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adolescent\tgradually\tresume\tcontrol\tover\teating\tagain.\tPhase\t3\tbegins\tonce\tthe\tadolescent\tis\table\tto\nmaintain\ta\tstable\tweight\t≥95%\tof\tideal\tbody\tweight\t(IBW)\tindependently.\tAt\tthis\tpoint,\tthe\tfocus\tof\ntreatment\n\tshifts\ttoward\tthe\testablishment\tof\ta\thealthy\tadolescent\tidentity,... | [
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autonomy,\tand\tthe\tdevelopment\tof\tappropriate\tparental\tboundaries.\tIt\tis\tnoteworthy\tthat\tFBT\ncertification\tis\tlimited\tto\tlicensed\tmental\thealth\tprofessionals\tand\tthat\tthe\tRDN\tplays\tno\tformal\trole\nin\tthe\tFBT\tprocess.\nIf\tFBT\tis\tcontraindicated,\tthen\tenhanced\tcognitive\tbehavioral\tth... | [
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alternative\tfor\tadolescents,\tand\ta\tgood\toption\tfor\tadults\twith\tAN\t(\nFairburn,\t2008\n).\tTwo\tversions\tof\nCBT-E\tare\tavailable:\tfocused\t(the\tcore\ttreatment)\tand\tbroad\t(includes\tclinical\tperfectionism,\tcore\nlow\tself-esteem,\tand\tinterpersonal\tdifficulties\tmodules).\tTreatment\tintensities\t... | [
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version\tfor\tpatients\twith\ta\tBMI\t>17.5\tand\ta\t40-session\tversion\tfor\tpatients\twith\ta\tBMI\tbetween\t15.0\nand\t17.5.\tCBT-E\tis\ta\tmanualized\ttherapy\tprovided\tby\tpsychotherapists\ton\tinpatient\tunits\tas\twell\tas\nin\toutpatient\tsettings.\tCBT-E\ttypically\tincludes\tthe\tself-monitoring\tof\tfood\t... | [
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behaviors\t(binge\teating,\tpurging,\trestricting).\tThe\trole\tof\tthe\tRDN\tin\tCBT-E\tis\tminimal\tand\twill\tvary\nwith\tthe\ttreatment\tsetting\t(i.e.,\tgreater\tinvolvement\ton\tinpatient\tunits).\tOn\tan\toutpatient\tbasis,\nconsultation\n\twith\ta\tnutritionist\tmay\tbe\tlimited\tto\tpatients\twith\tcomplicated... | [
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mellitus,\tCD,\tvegan\tdiet)\tand\tchallenging\twork/sleep\tschedules\t(e.g.,\tindividuals\twho\twork\tovernight\nshifts).\nClassic\t\ncognitive\tbehavioral\ttherapy\t(CBT)\n\tis\ta\t20-session\tstructured\ttherapy\tthat\tincludes\nbehavioral\tand\tcognitive\tinterventions.\tCBT\tdirects\tthe\tclient\ttoward\tmodifying... | [
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thinking\n\tand\tbehavior\t(see\t\nChapter\t13\n).\tCurrent\tdata\tsuggest\tthat\tCBT\tis\tthe\trecommended\ntreatment\tfor\tBN\tand\tBED,\twith\tinterpersonal\ttherapy\t(IPT)\tconsidered\ta\tstrong\ttreatment\nalternative\t(\nGurr\tet\tal,\t2018\n).\tCBT\tconsists\tof\tthree\tdistinct\tand\tsystematic\tphases\tof\ttre... | [
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establishing\ta\tregular\teating\tpattern,\t(2)\tevaluating\tand\tchanging\tbeliefs\tabout\tshape\tand\tweight,\nand\t(3)\tpreventing\trelapse.\n\tSimilar\tto\tCBT-E,\tclassic\tCBT\tis\tmanualized\tpsychotherapeutic\nintervention\tprovided\tby\ta\ttrained\tpsychotherapist.\tThe\trole\tof\tthe\tRDN\tis\tlimited\tto\tpat... | [
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comorbid\tmedical\tdiagnoses\tand\teating\tissues\tthat\trequire\tmore\tadvanced\tnutrition\ttraining.\nDialectical\tbehavioral\ttherapy\t(DBT),\ta\tskill-based\ttherapy\tthat\tfocuses\ton\tmindfulness,\tdistress\ntolerance,\temotion\tregulation,\tand\tinterpersonal\n\teffectiveness,\tmay\tbe\thelpful\tin\tBN\tcases\ti... | [
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effectiveness,\tmay\tbe\thelpful\tin\tBN\tcases\tin\twhich\ncomorbid\tpsychiatric\tdisorders\t(e.g.,\tdepression\tand\tmood\tdisorders,\tpersonality\tdisorders,\tand\nsubstance\tabuse\tdisorders),\tself-injurious\tbehaviors\t(e.g.,\tcutting),\tand\tgreater\timpulsivity\tare\nmanifested\t(\nBerg\tand\tWonderlich,\t2013\... | [
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).\tIn\tsome\tinstances,\tan\tantidepressant\tmedication\t(typically\na\tselective\tserotonin\treuptake\tinhibitor\t[SSRI]\tsuch\n\tas\tfluoxetine)\tis\tprescribed\tadjunctive\tto\npsychotherapy.\nTechnology-based\tassessments\tand\tinterventions\tare\tbeing\ttested\tin\tpatients\twith\tEDs\t(\nEllison\tet\nal,\t2016\n... | [
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Ellison\tet\nal,\t2016\n).\tSmartphone\t“apps”\tlike\t\nRecovery\tRecord\n\tand\tRise\tUP\t+\tRecover\thave\tbeen\tspecifically\ndeveloped\tto\tcomplement\tface-to-face\tpsychotherapy\tand\tmedical\tnutrition\ttherapy\t(MNT)\tfor\tEDs\n(\nBox\t21.2\n).\nBOX\t21.2\nRecovery\tApps\nNew\ttechnology\n\toffers\teating\tdiso... | [
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“apps.”\tThe\tdistinction\tbetween\ta\t“fitness\tapp”\tand\tan\teating\tdisorder\trecovery\tapp\tis\tsignificant\nfor\tthe\ttreatment\tof\tthose\twith\teating\tdisorders.\tWhile\tthey\tmay\tboth\tfocus\ton\tlogging\tand\nrecording,\teating\tdisorder\tapps\tdiscourage\tthe\ttracking\tof\tcalories\tand\tactivity\tand\tra... | [
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promote\tthe\tself-monitoring\tof\tthoughts\n\tand\tfeelings\taround\tfood\tintake.\tUtilizing\ta\tself-\nmonitoring\tplatform\ton\ta\tsmart\tphone\toffers\tseveral\tadvantages\tover\tpaper\tmonitoring\tas\tmany\npeople\tkeep\ttheir\tphones\ton\tthem\tmajority\tof\tthe\ttime.\tUsing\tthe\tapps\tmay\tbe\tmore\tconvenien... | [
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which\tlends\titself\tto\treal-time\tmonitoring,\taccuracy,\tand\tmore\tconsistency\tin\trecords.\nThe\tfollowing\tapps\tprovide\thelpful\ttools\tto\tsupport\tthe\tefforts\tof\teating\n\tdisorder\trecovery:\n1.\t\nRecovery\tRecord:\tThis\tapp\tallows\tyou\tto\tconnect\twith\tmultiple\ttreatment\tteam\tmembers | [
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for\ta\treal-time\ttracking\tand\tmonitoring\tsetting.\tIt\tprovides\tpersonalized\tcoping\tstrategies,\nmeal\tplans,\ttracking\tof\tfeelings,\turges\tto\tuse\tbehaviors\tas\twell\tas\tcomponents\tof\tcognitive-\nbehavioral–based\tinterventions.\n2.\t\nRise\tUP\t+\tRecover:\tThis\tapp\thas\ta\tcomparable\tself-monitori... | [
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that\tallows\tfor\nrecording\tof\tintake,\temotions,\tand\t“target\tbehaviors”\tsuch\tas\tbingeing\tand\tpurging.\tIt\ndoes\tnot\tallow\tfor\tan\tinteractive\texperience\twith\tyour\ttreatment\tteam,\tbut\tyou\tcan\texport\nmeal\tdata\tand\tshare\twith\tothers\tthrough\temail.\tUsers\tcan\talso\tshare\tmotivational\tqu... | [
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images,\tand\taffirmations.\nFairburn\tCG,\tRothwell\tER:\tApps\tand\teating\tdisorders:\ta\tsystemic\tclinical\tappraisal,\t\nInt\n\tJ\tEat\tDisord\n48:1038,\t2015.\t\nJuarascio\tAS,\tManasse\tSM,\tet.\tal.\tReview\tof\tsmartphone\tapplications\tfor\tthe\ttreatment\tof\teating\ndisorders.\t\nEur\tEat\tDisord\tRev\n\t2... | [
