I had a therapist tell me that sometimes we need to sacrifice our physical health for our mental health. The thing is my physical health is my mental health. If I am not at a decent size weight or eating a low calorie diet my mental health is taking a big toll. Luckily my pdoc understands this so he knows not to put me on any meds that cause weight gain. My current therapist also gets that my physical health is a big part of my mental well being so we try to focus on healthy eating and healthy ways to lose weight. Its been tough recently with the health issues I've had but its still worked out. Before I moved I was told I had an ED and was threatened all the time with termination and IP and other stuff and was told that any type of weight loss was bad no matter how it was done.