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![](https://static.time.com/v3/assets/bltea6093859af6183b/blta8b4ff460eb191de/698866b0ab6d77770f6a6803/exercise-running-shoes-smoothie.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9)


# 5 Signs You're Eating Too Little for How Much You Work Out

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## Video: Should I Drink Green Juice?

[Watch (HLS stream): Should I Drink Green Juice?](https://cdn.jwplayer.com/manifests/J0d2ag3D.m3u8) (1:36)

![Should I Drink Green Juice?](https://cdn.jwplayer.com/v2/media/J0d2ag3D/poster.jpg?width=720)

_Published 2015-04-23. Green juice can cost you $10 a bottle. But is it a trend worth buying into? All five of our experts gave green juice the go-ahead_


by 

[Cynthia Sass / Health.com](https://time.com/author/health-com/)


## Cynthia Sass / Health.com


Contributor

Oct 6, 2015 8:21 PM UTC

![exercise-running-shoes-smoothie](https://static.time.com/v3/assets/bltea6093859af6183b/blta8b4ff460eb191de/698866b0ab6d77770f6a6803/exercise-running-shoes-smoothie.jpg?branch=production&width=1200&quality=75&auto=webp&crop=3:2)

Detox smoothie before running workout

Detox smoothie before running workout Getty Images

by 

[Cynthia Sass / Health.com](https://time.com/author/health-com/)


## Cynthia Sass / Health.com


Contributor

Oct 6, 2015 8:21 PM UTC

Since the early 1970s the number of [female athletes](http://www.womenssportsfoundation.org/home/advocate/title-ix-and-issues/what-is-title-ix/title-ix-myths-and-facts) has grown by a whopping 560 percent among high school students and nearly one thousand percent among college students. This is fantastic news, of course: Athletics can lead to lifelong benefits in terms of girls’ (and women’s) health and self-esteem.

But in-step with this rise in participation, a syndrome called the [female athlete triad](http://www.jaaos.org/content/23/7/424.abstract) has also become a growing problem. Characterized by an irregular menstrual cycle, low energy, and low bone density, the female athlete triad syndrome is most often caused by under-eating in relation to exercise.

As _Health_‘s contributing nutrition editor, I’ve written plenty on cravings, portion sizes, and ways to curb _over_ eating. But in my work as a sports nutritionist, it’s not at all uncommon for me to tell one of my clients, “You aren’t eating enough.” I work with active women of all ages, from high school athletes to marathon-running women over 40 and everything in between, and I see undereating across the age spectrum.

While the triad (which can cause brittle bones, not to mention affect your performance) is most serious in female athletes who restrict their food because they have a true eating disorder, there are also plenty of active women who are unknowingly shorting themselves on their body’s energy needs.


Often there are telltale signs, but you may ignore them because you think you’re eating right. I’ve also seen women afraid to make eating changes due to fear of weight gain. Here are five indications you’re falling short of your needs, plus ways to strike a better balance.

**You avoid eating post-workout**

Many women I counsel avoid eating after they exercise because they think doing so cancels out their calorie burn. The truth is it’s not as simple as calories in and calories out. After a workout your body is primed to use nutrients for healing, so a healthy meal, like a veggie and avocado omelet with fruit, will provide the building blocks your cells need to recuperate from the wear and tear of exercise.

In fact, it’s really the healing, rather than the exercise itself, that makes you stronger, so not eating enough post-workout is a recipe for becoming weaker, which eventually leads to poor performance and injuries.


**You’re tired all the time**

There can be several causes of fatigue, including stress, a lack of sleep, and yep, under-eating.

Even at rest your body needs calories to support vital functions (your heart beating, lungs breathing, and circulation). A general rule of thumb is that if you’re relatively inactive you need about 10 calories for every pound of body weight, plus more for exercise. That means a 135 pound woman needs 1350 calories for just sitting there, not including the additional 400-500 for a one-hour cardio class, not to mention normal everyday activities like walking and doing laundry.

Yet I talk to many women who strive for no more than 1200 calories a day period, which may be as much as 35 percent less than what they really need. Even if you’re trying to lose weight, that’s too much of a disparity, which is why you’ll feel the effects, from low energy to irritability, moodiness, trouble concentrating, and sleepiness. Basically, it’s your body telling you, “Hey, you’re not giving me enough to do everything I need to do here.”