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disorders.\t\nEur\tEat\tDisord\tRev\n\t23:1,\t2014.\nValidated\tinstruments\tand\tquestionnaires\tare\tavailable\tfor\tscreening\tand\tdiagnosis\tof\tpatients\twith\nEDs.\tThe\tEating\tDisorder\tExamination\t-\t17.0D\t(\nFairburn\tet\tal,\t2014\n)\tis\ta\tstructured\tinterview\tthat\ntakes\tapproximately\t1\n\thour\tto... | [
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AN,\tBN,\tBED,\tand\tOSFED\tin\tindividuals\tages\t14\tand\tup.\tThe\tEating\tDisorder\tAssessment\tfor\tDSM-5\n(EDA-5)\tis\tan\tinterview-based\tsemistructured\tinterview\tthat\ttakes\tapproximately\t15\tminutes\tto\nadminister\tby\ta\tclinician\twith\tmodest\ttraining;\tit\tcan\tbe\taccessed\tat\t\nwww.eda5.org\n\tto... | [
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www.eda5.org\n\tto\tdiagnose\tDSM-\n5\tAN,\tBN,\tBED,\tARFID,\tOSFED,\tpica,\n\tand\trumination\tdisorder\tin\tadults\t(\nSysko\tet\tal,\t2015\n).\tSelf-\nreport\tmeasures\tmay\tbe\tused\tfor\tscreening\tpurposes.\tRepresentative\tinstruments\tinclude\tthe\tEating\nAttitudes\tTest\t(Eat-26),\tEating\tDisorder\tInventor... | [
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Questionnaire\t(\nAPA,\t2006\n).\tThe\tSCOFF\t(\nMorgan\tet\tal,\t1999\n),\ta\tbrief\tand\teffective\tscreening\ttool\tthat\nis\teasy\tto\tadminister\tand\tscore,\tis\thighlighted\tin\t\nBox\t21.3\n.\nBOX\t21.3\nThe\tSCOFF\tQuestionnaire\n*\n1.\t\nDo\tyou\tmake\tyourself\tsick\tbecause\tyou\tfeel\tuncomfortably\tfull?\... | [
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0.0224147... |
2.\t\nDo\tyou\tworry\tyou\thave\tlost\tcontrol\tover\thow\tmuch\tyou\teat?\n3.\t\nHave\tyou\trecently\tlost\tmore\tthan\tone\tstone\t(14\tlb)\tin\ta\t3-month\tperiod? | [
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4.\t\nDo\tyou\tbelieve\tyourself\tto\tbe\tfat\twhen\tothers\tsay\tyou\tare\ttoo\tthin?\n5.\t\nWould\tyou\tsay\tthat\tfood\tdominates\tyour\tlife?\n*Two\tor\tmore\t“yes”\tanswers\n\tsuggest\tthe\tpresence\tof\tan\teating\tdisorder.\t\nFrom\tMorgan\tJF,\tReid\tF,\tLacey\tJH:\t\nBMJ\n\t4:1467,\t1999.\nNutrition\tmanagemen... | [
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BMJ\n\t4:1467,\t1999.\nNutrition\tmanagement\nRoles\tand\tresponsibilities\tof\tthe\tRDN\tin\tthe\ttreatment\tof\tindividuals\twith\tEDs\tinclude\tassessment,\nintervention,\tmonitoring,\tevaluation,\tand\tcare\tcoordination.\tAlthough\tAN,\tBN,\tand\tBED\thave\ndifferent\tpresenting\tfeatures,\tsimilarities\texist\tin... | [
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of\tthese\ndisorders.\nNutrition\tassessment\nNutrition\tassessment\tshould\tinclude\ta\tthorough\tdiet\thistory,\tas\twell\tas\tthe\tevaluation\tof\tbiochemical,\nenergy\tmetabolism,\tand\tanthropometric\tmarkers\tof\tnutritional\tstatus.\nDiet\thistory\nThe\tdiet\thistory\tshould\tinclude\tassessment\tof\tenergy;\tma... | [
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0.04913973808288574,
0.011826446279883385,
-0.02161722257733345,
0.03783480450510979,
0.09918192774057388,
0.01152354758232832,
-0.03385100141167641,
0.049252502620220184,
0.08237127959728241,
-0.05439041554927826,
0.03357069939374924,
0.02152982... |
intakes;\tenergy\tdensity;\tdiet\tvariety;\tand\tan\tevaluation\tof\teating\tattitudes,\n\tbehaviors,\tand\thabits\t(see\nChapter\t4\n).\tPatients\twith\ta\tshorter\tduration\tof\tillness\tshould\tbe\tqueried\tabout\ttheir\tpremorbid\tdiet\nand\teating\thabits\tas\tthis\tmay\tbe\ta\tuseful\tbenchmark\tby\twhich\tto\tga... | [
0.053685933351516724,
-0.06882964074611664,
0.03871479257941246,
-0.01460205391049385,
-0.10250157862901688,
0.014358634129166603,
0.1287408322095871,
0.043330468237400055,
-0.05040143057703972,
0.01508803479373455,
0.0929754450917244,
-0.03373735398054123,
0.03901999443769455,
0.035568386... |
Anorexia\tnervosa\nPatients\twith\trestricting\ttype\tAN\ttypically\teat\tfewer\tthan\t1200\tkcal/day.\tPatients\twith\tbinge-purge\ntype\tAN\thave\tmore\tvariable\tdiet\tpatterns,\tand\tenergy\tintake\tshould\n\tbe\tassessed\tacross\tthe\tspectrum\nof\trestriction\tand\tbinge\teating.\tAlthough\tthe\tearly\tliterature... | [
0.03674699738621712,
-0.027449017390608788,
0.07181494683027267,
0.018701907247304916,
-0.08136056363582611,
-0.008302600122988224,
0.15962372720241547,
0.014218448661267757,
-0.08285365253686905,
0.0019025517394766212,
0.08244717866182327,
-0.03857876732945442,
0.04051226004958153,
0.0307... |
carbohydrate\t“phobic”\t(\nRussell,\t1967\n),\tmore\trecent\tstudies\tsuggest\tgreater\tdietary\tfat\tavoidance\n(\nForbush\tand\tHunt,\t2014\n).\tPercent\tof\tcalories\tcontributed\tby\tprotein\tmay\tbe\tin\tthe\taverage\tto\nabove-average\trange,\tbut\tadequacy\tof\tprotein\tintake\tbecomes\tmarginalized\tas\tcaloric... | [
0.00848145131021738,
-0.09185808897018433,
0.040336400270462036,
0.0009709720034152269,
-0.0761212408542633,
0.05613061785697937,
0.07080661505460739,
0.03904550150036812,
-0.015743574127554893,
0.04879911243915558,
0.09347152709960938,
-0.0773048847913742,
0.004133217036724091,
-0.0040634... |
intake\ndecreases.\tA\tvegetarian\tor\tvegan\tdiet\tmay\tnot\tcontain\tadequate\thigh-biologic\tvalue\tprotein\tin\tthe\npresence\tof\tlow\tcalorie\tintake.\nInadequate\tcalories,\tlimited\tdiet\tvariety,\tand\tpoor\tfood\tgroup\trepresentation\tincrease\trisk\tfor\ndeficient\tmicronutrient\tintakes.\tIn\tgeneral,\tmic... | [
-0.003160920925438404,
-0.10132531821727753,
0.028139431029558182,
-0.011922593228518963,
-0.07916923612356186,
0.02557496726512909,
0.09893804043531418,
0.0599546879529953,
-0.026910390704870224,
0.017993025481700897,
0.07466503977775574,
-0.054016001522541046,
0.025976290926337242,
0.005... |
AN\tpatients\twho\tconsistently\trestrict\tdietary\tfat\tare\tat\tgreater\n\trisk\tfor\tdiets\tthat\tare\tdeficient\tin\nessential\tfatty\tacids\tand\tfat-soluble\tvitamins.\tBased\ton\ta\t30-day\tdiet\thistory,\tHadigan\tet\tal\t(2000)\nfound\tthat\tmore\tthan\t50%\tof\t30\tAN\tpatients\tfailed\tto\tmeet\trecommended\... | [
-0.0164807066321373,
-0.04116370156407356,
0.04975302144885063,
-0.02187434770166874,
-0.09595312178134918,
-0.02477986179292202,
0.08131206780672073,
0.0786551907658577,
-0.032273225486278534,
-0.009658659808337688,
0.10634800791740417,
-0.023770803585648537,
0.048370033502578735,
0.05195... |
for\tvitamin\tD,\tcalcium,\tfolate,\tvitamin\tB\n12\n,\tmagnesium,\tcopper,\tand\tzinc\t(see\tinside\tcover\tfor\tdietary\nreference\tintake\t[DRIs]).\tAbnormal\tfluid\tintake\tis\tcommon,\tand\n\tthe\tdiet\thistory\tshould\tquery\npatients\tabout\ttypes,\tamounts,\tand\trationale\tfor\tfluid\tconsumption.\tSome\tindiv... | [
-0.007457335479557514,
-0.028484659269452095,
0.02584107406437397,
-0.06917735189199448,
-0.07458315044641495,
-0.03935520350933075,
0.09310256689786911,
