this post was submitted on 23 Oct 2025
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Back when I had my issue, I'd be in pain from fullness and still eat.
I'm not familiar with that as a symptom of autism. Does it have anything to do with the common symptom of black and white thinking? I heard someone with autism explain how they heard a dietician say "If you don't want to eat the food in your diet, you're not actually hungry." So if they didnt want to eat within their meal plan, they'd eat nothing no matter how hungry they were.
I wouldn't be surprised if I've never met anyone who's fat just because laziness. I don't see laziness as it's own root cause. There are many causes behind people not moving around much.
The relationship between autism and food is really complicated and diverse so I won’t speak for anyone but myself in that regard. I think of it more like an extension of alexithymia which is often comorbid with autism. For me the disconnect from emotions is related to a difficulty with translating physical sensations to meaningful assessments of my state. So not only might I experience my heart racing without realizing I’m anxious, I might experience discomfort in my stomach without realizing I’m hungry or sick (I used to have a hard time telling the difference).
I might not have autism, but I do notice that I experience this at least a few times a day. We may have different sources of similar symptoms, but could I still ask, what helped you become more concious of the connection between physical sensation and concious assessments of your state? I had to deal with some neglect growing up so I had to ignore symptoms like pain and hunger. And of course if you ignore either, you'll increase amounts of injuries and be far more anxious and ravenous when you do finally eat.
I think ignoring these things counts as ignoring data on your own personhood. The human spirit experiences so much and I'm somewhat out of tune with lots of data from just those two things alone. Pain and hunger.
I really relate to that a lot and appreciate you sharing. For me, it’s been a mix of starting estrogen (for our purposes, addressing part of the cause of the dissociation) and therapy. A lot of focusing on how things feel and recognizing patterns over time. Like I’ve slowly retrained my body to relax while I’m driving in the car and not clench my gut. And then for the hunger aspect, the GLP-1 agonist has made a big difference.
You don't have to answer this if you don't want to: Is the estrogen for being transgender? Or is it for something else? I've had multiple estrogen products in my life before and it wasn't for being trans. If yours sounds fitting, maybe I could ask my doctor about what you use. I'm tired of eating based on counting grams of protein vs eating based on how I feel and what I see. I don't really know how to eat satisfyingly otherwise.
The GLP products are something I don't relate to, but it sounds like some people are doing amazing from it.
Yes the estrogen is for gender dysphoria, although I just microdose for the psychological effects. I had a weird natural hormone profile so I don’t know how applicable what I’m doing is even to enby transfemmes.
I have some gender dysphoria, but I don't think hormonal treatments would help me. Perhaps I could dress more masculine more often. That could change how much I recognize myself and be more honest to myself about how I feel.
That sounds like it would be nice. I hope that goes well and would love to hear if that helps