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Eating Disorder Recovery at Poppink.com is dedicated to offering support, inspiration, education and treatment opportunities for people with eating disorders and those who love them. Please see our terms of use.
Eating Disorder Recovery at Poppink.com

Reprinted with permission from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright © 2000 American Psychiatric Association.
Do not copy or print without written permission from APA.
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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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