0.023393403738737106,
0.014957964420318604,
0.04651695117354393,
0.04772746190428734,
-0.05235886946320534,
0.06905915588140488,
0.03453... |
intake\tbecause\tthey\tfind\tit\tdifficult\tto\ttolerate\tfeelings\tof\tfullness\tafterward;\tothers\tdrink\texcessive\namounts\tto\tfeel\tfull\tand\tsuppress\tappetite.\tExtremes\tin\tfluid\trestriction\tor\tingestion\tmay\trequire\nmonitoring\tof\turine\tspecific\tgravity\tand\tserum\telectrolytes.\tMany\n\tAN\tpatie... | [
0.018628567457199097,
-0.08966787904500961,
0.06475883722305298,
-0.004211622290313244,
-0.12424415349960327,
-0.03233134374022484,
0.11778247356414795,
0.015322281047701836,
0.003106532385572791,
-0.009606174193322659,
0.06718571484088898,
-0.0348413810133934,
0.04116738960146904,
0.00508... |
AN\tpatients\tconsume\texcessive\namounts\tof\tartificially\tsweetened\tbeverages\tand\tartificial\tsweeteners.\tUse\tof\tthese\tproducts\tshould\nbe\taddressed\tduring\tthe\tcourse\tof\tnutrition\ttherapy.\nBulimia\tnervosa\nChaotic\teating,\tranging\tfrom\trestriction\tto\tnormal\teating\tto\tbinge\teating,\tmakes\ti... | [
0.024519028142094612,
-0.07420478761196136,
0.0682595893740654,
-0.0025348819326609373,
-0.11117081344127655,
-0.013783824630081654,
0.09837756305932999,
0.0025516245514154434,
-0.000565921189263463,
0.014551585540175438,
0.08063160628080368,
-0.015064680017530918,
0.05418342351913452,
0.0... |
total\tenergy\tintake\tin\tBN.\tThe\tcaloric\tcontent\tof\ta\tbinge,\tthe\tdegree\tof\tcaloric\tabsorption\n\tafter\ta\npurge,\tand\tthe\textent\tof\tcalorie\trestriction\tbetween\tbinge\tepisodes\tmust\tbe\tevaluated.\tPatients\twith\nBN\tassume\tthat\tvomiting\tis\tan\tefficient\tmechanism\tfor\teliminating\tcalories... | [
0.03231427073478699,
-0.037993017584085464,
0.053058963268995285,
-0.04219585657119751,
-0.10366598516702652,
0.00303709227591753,
0.12016251683235168,
0.04311274364590645,
-0.02433278225362301,
0.05132560059428215,
0.09204167872667313,
-0.04586329683661461,
0.06036814674735069,
0.05480170... |
episodes;\thowever,\tthis\tis\ta\tcommon\tmisconception.\tIn\ta\tstudy\tof\tthe\tcaloric\tcontent\tof\tfoods\ningested\tand\tpurged\tin\ta\tfeeding\tlaboratory,\tit\twas\tdetermined\tthat,\tas\ta\tgroup,\tBN\tsubjects\nconsumed\n\ta\tmean\tof\t2131\tkcal\tduring\ta\tbinge\tand\tvomited\tonly\t979\tkcal\tafterward\t(\nK... | [
0.015605415217578411,
-0.06023689731955528,
0.05361234024167061,
-0.07382217049598694,
-0.031608887016773224,
0.06999737024307251,
0.018071169033646584,
-0.015930527821183205,
-0.0062562753446400166,
0.05278709903359413,
0.10137664526700974,
-0.014383308589458466,
0.03596564009785652,
0.00... |
Kaye\tet\tal,\n1993\n).\tAs\ta\trule\tof\tthumb,\tRDNs\tcan\testimate\tthat\tabout\t50%\tof\tenergy\tconsumed\tduring\ta\tbinge\tis\nretained.\nIn\ta\tsimilar\tmanner,\tpatients\tmisusing\tlaxatives\tbelieve\tthat\tcatharsis\twill\tprevent\tthe\tabsorption\nof\tfood\tand\tcalories;\thowever,\tlaxatives\tdo\tnot\tact\to... | [
0.004448302090167999,
-0.056567706167697906,
0.028640462085604668,
-0.047905292361974716,
-0.08776496350765228,
0.006352420896291733,
0.1363968849182129,
0.03143245354294777,
-0.01933162286877632,
0.04909544438123703,
0.10543717443943024,
-0.0399666354060173,
0.07034473866224289,
0.0327615... |
absorption\n\toccurs.\tIn\ta\tlaboratory\tstudy\tthat\twas\tconducted\tby\tBo-Linn\tet\tal\t(1983),\ttwo\tBN\nparticipants\tate\ta\tstandardized\tdiet\tand\ttook\ttheir\tregular\tdaily\tdose\tof\tlaxatives\t(35\tand\t50\ttablets,\naccordingly).\tResults\tindicated\tthat\tdespite\toutputs\tof\t4\tto\t6\tL\tof\tdiarrhea\... | [
0.026189761236310005,
-0.0712381973862648,
0.03946876525878906,
0.014136389829218388,
-0.036336421966552734,
-0.029231565073132515,
0.0891018956899643,
0.019884295761585236,
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0.055704306811094284,
0.09877128899097443,
-0.02086760476231575,
0.007342268247157335,
0.0120... |
decreased\tcalorie\tabsorption\tby\tonly\t12%.\tBecause\tof\tday-to-day\tvariability,\ta\t24-hour\trecall\tis\tnot\ta\nparticularly\n\tuseful\tassessment\ttool.\tTo\tassess\tenergy\tintake,\tit\tis\thelpful\tto\testimate\tdaily\tfood\nconsumption\tover\tthe\tcourse\tof\ta\tweek\tusing\tthe\tmethod\toutlined\tin\t\nBox\... | [
0.06378331780433655,
-0.044482771307229996,
0.060358136892318726,
-0.00032710685627534986,
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0.0019075637683272362,
0.06930805742740631,
0.0634453073143959,
-0.04585177078843117,
0.02776605449616909,
0.08932685852050781,
-0.01785649172961712,
0.0466705821454525,
0.04254... |
Box\t21.4\n.\nBOX\t21.4\nDetermination\tof\tAverage\tDaily\tEnergy\tIntake\tin\tthe\tIndividual\nwith\tBulimia\tNervosa\t(BN)\n1.\t\nKeep\ta\trecord\tof\tpatient\tintake\tfor\t7\tdays.\n2.\t\nOut\tof\tthe\t7\tdays,\tdetermine\tthe\tnumber\tof\tnonbinge\tdays\t(which\tmay\tinclude\n\trestrictive | [
0.024806538596749306,
-0.040483471006155014,
0.03812403976917267,
-0.04287295415997505,
-0.09437976032495499,
0.04181251302361488,
0.11573600769042969,
0.05048126354813576,
-0.042617227882146835,
0.06704006344079971,
0.07697812467813492,
-0.0381440632045269,
0.021268703043460846,
0.0857041... |
and\tnormal\tintake\tdays).\n3.\t\nApproximate\tthe\ttotal\tcaloric\tcontent\tfor\tthe\tweek.\n4.\t\nDetermine\tthe\tnumber\tof\tbinge\tdays.\n5.\t\nDetermine\tthe\tapproximate\tcaloric\tcontent\tof\tthe\tbinge\tdays\tand\tthen\tdeduct\t50%\tof\tthe\ncaloric\tcontent\tof\tbinges\tthat\tare\tpurged\t(vomited).\n6. | [
0.04952936992049217,
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0.06448729336261749,
-0.06784416735172272,
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0.03703895956277847,
0.1269434094429016,
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0.05034575238823891,
0.09215108305215836,
-0.058663979172706604,
0.025587119162082672,
0.046540... |
caloric\tcontent\tof\tbinges\tthat\tare\tpurged\t(vomited).\n6.\t\nFinally,\taverage\tthe\tcaloric\tintake\tover\tthe\t7-day\tperiod.\tDetermination\tof\tthis\taverage\nenergy\tintake,\tas\twell\tas\n\tthe\trange\tof\tintake,\twill\tbe\tuseful\tinformation\tfor\tthe\tassessment\nprocess.\nNutrient\tintake\tin\tpatients... | [
0.04359595477581024,
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0.06543347239494324,
0.021300695836544037,
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0.01229802519083023,
0.14448943734169006,
-0.002723093144595623,
-0.00003967318480135873,
-0.006133060436695814,
0.06813139468431473,
-0.06454121321439743,
0.014581356197595596,
0.01... |
likely\tthat\toverall\tdiet\tquality\tand\tmicronutrient\tintake\tis\tinadequate.\tA\t14-day\tdietary\tintake\tstudy\nof\t50\tBN\tpatients\trevealed\tthat\tat\tleast\t50%\tof\tparticipants\tconsumed\tless\tthan\ttwo\tthirds\tof\tthe\nRDA\tfor\tcalcium,\n\tiron,\tand\tzinc\ton\tnonbinge\tdays.\tFurthermore,\t25%\tof\tpa... | [
