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And, obese patients with eating disorders are often overlooked and undiagnosed. Of particular concern, a core feature of eating disorders is an overemphasis of weight and shape. Thus, eating disorder patients are more likely to seek out weight loss methods, including surgery.",{"type":65,"attrs":2284,"content":2285},{"textAlign":67},[2286,2288,2294],{"text":2287,"type":71},"We are now seeing a number of eating disorder-related concerns in patients who undergo bariatric surgery. In essence, bariatric surgery won't ",{"text":2289,"type":71,"marks":2290},"cure your eating disorder",[2291],{"type":104,"attrs":2292},{"href":2293,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F8516",{"text":2295,"type":71},". 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Refeeding these patients when they have a postoperative stomach is tricky and requires specialty care.",{"type":2297,"attrs":2309,"content":2310},{"level":2299,"textAlign":67},[2311],{"text":2312,"type":71},"“Plugging” or purging disorder",{"type":65,"attrs":2314,"content":2315},{"textAlign":67},[2316],{"text":2317,"type":71},"Bariatric surgery makes your stomach smaller, about the size of an egg (vs. the size of a fist). Following surgery, patients must chew their food very thoroughly in order for it to pass through the smaller opening to the stomach and into the smaller stomach. If patients don’t chew thoroughly, the food will actually get stuck on the way down. Some patients discover that they can “plug” their stomach in this way and will induce vomiting by not chewing enough or by eating dry foods that get “stuck” and need to be vomited up. Many patients use “plugging” and vomiting as a way to purge and control their weight — similar to Bulimia Nervosa.",{"type":2297,"attrs":2319,"content":2320},{"level":2299,"textAlign":67},[2321],{"text":2322,"type":71},"Loss of control eating\u002Funspecified feeding\u002Feating disorder",{"type":65,"attrs":2324,"content":2325},{"textAlign":67},[2326,2338,2340,2345],{"text":2327,"type":71,"marks":2328},"Loss of control eating",[2329],{"type":104,"attrs":2330},{"href":2331,"uuid":2332,"anchor":67,"target":27,"linktype":31,"story":2333},"\u002Fresources\u002Ferp-loss-control-eating-treatment","d86e02f9-a3b5-4730-875a-3344affc11f9",{"name":2334,"id":2335,"uuid":2332,"slug":2336,"url":2337,"full_slug":2337,"_stopResolving":35},"Using ERP in the Treatment of Loss of Control Eating – Laura Lange",140672549551297,"erp-loss-control-eating-treatment","resources\u002Ferp-loss-control-eating-treatment",{"text":2339,"type":71}," is very similar to ",{"text":2341,"type":71,"marks":2342},"binge eating disorder",[2343],{"type":104,"attrs":2344},{"href":2275,"uuid":67,"anchor":67,"target":67,"linktype":17},{"text":2346,"type":71}," and also has a compulsive feel to it. This type of disordered eating is characterized by eating small meals and snacks all day long, perhaps just a handful of food every 30 minutes to every hour. Even though patients are only eating small ingestions of food at a time, they start to regain weight. This is not the same as binge eating disorder, because patients are not consuming an objectively large volume of food, but it is still a disordered way of eating.",{"type":2297,"attrs":2348,"content":2349},{"level":2299,"textAlign":67},[2350],{"text":2351,"type":71},"Nutritional compromise",{"type":65,"attrs":2353,"content":2354},{"textAlign":67},[2355],{"text":2356,"type":71},"Following bariatric surgery, patients do not absorb nutrients as well from their food. They must take multivitamins and supplements specifically designed for post-surgery patients. However, some patients do not adhere to the recommended guidelines regarding supplements and will end up experiencing a severe nutritional deficiency. Along with serious risks to one’s health, confusion, disorientation and dementia-like symptoms can occur.",{"type":2297,"attrs":2358,"content":2359},{"level":2299,"textAlign":67},[2360],{"text":2361,"type":71},"Addiction",{"type":65,"attrs":2363,"content":2364},{"textAlign":67},[2365,2367,2373],{"text":2366,"type":71},"Unable to use food to