A member asked:

Please share some do's and dont's for patients with bulimia.

118 doctors weighed in across 113 answers

With: With bulimia, gluten sensitivity and subsequent removal should be considered.

Answered 4/4/2013

5.3k views

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If: If there is a history of bulimia be sure to have your teeth checked for enamel damage.

Answered 1/4/2014

5.3k views

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Do: Do see your dentist regularly - your condition is really tough on your teeth.

Answered 9/29/2016

5.2k views

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People: People with bulimia may have higher rates of osteoporosis.

Answered 4/3/2014

5.2k views

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Dr. Jeffrey Collura answered

Specializes in Cosmetic Dentistry

Enamel: Enamel is softest after purging, never brush, simply rinse with water or Fluoride rinse.

Answered 6/25/2014

5.2k views

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You: You are a beautiful person, and even if you don't see it, the rest of the world does!

Answered 12/29/2013

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Do: Do tell your doctor and don't do it.

Answered 4/11/2013

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Keep: Keep a healthy attitude about your health and respect your body.

Answered 4/12/2013

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Don't: Don't treat yourself, get help. Join a group at your local hospital. Understand that there is help.

Answered 4/11/2013

5.2k views

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With: With compulsions one needs to lower stress and find a personal space of safety and calm.

Answered 9/29/2016

5.2k views

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Dr. Tracy Berg answered

Specializes in General Surgery

Emphasize: Emphasize health and maintaining health over the competitive pursuit of some nebulous beauty goal.

Answered 4/17/2013

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Understand: Understand that bulimia will remove the enamal from the backside of the teeth.

Answered 4/17/2013

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Don't: Don't brush your teeth after vomiting. This will destroy even more enamel. Just rinse your mouth.

Answered 4/18/2013

5.2k views

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Do: Do seek medical care? Do seek counseling? Don't feel alone!

Answered 9/29/2016

5.2k views

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Find: Find a support group and/or a psychotherapist where you feel comfortable to talk about your fears.

Answered 5/3/2015

5.2k views

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Dr. Abraham Jaskiel answered

Specializes in Dentistry

Do: Do see your dentist and tell him about your bulimia, don't wait, your teeth will suffer.

Answered 9/29/2016

5.1k views

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Dr. Ihab Ibrahim answered

Specializes in Pain Management

Have: Have your breakfast & dinner, as a family, at a set time with your children then a 10 min walk.

Answered 5/16/2013

5.1k views

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Dr. Milton Alvis, jr answered

Specializes in Preventive Medicine

Work: Work to focus more on what you can do with your life rather than brief "pleasure" & body weight.

Answered 7/8/2013

5.1k views

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Rinse: Rinse out your mouth with a mix of water and baking soda after each incident to neutralize the acid.

Answered 6/4/2013

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Food: Food is not the only problem. There is something missing. Figure out what you are really hungry for.

Answered 4/25/2016

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Dr. Rupesh Parikh answered

Specializes in Medical Oncology

Weight: Weight change is not a "behavioral" change and your recovery revolves around "behavioral" change.

Answered 6/5/2013

5.1k views

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Dr. Rupesh Parikh answered

Specializes in Medical Oncology

Forget: Forget about being 100% successful. Aim for a maximum of 75% success.

Answered 1/1/2015

5.1k views

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Dr. Rupesh Parikh answered

Specializes in Medical Oncology

Keep: Keep a diary. Surround yourself with friends. Control the impulse. See an eating professional.

Answered 9/29/2016

5.1k views

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Don't: Don't be a stranger! ask your doctor for advice & help please.

Answered 6/12/2013

5.1k views

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Dr. Lisa Vollmer answered

Specializes in Addiction Medicine

Eat: Eat something every 4 hours. Get treatment for anxiety. If you feel full, wait; don't panic.

Answered 12/5/2013

5.1k views

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Dr. Lisa Vollmer answered

Specializes in Addiction Medicine

Don't: Don't find another substance/destructive behavior to take place of eating/purging.

Answered 6/14/2013

5.1k views

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Dr. Lisa Vollmer answered

Specializes in Addiction Medicine

Nothing,: Nothing, and no one, is perfect. Note your successes. Plan for tomorrow.