-0.005039900075644255,
-0.030105995014309883,
0.04389654099941254,
-0.023758847266435623,
-0.13668732345104218,
0.016559800133109093,
0.0838552862405777,
0.0412999652326107,
0.0014309566468000412,
0.031469255685806274,
0.10736102610826492,
-0.03390580043196678,
0.05482625216245651,
0.04206... |
intakes\tof\tzinc\tand\tiron\twhen\toverall\tintake\t(i.e.,\tbinge\tand\tnonbinge\tdays)\twas\tassessed\t(\nGendall\tet\nal,\t1997\n).\tEven\twhen\tthe\tdiet\tappears\tadequate,\tnutrient\tloss\toccurs\tsecondary\tto\tpurging,\tthus\nmaking\tit\tdifficult\tto\tassess\ttrue\tadequacy\tof\tnutrient\tintake.\tUse\tof\tvit... | [
0.019045310094952583,
-0.05302991718053818,
0.06753169000148773,
-0.027201583608984947,
-0.09404755383729935,
0.0013960790820419788,
0.11184051632881165,
-0.01187817845493555,
-0.00367569993250072,
0.036028921604156494,
0.0955129861831665,
-0.07026758044958115,
0.054528817534446716,
0.0133... |
supplements\talso\tshould\tbe\n\tdetermined\tbut,\tonce\tagain,\tretention\tafter\tpurging\tmust\tbe\tconsidered.\nEating\tbehavior\nCharacteristic\tattitudes,\tbehaviors,\tand\teating\thabits\tseen\tin\tAN\tand\tBN\tare\tshown\tin\t\nBox\t21.5\n.\nFood\taversions,\tcommon\tin\tthis\tpopulation,\tinclude\tred\tmeat,\tb... | [
-0.005324336234480143,
-0.09206925332546234,
0.06138479709625244,
-0.007595154922455549,
-0.0730636864900589,
-0.009789806790649891,
0.10558171570301056,
0.03467833995819092,
-0.046124186366796494,
0.0030277729965746403,
0.09027168899774551,
-0.01595943607389927,
0.04024243354797363,
-0.01... |
products,\tadded\tfats,\tfried\tfoods,\tand\tcaloric\tbeverages.\tPatients\twith\tEDs\toften\tincorrectly\tregard\nspecific\n\tfoods\tor\tgroups\tof\tfoods\tas\tabsolutely\t“good”\tor\tabsolutely\t“bad.”\tIrrational\tbeliefs\tand\ndichotomous\tthinking\tabout\tfood\tchoices\tshould\tbe\tidentified\tand\tchallenged\tthr... | [
-0.004856609273701906,
-0.027547037228941917,
0.02513742819428444,
-0.004200284834951162,
-0.0717640221118927,
0.005913657136261463,
0.112643763422966,
0.007973522879183292,
-0.026159435510635376,
-0.005704404320567846,
0.12089133262634277,
-0.0104342270642519,
0.07247909158468246,
0.00032... |
treatment\tprocess.\nBOX\t21.5\nAssessment\tof\tEating\tAttitudes,\tBehaviors,\tand\tHabits\n1.\t\nEating\tattitudes\nA.\n\tFood\taversions\nB.\n\tSafe,\trisky,\tforbidden\tfoods\nC.\n\tMagical\tthinking\nD.\n\tBinge\ttrigger\tfoods\nE.\n\tIdeas\n\ton\tappropriate\tamounts\tof\tfood\nF.\n\tRefusal\tto\teat\ta\tfood\tit... | [
-0.0009079333976842463,
-0.05353008955717087,
0.02271743305027485,
-0.04367227852344513,
-0.08226470649242401,
0.04153584688901901,
0.07917272299528122,
0.03845847398042679,
-0.0439295656979084,
0.029010508209466934,
0.14336048066616058,
-0.036517031490802765,
0.029483983293175697,
0.00816... |
2.\t\nEating\tbehaviors\nA.\n\tRitualistic\tbehaviors\nB.\n\tUnusual\tfood\tcombinations\nC.\n\tAtypical\tuse\tof\tcondiments\t(e.g.,\tmustard,\tlemon\tjuice,\tvinegar)\tand\tseasonings\t(e.g.,\nblack\tpepper)\nD.\n\tAtypical\tuse\tof\teating\tutensils\tand\tuse\tof\tutensils\tto\tconsume\ta\tfinger\tfood\t(e.g.,\nusin... | [
-0.0007976516499184072,
-0.06589516252279282,
0.06515049189329147,
-0.03263220936059952,
-0.11809046566486359,
0.014267386868596077,
0.07773150503635406,
-0.026795653626322746,
-0.009484528563916683,
0.06287477910518646,
0.14323729276657104,
-0.08229824155569077,
-0.0007899372722022235,
-0... |
using\ta\tknife\tand\tfork\n\tto\teat\ta\tmuffin)\nE.\n\tExcessive\tuse\tof\tartificial\tsweeteners\n3.\t\nEating\thabits\nA.\n\tIntake\tpattern\n(1)\n\tNumber\tof\tmeals\tand\tsnacks\n(2)\n\tTime\tof\tday,\tincluding\ttimes\twhen\teating\tmay\tbe\trestricted\t(e.g.,\tpatients\twill\nnot\tpermit\tthemselves\tto\teat\tb... | [
0.010705655440688133,
-0.05419396609067917,
0.034984372556209564,
-0.0457998588681221,
-0.09440942108631134,
0.0004229893966112286,
0.12093953043222427,
0.009127311408519745,
0.033125750720500946,
0.01651010662317276,
0.06152597442269325,
-0.0028438896406441927,
0.05915435403585434,
0.0677... |
(3)\n\tDuration\tof\tmeals\tand\tsnacks\n(4)\n\tEating\tenvironment—where\tand\twith\twhom\n(5)\n\tHow\tconsumed—sitting\tor\tstanding\n\tor\twhile\tlooking\tat\ta\tscreen\nB.\n\tFood\tgroup\tavoidance;\tparticularly\tthose\twith\thigher\tenergy\tdensity\nC.\n\tDiet\tvariety\tfrom\tall\tfood\tgroups,\tincluding\tthose\... | [
-0.014081013388931751,
-0.05377389118075371,
0.06486422568559647,
-0.06853749603033066,
-0.017910819500684738,
0.02003626339137554,
0.13934898376464844,
0.03799882158637047,
-0.07438350468873978,
0.046680618077516556,
0.08417853713035583,
-0.06413282454013824,
0.065855011343956,
0.04058206... |
D.\n\tFluid\tconsumption:\nRestricted\tvs.\texcessive\nTypes:\tcaloric,\tnoncaloric,\tbeverage\twater,\talcohol\nIn\tcomparison\tto\thealthy\tindividuals,\tpatients\twith\tAN\texhibit\tcharacteristic\tmealtime\tbehaviors\nthat\tinclude\tstaring\tat\tfood,\ttearing\tfood,\tnibbling/picking,\tdissecting\tfood,\tnapkin\tu... | [
-0.021640626713633537,
-0.1029149740934372,
0.023272661492228508,
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0.0757075697183609,
-0.05966249853372574,
0.0018398402025923133,
0.0375... |
utensil\tuse,\thand\tfidgeting,\teating\tlatency,\tand\tnibbling/picking\tlatency\t(\nGianini\tet\tal,\t2015\n).\tIn\tthe\nassessment\tprocess,\tthe\tRDN\tmay\tdiscover\tunusual\tor\tritualistic\tbehaviors\tthe\tpatient\tpractices,\nunusual\tfood\tcombinations,\tand\texcessive\tuse\tof\tspices,\tvinegar,\tlemon\tjuice,... | [
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0.0286... |
sweeteners.\tMeal\tspacing\tand\tlength\tof\ttime\tallocated\tfor\ta\tmeal\talso\tshould\tbe\tdetermined.\tMany\npatients\tsave\ttheir\tself-allotted\tfood\tration\tuntil\tlate\tin\tthe\tday;\tothers\tare\tfearful\tof\teating\tpast\ta\ncertain\ttime\tof\tday.\tAN\tpatients\toften\teat\tin\tan\texcessively\tslow\tmanner... | [
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0.03961126506328583,
0.018... |
avoid\tfood\tintake,\tbut\tit\talso\tmay\tbe\tan\teffect\tof\tstarvation\t(\nKeys,\t1950\n).\tTime\tlimits\tfor\tmeal\n\tand\nsnack\tconsumption\tfrequently\tare\tincorporated\tinto\tbehavioral\ttreatment\tplans\tand\tFBT.\nMany\tBN\tpatients\teat\tquickly,\treflecting\ttheir\tdifficulties\twith\tsatiety\tcues.\tIn\tad... | [
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0.11712078750133514,
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0.034991320222616196,
... |
may\tidentify\tfoods\tthey\tfear\twill\ttrigger\ta\tbinge\tepisode.\tThe\tpatient\tmay\thave\tan\tall-or-nothing | [
0.031439680606126785,
