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There's no way to tell by looks alone whether a person is bulimic. Bulimia nervosa, also known as binge-purge disorder, is, like the related eating disorder anorexia, marked by severely restrictive eating, but the extreme dieting is punctuated by bouts of out-of-control binge-eating. Most often, they are followed by purging, or self-induced vomiting, and less often by the use of laxatives or diuretics, or other compensatory behaviors such as fasting or overexercising. The disorder typically begins during adolescence, and cognitive-behavioral psychotherapy is the treatment of choice.
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