Is it safe to chew and spit out food?

I have been chewing and spitting large amounts of food (pretty much always sweet stuff — pastries, chocolate, etc.) almost every night for eight or nine months. I am eating a healthy, balanced diet otherwise, maybe a little on the lower caloric side (1300 to 1500 calories per day). My chewing and spitting sessions usually follow a balanced meal. I know this is a type of eating disorder. I have done a lot of research online and I know that there are side effects, although they vary depending on who you ask. Some sites mention that chewing and spitting activates the release of insulin and results in hyperinsulinemia, insulin resistance and weight gain. Is this true? How long would it take to develop these problems? Are these reversible if I were to stop this behavior?


Why am I insatiably hungry and losing weight?

I've read a lot lately about midnight snacking and late night eating and obesity and calorie worries, but my problem lies in the opposite direction — I'm LOSING weight, and insatiably hungry, day and night! The only advice I get is, "Eat healthy," which is preaching to the choir, since I consume more fresh produce, mostly vegetables, and home-cook all my own meals. At a recent nutrition check-up, the nutritionist patted me on the back in congratulations for having one of the healthiest lifestyles he's seen, and shrugged at my inexplicable hunger. The fact is, I'm in the kitchen every other hour, and my body doesn't differentiate between awake and asleep anymore when it comes to hunger. I go to bed on a full stomach, and wake up every three hours to eat again. It's exhausting! I'm falling asleep during the day — but never more than an hour, because hunger strikes. And amid all this, my grocery bill climbs and my weight drops. I don't get it. What am I doing wrong?


Do male-identified people have body image concerns?

1) My boyfriend, who I have been dating for a while now, says that he is fat and I don't think he is. He is built, but he isn't fat. And he talks about it all the time, and I just don't know what to say to him. He said that when he used to talk with his other girlfriend about it, that she would say, "well, go on a diet," and he said that made him feel like he was fat. And I don't want to hurt his feelings, but I know that by losing weight, he would feel better about himself. But I like him for who he is and how he looks. But what should I say to him when he says things like he is fat, do you think I'm fat, etc.?

2) I am a male, 24 years old, height 5'10", and currently I weigh 143 lbs... When I was 17 or so, I weighed a hefty 190 lbs... at that time, that really had a negative effect on my self image, and now at 143, I still don't think I'm thin enough... I have lost all my weight 100 percent through diet and running about 20 miles/week... but I don't eat enough and I always worry before I leave home if I "look ok"? Do I have serious issues?!?


Does my friend think she was raped?

You have an excellent service and give great advice. That is why I feel comfortable asking you this question. About three weeks ago, a group of my friends and I went out to a movie and then a club where we each had some alcohol. After the club, we went back to a friend's room where the group gradually dispersed until there was only myself, two male friends, and one female friend. We began to play sex games. Eventually, we all were naked, on my friend's bed. The female of the group was the center of our activity. She seemed to want it and even encouraged what the three of us started doing to her.

Although we all were tipsy, it was a great sexual experience for all of us, or so I thought. My two male friends have no problem with what happened. The only thing is that my female friend won't speak to us or return any of our calls. I saw her walking down the street the other day and tried to talk to her, but she wouldn't even raise her head to look me in the eye. Do you have any idea what is wrong? Could my friend feel that she was raped? I want to apologize, but I'm not sure what to do.


How can I make friends as a first-year student?

I'm having a tough time as a first year student. My classes aren't too difficult, I'm not very homesick, and I don't miss my parents too much. That's all okay. The problem is that I'm lonely. I have reached out to people in classes, in dining halls, everywhere! All I get in return is a brush-off. I give my phone number to people and they don't care enough to reciprocate. I sit with people during meals and never see them again. It's three weeks into the semester — have people made their friends already? I know there are people out there who are potential friends, but where are they? Are they also locking themselves up in their rooms and hiding in the library between classes and at night? I'm a nice, honest, and sincere person. I had a few very close friendships in high school and I'm not the outgoing party animal who needs a wide circle of friends to feel secure. I just need one or two close friends. People who are loyal and who need a friend as much as I need one. I just can't seem to find anyone who is as interested in me as I am in them. I'm a naturally shy and quiet person but my old friends tell me that once people get to know me, they'll really like me. I don't like parties, and I'd rather have one or two close friends than 15 acquaintances. What can I do?


How to gain weight?

I am a 22-year-old male. I would like your advice as to how to increase my weight. I am extremely thin, and would like to put on weight for both appearance and strength purposes.

I believe that thin people have a very fast metabolic rate. Is there any way of slowing this rate down? Does it fall naturally with age? I have often been told that I should lift weights, but cannot find time on a regular basis to do so. I do, however, have time to do push-ups at home.

Anyway, I'd much appreciate it if you could give me guidelines as to how to increase weight, especially through diet. What kinds of food should I be eating? How many times a day should I eat? How big should the meals be? I hear the soybean is very nutritious — is this true; if so, what could I eat or drink that contains soy?


How do I support a friend in crisis when we’re long distance?

I have this friend that is in a really tough place right now, especially because of quarantine and social isolation. Recently she has been heavily considering killing herself, she’s been having panic attacks, mental breakdowns, trouble with family, and also having terrible sleep paralysis causing her to not want to sleep unless she’s extremely tired. She has even tried to kill herself a few months ago by trying to overdose, and me and her usually talk every day and now she’s been responding less and less and it’s starting to worry me... At this point I just don’t know how to help her anymore than I have tried, if it weren’t for this quarantine I would just want to hug her to help keep her feeling safe. What do I do to try and help this friend of mine and keep her alive? Cause she just doesn’t think things will ever get any better, I really like this girl and I don’t want to lose her yet... once again, how do I help her out?