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approach\tto\t“trigger”\tfoods.\tAlthough\tthe\tpatient\tmay\tprefer\tavoidance,\tassistance\twith\nreintroduction\n\tof\tcontrolled\tamounts\tof\tthese\tfoods\tat\tregular\ttimes\tand\tintervals\tis\thelpful.\nPatients\tmay\tfeel\ta\tsense\tof\tshame\tabout\tparticular\tfood\tand\teating\tpractices,\tso\tthese\tbehavi... | [
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0.0... |
may\tnot\tbe\tidentified\tduring\tthe\tinitial\tassessment\tperiod.\tThe\tassessment\tprocess\tcontinues\tduring\nsubsequent\tmeetings\tand,\tin\tsome\tcases,\twill\tnot\tbe\tcomplete\tuntil\tthe\tRDN\thas\tobserved\tthe\npatient\tduring\ta\tmeal\ttime.\nBiochemical\tassessment\nThe\tmarked\tcachexia\tof\tAN\tmay\tlead... | [
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0.07111683487892151,
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0.06160516291856766,
0.11695380508899689,
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0.07546757161617279,
0.015813... |
Chapter\t5\n),\tbut\tthis\tis\trarely\tthe\tcase.\tCompensatory\tmechanisms\tare\tremarkable,\tand\tlaboratory\nabnormalities\tmay\tnot\tbe\tobserved\tuntil\tthe\tillness\tis\tfar\tadvanced.\nSignificant\talterations\tin\tvisceral\tprotein\tstatus\tare\tless\tcommon\tthan\texpected\tin\tAN.\tIndeed,\nadaptive\tphenomen... | [
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0.10334276407957077,
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0.0916021391749382,
0.07542261481285095,
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-0.032254... |
adaptive\tphenomena\n\tthat\toccur\tin\tchronic\tstarvation\tare\taimed\tat\tthe\tmaintenance\tof\tvisceral\nprotein\tmetabolism\tat\tthe\texpense\tof\tthe\tsomatic\tcompartment.\tAlthough\tserum\talbumin\tis\tusually\nnormal\t(\nMehler\tet\tal,\t2018\n;\t\nBarron\tet\tal,\t2017\n;\t\nAchamrah\tet\tal,\t2017\n),\twhen\... | [
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0.056691087782382965,
0.11104026436805725,
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0.07712912559509277,
0.007... |
occur,\tit\tis\tassociated\twith\ta\tpoorer\tprognosis\t(\nWinston,\t2012\n).\tPrealbumin\tis\ta\tmore\tsensitive\nmarker\tof\tmalnutrition,\tand\ta\tlow\n\tserum\tprealbumin\tlevel\tmay\tbe\tassociated\twith\tthe\tdevelopment\nof\tserious\tcomplications\tof\trefeeding\t(i.e.,\thypophosphatemia\tand\thypoglycemia)\tin\... | [
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0.004528925754129887,
0.05066385865211487,
0.026105359196662903,
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0.04438657686114311,
0.08868502825498581,
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0.06902441382408142,
0.13827507197856903,
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0.05638423562049866,
0.03694... |
underweight\tindividuals\t(\nGaudiani\tet\tal,\t2014\n)\t(see\t\nAppendix\t12\n).\nDespite\ttypical\tconsumption\tof\ta\tvery\tlow-fat,\tlow-cholesterol\tdiet,\tmalnourished\tAN\tpatients\toften\nmanifest\televated\ttotal\tcholesterol,\tlow-density\tlipoprotein\t(LDL)\tcholesterol,\n\tand\thigh-density\nlipoprotein\t(H... | [
-0.03518429398536682,
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0.031131986528635025,
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0.0794353187084198,
-0.006948933470994234,
0.011236987076699734,
-0.02... |
lipoprotein\t(HDL)\tcholesterol\tlevels\t(\nWinston,\t2012\n).\tAlthough\tthe\tcause\tis\tunclear\tand\ncardiovascular\trisk\tis\tuncertain,\tthe\tbulk\tof\tavailable\tevidence\tsuggests\tthat\tlipid\tabnormalities\nimprove\tor\tnormalize\tafter\trecovery\tand\ta\tlow-fat,\tlow-cholesterol\tdiet\tis\tnot\twarranted\tdu... | [
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0.015109416097402573,
0.057045817375183105,
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0.004611208103597164,
0.0931934043765068,
0.0026269692461937666,
-0.013573371805250645,
-0... |
weight\trestoration\tprocess.\tIf\thyperlipidemia\tpredates\tthe\tdevelopment\tof\tAN,\tor\ta\tstrong\tfamily\nhistory\tof\thyperlipidemia\tis\tidentified,\tthe\tpatient\tcan\tbe\treassessed\tafter\tnutritional\trehabilitation.\nLipid\tprofiles\troutinely\tare\tincluded\tin\tlaboratory\tassessments;\thowever,\ta\tfasti... | [
0.0038589651230722666,
0.013905753381550312,
0.056072548031806946,
0.0036848599556833506,
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0.033432912081480026,
0.06453491747379303,
0.04229322448372841,
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0.052991028875112534,
0.1014547348022461,
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0.027051227167248726,
0.0178... |
warranted\tuntil\tthe\tpatient\tis\trestored\tto\ta\thealthy\tand\tstable\tbody\tweight.\nIndividuals\twith\tBN\talso\tmay\thave\televated\tlipid\tlevels,\tbut\tthe\tvalidity\tof\tthe\ttest\tmust\tbe\nquestioned\tif\n\tthe\tpatient\tis\tactively\tbinge\teating.\tFurthermore,\tsome\tBN\tpatients\tcannot\tcomply\twith | [
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0.07163461297750473,
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0.014172528870403767,
0.10672984272241592,
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0.05322066694498062,
0.016... |
the\tabstinence\tperiod\trequired\tfor\ta\tfasting\tlipid\tprofile.\tPatients\twith\tBN\teat\tchaotically,\tconsuming\na\thigh-fat,\thigh-calorie\tdiet\tduring\tbinge\tepisodes,\tand\ta\tlow-fat,\tlow\tcalorie\tdiet\tduring\tintermittent\nperiods\tof\trestriction.\tAn\tinaccurate\tlipid\tprofile\tmay\tlead\tto\tthe\tun... | [
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0.033552780747413635,
0.02301836758852005,
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0.09776060283184052,
0.032037802040576935,
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0.06003943458199501,
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0.00180938804987818,
0.00... |
restricted\n\tdiet,\twhich\tin\tturn\tmay\texacerbate\tbinge\teating\tepisodes\tand\treinforce\tan\tall-or-nothing\napproach\tto\teating.\tIf\thyperlipidemia\tpredates\tthe\tdevelopment\tof\tBN,\tor\tif\ta\tstrong\tfamily\thistory\tof\nhyperlipidemia\tis\tidentified,\tthe\tpatient\tshould\tbe\treassessed\tafter\teating... | [
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0.045824095606803894,
0.000273837213171646,
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0.04593189060688019,
0.08947804570198059,
0.02381739765405655,
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0.0282399021089077,
0.10733140259981155,
0.0006479402654804289,
0.019170595332980156,
0.07242... |
stabilized\t(see\t\nChapter\t32\n).\nHypoglycemia\tresults\tfrom\ta\tdeficit\tof\tprecursors\tthat\tare\tneeded\tfor\tgluconeogenesis\n\tand\tglucose\nproduction.\tPatients\twith\tmild\thypoglycemia\tare\toften\tasymptomatic;\thowever,\tsevere\thypoglycemia\nis\tassociated\twith\tincreased\trisk\tof\tthe\trefeeding\tsy... | [
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0.030833587050437927,