regulate mood in the same ways that they could preoperatively, some patients may see an increase in compulsive behaviors after bariatric surgery, including drug abuse, alcohol abuse, compulsive internet use, and compulsive gambling. While some studies show that patients actually drink less alcohol after surgery, half of all ",{"text":2368,"type":71,"marks":2369},"patients with eating disorders struggle with substance abuse disorders",[2370],{"type":104,"attrs":2371},{"href":2372,"uuid":67,"anchor":67,"target":16,"linktype":17},"\u002Fnode\u002F1051",{"text":2374,"type":71}," before surgery. Therefore, patients showing addictive behaviors BEFORE surgery should be carefully monitored for the first two years AFTER surgery.",{"type":2297,"attrs":2376,"content":2377},{"level":2299,"textAlign":67},[2378],{"text":2379,"type":71},"Body image issues",{"type":65,"attrs":2381,"content":2382},{"textAlign":67},[2383],{"text":2384,"type":71},"Many patients are very happy with the weight they lose after surgery, but some patients become unhappy with their physical appearance following surgery. Typically, patients want to “get their body back” after surgery. They fantasize about getting their younger body back, remembering how they looked 10 or 20 years ago. They may not consider how much the body has changed with age — and they may not consider the skin changes that can occur with drastic weight loss. Some patients become fixated on loose, hanging skin or other unwanted physical changes, becoming increasingly self-conscious and isolative.",{"type":2297,"attrs":2386,"content":2388},{"level":2387,"textAlign":67},2,[2389],{"text":2390,"type":71},"Choose quality of life",{"type":65,"attrs":2392,"content":2393},{"textAlign":67},[2394],{"text":2395,"type":71},"If you are considering bariatric surgery, know that this is a serious decision and that your body will never be the same after surgery. You will need specialized medical care for life and will always have to adhere to specific diet protocols and guidelines.",{"type":65,"attrs":2397,"content":2398},{"textAlign":67},[2399,2401,2407,2409,2414],{"text":2400,"type":71},"Of greatest concern to me personally is this: if you have struggled with ",{"text":2402,"type":71,"marks":2403},"mental health issues",[2404],{"type":104,"attrs":2405},{"href":2406,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F7561",{"text":2408,"type":71}," or eating disorders in the past (including binge eating and addictions) please seek help from a mental health professional ",{"text":2410,"type":71,"marks":2411},"before",[2412],{"type":2413},"italic",{"text":2415,"type":71}," you have this surgery.",{"type":65,"attrs":2417,"content":2418},{"textAlign":67},[2419,2421,2427],{"text":2420,"type":71},"If you are post-surgery and struggling with one of the above issues, know that ",{"text":2422,"type":71,"marks":2423},"it’s never too late to get the help that you need",[2424],{"type":104,"attrs":2425},{"href":2426,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F7781",{"text":2428,"type":71},".",{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":2430},{},"Blog","Treatment","Julie Kabat Friedman",[2435],{"name":2433,"created_at":2436,"published_at":2437,"updated_at":2438,"id":2439,"uuid":2440,"content":2441,"slug":2451,"full_slug":2452,"sort_by_date":67,"position":2453,"tag_list":2454,"is_startpage":177,"parent_id":2455,"meta_data":67,"group_id":2456,"first_published_at":2457,"release_id":67,"lang":201,"path":67,"alternates":2458,"default_full_slug":67,"translated_slugs":67,"_stopResolving":35},"2026-03-02T13:48:56.838Z","2026-04-07T14:18:35.895Z","2026-04-07T14:18:35.915Z",150608842134130,"2af50531-5963-4254-824c-20a82f742f8f",{"bio":2442,"_uid":2443,"status":2444,"component":2445,"categories":2446,"credentials":2447,"featured_image":2448},"\u003Cp>Julie Kabat Friedman, PhD is an&nbsp;Assistant Professor in the Department of Psychiatry at Northwestern University Feinberg School of Medicine.