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Dx Eating Disorders Treatments:

Eating Disorders

The Merck Manual Home Edition states
"Eating disorders are grouped into three categories:
* Anorexia nervosa: Refusing to maintain a minimally normal body weight, with or without bingeing and purging
* Bulimia nervosa: Bingeing and purging without weight loss
* Binge eating disorder: Bingeing without purging

Bingeing is the rapid consumption of a much larger amount of food than most people would eat in a similar time under similar circumstances. Binges are accompanied by a feeling of loss of control. Purging is self-induced vomiting or misuse of laxatives or enemas.

Eating disorders are more common among women, especially younger women, than among men."

Medications Used in Treatment- Gleaned from the Literature:
1. SSRI: Prozac
2. Amino-acid infusions:
3. Atypical Antipsychotics: Seroquel Reference article
4. Estradiol replacement, and other hormonal therapies: Reference article
5. SSRIs with References with nutritional supplements.
6. Oxytocin may have a role in the emerging literature.

*[Editor] Although there is no question that these individuals overdrive their hypothalamic-pituitary-axis (HPA) causing measurable derangement of high levels of cortisol, DHEA, Sex Hormone Binding Globulin, and low levels of estradiol, testosterone and human growth hormone resistance, all attempts to treat these patients have failed with above listed medications.

In conclusion, these mental disorders should be categorized according to stages...where each stage of an illness demarcates major prognostic and therapeutic differences (although they may appear deceptively similar and share the same psychiatric diagnosis)".

*[Editor] While new attempts are being made with a intravenous amino-acid infusion to reset neurochemistry in the brain, oral amino acid and mineral supplements, the fact is that the fortunate will 'out-grow' some aspects of the physical disease if they can make adjustments to their underlying personality disorders.

While Gordon feels that anorexia nervosa has been with us for centuries, the Editors do not agree with him that the "disease has come and gone." Rather, we foresee its incidence increasing under stronger peer and media pressure."

*[Editor] An excellent review of the laboratory abnormalities in anorexia nervosa was described by AP Winston in 2012. The article should be reviewed carefully.

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