I got my blood test results back the end of last week.

I prepared myself in the week before I went to the doctor. I tried to eat like a normal person. I loaded up on vitamins.

It didn’t work very well. My vitamin D level is laughable (but in my defense, most people up north are vitamin D deficient). I foresee the megadose of 50,000 IU being re-prescribed on my next visit. Iron is low. A little surprised there, because I was taking my iron supplements in the week prior to the test. But I guess that wasn’t enough. I guess I took enough of my B vitamins because those were right on the border of being low.

I forgot about one thing that I couldn’t change in a blood test. Creatinine. I should have known better, because that’s what messed me up last time. My creatinine levels are consistently low. It’s a sign of malnutrition and in severe cases, starvation, because your body breaks down muscle mass to use for energy when you’re not consuming enough calories. You can’t take anything to cover that up on a test.

Why am I blaming the doctor? I am the one not eating right. I have horrible fucking eating patterns, and I know it. I am fully aware that my eating sucks.

A few weeks ago, my supervisor bought me lunch. I didn’t really want to eat, and denied it a few times, but eventually gave in because I people please. As I was eating in the back with my coworkers, supervisor, and manager, my manager said “I think this is the first time I’ve seen you eat.” Mind you, I’d been working there almost eight months by that time. But she was right. It was the first time she had seen me eat anything.

Another person told me I eat like a bear. I can eat a meal and then not eat for days, like I’m preparing for hibernation. And it doesn’t even affect me. I’m so used to not eating for long periods of time that it’s normal for me. I don’t feel hunger when I should feel hunger. I’m sure my body is desperately looking for sources of energy so I can function, but I don’t feel it. I’m going about my day just like normal. People offer me something to eat and I tell them no, I ate three days ago, as if it were the most normal thing in the world.

And now this medication is not helping my already fucked up eating situation. I am constantly nauseated. The thought of putting anything in my mouth is sickening. Even water makes me want to throw up at times. I’ve eaten twice in the last week, and both ended with me getting terribly sick afterwards, which I know is because I hadn’t eaten, but I just use it as further fuel for rationalizing why I shouldn’t eat.

My eating issues are complex. I’ve talked about them before. I think that is what makes it so difficult to tackle. I think a lot of it stems from childhood, and not having food accessible at all times. Then being told I didn’t deserve food. I continue that tradition on myself today. Did I really work hard enough today? No? Then I really don’t think I deserve dinner. I’ll try harder tomorrow. God, it’s like my mother is living inside of my brain.

Then there are the issues with my weight, which I don’t understand because I really don’t eat enough to weigh what I do. I have a lot of sensory issues and refuse to eat a lot of foods, and end up with a very limited diet even when I do eat. There’s just a lot of shit against me.

Finances are also another issue for me, especially now. Food is the easiest thing to cut back on when money is tight. I can survive without food just fine. I can’t survive without money. I’m scrambling to get my paperwork together so I can get into summer session at grad school because I need the financial aid to live on – if I don’t get that, I’ll need to be cutting back on more than just groceries. And unfortunately, I can’t get assistance with food because I am not a legal renter and have no proof of residence anywhere.

I self-sabotage when it comes to eating. I buy food I know I won’t eat because that will prevent me from buying more food. I bought pasta because it was 50 cents. I hate pasta. But I tell myself I can’t go grocery shopping because I still have pasta in the house, and I won’t eat the pasta until I am absolutely desperate.

I think I frustrate my therapist. It is a constant battle over food. She thinks I need to eat. I tell her I am fat and that I’m not withering away any time soon. Then she reminds me that means nothing, because even the blood tests show otherwise. Then I tell her that I’m not hungry. She tells me I still should try to eat. I tell her I ate last Friday.

Why can’t I be normal?