• Preoccupation with food, weight, and body shape/size

• Restricting food intake

• Intense fear of gaining weight or of being fat

• Persistent behaviors to manipulate weight

• Heavy influence of weight and perceived body image on self-esteem

• Being considerably underweight for age and height

• Distorted body imageLow self-esteem

• Eating habits interfering with normal social functions

• Rapid weight change

• Cutting out food groups

• Significant weight loss/low body weight

• Failure to gain weight in children

• Denial of severity of low weight

• Fixation on "healthy eating"

• Excuses for not eating/denial of hunger

• Food rituals

• Eating large amounts of food rapidly

• Eating until uncomfortably/painfully full

• Lack of control over eating

• Feelings of distress, shame, embarrassment, disgust, or guilt related to food and size

• Secretive eating and/or missing food

• Visits to the bathroom after meals

• Weight fluctuations

• Excessive and compulsive exercise regime

• Hiding food

• Use of purging behaviors, such as vomiting, excessive exercise, laxative or diuretic use

• Eating items that are not considered food

• Perfectionism

• Anxiety

• Depression

• Self-injury

• Social isolation

• Intense, dramatic mood swings

• Control issues

• Sleep difficulties

• Memory loss

• Self-medicating with food

• Self-criticism

• Extreme pickiness in choosing food

• Difficulty chewing food

• Lack of appetite

• Anxiety presented with "fear" foods

• Vomiting or gagging after exposure to certain foods

• Dependence on nutritional supplements

• Avoidance of specific food items as related to sensory features

• Pale appearance/yellowish skin-tone*

• Thin, dull, and dry hair, skin, and nails*

• Cold intolerance/hypothermia*

• Fatigue/dizziness/fainting*

• Low blood pressure*

• Anemia (iron deficiency)*

• Poor circulation in extremities*

• Gastrointestinal problems*

• Muscle loss and weakness*

• Abnormally slow and/or irregular heatrbeat*

• Irregular or loss of menstruation*

• Weak or brittle bones/osteoporosis/osteoarthritis*

• Swelling*

• Growth of fine, downy hair (lanugo)*

• Decreased growth hormone which may lead to delayed physical maturation*

• Decreased estrogen/testosterone/thyroid hormone*

• Infertility*

• Electrolyte imbalance*

• Swollen parotid glands in cheeks and neck*

• Discoloration and/or staining of the teeth*

• Broken blood vesels in eyes and/or face*

• Calluses on the back of the hands/knuckles*

• Sore throat*

• Heartburn/acid reflux*

• Dehydration*

• Gastric rupture*

• Inflammation and possible rupture of the esophagus*

• Development of peptic ulcers*

• Pancreratitis (inflammation of the pancreas)*

• Stomach pain and bloating*

• Constipation and diarrhea*

• Cathartic colon*

• Hemorrhoids*

• Tooth decay/gum disease*

• Kidney and liver damage*

• Cardiac arrest*

• Lipid abnormalities*

• Heart disease*

• Gallbladder disease*

• Joint and muscle pain*

• Sleep apnea*

• Low blood sugar*

• Hair loss*

• Growth failure*

* It is important to note that there are several severe physical implications of disordered eating. It is crucial to discuss any physical symptoms with a medical professional.