Eating Disorders in Women: Symptoms, Causes, and Treatment Options

Eating disorders in women are serious, but recovery is possible. Recognizing the signs early can help you get support sooner. This guide covers common symptoms, anorexia and bulimia, and effective treatment options for women seeking help.

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Prevalence and Impact of Eating Disorders in Women

Eating disorders are more than twice as common in females compared to males, with a lifetime prevalence rate of 8.60% among women overall [1][2]. Specific disorders such as anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) affect women at rates of approximately 0.9%, 0.5%, and 1.6%, respectively [2]. The high prevalence underscores the critical need for awareness, early recognition, and specialized treatment tailored for women. These disorders can profoundly affect physical health, emotional well-being, and quality of life.

Which Eating Disorders Do Women Struggle With?

Women can struggle with several types of eating disorders. These disorders can affect people of any gender, but some are more commonly diagnosed in women.

  • Anorexia nervosa is an eating disorder involving severe restriction of food intake, an intense fear of gaining weight, and a distorted perception of one’s body or weight. It can lead to significant weight loss and serious physical health complications.
  • Bulimia nervosa involves repeated episodes of binge eating, followed by behaviors intended to prevent weight gain, such as self-induced vomiting, excessive exercise, or misuse of medications. People with bulimia may be at an average or higher body weight, so it is not always visibly apparent.
  • Binge-eating disorder (BED) involves recurring episodes of eating unusually large amounts of food while feeling unable to control the eating. Unlike bulimia, binge-eating disorder does not regularly involve behaviors such as vomiting or excessive exercise to compensate for eating.
  • Avoidant/Restrictive Food Intake Disorder (ARFID) involves significantly limiting or avoiding food because of factors such as lack of interest in eating, sensitivity to food characteristics (such as texture or smell), or fear of negative consequences like choking or becoming sick. It is not primarily driven by concerns about body weight or appearance.
  • Other Specified Feeding or Eating Disorder (OSFED) describes clinically significant eating-disorder symptoms that do not meet all the criteria for another specific disorder. Examples can include atypical anorexia nervosa, in which a person has anorexia symptoms but remains within or above a typical weight range.
  • Pica involves repeatedly eating substances that are not normally considered food and have little or no nutritional value, such as dirt, paper, or soap. It can occur alongside other medical or mental-health conditions.
  • Rumination disorder involves repeatedly bringing food back up after eating and then rechewing, reswallowing, or spitting it out. It is different from vomiting caused by a medical condition or from the compensatory vomiting associated with bulimia.

Unique Biological and Hormonal Risk Factors & Causes in Women

Women experience unique risk factors related to fluctuations in reproductive hormones such as estrogen and progesterone. Key life stages such as puberty, pregnancy, postpartum, and perimenopause trigger hormonal changes that can contribute to the development or exacerbation of eating disorders [3]. Additionally, biological factors such as genetic predisposition and neurotransmitter imbalances interact with these hormonal cycles, increasing vulnerability.

Unique Biological and Hormonal Risk Factors in Women_

Our Levels of Care

Every person's journey is unique. We offer personalized treatment programs designed to meet you where you are and support you every step of the way near Dallas, Texas in Weatherford.

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Residential Treatment

24/7 inpatient eating disorder treatment providing structured, medically supported care in a safe, healing environment.

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Outpatient Treatment

Daytime eating disorder treatment offering intensive support while allowing clients to live at home and maintain daily responsibilities.

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Partial Hospitalization

High-level eating disorder treatment combining daily clinical care with increased flexibility outside of inpatient treatment.

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Intensive Outpatient

High-level eating disorder treatment combining daily clinical care with increased flexibility outside of inpatient treatment.

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Virtual Outpatient

Fully online eating disorder treatment delivering structured therapy and nutrition support from the comfort of home.

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Aftercare

Ongoing eating disorder recovery support designed to maintain progress and reduce the risk of relapse after treatment.

