To hide this flaw from others, they feel they must be perfect on the outside. When they discover that this in not achievable, the need for control over some aspect of there life becomes overwhelming. The eating disorder starts to emerge. If they can t control what goes into their mouth, at least they can control what goes out. A ritualistic behavior around food starts to develop.
Most sufferers develop an extreme aversion to fat.
They usually will not eat anything with even a trace of fat. There is no organ system that remains untouched by Bulimia. A lot of times, these side effects are irreversible. If the illness is treated early enough, many of the severe side effects can be avoided altogether. Strict monitoring has to be done during and after recovery to ensure the most effective treatment is being used.