You are 100% spot on. I had an eating disorder and its the worse thing ever. Ive had the constant hunger etc and have gained loads of weight too but I think a metabolism can be repaired without getting very fat. I'd love if you'd pm me as I have some info on this.I think the individual needs to be clear on what their intentions are first and foremost. This is the number 1 reason I see so many folks struggling every January with their New Years resolutions. People get really motivated and they want six pack abs and huge biceps and will do anything to get them (usually calorie restricting while doing 100 crunch’s and bicep curls - I’m exaggerating to illustrate a point). They don’t realise that a caloric restriction makes it difficult to build muscle and to get a six pack you need to be lean and have stomach muscles.
This same clarity of intentions extends to other less lofty desires. If you are chronically ill and deemed overweight the doctor will probably tell you that your ill health stems from obesity and not from the specific foods you are eating or the miriad of drugs they are prescribing you. I’d like to think that people will prioritise their health over some desire for an aesthetic outcome but often health takes second place to what you look like (eg finasteride). Sadly long term health takes a back seat to many of our other desires and doesn’t become a prominent priority until something becomes so prominent we can’t ignore it any longer. I think carrying an excess of fat can cause health issues in itself but that it isn’t necessarily the most pressing priority.
One of the things that attracted me to Peat’s work was that it explained obesity from a perspective other than an excess of consumption. I could not understand how 2 people could maintain their weight on such a significant difference in calories. I spent a year actively restricting calories with the knowledge that it would slow my metabolism. I tried to mitigate this slowing down by increasing carbs, periodic fasting, refeeds and diet breaks. My metabolism was pretty high at the start and as the Kgs dropped off, so did my metabolism. I felt great losing the extra weight and I’m sure I was never supposed to be that heavy (130kg at my heaviest) but I’d run out of metabolic runway and was heading for a crash. In many respects I’m lucky that I’m tall and fairly muscular as even when I was heavily restricting I could still eat at least 1 satisfying meal a day. I’m sitting at around 105kg now and look fairly slim (in clothes) for a middle aged bloke, but it still pains me to see the scales sitting so far from the 96kg I got down to and my belly filling out again.
I can understand the desire to be skinny but it shouldn’t come as a result of daily misery and suffering. I can also understand how difficult it is to eat to requirements after restricting for a long period. I think the pressure to be thin is becoming an issue for young guys as much as girls now. I don’t think it’s bad to want to chase aesthetic goals and people shouldn’t feel bad about wanting to lose fat, wrinkles, regrow hair, etc. I just think it needs to be kept in perspective and sometimes you need to sacrifice or deprioritise these goals to focus on more critical ones.