Our Approach

Evidence-Based Care with Heart

We combine the latest research with compassionate, individualized care. Our multidisciplinary team works together to address the physical, emotional, and psychological aspects of eating disorders.

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Cognitive Behavioral Therapy

Identify and change harmful thought patterns and behaviors.

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Dialectical Behavior Therapy

Build skills for emotional regulation and distress tolerance.

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Trauma-Informed Care

Address underlying trauma in a safe, supportive environment.

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Infographic showing social and cultural factors contributing to eating disorders in women, including media influence and body image pressures

Social and Cultural Influences on Eating Disorders in Women

Social pressures around thinness and idealized body image are critical environmental factors impacting women’s risks for eating disorders. Media portrayals and cultural norms often emphasize slenderness as a standard of beauty, which can lead to body dissatisfaction and unhealthy weight control behaviors. These influences disproportionately affect females, contributing to the higher prevalence of eating disorders in women.

Clinical Features and Female-Specific Symptoms

Female eating disorder symptoms often include both psychological and physical signs. Common clinical features are amenorrhea (loss of menstrual periods), osteoporosis or bone density loss due to hormonal imbalances, fertility challenges, and lanugo-a fine layer of body hair often seen in anorexia nervosa [4]. Psychological symptoms include intense fear of gaining weight, distorted body image, and compulsive behaviors related to food intake. Other symptoms may include:

  • Noticeable changes in eating habits, such as skipping meals, avoiding certain foods, or eating very small portions
  • Frequent dieting, calorie counting, or strong preoccupation with food, weight, or body shape
  • Excessive or compulsive exercise, especially when feeling guilty about missing a workout
  • Frequent trips to the bathroom after meals, which may be associated with purging
  • Changes in weight that may be significant or rapid
  • Dizziness, fatigue, weakness, or feeling cold frequently
  • Hair thinning or hair loss, dry skin, or brittle nails
  • Social withdrawal or avoiding meals with others
  • Feelings of guilt, shame, anxiety, or distress surrounding eating
  • Difficulty concentrating, irritability, or noticeable changes in mood
  • Binge-eating episodes characterized by feeling unable to control eating
  • Using vomiting, fasting, excessive exercise, or other behaviors to compensate after eating
Clinical Features and Female-Specific Symptoms_

Signs Eating Disorder Treatment is Right for You

  • Food occupies a lot of your thoughts: You frequently think about calories, meals, weight, or what you “should” or “shouldn’t” eat.
  • You feel out of control around food: You experience recurring binge-eating episodes or feel unable to control your eating.
  • You restrict food regularly: You skip meals, severely limit portions, or avoid entire food groups because of fear of weight gain.
  • You use compensatory behaviors: You regularly vomit, fast, excessively exercise, or use other methods to compensate for eating.
  • Your body image causes significant distress: You frequently feel uncomfortable with or critical of your body or appearance.
  • Eating affects your daily life: Food-related concerns interfere with school, work, relationships, social activities, or other responsibilities.
  • You notice physical changes: Symptoms such as fatigue, dizziness, feeling cold, menstrual changes, or other physical problems may indicate that your eating patterns are affecting your health.
  • You feel anxious or guilty after eating: Strong feelings of shame, fear, or guilt surrounding meals can be a sign that additional support could help.
  • You have tried to change on your own without success: Repeated attempts to change eating behaviors that don’t last may indicate that professional support is appropriate.
  • Someone you trust has expressed concern: Friends, family members, teachers, or healthcare providers noticing changes in your eating or behavior can be an important reason to seek an evaluation.

Specialized Programs

We understand that different ages and situations require different approaches. Our specialized programs are tailored to meet specific needs.

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Inclusive eating disorder treatment providing affirming, holistic care for individuals in the LGBTQ+ community.

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Professionals Program

Specialized eating disorder treatment for professionals balancing recovery with work responsibilities, high stress, and the demands of daily life.

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College Students Program

Specialized eating disorder treatment for professionals balancing recovery with work responsibilities, high stress, and the demands of daily life.

