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People to whom this seems "normal" or "cool" or who wish that others would leave them alone so they can just diet and be thin might have a serious problem.
How do you know for sure that someone is struggling with anorexia or bulimia?
Eating disorders are so common in America that 1 or 2 out of every 100 students will struggle with one.
Each year, thousands of teens develop eating disorders, or problems with weight, eating, or body image.
Teens with anorexia or bulimia often feel intense fear of being fat or think that they're fat when they are not.
Those with anorexia may weigh food before eating it or compulsively count the calories of everything.
Over time, these steps can be dangerous — both physically and emotionally.
They can also lead to compulsive behaviors (ones that are hard to stop).
But the urge to eat less or to purge or over-exercise gets "addictive" and becomes too hard to stop.
Or the person who can't go out with friends because he or she thinks it's more important to go running to work off a snack eaten earlier.
The most common eating disorders are anorexia nervosa and bulimia nervosa (usually called simply "anorexia" and "bulimia").
For example, they might avoid going out to eat or eating lunch at school, or it might take so long to eat that they're late for school or don't have time to do their homework.
Some people with ARFID may go on to develop another eating disorder, such as anorexia or bulimia.