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This is gross

Do the calories count if you ate and then vomit about an hour later? I'm counting calories and ate peanut butter which i think caused bad pain heartburn i think then took a prilosec and drank water.It caused me to lose my breakfast if you know what i mean.

Thu. Oct 19, 2:36pm

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Thursday, October 19, 2006, 3:06 PM

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I'm serious i googled and couln't find anything.Sorry if this is a gross question.It probably doesn't because anoexic people do it on purpose is my guess.Think i can get an honest answer here instead of come on.

Thursday, October 19, 2006, 4:33 PM

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I would count it, better to be estimating over than under.
And FYI it is bulimics that vomit on purpose.

Thursday, October 19, 2006, 4:55 PM

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anorexics vomit too. Bulimics binge and purge. An anorexic can purge without the binge.

And no, I wouldn't count the calories of anything that isn't digested. I may consider a tiny amount if the food was semi-digested, but otherwise, it hasn't gone through your system so nothing has really been absorbed.

Thursday, October 19, 2006, 4:58 PM

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Actually you're all kind of wrong...

Bulimia is simply the action taken to compensate for [over] eating... vomiting, excessive jogging, excessive food restrictions... all qualify as compensatory behavior. In order to be diagnosed with Anorexia you need to meet the specific body weight requirements... anorexics vomit too :) Have a nice day.

DSM-IV Criteria for Anorexia Nervosa

1. Refusal to maintain body weight at or above a minimally normal weight for age and height (eg, weight loss leading to maintenance of body weight less than 85% of that expected or failure to make expected weight gain during period of growth, leading to body weight less than 85% of that expected).
2. Intense fear of gaining weight or becoming fat, even though underweight.
3. Disturbance in the way in which one's body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
4. In postmenarchal females, amenorrhea ie, the absence of at least three consecutive cycles. (A woman is considered to have amenorrhea if her periods occur only following hormone, eg, estrogen administration.)

DSM-IV Criteria for Bulimia Nervosa

1. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following:(1) Eating, in a discrete period of time (eg, within any 2-hour period), an amount of food that is definitely larger than most people would eat during a similar period of time and under similar circumstances.(2) A sense of lack of control over eating during the episode (eg, a feeling that one cannot stop eating or control what or how much one is eating).
2. Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting; misuse of laxatives, diuretics, enemas or other medications; fasting or excessive exercise.
3. The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months.
4. Self-evaluation is unduly influenced by body shape and weight.
5. The disturbance does not occur exclusively during episodes of anorexia nervosa.


Thursday, October 19, 2006, 5:32 PM

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BTW the DSV IV is the book used by psychologists to diagnose abnormal psychological disorders.

Thursday, October 19, 2006, 5:34 PM

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Thank-you for answering my question and for the education too.I can always count on somebody here at peertrainer. Have a great day.

Thursday, October 19, 2006, 6:15 PM

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I love the DSM-IV! I still find myself referring to it regularly, despite the fact I don't use it in my daily work.

Thursday, October 19, 2006, 9:17 PM

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I'm sure all the people who are doing 5-6 small meals a day diets will back me up on this -- apparently it takes 3 hours for the body to digest food out of your stomach. Since you hurled an hour after eating, maybe count 1/3 of the calories as absorbed?

Thursday, October 19, 2006, 11:04 PM

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and don't forget to calculate the calories expended by the action of the hurling. you probably worked off more than you ingested.

Friday, October 20, 2006, 9:50 AM

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This post worries me. Seems like a bulimic looking for affirmation that her puked up food doesn't count. Maybe it's just me.

Friday, October 20, 2006, 3:03 PM

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Nah...a bulimic would already know this stuff. Well, unless it's her first day in Bulimia Hell.

Friday, October 20, 2006, 3:14 PM

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And the OP said she threw up because of really bad heartburn.

Friday, October 20, 2006, 3:19 PM

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for someone to be so concerned about the calories involved in this whole incident is a bit bizarre. i mean, how meticulous do you need to be? i doubt that anyone who was bulimic would openly admit it when seeking this kind of information. i mean, when i was bulimic, i covered up my questions, too. it is definitely worrisome and i recommend to the op to seek some professional advise about his/her eating habits.

Friday, October 20, 2006, 3:45 PM

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I've never been in her position, but if you've dieted long enough and restricted every damn thing you put in your mouth for months and months...well, I too would be tempted to think "I threw it up, so I can replace it". I think that's significantly different from thinking "I'll throw it up later so I can eat it now".

Friday, October 20, 2006, 5:55 PM

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Oh brother, I am wanting to go to sleep so bad but the pain is back and i am sitting up in bed drinking gingerale and reading this thread and yes i have been to the doctors and had all the tests and thats the answer i get is heartburn but it seems to come on when i get over stressed.Anyways i've been dieting and counting calories for over four months and maybe that seemed like a weird question to ask but that breakfast i lost was around 400 calories.LOL.

