What can I expect when I first seek treatment for bulimia?
The medical treatments involve careful physical examination and laboratory examination and there we look for evidence of mineral depletion, especially potassium depletion, anaemia. We look for evidence of protein malnutrition, weakness along with the medical, we have dental examinations. We look for abnormalities in the teeth. We also look for osteoporosis which can occur when menstrual cycle declines in anorexia nervosa due to the weight loss and restriction. This lowers estrogen which then leads to mineral depletion in the bones. So we often get certain X-rays to help us there. The paediatrician and physician needs to be an integral part of the treatment. We also monitor the weight gain as it occurs and also the changes in the laboratory findings. One other measure we take is body composition, the percentage of water, fat and muscle in the body. In order for the body to return to total normal endocrine functioning you need a certain percentage of fat, like 17% or 18% for menses to occur. That has to be monitored very carefully, as well.