500 kcal

Trigger warning.

In order to recover from anorexia, one must put on weight.
0.5kg per week, until the symptoms subside.

In order to gain 0.5kg per week, one must eat 500 kcal more than their daily requirements. Everyday, for the whole week.
One has to eat an extra 500 kcal everyday, for every day of the week.
500 kcal, 7 days a week
That adds up to 3500 kcal everyweek. Extra. Everyweek.
In order to recover from anorexia, I have to eat 500 kcal more than what I do already. What I already do isn’t enough. A medicinal measure of progress: my weight – my number – has been unchanged since November. I need to eat 500 kcal more than enough.
The problem is, eating enough is already too much. It’s too much for Anonymous to cope with: so much disorder to be dealt with.
When will any of this ever be enough? I’ve had enough.

In order to recover from anorexia, one must put on weight.
Layers, and layers, and layers.
Doctors’ encourage anorexics to put it on one layer at a time, at a speed with enough momentum to maintain itself, but not too much to blow a fuse and send the carrier into a despairing, confused blackout.
It is a substantial layer of 0.5kg per week.
Try it on piece by piece, assembling a costume to crawl up the axis onto the next stage of recovery. There, the world will be waiting to see what gargantuan monstrosity appears. Anonymous can feel the thrill of the onlooker waiting to see my transformation. Another layer that will be stripped back sometime, to reveal reality’s chuckling face: don’t flatter yourself. Who would even be interested?

In order to recover from anorexia, one must put on weight.
500 kcal more than this ample diet working it’s way through the time I have yet to get through.
500 kcal more than a diet already bursting at the seams. A diet stuffed full, and futile.
500 kcal more to be melted down and trickled down shrunken veins. Great canals of blood pumping 500 kcal into my heart. Galvanising my brain into action for a while. 500 kcal lathered over porous, brittle bones. They shiver when I pass a wheelchair, or see someone on crutches. Rattled, I cross myself. That could be you if you’re not careful.
One must eat 500 kcal more than they need to function as they are.
Here is the great sadness: I only function. I do not flourish.

Increasing is wearing. Food dances on my tongue, swilled around with the poisonous words Anonymous mutters as I chew. Anorexia poisons food with her thoughts so I don’t touch it. Every missed mouthful is consumed by my illness, just so it can maintain itself. It grows strong with less, as I will with more.
I have to put on this weight.

It has been a while since I last recognised an actual increase. They are starved off, strangers in the midst of a treatment plan. Anonymous is so paranoid about them trespassing into my mouth, that she randomly arrests any morsel of food she suspects to be dense enough to smuggle in illicit calories, and then brands the word “increase” upon it. She has cheapened a label, causing the value of a real life increase to sore. When I find one, it is to be held in bewilderment and awe.

I often find Ellie scavenging on these offcuts, desperately trying to find some indication that it had been real: she had really seen an increase. This usually happens the night before clinics, the night before she is to be put up and judged by her doctors: “So, Ellie. Did you increase?”
Let us look at last week’s plate of empty promise.
My milk measure bulges just over 200ml; four chia seeds spray onto my porridge as I open their packet; the barista making my skinny coffee looks shifty. Anonymous scrawls the word “increase” into my food log, and burns those extra calories before my eyes.
There is not enough fuel in these lies to maintain recovery.
In order to recover from anorexia, one must put on weight: 0.5kg per week.
In order to gain this weight, one must eat 500 kcal extra everyday, 7 days a week.
A heaped teaspoon of honey pales under scrutiny. That will have been an extra 22 kcal at the worst.

Anorexia has led Ellie to believe that 500 kcal is in touching distance. I am convinced that a small, painless tweak to my diet would be enough to send it spiralling up and out of this illness.
Everything becomes subject to calorie speculation. Predictions made based on anorexic data, drawn from the fact that any calorie will be a big one.

500 kcal is not as easy to get to as I think it is. Proof of how far anorexia addles a brain is found in my reluctance to face the ugly fact that 500 kcal is more than a heaped measurement, or even just an extra glass of coconut water at a dodgy time of day.
Ellie waves an avocado in my face: look, an increase! Well, this is certainly looks more like an increase. Half an avocado is a solid extra on your plate. A great lump of anxiety clogging up Anonymous’ clear run through the day, dodging food and triggers as she goes. Despite my wracked nerves comping through this meaty flesh – it isn’t enough.
Half an avocado? That’s 120 calories, tops. 380 to go now Ellie.
A banana? An almond? What about a smoothie?
The point only seems to show itself to me. Here is the point, sharpened and clear cut: I don’t want to get bigger.
I just want to be recovered. I just want the worst to be over. If only weight gain wasn’t so painful.

In order to recover from anorexia, I must forget where I left “enough”.
My “enough” was mine to find and mine to lose, my body’s requirements and my body’s right. My “enough” pales next to another persons, and there it awaits their judgement. My “enough” was left too long in anonymous hands, and was squeezed too hard.
My current “enough” looks too much by comparison: well over the recommended daily calorie allowance of a normal female of my age.
What was “enough” then, is not enough now. You need to eat more, Ellie.
It’s not enough.

