Binge eating Secretive eating (food missing) Bathroom visits after eating Vomiting Laxative, diet pill or diuretic abuse Weight fluctuations (usually with 10-15 lb range) Swollen glands Broken blood vessels Harsh exercise regimes Fasting Mood swings Depression Severe self-criticism Self-worth determined by weight Fear of not being able to stop eating voluntarily Self-deprecating thoughts following eating Fatigue Muscle weakness Tooth decay Irregular heartbeats Avoidance of restaurants, planned meals or social events Complains of sore throat Need for approval from others Substance abuse