\u003C\u002Fp>","3fcb96da-cbc1-4c7c-9201-7e0950b4f0d2","Terminated","staff",[],"PhD",{"id":2449,"alt":67,"focus":67,"title":67,"filename":2450,"copyright":67,"fieldtype":175,"is_private":177},150608833503695,"https:\u002F\u002Fs3.amazonaws.com\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F150x215\u002F07e207d5f4\u002Fjulie-friedman.jpg","julie-kabat-friedman","profile\u002Fjulie-kabat-friedman",-1920,[],148823052330811,"1ba65d0c-9951-4f4a-8dc2-1cdae743f34b","2026-03-02T13:48:56.885Z",[],{"type":62,"content":2460},[2461],{"type":65},"We are now seeing a number of eating disorder-related concerns in patients who undergo bariatric surgery. In essence, bariatric surgery won't cure your eating disorder. Here are six reasons why.",[],[],"Eating Disorders After Bariatric Surgery | Surgery Won't Cure EDs",[],{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":2468},{},{"id":2470,"filename":2471,"fieldtype":175,"is_private":1974},"140671274987574","https:\u002F\u002Fs3.amazonaws.com\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F600x800\u002Fe855f84ae9\u002Fdoctor-on-cell-phone-teaser-crop.jpg",[],"Bariatric (weight loss) surgery can offer benefits to patients, but eating disorders may persist after surgery if not treated. Here's what you need to know.",{"id":67,"alt":67,"name":14,"focus":67,"title":67,"source":67,"filename":14,"copyright":67,"fieldtype":175,"meta_data":2475},{},[],"bariatric-surgery-wont-cure-eating-disorder","resources\u002Fbariatric-surgery-wont-cure-eating-disorder",-1080,[2481],"Symptoms & Signs",109705324666269,"3ca7aca7-4253-45cb-9646-bdaf7c1c4d84","2016-08-09T12:44:29.000Z",[],[],[],{"age":2489,"cache-control":2490,"connection":2491,"content-encoding":2492,"content-type":2493,"date":2494,"etag":2495,"referrer-policy":2496,"sb-be-version":2497,"server":2498,"strict-transport-security":2499,"transfer-encoding":2500,"vary":2501,"via":2502,"x-amz-cf-id":2503,"x-amz-cf-pop":2504,"x-cache":2505,"x-content-type-options":2506,"x-frame-options":2507,"x-permitted-cross-domain-policies":2508,"x-request-id":2509,"x-runtime":2510,"x-xss-protection":1974},"2","max-age=0, public, s-maxage=604800, stale-if-error=3600","keep-alive","gzip","application\u002Fjson; charset=utf-8","Tue, 27 Oct 2026 07:24:48 GMT","W\u002F\"18724b6fea268c7f00708348dfee7522\"","strict-origin-when-cross-origin","5.996.4","nginx","max-age=31536000","chunked","Origin,Accept-Encoding","1.1 3055c6bccfd52f4c0ae40793124cb388.cloudfront.net (CloudFront)","pBJ8I8NeWSWE5z8Dgi2n9lU3qbBjVyDc_ZpVVTOpRWCAsJauKNcdwg==","IAD55-P6","Hit from cloudfront","nosniff","SAMEORIGIN","none","f7ca7657-09bb-4194-a032-543a421a31c2","0.038401",{"data":2512,"headers":2727,"perPage":2737,"total":2738},{"stories":2513,"cv":203,"rels":2725,"links":2726},[2514,2560,2618,2665],{"name":2515,"created_at":2516,"published_at":2517,"updated_at":2518,"id":2519,"uuid":2520,"content":2521,"slug":2554,"full_slug":2555,"sort_by_date":67,"position":2556,"tag_list":2557,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2558,"first_published_at":2517,"release_id":67,"lang":201,"path":67,"alternates":2559,"default_full_slug":67,"translated_slugs":67},"Her 12-year-old had an eating disorder. Caregiving meant healing herself, too","2026-09-01T15:45:22.326Z","2026-09-01T15:50:15.477Z","2026-09-01T15:50:15.488Z",215400129878194,"144a223b-01fa-4566-b26c-2f6b6cd373ed",{"_uid":2522,"body":2523,"authors":2541,"excerpt":14,"summary":2543,"component":1878,"categories":2544,"article_type":1880,"external_link":2545,"featured_image":2546,"external_link_text":2551,"listing_thumbnail_image":2552},"38fb8d5c-e5f1-4819-9fc0-7ff6e5e2d061",{"type":62,"attrs":2524,"content":2525},{"backgroundColor":67},[2526,2531,2536],{"type":65,"attrs":2527,"content":2528},{"textAlign":67},[2529],{"text":2530,"type":71},"Beth Ayn Stansfield, of Virginia, was excited when her preteen told her she wanted to start running together.",{"type":65,"attrs":2532,"content":2533},{"textAlign":67},[2534],{"text":2535,"type":71},"\"Initially, she came home from school one day, middle school, and announced that she just wanted to get healthy and that she was going to go on a diet,\" Stansfield said. \"At that time, I didn't give it much thought because I was on the South Beach diet.