exercise in binge eating recovery (podcast)

Episode 44: Q&A: Learning to Exercise in a Healthy Way (Tips for Recovering Binge Eaters)

Tips to Help You Stop Purging

If you’ve read my books or blog, you’ll know that I did not purge through self-induced vomiting (instead, I purged with excessive exercise and also with restrictive eating).  I fully realize that those of you who purge through self-induced vomiting face a different set of challenges in recovery.

Many of you have told me that the physical effects of stopping purging (such as bloating and other uncomfortable symptoms) make you want to binge and purge just to get “relief.”  Even though you know rationally that binge eating and purging is not a real solution for those symptoms and that it causes further damage to your health, when you feel so uncomfortable, it may seem tempting to get that temporary reprieve from bloating or other physical symptoms.  You may even be someone who has developed the habit of purging normal meals, and you are finding it difficult to stop, or you are concerned with what may happen to your weight if you stop.  

To address this issue I’ve reached out to Ali Kerr of Binge Code Coaching, who has personal experience with overcoming self-induced vomiting, and who has guided many others to do the same. Below is a guest post from Ali!


Are you ready to stop purging your food but find yourself worried about what will happen to your body when you do? Perhaps you’ve recently stopped or reduced purging episodes only to find that your body is swelling up, bloating, and gaining weight as a result?

As the founder of Binge Code Coaching, author of the bestselling books The Bulimia Help Method and The Binge Code, and a qualified Nutritional Therapist, I have coached hundreds of clients over the years who have experienced this same fear and resistance when it comes to giving up purging. Not only that, I have experienced this challenge first hand myself.

It takes an incredible amount of bravery to stop purging your food and to trust your body to adapt through this process. When we first stop purging we tend to experience overwhelming and intense “side-effects” which include:

Bloating of the stomach

Swollen hands and feet

An uncomfortable feeling of heaviness right through the body, and

A temporary increase in weight

These changes often leave us feeling defeated, confused and convinced that we will never recover without our weight rapidly spiraling out of control.

I remember believing that my body could not handle food anymore. I was also certain that I would end up becoming very overweight and regularly thought about purging again just to gain some relief. Yet despite these impulses to purge “just one last time,” I persevered with recovery, I stayed strong, and I did not purge. I found that within a month the bloating and other symptoms had significantly reduced. The same is true for my clients today, with most them noticing a significant reduction in bloating and other associated symptoms within the first 4-6 weeks of stopping purging.

Through my research I came to discover that the bloating and other challenging “side-effects” that we associate with the cessation of purging largely occur due to our bodies being in a state of chronic dehydration at the start of recovery. This means it’s important to give your body time (and permission) to go through these healing changes.

Here are my top five tips to help you through the initial stages of quitting purging:

1. Keep your body well hydrated

As strange as it sounds, ensuring that you drink at least 2-3 litres of fluid each day will help to reduce water retention. So, get into the habit of sipping water regularly through the day, take a bottle of water with you wherever you go, drink soothing herbal teas to aid digestion after meals, and try to incorporate lots of fresh fruits and vegetables into your meal plans as they are naturally hydrating.

2. Stop checking your weight

The majority of weight fluctuations that occur when we stop purging are the result of water weight and this can equate to rapid weight fluctuations. Seeing big changes on your scale early on in recovery may derail your recovery efforts. It would be such a shame for you to give up all hope because of a little temporary water weight, wouldn’t it?! So, see if you can make a pact with yourself to avoid stepping on the scale for the time being. It can help to move it out of your bathroom completely or to take out the batteries. If this feels intimidating, challenge yourself to go without checking the number one week at a time.

3. Commit to stopping purging no matter what

To overcome bloating and the other associated symptoms you may be experiencing right now you absolutely, 100%, must learn to stop purging completely. Tell yourself that even if you overeat, binge, or feel incredibly bloated, purging is no longer an option.

