Nhs eating plan making me gain weight

[Maztek]

I’m in treatment with the eating disorders service currently, I’m very overweight from years of eating disorders.
Im essentially learning how to eat again, and have been put on a strict plan. 3 meals and 3 snacks. I’ve been doing it for a week and I know I shouldn’t have weighed myself but I did this morning and I’ve put on 2 pounds which is devastating for me. I’m not allowed to count calories on this plan.
I don’t really know what to do. I can’t afford to keep gaining more weight but I also need to treat the disorder.
Had anyone else been on this plan?

Who is choosing the food? Are you also exercising?

What are you eating? Do you feel satisfied or hungry?

I have a menu to select from that is provided by the dietician.

What plan? Three meals and three snacks could mean anything!

You really need to raise any concerns you have with the eating disorders service. Why did you weigh at all? You need to address the physiological issues that sticking to this plan is having. Nobody on the internet should be helping you second guess the plan you are on. Please speak to the healthcare professionals you are working with.

I can fluctuate 2 pounds or more every day, even if I’m losing weight overall over a longer period of time.

Stick with it and speak to the eating disorders service if you’re worried.

Best of luck.

Two pounds could be fluid retention or you could need the toilet 🙈 you need to speak to the service you are under.

I have to eat from each good group with every meal.

So breakfast could be a piece of toast with some protein and some fruit and dairy.

3 meals like that and snacks in between. Snacks are things like popcorn and grapes, apple slices with peanut putter.

It is likely the diet plan is nutritionally and calorie controlled. I also imagine the diet plan is not to aid you in losing weight but to maintain and learn a normal eating patter.
Weight fluctuates daily, a one off measurement is useless. Someone could gain or lose 2lbs in a day depending on what they eat or go to the bathroom. It isn't real weight, it is normal fluctuations.

Stop weighing yourself and commit to the plan properly or you will never make any progress.

With the greatest respect, MN is not the place to raise this sort of thing. So many posts on diet/weight threads promote a really disordered approach to eating. Trust the professionals for now; they will be trying to get you into regular eating habits to prevent binges (and purging if that's an issue) for now. It's possible to lose weight with a history of EDs but you need to be a lot further into recovery to be able to do it safely. Wishing you all the very best.

I really don’t think this is wise. The OP is being treated by the eating disorders service. I question whether an online dissection of food intake is the right thing for a person with eating disorders.

OP please get some psychological support from the eating disorders service if the process is making you concerned.

Is the goal of the plan weight loss, or learning how to eat in a more sustainable, consistent way? Because that is likely to be 2 quite different meal plans. Are you able to speak to the dietician about your feelings and goals?

Please speak to the service you're under. And bear in mind that there are lots of other disordered eaters on Mumsnet so you might get some dodgy advice.

As others have said though, 2 pounds is an entirely normal weight fluctuation that doesn't mean anything.

Have you even read the post?
This is awful advice to someone currently under medical care for an eating disorder.

I agree if the aim is to teach you a normal eating pattern then surely the goal isn't to lose weight? Throw the scales away. Like, right now. You don't need them. The desire to lose weight is probably responsible for at least some of the issues you have around eating, so by weighing yourself you are just compounding the problem and you're going to slip off the plan and back onto your normal habits. So just get rid of the scales out of your house.

She has an eating disorder and gets her diet from a dietician. Unless you are here dietician please stop giving her advice

What are you eating and are you exerciseing.

Plus are you drinking enough water?

And, sorry to ask but where are you with your cycle? If you are just before your period, there could be a slight weight gain... I know I have a few exra pounds just before my period.

All these can have an impact on small weight gain/ loss.

If unsure, speak to your health professional.

The aim is to teach you to eat normally not weight loss. Raise any objections with your team. Mumsnet is not the place for this

100% agree with this. Don't post your meal plan op. None of us know anything about you, and the NHS dietician has access to all your records etc.

You shouldn't have weighed yourself because it obviously gets into your head and affects you psychologically.

The plan isn't designed solely to help you lose weight, it's to train your body into running on a healthy amount of food, and to teach you how much food is actually necessary.

I can fluctuate between about 2-3 pounds on a day to day basis. Depending on the time of the month, how much water I've drink, whether I feel bloated, if I've I eaten something particularly stodgy. It doesn't necessarily mean you are gaining weight on the plan.

I think you need to get into a fresh new mindset on a new day and focus on the things you are doing well. Don't weigh yourself again, focus on how you actually feel, over time you will notice your clothes feel a bit less snug, or looser. You may notice you loose inches from your body first rather than a lower number on the scales.

Keep going, don't be disheartened.

And don't share your meal plans on here. There are too many armchair dieticians that will pick it apart and make you doubt the expert advice you are being given.

You've had an eating disorder that needs careful management from someone who knows your medical history. Not someone that will start telling you why should should be eating X Y or Z.

Please do not ask the OP to post what she's eating. If you are under an eating disorder service with a dietician, then your plans might have different goals than the usual goals people would have on here- it might be to regulate eating every few hours to stabilise blood sugar and to get the body used to regular food to prevent binges, for example.

The eating disorder service is hard to access and is used by people with disordered eating, and isn't about losing weight, so it's best if you go back to them Op and tell them your worries, as psychological therapy will be part of the whole package of treatment, when are you going there again?

I've managed to have a 2 pound gain in the same day - lots of factors like clothes, toileting, eating could be at play. If it's bothering you discuss with the professionals who set the plan for you