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Complex Long Standing Program

Specialized eating disorder treatment for individuals with a long-standing or treatment-resistant history, focused on sustainable progress and renewed hope.

Comparing Anorexia Nervosa and Bulimia Nervosa in Women_

Comparing Anorexia Nervosa and Bulimia Nervosa in Women

Anorexia nervosa and bulimia nervosa are two of the most common eating disorders affecting women. While both disorders involve disruption in eating behaviors and body image, their clinical presentations and health impacts vary. Below is a comparison table outlining key differences.

Comparison chart showing key differences between anorexia nervosa and bulimia nervosa symptoms in women

Eating Disorders During Pregnancy and Postpartum

Approximately 1 in 20 pregnant women is at risk of developing or relapsing into an eating disorder during pregnancy [5]. Hormonal fluctuations combined with body changes and societal expectations can increase vulnerability. Eating disorders during pregnancy pose risks to both maternal and fetal health, including nutrition deficiencies and obstetric complications. Early detection and specialized eating disorder treatment for women during this period are vital.

Infographic explaining eating disorder risks and recovery support during pregnancy and postpartum periods for women

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Conditions We Treat

We provide specialized care for all types of eating disorders across the Dallas–Fort Worth area.

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Anorexia Nervosa

A restrictive eating disorder marked by fear of weight gain and distorted body image, requiring comprehensive medical, nutritional, and therapeutic care.

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Bulimia Nervosa

An eating disorder involving cycles of binge eating and compensatory behaviors, often driven by emotional distress and body image concerns.

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Binge Eating Disorder

Characterized by repeated episodes of eating large amounts of food with a sense of loss of control, without compensatory behaviors.

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Compulsive Overeating

Recurrent episodes of overeating driven by emotional distress rather than physical hunger. Treatment helps address emotional triggers, reduce shame, and develop healthier coping strategies.

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Body Dysmorphia

Persistent distress about perceived flaws in appearance that impact daily life. Treatment focuses on improving body image and reducing obsessive thoughts through structured therapeutic support.

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Orthorexia

An unhealthy fixation on eating “clean” or “healthy” foods that leads to rigid rules and anxiety around meals. Treatment promotes flexibility, balanced nutrition, and a more sustainable relationship with food.

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Co-Occurring Disorders

An eating disorder occurring alongside conditions such as anxiety, depression, or trauma. Treatment addresses both concerns together to support lasting recovery and emotional stability.

ARFID & Other Disorders

Includes avoidant or restrictive eating patterns and other specified feeding or eating disorders that require individualized treatment approaches.

Comorbid Mental Health Conditions_

Comorbid Mental Health Conditions

Eating disorders in women frequently co-occur with other psychiatric conditions. Studies indicate mood disorders are present in about 27.8% of women with eating disorders, along with high rates of anxiety disorders, post-traumatic stress disorder (PTSD), and obsessive-compulsive disorder (OCD) [4]. Addressing these comorbidities as part of a comprehensive treatment approach improves long-term outcomes and supports full recovery.

Effective Eating Disorder Treatment for Women

Levels of care for eating disorders vary depending on the severity of symptoms and the person’s medical and psychological needs. Outpatient care allows individuals to live at home while attending regular therapy, medical appointments, and nutritional counseling. Intensive outpatient programs (IOP) provide more frequent treatment while still allowing individuals to maintain many daily activities outside of treatment. Partial hospitalization programs (PHP) provide structured treatment for several hours a day, often most days of the week, while the individual returns home at night. Residential treatment provides 24-hour support in a specialized setting for people who need a highly structured environment but do not require hospitalization. Inpatient hospitalization is the highest level of care and may be necessary when an eating disorder causes serious medical or psychiatric complications requiring continuous monitoring and stabilization.

