Ask Dr G: Eating Disorders and Metabolism [Podcast]

In this podcast, Tabitha talks to Dr Gaudiani on the topic of metabolism in relation to anorexia and other restrictive eating disorders.

We talk about:

  • How the metabolism works
  • How restriction affects the metabolism
  • Mental hunger
  • Physical hunger
  • How to eat in recovery to boost your metabolism

About The Gaudiani Clinic

Dr Jennifer Gaudiani

The Gaudiani Clinic provides superb expert outpatient medical care to adolescents and adults of all sizes, shapes, and genders with eating disorders or disordered eating. The Gaudiani Clinic also offers comprehensive person-centered care to those who are recovered from an eating disorder. Through a collaborative, communicative, multi-disciplinary approach, the Clinic cares for the whole person, in the context of their values.

Under the care of Jennifer L. Gaudiani, MD, CEDS, FAED, patients receive expert medical care provided in a comfortable and highly discreet private practice setting. Dr. Gaudiani is one of the only outpatient internists in the United States who carries the Certified Eating Disorder Specialist designation and is internationally recognized as an expert in the eating disorder field. In her role as an expert outpatient medical doctor, Dr. Gaudiani can function as a patient’s primary care physician or as an expert adjunctive physician as part of a multidisciplinary team.

The Gaudiani Clinic is located in Denver, Colorado with both local and telemedicine treatment plans available.

Dr. Gaudiani also offers professional services including private and group consultation, professional webinars, and presentations.

For more information about the Gaudiani Clinic, please visit, call 720.515.2140.




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What do you think?

  1. So why would this NOT work for someone? I have tried increasing under supervision numerous times over the last year and it has backfired leaving me more and more hopeless each time. Where does one turn to when it’s not possible to eat anything without gaining weight leaving the person depressed, with a bleak future and no energy or focus?
    Are there specialists that work in that specific area to find out what is wrong and if so who are they?
    Thank you very much for the work you do. I would appreciate very much any suggestions.

    • If you increase and then stop increasing when you gain weight your metabolism will fall again. You have to no yo-yo but commit to increasing. You will gain weight at first and then your body will catch up. You gain weight because you need to!

      • But I don’t need to and have been told I won’t gain if I do the plan so what is wrong with me?
        Thank you for you response.
        Do you know of any Specialists that might be able to figure this out for me?

  2. Thank you so much for talking about this. I can relate to the hypermetobolic state that my daughter was in when she was in the beginning stages of her recovery from anorexia nervosa. It was so perplexing to me at the time because she was eating so many calories and not gaining weight. Her dietician was very helpful in explaining this to me just as you did in this podcast. It was only through persistent education that I was able to get to a place to really support her in the recovery process. The body knows what it needs in every stage of life and I will share this podcast with all my dieting friends. Being surrounded by a culture focused on dieting and weight loss makes it difficult to stay rooted in the truths. Thanks again Tabitha for this fantastic podcast.

  3. I so much wish hypermetabolism was true for me. Instead I gained exactly the amount of weight I had thought I would be gaining when I was in the depth of anorexia, like my metabolism hadn’t changed at all. My anorexia was literally right. I so much hate it.

    • Body diversity – we are all different weights. If your body returned to the weight is it supposed to be that doesn’t mean your metabolism isn’t working.

  4. I am trying to recover from a restrictive eating disorder but I’m sure, or at least my eating disorder is convincing me, that if I immediately start eating a normal amount of calories straight away I will gain a significant amount of weight. Whenever I binge and eat calories than I usually do, the scale shows my weight has done up. It does end up dropping again within a day or two, but I feel like if my body weight temporarily rises from just a day or two of overeating more calories than I’ve been restricting myself to, that it will gain a TON of permanent weight if I begin eating consistently eating normal amounts of food again.