#...shoutout to bupropion?

[bang-bang-gang]

thanks to lair i made an account on 4thewords today, and while it's fun to destroy monsters by making hangman and swerve kiss it is also VERY stressful and my heart rate is unnecessarily high

[trophyprincess]

Here are some tips that have helped me stay sane in the face of my body dysmorphia and disordered eating habits.

Positivity time! This one's for all the ladies out there struggling with their bodies.

Body dysmorphia causes changes to visual areas of the brain. Your brain is literally lying to you. You are hallucinating. No, seriously. This is SO SO IMPORTANT. Look, if you have an ED then chances are, you may very well have legitimate body dysmorphic disorder. Your brain may be warping and distorting the image in the mirror. It's why everyone around you keeps saying how thin you are, but all you can see in the mirror is flab. It's a neurophysiological thing. (Most of the literature on BDD seems to pertain to cases regarding the patient's facial features or similar, rather than in the context of body size in ED patients, though.)

One binge won't undo your progress. Everyone fucks up sometimes. Don't dwell, don't ruminate, just pick yourself up the next day and keep going! This applies to "binges" in the proper clinical sense, as well as 4n4 "binges" that are more aptly described as simply "overeating." I occasionally will give myself a "free day" once a month or so, or if it's a holiday or something.

If you fast and restrict, take a good multivitamin, plus a calcium supplement! I also take thiamine to be safe. Being thin and undereating are associated with osteoporosis risk later in life, so calcium is a must! You need to make sure you're getting all of the critical micronutrients your body needs to function.

Exercise, especially cardio, helps with dopamine regulation. I have industrial strength ADHD-PI, ymmv. I also find that exercise bike, walking, or even pacing constantly = STIMMY STIMMY STIM TIME STIMS, MUST STIM, MORE STIM, CANNOT BE STILL, FUCK YOUR QUIET HANDS. Again, ymmv, fuck quiet hands, all my ND homies hate quiet hands.

Strengthening/resistance exercises help prevent osteoporosis later in life. 20-30 minutes 3-5x/week of yoga or pilates is great for this!

THC gummies are pretty low calorie. Shoutout to drugs other than alcohol for not having calories! (I use cannabis and hallucinogens, not big on hard drugs though.)

If you do drink, there are low cal options, but please moderate and try to follow CDC guidelines and avoid frequent binge drinking!! Guys, susceptibility to addiction runs in families. Also, struggling with impulse control aspects of binging may cooccur sometimes with susceptibility to alcohol abuse and addiction. I like vodka with diet tonic water, gin and tonic with diet tonic water, and vodka cosmos with diet 5 cal cranberrry "juice!" White Claw and similar hard seltzers are also great. Personally, I avoid drinking alone, don't drink all that often, and take care to be responsible and cautious. Ymmv, especially if you're still in early adulthood and just now starting to really experiment with substances!

When you do eat, make sure to get enough protein and fats! Carbs, you can take or leave. No one ever died from lack of carbohydrates, oddly enough. Protein and fat, though? I've had seizures due to low blood protein (combined with an accidental double dose of bupropion, to be fair). Rabbit starvation is a thing. This is especially important to pay attention to if you're vegetarian or vegan! Egg whites, chicken, tuna and other fish, olives, chickpeas, nuts, and beans are all good low calorie sources of protein and fats. (Olives, legumes, and especially nuts are energy dense though, so moderation is key.)

Enjoy the nice, healthy, low calorie foods that you do eat. It's okay to enjoy food, even if it's safe foods like light salads or cauliflower rice with vegetables.

Seek out social support and harm reduction advice. One thing people overlook about the whole "pr0 4n4" thing is that these communities are key sources of social support and harm reduction information for people who struggle with EDs.

[somecunttookmyurl]

I am begging people to talk to their pharmacists if they really won't read the leaflet, they're the ones who have the entire degree and continuing education in what your meds do and what they will do with other meds and non-med things, you can talk to them for free when you get your meds, docs have wildly inconsistent levels of knowledge about medication interactions and no time to go through them properly please god

pharmacists are my favourite medical professionals they are so sexy for this

and most of them (you get the occasional shit one who's just phoning it in until they go home shoutout to my old pharmacy) are MORE than happy to go through this stuff with you. asking a pharmacist about drug interactions is like activating their trap card

when i first got my dexamfetamine and bupropion prescribed simultaneously the pharmacist flagged the potentially dangerous interaction.

when i explained to him i was doing that *on purpose* because i worked out i'm an ultrarapid CYP2D6 metaboliser and needed to hack my liver into talking to amphetamines properly i think he started physically vibrating

[sapphicingaround]

Shoutout to to my bupropion canceling out my Zolofts lack of libido love having her back 100 times better