extra" on the next and any fears such as "food touching" I do fear challenges...) These behaviors have greatly reduced in the last 1-1 1/2 month since we took over 100%.
So my main Q is, and sorry for the long wind! Should her final weight be in the WR range (140-150 lbs.) or the IBW range (130-135 lbs.) that they have suggested? Myself, I believe it must be higher and I must push higher for her brain to repair after years and years of deficit.
I am a sponge for the information, ty!