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Little-known eating disorder nearly starved a 9-year-old: 'It was tormenting her'

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Little-known eating disorder nearly starved a 9-year-old: 'It was tormenting her'

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Of the list of eating disorders, ARFID might not be one that you recognize – but it can be just as dangerous as the better-known conditions.

ARFID, or Avoidant Restrictive Food Intake Disorder, is defined by the Cleveland Clinic as a condition that limits a person’s food intake. It is recognized in the DSM-5 (the Diagnostic and Statistical Manual of Mental Illnesses by the American Psychiatric Association).

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The disorder is marked by intense fear and anxiety about food and its specific qualities – like smell, taste and texture – or the consequences of eating, such as choking.

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Limiting food intake at an extreme level can lead to malnutrition and nutrient deficiencies, which 9-year-old Hannah of Los Angeles has experienced.

Hannah and her mom, Michelle, (who chose not to disclose their last name) sat down for an interview with Fox News Digital to discuss their journey with ARFID, which has included a prominent social media presence.

On Instagram, the duo has 1.5 million followers. Their TikTok account (@myarfidlife), features videos of Hannah bravely trying new foods, which have reached millions of views among nearly 460,000 followers.

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Long before Hannah began sharing her journey on camera, Michelle struggled with what she thought was just a “picky eater.”

“I realized this was way more than just picky eating. This was obviously tormenting her.”

Michelle explained that Hannah, who is the youngest of three, was a “great eater” as a baby — until she was introduced to solid foods.

“She would protest, and she would spit the food out, or she would swat it out of my hand, or she would turn her head in the other direction,” she said — all “pretty common” behaviors among kids.

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But by the time Hannah turned 3, Michelle said she had started refusing even the select foods she once ate.

“It was very frustrating for us because she was already so limited as to what she was willing to eat,” she said.

Michelle, pictured here with her husband and three children, noted that Hannah’s case looked “very different” from her oldest son, who is autistic and had a hard time eating as a newborn. (@myarfidlife)

Since Hannah was still growing normally, her doctors “weren’t too concerned,” and assumed she’d grow out of the picky eating.

After COVID-19 hit, Michelle said Hannah’s eating took a turn for the worse, and she eliminated even more food.

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“It was a big struggle to get her to eat anything at all,” she said. “She had no interest in food whatsoever, and her growth started to slow down.”

Hannah’s doctors ran tests to see if there was another health condition, such as IBS or celiac disease. She was referred to other specialists, from endocrinologists to nutritionists.

Hannah was also seeing a feeding therapist, which caused “a lot of stress and anxiety,” her mother noted.

Hannah, pictured with her mom Michelle, shared that she likes to draw, read and write, and play with slime. (@myarfidlife)

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The doctors instructed Michelle to continue offering Hannah food when she was hungry, but her daughter’s condition only worsened.

“She couldn’t handle being around food,” she said. “She couldn’t handle sitting at the dinner table with us. She couldn’t handle the smell when I was cooking something in the kitchen.”

As Hannah got older, she didn’t grow out of the condition, but was able to verbalize her internal struggle.

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“We were in a drive-thru and I asked [Hannah], ‘What would you like me to order?’ And she broke down at that moment and asked me, ‘Why is it that every time you talk about food, it makes me really anxious?’” Michelle recalled.

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“Hearing those words … I realized that this was way more than just picky eating. This was obviously tormenting her.”

Seeking help and ‘validation’

Michelle decided to seek help from a mental health care professional and found a therapist who specialized in ARFID. She said their first conversation was “so validating.”

“I remember saying to her, ‘She has very few foods that she’s willing to eat. And one of the foods is sour cream and onion Pringles, but they have to be in a special packaging. She refuses to eat the Pringles that come in the large container. They have to come in the individual small containers.’”

“And hearing the words from her — ‘This is so classic of ARFID’ — was so validating.”

The “psycho-social interference” of ARFID can be difficult in social settings, like at school and parties, according to an eating disorder expert. Hannah, pictured with her brothers, is living with the condition. (@myarfidlife)

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The therapist first recommended nutritional protein shakes, which were difficult for Hannah to stomach.

But Hannah, who was dangerously underweight, told her mother, “I don’t want to live like this anymore.”

“She was at risk of needing a feeding tube,” Michelle told Fox News Digital. “She fell off the growth chart and wasn’t gaining weight. She wasn’t growing in height.”