\"",{"type":65,"attrs":2537,"content":2538},{"textAlign":67},[2539],{"text":2540,"type":71},"Stansfield enjoyed bonding with her daughter, Carly, through food and exercise, especially working out together as a way to have fun and relieve stress. But she soon realized that for Carly, \"it started to become extreme.\" At first Carly eliminated sweets. Then she cut out all carbs. Stansfield then noticed her daughter sometimes skipped meals altogether.",[2542],"1d5cd4af-12a4-4c28-911c-6884dbf73df1","USA Today recently put a spotlight on the lived experience perspective of ERC National Family Advocate Beth Ayn Stansfield who shared her story of supporting a daughter in eating disorder treatment while also recognizing her own complex relationship with food. This thoughtful article highlights a situation many caregivers may go through while caring for a child with an eating disorder -- and addresses the complexities of living in a diet-culture and GLP-1-driven society.",[],"https:\u002F\u002Fwww.usatoday.com\u002Fstory\u002Flife\u002Fhealth-wellness\u002F2026\u002F07\u002F27\u002Fchild-parent-eating-disorder-recovery\u002F90997723007\u002F",{"id":2547,"alt":2548,"name":14,"focus":14,"title":14,"source":14,"filename":2549,"copyright":14,"fieldtype":175,"meta_data":2550,"is_external_url":177},215400775769246,"Beth Ayn Stansfield with daughters posing at the beach","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F441x460\u002F0389a68824\u002Fbeth-ayn-stansfield-daughters.png",{"alt":2548,"title":14,"source":14,"copyright":14},"Read more",{"id":2547,"alt":2548,"name":14,"focus":14,"title":14,"source":14,"filename":2549,"copyright":14,"fieldtype":175,"meta_data":2553,"is_external_url":177},{"alt":2548,"title":14,"source":14,"copyright":14},"child-parent-eating-disorder-recovery","news\u002Fchild-parent-eating-disorder-recovery",-4900,[],"a551d1fa-fc6c-40a7-b5ba-de204a97bcb8",[],{"name":2561,"created_at":2562,"published_at":2563,"updated_at":2564,"id":2565,"uuid":2566,"content":2567,"slug":2612,"full_slug":2613,"sort_by_date":67,"position":2614,"tag_list":2615,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2616,"first_published_at":2563,"release_id":67,"lang":201,"path":67,"alternates":2617,"default_full_slug":67,"translated_slugs":67},"Parents may not know: Baltimore expert warns AI chatbots can encourage disordered eating","2026-09-01T15:33:29.337Z","2026-09-01T15:38:20.050Z","2026-09-01T15:38:20.062Z",215397209483565,"a7148c77-c3c7-46bd-b0da-98b153f79503",{"_uid":2568,"body":2569,"authors":2597,"excerpt":14,"summary":2599,"component":1878,"categories":2600,"article_type":1914,"external_link":2601,"featured_image":2602,"external_link_text":2551,"listing_thumbnail_image":2609},"54d16e8d-7833-4742-afab-7bfb61cd093e",{"type":62,"attrs":2570,"content":2571},{"backgroundColor":67},[2572,2577,2582,2587,2592],{"type":65,"attrs":2573,"content":2574},{"textAlign":67},[2575],{"text":2576,"type":71},"HUNT VALLEY, Md. — Psychologists are warning parents about a new trend of kids using artificial intelligence chatbots as a \"secret eating disorder coach.\"",{"type":65,"attrs":2578,"content":2579},{"textAlign":67},[2580],{"text":2581,"type":71},"Not only do the chatbots give tips on weight loss, but they may also encourage disordered eating.",{"type":65,"attrs":2583,"content":2584},{"textAlign":67},[2585],{"text":2586,"type":71},"Dr. Kaitlin Slaven, an expert with the Eating Recovery Center in Baltimore, told WBAL-TV 11 News that parents may have no idea it's going on.",{"type":65,"attrs":2588,"content":2589},{"textAlign":67},[2590],{"text":2591,"type":71},"\"These chatbots are equipped with tools to be able to sort of gather information and learn. 