How can I help loved ones who have bulimia?

1) I've recently just found out that my boyfriend of four years is bulimic... He hasn't told me, but I have put the puzzle pieces together after living with him for the past 18 months... I had even heard him purging in the bathroom while we were on vacation. I'm really struggling with this information and I don't know how to approach him about it... I'm guessing it has been going on for around six years now. How do I confront him about it??

2) I was wondering if bulimics lose weight rapidly, because I have a friend who I think may be bulimic, because she eats, but I think she may be throwing up her food. She has lost 25 pounds in the last month. She binges, and I would like to know how I can help her.


Do male-identified people have body image concerns?

1) My boyfriend, who I have been dating for a while now, says that he is fat and I don't think he is. He is built, but he isn't fat. And he talks about it all the time, and I just don't know what to say to him. He said that when he used to talk with his other girlfriend about it, that she would say, "well, go on a diet," and he said that made him feel like he was fat. And I don't want to hurt his feelings, but I know that by losing weight, he would feel better about himself. But I like him for who he is and how he looks. But what should I say to him when he says things like he is fat, do you think I'm fat, etc.?

2) I am a male, 24 years old, height 5'10", and currently I weigh 143 lbs... When I was 17 or so, I weighed a hefty 190 lbs... at that time, that really had a negative effect on my self image, and now at 143, I still don't think I'm thin enough... I have lost all my weight 100 percent through diet and running about 20 miles/week... but I don't eat enough and I always worry before I leave home if I "look ok"? Do I have serious issues?!?


Am I anorexic if I can never decide what to eat?

I have a problem with food. I hate it and never know what I want to eat. Sometimes I'll be famished to the point of shaking, and I'll just lie there thinking about what to put into my body, sometimes for hours. I know I should eat something, and I really am hungry, but at the same time, nothing appeals to me. Is this a form of anorexia? Or could it be a symptom of stress, depression, etc.? I would really appreciate it if you could help me.


Do I have bulimia and will it interfere with my birth control pills?

Once a day, after meals — whenever my roommate isn't around, I stick my fingers down my throat and throw up most of the food that I had just eaten. I do not binge — I only purge. I understand from my Psychology professor that the diagnosis of bulimia nervosa requires that the person binge and then purge. I am curious, then, what I have — do I have a form of anorexia nervosa or what? Also, I am on birth control pills and I am afraid that I might hurt their effect by throwing up. How long does it take for the pill to get absorbed into my system? I usually don't throw up until about 5 or six hours after I have taken the pill. Will this hurt the effect of the pill?


Is diabulimia a risky weight management strategy for type 1 diabetics?

I recently read an article in a magazine regarding a new disorder termed "Diabulimia." Supposedly, this is a disorder displayed by women with type 1 diabetes in order to lose weight. The women with type 1 diabetes, who take insulin shots, compared these shots to "injectable fat" and therefore they skip their shots all together.

The reason why this topic is so surprising to me is because I am a type 1 diabetic and have been for almost 17 years and I have gained weight since beginning treatment. What happens to the body when this occurs? Also, if a person tries to treat the "diabulimia," will all the weight that was lost be gained right back when she begins to inject the shots again? What other method of losing weight would you suggest for someone like this? I would never risk my life in order to lose weight, but I would still like to learn about it because it is something I have never heard of. Thank you so much!


How to gain weight?

I am a 22-year-old male. I would like your advice as to how to increase my weight. I am extremely thin, and would like to put on weight for both appearance and strength purposes.

I believe that thin people have a very fast metabolic rate. Is there any way of slowing this rate down? Does it fall naturally with age? I have often been told that I should lift weights, but cannot find time on a regular basis to do so. I do, however, have time to do push-ups at home.

Anyway, I'd much appreciate it if you could give me guidelines as to how to increase weight, especially through diet. What kinds of food should I be eating? How many times a day should I eat? How big should the meals be? I hear the soybean is very nutritious — is this true; if so, what could I eat or drink that contains soy?