“I don’t want to live like this anymore.”

“She just wasn’t getting the nutrition she needed. She was very weak, lethargic and sleeping a lot.”

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Michelle tried fun ways to get Hannah to drink the shakes, like timing her and seeing if she could beat her previous record.

Next, Michelle suggested taking a video of Hannah drinking her shake to send to her new therapist.

Hannah was immediately interested in how her therapist would respond.

Hannah says her famous tagline, “Here I go,” before taking a bite of food in her videos. (TikTok/@myarfidlife)

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Michelle then decided to share the video online to help clue in friends and family about what Hannah was dealing with, and to help explain why she wasn’t able to attend holidays or birthday parties due to the presence of food.

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Since that first post, Hannah and Michelle’s social media following has skyrocketed, with thousands of strangers cheering on and motivating Hannah.

Hannah’s grown so much physically and emotionally. Her confidence has soared,” Michelle said. “She’s a completely different kid.”

“There’s curiosity and motivation and excitement — definitely still a lot of anxiety, but she’s working through it.”

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Hannah and Michelle are pictured wearing “Here I Go” T-shirts, which are on sale to help promote ARFID awareness. (@myarfidlife)

Now 9, Hannah is using her platform to spread ARFID awareness and share tips she learns in therapy.

“Many people since we started our page have discovered that this is what they’ve dealt with their whole life,” Michelle said.

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“It’s just really nice to meet other people who can understand each other and share stories.”

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Hannah added that the encouragement she gets online helps motivate her to try new foods.

“It makes me really happy because I know I’m helping other people,” she told Fox News Digital. “And I’m also helping myself, too.”

Hannah shared that she feels proud of her continuous bravery.

“I feel good,” she said. “I’m really energetic today.”

Tips for overcoming ARFID

During her sessions, Hannah undergoes exposure therapy as well as talk therapy.

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“We do breathing exercises and coping skills,” she said. “We also try different foods.”

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Taylor Rae Homesley, executive director of The Emily Program’s Atlanta-based Eating Disorder Treatment Center, works with ARFID patients.

She shared more details on the condition in an interview with Fox News Digital.

While symptoms may vary, limited food intake based on texture or food group, is a standout sign, one expert said. (iStock)

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Since ARFID was coined as a “new term to describe something that’s existed for a long time,” Homesley said it has brought more awareness to the condition and how best to treat it.

There are three types of ARFID symptoms that parents should look for in their children, according to Homesley.

1. Fear of consequences

“I’m afraid I’m going to throw up, I’m afraid I’m going to get a stomachache, I’m afraid I’m going to choke,” the expert listed as examples.

2. Lack of interest in eating or food

“These are kids and adults who just aren’t motivated by food,” she said. 

“They’re the ones who may be playing outside for hours and hours and don’t think, ‘It’s time to eat now.’”

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3. Avoidance of food based on sensory characteristics

“These are the kids and adults who are super limited in what they’re eating due to those sensory things,” Homesley said. 

“They may have aversions to taste, texture, smell or temperature of food.”

“[ARFID] needs to be treated differently and recognized as a different eating disorder,” one specialist said. (iStock)

“A lot of our patients with ARFID are what we consider super tasters,” the therapist added. “They taste bitter flavors at a higher intensity than the rest of us.”

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Treatment is still being developed for ARFID, but methods like cognitive behavioral therapy have proven helpful, according to Homesley.

Michelle noted that ARFID needs “a lot more awareness” and community building, which led her to start the ARFID Awareness nonprofit.

“Help is not readily available, and it’s very unfortunate because ARFID is lifelong, and it’s something that does require treatment,” she said.

“I feel like bringing community together and using our voices [is important] so that people see there’s a need.”

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Brain Health Challenge: Workouts to Strengthen Your Brain

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Brain Health Challenge: Workouts to Strengthen Your Brain

Today, you’re going to do perhaps the single best thing for your brain.

When I asked neurologists about their top behaviors for brain health, they all stressed the importance of physical activity.

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“Exercise is top, No. 1, when we’re thinking about the biggest bang for your buck,” said Dr. Gregg Day, a neurologist at the Mayo Clinic.

Numerous studies have shown that people who exercise regularly tend to perform better on attention, memory and executive functioning tests. There can be a small cognitive boost immediately after a workout, and the effects are sustained if people exercise consistently. And while staying active can’t guarantee you won’t develop dementia, over the long term, it is associated with a lower risk of it.

