The purging is usually accomplished through vomiting or using laxatives. This cycle may occur anywhere from once a month to several times a day. Bulimia is a predominately female disease usually beginning in adolescence or early adulthood. Most bulimics are high-achievers and appear friendly. Because bulimics usually keep their weight within a normal range, it is often hard to detect the problem.
Secretive food binges.
Obsessive interest in food and its attainment. Frequent fluctuations in weight. Inability to voluntarily stop eating. Excessive concern about weight. Strict dieting followed by binges.