Answered 7/17/2013

5.1k views

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Dr. Lisa Vollmer answered

Specializes in Addiction Medicine

Don't: Don't watch television or read fashion magazines. They are designed to make you feel lacking.

Answered 6/14/2013

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Rinse: Rinse your mouth with 1 teaspoon baking soda in a glass of water to neutralize the acid in mouth.

Answered 6/27/2013

5k views

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Protect: Protect teeth by using mi paste. Get is from your dentist.

Answered 9/28/2016

5k views

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Dr. Alan Ali answered

Specializes in Psychiatry

DO: Do seek support & be assertive. Don't isolate yourself.

Answered 7/11/2013

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Dr. Alan Ali answered

Specializes in Psychiatry

Do: Do believe in yourself no matter how you see yourself.

Answered 7/11/2013

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Work: Work on your ability to be direct and truthful with others, stop avoiding conflict.

Answered 8/5/2013

5k views

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Dr. Barbara Lavi answered

Specializes in Clinical Psychology

For: For bulimia: combined psychotherapy, ongoing support groups, and nutritional guidance work best.

Answered 10/4/2016

5k views

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Acknowledging: Acknowledging the problem and seek professional help... The sooner the better.

Answered 8/10/2013

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Sometimes: Sometimes meds and psychotherapy really can help - and it's not an intelligent way to control weight.

Answered 4/14/2016

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Try: Try eating out with people, and where you have no access to restrooms for a few hours. Be happy.

Answered 8/9/2013

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Monitor: Monitor your environment and stay away from people, places, and activities that trigger temptation.

Answered 5/15/2016

4.9k views

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Begin: Begin by admitting your weakness to this condition and seek out support and professional help.

Answered 5/15/2016

4.9k views

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Reinforce: Reinforce a healthy body image in your children no matter what their size or shape.

Answered 4/3/2016

4.9k views

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Cognitive: Cognitive behavioral therapy help you identify unhealthy, negative beliefs and behaviors.

Answered 4/3/2016

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If: If you don't eat for 4 hours, metabolism nearly stops. Keep your metabolism burning. Eat regularly.

Answered 5/8/2016

4.9k views

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Parents: Parents as a role model, setting standards to eat dinner together regularly with balanced diets.

Answered 9/3/2013

4.9k views

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Dr. John Michalski answered

Specializes in Orthopedic Surgery

Do: Do get a friend to help you through this problem.

Answered 7/14/2014

4.9k views

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Try: Try to tune in instead of tuning out. Cope with communication instead of food and body issues.

Answered 1/8/2018

4.9k views

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Dr. Barbara Lavi answered

Specializes in Clinical Psychology

In: In recovery from bulimia losing weight is a challenge. Work with your therapist, dietician, and dr.

Answered 7/30/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

A: A health care team of doctors, nutritionists, and therapists will help learn healthy eating pattern.

Answered 8/21/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Fluoxetine: Fluoxetine (prozac) is used to treat depression and anxiety when they are underlying causes.

Answered 8/13/2015

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Help: Help your daughter develop a confident, realistic body image to help prevent bulimia.

Answered 8/14/2014

4.9k views

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Dr. Harold Peltan answered

Specializes in Ophthalmology

Don't: Don't force someone with bulimia to eat more. She will feel even more pressure to throw it up later.

Answered 8/21/2014

4.9k views

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Dr. Adam King answered

Specializes in Internal Medicine and Pediatrics

Psychotherapy: Psychotherapy is the most effective long term solution to bulimia. Find someone you can trust!

Answered 12/10/2013

4.9k views

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Therapy,: Therapy, medication, dietician, communication and stress coping skills, empowerment! it works!

Answered 5/8/2016

4.9k views

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Dr. William Williams answered

Specializes in Dentistry - Cosmetic

That: It's a myth that: bulimia is only a physical or mental disorder. It can be spiritual disorder too.

Answered 12/11/2014

4.9k views

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Do: Do not believe what your eating disorders voice says. It is part of your illness and is not real.

Answered 9/9/2013

4.9k views

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Dr. Eyal Simchi answered

Specializes in Pediatric Dentistry

Speak: Speak to a porfessional. They can guide you to the best resources.