4. Avoid seeking out quick fixes for your bloating

There is tons of advice out there on how to reduce bloating. Generally, it involves imposing new strict food rules or trying diets that eliminate whole food groups at a time. Not only is this not recovery-friendly but it simply will not work. Understand that your body is bloating because you are beginning to heal from the effects of purging, you must give it the time it needs to do this. There are no quick fixes. It’s important to understand that while this bloating may feel uncomfortable or even painful, it’s not dangerous because all you are doing is re-learning how to do something that is completely natural and safe, which is eating and digesting food. However if you do experience intense, prolonged pain, discomfort or bloating that becomes worrying you should always consult your doctor.

5. Let go of any misconceptions you hold about “the benefits” of purging (hint: there aren’t any!)

While purging your food may have caused some temporary initial weight loss when you first developed your eating disorder, purging does not help you to lose weight in the long run. In fact, prolonged periods of purging cause metabolic changes that prompt your body to store more fat. Purging also increases the likelihood that you will binge and research proves the number of calories absorbed from a binge, even after purging, is greater than the number that would have been absorbed on a binge-free day. If anything, purging contributes to weight gain NOT weight loss!

Really, this boils down to trust. You need to trust that your body can handle the food, you need to trust that the bloating will not turn to fat, you need to trust that the discomfort will pass. Give your body time to heal (at least 4-6 weeks). Please, please, please be patient with your body and give it time to heal. A lifetime free from bulimia far outweighs a couple of weeks worth of feeling bloated.

If you would like some extra support and guidance on stopping purging, you can read our step-by-step guide to stopping purging.

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BIO

Alison Kerr (BA, Nutritional Therapist) is at the forefront of a groundbreaking revolution in eating disorder recovery. She is the founder and CEO of Binge Code Coaching (formerly called HealED), a wellness company that specializes in coaching people to break free from their food issues.

Alison is a best selling author of several books on overcoming binge eating and bulimia. A native of Scotland, her first book The Bulimia Help Method was published in 2014 and has become a best seller in its field. Her latest book The Binge Code is the culmination of ten years working with people who suffer from binge eating and emotional eating. Alison’s approach is unorthodox, engaging, fun and most importantly, effective. Learn more and get one-on-one support

Thoughts of purging encourage binge eating

Don’t Let Thoughts of Purging Encourage You to Binge

The urges to binge are the only direct cause of binge eating.  An urge to binge is: any thought, feeling, or physical sensation that encourages a binge.

For those with bulimia, the thought of, “I can just purge afterward” often strongly encourages binge eating.  To avoid a binge, it is necessary to avoid giving thoughts like this value.  In this post, I’m going to help you stop letting thoughts of purging encourage you to binge.

The thoughts of purging may have started off as conscious thoughts, likely at a time when the urges to binge were first appearing in your life.  When you began feeling such a strong compulsion to binge (typically following a period of dieting), it was likely so uncomfortable that it made sense for you to try to come up with reasons to give in to the urges.  You may have rationalized by saying, “okay, I’ll give in now, and then I’ll do something to compensate for it later.”  You may have compensated by exercising excessively, taking laxatives, restricting food intake, or inducing vomiting.

As your binge/purge cycle repeated, thoughts about purging, which started out as conscious thoughts, likely became habitual and began automatically appearing each time you had a binge urge.  I remember when I was bulimic, the thought of “I can just do a bunch of exercise tomorrow to make up for it” was often a tipping point where I’d decide to act on the urge and begin a binge.  I’d sometimes even go so far as to mentally plan the next day’s exercise before I followed the urge. Promising myself that I’d purge often seemed to give me the green light to binge. But, afterward, I’d always, always regret it.  I hated exercising excessively, I always wished I hadn’t binged in the first place, the purge did not erase the pain or shame.  The illusion that purging would erase the pain was just that – an illusion.

Even if you know your purging behaviors are unhealthy and want to stop them, during a binge urge, the purge thoughts will still automatically come up. The key is being able to recognize them and dismiss them in the moment of an urge. Thoughts encouraging purging will often tell you that a purge will “undo the damage” of a binge. When you are not feeling tempted to binge, you can see how false this thoughts is; because of course a purge does not “undo” any damage, it does the opposite – it’s causes severe damage to your health and your life.  A purge does not rectify a wrong.  It is an additional wrong, an additional (and often worse) source of suffering.

