Eating Disorders in Men: When “Discipline” Stops Being Healthy

Protein shakes, supplements, meal plans, gym routines, progress photos, mirrors. Macros tracked, rest negotiated, bodies managed. All of it framed as discipline, self-control, and health.

Many men living this way would never describe themselves as having an eating disorder — and that is exactly the problem.

Eating disorders in men are still widely misunderstood and under-recognised. Instead of looking like what people expect, they often show up as rigid eating rules, compulsive or excessive exercise, muscle dysmorphia, body dissatisfaction, or an unhealthy relationship with food and training. These behaviours are frequently praised, normalised, or even admired, making them easy to dismiss and difficult to question.

For many men, the language of “clean eating” becomes a gateway. What begins as eating well can slowly turn into fear of certain foods, moral judgement around eating, and an increasing need for control. Protein shakes and supplements — heavily marketed and culturally accepted — can become part of a larger pattern where self-worth is tied to body shape, performance, or size.

Exercise addiction and muscle dysmorphia are common but rarely named. Training becomes non-negotiable. Rest feels like failure. Missing a workout creates anxiety, guilt, or shame. The body is never “enough,” no matter how strong or lean it becomes.

There is growing concern about how early these pressures begin. Boys as young as 12 or 13 are entering gym culture and absorbing powerful messages about masculinity, strength, and appearance. When these ideals take hold during key developmental years, they can shape identity and coping strategies in damaging ways.

Cultural expectations that discourage emotional expression in men, combined with constant exposure to idealised bodies online, mean many men struggle silently. Help is often sought late — once behaviours are entrenched and physical or psychological consequences are more severe. In some cases, the drive for more control, more muscle, or more results can drift toward increasingly dangerous territory.

You do not need to look “ill” to be unwell.

And you do not need to identify with the term eating disorder to be struggling.

Eating disorders and disordered eating affect men across all ages and backgrounds. Early recognition and appropriate support can be life-changing.

If you or someone you know is struggling, our multidisciplinary team is here to help.

📞 +27(21) 761-0740