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[loveandbees]

I am a lazy purger. When I was younger and thinner I would throw up everything I ate without fail, and as soon as I had eaten it. I do it now when I feel full or unhappy with myself, so it is often acidic and unpleasant coming up, and I have been wondering recently just how effective vomiting is, in regards to weight loss. Clearly it is not

Comments

[shinygobonkers]

not necessarily, though true in some cases no doubt. really the ONLY distinction between those diagnosis wise is weight. If someone has massive binges, but purges efficiently and manages to get down, in that fashion, to a below anorexia cutoff BMI, they will be diagnosed as purge type anorexic. its really not that unheard of/people on communities here have been in just that scenario.

[laja_89]

I think they are the same. I was considered a purging bulimic until my weight got very low and my diagnosis changed to b/p subtype anorexic. I was b/ping constantly.

[yasdnil723]

In academic lectures I’ve heard on eating disorders in psych classes (about 3 have covered it now) professors will acknowledge the b/p anorexic subtype but hedge it very much by saying like “but to an anorexic, a normal meal might be considered a binge or they might just eat little bits of food and purge that.” It’s like they have this idea that anorexics can’t really binge like the normal/overweight bulimics when clearly that is not the case…

[oatmealshrapnel]

actually, it's almost the opposite in a lot of cases. when i was at anorexic weights i had actually the largest binges in my history. as in, more than five times larger than the binges I would have at higher "normal"weights. I think malnutrition has a lot to do with it

[loveandbees]

Hah yes, it is odd how people are often under that assumption.

[spyral_path]

Just want to repeat what everyone else said. The only difference between a purging anorexic and a bulimic is weight. That's the way the diagnosis is written.

[vnc_00]

Yes yes yes. Exactly.