Weighing the Facts has a great post up about "
Why we overeat." It contains part of an article which discusses some of the brain chemistry aspects behind binge eating. Experts have been telling us for years that eating disorders have little to do with food; this is, of course, true to a very large extent. But from my own experience, I wonder if food, particularly our reactions to certain foods, doesn't have something to do with it. The progression may have more to do with control and emotional issues, but the thing that trips that cascade is nearly always tied to weight issues.
For most of my life I ate a "normal" American diet, heavy on the white carbohydrates. As children, my siblings and I were served the usual meat-green vegetable-yellow vegetable-starchy vegetable kind of menu. Mom didn't keep a lot of junk in the house, we never had soda or chips lying around, mainly because she couldn't afford it. Sugary cereals were a rare treat, and my brother M. used to appoint himself Cereal Warden, hiding the box so "you guys won't hog it all down right away!" None of us were truly overweight, though as an adolescent I was carrying maybe 5 lbs extra here and there, which of course seemed disastrous. It was then that I first started experimenting with bulimia. That's often how bulimia starts, wanting to eat without gaining weight, or at least that's how it started with me. But I am convinced that this not so uncommon desire to eat what you want without gaining weight occasionally runs into a messed-up brain chemistry, and the next thing you know, the occasional purge has become a way of life.
Simply put; bulimia made me feel better, albeit temporarily. My disease got worse as I got older and encountered more by way of adult stresses and disappointments. The act of binging and purging requires attention -- the preparation of food, the eating, and the purging all distract from whatever life is throwing at you. It also results in a temporary flood of endorphins which calm and soothe. As a former binge-purge aka bulimia specialist, I'll testify to that. It's funny what happens when an eating disorder runs smack into an over-educated brain. There I'd be, fingers down my throat, thinking "now comes the endorphin rush!" I knew what was going on with me, even as it was happening. Not that I let it stop me.
I didn't truly get a handle on my bulimia until I started low-carbing. In the two years prior to starting Atkins I'd gained the most weight I ever had in my life. I normally hovered around 135-145 for most of my adult life. At 5'3" that wasn't skinny, but given my build, it was hardly fat, either, maybe 10 lbs overweight at the worst. But by May 2003 I found myself weighing 163 lbs, the heaviest I'd ever been. I was also purging at least once a day at that point. I was never a serial dieter, relying as I did on bulimia to keep a handle on things, but it was clear even to my addled brain that bulimia clearly was not working, I was killing myself slowly, and it was time to try something else for weight control and to get help with my disease.
A relative had lost quite a bit of weight on
Atkins, so I thought I'd try that first. Due to my body chemistry, I was a perfect candidate for Atkins. Most of my extra weight was abdominal, which seems to respond best to carbohydrate control, I was never much for sweets though I loved pasta and bread, and I loved protein-based foods. Atkins was like a miracle for me. I dropped 13-15 lbs on induction (13 officially, but I didn't get a scale until two or three days into induction so I'm not totally sure what my starting weight was) and lost steadily thereafter.
What I found truly amazing about this was that my craving to purge (and it's a real craving) disappeared almost immediately. I thought at first it was because I'd switched obsessions -- instead of constantly planning the next thing I'd binge on, I was busy counting grams of carbohydrates, and chatting with my new buddies over on
Low Carb Friends. But it was more than that. I felt good for the first time in ages. I was sleeping well, I had a ton of energy, my eczema cleared up on its own, and my nearly constant brain-fog had lifted. About two months after I started, I got "official" help for my eating disorder; though I hadn't purged once since starting Atkins, I figured I'd better get help before it started up again.
So I did, and aside from the occasional pothole when things got very stressful, I've been able to control it for years. But, and here is the point of this long-winded post, I am convinced that a big part of the reason
why I have been able to control it is that I'm no longer eating on a regular basis foods which trigger these binge-purge cravings. My binge food of choice was nearly always pasta of some form. I hardly ever eat it now, but, when I do and if I happen to eat it during a stressful time, I notice these usually quiescent cravings get quite a bit louder.
The usual advice for those recovering from an eating disorder -- the advice I got and disregarded because low-carbing was clearly working for me -- was to eat a "balanced" diet (aka one with a ton of white carbohydrates) while getting psychiatric help. I can't help but wonder, given my own experience, that more bulimics would be helped in their recovery if white carbohydrate reduction (at a minimum) wasn't recommended instead. Dr. Atkins mentioned in
Dr. Atkins' New Diet Revolution that protein binging is self-limiting, it's pretty hard to binge on steak, for example, due to the satiety factor. It's much easier to binge on carbohydrate-laden foods, but aside from ease of use, I think carbohydrates set up a cascade in the bulimic body which triggers binging.
That's what I think, based on my own experience. I think the psychiatric stuff helped tremendously as well, in terms of recognizing stressors and developing more constructive coping strategies. But, and I can't emphasize this enough, I doubt very much I would have been nearly as successful in coping with my bulimia if I'd been following the recommended "healthy" diet with breads and pastas and all that.
Just my two cents.
Elle