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Anorexia, or self-starvation, is a disease and it can be fatal if left untreated. Recognition of its symptoms can be the first step
toward saving yourself or someone you love from this dangerous disease.
The following is a list of the observable symptoms:
•Refusal to maintain body weight
•Fear of gaining weight
•Talks about “feeling fat”
•Difficulty with eating full meals
•Rigidity with what they will eat
•An obsessive preoccupation with body size
•Over-exercising
•Intense dissatisfaction with physical appearance
•Personality change from outgoing to withdrawn
•Limit food intake to “arrow selection of low-Cal foods
•Hoarding, concealing, crumbling or throwing away food
•Menstrual difficulties
Behavioral Characteristics.
Anorexic patients see their restricted caloric intake as a very brave and arduous thing to do. They tend to prize challenges over
comfort. By contrast, bulimic patients view their behaviors as shameful and disgusting. In order to recover, patients need help
learning to understand the connection between their beliefs about themselves and their eating disorder behaviors. They often
view themselves with such hatred that they feel deserving of the painful eating disorder behavior. They need to see that their
eating disordered behavior is not an achievement, hut avoidance of true life challenges; not distinctive, hut simply stereotypic.
They need to realize their behavior does not clarify their life, but confuses it; and they need to see that the disorder does not
serve higher goals, but actually blocks the realization of those goals. The individual suffering from destructive eating disorder
behavior must begin to challenge a negative mindset and learn to create and allow positive feelings and thoughts about
themselves.
Anorexia Nervosa
Bingeing and Food Control Excessive dieting, food control, and fasting. Collects recipes, and likes to cook/bake, but sometimes
refuses to eat with family. Tension at mealtime, Fear of food; avoidance of consumption.
Purging Compulsive exercising. Fasting
Eating Behavior Food ritual; calorie counting, rigid rules and schedules.
Sleeping Behavior Insomnia and early morning awakening.
Clothing and Dressing Rituals Frequent weighing, layering of clothes.
Social Behavior Social withdrawal, physically and emotionally. Focus on job and or school work.
Abusive Behavior Slow suicidal progression. Self hatred and feeling of unworthiness
Emotional and Cognitive Characteristics
Individuals suffering from eating disorders have restricted emotions and often cannot identify their feelings. What they are
aware of is extremely negative thoughts related to their body – an effective diversion from their emotional turmoil and pain.
Their thoughts are obsessively locked onto the Irrelevant and their feelings are avoided and hidden, even from themselves.
Anorexia Nervosa
Body Image Problems Intense fear of becoming fat. Distorted body image.
Perfectionist Behavior Perfectionist: thinnest, smartest, neatest. Dichotomous thinking: all or nothing, black or white.
Self-Esteem Depression and low sense of self-worth.
Sexuality Decreased interest in sex.
Social Behavior Self-centered and non-social, isolation from others, irritable.
Cognitive Symptoms Difficulty thinking clearly, potential severe cognitive deficits due to malnourishment.
Adapted from Mary Pabst, MSW, Maryland Association for Anorexia Nervosa and Bulimia (MANA) from Panhellenic Task Force

