I am 25 years old, 173 tall. Since childhood, I have been struggling with the problem of overweight, which has now turned into obesity. I weigh 115 kg. From what my mother told me, in my childhood I was always sick, I received steroid injections for immunization. With immunity, she began to increase in weight. My parents lost control over it and I have been struggling with this problem to this day. I have not eaten sweets for 3 months, I drink green tea several times a day, I go to the swimming pool, I try to be active all day, but I am tired of constantly feeling hungry in my brain - I am still hungry. I avoid being at home, but that's not the way out of the situation. After limiting sweetness, my appetite for other foods increased. I love yoghurts, but I also do not spare my stomach at breakfast and dinner, and I snack between meals and they are not delicate snacks.
Mrs. Marzena, welcome, in fact some drugs, especially steroids, have an anabolic effect on adipose tissue, in other words, they cause it to accumulate. Unfortunately, as long as we take them, we can't do anything about it. In situations that seriously threaten he alth or life, the lesser evil is chosen, which in this case are unnecessary kilograms. Over time, these unnecessary kilograms can turn into the so-called drug-induced obesity. I understand that you are currently not taking steroids and the problem persists. It's very nice that you have eliminated sweets and focuses on physical activity. Cool! However, you do not write whether the effects appeared after 3 months of using the above-mentioned restrictions. I am also curious at what energy level you eat every day (more or less). Maybe it's too many kilocalories. Also, how long are the intervals between meals. This is really crucial for the control of blood glucose levels and therefore for the feeling of sudden hunger. I also do not know what your lipigogram, glucose and insulin levels look like, which, if not tested, is really worth checking with your body weight. In addition, you should perform liver tests after taking steroids. As your post titled nicely, "hunger appears in the brain". Its activation is caused by a number of factors related not only to physiological hunger, i.e. related to an empty stomach. Often times, hunger occurs when we are sad, tired, angry or bored, evenhappy or excited. It is a subconscious reflex to deal with emotions from childhood. When the baby is small and cries, mum usually gives him a bottle of milk because she interprets his cry as a message "I'm hungry". Does the baby cry just because it is hungry? In this way, from childhood, we condition ourselves to suppress our emotions with food. When we feel bad, good or just want to release our emotions, we eat! Advice? Please try to distinguish between real hunger and emotional hunger. Talk about your feelings, needs and interests. Another cause of the constant thought about food is the sense of harm and limitations resulting from the need to lose weight and maintain a diet. Such obsessive thinking about eating or not eating, as a consequence, may lead to reaching for forbidden products, usually in larger amounts. Besides, there is a mechanism that "forbidden fruit tastes better." Please try to think of your diet as something good. Do not "fight" with kilograms, but "take care of yourself", "take care of yourself from the inside", "caress your body and soul", just be good to yourself. In this way, you can avoid the attitude of fighting with yourself and the vicious cycle of alternating starvation and overeating. Unfortunately, I know too little about you to give any specific advice on dietary recommendations. For this purpose, it would be best if you went to a dietitian. So far, I am presenting a few generalities. Try to eat every 3-4 hours, 3 main meals: breakfast, lunch, dinner and 2 smaller 2nd breakfast and afternoon tea. The composition of the meals is also extremely important. You can eat a lot (basal metabolism about 2000 kcal), but preferably low-energy products. First of all, I recommend poultry, egg whites, fish, lean cottage cheese, yoghurts, kefirs - these are brilliant sources of protein that will rebuild the muscles damaged after taking glucocorticosteroid drugs. In addition, proteins satiate and increase metabolism for the longest time. Protein products are best eaten for lunch, afternoon tea and dinner. You also need vegetables that should be included in every meal and fruit (but those limited to 200-300 g), which are best eaten for the 1st and 2nd breakfast. Your diet should also include wholemeal products, such as wholemeal bread with grains, bran, wholemeal pasta, thick groats that you should eat for breakfast, or possibly your second breakfast and dinner. They are a good source of carbohydrates that release energy slowly, and therefore give you a feeling of satiety for longer. I keep my fingers crossed and good luck!
Remember that our expert's answer hasinformative and will not replace a visit to the doctor.
Agnieszka ŚlusarskaOwner of the 4LINE Dietary Clinic, chief dietitian at the Plastic Surgery Clinic of Dr. A. Sankowski, tel .: 502 501 596, www.4line.pl
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