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Researchers think that moving your muscles benefits your brain in part because of special signaling molecules called exerkines. During and after a workout, your muscles, fat and other organs release these molecules into the bloodstream, some of which make their way up to the brain. There, those exerkines go to work, helping to facilitate the growth of new connections between neurons, the repair of brain cells and, possibly, the birth of new neurons.

Exercise also appears to improve blood flow in the brain. That ramps up the delivery of good things to brain cells, like oxygen, glucose and those amazing exerkines. And it helps remove more bad things, namely toxic proteins, like amyloid, that can build up and damage brain cells, increasing the risk for Alzheimer’s.

All of the changes brought on by exercise are “essentially allowing your brain to age more slowly than if you’re physically inactive,” said Kirk Erickson, the chair of neuroscience at the AdventHealth Research Institute.

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The benefits are particularly pronounced in the hippocampus, a region critical for learning and memory. In older adults, the hippocampus shrinks 1 to 2 percent a year, and it is one of the main areas affected by Alzheimer’s. Researchers think physical activity helps to offset some of that loss.

The best exercise you can do for your brain is the one you’ll do consistently, so find something that you enjoy and that fits easily into your life.

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Walking is one option; two neurologists I spoke to said they got their exercise in by walking at least part of the way to their offices. Recent research suggests that just a few thousand steps a day can reduce the risk of dementia. It’s important to get your heart rate up, though, so “walk as though you’re trying to get somewhere on time,” said Dr. Linda Selwa, a clinical professor of neurology at the University of Michigan Medical School.

Or you could try swimming, cycling, Pilates, weight lifting, yoga, pickleball, dancing, gardening — any type of physical exertion can be beneficial.

If the thought of working out feels like a drag, try pairing it with something else you enjoy doing, like listening to an audiobook. This is a trick that Katherine Milkman, a professor who studies habits at The Wharton School of the University of Pennsylvania, calls “temptation bundling.”

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For Day 3, we’re asking you to spend at least 20 minutes exercising for your brain. Go for a walk with your accountability partner if they’re nearby. (If not, call them and do a walk-and-talk.) Or let us find you a new workout to try, using the tool below. As usual, we can all meet in the comments to catch up and check in.

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Little-known prescription pill is helping Americans drink less alcohol

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Little-known prescription pill is helping Americans drink less alcohol

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Recent studies continue to support a decades-old drug as an alternative means of reducing alcohol consumption.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder.

In addition to the daily pill version, naltrexone is also available as a monthly injectable therapy, which was approved for alcohol use disorder in 2006 and opioid use disorder in 2010.

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How it works

Naltrexone works by blocking opioid receptors in the brain. For those dependent on opioids, it blocks the “euphoric” effects of the drugs and also curbs cravings for alcohol, according to experts.

The prescription opioid pill, called naltrexone, was first approved by the FDA to treat opioid dependence in 1984. A decade later, it was approved for alcohol use disorder. (iStock)

“Naltrexone can be used to assist with reducing alcohol cravings and reduce the pleasurable effects from alcohol ingestion, which can help those prone to binge-drinking to consume less volume,” Dr. David Campbell, clinical director and program director at Recover Together, a behavioral health and addiction treatment facility in Bend, Oregon, told Fox News Digital.

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The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit, according to Campbell.

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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol.”

Jessica Steinman, chief clinical officer at No Matter What Recovery in Los Angeles, calls naltrexone “an incredibly helpful and life-saving tool” for people who struggle with alcohol use disorder. 

“Currently, in our society, many people are looking to get medication-assisted help from overconsumption of certain things or behaviors, including food, cigarettes and now alcohol,” she told Fox News Digital.

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“Naltrexone affects the rewards center of the brain, which blocks the rewarding effects of alcohol and cravings to be minimized. It can assist in telling the brain that alcohol isn’t wanted.”

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The drug can also help if someone has a “healthy” relationship with alcohol and is looking to cut back on their drinking behaviors, Steinman added. 

“We do not suggest moderation in any way for people struggling with alcohol use disorder or any type of dependence to alcohol or other substances,” she noted. “We do not believe drinking ‘less’ is a solution.”