Evidence-based treatment strategies for eating disorders in women include a multidisciplinary approach combining medical monitoring, nutritional rehabilitation, and psychotherapy. Cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT) are often utilized to address underlying thought patterns and emotional regulation. Specialized programs consider female-specific risk factors such as hormonal influences and reproductive health. Long-term studies show recovery rates up to 78.4% after approximately eight years with appropriate care [6]. Early intervention greatly improves prognosis and quality of life. Treatment therapies may include:

  • Cognitive Behavioral Therapy (CBT): Helps identify and change unhealthy thoughts and behaviors related to food, weight, and body image.
  • Enhanced Cognitive Behavioral Therapy (CBT-E): A specialized form of CBT that focuses specifically on eating-disorder behaviors and the thoughts that maintain them.
  • Dialectical Behavior Therapy (DBT): Teaches skills for managing difficult emotions, stress, and impulsive behaviors that may contribute to disordered eating.
  • Family-Based Therapy (FBT): Involves family members in supporting recovery and establishing healthier eating patterns, particularly for adolescents.
  • Interpersonal Psychotherapy (IPT): Focuses on relationships and social difficulties that may contribute to or worsen eating-disorder symptoms.
  • Acceptance and Commitment Therapy (ACT): Helps people develop a healthier relationship with difficult thoughts and feelings while focusing on personal values and meaningful activities.
  • Group Therapy: Provides a supportive environment where people can work on recovery with others experiencing similar challenges.
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What to Expect During Eating Disorder Treatment for Women

Eating disorder treatment provides structure and support while helping women rebuild a healthy relationship with food, their bodies, and daily life. A typical day may include scheduled meals and snacks, individual or group therapy, nutrition education, medical monitoring, and time to practice coping skills. The exact routine depends on the level of care and the individual’s needs.

During the first week, the main goals are usually safety, medical assessment, establishing a regular eating routine, and beginning to identify thoughts and behaviors connected to the eating disorder. Patients may meet with a therapist, dietitian, and medical provider to create an individualized treatment plan. Weeks 2–4 often focus on increasing consistency with meals, challenging unhealthy beliefs about food and body image, developing coping skills, and reducing behaviors such as restriction, binge eating, or purging. Weeks 4–8 and beyond may focus on building independence, managing triggers, practicing eating in different situations, improving relationships and daily functioning, and preparing for life outside of intensive treatment. Progress can vary, so treatment plans and goals may be adjusted throughout recovery.

By the end of treatment, the goal is not simply to change eating habits but to develop skills that support long-term recovery. Patients may have a more consistent eating pattern, improved ability to recognize and respond to hunger and fullness cues, healthier coping strategies, reduced eating-disorder behaviors, and greater ability to handle body-image concerns and challenging situations. Before transitioning to a lower level of care, the treatment team typically develops an aftercare or relapse-prevention plan, which may include continued therapy, nutritional support, medical follow-up, and strategies for recognizing early warning signs.

Are Medications Used in Eating Disorder Treatment in Women?

Medications can be used as part of eating disorder treatment, usually alongside therapy, nutritional support, and medical monitoring. Fluoxetine (Prozac) is FDA-approved for the treatment of bulimia nervosa and can help reduce binge-eating and purging behaviors. Lisdexamfetamine (Vyvanse) is FDA-approved for moderate-to-severe binge-eating disorder in adults and may reduce the frequency of binge-eating episodes. Other medications, including antidepressants such as SSRIs, may be prescribed off-label to help manage symptoms of bulimia, binge-eating disorder, or related conditions such as depression and anxiety. Olanzapine may sometimes be used in the treatment of anorexia nervosa, but it is not FDA-approved specifically for anorexia. Currently, there are no FDA-approved medications specifically for anorexia nervosa or ARFID, so treatment for these disorders primarily focuses on psychotherapy, nutritional rehabilitation, and medical care.

How Long is Eating Disorder Treatment?

