BGEN 3020 Lecture Notes - Lecture 13: Androstenedione, Cell-Mediated Immunity, Marasmus

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Distorted body image; women with anorexia can have distorted image; control issue; they have lost control of everything in their life, and the only thing that they can control over is what they put in their mouth. With a decrease of body fat and wt, gnrh decreases, therefore fsh and lh also decrease, leading to low estrogen; as a result, amenorrhea occurs, and predisposes to osteoporosis, as if pt is postmenopausal. Rx convince person to gain enough wt to bring period back; not birth control. (ie first step in management of hp/diabetes = wt loss; as you lose adipose, you upregulate insulin resistance). In anorexia, usually die to cardiac dz (heart failure: heart just stops). Bulimia nervosa: metabolic alkalosis: it"s not a body image problem they can be obese, normal or thin (no weight issue); however, they binge (eat a lot), then force themselves to vomit.

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