Maybe the cause is hormonal, but her hormones could be out of whack as a consequence too.
I was feeling really atrocious, sleep was poor along with everything else and my testosterone came back almost bottomed out when I was checked out. At this point I’d lost touch with how long I’d been underfeeding, and was actively living through the beginning of my eating disorder. I saw no flaws with how I was living, the cause had to be medical.
By the time I started HRT it should have been evident that I was sick, in a mental sense, regarding food and exercise. Some healthcare providers nibbled at the idea, but I wish now they’d trusted their gut and pushed back more.
I wish I had to supply them with a food log, and an activity log, and that it had been a pre-requisite to bring activity levels down for a while before starting the treatment.
The thing is, I might need HRT, because one of my nads is very small. However, the only way to figure it out is to go off, and it’ll take my body a long time to start producing again on its own because the test I’m given has a really long half-life and in my country there is no such thing as PCT through legal channels (and the ramifications of engaging with it illegally are disproportionate). I’m not looking forward to that stint.
If I could go back, I would have much rather eaten at a macro split of 40/30/30 for a few months as that is going to be neglible long-term. @anna_5588 lifts weights, does conditioning/cardio, and walks a lot, so for her I’d say the “prescription” should be 3x full-body workouts (~90 minutes) and 8-10k steps/day. No conditioning, no cardio.
For me, as I engage in a sport alongside my lifting, maybe 2x weights, 2x sports.
Occam’s razor and what not.
And, if a person can’t conceive of eating 40/30/30 for a while for medical reasons/diagnostics then that’s a red flag in and of its own. The amount of stress it causes to live with a brain that frets about that to such an extent is a punishment in and of its own.