During binge urges, thoughts about purging can make it seem like repeating the binge/purge cycle one more time will be harmless, but you know it’s not harmless.  You know it’s causing damage in your life, you know it’s dangerous, you know it’s not what you truly want to be doing.  Like any thought that makes binge eating seem appealing, thoughts encouraging a post-binge purge need to be dismissed.

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Brain over Binge resources:

Free Inspiration Booklet – The booklet contains 31 daily messages to help you stay focused and motivated each day as you let go of binge eating.

One-on-one Coaching – Book a 45-minute private and highly personalized session with Kathryn or Coach Julie. You will learn to change your thinking, uncover what is holding you back, and get on a path to complete freedom from food issues.

Group Coaching – Get help from coach Julie and support from others who are overcoming this habit. Includes a forum that is open 24/7, group coaching calls, mindfulness resources, plus course access.

Brain over Binge Course – Self-paced online lessons (plus an app) for only $18.99/month. Includes over 125 tracks to listen to that give you the information and answers you need as you end binge eating.

Brain over Binge Books – Get Brain over Binge and the Brain over Binge Recovery Guide on Amazon and Audible.

Orthorexia and binge eating Elisa Oras

Orthorexia and Binge Eating: Guest Post from Elisa Oras

If you struggle with binge eating, you may also have obsessive thoughts about eating healthy.  Extreme or excessive preoccupation with healthy eating that results in unhealthy consequences is called orthorexia.

Like other forms of restrictive dieting, orthorexia can lead to binge eating, and orthorexic tendencies can fuel the binge and purge cycle. Trying to eat well to nourish the body is a good thing, and I’ve addressed how you can approach this in my post, What is Healthy Eating? However, when healthy eating becomes a stressful obsession, it is no longer healthy for the mind and body. 

I have a guest blog post to share with you today, from Elisa Oras, on the topic of orthorexia and binge eating. Elisa is the author of the new book, BrainwashED: Diet-Induced Eating Disorders. How You Got Sucked In and How to Recover. I asked her to talk about this because I do not have personal experience with orthorexia, and I think you will benefit from hearing her story. If your healthy eating has gotten out of hand and is harming your life, I hope you will find inspiration in this post from Elisa.

elisa

When Eating Healthy Becomes Unhealthy – by Elisa Oras

When I was 21 years old, I went through a very hard time in my life and developed depression that lasted for three years. With that, my health got worse. Suddenly, I had to deal with severe acne, hair falling out in chunks and a lot of terrible digestion issues.

I started to search the internet for solutions and found out that leaving out some foods from my diet could improve my health.  The advice I received was to skip eating processed and junk foods and move towards a plant-based diet with an abundance of raw foods, and to start doing occasional water fasts and raw food cleanses.

Of course, now I see that all these health issues were mostly just the side-effects of the stress and depression I had, but then I did not see it that way and opted for a complete diet change instead.

I didn’t want to simply take drugs for my physical or mental health but wanted to heal naturally. I believed I was capable of healing my body and mind inside out if I just made an effort.

As you can see, I had good intentions. I wanted my body to be able to support its healing and not simply mask the symptoms by taking some drugs with serious side-effects. Eating more fruits and veggies and leaving out junk foods can definitely improve health, but at the same time, I didn’t know that healthy diet could be taken too far.

In 2011, I went to Australia with a work and holiday visa. I started to eat even more raw foods, and a few times, I went 30 days completely raw. I saw improvements in my skin, my energy levels, and my weight. I started a raw food blog and gained some following. There were people looking up to me who were inspired by my journey. I felt empowered and motivated to continue.

During that time, I also noticed it had become more difficult to digest some foods I had previously eaten, and I became very sensitive to a lot of stuff. I thought this was the proof that cooked food was indeed toxic to my body and I had to limit or avoid it even more. My ultimate goal was to be 100% raw for optimal health.

But my body did not seem to have the same goal as me. The more raw, clean and pure was my diet, the stronger food cravings I got. The healthy eating became more and more extreme as I was following the low-fat raw vegan diet. The “healthy” eating had to be free from salt, oils, very low fat, no grains or legumes, nothing artificial or man-made and of course, no processed or junk foods. Basically eating only raw fruits and veggies. I became more rigid and obsessed about foods than ever!

