I’ll humor the idea just because my SO just got diagnosed with something that sounds like it could be similar. I cant for the life of me remember what it’s called. I’ll add at the end of this post when I ask her.
So basically, my SO has always had auto immune issues. She spent a lot of time in hospitals as a kid, and simple things like UTIs have been life threatening to her.
She also got diagnosed with narcolepsy recently, may be unrelated, but adding it for detail. Basically she was always tired. I’ve seen her sleep for the better part of 48 hours straight. Always weak and sick and sluggish feeling.
Shes never eaten a lot. Provided shes awake, shell get down about 2 square meals a day l, maybe a snack in there.
She started gaining weight. Nothing extreme, but she didnt like it. She hit a cap, if I had to guess around 175-180, and just sat there. I’m not big on my diet and she couldnt give a rats ass about lifting. So she tried multiple diets, some with my help some without, and just wouldn’t move off that mark. I did convince her to completely come off sugar, and she lost probably around 10 lbs over the course of a year. Then just got stuck again.
She proceeded to get more sick feeling, and all around just not great. She started missing her periods, which finally threw up a big red flag for us, because she definitely wasnt pregnant.
FINALLY a doctor caught something. It’s a condition that has multiple effects:
Inability/extremely difficult to have kids
Extreme insulin resistance
Tanked sex drive
So her doctor put her on keto, something along the lines of under 15g of carbs a day, along with some random medication. Seems obvious after the lack of sugar reduced her weight, but shes lost 15lbs in… about 45 days? Let’s say 5lbs is waterweight, still, 10lbs is a significant improvement for her.
Theres not really advice here, but essentially what I’m saying is, for the first time in my life, I can confidently say there are cases where a caloric deficit just isnt enough. Her condition quite literally makes her diabetic without actually being diabetic, and it fucks with her caloric processing.
Sorry for shitty typing, this forum tanks my phone for some reason.