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California Association of Marriage and Family Therapists (CAMFT)

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Eating Disorders DSM-IV-TR

Reprinted with permission from the Diagnostic and Statistical
Manual of Mental Disorders, Fourth Edition, Text Revision.
Copyright © 2000 American Psychiatric Association.

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307.51 Bulimia Nervosa (continued)

Associated laboratory findings

Frequent purging behavior of any kind can produce fluid and electrolyte abnormalities, most frequently hypokalemia, hyponatremia, and hypochloremia. The loss of stomach acid through vomiting may produce a metabolic alkalosis (elevated serum bicarbonate), and the frequent induction of diarrhea through laxative abuse can cause metabolic acidosis. Some individuals with Bulimia Nervosa exhibit mildly elevated levels of serum amylase, probably reflecting an increase in the salivary isoenzyme.

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Joanna Poppink, MFT, licensed marriage and family therapist,
in California and Oregon private psychotherapist
specializing in eating disorder recovery,
10573 West Pico Bl. #20, Los Angeles, CA 90064
joanna@poppink.com (310) 474-4165

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