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hi i have a question. my and my best friend are bulimic, but healthy ones. we're not obsessed and have been doing this for a long time and we've maintained healthy lives with healthy weights. we're fifteen and we're now wondering if bulimia is a problem. we havent showed any side effects yet. we look normal but the way we think is what makes people question if we're alright. i still feel overweight though. im wondering if we need help and should stop.
thank you,

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replied February 3rd, 2010
Eating Disorders Answer A9717
Hi, welcome to the ehealth forum and I am glad to help you.
You seem to be concerned about bulimia nervosa, an eating disorder. You mentioned that you still feel that you are overweight and the central tendency in bulimia nervosa is an intense fear of being overweight or becoming overweight due to which patient indulges in abnormal eating habits and behaviour.
Bulimics have recurrent episodes of binge eating, fear of not being able to stop eating during binges, regularly engaging in compensatory mechanisms like self induced vomitings, use of laxatives or fasting to counteract binges and a minimum average of 2 binge eating episodes/wk for at least 3 months.
As the detrimental effects of eating disorders are immense usually caused by severe electrolyte disturbances, cardiac arrhythmias, amenorrhea, fertility issues, depression ,hypothermia, low bone density with associated risk of stress fractures, congestive heart failure, poor peer relations, low self esteem, suicidal tendencies and even death; you must not delay medical assistance and see your psychiatric specialist who may like to evaluate you 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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