Nobody is saying these women (and sometimes men) wake up one morning and say "Hey, I think I'll be anorexic", but they DO decide one day to go on a diet because they think they are "too fat" for whatever reason. The anorexia kicks in later. And I have noticed that people who do perhaps need to lose a few pounds can lose the weight without it becoming an obsession/illness and that anorexics are usually people who were never overweight or 'fat' in the first place.
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