Side effects

Common side effects of naltrexone can include nausea and vomiting, headache, sleep disturbances, dizziness, fatigue, anxiety, loss of appetite, and joint or muscle pain, according to the Substance Abuse and Mental Health Services Administration (SAMHSA).

These effects are generally mild and may improve as the body adjusts to the medication.

The medication is useful for people who experience strong cravings, often drink to excess once they start, or drink primarily due to reward or relief as opposed to habit. (iStock)

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In rare cases, patients may experience more severe effects, such as liver issues, allergic reactions, trouble breathing and mental health effects.

“The most important thing when taking naltrexone for alcohol use is to ensure that there is no concurrent use of opioids, as taking naltrexone when using opioids can induce precipitated withdrawal, a very uncomfortable event,” Campbell cautioned.

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More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily, according to CDC data.

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Each year, around 178,000 deaths in the country are linked to excessive alcohol use.

“Heavy alcohol consumption and binge-drinking can lead to many health problems and make chronic health conditions worse, so reducing alcohol intake can really improve health,” Donita Robinson, Ph.D., an associate professor of psychiatry at the UNC School of Medicine in North Carolina, told Fox News Digital.

More than 50% of U.S. adults drink alcohol, about 17% are classified as binge-drinkers and about 6% drink heavily. (iStock)

“Naltrexone helps many people reduce their drinking – it’s an effective medication to reduce alcohol craving and heavy drinking, and it works best in combination with counseling or other therapy.”

Robinson reiterated that people who are on opioid medications, including some painkillers, shouldn’t take naltrexone, as it can block their effectiveness and cause opioid withdrawal.

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Naltrexone is available with a prescription from a licensed healthcare provider, such as a primary care doctor, addiction medicine specialist or psychiatrist.

Health officials warn against purchasing the drug online or without a prescription, as it may be counterfeit and unsafe.

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Those interested in exploring whether naltrexone is an option for them should see a doctor, who can assess the safety of the drug based on the patient’s medical status and history.

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They should also “make sure they have their goals and intentions in line before using a medication like this,” according to Steinman.

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Brain Health Challenge: Try the MIND Diet

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Brain Health Challenge: Try the MIND Diet

Welcome to Day 2 of the Brain Health Challenge. Today, we’re talking about food.

Your brain is an energy hog. Despite comprising about 2 percent of the average person’s body mass, it consumes roughly 20 percent of the body’s energy. In other words, what you use to fuel yourself matters for brain health.

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So what foods are best for your brain?

In a nine-year study of nearly 1,000 older adults, researchers at Rush University in Chicago found that people who ate more of nine particular types of food — berries, leafy greens, other vegetables, whole grains, beans, nuts, fish, poultry and olive oil — and who ate less red meat, butter and margarine, cheese, sweet treats and fried food had slower cognitive decline.

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Based on these findings, the researchers developed the MIND diet.

Large studies encompassing thousands of people have since shown that following the MIND diet corresponds with better cognitive functioning, a lower risk of dementia and slower disease progression in people with Alzheimer’s. People benefit from the diet regardless of whether they start it in midlife or late life.

Experts think the foods included in the MIND diet are especially good for the brain because they contain certain macro and micronutrients.

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Berries and leafy greens, for example, are rich in polyphenols and other antioxidants, said Jennifer Ventrelle, a dietitian at Rush and a co-author of “The Official Mind Diet.” Many of these compounds can cross the blood-brain barrier and help to fight inflammation and oxidative stress, both of which can damage cells and are linked to dementia.

Nuts and fatty fishes, like salmon and sardines, contain omega-3 fatty acids, which are important for building the insulating sheaths that surround the nerve fibers that carry information from one brain cell to another.

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Whole grains and beans both contain a hefty dose of fiber, which feeds the good microbes in the gut. Those microbes produce byproducts called short-chain fatty acids that experts think can influence brain health via the gut-brain axis.

You don’t have to revamp your whole diet to get these nutrients. Instead, think about “MIND-ifying” whatever you already tend to eat, said Dr. Joel Salinas, a neurologist at NYU Langone Health and the founder and chief medical officer of the telehealth platform Isaac Health. For instance, add a handful of nuts or berries to your breakfast.

Today’s activity will help you MIND-ify your own meals. Share your choices with your accountability partner and in the comments, and I’ll discuss the ways I’m adjusting my diet, too. For added inspiration, check out these MIND-approved recipes from New York Times Cooking.

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