Yu gɛt prɔblɛm wit it? (Eating Disorders) Lɛ wi tɔk bɔt dis!

Fɔ it na sɔntin we wi ɔl nɔ go ebul fɔ liv witout, nɔto so? Bɔt sɔntɛnde, wi padi biznɛs wit it kin mek wi kɔnfyus smɔl. Yu kin fil strɛs pan yu maynd ɛn bɔdi bikɔs ɔf tin dɛn lɛk aw yu de it, di we aw yu de it, ɛn di we aw yu de fil afta yu dɔn it? If na so i bi, dis na bɔt sɔntin we impɔtant to yu.

Wetin na dɛn prɔblɛm ya we pɔsin kin gɛt we i de it?

Fɔ tɔk am simpul wan, it prɔblɛm na mɛntɛl hεlth sik wae de afɛkt di we aw yu de dil wit it ɛn di we aw yu de si yu bɔdi (bɔdi imej). E kin afɛkt yu bɔdi wɛl bɔdi ɛn bak yu maynd wɛl bɔdi, ɛn sɔmtɛm kin mek yu layf de pan denja. De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, ɛn dɛn kin difrɛn bak fɔ difrɛn kayn sik. Yu kin kɔnt di kalori dɛn, stɔp di bɔku ɛn di kayn it dɛn we yu de it, ɔ it pasmak, ɔ ivin vɔmit afta yu dɔn it. Bifo yu fil gladi we yu de it, yu go fil gilti ɔ shem. Fɔ it impɔtant fɔ mek pɔsin gɛt layf. Wi ɔl gɛt wi yon spɛshal rilayshɔn wit it. Di it dɛn we yu lɛk ɛn di tin dɛn we yu nɔ lɛk na yu yon. Yu nɔ go ivin no se yu gɛt prɔblɛm wit it bikɔs yu dɔn yus to am.

Ivin if yu fil se yu dɔn stɔp pan dis saykl fɔ it, mɛmba se tritmɛnt de fɔ ɛp yu fɔ go bak na di rayt rod. If yu rɛdi, yu kin gɛt da ɛp de.

Wetin na di men kayn prɔblɛm wae de mek pɔrsin nɔr de it fayn?

Bɔku kayn prɔblɛm dɛn de we gɛt fɔ du wit it. Lɛ wi tek wan luk pan wetin dɛn bi:

• Anorexia Nervosa: Dis kin bi bay we yu nɔ de it ɛn kalori (lɛk fɔ fast yusɛf), yu de fred bad bad wan fɔ gɛt mɔ wet, ɛn yu nɔ de si yu bɔdi bad. Fɔ ɛgzampul, pɔsin kin fil lɛk se i fat pan ɔl we i rili tan. Dis na di rizin we mek dɛn kin tray fɔ kɔntrol di we aw dɛn de it di we we nɔ kɔmɔn.

• Bulimia Nervosa: Dis kin bi wae yu de drink pasmak, ɔr biliv se yu dɔn it bɔku tin, insay shɔt tɛm. Dɔn, yu kin tray fɔ pul di it kɔmɔt na yu bɔdi bay we yu de vɔmit , yuz mɛrɛsin fɔ mek yu nɔ gɛt bɛlɛ , ɔ yu de du ɛksɛsayz pasmak.

• Binge Eating Disorder : Dis kin bi bak wae yu de it pasmak ɔr de imajin se yu dɔn it bɔku it insay shɔt tɛm. Bɔt nɔto lɛk bulimia, dɛn nɔ de tray fɔ pul di it kɔmɔt. Bifo dat, shem, rigrɛt, fil gilti, ɔ pwɛl at .

• Pika: .Dis na smɔl strenj kɔndishɔn. Wan strɔng want fɔ it tin dɛn we nɔto it, fɔ ɛgzampul, chalk stik, dɔti, ɛn pent.

• Rumination Disorder: Dis na we, afta yu it, it we yu nɔ digest de kam bak na yu mɔt. Dɔn, dɛn kin chew am bak, swɛla am bak, ɔ spit am.

