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Hi, i'm 19 and at uni. i live in a house here with my best friend and recently her eating has begun to really worry me. we both used to eat a healthy, balanced diet and I always try to cook something fresh every evening. However, over the past 2 months she has began to lose a lot of weight. Now she is looking skinnier than ever. her boobs have shrunk considerably and comparing photos with her a year ago its really obvious how much weight she has lost. she is undereating a lot. she refuses things i am making. for example, today she ate some cereal for breakfast (a very small bowl - one of the multi-pack packets of cereal) and a bowl of carrot and lentil soup. i offered her wholemeal bread/wholemeal pitta bread with her soup. she refused. this is becoming a major pattern and im growing more and more concerned for her. today she has had no more than 350 calories - same as yesterday.

i don't know what to do? how do i say anything or help her? do you think it sounds serious? please help!

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replied May 5th, 2010
Eating Disorders Answer A11737
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the decreased caloric intake of your friend and her losing weight significantly over the last 2 months.
There are some chronic disorders and some cancers in which there is dramatic weight loss of the patient. You must consult your GP first and if the possibility of any such cause is ruled out, then you must strongly consider the possibility of eating disorders given the age of your friend and the transformed eating behavior and pattern. You may then be referred to a psychiatrist who may like to evaluate your friend with questionnaires for disordered eating behaviors and cognitions and if required institute a treatment regimen by a multidisciplinary team to help your cause.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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