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0.0666925460100174,
0.046567194163799286,
0.030904464423656464,
-0.... |
Gaudiani\tet\tal,\t2014\n)\tand\thospitalization\nmay\tbe\twarranted\t(\nWinston,\t2012\n;\tsee\t\nChapter\t12\n).\nVitamin\tand\tmineral\tdeficiencies\nDespite\tobviously\tdeficient\tdiets,\tsurprisingly\tfew\tstudies\taddress\tbiochemical\tmarkers\tof\nmicronutrient\n\tstatus\tin\tpatients\twith\tEDs.\tLaboratory\tva... | [
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0.0015485889744013548,
0.10150908678770065,
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0.005476059392094612,
0.0220... |
micronutrient\tdeficiencies\tbecause\tblood\tvalues\tin\tmany\tcases\tdo\tnot\treflect\tthe\tfull\textent\tof\ndepletion\tof\ttotal\tbody\tnutrient\tstores.\tThe\tdecreased\tneed\tfor\tmicronutrients\tin\ta\tcatabolic\tstate,\npossible\tuse\tof\tvitamin\tsupplements,\tand\tthe\tselection\tof\tmicronutrient-rich\tfoods\... | [
-0.03376966342329979,
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0.030499065294861794,
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0.05989089608192444,
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0.13676966726779938,
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0.05767271667718887,
-0... |
degree\tof\tprotection\n\tin\tlow\tweight\tpatients;\thowever,\tthe\tshift\tfrom\tcatabolic\tto\tanabolic\tprocesses\nmay\tprecipitate\tmicronutrient\tdeficiencies\tduring\trefeeding\tand\tweight\trestoration\n.\n\tStudy\tfindings\nconflict,\tbut\tzinc,\tcopper,\tvitamin\tC,\tvitamin\tA,\tvitamin\tD,\triboflavin,\tfola... | [
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0.012580339796841145,
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0.07687317579984665,
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0.04140198975801468,
0.0378... |
6\ndeficiencies\thave\tbeen\treported\tin\tAN\t(\nMehler\tet\tal,\t2018\n;\t\nBarron\tet\tal,\t2017\n;\t\nAchamrah\tet\tal,\n2017\n).\tThiamin\tdeficiency,\n\tprevalent\tamong\tlow-weight\tAN\tpatients,\tmay\tbe\texacerbated\tby\nincreased\tcarbohydrate\tintake\tduring\trefeeding,\tand\ta\tthiamin\tsupplement\tmay\tbe\... | [
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0.035600658506155014,
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0.06730169802904129,
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0.10709348320960999,
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0.01696... |
(\nWinston,\t2012\n).\tGiven\tthat\tassays\tfor\tsome\tvitamins\tand\ttrace\telements\tmay\tnot\talways\tbe\treadily\navailable,\tand\tthat\tthe\trelationship\tbetween\tblood\tconcentrations\tand\twhole-body\tstatus\tis\tunclear,\nit\tmay\tbe\tmore\tpractical\tto\tprescribe\ta\tprophylactic\n\tvitamin/mineral\tsuppleme... | [
0.010378384962677956,
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0.12653771042823792,
0.03544708713889122,
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0.0848015546798706,
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0.006304327864199877,
-0.0146... |
and\tweight\trestoration\t(\nWinston,\t2012\n).\nHypercarotenemia,\tattributed\tto\tmobilization\tof\tlipid\tstores,\tcatabolic\tchanges\tcaused\tby\tweight\nloss,\tand\tmetabolic\tstress,\tmay\toccur\tin\tAN;\texcessive\tdietary\tintake\tof\tcarotenoids\tis\tless\tlikely\n(\nWinston,\t2012\n).\tHypercarotenemia\tresol... | [
0.029329268261790276,
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0.04359832778573036,
0.006304395385086536,
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0.05998020991683006,
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0.12633387744426727,
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0.017022183164954185,
0.01... |
carotene\tlevels\tis\tunnecessary.\nIron\trequirements\tare\tdecreased\tin\tAN\tsecondary\tto\tamenorrhea\tand\tthe\toverall\tcatabolic\tstate.\nAt\ttreatment\tonset,\tthe\themoglobin\tlevel\tmay\tbe\tfalsely\televated\tas\ta\tresult\tof\tdehydration\tresulting\nin\themoconcentration.\tMalnourished\tpatients\tmay\talso... | [
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0.052309200167655945,
0.009189104661345482,
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0.06379541009664536,
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0.01... |
hemodilution\tmay\tfalsely\tlower\tthe\themoglobin\tlevel.\nLow\tzinc\tlevels\tin\tpatients\twith\tAN\thave\tbeen\treported\n\tby\tsome\tinvestigators\t(\nBarron\tet\tal,\t2017\n)\nbut\tnot\tby\tothers\t(\nAchamrah\tet\tal,\t2017\n).\tZinc\tdeficiency\tmay\tresult\tfrom\tinadequate\tenergy\nconsumption\tand\ttransition... | [
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0.11477097123861313,
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0.056246787309646606,
0.12111604958772659,
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0.025209957733750343,
0.05... |
altered\ttaste\tperception\tand\tweight\tloss,\tthere\tis\tno\tevidence\tthat\tdeficiency\tcauses\tor\tperpetuates\nsymptoms\tof\tAN.\tSupplemental\tzinc\tis\tpurported\tto\tenhance\tfood\n\tintake\tand\tweight\tgain\tin\tAN\npatients,\tbut\tthere\tis\tlimited\tevidence\tto\tsupport\tthis\tclaim\t(\nLock\tand\tFitzpatr... | [
0.012389706447720528,
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0.0719536691904068,
0.03225939720869064,
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0.08339151740074158,
0.06786683201789856,
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0.043895505368709564,
0.11655572801828384,
0.00810724962502718,
-0.009336740709841251,
0.0058... |
Lock\tand\tFitzpatrick,\t2009\n).\nLow\t25-hydroxy\tvitamin\tD\t(25[OH]D)\tlevels\thave\tbeen\treported\tin\tlow-weight\tAN\tpatients\t(\nMehler\net\tal,\t2018\n;\t\nModan-Moses\tet\tal,\t2014\n).\tAlthough\tvitamin\tD\tand\tcalcium\tcontribute\tto\thealthy\tbone | [
-0.074013851583004,
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0.04073888808488846,
-0.03493406996130943,
-0.08682920783758163,
0.005544940009713173,
0.10853588581085205,
0.07041973620653152,
-0.008446491323411465,
-0.022849639877676964,
0.07693441212177277,
-0.028442243114113808,
-0.013311429880559444,
0.0271... |
development,\tthere\tis\tno\tevidence\tto\tsuggest\tthat\tcalcium\tor\tvitamin\tD\tsupplementation\n\tincreases\nBMD\tin\tAN\t(\nRobinson\tet\tal,\t2017\n).\tNevertheless,\tsome\tresearchers\tsuggest\troutine\tassessment\tof\n25(OH)D\tlevels\t(\nMehler\tet\tal,\t2018\n;\t\nModan-Moses\tet\tal,\t2014\n).\tTo\tdate,\tade... | [
-0.057172004133462906,
-0.026521651074290276,
0.06633611023426056,
-0.0599147267639637,
-0.04865102842450142,
0.03315667062997818,
0.05849510058760643,
0.07031966745853424,
-0.02817961759865284,
0.09546969085931778,
0.10173222422599792,
-0.05540526658296585,
-0.008839528076350689,
0.049953... |