• Avoidant/Restrictive Food Intake Disorder (ARFID): Dis na wan sik wae de mek pipul dεn de rεstrikt di כmכnt כ ​​di kayn it dεm wae dεn de it. Dis nɔto bikɔs dɛn de wɔri bɔt aw dɛn bɔdi tan ɔ dɛn de tray fɔ lɛf fɔ it bɔku bɔku it dɛn. Dɛn nɔ kin gri fɔ it fɔ ɔda rizin (e.g., dɛn nɔ lɛk di kɔlɔ, smel, ɔ tɛkstɔr fɔ it).

Sɔntɛnde, di sem pɔsin kin gɛt pas wan kayn prɔblɛm wit in it.

Aw kɔmɔn dis prɔblɛm dɛn ya we pɔsin kin gɛt we i de it?

Dɛn tin ya rili bɔku pas aw yu go tink. Stɔdi dɛn we dɛn dɔn du na Amɛrika dɔn sho se na lɛk 28.8 milyɔn pipul dɛn go gɛt dis kayn prɔblɛm wit dɛn it sɔm tɛm na dɛn layf. Dɛn kin si dɛn kɔndishɔn ya na wi kɔntri bak.

Wetin na di sayn dɛm wae de sho se pɔrsin nɔr de it fayn?

Pan ɔl we di sayn dɛn kin difrɛn difrɛn wan bay di kayn sik, sɔm kɔmɔn tin dɛn de we yu kin si:

Di tin dɛn we pɔsin kin du wit in bɔdi:

• Di we aw yu de fil kin chenj ɔltɛm.
• Fɔ fil taya ɔltɛm ( Fatigue ).
• Faint ɔ diziz .
• Fɔ mek yu ia tan ɔ yu ia de lɔs .
• We yu de chenj yu wet we yu nɔ ɛksplen ɔ we yu de lɔs yu wet bad bad wan .
• Swet ɔ hot flash we nɔ kɔmɔn.

Di chenj dεm na di bihayvya (di bihayvya kכntribyushכn):

• Fɔ stɔp fɔ it, nɔ fɔ it sɔm it dɛn atɔl.
• Fɔ it bɔku tin insay shɔt tɛm.
• Fɔs fɔ vɔmit afta yu dɔn it ɔ yuz laxatives di rɔŋ we.
• Fɔ ɛksesaiz pasmak afta yu dɔn it.
• Fɔ go na di bafa bɔku tɛm afta yu dɔn it.
• Fɔ pul yusɛf kɔmɔt pan yu padi dɛn ɛn fɔ du tin dɛn we yu de du wit ɔda pipul dɛn.
• Fɔ ayd it, fɔ trowe am.
• Strenj abit fɔ it (e.g., fɔ it it fɔ lɔng tɛm, it sikrit wan).

I kin tranga fɔ no se pɔsin we yu lɛk gɛt dis prɔblɛm, bikɔs i kin tan lɛk se na jɔs chenj pan aw pɔsin de it ɔ aw i de liv in layf. Dɔn bak, yu nɔ go ebul fɔ no if pɔsin gɛt dis sik jɔs bay we yu luk am.

Aw pɔsin we gɛt prɔblɛm wit in it kin fil?

If yu gɛt prɔblɛm wit aw yu de it, yu kin gɛt dɛn tin ya:

• Fɔd tan lɛk ɛnimi, i tan lɛk se i go ambɔg yu.
• Afta yu dɔn it, yu kin fil lɛk se yu mek mistek, lɛk se yu du sɔntin we de mek yu shem.
• Yu fil lɛk se yu nɔ gɛt di rayt wet ɛn yu bɔdi shep nɔ rayt.
• If yu nɔ ebul fɔ rich wan patikyula wet ɔ fala sɔm lɔ dɛn bɔt it, yu kin fil lɛk se yu "fail."
• Yu fil lɛk se ɔda pipul dɛn de luk yu di rɔng we.
• Yu fil se di wangren tin we yu kin kɔntrol na yu layf na wetin yu de it ɛn aw yu de it.
• Yu nɔ want fɔ spɛn tɛm wit ɔda pipul dɛn bikɔs yu de fred se dɛn go jɔj yu.

