Are you wondering how to lose weight after binge eating disorder?
Are you hoping you can stop bulimia without gaining weight, or even shed some weight after recovery?
You are not alone if you have these questions and more—weight is a common concern for recovering binge eaters. In this post, I want to help you with your questions and give you healthy ways to think about weight as you recover and after recovery. I want you to start trusting your body and stop worrying about weight gain, or about how to lose weight after binge eating disorder and bulimia.
Before I go further, I want to say that I’m not a nutritionist, a personal trainer, or an MD. This post is not to be taken as medical advice about how to lose weight or gain weight after binge eating recovery (or at any time), or how to have an ideal diet. Please know that these are my own opinions about the issue of weight as it relates to stopping bulimia and binge eating disorder, and this does not substitute for nutritional advice. Also know that weight is a big topic, and if you want to dive deeper, you can read my post—Addressing Weight Issues in Binge Eating Recovery.
Recovery from Binge Eating is Not About Weight Loss
When it comes to weight, the reality is—everyone is different, and binge eaters come in all shapes and sizes. In the Brain over Binge Recovery Guide, I explained that even if I never would have lost a single pound, recovery still would have been 100 percent worth it. Binge eating brought so much misery to my life, and the weight gain was only a small portion of that misery. Sure, it was good to eventually get back to my regular size after recovery, but that was by far not the greatest benefit.
Although the issue of weight will affect everyone differently, I think that wanting to lose weight and actively trying to do that while also trying to stop binge eating can prevent any progress in recovery. Also, if you are focused on trying to stop bulimia or binge eating disorder without gaining any weight, it can have the same effect of harming your recovery efforts. If you struggle with bulimia/purging, it’s possible you may fear recovery because you think that giving up purging will inevitably lead to weight gain, so you may feel tempted to tightly control your food intake during recovery. This is going to make recovery more difficult, and make it harder for your body to heal and eventually find it’s natural and healthy weight.
I strongly feel that anyone who wants to quit binge eating—regardless of how much they weigh or how much they desire to weigh— should try not to focus on weight loss or on preventing weight gain during recovery.
There are two primary reasons why I feel this way:
1. Weight Can Take Care of Itself After Binge Eating Stops
For me personally, and so many others, stopping the binge eating is all that’s needed in order to lose weight after recovery and return to a weight that’s normal and natural for the person’s unique body. When binge eating, food restriction, and purging stops, metabolism can start working the way it should and therefore, there is no need to try to shed the extra pounds. Weight is only higher than normal because of the binge eating, and when you take the binge eating away, your body adjusts. I believe this is the case for the vast majority of people with BED and non-purging bulimia, and even most bulimics who self-induce vomiting—because a large percentage of the calorie consumed during a binge are still absorbed.
Some people seem to think that extra weight from binge eating just stays there until you do something (diet/exercise) to make it come off, but that’s usually not true. Some patience may be needed while the body regulates itself, but if weight is elevated over your natural range due to binge eating, pounds should come off by stopping binge eating alone—and here is an explanation for why that happens:
Caloric expenditure increases with body weight (people with larger bodies typically burn more calories per day than people with smaller bodies, when controlling for activity level). The reason is because it requires more energy to carry extra weight as you go through your daily activities, and extra surface area on the body also means more energy lost as heat. For example, one study showed that slender people used 2,481 calories per day, and obese people used 3,162.* This fact can help you understand why weight gained from binge eating can naturally come off after recovery, and let me explain that using myself as an example:
I was about 20 pounds above my natural weight when I stopped binge eating. My normal diet at the time was about 2,300 calories, but with the binges added (approximately 4 binges per week, around 8,000 calories each), it upped my weekly caloric intake by 32,000 calories. If I spread that out over 7 days for this example, my daily average food intake was around 6,870 calories. Exercise was my form of purging, and I was putting in many hours at the gym to try to compensate for the binges, but my purging didn’t come anywhere close to burning all of those calories. Even if I would have been dieting restrictively between binges—which I was doing in the earlier years of my bulimia—eating let’s say, only 1,000 non-binge calories each day, the daily average with the binges added would still be 5,570 calories. It’s important to see that restriction and purging aren’t erasing the binge eating problem from a calorie standpoint, and the dangerous behaviors are harming your health.