Saturday, October 21, 2006, 12:57 AM

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hope you feel better soon.

Sunday, October 22, 2006, 1:53 PM

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Can I suggest you get wheat out of your diet? I thought my hearburn was because of stress (junior lawyer...) til My naturopath suggested eliminating wheat from my diet. Turns out if was all the pasta and wraps that I was having, and NOT the stress that was killing my stomach. Might be worth a try...

Sunday, October 22, 2006, 3:42 PM

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Hmmm, I never thought of the wheat as being a problem.Maybe your on to something.I always eat the peanut butter on whole wheat.Thanks i'll try anything at this point.

Wednesday, October 25, 2006, 4:32 PM

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I too had heatburn..went to Drs..all kinds of tests and they put me on expensive meds that only masked the problem. did South Beach for 2 weeks (phase one) & I was miraculously healed...odd. Must have been the carbs/wheat. Now I eat "normally and I am noticing the burning creeping back again.

Thursday, October 26, 2006, 9:18 AM

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Response to This Is Gross

I take offense with the people claiming this girl is bulemic. To stay thin - I'm 5'2 and 120, yes you do have to be meticulous about every single thing you eat. I weigh once a week and write down everything I eat everyday of my life to maintain my weight. I came on here for the exact same question. I'm Vegan and also don't drink alcohol so my way of being bad on New Year's was eating french fries. Well I threw them up four hours later. Clearly, my body was not having the junk food. I do Weight Watchers and french fries are like 9 points. For a 45 minute walk, you get to deduct 3 points so I'm wondering do I need to walk an extra 135 minutes this week or not?

Tuesday, January 01, 2008, 2:37 PM

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Count it

I always err on the side of more calories than less when it comes to counting calories. When I "Calorie wiki" something and there are more than one of the same exact listing I almost always take the one with the most calories unless it seems really off. Unless you are always eating right at 1200 calories and are at risk for going into starvation mode if you over-estimate and thus under-eat, I don't think there is anything wrong with counting a few extra calories. Most people under-estimate what they eat anyway. So if I were you, OP, I would count the cals.

Having said that - while no one on this thread may be throwing up on purpose, it can be just as unhealthy to obsess over every little calorie. Calorie (or WW point or carb or whatever) counting is a helpful tool to lose and maintain weight but if you are a little off one day it shouldn't ruin your day. There is more to life than if you fluctuate one or two pounds... you can always take it back off.

Tuesday, January 01, 2008, 3:30 PM

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If someone wants to be meticulous to reach a goal - go for it! Calorie counting isn't everyone's cup of tea, but some of us like it b/c we like the data, it keeps us honest, and we see results!

Tuesday, January 01, 2008, 4:26 PM

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First of all I have no doubt that someone who is obsessed about counting calories would not think of wondering if you throw up after an hour of eating means you don't have to count the cals. Second, prilosec should be taken on an empty stomach first thing in the morning and it takes up to 14 days for it to work. Its not for a random heartburn incident. So she wouldn't have felt any relief from it at all.

Tuesday, January 01, 2008, 4:50 PM

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About the heartburn...

I struggled with severe acid reflux for nearly 2 years. I saw doctors, had that scope put down my throat, saw naturalpaths, went on Nexium, you name it, I did it. Finally, after much prayer, and being tired of "doctors" who only wanted to mask my symptoms, I went to see a wonderful lady who opened a new Health Food store nearby. She was the first "health food" person I spoke to who wasn't a little strange and had a balanced idea about eating and health. After telling her my problem, she felt strongly that what I suffered from was a bacterial imbalance in my gut. She put me on a probiotic called In-Liven by a company named MiVitality that replenishes the "good" bacteria needed for a healthy digestive system. I too suffer from stress that affects my system in not so pleasant ways, heartburn being the worst. Within two weeks, I was symptom free!!!! I now take it as needed and it's just wonderful. It's been over two years now and I feel great. Below are some sypmtoms that are caused by a lack of healthy bacteria as well as a link to the product. I hope this may be of some help to you.

Common warning signs of bacterial imbalance:

Allergies and food sensitivities
Difficulty losing weight, sugar / carbohydrate craving
Frequent fatigue, poor concentration
Frequent constipation or diarrhoea
Faulty digestion, acid reflux and other gut disorders
Sleeping poorly, night sweats
Painful joint inflammation, stiffness
Bad breath, gum disease and dental problems
Frequent colds, flu or infections
Chronic yeast problems
Acne, eczema skin and foot fungus
Extreme menstrual or menopausal symptoms

Prices online vary quite a bit, I pay $54.95 at my local health food store and it's been worth every penny.

Tuesday, January 01, 2008, 6:37 PM

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