**You aren’t having regular periods**

This is a big red flag. While there may be other reasons for irregular periods, it’s often a sign that you aren’t nourished enough to maintain adequate hormone levels. You might think that you have to be underweight for this to happen, but it can happen even if your BMI is normal.

This imbalance can trigger a depletion of bone density, which ups the risk of fractures and osteoporosis. While osteoporosis is most common in older women, it can affect women in their 20s, 30s, and 40s. Unfortunately I’ve seen women suffer from serious bone fractures, including broken hips, early in life, due to long-term under-eating, and simply popping a calcium supplement isn’t enough.

**You’re sick too often**

Inadequate nutrition can lead to weakened immunity, and bottom line: drinking green juice, or taking vitamin C or zinc supplements can’t offset an overall lack of food. So if you seem to be one of those people that catches every cold or flu that comes along, take a serious look at your diet. Sometimes I’ll ask a female client if she would feel confident advising another active woman to eat exactly what she eats. A hesitation often helps people second guess just how restrictive they’ve become.


**You’re afraid of food**

As a nutritionist there are plenty of unhealthy foods I don’t want to put in my body. But there’s a difference between striving to eat clean and healthfully and becoming [obsessive](http://news.health.com/2014/02/06/5-signs-youre-taking-your-diet-too-far/) about food.

If you find yourself not wanting to eat when you feel hungry, avoiding social situations because you don’t want to give up control over your food, becoming more and more restrictive, or tying what and how much you eat to your self-esteem, talk to a professional. With [my clients](http://news.health.com/2015/01/30/6-things-you-should-know-about-working-with-a-nutritionist-dietitian/?hootPostID=0178e9e302582d86951f41cfad61e2ce) the primary goal is optimal health. Whether you’re training for an event, trying to slim down, or both, you should feel well, physically and emotionally, and have a healthy relationship with food and your body along the way. If that’s not how you feel you should know that it is possible, but you may need some support to get there.

_Cynthia Sass, MPH, RD, is Health’s contributing nutrition editor, and privately counsels clients in New York, Los Angeles, and long distance. Cynthia is currently the sports nutrition consultant to the New York Rangers NHL team and the Tampa Bay Rays MLB team, and is board certified as a specialist in sports dietetics_


[_This article originally appeared on Health.com_](http://news.health.com/2015/09/10/5-signs-youre-eating-too-little-for-how-much-you-workout/?xid=time)

_More from Health.com:_

* [What 5 Amazing Athletes Eat for Breakfast](http://news.health.com/2015/07/29/what-5-champions-eat-for-breakfast/?xid=time)
* [10 Best Body-Positive Quotes From the Female Athletes Who Posed Nude for ESPN](http://news.health.com/2015/07/07/10-best-body-positive-quotes-from-the-female-athletes-who-posed-nude-for-espn/?xid=time)
* [5 DIY Sports Drinks to Help Keep You Hydrated](http://news.health.com/2015/01/02/diy-sports-drinks-to-keep-you-hydrated/?xid=time)


## Transcript

Green juice can cost you $ 10 a bottle, but is it a trend worth really buying into? Five out of five of our experts give green juice the go ahead. The store bought kind has about 36 % of your daily recommended potassium, 20 % of your daily vitamin A 12 grams of natural sugar and four grams of protein. If you juice your own glass you'll likely get even more vitamins. Barry Popkin says that veggie juice is really healthy for you and a lot better for you than fruity concoctions like smoothies. A big concern about juicing is that it gets rid of most of the fiber which lets sugar rush into your bloodstream faster.

But Popkin says that because vegetables are so low in sugar, that's not a big issue. Lydia Pisano has researched green leafy vegetables. And finds that they're linked to a lower risk of developing diabetes. Green juice is fine as long as part of your overall well balanced diet. But don't go on an all green juice Cleanse. That's what we have our kidneys and livers for, says Kristi King. Mary Jo Kasten warns that you should be careful with green juice if you have a kidney. Foods like spinach are a rich source of oxalate, which can contribute to kidney stones, but for most people, juicing is just fine.

Most of us, of course, aren't anywhere close to overdosing on vegetables. And only 10 % of what we do get down is dark green. It's better to eat your vegetables rather than drink them, says David Katz, but if green juice is what it takes to get your veggie fix, then bottoms up. [ MUSIC ]

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