To sum up what I’ve been talking about: binge eating increases daily calorie intake, and quitting binge eating reduces calorie intake, and the difference is usually significant. I realize this is common sense to an extent, but what I want to address now is how this leads to weight loss.
Going back to myself as an example, I probably still eat somewhere around 2,300 calories per day now (I don’t count anymore), and my weight stays the same; so why did that same amount of food lead to about 20 pounds of weight loss after bulimia recovery? It was because of the fact I mentioned previously—more body weight means more calories burned. When I stopped binge eating and was still above my natural weight, I may have been using around 2,600 calories during a normal day’s activities, but I was eating less than that (2,300 calories), which lead to gradual weight loss. I want to say here that I realize using simple calorie math is oversimplifying things because weight loss is not a simple calories-in/calories-out equation, which I’ll explain more later in the post. However, I still think it’s important for you to see that eating normally after you stop binge eating can allow your body to release the binge weight. This is not the same as putting yourself in a purposeful calorie deficit to try to lose weight after recovery; this is just how people naturally lose weight after consuming too many calories for too long. The body can gravitate back to it’s normal size, because the larger size can only be maintained with an overabundance of calories.
So, while there is something you need to do (binge) to maintain a larger size, there is often nothing you need to do to slowly gravitate back to normal. The extra binge weight is not permanently stuck there until you diet it away, and trying to diet it away would have the adverse effects of slowing your metabolism and increasing your urges to binge. No, the binge weight won’t come off overnight, but it’s healthier in the long run to lose it naturally and gradually, and it will help you avoid repeating the diet and binge cycle in the future.
I want to say a little more to people who purge because you may think you are “getting rid” of those binge calories by self-induced vomiting. You may be even more focused on trying to stop bulimia without gaining any weight, or you may have hard time believing that recovery could lead to gradual weight loss (if you are above your normal, healthy weight). *If you are currently below your normal weight range or think weight gain is inevitable after recovery for another reason, then please see my post Weight Gain from Binge Eating Recovery? Like I’ve already mentioned, a majority of the binge calories are still absorbed even if purging occurs, and studies have shown that calorie absorption may begin much earlier in the bulimic’s body and metabolism is suppressed so that the body becomes more effective at storing the calories—which are the body’s natural ways of protecting itself. Your daily calorie intake with bulimia is likely still much greater than the number of calories you’d consume through a normal diet—with no binge eating or purging. For more on how to stop purging, you can listen to Episode 54: Stop Purging in Binge Eating Recovery: Interview with Ali Kerr.
2. If Weight Doesn’t Take Care of Itself, You’ll Be in a Much Better Position to Tackle the Problem.
As I said earlier in this post, weight loss is not a simple calories-in/calories-out equation, so it’s possible that the binge weight doesn’t come off in a predictable way after recovery. If you are over your natural weight and don’t gradually lose weight after binge eating disorder or bulimia—even after you are very patient about it—I still feel it’s very important to avoid focusing on weight loss during and after recovery. In Episode 53 of my podcast, What Can Hold You Back in Bulimia Recovery, Part 2: Weight Obsession, Katherine Thomson does a great job of explaining why this is the case. Letting go of a focus on weight does not mean you will be ignoring the problem or giving up on your health; it means you will be focusing on your healing and on allowing your body to regulate. Once you are confident in your ability to avoid binges, there may be some healthy changes you want to make to help your body reach it’s natural weight; but this never has to involve a diet or food restriction. You can address any weight issue you have in a way that shows compassion for your body and honors it.
If you are someone who does not gradually lose weight after binge eating stops, I want you to be aware that your lower brain might use a lack of weight loss as fuel for the binge urges. If you don’t see the scale dropping (and I wouldn’t even recommend getting on one during this time), you may hear thoughts like, “you are not losing weight so you might as well binge.” Rationally, you know how ridiculous that sounds, because obviously binge eating will only bring you further away from ever finding a solution to your weight issues; but in the moment, it can seem like a convincing thought. Always remember that you can stop binge eating for good even if you are not the weight you want to be.