;\t\nModan-Moses\tet\tal,\t2014\n).\tTo\tdate,\tadequate\tenergy\tintake\tand\nnormalization\tof\tbody\tweight\tare\tthe\tprimary\tagents\tof\tbone\thealth\tin\tAN.\tSupplements,\tlike\tcalcium\nand\tvitamin\tD,\tare\tvariably\tprescribed\tamong\ttreatment\tprograms\tand\tclinicians.\nFluid\tand\n\telectrolyte\tbalance | [
-0.02610933966934681,
-0.01622113771736622,
0.06530876457691193,
-0.06574472039937973,
-0.0836956575512886,
-0.018122589215636253,
0.12392327189445496,
0.012730790302157402,
-0.0025598874781280756,
0.059111371636390686,
0.09146925806999207,
-0.055377356708049774,
0.04773860424757004,
0.031... |
Fluid\tand\n\telectrolyte\tbalance\nVomiting\tand\tlaxative\tand\tdiuretic\tuse\tcan\tresult\tin\tsignificant\tfluid\tand\telectrolyte\timbalances\tin\npatients\twith\tEDs\t(\nTrent\tet\tal,\t2013\n).\tBaseline\tpotassium,\tchloride,\tsodium,\tand\tCO\n2\n\tlevels\tshould\tbe\nobtained\tin\tpatients\twith\tpurging\tand... | [
-0.009065831080079079,
-0.04904859885573387,
0.07829064875841141,
-0.005409287288784981,
-0.06187152862548828,
-0.027550723403692245,
0.12431109696626663,
0.07071489840745926,
-0.016250627115368843,
-0.01728399097919464,
0.08145441114902496,
-0.041033852845430374,
0.01542619988322258,
0.07... |
symptomatology.\nUrine\tconcentration\tis\tsometimes\tdecreased,\tand\turine\toutput\tincreased\n\tin\tsemistarvation.\tEdema\ncan\toccur\tin\tresponse\tto\tmalnutrition\tand\trefeeding.\tAn\tincrease\tin\textracellular\twater\tfrequently\noccurs\tin\tAN\tpatients\twith\ta\tBMI\tless\tthan\t15\tto\t16\tkg/m2\t(\nRigaud... | [
0.005335712339729071,
-0.02133774943649769,
0.06665945798158646,
0.015515944920480251,
-0.0570230558514595,
-0.011813058517873287,
0.1166643276810646,
0.0824148878455162,
-0.022422755137085915,
-0.002668484579771757,
0.08941624313592911,
-0.05060426890850067,
0.04120149835944176,
0.0655395... |
Rigaud\tet\tal,\t2010\n).\tAlthough\tfluid\nretention\tusually\tdissipates\twith\trefeeding,\tlimiting\tsodium\tintake\tto\t2\tg/day\tmay\tbe\thelpful\t(\nRigaud\net\tal,\t2010\n).\tDepletion\tof\tglycogen\tand\tlean\ttissue\tis\taccompanied\tby\tobligatory\n\twater\tloss\tthat\nreflects\tcharacteristic\thydration\trat... | [
-0.009824389591813087,
-0.018411992117762566,
0.0664115771651268,
-0.0045549701899290085,
-0.03790881857275963,
-0.00434292433783412,
0.06862769275903702,
0.004029078409075737,
-0.03777766972780228,
0.03548081964254379,
0.12613722681999207,
-0.036377593874931335,
0.036237627267837524,
0.00... |
glycogen\tdepletion\tmay\tbe\tin\tthe\trange\tof\t600\tto\t800\tmL.\tVarying\tdegrees\tof\tfluid\tintake,\tranging\nfrom\trestricted\tto\texcessive,\tmay\taffect\telectrolyte\tvalues\tin\tpatients\twith\tEDs\t(see\t\nChapter\t3\n).\nEnergy\texpenditure\nMetabolic\tadaptation\tto\tstarvation\toccurs\tin\tmalnourished\tA... | [
-0.014993037097156048,
-0.06457556784152985,
0.05735338106751442,
-0.0003616725734900683,
-0.11033108085393906,
-0.03224613890051842,
0.0943228080868721,
0.032230570912361145,
-0.024693302810192108,
0.012097461149096489,
0.11363410204648972,
0.009603987447917461,
0.03338509798049927,
0.010... |
(\nKosmiski\tet\tal,\t2014\n)\tand\nresults\tin\treduced\tresting\tenergy\texpenditure\t(REE)\tin\tthe\trange\tof\t50%\tto\t93%\tof\tpredicted\tvalues\n(\nHaas\tet\tal,\t2018b\n).\tWeight\tloss,\tdecreased\tlean\tbody\tmass,\tenergy\trestriction,\tlow\tT\n3\n,\tand\ndecreased\tleptin\tlevels\thave\tbeen\timplicated\tin... | [
0.0012932365061715245,
-0.05180053040385246,
0.06286947429180145,
0.01691768318414688,
-0.06512114405632019,
0.006443121936172247,
0.12459664791822433,
0.06332476437091827,
-0.07144183665513992,
0.04016512632369995,
0.07607216387987137,
-0.04232287406921387,
0.05420481413602829,
0.05199866... |
completion\tof\trefeeding,\tREE\treportedly\tincreases\tto\t94%\tto\t119%\tof\tpredicted\n\tvalues\t(\nHaas\tet\tal,\n2018b\n).\tIn\taddition\tto\tincreased\tREE,\tAN\tpatients\toften\texhibit\texaggerated\t\ndiet-induced\nthermogenesis\t(DIT)\n\tin\tresponse\tto\trefeeding\tand\tthis\tmetabolic\tresistance\tto\tweight... | [
-0.020730959251523018,
-0.053466398268938065,
0.08356893062591553,
0.03729981556534767,
-0.07069126516580582,
0.015298789367079735,
0.08304639905691147,
0.011233058758080006,
-0.02187298610806465,
0.06816628575325012,
0.12572485208511353,
-0.04847785085439682,
-0.01499999314546585,
-0.0008... |
contribute\tto\tthe\thigh\tcalorie\tprescriptions\tneeded\tduring\tnutritional\trehabilitation\t(\nKosmiski\tet\tal,\n2014\n).\tFindings\ton\tREE\tin\tBN\tpatients\tare\tcontradictory,\twith\tinvestigators\tfinding\treduced\n\tlevels,\nnormal\tlevels,\tand\televated\tlevels\tof\tREE\tat\tbaseline\t(\nde\tZwaan\tet\tal,... | [
0.011080307886004448,
0.020072732120752335,
0.07319570332765579,
-0.014248697087168694,
-0.0783899575471878,
0.021813882514834404,
0.040253181010484695,
0.043265871703624725,
-0.009452847763895988,
0.05232687667012215,
0.08292444050312042,
-0.02610788308084011,
0.02526087500154972,
0.03316... |
de\tZwaan\tet\tal,\t2002\n).\tProposed\tcauses\tof\ta\ndecreased\tREE\tinclude\tmetabolic\tadaptation\tto\tintermittent\tperiods\tof\tdietary\trestraint\tand\tfasting\ninterfaced\twith\tbinge\teating\tand\tpurging,\tas\twell\tas\ta\thistory\tof\tweight\tsuppression.\tIncreased\tREE\nmay\tbe\tcaused\tby\ta\tpreabsorptiv... | [
0.01641380414366722,
-0.04370279982686043,
0.08108092099428177,
0.024330010637640953,
-0.06009215489029884,
-0.006040021311491728,
0.09317179024219513,
-0.02338012307882309,
-0.018815865740180016,
0.10683950036764145,
0.14198428392410278,
-0.06579142808914185,
0.03171036019921303,
0.001861... |
system\nduring\tbinge\teating.\tPatients\twith\tBN\tmay\talso\tfind\tit\tdifficult\tto\tfast\tfor\tthe\trequisite\t10-\tto\t12-hour\nperiod\tbefore\tREE\ttesting.\tAlthough\tbaseline\tand\tfollow-up\tmeasurements\tof\tREE\tmay\tbe\tuseful\nduring\tthe\tnutritional\trehabilitation\tprocess\t(\nMehler\tet\tal,\t2010\n),\... | [
0.006642568856477737,
-0.01312947552651167,
0.05615267530083656,
-0.019877413287758827,
-0.08154529333114624,
-0.007476335857063532,
0.04902668669819832,
0.02049349807202816,
-0.016959166154265404,
0.015291247516870499,
0.11238299310207367,
0.014575199224054813,
0.03608698770403862,
0.0203... |
Mehler\tet\tal,\t2010\n),\taccess\tto\tindirect\tcalorimetry\nequipment\tis\toften\tlimited.\tHandheld\tcalorimeters\tare\treadily\tavailable,\tbut\tdata\ton\ttheir\n\taccuracy\nin\tthis\tpatient\tpopulation\tare\tlimited\t(\nHipskind\tet\tal,\t2011\n;\tsee\t\nChapter\t2\n).\nAnthropometric\tassessment | [
-0.00406449381262064,
0.012713047675788403,
0.05038886144757271,
-0.01804318279027939,
-0.12936344742774963,
0.0019264088477939367,
0.08256248384714127,
0.05147770047187805,
0.005446808412671089,
0.011208271607756615,
0.14459118247032166,
-0.06413430720567703,
0.0009627907420508564,
0.0690... |
