Obvious visible signs of extreme weight loss, usually over a relatively short period of time. "Russell's Sign," which is a scarring of the knuckles resulting from the forcing the fingers down the throat to bring on the gag response to forced vomiting. Lanugo, which refers to the appearance of a fine hair, soft to the touch, on the face and body. The obsessive/compulsive fixation with calories and the fat content in food. An extreme fear of gaining weight or becoming fat.
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