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Hello! I have been told by my doctor that I need to be gaining at least 1 lb per week until I am not underweight. I am currently 5'0" and 88 lbs due to eating issues while on paleo. I am in college and my doctor could force me to withdraw if I don't comply. Is there a healthy way to gain weight at this rate on paleo?

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What are you eating now? I am also underweight and have successfully gained and maintained weight on 'paleo'. – animalcule Dec 6 2011 at 17:20
breakfast- either a couple of eggs and half a sweet potato, or a cup of greek yogurt with berries and nuts lunch and dinner- usually some kind of stew or one-pot dish with meat and veggies and sometimes rice. I have about a cup or so of that usually. snacks- cheese, bananas with cream cheese and walnuts, mug of warm milk, liver pate (I will maybe have one snack over the course of a day). – blur Dec 6 2011 at 17:36
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malpaz.wordpress.com my site, i recovered form anorexia. eat eggs, coconut butter/milk, dairy on top of regular food – Mallory Dec 6 2011 at 17:49
So do you feel that you are successfully eating well and enough at this point, and you just want to make the weight gain happen faster? Or are you still restricting (or purging, etc), or not seeing weight gain at all? What was your weight before your current issues, or what is your goal? 95 lbs at your height is within 'ideal' BMI ranges so you don't have far to go to satisfy your dr.'s requirement – animalcule Dec 6 2011 at 18:22
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All mass is healthy mass in your case. – conciliator Dec 6 2011 at 19:07
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6 Answers

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I was also 88 lbs at my lowest due to an eating disorder (eating 800 calories a day) and I'm 5'3" and I'm also in college. I gained weight easily eating a ton of carbs (whole wheat bread, oatmeal, apples, milk and cereal, etc.) and doing some weight lifting a few times a week. I know high carb may not be very "paleo" but you need to get to a healthy weight first. I wasn't on Paleo when I was gaining weight. But now that I've gained a reasonable amount of weight, I did switch to Paleo, still eating a lot of calories (1800-2500 a day) but now eating more fat and doing very minimal exercise. My doctor also wants me to gain more weight but I know with Paleo, my body will get to its ideal weight. I'm glad I don't look like a stick anymore.

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Because there are idiots here who think gluten is worse for you than an eating disorder. – conciliator Dec 6 2011 at 18:19
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I would go so far as to say that people who are concerned about gluten when faced with anorexia already have an eating disorder: orthorexia. – conciliator Dec 6 2011 at 18:23
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I totally disagree with you conciliator : gluten is gonna cause more harm than good. It's not hard at all to replace it with rice and potato products. Or even beans, buckwheat, ... – Korion Dec 6 2011 at 18:48
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Let me put it in clearer terms because clearly some people aren't getting the issue. If someone is starving to death, and they can eat bread, you let them eat bread. Anything else is stupid, and I hope none of you with your fanatic and dogmatic opinions on nutrition are ever put in a position where your ridiculous advice compromises someone's health. – conciliator Dec 6 2011 at 18:59
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As I was recovering from my eating disorder, I was told it doesn't matter where your calories come from. Your body is deprived. Sure in the Paleo world it's much better to get calories from fatty meat and veggies than a peanut butter sandwich (which I had lots of when I was recovering). And I never said that "bread is superior for treating malnutrition." It's just that if you can tolerate bread, I don't see why you would avoid it if gaining weight is a priority. Anorexics have to learn not to be afraid of food. If you tell them to avoid bread, I think you're just exacerbating the problem. – April S. Dec 6 2011 at 19:54
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What's wrong with eating more fat? Sure you could try gaining a load of unhealthy and utterly unnecessary weight from eating junk if that's what you need to do to stay in college, but you asked the question because you didn't want to do that.

So eat more fat with your meals, a bit more protein too if you can. Get a couple of recipes that are naturally fattier, rather than relying on trying to 'supplement' it. See how much bacon you can get in at breakfast, and if you're not exercising, do some of that to stimulate your body. You'll get hungrier, it'll get easier to eat more later in the day, and just remember to make it fat and protein to sate the hunger. Then if you still want to go faster, sure, eat more rice and potatoes.

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Who downvoted this? Jesus... – Adulescens Appetens Dec 7 2011 at 5:40
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Agreed, AA. +1 for this good advice. – Canis Minor Dec 19 2011 at 0:13
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Didn't work for me. Only thing on paleo that keeps me from slipping below my usual weight is rice and potatoes with virtually every meal. Fat doesn't make you fat, nor does it increase your body mass in general. A bit of weight lifting might help but no matter how much fat or protein I ate, I just kept getting skinnier to the point where I could see bones under the skin that I don't think you should see on a healthy person. – Stefanie Jun 25 at 7:20
Totally agree, Stefanie... I will only lose weight no matter how much I eat unless I eat enough carbs... We tell people to avoid carbs if they want to lose weight, so isn't obvious they're good for gaining or maintaining it? – Violet9 Jun 25 at 17:23
Also, so much fat is hard to digest if you're recovering from ED... it takes time for your stomach to get used to big hearty paleo meals. – Violet9 Jun 25 at 17:24
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I'm underweight, and always have been, according to the BMI - which is why I feel like the BMI is a load of bull$h*t - but that aside, when I started doing 100% paleo I accidentally lost weight, which put me in a precarious place where I could see bones I had never seen before. No matter how much I increased my intake of calorie-dense foods, nothing worked. Then several people on Paleohacks mentioned rice. It's the ONLY thing that keeps me from slipping below my usual weight. I eat rice and/or potatoes with every meal. The only thing to be cautious of is that you don't use rice/potatoes to replace vitamin-rich veggies.

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Thanks for the helpful comment. – Kev Jun 25 at 23:20
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I'm keenly interested in this question as someone headed into an eating disorder. Upvoted, not sure why anyone would downvote this one.

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Have you identified the cause of why you have an eating disorder? – April S. Dec 6 2011 at 19:55
Is there ever really just one cause? But yes, I think I have a handle on my reasons for it. – Canis Minor Dec 7 2011 at 5:45
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Please take care of yourself. I didn't, and I've paid dearly for it. I wish I had realized what was going on before it got out of hand instead of having to do so much damage control. People lose a lot of trust in you when you can't provide for yourself something as simple as food. – blur Dec 18 2011 at 12:04
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GOMAD. ton of calories, nutrient dense

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question was from dec 6. whoopsie – dante Jun 25 at 7:29
GOMAD is a great idea. – Bruno Jun 25 at 16:44
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Since this is sort of a medical condition, maybe you could use whey protein or raw dairy. This is a deviation from strict paleo, but it appears to work pretty well in terms of adding bodyweight. The whole purpose of milk is to get that young calf growing. If you do go the whey protein route, make sure you read the label and get the cleanest powder possible. They like putting soy and other stuff in there. The raw dairy may be even more effective in terms of gaining weight, but I seem to have a problem with casein, so I haven't tried it for any length of time.

In addition, it became very obvious to those of us who had to lose weight that liquid calories were bad for our objectives. This suggests to me that liquid calories may be very good for your objective. Lots of smoothies!

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