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In the US, it will affect ",{"text":237,"type":71,"marks":238},"1.5%",[239],{"type":104,"attrs":240},{"href":241,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fanad.org\u002Feducation-and-awareness\u002Fabout-eating-disorders\u002Feating-disorders-statistics\u002F",{"text":243,"type":71}," of women and up to ",{"text":245,"type":71,"marks":246},"0.5%",[247],{"type":104,"attrs":248},{"href":249,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.nationaleatingdisorders.org\u002Fstatistics-research-eating-disorders",{"text":251,"type":71}," of men at some point in their lives.",{"type":65,"attrs":253,"content":254},{"textAlign":67},[255],{"text":256,"type":71},"If left untreated, bulimia can cause long-term health issues like kidney damage and rupturing of the esophagus and stomach. Here's what you need to know about bulimia, its symptoms, and how to get a diagnosis. ",{"type":258,"attrs":259,"content":261},"heading",{"level":260,"textAlign":67},2,[262],{"text":263,"type":71},"What is bulimia nervosa? ",{"type":65,"attrs":265,"content":266},{"textAlign":67},[267],{"text":268,"type":71},"Bulimia is a mental health disorder that can cause physical complications. \"Bulimia nervosa involves excessive concern about body shape and weight, with a chronic fear of gaining weight,\" says Patricia Celan, MD, a psychiatry resident at Dalhousie University in Canada.",{"type":65,"attrs":270,"content":271},{"textAlign":67},[272,274,280],{"text":273,"type":71},"\"Compared to ",{"text":275,"type":71,"marks":276},"anorexia",[277],{"type":104,"attrs":278},{"href":279,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.insider.com\u002Fdo-i-have-anorexia",{"text":281,"type":71},", in which weight anxiety is managed by restrictive eating, bulimia involves episodes of – binge eating — eating excessively and with limited self-control — and then avoiding weight gain by inducing vomiting, diarrhea, or excessive exercise,\" Celan says.",{"type":65,"attrs":283,"content":284},{"textAlign":67},[285,287,293],{"text":286,"type":71},"According to the DSM-5, the ",{"text":288,"type":71,"marks":289},"three essential features",[290],{"type":104,"attrs":291},{"href":292,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.nationaleatingdisorders.org\u002Flearn\u002Fby-eating-disorder\u002Fbulimia",{"text":294,"type":71}," of bulimia nervosa are: ",{"type":296,"attrs":297,"content":299},"ordered_list",{"order":298},1,[300,308,315],{"type":301,"content":302},"list_item",[303],{"type":65,"attrs":304,"content":305},{"textAlign":67},[306],{"text":307,"type":71},"Recurrent episodes of binge eating",{"type":301,"content":309},[310],{"type":65,"attrs":311,"content":312},{"textAlign":67},[313],{"text":314,"type":71},"Recurrent behaviors to compensate and prevent weight gain like self-induced vomiting or over-exercising",{"type":301,"content":316},[317],{"type":65,"attrs":318,"content":319},{"textAlign":67},[320],{"text":321,"type":71},"Self-evaluation that is excessively influenced by body shape and weight",{"type":65,"attrs":323,"content":324},{"textAlign":67},[325,327,333],{"text":326,"type":71},"Bulimia generally appears in adolescents and young adults between 15 and 20 years of age, and it's more common in women. In fact, roughly ",{"text":328,"type":71,"marks":329},"85% to 90%",[330],{"type":104,"attrs":331},{"href":332,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.health.harvard.edu\u002Fa_to_z\u002Fbulimia-a-to-z",{"text":334,"type":71}," of people who have the condition are female.",{"type":65,"attrs":336,"content":337},{"textAlign":67},[338,340,346],{"text":339,"type":71},"Bulimia is a ",{"text":341,"type":71,"marks":342},"progressive",[343],{"type":104,"attrs":344},{"href":345,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fbooks.google.com\u002Fbooks?hl=en&lr=&id=IeNDDwAAQBAJ&oi=fnd&pg=PA222&dq=is+bulimia+progressive&ots=HFBwdA5R20&sig=hqUVC-FeoBazrJL7GKuWexPWv_Q#v=onepage&q=is%20bulimia%20progressive&f=false",{"text":347,"type":71}," disorder, meaning that people who live with it present with behavior patterns that may result in dealing with more intense health complications as time goes on. This progression can also make it harder for people to recover mentally the longer they go without