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Hey Sarah! First, I would like to thank u for the type of videos that you do, they're super encouraging and inspiring. But I have a question, I know that you constantly say that we should eat over 2500 calories, but what if i'm 4'9?? Do i need to eat the same??

does this only happen on athletes / skinny person? I am 170cm & 73kg. Was having a normal cycle, but now i missed my period for 2 months (and still counting). I was doing one meal a day, and still struggling with weight loss. So should i eat more too and gain more weight? please enlighten! Thank you!

Hi Sarah, thank you for the sharing, really helpful. I was having a normal menstural cycle, but suddenly i missed my period for 2 months+ right now. I did a urin test, and it came back with my Keton level positive 3, which is the result of long period of starvation. (i did OMAD, with a small portion food intake, and i always ignore whenever i felt hungry). I am actually not thin. I am 170cm with current weight 72kg. Doctors actually told me to lose weight in order to get a balance hormonal level. Yet i feel like, if i'm eating less than what i'm eating right now, i might as well be not eating at all. I watched ur vid, and ur basically saying to do a cal surplus. Is it okay to do that for a person that is not underweight? I am actually in the 'overweight' bar. Doctors told me to reach 63kg, which is i hv to drop 9kg. Please help, i am so confused, whether i hv to gain weight or lose weight!

I have taken 9 years with out my period.so disturbing

Also, what do you feel about not really scaling back on exercise as long as calories are proportionally increased? I recently started weight training and don't want to stop because l've seen great benefits to a physical injury l'd had in the past. I've also been gaining weight through muscle, which has been a tough but rewarding process considering my disordered past. I do cardio with it, which l suppose l could scale back on, but it's only 30 minutes low intensity, which is a great destressor for me and obviously has other physical benefits.

You mentioned during the period recovery process that you had to basically force yourself to eat when you didn't want to. After your period came back, did you continue doing that for a bit, or did you go back to maintenance? I really increased the amount of calories l was eating and did get my period back after years without one. I then went back to eating the amount of food that my body felt it wanted, which was less than l had been eating. Now it's been almost 2 months without a period again. Does this mean that l need to continue eating more despite my fullness cues?

I absolutely agree with Victoria and the cancer. It's like I want something bigger than my Ed to take it away, to wake me up so to speak. The tummy bug, I'm the same, if I get one then at least I'll lose weight 😭

Thank you for highlighting both external and internal sources of stress. It's eye-opening how much our mindset affects recovery. Great advice!

❤❤❤

Please I want to know if the coffee is not good for us(hypothalamic amenorrhea)especially during the recovery journey!!!

Can you share which episode you mentioned at the end that you would link to in regards to feeling more fatigued after you start resting more?

Thank you for this episode! Very helpfull (as always! 🥰). Do you have any advice, how to combine HA recovery with irregular lifestyle- I am a nurse so I work 12h shifts (day and night). I know that sleeping and resting is very important but it is not possible for me right now to have regular routine...😔 xx💙

Very useful insights, thank you 🥰

I think i might have an ed but i dont want to admit it. My period is nowhere to be seen for a few months now and my bmi is 17.6 but it's been hard to stop cutting calories and tbh, i want help but i dont want to go back to my old weight or lose the control i feel from controling everything i put into my mouth. What should i do :(?

Thank you so much for posting on CZcams again!! 🙏🏼🙌🏼 🫶🏼 You have the best podcast ❤ Please please please continue to post more episodes 🥺🙏🏼🙌🏼

Aaaa love this 🤍🤍 . I’m so happy I can listen to you again and that you feel so much better. Thanks for shearing

Read the title and felt like this is me. Thank you for sharing.

Is it okay if I hit the calorie target, feeling energised and never hungry, but do more a protein and fat rich diet? Not at all low carb, I have oats and pasta / potatoes every day, but it’s maybe just 40% of my diet… 🥺🙏🏻❤️

Is HA the same as PCOS?

Hii! I have a question. I have been watching your videos for a long time, and they are very helpful. But still, I don't have my period back... Today, I believe I got a breakthrough, my own idea as to what could be a possible stressor. And that's cold showers. I just love cold showers so much for the way they increase my ability to focus, my discipline, makes me feel literally so good... But I do think that i never used to take cold showers EVER before like a few years ago.. I had my periods then, and i generally always felt too hot instead of cold. Possibly it reduces blood flow to my female organs too? Anyways, do you think it's something that could be a powerful factor and i should quit cold showers and switch to warm-hot?

