Ironically, most anorectics develop an intense interest in food and a fascination with recipes and cookbooks. They spend many hours planning menus, buying groceries, and preparing meals for others, yet eat next to nothing themselves. This preoccupation may grow stronger as the pounds continue to drop off.

Stringent dieting leads to muscle and fat loss. The body begins to look like a skeleton, bones protrude, legs resemble matchsticks, and breasts disappear. Facial muscles tighten because there is no layer of fat beneath the skin to cushion them.

Anorexia can last for many years and cause severe health problems. Besides weight loss and absence of menstrual periods, the physical consequences of anorexia may include:

• Anemia

• Constipation, digestive discomfort, and abdominal bloating

• Dehydration, muscle cramps, and tremors

• Dental problems

• Downy body hair on the face, back, or arms

• Dry skin

• Dull and brittle hair

• Excessively low blood pressure

• Icy hands and feet

• Irregular heartbeat

If anorexia remains untreated, it can be fatal. Some victims literally starve themselves to death or die of conditions related to their malnourished state. Others commit suicide.