Anorexia Linked To Pleasure-Regulating Brain Chemical
Women who suffer from anorexia have increased chemical activity in a part of the brain that controls reward and
reinforcement, something that may explain why they are driven to lose weight but don’t get any pleasure from it, according to a
new study. Researchers used brain-imaging technology on 10 women who had recovered from anorexia and 12 healthy
women. In the anorexic women, they found overactivity by dopamine receptors in a part of the brain known as the basal ganglia.
Dopamine is a brain chemical that is associated with regulating pleasure. “The take-home message is dopamine in this area
may be very important in how we respond to stimuli, how we view positive and negative reinforcement,” said Dr. Walter Kaye, a
psychiatry professor at the University of Pittsburgh Medical Center and one of the researchers involved in the study. Dr. Guido
Frank, a child psychiatry fellow at the University of California at San Diego and also a leader of the study, said the hope is that
the research can lead to the development of drugs to treat anorexia. “It’s very, very hard to treat. They recognize it’s wrong, but
they still don’t eat,” Frank said. The research was reported this month online in the journal Biological Psychiatry. About 1
percent of American women suffer from anorexia, a disease than can also affect men. It has the highest death rate of any
psychiatric illness, Kaye said. Women suffering from anorexia have obsessional personalities, avoid harm and prefer routine,
said Dr. Douglas Bunnell, past president of the National Eating Disorders Association and clinical director of the Renfrew Center
of Connecticut. These women tend to resist therapy and have a distorted perception of themselves, he said. Although only a
small number of women get anorexia in its purest form, there are many more people who suffer from some form of an eating
disorder, Bunnell said. Making the connection between anorexia and what’s happening in the brain is important for
understanding and treating eating disorders, he said.
“There’s still considerable stigma attached to these disorders, particularly for families. People think it reflects something you
did as a parent,” Bunnell said.
Dr. Craig Johnson, director of the eating disorders program at Laureate Psychiatric Hospital in Tulsa, Okla., said anorexia was
historically viewed as a disease brought on by its victims or just a diet gone bad. “Up until this point we have been left with more
sociocultural explanations for the illness and regretfully that has resulted in some levels of minimization, if not glamorization, of
the illnesses,” Johnson said. Though the ultimate goal from the latest study would be to develop treatments for anorexia, the
work may also provide data important in anorexia prevention and identifying people at risk of developing the disease, Johnson
said. Frank said researchers still don’t know what is causing the dopamine receptor to be overactive, but more research may
provide an answer.
Behavioral Characteristics.
Bulimia Nervosa
Bingeing and Food Control Eating, in a discrete period of time (e.g. within any 2 hour period), an amount of food that is definitely
larger than most people would eat during a similar period of time and under similar circumstances. Fear of inability to stop
eating voluntarily (bingeing), a feeling that one cannot stop eating or control what or how much one is eating.
Purging Compulsive exercising. Vomiting, laxative, diuretic, or diet pill abuse; or use of other emetics ( syrup of ipecac).
Eating Behavior Secretive food foraging and hoarding, especially at night. Shoplifting and or petty stealing of money to buy binge
food.
Sleeping Behavior Various sleep disturbances
Clothing and Dressing Rituals Other obsessive-compulsive patterns, such as trying on clothes five times a day.
Social Behavior Social irregularities, alternating withdrawal with erratic need for social contact and approval. Chaotic
relationships and interaction.
Abusive Behavior Drug and/or alcohol abuse. Suicidal gestures or attempts. Self-hatred and self-mutilation. Feelings of self-
disgust.
Emotional and Cognitive Characteristics
Individuals suffering from eating disorders have restricted emotions and often cannot identify their feelings. What they are
aware of is extremely negative thoughts related to their body – an effective diversion from their emotional turmoil and pain.
Their thoughts are obsessively locked onto the Irrelevant and their feelings are avoided and hidden, even from themselves.
Bulimia Nervosa
Body Image Problems Preoccupation with appearance and “image”.