I discovered you few days ago and I'm so happy because I finally know from where I am to where to go. God bless you ❤❤❤

What a wonderful episode! Love hearing about lived experience and how unique it is for every person but so relatable! Can also relate to feeling invalidated in my body size and even have had people say I was exaggerating or lying based on how I looked. Thank you for sharing your story! A coach has been invaluable for me!

So what’s an ideal breakfast look like? I really struggle with this.

I am a busy mom with two kids and have always had irregular cycles. I am naturally high stress and always on the move. I had my last cycle almost 3 months ago…I have made sure to eat high protein meals 3 times a day including snacks. Could stress play a role in regaining regular cycles? And what should I do? I feel like I don’t have an unhealthy relationship with food…but stress might be influencing me at this point.

God bless you😊you are One of best recovery Expert here on CZcams and IG ❤ thankyouuuu so much and ciaoooo from Roma

This has come to Me at the right time! I hope anyway!

do you know about gen-polymorphisms like slow-comt, mthfr.....vdr...? i have them and they interferer with hypothalamus and production of hormones. i would like to hear your opinion.

i was anorexic with ocd around everything and now i am bmi 25 . i still have HA and i am very hungry. scientifically i would need to loose weight again, i rested very much but i have now large apetite. what would you do?

Another great video, Sarah - thank you so much! What are your thoughts on a protein shake (with full-fat milk, say) as a snack? Is this only appropriate for someone who is physically active in recovery (doing more than just walking, eg. strength training)? Will it dampen my appetite/interfere with digestion etc.? Thank you :))

Sarah, this is amazing and so are you! #1 is sad in one way (b/fast is my favourite meal of the day so I postpone it until I'm actually hungry...far longer than 1 hour before waking, especially if I eat just before going to bed) but a transformative observation, on the other hand. I'm wondering what the maximum length of time between your last snack/meal before bed and then, eating b/fast is? Or does it not matter because regardless of the length of time you slept for or when your last meal/snack was (e.g. last meal was dinner at 6pm vs snacked at 2am before going to sleep), cortisol will be present when you wake up? Thank you sooo much 😄

3:25 9:00 11:00 you need to focus on eating enough food right now Eat enough 11:44 Go ahead and eat more. I encourage you to make sure that your body wants eating enough. Listen to your body. Fuel with whatever it needs whenever it needs. 11:55 And the key takeaway is nourish your body 11:58 Work on your relationship with food and yourself. Because a really fraught relationship with food will only add to the recovery period, staying in a state of hypothermic amenorrhea.

Amazing calcium is in greens and citric fruit. And best of all when eaten together ❤

Sarah - firstly, you are amazing and I gain so much for your videos. I would love your advice on something, when you get the chance, please :) I am super sporty and have struggled with HA on-off with for the past 7 years. Last year, a miracle happened - somehow, I finally managed to strike that food/exercise balance and even though I was training hard 6 days/week (run, swim, cycle, strength), my period was on fire and I was feeling the best I have ever felt I gained weight (rapidly) before my period came back. I can share more with you on how I managed this but basically, by doing a lot of what you suggest to do, except from the fact that sport is such a positive part of my life and it would have made me to sad to cut it out. I was actually training harder then ever and improving by the day! One thing I started doing was eating more non-filling processed carbs, eg. rice puddings, cereal bars, flavored milk, bread. I welcomed this weight-gain with open arms. The only uncomfortable part was that most of this weight fell around my waist. "Uncomfortable" in the sense that I had fat rolls when I sat down and my clothes were too tight, even though I was fitter and stronger than ever. This fat never really went away, until... I went through a very pressurized time and lost the bloody thing again😅It was nothing related to sport/food...for the first time ever lol. I'm determined to get it back again! I have cut cardio and am enjoying slow & controlled weight/resistance training. My BMI is "normal" but at the lower end. My appetite is small and this is what's making it hard to gain weight again. My question - I would really like to avoid gaining weight to my mid-section, this time. Why do you think that so much fat fell there last time? High cortisol (cardio sessions), the fact that I was eating much more sugar than before, the fact that I was eating more overall calories than before, the speed of my calorie increase or just the fact that HA was messing my body up? Can't wait to hear your thoughts, Sarah! Thank you soooooo much :DDDD

But is it necessary to stuff yourself so much and gain so much weight? Shouldn't we just eat a normal amount of food ensuring the proper nutrients instead of under eating which is kind of what caused it?