treatment. ",{"type":65,"attrs":349,"content":350},{"textAlign":67},[351],{"text":352,"type":71},"Noticing the signs of an eating disorder early on can be helpful in terms of seeking treatment and preventing the condition from becoming more serious.",{"type":65,"attrs":354,"content":355},{"textAlign":67},[356,358,370,372,383],{"text":357,"type":71},"\"Early intervention and access to treatment can help ensure positive recovery outcomes and decrease short and long-term medical consequences,\" says ",{"text":359,"type":71,"marks":360},"Harry Brandt, MD,",[361],{"type":104,"attrs":362},{"href":363,"uuid":364,"anchor":67,"target":27,"linktype":31,"story":365},"\u002Fprofile\u002Fharry-brandt","a5e5df60-8b3f-454c-9bfa-1dcba3f08a5e",{"name":366,"id":367,"uuid":364,"slug":368,"url":369,"full_slug":369,"_stopResolving":35},"Harry A. Brandt, MD",150514673171867,"harry-brandt","profile\u002Fharry-brandt",{"text":371,"type":71}," Regional Medical Director of the ",{"text":373,"type":71,"marks":374},"Eating Recovery Center",[375],{"type":104,"attrs":376},{"href":377,"uuid":378,"anchor":67,"target":27,"linktype":31,"story":379},"\u002F","bcb8e3e3-b962-4080-b7f4-12f6e2c56c06",{"name":380,"id":381,"uuid":378,"slug":382,"url":382,"full_slug":382,"_stopResolving":35},"Home",141828015061670,"home",{"text":384,"type":71},". ",{"type":258,"attrs":386,"content":387},{"level":260,"textAlign":67},[388],{"text":389,"type":71},"Signs of bulimia nervosa ",{"type":65,"attrs":391,"content":392},{"textAlign":67},[393,395,401],{"text":394,"type":71},"Bulimia is defined by a pattern of repetitive binge eating and engaging in compensatory behaviors to prevent weight gain. Some common behavioral, emotional and physical ",{"text":396,"type":71,"marks":397},"symptoms",[398],{"type":104,"attrs":399},{"href":400,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.mayoclinic.org\u002Fdiseases-conditions\u002Fbulimia\u002Fsymptoms-causes\u002Fsyc-20353615",{"text":402,"type":71}," of bulimia include:",{"type":65,"attrs":404,"content":405},{"textAlign":67},[406],{"text":407,"type":71},"These symptoms vary from person to person. For example, not everyone with bulimia vomits to purge — some people will use laxatives or intense exercise. Other bulimia-related behaviors could include using diet pills and\u002For diuretics, misusing insulin injections, and chewing food and then spitting it out. ",{"type":258,"attrs":409,"content":410},{"level":260,"textAlign":67},[411],{"text":412,"type":71},"Risk factors for bulimia nervosa ",{"type":65,"attrs":414,"content":415},{"textAlign":67},[416],{"text":417,"type":71},"Women are much more likely to develop bulimia than men. Other risk factors that might be linked to developing bulimia include:",{"type":419,"content":420},"bullet_list",[421,428,443,450],{"type":301,"content":422},[423],{"type":65,"attrs":424,"content":425},{"textAlign":67},[426],{"text":427,"type":71},"Stressful life events like parents divorcing or the death of family members",{"type":301,"content":429},[430],{"type":65,"attrs":431,"content":432},{"textAlign":67},[433,435,441],{"text":434,"type":71},"Living with family members who struggle with ",{"text":436,"type":71,"marks":437},"obesity",[438],{"type":104,"attrs":439},{"href":440,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.insider.com\u002Fwhat-is-considered-obese",{"text":442,"type":71}," or have an eating disorder",{"type":301,"content":444},[445],{"type":65,"attrs":446,"content":447},{"textAlign":67},[448],{"text":449,"type":71},"Suffering from poor body image",{"type":301,"content":451},[452],{"type":65,"attrs":453,"content":454},{"textAlign":67},[455],{"text":456,"type":71},"Participating in a sport that emphasizes a particular body type or small size, such as gymnastics or ballet",{"type":65,"attrs":458,"content":459},{"textAlign":67},[460,462,468],{"text":461,"type":71},"A 2016 study published in ",{"text":463,"type":71,"marks":464},"European Eating Disorders Review",[465],{"type":104,"attrs":466},{"href":467,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fonlinelibrary.wiley.com\u002Fdoi\u002Fabs\u002F10.1002\u002Ferv.2434",{"text":469,"type":71}," compared 60 women with bulimia to 60 people who did not have the disorder. Developing bulimia was linked to high expectations from mothers, holding negative attitudes about parents' weight,  struggling