Perfectionist Behavior Perfectionist: high performance and achievement expectations. Perfectionist inside, but sometimes
chaotic outside. Facade of normalcy, seemingly “got it together”.
Self-Esteem Low self-esteem: self-loathing, self disgust, and depression.
Sexuality May be promiscuous or confused about sexuality, a mask for a desire to he accepted and respected.
Social Behavior Constant feeling of being out of control; vacillates between isolation and extreme need for external validation.
Cognitive Symptoms Inability to accurately identify and express feelings. Out of touch with one’s feelings, (e.g. anger, affection,
humor). Thoughts obsessive and focused on the eating disorder cycle.
Adapted from Mary Pabst, MSW, Maryland Association for Anorexia Nervosa and Bulimia (MANA) from Panhellenic Task Force
Bulimia not always about looking thin
Freshman Jane Felton said she would purge to make herself feel better in comparison to other women, who made her feel
insufficient.
“I always thought I was chubby – chubbier than the rest of the girls in my class,” Felton said. “Most of the time I wouldn’t eat,
unless I was stressed out or I was really hungry. In those situations, I would just eat a lot of junk food, because that made me
feel sick quicker. Then I would run to the bathroom, stick my finger in my throat and throw it all up. I wanted to be pretty,” she
said.
According to Dr. Donald McAlpine, a psychiatrist and the director of the eating disorders services at the Mayo Clinic in
Rochester, Minn., bulimia, also referred to as bulimia nervosa, is a psychological eating disorder that involves repeated
episodes of overeating. This is followed by inappropriate ways of trying to rid the body of the food before weight gain occurs, he
said.
In most cases, the disorder is not solely about being thin. It can also become a way to “gain total control of some aspect of their
life,” Judy Blackstone, a UW-Eau Claire counselor said.
According to the National Eating Disorder Association, overwhelming lifestyles full of never-ending homework, significant other
pressures, difficult family relationships and additional stressing aspects are common causes for self-induced purging.
“None of the eating disorders are about food,” Blackstone said. “They’re about the way we feel about ourselves.”
Cases of bulimia may start in post-adolescence due to unattainable standards of American society and continues all
throughout college, she said.
The Spectator News
1.Tend to hide and bottle up feelings – especially anger
2.Hypersensitive to criticism, though have a critical spirit themselves
3.Shame to control self and others
4.Impulsive in thought and action
5.Has great difficulty with intimacy, both sexual and emotional
6.Obsession with weight, though tend not to be extremely overweight
7.Addicted to the scale
8.Tend to have very strong need for other’s approval, but feels as though they never get it
9.Very secretive, deal with very high amounts of guilt
10.Obsessive in thought about physical body
11.Believes that God disapproves of them
12.Tremendous physical exhaustion
13.PMS tendency, irregular periods
14.Dizziness, headaches, constant thirst
15.Digestive disturbances, extreme, bloated
16.Electrolyte imbalance resulting in muscular weakness
17.Dental problems
18.A life of extremes in relationships, spirituality, and emotions
19.Chronic low self-esteem
20.Disturbed metabolism.
What works in treatment?
1.Whole person approach
2.Non-diet approach
3.Self-esteem retraining
4.Nutritional reeducation
5.Spiritual renewal
6.Relationship enhancement
7.Identity development
Bulimia Symptoms
•95% to 98% female
•84% have some college education
•Usually white-this is changing
•64% are closer to proper weight
•On the average, binges occur 11 times per week
•Average number of calories consumed: 4,800
•Average age at onset: 18
•Estimated number of bulimic college women – 20-30%
•Very unhappy and have low self-esteem
•Often depressed
•Tend to be passive individuals
•Tend to rely on others, especially me” for self- validation
•Afraid of rejection
•Perfectionists
•Isolated
•Very secretive
•Unsure how to cope with stresses of life
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Depending on what country you live in, you will find nutrition data listed in calories,
kilojoules, or both. When we expend energy it is said that we are burning calories, and
when we burn more calories than we eat our bodies turn to our fat stores to find the
additional energy they require. Thus when we eat more calories than we burn we gain
weight, and when we burn more calories than we eat we lose weight.