Dɛn filin ya nɔto sɔntin we yu kin mek bay wilful. Apat frɔm di wɛlbɔdi biznɛs, wan prɔblɛm we yu de it kin rili afɛkt di we aw yu de disayd fɔ du sɔntin, aw yu de fil, ɛn aw yu kin ebul fɔ tɔk to ɔda pipul dɛn di rayt we.

Wetin na di tin dɛn we kin mek pɔsin nɔ ebul fɔ it fayn?

Dɛn nɔ no yet di rayt tin we kin mek dis apin, bɔt risach dɔn sho se bɔku tin dɛn kin mek dis apin:

• Jɛnɛtiks: Stɔdi dɔn sho se tin dɛn lɛk Anorexia Nervosa , Bulimia Nervosa , ɛn Binge Eating Disorder kin apin na famili. Dis min se if pɔrsin na yu famili gɛt dis sik, yu kin gɛt dis sik bak.

• Bren bayoloji: Kεmεkal dεm na wi bren we dεn kכl dopamin εn sεrotonin de mek wi fil gladi εn rilaks. Risach dɔn sho se dɛn kemikal ya kin wok we pɔsin de it we nɔ fayn.

• Di kɔlchɔ ɛn soshal ideal dɛm: Di prɛshɔn fɔ "fit in" wit sosayti kin afɛkt yu maynd wɛl bɔdi ɛn mek yu chenj yu bihayvya fɔ mit di gol dɛm wae ɔda pipul dɛm dɔn sɛt fɔ yu sɔmtɛm nɔr kin rili bi. Dis kin afɛkt yu sɛlf-ɛstimɛnt, mɔ na dis dijital tɛm, we yu fil lɛk se yu nɔ tan lɛk di pipul dɛn we yu de si na soshal midia, tɛlivishɔn, ɛn fim.

• Ɔda ɔndalayn mɛntɛl hεlth kכndyushכn dεm: Wae yu fil lεk yu nɔr de kɔntrol ɔda tin dεm na yu layf, yu kin tεm fɔ tek εkstrim mεzhɔ wit yu it. Fɔ tink tumɔs bɔt it fɔ bia wit di pen we yu de fil kin bi wan we we nɔ fayn fɔ bia. So, sɔm kayn prɔblɛm wae de kam pan pɔrsin wae de it kin de wit ɔda kayn mɛntɛl hεlth sik.

Udat dɛn kin gɛt prɔblɛm wit aw i de it?

Dis sik kin apin pan ɛni ej, bɔt i kin mɔs bi pan yɔŋ pipul dɛm ɛn yɔŋ pipul dɛm. Yu kin gɛt mɔ risk fɔ dis sik fɔ dɛn rizin ya:

• If ɛnibɔdi na yu famili dɔn gɛt prɔblɛm wit aw i de it ɔ ɔda prɔblɛm wit in maynd.
• If yu dɔn ɛkspiriɛns ɛni traumatik ɛkspiriɛns (bɔdi, maynd ɔ mami ɛn dadi biznɛs).
• If yu gɛt wan ɔndalayn maynd wɛl bɔdi prɔblɛm lɛk wae yu de wɔri, pwɛl hat, ɔr Obsessive-Compulsive Disorder (OCD) .
• If yu de du tin dɛm we yu bɔdi wet ɔ shep impɔtant (e.g. jimnastik, rɛslɛshɔn, swimin).
• If yu de gɛt big chenj, lɛk fɔ go na nyu skul, fɔ gɛt nyu wok, fɔ dayvɔs, ɔ fɔ muf go na os.
• If yu gɛt Tayp 1 Dayabitis . Stɔdi dɔn sho se lɛk 25% pan di uman dɛn we gɛt Tayp 1 dayabitis kin gɛt prɔblɛm wit dɛn it.
• If yu na pɔsin we want fɔ du ɔltin pafɛkt wan we de tray fɔ du ɔltin pafɛkt wan.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin nɔ de it fayn?

