Our expert says:
Dear Desperately Hungry
Compliments of the season to you. From what you say, I think you are either suffering from a total energy deficiency - are you quite sure that you are only eating 1200 kilojoules? or is it 1200 kilocalories (kcal)???? Eating too little can make you feel hungry all the time. Or you may have hypoglycaemia (low blood sugar) which requires that you eat at least 6 small meals a day consisting of LOW-GLYCAEMIC INDEX (GI) food. Or your psychological problems and/or medications can be driving this hunger. Many people who suffer from depression/anxiety/stress turn to food for comfort. Depression as such, is a condition that can either cause massive weight gain or loss depending on how the patient reacts. Conversely antidepressants, anxiolytics and most other central nervous system medications can cause weight gain or weightloss, or stimulate or suppress the appetite. I would recommend that you have a full medical and psychological evaluation by a medical doctor, a psychologist and a registered dietitian. Ask the medical doctor to test you for hypoglycemia or insulin resistance. Ask the psychologist to assess you for an eating disorder and depression/anxiety. Ask the registered dietitian to assist you with your food intake so that you lose weight, but don't always need to suffer from hunger. Because you need a team approach, it may help to start off with an Eating Disorder Clinic. If you are in Gauteng you can contact Tara Hospital as they have an Eating Disorder clinic (phone (011) 783-2010. In Cape Town and environs you can contact the Kenilworth Clinic (021) 797-1400 and in KwaZulu Natal there is Riverview Manor (033) 701-1911, or contact them on: www.riverviewmanor.co.za
I agree that this is not the time to have a baby and that you first need to get your own life in order before you contemplate pregnancy.
Go for expert help ASAP - I am holding thumbs for you.
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