The length of eating disorder treatment varies depending on the person’s symptoms, medical needs, and response to treatment. Outpatient treatment may last several months to a year or longer, with appointments typically occurring weekly or several times per month. Intensive outpatient programs (IOP) commonly last about 6–12 weeks, although some people may need several months of care. Partial hospitalization programs (PHP) often last approximately 3–8 weeks, depending on progress and medical needs. Residential treatment may range from about 1–3 months, with some individuals requiring longer stays. Inpatient hospitalization is generally intended for short-term medical or psychiatric stabilization and may last approximately 1–3 weeks, although the length can vary considerably based on the person’s condition. Factors that can affect treatment length include the severity and duration of the eating disorder, medical complications, nutritional status, co-occurring mental-health conditions, age, support system, and response to treatment. After intensive treatment, many people continue with outpatient therapy and medical or nutritional support to maintain recovery and reduce the risk of relapse.The length of eating disorder treatment varies depending on the person’s symptoms, medical needs, and response to treatment. Outpatient treatment may last several months to a year or longer, with appointments typically occurring weekly or several times per month. Intensive outpatient programs (IOP) commonly last about 6–12 weeks, although some people may need several months of care. Partial hospitalization programs (PHP) often last approximately 3–8 weeks, depending on progress and medical needs. Residential treatment may range from about 1–3 months, with some individuals requiring longer stays. Inpatient hospitalization is generally intended for short-term medical or psychiatric stabilization and may last approximately 1–3 weeks, although the length can vary considerably based on the person’s condition. Factors that can affect treatment length include the severity and duration of the eating disorder, medical complications, nutritional status, co-occurring mental-health conditions, age, support system, and response to treatment. After intensive treatment, many people continue with outpatient therapy and medical or nutritional support to maintain recovery and reduce the risk of relapse.

How Much Does Eating Disorder Treatment Cost for Women in Texas?

The cost of eating disorder treatment in Texas can vary widely depending on the level of care, length of treatment, treatment facility, insurance coverage, and the individual’s medical and nutritional needs. As general self-pay estimates, outpatient treatment may cost around $100–$300+ per therapy or nutrition visit, while intensive outpatient (IOP) programs may range from approximately $5,000–$15,000+ per month. Partial hospitalization (PHP) can cost roughly $10,000–$30,000+ per month, while residential treatment may range from about $20,000–$50,000+ per month. Inpatient hospitalization can be considerably more expensive, potentially reaching tens of thousands of dollars for a hospital stay, depending on medical needs and length of hospitalization.

Does Insurance Cover Eating Disorder Treatment for Women?

Yes, many health insurance plans cover at least some eating disorder treatment, including therapy, outpatient care, IOP, PHP, residential treatment, and inpatient care. Coverage varies by individual plan, so having insurance does not necessarily mean every level of care or treatment facility will be covered. In Texas, major insurance providers that may cover eating disorder treatment include Blue Cross Blue Shield of Texas, Aetna, Cigna, UnitedHealthcare/Optum, Humana, Molina Healthcare, and Superior HealthPlan.

Differences Between Eating Disorders in Men & Women

Eating disorders can affect people of all genders, and the core symptoms are often similar. However, there can be differences in how eating disorders develop, present, and are recognized in men and women. Women are more likely to experience concerns centered on thinness, weight loss, and body dissatisfaction, while men may be more likely to focus on muscularity, leanness, or achieving a specific body shape. Men may also use excessive exercise, restrictive eating, or supplements in an effort to change their physique. Some symptoms, such as menstrual changes, fertility problems, and loss of bone density, are more specific to women, while men may experience decreased testosterone, reduced sex drive, or other hormonal changes. Eating disorders in men may also be underrecognized because they do not always fit common stereotypes about eating disorders.

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Real People, Real Results

Common symptoms include significant changes in weight or eating habits, amenorrhea (missed periods), excessive concern about body image or weight, signs of malnutrition like fatigue or lanugo, and emotional symptoms such as anxiety or mood swings.

Hormonal fluctuations during puberty, pregnancy, postpartum, and perimenopause influence brain chemistry and body regulation in ways that can trigger or worsen eating disorders in women. Estrogen and progesterone play key roles in appetite, mood, and stress response.

Yes, eating disorders like anorexia can disrupt menstrual cycles and reduce estrogen levels, leading to fertility challenges. Early treatment can help restore hormonal balance and improve reproductive health.

