How do you survive?
You just do.
There is no other choice,
no other viable options.
You throw yourself into it,
and make a mess along the way.
Gain a few too many scars,
break some things,
you find yourself with
a couple of friends
and a few precious tools.
You just have to.
Despite losing a higher percentage of their body weight, most patients [who were previously] overweight presented in a so-called “healthy” weight range (e.g., BMI between 18.5 and 24.9). They showed similar levels of eating disorder pathology, similar prevalence of amenorrhea, and no difference in number of reported physical symptoms when compared with adolescents who did not have a preceding history of overweight.
These findings underscore the danger of emphasizing weight as the sole indicator of health and the importance of assessing a patient’s physical functioning or symptoms rather than body weight to determine their health status.
If an adolescent presents in a BMI category that is theoretically considered healthy but is not menstruating because of restrictive eating, or is exhibiting eating disordered cognitions, this teen is demonstrating unhealthy behaviors that will undoubtedly influence their overall well-being.
Medical consequences of these unhealthy behaviors are numerous and severe, including cardiovascular complica- tions (e.g., arrhythmias, syncope, corrected Q-T interval (QTc) prolongation, pericardial effusion), seizure, orthostatic hypo- tension, hypokalemia, pancreatitis, pneumothorax, and other conditions, regardless of weight status.
Furthermore, patients who have lost a larger percentage of their baseline BMI, despite presenting in a BMI category that is not technically “underweight,” have been shown to have an equally, or, in some cases, more medically serious presentation than patients who present at a lower BMI, but who have lost less weight overall
Similarly, adult patients who have a larger discrepancy between their current and the highest past weight have been found to have more severe eating disorder and psychiatric symptoms.