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":2593,"content":2594},{"textAlign":67},[2595],{"text":2596,"type":71},"Slaven advises parents to pay attention to clues.",[2598],"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. In this segment, Dr. Slaven discusses how these problematic chatbots work; what signs caregivers should watch for; and understanding how to access help.",[],"https:\u002F\u002Fwww.wbaltv.com\u002Farticle\u002Fai-chatbots-disordered-eating-baltimore\u002F73172472",{"id":2603,"alt":2604,"name":14,"focus":2605,"title":14,"source":14,"filename":2606,"copyright":14,"fieldtype":175,"meta_data":2607,"is_external_url":177},215397905808365,"Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots on eating disorders","659x220:660x221","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F286555691919486\u002F900x556\u002Faff736e1fd\u002Fkaitlins-slaven-wbaltv-11-nbc.png",{"alt":2604,"size":2608,"title":14,"source":14,"copyright":14},"900x556",{"id":2603,"alt":2604,"name":14,"focus":2610,"title":14,"source":14,"filename":2606,"copyright":14,"fieldtype":175,"meta_data":2611,"is_external_url":177},"672x206:673x207",{"alt":2604,"size":2608,"title":14,"source":14,"copyright":14},"ai-chatbots-disordered-eating-baltimore","news\u002Fai-chatbots-disordered-eating-baltimore",-4890,[],"732a7f18-be5e-46bc-a614-40b1b1581381",[],{"name":2619,"created_at":2620,"published_at":2621,"updated_at":2622,"id":2623,"uuid":2624,"content":2625,"slug":2658,"full_slug":2659,"sort_by_date":67,"position":2660,"tag_list":2661,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2662,"first_published_at":2663,"release_id":67,"lang":201,"path":67,"alternates":2664,"default_full_slug":67,"translated_slugs":67},"How Colorado's fitness culture (and the rise of GLP-1s) are fueling eating disorders","2026-07-21T15:48:16.535Z","2026-07-21T17:03:19.688Z","2026-07-21T17:03:19.702Z",200537278646480,"5706d1c2-e959-483d-a367-4cd9303ea539",{"_uid":2626,"body":2627,"authors":2644,"excerpt":14,"summary":2646,"component":1878,"categories":2647,"article_type":1880,"external_link":2648,"featured_image":2649,"external_link_text":1888,"listing_thumbnail_image":2655},"ee1c11df-b5af-40c5-91c2-8155e14bacbe",{"type":62,"content":2628},[2629,2634,2639],{"type":65,"attrs":2630,"content":2631},{"textAlign":67},[2632],{"text":2633,"type":71},"Ads for weight loss medication are everywhere. 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":2635,"content":2636},{"textAlign":67},[2637],{"text":2638,"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":2640,"content":2641},{"textAlign":67},[2642],{"text":2643,"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.",[2645],"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":2650,"alt":2651,"name":14,"focus":2652,"title":14,"source":14,"filename":2653,"copyright":14,"fieldtype":175,"meta_data":2654,"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":2651,"title":14,"source":14,"copyright":14},{"id":2650,"alt":2651,"name":14,"focus":2656,"title":14,"source":14,"filename":2653,"copyright":14,"fieldtype":175,"meta_data":2657,"is_external_url":177},"1017x1667:1018x1668",{"alt":2651,"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":2666,"created_at":2667,"published_at":2668,"updated_at":2669,"id":2670,"uuid":2671,"content":2672,"slug":2718,"full_slug":2719,"sort_by_date":67,"position":2720,"tag_list":2721,"is_startpage":177,"parent_id":1896,"meta_data":67,"group_id":2722,"first_published_at":2723,"release_id":67,"lang":201,"path":67,"alternates":2724,"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":2673,"body":2674,"authors":2706,"excerpt":14,"summary":2707,"component":1878,"categories":2708,"article_type":1880,"external_link":2709,"featured_image":2710,"external_link_text":1888,"listing_thumbnail_image":2716},"dea35668-f197-4363-9026-205531a84d83",{"type":62,"content":2675},[2676,2681,2686,2691,2696,2701],{"type":65,"attrs":2677,"content":2678},{"textAlign":67},[2679],{"text":2680,"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":2682,"content":2683},{"textAlign":67},[2684],{"text":2685,"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":2687,"content":2688},{"textAlign":67},[2689],{"text":2690,"type":71},"Returning home after soccer conditioning, she barely ate, adding that she wasn’t even eating a meal a day.",{"type":65,"attrs":2692,"content":2693},{"textAlign":67},[2694],{"text":2695,"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":2697,"content":2698},{"textAlign":67},[2699],{"text":2700,"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":2702,"content":2703},{"textAlign":67},[2704],{"text":2705,"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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