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21 years
Drs it's a recent problem, my hight 139, my weight 31 kg befor I has an eating disorder, but I'm trying to follow a diet rich in calories from 5 days, with Gerimax but still not working
Aug 18, 2014

Dr. Rania Mousa General Medicine
well ,your BMI(body mass index ) is about 16 then you are categorised as underweight ,every one with BMI less than 18.5 is considered underweight .

in order to have a weight corresponding to your height value in the normal range your weight must range in between 36 -48 kilos below 36 kilos considered underweight and above 48 considered overweight

So being 31 kilo then you need to gain about 5 kilos minimum to enroll in a normal weight in correspondence to your height which is not that much hard if no medical problems seen and all your blood tests are normal ,(i remember you mentioned this in the previous question )

having a high caloric diet since 5 days is not enough at all to give results ,you must be patient and continue in your plan to have good results.gerimax is a multivitamin ,it will not cause weight gain but may with respect of containing viatmin B complex to increase the appetite .

however after a high caloric intake you will gain only about 0.5 - 1 kilos per week and that is the ideal increase in weight you will not have the results by a day or another .
medically it is better to gain weight gradually over several months .
inorder not to panic put a plan that every month to increase by about 2 kilos then after 3 months you will start being in the normal range continue till you are satisfied .
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Dr. Zakia Dimassi Pediatrics
Complications of starvation include, amongst other things, low blood pressure and poor circulation; osteoporosis leading to possible fractures, deformities, and pain; anemia; stomach shrinkage, leading to uncomfortable stretching and feelings of fullness when more than a small amount is eaten; increased blood cholesterol levels due to lack of estrogen; nerve and muscle damage; low glucose levels, which may lead to coma; kidney failure; and death through heart failure.

Recovery from anorexia is no easy task and you need to perseverance and a strong will, as you will encounter some difficulties, but it's really worth it. Fluid retention, for example, may be an issue, with swelling around the ankles (during the day) and around the eyes (at night), and the sensation of bloating, and you'll think you're getting fat. This can be controlled by ensuring very gradual refeeding. The stomach is also likely to grow in size disproportionately to other body parts, but this is expected since the digestive process can take 4-5 hours to pass in a starved person, whereas it only needs 1.5 in a healthy person), add to that the wastage of abdominal muscles during starvation. Bloating, abdominal discomfort, and stomach cramps are likely as the digestive system adapts to larger amounts of food and the muscles involved stretch and strengthen. Remember, it's only temporary. Things will and do get better.

In the first days or weeks of eating, rapid weight gain (1-1.5 kg) is likely to occur as fluid in the tissues are replenished. This rapid weight gain is short lived, after which roughly 0.5 kilos are added per week for an additional 500 calories per day above maintenance levels. During the early days refrain from weighing yourself too frequently (once a week is enough), because fluctuations in weight can lead to unnecessary anxiety and distress. In general, weight variations during a given day, and from day to day, are somewhat appreciable, so it's important not to attribute significance to a single reading, but to assess at least three readings, taken over three weeks, to assess whether weight gain (or loss) is a trend or just a fluctuation.

Within three weeks of a well followed refeeding plan, fat will start to be deposited, in a thin layer all over the body, providing insulation and protective padding, and helping re-establish hormonal balance. Gradually thereafter, sunken cheeks and the hollows between bones are filled in; later, the buttocks, hips, thighs, and breasts will begin to build up.

Another issue to anticipate is the possibility of an overshoot in weight gain, but this is necessary because your metabolism won’t normalise until you reach your natural bodyweight. This means that, when you are at the overshoot phase, your metabolic rate will go up to normal levels again, so you will be able to continue eating the same amount that used to cause your weight to increase, and not keep gaining forever. Your bodyweight will stabilize without the need for caloric restriction. Otherwise, your metabolism will remain low thus obliging you to keep restricting to maintain a stable weight. So it's gonna be either forever to keep your BMI at a certain level, or you let it increase to a bit of a higher level for a short time, then drop back down to a normal healthy level.

Don't spare any help resources: support of family and friends, psychologist to help you modify your behavior from self harmful to self rewarding, will all consolidate your struggle and guarantee better outcomes.
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