Approximately 1 in 20 pregnant women are at risk of developing or experiencing a relapse of an eating disorder. Pregnancy-related body changes and emotional stress increase vulnerability, making early screening and treatment essential.

Treatment typically involves a team of healthcare professionals providing medical care, nutritional support, and psychotherapeutic interventions tailored to women’s unique biological and psychological needs. Long-term follow-up helps sustain recovery.

With appropriate treatment, long-term recovery is possible for more than 78% of women after about eight years. Timely intervention and comprehensive care improve the chances of full recovery and better quality of life.

Why Choose Eating Disorder Solutions Near Dallas?

Eating Disorder Solutions near Dallas offers compassionate, evidence-based care in a peaceful, home-like setting designed to help clients feel safe, supported, and understood. Our multidisciplinary team provides individualized treatment across multiple levels of care, blending clinical excellence with real-world recovery skills that translate beyond treatment. With a strong focus on nutrition, therapy, and long-term healing, we help clients build a sustainable path to recovery, not just short-term progress.

Women's Eating Disorder Treatment Glossary

Eating disorders disproportionately affect women due to a complex intersection of biological, hormonal, and societal factors. Understanding the clinical terminology specific to women’s health can help in recognizing symptoms and seeking specialized care. Below are key terms discussed on this page:

The abnormal absence or loss of menstrual periods. The page notes that this is a common physical symptom of eating disorders in women, particularly anorexia nervosa, caused by the severe hormonal imbalances resulting from inadequate nutrition.

A condition where bones become weak and brittle, often leading to osteoporosis. In women with eating disorders, this severe physical complication is frequently driven by prolonged nutritional deficiencies and the disruption of reproductive hormones like estrogen.

Significant changes in the body’s levels of reproductive hormones, such as estrogen and progesterone. The page highlights that key life stages—including puberty, pregnancy, postpartum, and perimenopause—trigger hormonal shifts that can contribute to the development or relapse of an eating disorder.

An unrealistic and often unattainable standard of physical appearance heavily promoted by cultural norms and media portrayals. The page emphasizes that social pressure to conform to this standard disproportionately affects females, driving body dissatisfaction and unhealthy weight control behaviors.

A fine, downy layer of body hair that grows in an attempt to insulate the body. The page notes that this is a specific physical symptom often seen in women suffering from severe anorexia nervosa as the body struggles to maintain its core temperature.

The potential health complications faced by a pregnant woman and her developing fetus. The page warns that eating disorders during pregnancy pose severe risks, including nutritional deficiencies and obstetric complications, making early detection and specialized treatment vital.

The overall health and function of the female reproductive system. The page highlights that specialized eating disorder programs for women must address female-specific risk factors, including the impact of disordered eating on fertility, menstrual cycles, and pregnancy.

Eating Disorder Recovery References

[1] National Eating Disorders Association (NEDA) — Eating Disorder Statistics — https://www.nationaleatingdisorders.org/statistics/

[2] National Institute of Mental Health (NIMH) — Eating Disorders Statistics — https://www.nimh.nih.gov/health/statistics/eating-disorders

[3] Klump KL et al. — The Role of Reproductive Hormones in Eating Disorders (PMC3622542) — https://pmc.ncbi.nlm.nih.gov/articles/PMC3622542/

[4] Sharan P. — Eating Disorders in Women. Indian J Psychiatry, 2015 (PMC4539873) — https://pmc.ncbi.nlm.nih.gov/articles/PMC4539873/

[5] Policy Center for Maternal Mental Health — Eating Disorders and Maternal Mental Health — https://policycentermmh.org/eating-disorders-and-maternal-mental-health/

[6] Wszołek M et al. — Long-Term Treatment Results in Women with Eating Disorders, 2022 (PMC10226369) — https://pmc.ncbi.nlm.nih.gov/articles/PMC10226369/

[7] MedlinePlus / U.S. National Library of Medicine — Eating Disorders — https://medlineplus.gov/eatingdisorders.html

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