Hipskind\tet\tal,\t2011\n;\tsee\t\nChapter\t2\n).\nAnthropometric\tassessment\nPatients\twith\tAN\thave\tPEM,\tcharacterized\tby\tsignificantly\tdepleted\tadipose\tand\tsomatic\tprotein\nstores\tbut\ta\trelatively\tintact\tvisceral\tprotein\tcompartment.\tThese\tpatients\tmeet\tthe\tcriteria\tfor\ta\ndiagnosis\tof\tsev... | [
0.03923901915550232,
-0.04024583101272583,
0.06810158491134644,
-0.00999648030847311,
-0.11192400008440018,
-0.01112228911370039,
0.09757176786661148,
0.000633383053354919,
-0.022438913583755493,
0.061813339591026306,
0.11242532730102539,
0.009464587084949017,
0.02299131453037262,
-0.02122... |
fat\tand\tfat-free\nmass.\tAlthough\tthese\tcompartments\tdo\tregenerate,\tthe\textent\tand\trate\tvary.\nBody\tcomposition\tstudies\tof\teating\tdisordered\tpatients\thave\tutilized\tunderwater\tweighing,\tdual-\nenergy\tx-ray\tabsorptiometry\t(DEXA)\tequipped\twith\tbody\tcomposition\tsoftware,\tand\tskinfold | [
-0.013279796577990055,
-0.04121244698762894,
0.09487400949001312,
-0.010461905971169472,
-0.0794394388794899,
-0.023524407297372818,
0.11012545228004456,
0.01605003885924816,
-0.0026194495148956776,
0.030018243938684464,
0.06831979006528854,
-0.008101863786578178,
0.04716375097632408,
0.01... |
thicknesses.\tImaging\ttechniques\tsuch\tas\tcomputed\ttomography\t(CT)\tand\tmagnetic\tresonance\nimaging\t(MRI)\talso\thave\tbeen\tused\n\tto\tobtain\tdetailed\tmeasurements\tof\tspecific\tregions\tor\ttissues\n(e.g.,\tvisceral\tadipose\tfat)\tor\tfat\tinfiltration\tof\ttissues.\tTotal\tbody\tprotein\tassessment\tusi... | [
-0.027459338307380676,
-0.0766017884016037,
0.03339289873838425,
-0.02852017432451248,
-0.12566521763801575,
-0.06703487038612366,
0.06608138233423233,
0.03973858430981636,
-0.009098141454160213,
0.014949196949601173,
0.07645636051893234,
0.004986023996025324,
0.023555343970656395,
0.05574... |
neutron\tactivation\tanalysis\t(IVNAA)\thas\trecently\tbeen\tdescribed\tin\tadolescents\twith\tAN\t(\nHaas\tet\tal,\n2018a\n).\tMost\tbody\tcomposition\tmethodologies\tare\tlimited\tto\tthe\tresearch\tsetting.\tBioelectrical\nimpedance\tanalysis\t(BIA)\tis\tmore\n\tclinically\tavailable,\tbut\tshifts\tin\tintracellular... | [
-0.06485841423273087,
-0.0760333314538002,
0.02926625870168209,
-0.007432794198393822,
-0.05531120300292969,
-0.01434375811368227,
0.07408829033374786,
0.04964055120944977,
-0.015493488870561123,
0.0353856161236763,
0.08826366811990738,
-0.06290776282548904,
-0.007740317843854427,
0.070281... |
compartments\tin\tpatients\twith\tsevere\tEDs\tmay\taffect\tthe\taccuracy\tof\tbody\tfat\testimate\t(see\t\nChapter\n5\n\tand\t\nAppendix\t11\n).\nCareful\tassessment\tof\theight\tand\tweight\tare\tessential\tcomponents\tof\tclinical\tmanagement\tin\tall\nED\tdiagnostic\tgroups.\tIn\tAN\tand\tARFID,\tweight\trestoratio... | [
-0.025617118924856186,
-0.02470773085951805,
0.07093797624111176,
0.03501677140593529,
-0.07907098531723022,
-0.022777672857046127,
0.09145163744688034,
0.0020161562133580446,
-0.017053652554750443,
0.025237100198864937,
0.0835501179099083,
-0.0083513418212533,
0.04077489674091339,
0.06291... |
(adults)\tor\tage-appropriate\n\tweight\tgain\t(children/adolescents),\tis\tcritical\tfor\trecovery.\tIn\tBN,\ncessation\tof\tbinge/purge\tepisodes\twith\tconcurrent\tweight\tmaintenance\tis\tthe\tprimary\ttreatment\ngoal.\tIn\tBED,\tcessation\tof\tbinge\teating\talong\twith\tweight\tstabilization\t(size\tacceptance)\t... | [
-0.035952795296907425,
0.015465552918612957,
0.05560184642672539,
0.019458042457699776,
-0.05626067519187927,
-0.016010409221053123,
0.08230837434530258,
-0.02090282365679741,
-0.038342107087373734,
0.03636865317821503,
0.13333089649677277,
-0.0032379000913351774,
0.04265875741839409,
0.04... |
loss\tmay\tbe\trecommended\t(\nGrilo,\t2017\n).\nIn\thospitalized/residential\ttreatment,\tan\tearly\tmorning,\tpreprandial,\tgowned\tbody\tweight\nmeasurement\n\tis\trecommended.\tThe\tpatient\tshould\tbe\tadvised\tto\tempty\tbowel\tand\tbladder\tbefore\nweight\tassessment.\tUrine\tspecific\tgravity\tcan\tbe\tchecked\... | [
0.014350254088640213,
-0.00755162863060832,
0.093661829829216,
0.01858055219054222,
-0.08210217207670212,
0.012635992839932442,
0.10391262173652649,
0.03248714655637741,
-0.03392235189676285,
-0.004318046383559704,
0.06327508389949799,
-0.047038525342941284,
0.02762751840054989,
0.00486525... |
resort\tto\tdeceptive\ttactics\t(water\tloading,\thiding\theavy\tobjects\tlike\trolls\tof\tcoins\tand\tmarine\tdiving\nweights\ton\ttheir\tperson,\tand\tholding\turine\tand\tbowel\tcontent)\tto\treach\ta\tmandated\tweight\tgoal.\nFrequency\tof\n\tweight\tchecks\tvaries\tamong\ttreatment\tprograms\tbut\tis\ttypically\te... | [
-0.006118082907050848,
-0.03280307725071907,
0.06994762271642685,
-0.04483126476407051,
-0.08377962559461594,
-0.0011307772947475314,
0.12460638582706451,
-0.025439880788326263,
0.009409558959305286,
0.04576278105378151,
0.05702531337738037,
-0.03708793595433235,
0.08711803704500198,
0.016... |
known\tversus\tblind\tweight\tprotocols\talso\tvary.\tOn\tan\toutpatient\tbasis,\ta\tgowned\tweight\tshould\tbe\nobtained\ton\tthe\tsame\tscale,\tat\tapproximately\tthe\tsame\ttime\tof\tday,\tat\tleast\tonce\ta\tweek\tin\tearly\ntreatment.\tIf\tthe\tpatient\tis\tseeing\tmultiple\thealth\tcare\tprofessionals,\tonly\tone... | [
-0.013246819376945496,
0.004608167335391045,
0.08943294733762741,
0.03432866185903549,
-0.11593496054410934,
0.023581862449645996,
0.07968250662088394,
0.007953362539410591,
-0.043194178491830826,
0.010595512576401234,
0.0849950909614563,
-0.052295636385679245,
0.05270108953118324,
0.00070... |
the\tpatient.\nBody\tweight,\n\tas\ta\tmetric\tfor\tassessment\tand\ta\tgoal\tfor\trecovery,\tis\tmeasured\tand\tmonitored\nthroughout\ttreatment.\tHowever,\t“healthy”\tor\t“ideal”\treference\tweights,\tlike\tthe\tMetropolitan\tLife | [
0.016848497092723846,
0.024424007162451744,
0.018148213624954224,
0.01882316917181015,
-0.1154237613081932,
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0.08240290731191635,
0.01912275142967701,
-0.00889625959098339,
-0.014387228526175022,
0.08029887825250626,
-0.019376007840037346,
0.01129031740128994,
-0.0007... |
Insurance\tCompany\ttables\tand\tthe\tHamwi\n*\n\tmethod,\tprovide\twidely\tvarying\tand\tempirically\nunsupported\tresults.\tDue\tto\tthese\tlimitations,\tBMI\thas\tbecome\tincreasingly\taccepted\tin\tthe\nmanagement\tof\tED\tpatients\t(see\t\nChapter\t5\n\tand\n\t\nAppendix\t11\n).\tIn\tAN,\tfour\tcategories\tof\tBMI... | [
0.007989473640918732,
0.026878928765654564,
0.06185581535100937,
-0.0008471478940919042,
-0.06306900829076767,
0.04009205847978592,
0.12993060052394867,
0.019761767238378525,
-0.039522841572761536,
0.011034567840397358,
0.09953371435403824,
0.0027956387493759394,
0.014234008267521858,
0.01... |
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