If yu nɔ gɛt bɔku kalori, yu vɔmit, ɔ yu de du ɛksɛsayz pasmak, dat kin rili afɛkt yu bɔdi. If dɛn nɔ trit am, pɔsin we nɔ de it fayn, i kin mek i gɛt siriɔs prɔblɛm dɛn lɛk:

• At ritm disɔda (Arrhythmia) , at pwɛl hat, ɛn ɔda at sik dɛm.
• Gastroesophageal Rifluks Disiz ɔ GERD .
• Prɔblɛm dɛn we de na di dijestiv sistɛm.
• Lɔw blɔd prɛshɔn (Hypotension) .
• Ɔgan dɛn we nɔ de wok fayn ɛn di bren we de pwɛl.
• Fɔ mek di bon dɛn tan (Osteoporosis) .
• Di wata we de kɔmɔt na di bɔdi bad bad wan ɛn we pɔsin kin gɛt kɔnstipɛshɔn.
• Amenɔria ɛn we pɔsin nɔ ebul fɔ bɔn pikin.
• Strok.
• Damej na di tit.

As mɛntɛl hεlth kɔndishɔn, yu kin de pan denja fɔ tink bɔt fɔ kil yusɛf ɔr ivin tink bɔt fɔ kil yusɛf bikɔs ɔf aw yu de fil bɔt it ɔr yu bɔdi. If yu de ɛva gɛt dɛn tin ya, duya tɔk to pɔsin we yu trɔst, ɔ go to dɔktɔ ɔ pɔsin we de advays yu bɔt yu maynd wantɛm wantɛm. Nɔto yu wan de, ɛn ɛp de.

Aw fɔ no di prɔblɛm dɛn we pɔsin kin gɛt we i de it?

Dis na aw dɔktɔ kin no dis sik:

• Na bay we dɛn de du wan ɛgzam pan pɔsin in bɔdi.
• Na bay we yu de rivyu di sayn dɛn we yu gɛt.
• Na bay we yu lan mɔ bɔt aw yu de it ɛn aw yu de du ɛksɛsayz.
• Fɔ pul ɔda mɛdikal kɔndishɔn ɔ chɛk fɔ kɔmplikeshɔn, dɛn kin ɔda fɔ du imej tɛst, blɔd ɔ urine tɛst (e.g., kidni funkshɔn tɛst, ilɛktrokadiogram - ECG ).

Dɔktɔ dɛn kin yuz di American Psychiatric Association’s DSM-5-TR (Diagnostic and Statistical Manual of Mental Disorders Fifth Edition) fɔ no bɔt dis sik.Di gayd de yuz dɛn sayn ya we de dɔŋ ya. I de tɔk bɔt di sayn dɛm wae gɛt fɔ du wit ɛni prɔblɛm wae de wit pɔrsin wae de it. Bɔt yu nɔ nid fɔ gɛt ɔl dɛn sik ya fɔ mek dɛn no se yu gɛt di sik. Dɔn bak, ilɛksɛf yu nɔ gɛt wan patikyula prɔblɛm we yu de it na dis list, yu go stil nid ɛp fɔ mek yu nɔ gɛt prɔblɛm wit yu it.

Udat kin no se pɔsin gɛt prɔblɛm wit aw i de it?

Na pipul dɛm wae sabi bɔt wɛl bɔdi biznɛs, lɛk dɔktɔ ɛn saykayatrist kin no bɔt dɛn kayn sik ya. Yu famili dɔktɔ go luk yu sayn dɛn, du yu bɔdi ɛgzam, ɛn ɔda fɔ mek dɛn du yu blɔd tɛst. Saikɔlɔjis ɔ saykayatrist go du saykilɔji evalueshɔn fɔ lan mɔ bɔt aw yu de it ɛn wetin yu biliv.

Wetin na di tritmɛnt fɔ di prɔblɛm dɛn we pɔsin kin gɛt we i de it?

Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay di kayn tritmɛnt, bɔt dɛn kin gɛt:

• Saykotɛrapi: Saykayatrist go disayd di bɛst tritmɛnt fɔ yu sik. Sɔm tin dɛn de we yu kin pik lɛk fɔ trit yu wan wan, grup, ɛn famili. Bɔrku pipul dɛm wae gɛt dis maynia sik kin pik Cognitive Behavioral Therapy (CBT) .
• Mɛrɛsin: Yu kin gɛt ɔda tin dɛn lɛk fɔ wɔri ɔ fɔ gɛt pwɛl hat, wit prɔblɛm wit aw yu de it. Dɛn kin trit dɛn sik ya wit mɛrɛsin wae de mek pɔrsin fil bad , mɛrɛsin wae de mek pɔrsin fil bad , ɔr ɔda mɛrɛsin.
• Nutrition counseling: Wan rɛjista dietitian we tren fɔ it tin dɛn we gɛt fɔ du wit it kin ɛp yu fɔ mek yu it fayn ɛn mek plan fɔ it we gɛt fayn fayn it dɛn. Dɛn kin gi yu advays bak bɔt aw fɔ go bay tin dɛn, aw fɔ plan fɔ it, ɛn aw fɔ mek it.