This “lifestyle” did not recommend restricting calories (which was good) so I was still eating above 2000 calories a day, often about 2500-3000 calories (and way more if you include the bingeing sessions). So I wasn’t simply dieting for weight loss at that point, but I just wanted to be healthy.

The more you let yourself be pulled into one specific way of eating, only interact with the people in the same boat, read the same books, websites, and recommendations, the more “right” it seems to you. You start to think that this is the only way to be healthy and happy and it is the sole answer to everything that is wrong in your life at the moment. Your mindset becomes brainwashed. You can’t even separate the fact from fiction or where to draw the line.

A rigid diet led to cravings and binges

I had to deal with constant cravings. I craved more fatty and salty foods, cooked food and even junk foods. The last one was particularly worrying for me because previously I had never been a big junk food eater. I wasn’t raised like that and never had such strong cravings for it. But the interesting thing is that the more I tried to eat super clean and pure, to eat only raw fruits and veggies, the more unhealthy junk food cravings I had.

As I was the raw food “inspiration” for many people or at least I thought I was, I felt very anxious and guilty to have those cravings. Like I was about to commit a serious crime. Like I was about to abandon my religion. I felt so conflicted. What I believed in my head and what my body craved did not match. I felt like I was living two separate lives where one was the good way to live and the other was bad.

Of course, the willpower only takes you so far and I could not resist my cravings for too long. I started to buy all the foods I craved and secretly binged on them. After I came out of my food coma I started eating healthy again and promised to never repeat this kind of bad and destructive behavior. I believed I just needed more willpower and more resistance. I still believed that if I only stayed raw long enough, my cravings would disappear and my taste buds would change.

A miserable cycle of orthorexia and binge eating

But every time I went back to my clean healthy eating I somehow ended up bingeing on the “unhealthy” foods I truly craved. Every time I binged, I promised myself that I would be back to 100% raw the next day. “This is the last time!” I would tell myself. But it never was because the harder I tried to restrict the foods I craved, the more I ended up bingeing.

Then one day I decided to do another 30-day raw food challenge. I had done them before but this time, I really believed I needed it to end all my junk food cravings and to be healthy once and for all!

I still had cravings on a daily basis this time, but I was able to stick with the challenge somehow. I did, however, have a never-ending craving for a burrito that sometimes kept me up all night.

After the 30-day challenge was over, I still had the burrito craving and decided to have one: “Just to get it out of my mind and get over it,” as I told myself. I thought this way my body will get what it wants, get over it, and I can just continue with my perfect raw food diet.

But that first bite turned into a two-month junk food binge and purge episode. I felt so sick, guilty and disgusting and I knew the purging to be the only way to “undo it” or to relieve some of the guilt and the uncomfortable sensation I felt with a stomach full of junk foods.

I felt miserable, stuck, and bloated. I felt like my own worst enemy. Someone who I had no control over. I had turned into this food smashing monster who was greedy and did not care about her own health. I didn’t understand why it was so difficult to eat the most nutritious foods on the planet, foods we are supposedly biologically designed for as taught in the raw food books.

To fight this binge-purge situation I was in, I decided to do a three-day water fast. I thought that maybe I just needed to clean my system and my taste buds, and then my body would naturally start to crave healthy foods again. I could start fresh. At this point, I was just so desperate to end this unhealthy bingeing and purging.

Before the first day of my water fast, I planned one “final” binge, promising myself that from tomorrow I will never eat junk again. I bought all of my usual binge foods, ate them all, felt disgusting and bloated, and then vomited. Now I was truly “motivated” to start over with my three-day water fast.

I fasted those three days and felt great afterward. I felt clean and pure, and I lost weight. When I decided to eat again, I first started with some raw juicy fruits. I knew that for the first days after a fast it is not good to eat overly much, but gradually increase the food volume. It was all good in theory, but in practice, it was somewhat different.

I felt my digestion working again and true hunger signals kick in. By the next day, I felt so ravenous that I went to the shop, bought all of my usual binge foods and binged again!

The cycle had just continued. My eating disorder was worse than ever. I purged till the blood vessels in both of my eyes broke, and I walked around with completely red, bloody eyes for about a month.