I'm 22yo I do heavy lifting 5 days a week plus cardio for 3 years now. The last year I became obsessed with wanting to be skinny, but I also dont want to lose my muscle. So I have been eating almost 0 cabrs everyday, I was eating mostly just protein, and not even fats because I thought if I eat fats I will become fat. So I was mostly eating protein shakes, lean meats and some salads and all in a deficit about 1200cals/day which considering how much I exercise is like starving myself. 3 months later (Sept 2023) my 'period' started coming every 2 weeks, but actually I dont think Ive had a real period since then becasue its just barely spotting. Its so difficult for me to transition to exercising less and accept eating carbs again, I will also try eating high healthy fats. Thank you so much for this video, I think I have my answer

Does this type of amenorrhea cause your hormones to tank? My amenorrhea happened after the death of my momma 2 years ago. I was due for a cycle 4 days after she passed and it never came. It was an extremely traumatizing day for me after 5 years being her caregiver. The doctors just keep brushing me off. I was 32 years old.

This video is exactly what I needed in this moment in time!!! I haven’t had a period for 4 months now and it’s beginning to worry me a lot. I don’t want to go and see a doctor yet as that’s something I’d want to do as a last resort. I’m trying to focus on my nutrition and exercise for the last few weeks and trying to keep myself busy in order to stop overthinking as I feel as though that’s the cause of it. Thank you so much for sharing this informative video 👍🏿

Hello Sarah, Thank you for this detail podcast. I cannot believe how many of us have the same issue. I have been suffering from this condition since 2017 and no success yet! Tried HRT, keeping Thyroid on track nothing worked. These days I am eating well. Initially I went on high protein , greens, and 40g fats each day. diet but I recently discovered that if you eat high protein diet, then your body needs energy to break that down which in HA is a no no. Now I am working on high carb, moderate protein and at least 70g fats a day diet. Will surely post if this works but I know it will. Lots of love!! My question to you is, once your period came back, what was the routine you follow after that? Did you change your diet and exercise or that became a new normal. Thank you for your help. :) <3

I need a baby, l have had 3 kid,but bowl have any menstruation for 10 yrs now,,am 45 yrs of age.😢😢😢

Hi what do I do

Should i start taking pills birth control? Is it safe? Works?

this was helpful. What I find really hard is that all you youtubers talking about Ha all are really slim. Like oh no I gained 20 pounds but you are slim still and all lost that weight much harder for those that are bigger

I really appreciate your podcast I lost my period 6yrs ago after having my first born and am trying to get it back and concieve but ever since I met you I started eating more and though I have not seen it yet life is better now

Hey ! I just wanted to hop on here to thank you for making this video for us! I really learned a lot and I did find some unconscious mistakes that I've been doing recently. You helped me a lot already but I cannot be thankful enough for people like you on CZcams for being so real and open-minded. I hope you receive a lot of good feedback! Love you girly!

Thank you! So you would not recommend those extreme diets such as Keto or Carnivore 😢? I am afraid of carbs but can eat a lot of meat 😂

Great video

Sarah, do you think that light walking of about 1 hour or 45 minutes per day could be too much during recovery, especially if our job demands physical movement? It's the only way to destress, if we cut that off too it's going to be a lot harder mentally... :(

Hey, for HA recovery, it's suggested to go over 2500 calories. However I'm petite 5 foot tall...do i also need to have 2500 cals or above to get my periods back? I'm 17, with a history of ed... it's been sickening to see my cals going up...please reply to how i shoulf adjust my diet from now on. I'm looking to recover but falling back to my old habbits of restriction

sarah, I have just found you and cannot express how amazing you are - i am so grateful for you!! no pressure at all to answer this question but while we're on a similar theme, I thought I'd ask... My libido is definitely down and I am vaginally dry (apologies - maybe TMI!). That said, I still have an interest. I'm wondering if it's actually possible to have sex (oral and vaginal) when you have HA (like me, at the moment, unfortunately!)? Thank you SO much :D

Wow! Your story completely matches mine!