Original
Significant medical problems
Depression and anxiety
Suicidal thoughts or behavior
Problems with growth and development
Social and relationship problems
Substance use disorders
Work and school issues
Death
Fatigue
Dizziness or fainting
Brittle nails
Hair that thins, breaks or falls out
Menstrual irregularities or loss of menstruation (amenorrhea)
Baby fine hair covering face and other areas of the body (lanugo)
Abnormal bowel functioning
Damaged teeth and gums
Sores in the throat and mouth
Scarring on the back of the hand/fingers used to induce purging
Swollen salivary glands (creating “chipmunk cheeks”)
Menstrual irregularities or loss of menstruation (amenorrhea)
Irritation and inflammation of the esophagus (heartburn)