• 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
• Frequent trips to the bathroom right after meals
• Constant weighing of self