Di bɛst we fɔ du am na fɔ yuz wan ɔ mɔ pan dɛn tritmɛnt ya togɛda. Yu mɛdikal tim go wok togɛda fɔ mek wan kɔmprɛhnsiv tritmɛnt plan we de kɔba di bɔdi, maynd, ɛn bihayvya aspek dɛm fɔ di sik.

Ivin if yu nɔ gɛt wan patikyula prɔblɛm wit yu it, dɔktɔ kin ɛp yu fɔ kɔntrol di prɔblɛm dɛn we yu de it ɔ ɔda tin dɛn we kin afɛkt yu wɛlbɔdi.

Wetin na di lɛvɛl dɛm fɔ kia fɔ pipul dɛm wae gɛt dis maynia sik?

Difrɛn lɛvul dɛn de fɔ kia fɔ dis:

• Ɔtpeshɛnt tɛrapi (kɔnsultɛshɔn wan tɛm insay di wik).
• Intensiv ɔutpeshɛnt tɛrapi (tɛrapi bɔku tɛm insay di wik).
• Rezidenshɛl tɛrapi (ospitulayzeshɔn).

Yu dɔktɔ go tɔk to yu us lɛvul fɔ tritmɛnt we bɛtɛ fɔ yu.

Tɛrapi fɔ di prɔblɛm dɛn we pɔsin kin it

Di tritmɛnt kin fayn ɛn i kin tranga. Yu go mit wit wan thɛrapist fɔ ɛp yu fɔ ɔndastand ɛn chenj de tink wae de kɔntrol yu bihayvya ɛn filin. I kin tranga fɔ tɔk tru to pɔsin we nyu bɔt aw yu de fil. I kin tranga bak fɔ tek ɛp we yu fil lɛk se yu ebul fɔ kɔntrol di tin we de apin. Tɛrapi kin mek yu gɛt filin bak wae yu nɔr want fɔ tink bɔt. E fayn fɔ tɔk bɔt dɛn filin ya wit yu tritmɛnt, ɛn e kin ɛnkɔrej yu. Mɛmba se yu mɛdikal tim de fɔ ɛp yu we yu de trit yu.

Fɔ wɛl frɔm wan sik we dɛn kɔl Eating Disorder

Di gud nyus na dat i pɔsibul fɔ mek pɔsin wɛl ɛn op de . Di prɔblɛm wae de kam pan pɔrsin wae de it nɔr kin bɛtɛ wan nɛt. Di tritmɛnt kin tek tɛm. E dipen pan aw de sik tranga ɛn aw lɔng yu dɔn gɛt am. Yu kin si se yu sik kin bɛtɛ afta yu dɔn bigin fɔ tek mɛrɛsin ɔr tɔk to pɔrsin wae sabi yu. Yu kin fil bak se yu de wɔs bifo yu bigin fɔ wɛl. Dat na nɔmal tin. De bɛst we fɔ mek yu wɛl na fɔ woke wit yu dɔktɔ in tritmɛnt plan. Tɔk to dɛm bɔt ɛni sayd ɛfɛkt ɔ tin we de ambɔg yu we yu de gɛt. Bi ɔnɛs ɛn tɔk klia wan bɔt aw yu de fil. Dɛn kin gi yu pɔsin in yon gayd fɔ ɛp yu fɔ wɛl kwik kwik wan.

Wetin na di lukin-grɔn fɔ di prɔblɛm dɛn we pɔsin kin it?