Once you determine the calorie deficit you’d like to achieve, you can use the Food
Calculator to calculate how much less you need to eat, or the Activity Calculator to
calculate how much more you need to exercise. Or you can achieve the deficit you
desire with a combination of eating less and exercising more… click here to find
exercises that work for you!

It is important to understand that the results of the calculators are only estimates. They
are only intended to give you a place to start. Over time you will learn how your body
reacts to the changes you make, and you will make the necessary adjustments to reach
your goals. check out these stats for calories burned during activities.. click here.

Remember that as you lose weight and activity becomes easier, you will burn fewer
calories performing the same activities. Because of this, it will be necessary to eat
less and/or become more active if you wish to maintain the same daily calorie deficit
and rate of weight loss.

The Low Carb Weight Loss Method
There are two basic types of low carbohydrate diets. (1) Extremely low carb, like Atkins
Diet, or (2) More moderate low carb, like my own low carbohydrate plan, or the South
Beach or Zone Diets. All low carb weight loss programs tend to have a restrictive
phase to begin with to boost initial fat loss, followed by a phase which permits more
carbohydrate foods – lasting until you reach your weight reduction goal. There is
sometimes a weight maintenance plan to follow for life.

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What Causes a Fat Belly?
Where we store fat (surplus calories) is largely a combination of gender, age and genetic inheritance.
Men tend to store fat around their middle (apple shape), whereas women typically store fat around the
pelvic region, hips, butt and thighs (pear shape).

Stress and Stomach Fat
Some health studies show that abdominal fat can develop as a result of stress. This is because the
hormone cortisol is released during stress, and a high level of cortisol in the body appears to
stimulate the storage of fat around the belly and abdomen. Researchers at Yale University studied 60
women and found that the more stress they were under, the more fat they stored around their
stomachs. So it appears that a fat belly is most likely to develop in stressed men of any age, and older
stressed women. CLICK HERE TO READ MORE ABOUT THAT.

How to Reduce a Fat Stomach?
However, if you already have a fat belly, the best option is to follow a healthy weight loss diet,
combined with fitness exercises such as aerobics (to burn extra calories) and a stomach-toning
workout to help tighten and strengthen abdominal muscles. That said, reducing a fat stomach takes
time – especially if you are an apple-shape. Despite what commercials say, there is no diet-plan or type
of exercise that can “target” your fat stomach. So please don’t get impatient. Your fat belly will
disappear, I promise. CLICK HERE FOR MORE FLAT BELLY TIPS.

Different Types of Exercise Benefit Calorie Expenditure
There are two basic types of exercise: aerobic and anaerobic.

What to Eat After Exercising
After exercise, refuel your energy stores with a high-carbohydrate, low-fat meal again. People
sometimes say they don’t feel like eating after exercise. That’s fine, but you should not exercise again
within 12 hours unless you have replenished your energy stores with sufficient carbohydrate. If you
don’t recharge your energy stocks correctly, you will end up too tired to do any exercise at all. So
keep eating and drinking, but choose high-carbohydrate foods and plenty of water.

Hunger Drives Us to Eat High Calorie Junk Food
When hunger becomes unbearable, we typically reach for all the wrong foods. I mean, who eats an
orange to beat off serious hunger pangs? Not many of us! Mostly we reach for cookies, cakes, popcorn
or anything that gives us an “instant hit”. Unfortunately these foods simply make the problem worse. Not
only because of their high calorie-content, but also because they play havoc with our blood glucose
levels which can lead to cravings, mood and appetite swings.

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SO ONCE YOU TAKE CALORIES IN Where Do We Digest Our Food?
The digestion of food in humans takes place in the gastrointestinal tract – a series of hollow organs
(mouth, esophagus, stomach, large and small intestines) connected to form a long tube of about 24 feet
in length which extends from the mouth to the anus. It is also referred to as the GI Tract, the alimentary
canal, the digestive tract, or the gut.

The Functions Of The Digestive Tract
The gastrointestinal tract has four main functions. It ingests the food we eat; it breaks it down into
simple chemical components for energy and nutritional purposes; it extracts nutrients from it (eg.
macronutrients such as carbs, fats, proteins; as well as micronutrients like vitamins and minerals); and
finally it expels the remaining food waste.

How Food Passes Through The Digestive Tract
During eating, food passes from the mouth into the
esophagus, then into the stomach from where it enters
the small intestine (comprising the duodenum, jejunum
and ileum). Most if not all nutrients are absorbed in the
stomach and small intestine. The remaining water and
waste products then pass into the large intestine
(comprising the cecum, colon and rectum) from where
it leaves the body via the anus. Other organs which
contribute to healthy digestion include the liver, the
pancreas and the gallbladder. A number of important
digestive hormones and digestive enzymes help to
regulate digestion, especially in the the upper
gastrointestinal tract. The movement of food through
the main digestive tubes (esophagus, small intestine
and large intestine) is maintained by a series of
muscular contractions called peristalsis. Several
muscular valves control the passage of food and
prevent it from moving backwards. On average, it takes
about 40-45 hours for food remnants to pass through
the entire digestive tract.

The Mouth

After every useful, digestible ingredient other than water has been wrung out of the chyme, the
remaining “waste” passes into the large intestine.
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Sadie