Significant weight loss of 15% or more of person's expected weight for the person's height
Loss of menstruation
Downy-like hair growth on face and arms
No energy
Permanent tooth damage from vomiting
Tissue damage to throat & esophagus
Seizures
Kidney damage
Electrolyte imbalance
Scrape marks on back of fingers as a result of repeated attempts to purge
Mental/Emotional
Preoccupation with body weight
Distorted body image
Intense fear of becoming obese, which doesn't diminish as weight loss progresses
Refusal to maintain normal body weight
Fear of not being able to stop eating voluntarily
Has very strict rules surrounding food
Behavioral
Episodic binge eating
Hides food
Plays with food on plate at mealtimes, but eats very little
Repeated attempts to lose weight by utilizing severely restrictive diets, self-induced vomiting, use of laxatives/enemas/ diuretics, appetite suppressants, or vigorous/excessive exercise