Answered 3/22/2015

4.9k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Concentrate: Concentrate on exercise not food and stay away from the mirror . Get a support network

Answered 9/9/2013

4.9k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Exercise: Exercise and a support network are essential for bulemics.

Answered 2/28/2015

4.9k views

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Dr. Sam Markzar answered

Specializes in Dentistry - Periodontics

Bulimic: Bulimic patients also have major dental and oral problems due to stomach acid in mouth.

Answered 11/16/2013

4.9k views

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Seek: Seek treatment early to prevent binge eating and the urge to purge-easier to treat habits early!

Answered 9/16/2013

4.9k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Do: Do tell someone to get a good support exercise and do not focus on how you think you look. To others.

Answered 4/28/2015

4.9k views

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Dr. Marsha Davis answered

Specializes in Internal Medicine

Prevent: Prevent bulimia by creating a strong support network and healthy eating habits.

Answered 4/26/2015

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Different: Different options- one on one, family or, group therapy or phone session treatment . Choice s yours.

Answered 1/8/2015

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Do: Do not withhold the presence of an eating disorders voice in your head from your therapist.

Answered 5/28/2015

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The: The first time you ever do this, you should seek help because it becomes a dangerous way of life.

Answered 5/28/2015

4.9k views

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Dr. Dennis Higginbotham answered

Specializes in American Board of Obstetrics and Gynecology

Bulimia: Bulimia is life threatening, see a professional for help, it may be life or death.

Answered 7/16/2015

4.9k views

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Dr. Dennis Higginbotham answered

Specializes in American Board of Obstetrics and Gynecology

Don't: Don't try to beat it alone, you will need professional help.

Answered 11/16/2013

4.9k views

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Dr. Erica Bial answered

Specializes in Pain Management

Be: Be honest. The people who love you can support you best once you own up & and talk openly about it.

Answered 9/22/2013

4.9k views

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Dr. Michael Wexler answered

Specializes in Cosmetic Dentistry

Swish: Swish with water immediately after purging so stomach acid is less likely to destroy your teeth.

Answered 11/16/2013

4.8k views

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If: If you have bulimia, it doesn't work the way you want it to. Therapy can work the way you need it to.

Answered 11/6/2013

4.8k views

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Dr. Alan Koenigsberg answered

Specializes in Psychiatry

Get: Get a thorough evaluation from a psychiatrist to determine if there are any early signs of illness.

Answered 10/13/2015

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Dr. Alan Koenigsberg answered

Specializes in Psychiatry

A: A thorough evaluation by a psychiatrist will be the best start for effective treatment.

Answered 10/19/2015

4.8k views

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Ignore: Don't try to make your eating disorder's voice go away with medication. It will not stop that way.

Answered 11/16/2013

4.7k views

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Ignore: If you're not doing it now, don't start. If doing it now, it really is a problem so get help.

Answered 4/13/2016

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Ignore: Look towards getting help from support groups or therapist. Most people cannot do it by theirselves.

Answered 11/24/2013

4.7k views

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Dr. Michael Wexler answered

Specializes in Cosmetic Dentistry

Ignore: Make sure you swish your mouth with water in order to neutralize the acid and lessen damage to teeth.

Answered 11/24/2013

4.7k views

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Dr. Manami Yamaguchi answered

Specializes in Dentistry

Ignore: Do not brush teeth right after throwing up, as the enamel gets thin too fast from acid and brushing.

Answered 11/25/2013

4.7k views

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Dr. Manami Yamaguchi answered

Specializes in Dentistry

Ignore: This is from dentist's point of view, but please share that with your dentist to get custom care.

Answered 11/25/2013

4.7k views

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Dr. Jeffrey Bassman answered

Specializes in Dentistry

Ignore: Bulimia can severely damage the teeth due to acidity.

Answered 12/16/2013

4.7k views

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Dr. Syed H. Sajid answered

Specializes in General Adult Psychiatry; Child & Adolescent Psychiatry ( 1 yr. Fellowship), sees all types of patients for Medication Management from ages 6-99yo

Ignore: Parents should provide healthy ; balanced diet to their kids, build self esteem and self acceptance.

