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          [ana, my bitch]

About 0.5 to 1.0% of teenage girls and young women develop anorexia nervosa, even though it can affect anyone at any age, only 5.0% of people with anorexia are male. Significant weight loss due to self-starvation characterizes anorexia nervosa and often leads to serious medical complications. About 10% of people with anorexia may die long term.
Underlying causes of anorexia will differ between individuals, and will be related to a combination of factors. Many of the symptoms are caused by the "Starvation Syndrome". These symptoms will affect anyone who diets for long enough, but some people, at a vulnerable time of life, or who have a biological predisposition , will develop greater physical and mental changes. These may include chemical imbalances and reduced circulation in the brain which probably contribute to body image distortions, rigid and obsessive thinking, and mood disturbance.
Reversing starvation alone does not 'cure' anorexia nervosa. The emotional, relationship and psychological factors that contributed to the condition need to be treated as well. Recovery from the effects of starvation can also take a long time, even after weight is stabilized.
symptoms:
-Marked weight loss
-Pallor, unhealthy look
-Weak nails, bones and hair
-Sensitivity to cold
-In females: loss of periods, with pre-pubescent girls, periods may never start
-Growth of fine body hair (lanugos)
-Constipation or bloating
-Insomnia
-Unusually low intake of food
-Odd eating habits / unusual food rituals
-Excessive exercise or activity
-Frequent measuring of body weight
-Obsessive reading of nutritional information on food containers
-Increasing withdrawal from social activities
-Vomiting or using laxatives
-Dressing in layers to hide body shape
-Avoiding places or occasions where food such as jam using fingers, strange combinations of food
-Insecure about abilities, regardless of actual performance
-Depression, possibly suicidal ideas
-Perfectionism and obsessive ness
-Intense fear of becoming fat even though very thin
-Difficulty concentrating
-Mood swings, irritability
-Mood and sense of self worth affected by what is or is not eaten / whether or not weight loss occurs
-Rapid weight loss
-Recent loss of 10% from a healthy weight
-Increase in frequency of vomiting
-Over exercising while very underweight
-Dizziness, fainting or disorientation
-Slow heart rate or chest pain
-Rapidly increasing weakness
-Severe muscle spasms

       [mia, the whore]
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Bulimia nervosa usually starts with restriction of food intake that leads to uncontrolled consumption of large amounts of food (binging). Feelings of guilt and panic can follow, leading to trying to get rid of the food eaten. This eventually becomes a cycle of food restriction, binging and purging behavior.
Some studies indicate that behaviors associated with bulimia could be found in as many as 30% of adolescents. Bulimia nervosa affects 1.5 to 4.0% of women of different ages, and about 10 to 20% of sufferers are male.
People with bulimia can have serious problems with self esteem, and may have clinical depression, relationship problems, health problems and difficulty with day to day life. Some people with bulimia may also have problems with substance abuse.
Purging is not only found in bulimia nervosa. When associated with significant weight loss, it may indicate anorexia nervosa and this combination is very dangerous.
symptoms:
-Near average weight or slightly over or underweight
-Dramatic weight fluctuations brought about by frequent binge-eating and purging, with related fluid retention
-Swollen salivary glands (puffy cheeks) and chronic hoarseness. Forced vomiting can cause blistering, tearing and bleeding of the throat and esophagus
-Dental decay from stomach acid (erosion of the enamel layer, dental cavities)
-Disturbance of menstrual cycle
-Hair, nail and skin problems
-Constipation (laxative, diuretics and emetics may contribute)
-Gastro-intestinal disorders
-Episodes of consuming very large amounts of food
-Restriction of food intake, possibly fasting
-Purging behaviors such as abuse of laxatives, excessive exercise, abuse of diuretics, vomiting, or fasting
-Secretive behavior (hiding binge-purge behaviors due to shame)
-Social withdrawal (isolation, spending more time on food related activities)
-Low self-esteem, poor self-image
-An overwhelming fear of becoming fat with great importance attached to being slender
-Constant pre-occupation with food
-Feelings of guilt, shame and self-loathing
-Depression and at times, suicidal thoughts
-Mood swings and increased irritability
-May hide symptoms successfully for years

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