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For further information, see CMDT Part 29-06: Bulimia Nervosa
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Uncontrolled episodes of binge eating at least once weekly for 3 months
Recurrent inappropriate compensation to prevent weight gain
Self-induced vomiting
Laxatives
Diuretics
Fasting
Excessive exercise
Overconcern with weight and body shape, with undue influence of weight on self-worth
Occurs predominantly in young, White, middle- and upper-class women
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Consuming large quantities of easily ingested high-calorie foods, usually in secrecy, followed by vomiting, cathartics, or diuretics accompanied by feelings of guilt or depression
Body weight fluctuates but generally remains within 20% of normal BMI
Menstruation is typically preserved
Medical complications are numerous
Gastric dilatation
Pancreatitis
Poor dentition, pharyngitis, esophagitis, aspiration, and electrolyte abnormalities due to vomiting
Electrolyte abnormalities or dehydration due to cathartic and diuretic abuse
Constipation
Differential diagnosis
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Antidepressant medications such as fluoxetine and other selective serotonin reuptake inhibitors
Psychotherapy (individual, group, family, and behavioral)