[quote]andersons wrote:
Zagman wrote:
Andersons, you are right, I was thinking about the wrong article. This one is the one I was thinking about, but it doesn’t cover how to fix the problem that well.
I apologize for not double checking that I had the right article.
Cool, that is the one I was referencing in my previous post.
Personally, if this were me, I would consult with Scott Abel.
The priority of ED professionals in my (limited) experience is to get the patient to gain weight. The dietician for my friends prescribed a MRP consisting mainly of high fructose corn syrup, maltodextrin, and sunflower oil kind of junk.
They do not care about fat gain. I actually agree with this to some degree, but I believe that in the long run that patient will be better off ALSO restoring the muscle mass they have lost. And gaining some more, for that matter. The ED professionals do not care about restoring muscle. But the Minnesota experiment shows that after starvation, the body restores fat first, and maybe never completely restores muscle. And in the long run, muscle mass is important for healthy body comp, especially as one gets older. This is where I’d really like to hear from someone like Scott Abel who knows and cares about muscle mass.
However, in the absence of his followup article, my best guess would be that diets used here for the goal of gaining muscle, like CT’s, Berardi’s, or Jen Heath’s, would be good. Supplements to support and restore hormones would be useful, as well as drugs if prescribed by an doctor. (However, for my friend, doctors view everything, such as low thyroid, as being caused by the weight loss and fixed by gaining weight, not by exogenous thyroid hormone.) I recommend fish oil because the literature and real-world experience supports that it makes muscle more insulin sensitive while making fat less insulin sensitive. Plus a host of other health benefits.
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Andersons you are absolutely right, I just had to throw out the ethical portion of it, practice for the next couple of years when it will be a big no-no for me to give advice to clinical patients. Granted the solution is going to be a focus on weight gain, but I feel that this should be supervised by a medical professional. Regaining/gaining muscle mass would be a great step in the right direction, but this needs to be taken one step at a time.
Your friend was at 200-300 kcals a day and her weight normalized? That is a testament to the human body, wow. I take it that it turned out for the better…