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When you lose a lot of weight because you're hardly eating anything, and might over-exercise. You probably can't or don't admit how underweight you are and you may not initially look very thin, but may be far too thin to support your health. You can be so thin that every bone in your body shows, but still you feel "fat".

When you binge and purge. You eat out of control and then try to get rid of the calories. You fast, make yourself vomit, abuse laxatives, or exercise too much. These ways of purging harm your body and don't help you accomplish what you want. Your weight may go up and down a lot.

When you eat so much you're uncomfortable, eat to comfort yourself, eat in secret, or keep eating as part of a meal or between meals. You feel a lot of shame or guilt about your eating. Binge eating is also called compulsive eating. It is not the same as bulimia because you do not usually try to get rid of the food you've eaten.