One of the major symptoms of extreme weight loss is having protruding bones, especially the collarbones and the chest bones. This is due to the lack of body fat on her body, leading to bone definition under the skin. Her face may also appear sunken, with protruding cheekbones, and she may look overly pale or undernourished. Eating too little over a period of time can lead to signs of fatigue like dizziness, fainting spells, and an inability to do any physical activity. Someone with anorexia may also struggle to get out of bed or to complete day to day tasks due to extremely low energy from not eating properly or not eating at all. Due to a lack of nutrients, her nails may break easily or appear brittle. As well, her hair may fall out in clumps or break off easily in large chunks. Another known symptom of anorexia is the development of fine downy hair on the face and body, a condition known as lanugo. This is due to the body's attempts to stay warm, despite a lack of nutrients and energy through eating and food. Many young women who suffer from anorexia fail to get their period or have irregular menstrual cycles. In 14-16 year old girls, this condition is known as amenorrhoea or absent periods. If a young girl develops amenorrhoea due to an eating disorder, such as anorexia, she is at risk of other health issues and should see a doctor as soon as possible.
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One-sentence summary -- Note if she appears underweight, with protruding bones and a sunken appearance. Check if she seems tired, weak, or experiences fainting spells. Notice if her nails appear brittle and her hair breaks easily or starts to fall out. Ask her if she has menstrual irregularities or does not get her period.

There are two types of cramping: primary dysmenorrhea and secondary dysmenorrhea. Primary dysmenorrhea is more common and less serious than secondary dysmenorrhea, though both kinds of cramping can cause severe pain. You can talk to your doctor about pain relief for both kinds of cramping, but if you think you are experiencing secondary dysmenorrhea you will require medical treatment and should talk to your doctor as soon as possible. Primary dysmenorrhea is more common and is caused simply by the hormones and hormone-like substances released during a menstrual cycle. Prostaglandins help the uterus shed its lining, but can also be overproduced by the body. When overproduced, prostaglandins can restrict blood flow to the uterus, causing pain. Primary dysmenorrhea can be experienced by any menstruating woman or girl, and usually starts a few days before a period begins and subsides when the period is over. Secondary dysmenorrhea, however, is caused by another underlying health issue, such as endometriosis, pelvic inflammatory disease, a sexually transmitted infection, problems with an intrauterine device (or IUD), or fibroids. Secondary dysmenorrhea is more serious, and usually affects women who have been menstruating for several years. Secondary dysmenorrhea can also cause pain even when a woman is not experiencing pre-menstrual syndrome or menstruation. If your cramps are due to endometriosis or fibroids, surgery might be necessary to eliminate your pain. If your cramps are due to pelvic inflammatory disease, you might need prescription antibiotics. If in addition to your cramps you experience other symptoms, you will have to talk to a doctor right away. These might be signals of something more serious than regular cramping: A change in your vaginal discharge Fever Sudden and sharp pains when your period is late You had an IUD inserted over several months ago and are still cramping You think you might be pregnant Your pain doesn't go away when your period is finished You should also talk to your doctor if you aren't experiencing any pain relief after making recommended changes. Your doctor might want to perform an ultrasound or laparoscopy exam to make sure you don't have cysts, infection, or other chronic health problem. Hormonal birth control of any kind (patch, ring, pill, shot) can reduce symptoms. Low-dose birth control helps reduce the production of prostaglandins, which reduces menstrual cramping. Birth control is one of the most common and recommended methods of reducing cramping medically. Hormonal birth control can cause side effects, such as deep vein thrombosis, acne, breast tenderness, and increased blood pressure. Birth control pills are, however, much safer now than birth control pills of the past, and many of the risks are very slight. Discuss any potential risks with your doctor. Even if you stop taking birth control pills after 6-12 months of use, you might still experience pain relief. Many women report a reduction in cramps even after discontinuing use of hormonal birth control. Intrauterine devices (IUDs) that contain hormones, such as Mirena, can also help treat severe cramping. Some hormonal forms of birth control also reduce the frequency of periods, so that women might only have 4 periods instead of 12 per year, and others may not experience periods at all. These types are known as continuous birth control pills, and many doctors assure that they are just as safe as other forms of hormonal birth control. Reducing the frequency of menstruation could reduce the frequency of painful cramping. While it is generally recommended that you try over-the-counter pain relievers first, it is possible that they will not be effective for you. Discuss the possibility of trying a prescription painkiller, such as mefenamic acid, with your doctor.
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One-sentence summary -- Determine what kind of cramping you are experiencing. Seek immediate medical attention if you experience worrying symptoms. Ask your doctor for a prescription for birth control. Ask your doctor for a prescription pain reliever if over-the-counter medications are not working.

With regard to the fine print of any agreement or advertisement, there will be certain questions you hope to address based on the information provided. Make a list of questions you want to find the answer to in the text and skim through it accordingly. Having clear reading goals can improve your concentration and increase your reading efficiency. For example, before reading a phone contract, ask, "What are the fees for going over the monthly data limit?". While reading all of the fine print in contracts is challenging, looking for keywords is a good way to seek out the information you need. This information may be regarding late fees, transaction fees, and any other terms that may mean you getting charged more than what you are bargaining for. Some important words and phrases to be on the lookout for are: "Automatic renewal clause": a clause allowing a company to automatically renew your contract if you do not contact them to cancel by a certain time. "Liability waiver": the company is freeing itself from all liability regarding loss or injury. "Early termination fees": this refers to the penalties established for cancelling a contract early, which can be exorbitantly high. "Unilateral amendment clause": means that the company can alter the terms of your contract at any time. If the fine print of a contract or agreement is thousands of words long and you can't commit to reading it all the way through, skip to the end. Many companies put important information about charges and fees towards the end of the fine print in their contracts, in the hopes that no one will read that far. Credit card applications, for instance, contain up to 5,000 words on average, making it less likely for customers to read all the relevant information detailed about high interest rates and late payment fees.
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One-sentence summary --
Make a list of questions. Look for key words. Skip to the end.