Do calories count if you spit food out?

The downside is that you can become addicted to it and what seems like a bad habit becomes a compulsion. For another thing, we do take in lots of calories when we chew food and spit it out. We can get a hefty dose of sugar and fat that clings to the tongue and unwittingly passes into our digestive system.

eating-disorders.org.uk - Chewing And Spitting Food - National Centre for Eating Disorders

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One of our readers has asked me if there is such a thing as chewing and spitting disorder. There is no such thing. It’s just a behaviour that is common in people with eating problems. I had an au pair once whose waste paper basket was full of half chewed candies and chocolates all hidden in tissue paper. She never knew I knew. It makes sense. People want tasty food but they are scared to eat it in case it will make them fat. In some cases there is a small craving and in other cases a big craving. They just want the taste of the food to help them feel nice but they don’t want the rest of it. So they spit it out. No calories. Simple. You can have your cake and eat it too it seems. But it’s not so simple. It seems that the brain needs something called volatiles in food, substances that the back of the nose can smell. When we get a whiff of tasty food that is high in volatile compounds like chocolate and ice cream, the brain gets a hit of opioids like dopamine which make us feel good. Basically, chewing and spitting is like snorting cocaine. The downside is that you can become addicted to it and what seems like a bad habit becomes a compulsion. For another thing, we do take in lots of calories when we chew food and spit it out. We can get a hefty dose of sugar and fat that clings to the tongue and unwittingly passes into our digestive system. If you chew and spit a box of chocolates you will absorb about a third of it. Better to eat three whole chocolates and put away the rest. But when you have an eating problem, once you start it feels impossible to stop. You are possessed. Chewing and spitting is particularly common in people with anorexia who struggle with cravings and it is an almost bulimic sort of thing to do. I have found high levels of anxiety and shame in people who do this. They often wonder what people would think of them for spitting out food, they often think they are the only one who does it. How do we help people to stop? There is a list of things that might help.

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