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

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Hello all. 

our son is currently being treated in an inpatient facility. Not residential but inpatient. In our various meetings with the team they set a “target weight” and then everything is measured based off of a percentage of that. Our son was 95 lbs at his highest weight. At this weight he was 95th percentile for his age. I would not say he was overweight, but he was a healthy husky boy. In the refeeding process they have set his target weight at 106 based off of growth weight trajectory or something like that. When I look at the charts that puts him at the 96th percentile and actually classifies him as overweight for his age/height. We mentioned this to the psychiatrist as it just didn’t make a lot of sense to us and we really didn’t get a great answer at least not yet. I’m sure that there is probably some science behind it but was wondering if anyone had any thoughts or resource materials they could point me to so I can better understand the purpose of such a high target weight. Thank you in advance for your help. This forum has been a wonderful place to learn and I am forever grateful for those who have offered advice. 

Hi @ajm130,

While this target may look a lot to you, in practice it is good to aim higher for various reasons, like growth spurts, extra weight for brain recovery, for hormones to kick in etc.

One of the Moderators has a link to research on this, I would have to have a look through the posts to find it.
Mum's Kitchen

14-y-o "healthy living" led to AN in 2017 and WR at 16. Current muscle dysmorphia.
The most common problem people find with target weights in treatment is the feeling that they have been set too low. Having a look at your profile I see that your son is only 11. It is common for kids to fixate on that weight and be terrified to go over it. He will need to go well over that weight as he continues to develop and grow into adulthood. For now and for starters I would be going for that. It does look scary and I understand the fear of being overweight in a society which fears obesity more than most other things, but he is likely to need each and everyone of those pounds. If all is well he will be continuing to grow and that number will need to keep on increasing. 

If you get time it is worth looking and seeing what happened in the Minnesota Starvation Experiment during World War 2. The men in that study bounced up to 10 percent above their previous healthy weights before settling back to the pre starvation weight. 
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.
In general, they need to return to their previous percentile.  He was 95th before, so 96th seems like a sensible target. xx

"We are angels of hope, of healing, and of light. Darkness flees from us." -YP 
In my experience it is really important to go back to the previous weight or even above that to kickstart brain recovery.
And at his young age it is normal that kids do gain before they have a growth spurt.
Please do not be afraid that this will mean he will be overweight all his life. His body will develop totally normal once the ED is beaten out of the house.
Keep feeding. There is light at the end of the tunnel.

There are a couple of things I like to remember about WR targets. 

  • Your son is only 11 he will grow and develop muscles when going through puberty. So keep feeding 
  • you will need to fuel the linear growth as well. That takes a lot for a boy as testosterone puts  on muscle and can increase metabolism significantly.
  • I would focus on his growth and not a particular number as he grows and with proper nutrition his body will find his set point
  • also for weight again remember muscle is more dense his weight may be ‘high’ but that  may be muscle. 

In these discussions I recall Arnold Schwarzenegger, his BMI would be classified as over weight and we know he is not.
At 11 keep going. Time will be your teacher here on where he should be.
As they gain and heal, many kids stop
focussing on weight. It is getting to the correct weight for him that helps his brain heal. State not weight.
I did  start a ‘target weight’ thread. Take a look. 

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)
Enn wrote:
In these discussions I recall Arnold Schwarzenegger, his BMI would be classified as over weight and we know he is not.

That is a really good idea to compare that.
Keep feeding. There is light at the end of the tunnel.
Hi ajm,  my d was 13 when diagnosed, almost a year ago (I can't believe is that long ago!), She used to be around the 50th percentile in weight, and we had to take her almost to the 85% to start seeing brain healing, she is much better now and slowly growing into it, so about 75% now, I don't really want her under that, she needs the cushion. Your son is younger, and a boy, he has soooo much growing to do. There are some excellent posts about boy that age and all the food they needed during refeeding and puberty, you are chasing vertical growth and the metamorphosis from boy to man, a cushion is a very wise recommendation.
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