I don’t know when recovery will ever be “enough”.
I have heard what is coming up there, above the ‘anorexic’ weight range. There, the anorexic is expected to roam, picking off food despite the number, no matter the feeling.
There will be so much matter to feel. The maintenance course is a heady dose with unpredictable, invisible side effects. Doctor’s will see me dragged upwards and ditch me at a BMI of 20: a number I have never let myself reach before. Not since I was 13.

Treatment starts with but is not limited to, a number.
I simply refuse to see how one can possibly make a story out of numbers. There is no character development or story twists when the plot just ambles up and down and across an axis, losing a bit of itself each time it looks down to check where it is, and where it might be heading.

Every week, my nurse repeats it.
Every week, my nutrition repeats it.
Every day, my parents remind me,
and every second, Anonymous avoids it.
500 kcal, everyday.
She doesn’t fight. She’s a coward. She’ll just shield her eyes to block out reality, and stay safe and stagnant in denial.
This week, I’ve been trying. I managed to meet a sort of increase, I think.

The moment to increase arrives and I feel unsure how to greet it. Should I just go for it? Stuff the ting in my mouth and hope it doesn’t come back to bite me later?
Or perhaps I’ll wait, give myself time to prepare for it. If I think it through, perhaps the thoughts will straighten out, order themselves on their own. The disorder will cease over time, won’t it?
Time is growing thick and going fast.
In order to keep up with time, I need to be putting on weight. I’m about to be left behind.

This morning there was a smoothie crisis. The smoothie in my meal plan was let out one or two kcal, in an effort to lure my diet up the great 500kcal. Ellie was granted permission to try a new smoothie, one she had been eyeing up out of a recipe book. This one would be thick and flavoursome, full and fruity. Frozen banana frothed up and foaming, thickened by avocado and sweetened with – get this – a medjool date. Spinach crunched in rapture. The calories would tip the day in favour of recovery, I could feel it.
So I did it. It slipped down, smooth and silky. It was heavy, leaning against the walls of my stomach and oozing through my intestine. A increase, surely – I finally found an increase.

The numbers lay low with the truth. They had to be lying when they denied an increase had ever passed through here. After running through it all over and over, I must concede here. That smoothie was not an increase. Anonymous simply replaced the original with a bulkier one, and docked a few calories later in the day, to make up for regret. All without me realising.

I cannot judge 500 kcal, but I will judge how I react to it. That increased feeling is both a punishment and a prize, depending on who I fight for.

All other variables aside, – confidence, communication, constant-crisis-aversion – the tale of treatment comes down to numbers. An incomprehensible series of numbers plotting Anonymous on her journey out of my life.
If I don’t gain any weight this week, I’m going to be in big trouble.
If I don’t increase my diet by 500 kcal in time to pull myself together, layer by layer, the doctor’s will carry out the fearful examination of my future in treatment they have been threatening since stagnation.
There will be a terrible reaction, and the rapid spread of anxiety and change; and it will be all my fault.

There is nothing else that will solve or explain weekly-weight-gain-gate, than fear. Only fear will tip me over the side of this crisis.

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You know what’s better than an EXTRA banana with coffee? An extra banana dipped IN the coffee.

I have a banana in my bag.
Ellie said today, I’d eat a banana with coffee. With – not instead of. So she put a banana in my bag.
Now, I have a banana in my bag.
With three days until my weigh-in, this is all I’ve got. An inability to cram, clear confusion, and an extra banana in my bag.
An extra 100 kcal.

In order to recover from anorexia, one must put on weight until the symptoms subside.
Treatment tries to weight out a voice, wait out a feeling. Eventually, they are said to grow small enough to be manageable.
Food will recover me, not cure me. Treatment seems to be the gathering of layers, pinching them together, tighter and tighter, compress them and squeeze them slowly until the pressure finally drops, and a character emerges. Thus, a story may start: featuring numbers, yes, but also feelings.

In order to gain 0.5kg per week, one must eat 500 kcal extra.
Note: an increase will never be found in a feeling; for it is only a number.

Reader: I hope you have picked up on the repetition in this post. For it is only by saying it over and over again, can the realisation be summoned to stand on the present ground.

What will happen if you gain weight, Ellie?
You’ll gain weight.
You’ll gain weight.
You’ll gain weight, and life will go on. So they say.
Only this time, you’ll be choosing to go with it.

There is nothing more I wish to add in this post. So long as I make a meal of weight gain, I don’t deserve to indulge myself sharing news and views.
Good things are important in recovery, but they are lonely without someone to be with.

I need to eat 500 kcal more today.
I need to eat 500 kcal more today.
I need to eat 500 more today, and everyday after that.
To recover from anorexia, I need to put on weight.

 

One thought on “500 kcal

  1. NEVER STOP FIGHTING. THERE IS MORE TO LIFE THAN THE MISERY OF OUR ANOREXIA. I KNOW THIS. FULL RECOVERY IS POSSIBLE. DON’T YOU GIVE UP YET. YOU ARE DESTINED FOR SO SO MUCH LIGHT. 💙💙

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