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I know I'm going to sound insane with an eating disorder ( never that that issue, btw ) but it seems like when I make progress, I swear it's getting worse ( much like anorexic people will say they look. ) I don't try to feel this way, I have a realistic goal and I do my best to be positive, but when people say I'm looking skinny, I get upset, because all I can see is what needs to be improved.

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forget what people are saying and what you think you are seeing - all it matters in the long run is how healthy you are and feeling. – Sunshine Jul 10 at 16:35
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Sometimes I get hung up on how far I feel like I still have to go, but it helps--when you can--to focus on how far you've ALREADY COME. Be proud of yourself for the improvements you've already achieved. – Amy B. Jul 10 at 16:57

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When I start to have negative thoughts I remind myself "don't believe everything you think".

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Right, but third parties are telling him/her that he/she looks "too thin." It might be the case the rest of the world knows what looks healthy and what does not. – foreveryoung Jul 10 at 17:06
Juju!!!!!!! that is one of my absolute favorite quotes. Seriously :D I say it all the time. I have it on my Facebook profile and actually want to have a bumper sticker made. Its so flipping true! – Crowlover Jul 10 at 17:18
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Ha! the funny part is the first time I saw it it was on a bumper sticker and I thought "OMG, that may be the first bumper sticker that says something useful, that and 'eat more kale' " – juju Jul 10 at 17:22
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It is referring to the automatic negative thought loops we can get trapped in, our thoughts can lie to us much more than we'd expect. – Happy Now Jul 10 at 18:43
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Like foreveryoung said, it really is sad, because though I appreciate their efforts to compliment, the fact is that theyre not being realistic. All they can tell is that I have lost weight, but body fat doesnt mean anything to them. Just because I look thinner doesnt mean I am in shape - still very much not in shape, lol ... so it kind of stings when they say it, because I'd like to smile but really I feel worse. Is that bad? – june1985 Jul 10 at 20:06
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Im unclear what your Question is but it sounds like you may have Body Dysmorphic Disorder.
You might want to read about it.

Like everything, there is a spectrum of severity. Many people have this problem so don't feel bad or alone. It goes along with eating disorders and anxiety disorder.

Take care.

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Is there an objective measurement you can focus on? Like BF% or something? Or improvement with any kind of health problems that Paleo is helping with?

Positive self-talk can also help. I like to pretend I'm writing a Cracked article about myself and what a badass I am.

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LOL thats awesome! I did take a BF test, actually Im waiting another month to do a follow up one to see my results – june1985 Jul 10 at 20:07
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It might sound weird but try High intensity interval training once or twice a week, this type of exercise, among others, raises your endorphin levels, creating a positive change in mood, energy and the way you see yourself.

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Most people are too fat and believe that they're "average weight." This leads many to believe that truly average weight lean people are underweight. Not so.

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I most likely have some level of body dysmorphic disorder as well, and I've felt everything you're saying. I've been making progress, but when I look in the mirror, I'm still not 100% satisfied. It's difficult to overcome, but I've made progress by focusing more on my training goals and improvement than my appearance.

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