Answered 12/21/2013

4.7k views

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Ignore: Do not brush your teeth after vomiting; the softened enamel will disappear. Rinse w/ baking soda.

Answered 12/27/2014

4.6k views

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Ignore: Eating disorder support groups are available! find others who have suffered. You can help each other.

Answered 12/29/2013

4.6k views

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Ignore: A good therapist should elucidate the causes behind it.

Answered 12/29/2013

4.6k views

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Dr. Arthur Heller answered

Specializes in Gastroenterology

Ignore: Use soft bristle toothbrush, baking soda/low abrasion toothpaste cognitive rx; meds can help.

Answered 1/4/2014

4.6k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

Ignore: Don't brush your teeth immediately after vomiting. That will spread the acid and decay your teeth.

Answered 1/6/2014

4.6k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

Don't: Don't brush your teeth immediately after vomiting. That will spread the acid and decay your teeth.

Answered 1/6/2014

4.6k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

Don't: Don't brush your teeth immediately after vomiting. That will spread the acid and decay your teeth.

Answered 1/6/2014

4.6k views

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Dr. Tod Haller answered

Specializes in Ophthalmology

Don't: Don't brush your teeth immediately after vomiting. That will spread the acid and decay your teeth.

Answered 1/6/2014

4.6k views

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Ignore: Eating breakfast ; meals on a regular schedule can reduce urges to overeating ; purge.

Answered 1/22/2014

4.6k views

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Ignore: Medications can be very effective in treating bulimia.

Answered 1/22/2014

4.6k views

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Dr. Martin Fried answered

Specializes in Nutrition

Ignore: Do seek professional help from an expert in food eating disorders.

Answered 1/31/2014

4.5k views

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Dr. Martin Fried answered

Specializes in Nutrition

Ignore: If you feel like compulsively overeating and purging, see a professional before it becomes a habit.

Answered 2/7/2014

4.5k views

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Ignore: Counseling is a good start . Often it is a feeling that you don't have control. Misplaced control.

Answered 2/23/2014

4.4k views

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Dr. Jason Siefferman answered

Specializes in Pain Management

Ignore: Ask yourself what feelings you're trying to avoid by eating, and why do you have those feelings?

Answered 2/28/2014

4.4k views

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Dr. Jeffrey Bassman answered

Specializes in Dentistry

Ignore: Consider that you may require physical and psychological therapy to treat bulimia. Motivation is key.

Answered 3/3/2014

4.4k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Work with the support group that allows you to see yourself at a healthy weight.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: When you get the feeling wing of purging, call your support buddy.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Don't stockpile favorite foods you like to purge.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Eat your meals with everyone present, so you won't have the urge to get up and purge.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Feel in your body that you are whole and love yourself.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Eat small meals during the day to avoid purging.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Journal daily about your relationship to food in your need for control over your environment.

Answered 9/29/2016

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: When eating out, eat smaller portions to avoid over eating and the need to purge.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Share your feelings openly about your relationship to food ; what your soul needs to nourish itself.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Make every day count take one step at a time.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Honor yourself and know that food is good for you not evil.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Begin meditation on having a whole and happy, healthy body.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Give up control over food, and begin the process of loving yourself enough to nourish your body now.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Celebrate every victory for each pound that you're able to keep on you, and not purge.

Answered 9/29/2016

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Make sure to check in with your medical team, and buddy, to keep your mind focused and on track.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Don't criticize a person with bulimia unless you've walked in their shoes.

Answered 3/31/2014

4.3k views

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Dr. Jan Lei Iwata answered

Specializes in Ophthalmology

Ignore: Patients with bulimia need stepwise support on how they can accomplish both small and large victories for themselves without pressure.

Answered 3/31/2014

4.3k views

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Ignore: Do get physical evaluation & psych Rx ASAP This is a life threatening condition Don't minimize it.

Answered 7/27/2014

3.8k views

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Dr. Daniela Torres answered

Specializes in Medicina General

Ignore: No presionar nunca a los pacientes con bulimia a pesarse.

Answered 2/22/2020

99 views

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