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By combining relatable case presentations with approachable scientific explanations, Sick Enough: A Guide to the Medical Complications of Eating Disorders and Undernutrition provides an essential guide for anyone affected by eating disorders, disordered eating, undernutrition, and dieting.
List of contents
Introduction 1. Weight Stigma and Weight-Inclusive Care
Part 1: Not Enough Calories: The Science of Undernourishment 2. 30,000-Foot View: Undernourishment is Bad for the Body, and Food is Good for It
Words of Wisdom: "The Perfect Child" 3. Going into Hibernation
Words of Wisdom: The House on Fire, a.k.a. Combatting "I'm Fine" 4. Hormones, Bones, and Exercise
5. The Empty Tank
Words of Wisdom: The Subterranean Aquifer, Checklists, and Reframing Expectations 6. Presentations of Advanced Malnutrition and Severe Underweight
Words of Wisdom: The Tale of the Perfectionist and the Appreciative Achiever Part 2: Purging 7. 30,000-Foot View: What is Purging? Why Does it Cause Medical Issues?
Words of Wisdom: The Two-Sided Coin 8. How Does Purging Physically Affect the Body?
Words of Wisdom: Comparing Yourself to Your Sickest Day 9. Electrolytes and Stopping Purging
Words of Wisdom: The Dog in the Street and Normal Fullness Part 3: Binge Eating Disorder, Avoidant Restrictive Food Intake Disorder, and "Atypical" Anorexia Nervosa 10. Binge Eating Disorder (BED)
Words of Wisdom: Finding Self-Compassion 11. Avoidant Restrictive Food Intake Disorder (ARFID)
Words of Wisdom: Getting Beyond the Breakers 12. Atypical Anorexia Nervosa (AAN)
Words of Wisdom: The Coral Tank-Depletion Risks Body and Mind Part 4: Recovery 13. Recovery Themes
Words of Wisdom: Place the Safety Net Where It Belongs Higher Levels of Care 14. Early and Later Nutritional Rehabilitation: The Journey Toward Sufficient and Consistent Nourishment
Words of Wisdom: Belly Appearance During Recovery Part 5: The Unmeasurables: (a.k.a. The Very Real Medical Problems That Modern Medicine Often Can't Measure) 15. Mast Cell Activation Syndrome (MCAS)
Words of Wisdom: Bearing Witness 16. Postural Orthostatic Tachycardia Syndrome (POTS)
Words of Wisdom: The Spoon Metaphor for Daily Energy 17. Complex Digestive Issues
Part 6: Specific Populations 18. Neurodiversity
19. Other Influential Psychiatric Diagnoses
20. Diabetes Mellitus
21. Athletes and Relative Energy Deficiency of Sport (REDs)
22. Males
23. Gender and Sexual Minorities
24. Sexual and Reproductive Health
25. Substance Use Disorder
26. Longstanding Eating Disorders and Older Age
27. Caring for the Patient Who Declines Treatment
Conclusion How We Can Contribute Positively
About the author
Jennifer L. Gaudiani, MD, CEDS-C, FAED is a board-certified internal medicine physician, known nationally and internationally for her work on the medical complications of eating disorders.