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Anonymous A started this discussion 15 years ago#3,499
* obvious, rapid, dramatic weight loss
* Russell's sign:[20] scarring of the knuckles from placing fingers down the throat to induce vomiting
* lanugo: soft, fine hair grows on face and body [21]
* obsession with calories and fat content
* preoccupation with food, recipes, or cooking; may cook elaborate dinners for others but not eat themselves[22]
* dieting despite being thin or dangerously underweight
* fear of gaining weight or becoming overweight
* rituals: cuts food into tiny pieces; refuses to eat around others; hides or discards food
* purging: uses laxatives, diet pills, ipecac syrup, or water pills; may engage in self-induced vomiting; may run to the bathroom after eating in order to vomit and quickly get rid of the calories[23][24]
* may engage in frequent, strenuous exercise [25]
* perception: perceives self to be overweight despite being told by others they are too thin
* becomes intolerant to cold: frequently complains of being cold due to loss of insulating body fat or poor circulation due to extremely low blood pressure; body temperature lowers (hypothermia) in effort to conserve energy [26]
* depression: may frequently be in a sad, lethargic state[27]
* solitude: may avoid friends and family; becomes withdrawn and secretive
* clothing: some may wear baggy, loose-fitting clothes to cover weight loss if they have been confronted about their health and wish to hide it, while others will wear baggy clothing to hide what they see as an unattractive and overweight body.
* cheeks may become swollen due to enlargement of the salivary glands caused by excessive vomiting[28]
* swollen joints[citation needed]
* abdominal distension[citation needed]