How long can someone be bulimic without dying?

A 2009 study by Crow: Et al. Found "crude mortality rates were 4.0% for anorexia nervosa, 3.9% for bulimia nervosa, and 5.2% for eating disorder not otherwise specified. All-cause standardized mortality ratios were significantly elevated for bulimia nervosa and eating disorder not otherwise specified; suicide standardized mortality ratios were elevated for bulimia nervosa and eating disorder not otherwise specified.".

Depends on severity: Depends on severity. Bulemia can cause erosion of the esophagus due to acid reflux, esophageal tears due to retching with purging, and metabolic alterations associated with laxative abuse.

Long List/Big Costs: Along w/the serious physical effects dr nemeroff listed, individuals w/bulimia are at risk for other worrisome ones, incl heart & other organ damage/failure. They also often struggle w/ various addit'l psychological conditions, esp. Depression & anxiety. See http://1.Usa.Gov/11pzll6. Chasing an "ideal" u that u believe others will love comes at expense of health/happiness/relationships/career.