#low bone density

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This post is long, but it is a very important (and potentially game-changing) post if you suffer from an eating disorder. As many of you might know, eating disorders often cause osteopenia, which then, if not treated and reversed, causes osteoporosis. In the ‘’recovery community’’ it seems like this has been normalized, it is something that ‘’everybody’’ has. First of all, this is wrong. Some can be severely underweight yet have a healthy skeleton and their periods. That does not mean they are not sick enough or healthy, it means that they have a strong skeleton and good luck. This has to be stated before I continue this post, as people with eating disorders tend to constantly look for proof and signs that they are ‘’bad anorexics/bulimics/whatsoever’’, not sick enough and does not need recovery. False.  Osteoporosis and osteopenia are the medical term for low bone density. It oftenly occurs in eating disorder patients due to being undernourished and/or underweight (for your body’s setpoint) over time, and for females; due to a lack of period. Osteopenia is ‘’osteoporosis light’’, and can be reversed if treated. If not, it will turn into osteoporosis. Osteoporosis is irreversible, but the condition can be improved and stopped from progressing with treatment. For eating disorder patients, this means recovery. This is more or less what low bone density looks like. For more information, see this.  Now to what I wanted to express with this post; osteoporosis is a severe and inhibitory disorder. It is frightening to see that so many young people get it, and don’t seem to take it seriously. If you suffer from osteopenia, please change things before it is too late. If you suffer from osteoporosis, please change things so it does not develop and spread.  In december I got a job as a nursing assistant at a nursing home. I work closely with osteoporosis patients, and trust me when I say it is heartbreaking. Many are in severe pain. They loose height, often over 10 cm, and get a deformed, hunch back. They are often sent to nursing homes after a simple fall. For example, they’ve slipped on the icy streets on their way to the grocery store. A simple everyday activity that can not be avoided. Non-osteoporosis sufferers would perhaps get a bruise or two. Osteoporosis sufferers on the other hand, get completely crippled and disabled. They break, just... break. Back, feet, arms, hip bone or neck - perhaps several bones at once. They can not walk properly, and often sit in weelchair, some for a week, others for months. They need help with basic things, such as showering and eating. Many have to wear diapers, napkins whilst eating, and stay in bed the majority of the day. They get bedsores and are on strong medications. I can see the humiliation in their eyes sometimes when we change diapers, wash them and feed them like babies, even though we smile, hold hands and make things comfortable. They are grateful, but I can see how they suffer. The difference is that these people are 80 to 90 years old, and osteoporosis is common in that age. It perhaps starts progressing after menopause, or later. This does not happen because they are old, but because they have osteoporosis and fell. The reason why they got osteoporosis is age related. Just because you got osteoporosis due to an eating disorder, it does not mean your case is much different. Osteoporosis is osteoporosis. In your life, chances are high that you will slip on the ice or fall out of bed one day. With osteoporosis, this puts you in risk of ending up like the patients I care for at work, even if you are 20.  You see those female underweight athletes might envy for their physique? Well, way too often they loose their periods, and eventually get osteoporosis. It does not get discovered until the ballerina slips and her ankle shatters, she has to give up her sport and passion immediately. Lack of period combined with restrictive eating and a too low body fat percentage (or one of these) is not healthy, even though these people hastag their instagram photos with #healthy and #fitness. It is not healthy. Take this from me as the daughter of a woman who was among the most winning fitness athletes in Scandinavia when she was at my age. If she was young today, she would probably had been one of those insta-famous girls flexing their abs and ripped bodies on instagram, whilst getting praised for their ‘’healthy’’ physique and clean diet. Well, guess what? My mum did not have her period, and had to give up fitness due to this as she knew how dangerous it was. She also noticed some mental changes that she did not appreciate; she got rigid and food obsessed. If she had kept on going, she would probably have been infertile and with osteoporosis now. Luckily she never had an eating disorder, but she realized her sport was unhealthy. She is not a healthy and fit woman with three children and a life. No, not all athletes are unhealthy (though I dare to say that most fitness athletes are during their competitive phases), and yes, some people are naturally ‘’ripped’’, but is this you? Be honest with yourself.  Body fat is essential. Loosing those 10 lbs of ‘’excess fat’’ might mean loosing so much more; your health, mind, social life, and last but not least - your bone density. If your low bone density starts as early as in your teens, 20s or 30s, imagine how bad it will be once you are older.  Mark my words. I see the ugly and fragile truth every time I go to work. Eat, relax and recover whilst you can. Imagine being 25 and lying in a hospital bed with broken bones after a light fall, looking back; was it worth it? You got your toned stomach, you felt in control whilst eating your 1800-calorie diet with prepped lunches consiting of rice, broccoli and chicken, you got your likes - but was it really worth it? Do you feel good when you look back at years used on exercising, counting and obsessing about something that really ment nothing at all? You have one life, there is a world out there of colours, flavours, people and experiences, and this is how you spend your life? Do you want to spend your whole existence fighting against your body, just to weigh 10% less? Let’s stop seeing ripped bodies, chronic dieting and lack of periods as something normal. Let’s open our eyes and redefine healthy. Sincerely, Amalie

The development happens gradually, and it is very individually. Personally I got confirmed osteopenia (low bone density that is still reversible) when I had not had my period for a year, and been underweight for a little more than half a year. Focus on recovery and getting your period back. - Amalie