I was in shock. I was crying and felt the worst I ever felt. I realized I was totally out of control and lost.

After that, I gained weight. I usually NEVER gained too much weight because previously I did not do any calorie restriction. But after the three-day period of no food whatsoever, with reduced metabolism, with the binge and purge session that followed it, I gained about thirteen pounds. I was at my heaviest at that point, and I felt so uncomfortable.

After that, I started to eat cooked foods again without any will to be 100% raw anymore. I just realized it wouldn’t work.

However, my eating disorder was not cured, it was just the beginning. I continued with the high carb low fat vegan diet – the cooked food version. I was still eating a lot of raw foods but included cooked foods too. This was a little bit more sustainable, but I still could not stop the bingeing on junk foods or eating until I felt sick.

I was still trying to eat clean, and I still felt guilty about certain foods, but since I wasn’t doing any calorie restriction or fasting, I slowly lost the extra weight. It took me a whole year to lose that weight by not restricting calories. I also stopped purging for a good while that year, so that helped with normalizing my weight.

But my mentality was still eating disordered, I still wanted to eat as clean as possible – I was not recovered. I was still overeating for most meals. The bulimia came back later on because I did not understand that by restricting the foods I craved, I couldn’t recover. This continued until the start of my recovery in 2013.

Letting go of strict food rules to gain control of bulimia

In September 2013, I was still planning to eventually return to raw foods one day. This was simply what I believed to be the only answer for me. I did not see any other way. I was too focused on eating only healthy foods and limiting all unhealthy foods.

I remember planning to start another 30-day raw food challenge from October 1st. But as usual, this meant going on a “last and final binge” so I could start “fresh” from tomorrow.  So I did it, and felt incredibly sick afterward and purged.

I  remember crying and suddenly I started seeing how sick it was what I was doing. How stuck I really was. And based on my numerous attempts to be fully raw previously I KNEW this 30-day raw food challenge would just lead to another binge and purge. I had simply seen it happen so many times.

I started to wake up and see the vicious battle that I was in. For the first time, I started to realize that maybe the bingeing and purging was not the thing that had to be stopped. Maybe it was the RESTRICTION that had to be stopped first.

So, from that realization, instead of doing another 30-day raw food challenge, I started my recovery. From then on, I wrote in my diary (where I always wrote down my restriction goals) to “eat what I truly crave.”  I was just so tired of fighting against my body at that point. I was willing to try a different approach.

Finding balance and freedom from orthorexia, binge eating, purging, and food obsessions

It was a process of one year during which I totally re-evaluated my food choices, learned about my body signals, how to not restrict and eat what I craved and returned back to intuitive eating. It was a process of trial and error to find out how to recover. But one year after my final binge and purge session I was fully recovered from my bulimia and orthorexia.

I do not believe that eating fruits and veggies and trying to improve one’s diet to be healthy directly causes eating disorders. But when your healthy eating makes you binge-prone, obsessed with foods, fearful of foods, causes you to have too much stress over foods and eating, it overrides the health benefits and replaces it with more damage to your health and well-being instead. We have to know where to draw the line because there is a point where eating healthy can become unhealthy.

Now I am completely recovered from my eating disorder. I am able to eat when hungry and stop when full. I eat what I want when I want and how much I want. I have clear skin, good digestion, normal healthy weight, and no more cravings or junk food binges. I lost the ability to overeat and do not have a “good or bad” foods mindset. My health and eating are way more balanced now by listening and trusting my body than when I tried to actively control everything.

Even now, I still sometimes look back at my journey and am so thankful and amazed how the body is able to recover and find balance again with food and eating, if only given the right tools and conditions to do so. By not fighting against it but working with it.

Find out more about Elisa:

www.followtheintuition.com

Read more posts related to this topic:

Healthy Changes After Recovery Part I, and Part II.
Eliminating Foods in Binge Eating Recovery Part IPart II, and Part III.
Episode 41: Q&A: Why Can Other People Eat Healthy and Lose Weight?

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For more help ending binge eating, you can download the free Brain over Binge Basics PDF. It is a 30-page guide to help you understand why you binge and how you can take control back.