Tritmɛnt de fɔ ɔl kayn prɔblɛm wae de mek pɔrsin nɔr de it fayn. Fɔ mek yu gɛt di bɛst rizɔlt, i impɔtant fɔ no di sik kwik ɛn bigin fɔ trit am wantɛm wantɛm. Fɔ wɛl kin tek tɛm, ɛn kin nid fɔ gɛt sɔpɔt fɔ ɔl yu layf. If dɛn nɔ trit am, di prɔblɛm dɛn we i kin gɛt we i de it kin mek i day. If yu ɔ pɔsin we yu lɛk gɛt dɛn sik ya, go to dɔktɔ.

Yu tink se dɛn go ebul fɔ avɔyd di prɔblɛm dɛn we pɔsin kin gɛt we i de it?

No we nɔ de we dɛn no fɔ mek dɛn nɔ gɛt dɛn tin ya kpatakpata. If pɔsin na yu famili gɛt prɔblɛm wit aw i de it ɔ i gɛt prɔblɛm wit in maynd, we yu no bɔt am, dat kin ɛp yu ɛn yu mɛdikal tim fɔ no ɛn trit am kwik. If yu trit yu kwik kwik wan, dat kin ɛp fɔ brok di we aw yu de biev we nɔ fayn bifo dɛn nɔ ebul fɔ kɔntrol am.

Aw fɔ ridyus di risk fɔ gɛt prɔblɛm wit aw pɔsin de it?

If yu trit kɔmɔn wɛl bɔdi ɛn maynd wɛl bɔdi prɔblɛm (e.g., pwɛl hat, wɔri, OCD ) kwik kwik wan kin ɛp fɔ ridyus yu risk fɔ gɛt prɔblɛm wit aw yu de it. If yu na mama ɔ papa ɔ pɔsin we de kia fɔ yu pikin dɛn ɛn yu no se yu famili gɛt prɔblɛm wit aw dɛn de it, na sɔm tin dɛn ya we yu kin du fɔ ɛp fɔ ridyus di prɔblɛm we yu pikin dɛn gɛt:

• Bi gud ɛgzampul.
• It fayn it dɛm ɛn nɔ kɔl it "gud" ɔ "bad."
• Nɔ tɔk bɔt "diet" wit pikin dɛn.
• Nɔ tɔk bad bɔt bɔdi.

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ pan dɛn kayn tin ya:

• If yu fil se yu de fil bad fɔ yu rilayshɔn wit it.
• If yu si se di we aw yu de it de ambɔg di tin dɛn we yu de du ɛvride.
• If yu gɛt pen na yu chɛst, i nɔ izi fɔ yu fɔ blo, ɔ yu at de bit.
• If yu kin fil bɔku tɛm fɔ mek yu ed de tɔn ɔ yu gɛt layt.
• If yu gɛt siriɔs trot we de at ɔ yu gɛt asid riflɔks.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt prɔblɛm wit it, yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn prɔblɛm wit it a gɛt?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Wetin na di risk ɛn sayd ɛfɛkt dɛm we di tritmɛnt dɛm kin gɛt?
• Us kayn fɔlɔp kia a go nid afta tritmɛnt?
• A fɔ wɔri bɔt di prɔblɛm dɛn we kin apin?

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Di prɔblɛm wit yu it na siriɔs mɛrɛsin we kin afɛkt yu maynd ɛn bɔdi wɛlbɔdi. Sɔntɛm yu nɔ go no se di we aw yu de biev de ambɔg ɔ denja bikɔs i de fil lɛk se i nɔmal fɔ yu.

If yu tink se yu gɛt prɔblɛm wit yu it, i impɔtant fɔ aks fɔ ɛp . If yu gɛt di rayt mɛrɛsin ɛn advays yu bɔt yu maynd, yu kin wɛl.

Ivin if "gɛt bɛtɛ" tan lɛk se yu de fa, yu kin ajɔst da gol de. I kin ɛp ɔltɛm fɔ gɛt sɔpɔt. Tɔk to yu padi ɔ pɔsin we yu lɛk. Bi ɔnɛs ɛn opin yu at. Di ɛnkɔrejmɛnt we dɛn kin gi yu kin bi jɔs wetin yu nid fɔ tek di fɔs step fɔ mek yu wɛl. Nɔ wɔri, nɔto yu wan de.

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` it dizayd, anorexia, mental hεlth, anorexia, bulimia, weit mεnejmεnt, nyutrishכn