with obesity as children or teens, a history of self‐harm, and family conflicts like divorce. ",{"type":65,"attrs":471,"content":472},{"textAlign":67},[473],{"text":474,"type":71},"Bulimia is also linked to other conditions, including:",{"type":419,"content":476},[477,505],{"type":301,"content":478},[479],{"type":65,"attrs":480,"content":481},{"textAlign":67},[482,487,489,495,497,503],{"text":483,"type":71,"marks":484},"Post-traumatic stress disorder (PTSD).",[485],{"type":486},"bold",{"text":488,"type":71}," A 1999 study published in the ",{"text":490,"type":71,"marks":491},"International Journal of Eating Disorders",[492],{"type":104,"attrs":493},{"href":494,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F10202651\u002F",{"text":496,"type":71}," assessed 24,041 women and 466,590 men hospitalized in Veteran Affairs medical centers. Researchers found that 0.30% of the female veterans suffered from an eating disorder like bulimia or anorexia and that women with bulimia had ",{"text":498,"type":71,"marks":499},"high rates",[500],{"type":104,"attrs":501},{"href":502,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.nationaleatingdisorders.org\u002Fblog\u002Feating-disorders-trauma-ptsd-recovery",{"text":504,"type":71}," of PTSD. ",{"type":301,"content":506},[507],{"type":65,"attrs":508,"content":509},{"textAlign":67},[510,514,516,522],{"text":511,"type":71,"marks":512},"Mental health or substance abuse disorders.",[513],{"type":486},{"text":515,"type":71}," A 2018 study published in ",{"text":517,"type":71,"marks":518},"Cureus",[519],{"type":104,"attrs":520},{"href":521,"uuid":67,"anchor":67,"target":16,"linktype":17},"https:\u002F\u002Fwww.ncbi.nlm.nih.gov\u002Fpmc\u002Farticles\u002FPMC6034764\u002F",{"text":523,"type":71}," assessed 3,319 people who went through inpatient treatment for bulimia. Researchers found that 52.4% of the patients suffered from psychosis, 23.5% suffered from depression, 21.5% abused drugs, and 17.1% abused alcohol. ",{"type":258,"attrs":525,"content":526},{"level":260,"textAlign":67},[527],{"text":528,"type":71},"Health complications of bulimia nervosa ",{"type":65,"attrs":530,"content":531},{"textAlign":67},[532,534,539],{"text":533,"type":71},"Bulimia ",{"text":535,"type":71,"marks":536},"can contribute to",[537],{"type":104,"attrs":538},{"href":332,"uuid":67,"anchor":67,"target":16,"linktype":17},{"text":540,"type":71}," health issues such as tooth decay, chronic gastrointestinal problems, and dehydration, all of which are linked to induced vomiting. ",{"type":65,"attrs":542,"content":543},{"textAlign":67},[544,546,552],{"text":545,"type":71},"Purging is also linked to osteoporosis (due to bone mineral deficiency) and kidney disease (due to electrolyte imbalances). 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And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":2850,"content":2851},{"textAlign":67},[2852],{"text":2853,"type":71},"Slaven advises parents to pay attention to clues.",[2855],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. 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For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":2892,"content":2893},{"textAlign":67},[2894],{"text":2895,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":2897,"content":2898},{"textAlign":67},[2899],{"text":2900,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. Both women dissect Boulder’s health + fitness culture and the way it contributes to unhealthy behavior.",[2902],"bf9591da-e2df-4843-8fae-035693f7e02e","ERC alum Olivia and ERC Regional Medical Director Dr. Elizabeth Wassenaar are featured in this episode of Boulder Valley Frequency as the host examines how Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders.",[],"https:\u002F\u002Fwww.boulderfrequency.com\u002F2600535\u002Fepisodes\u002F19461249-how-boulder-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",{"id":2907,"alt":2908,"name":14,"focus":2909,"title":14,"source":14,"filename":2910,"copyright":14,"fieldtype":175,"meta_data":2911,"is_external_url":177},200540914053616,"Teen girls mountain