We all come in all different shapes and sizes, and what’s a healthy weight for one person might not be a healthy weight for another, even if those two people are the same height. It’s possible to be fit and healthy even if you technically overweight, and BMI isn’t the best indicator of health. However, if you are well above the weight your body is naturally inclined to be due to a harmful and painful habit (binge eating), weight loss after recovery would be a welcome, healthy change.
I am not against healthy and gradual weight loss without dieting, but I feel strongly that advice to simply restrict calories or entire food groups is completely misguided and does more harm than good—especially in those susceptible to binge eating—and just doesn’t work in the long run. For example, I think the typical 1200-1400 cal/day weight loss diet for a woman is starvation. Low-calorie diets lead to a slower metabolism, malnourishment (which some claim is one of the causes of obesity), and more weight gain in the long run. It’s also simply unrealistic to think you can maintain a 1,200 calorie per day diet to lose weight and then keep that weight off for life.
So how does someone lose weight after binge eating disorder or bulimia without restricting calories, if that weight loss doesn’t occur naturally?
First of all, when I say “don’t restrict,” I don’t mean eat whatever you want whenever you want in an excessive manner. I mean eat adequately, eat to nourish yourself well, eat what your body needs. Of course, overeating happens from time to time even in normal people, and that’s completely fine, but overall daily intake should be within a normal range. *If you are someone who has trouble figuring out how to eat, know that my course includes ample information and guidance to help you determine a way of eating that works for you.
That being said, I know that excessive eating and overindulging isn’t always to blame, and I definitely think there are a myriad of other problems that can contribute to not losing weight after binge eating recovery or in general (for example: hormonal imbalances, insulin resistance, food allergies/sensitivities, thyroid problems, not enough activity, not enough water, not enough sleep, too much stress…etc).
If you go from binge eating to eating in a normal way, and you don’t eventually lose weight; then I believe it makes sense to look into what might be preventing that from happening. Reasons for not losing weight can be multifaceted, and science currently has an incomplete understanding of why some people can lose weight easily and for others, it’s a struggle; but I don’t think the complexity should prevent us from looking for answers.
I believe that making some reasonable and healthy changes to food choices (without letting it become an obsession and still allowing for flexibility) can be helpful, and is a much better approach than simply slashing calories. Focusing on eating a lot of nutrient dense, nourishing foods can lead to more weight loss in the long run without ever putting the body in “starvation mode.” Some people might find that changing diet composition to add more protein and fat helps them feel better and lose extra weight, while others find that adding more plant-based foods and high quality carbs help them achieve the same results. I am also a big advocate of healthy, enjoyable, non-stressful exercise as a way to move the body toward a healthy weight.
In my opinion, the goal for anyone trying to lose weight, whether they have a history of an eating disorder or not, should be to gain better health, not to simply see a number go down on a scale. I think when people are truly focused on becoming healthier, it becomes an effort to nourish the body well, to feel better, to gain energy for living, and to prevent disease. It ceases to be about how many pounds they can lose or what size jeans they can fit into. And usually, if you focus on becoming healthier (and you are above the weight range that’s right for your own body), the weight will come off naturally.
Focusing on health can also help you let go of weight obsessions if you are someone who desperately want to be super-thin, because it helps you realize that trying to maintain an unnaturally low weight is harmful. Focusing on health can also allow you to appreciate food for it’s nourishing qualities, without worrying about how many calories the food contains or if the food may possibly lead to weight gain.
But making these gentle, healthy, nourishing shifts that can lead to gradual weight loss is not possible when binge eating is still occurring—because when you fundamentally feel like you don’t have control of what or how much you eat at times, it’s hard to implement and be consistent with any positive eating changes. So, the best strategy is to focus on stopping the binge eating habit first and allow your body plenty of time to heal, and then address weight issues that remain after recovery. Improvements in health, weight, and your attitude toward your weight are just some of the positive changes that recovery can free you up to make.
To help you end the binge eating habit I’ve created a downloadable guide that gives you the basics of the Brain over Binge approach. You can also learn more about my course for more answers to your questions about weight (the course contains 84 Q&A audios and 115 total audios to guide you).
*Leibel RL et al. Changes in energy expenditure resulting from altered body weight. N Eng J Med. 1995 Mar 9;332(10):621-8