runners","1038x1867:1039x1868","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F2000x3000\u002F52e1d7aff8\u002Fteen-girls-mountain-runners.png",{"alt":2908,"title":14,"source":14,"copyright":14},{"id":2907,"alt":2908,"name":14,"focus":2913,"title":14,"source":14,"filename":2910,"copyright":14,"fieldtype":175,"meta_data":2914,"is_external_url":177},"1017x1667:1018x1668",{"alt":2908,"title":14,"source":14,"copyright":14},"how-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders","news\u002Fhow-colorado-s-fitness-culture-and-the-rise-of-glp-1s-are-fueling-eating-disorders",-4880,[],"c56648a3-02b4-4af3-893d-826c6082b441","2026-07-21T16:36:33.605Z",[],{"name":2923,"created_at":2924,"published_at":2925,"updated_at":2926,"id":2927,"uuid":2928,"content":2929,"slug":2975,"full_slug":2976,"sort_by_date":67,"position":2977,"tag_list":2978,"is_startpage":177,"parent_id":693,"meta_data":67,"group_id":2979,"first_published_at":2980,"release_id":67,"lang":201,"path":67,"alternates":2981,"default_full_slug":67,"translated_slugs":67},"Letters of Light: MI teen creates eating disorder recovery nonprofit","2026-07-06T21:15:25.437Z","2026-07-06T21:26:34.824Z","2026-07-06T21:26:34.837Z",195309262625814,"32f5b9aa-8ba5-40d8-bd6d-ae52e3562113",{"_uid":2930,"body":2931,"authors":2963,"excerpt":14,"summary":2964,"component":678,"categories":2965,"article_type":2436,"external_link":2966,"featured_image":2967,"external_link_text":2444,"listing_thumbnail_image":2973},"dea35668-f197-4363-9026-205531a84d83",{"type":62,"content":2932},[2933,2938,2943,2948,2953,2958],{"type":65,"attrs":2934,"content":2935},{"textAlign":67},[2936],{"text":2937,"type":71},"Sophie Perrenoud first needed to get help for herself — and now she’s forging a path to lending others a vital hand in the realm of eating disorder recovery.",{"type":65,"attrs":2939,"content":2940},{"textAlign":67},[2941],{"text":2942,"type":71},"After having a shaky relationship with food beginning in fifth grade, things took a bad turn during the summer between her freshman and sophomore years at Mercer Island High School (MIHS), she said.",{"type":65,"attrs":2944,"content":2945},{"textAlign":67},[2946],{"text":2947,"type":71},"Returning home after soccer conditioning, she barely ate, adding that she wasn’t even eating a meal a day.",{"type":65,"attrs":2949,"content":2950},{"textAlign":67},[2951],{"text":2952,"type":71},"“It really got to the point where I was afraid to take medicine at some point because I was scared of the calories it might contain. I was scared having an extra blueberry because, again, like, calories,” Perrenoud, now 17 and a MIHS rising senior, said on a recent afternoon.",{"type":65,"attrs":2954,"content":2955},{"textAlign":67},[2956],{"text":2957,"type":71},"She added that the food culture in high school becomes worse with other girls also struggling with their body images.",{"type":65,"attrs":2959,"content":2960},{"textAlign":67},[2961],{"text":2962,"type":71},"“I think a really big part of that was my whole life (I’ve) been labeled as skinny. When you go through puberty, your body’s going to go through changes naturally. 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Courtesy photo","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F768x1024\u002F006e285e92\u002Feating-disorders-mir-sophie-perrenoud.png","Courtesy photo",{"alt":2969,"title":14,"source":2966,"copyright":2971},{"id":2968,"alt":2969,"name":14,"focus":14,"title":14,"source":2966,"filename":2970,"copyright":2971,"fieldtype":175,"meta_data":2974,"is_external_url":177},{"alt":2969,"title":14,"source":2966,"copyright":2971},"letters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit","news\u002Fletters-of-light-mi-teen-creates-eating-disorder-recovery-nonprofit",-4870,[],"979f0001-4251-4ac2-9744-93823655e52f","2026-07-02T07:30:00.000Z",[],[],[],{"cache-control":702,"connection":703,"content-encoding":704,"content-type":705,"date":2985,"etag":2986,"per-page":2987,"referrer-policy":708,"sb-be-version":709,"server":710,"strict-transport-security":711,"total":2988,"transfer-encoding":712,"vary":713,"via":2989,"x-amz-cf-id":2990,"x-amz-cf-pop":716,"x-cache":717,"x-content-type-options":718,"x-frame-options":719,"x-permitted-cross-domain-policies":720,"x-request-id":2991,"x-runtime":2992,"x-xss-protection":723},"Wed, 28 Oct 2026 19:26:17 GMT","W\u002F\"accf816360e4e961691decb3af89f50a\"","4","476","1.1 4182a074185cd4c9b91519add9c7edf6.cloudfront.net (CloudFront)","-EElLOGZcE0uzHM9wsTuqgwaziDng0TMa2mmjySM1p8Kk1WIHBpRwA==","ff993d46-0520-43f2-882d-82488805e923","0.044451",4,476]