Category Archives: sugar

Compulsive overeating

Low carbohydrate diets and health benefits

March 18, 2016

Low carbohydrate diets effectiveness and health benefits: How it works to control weight

Low carbohydrate

Low carbohydrate diets effectiveness and health benefits is offering real time solutions to weight loss problem

From the founding fathers of this discovery (low carbohydrate diets) many physicians have over the last century applied Doctor Atkins discovery in the treatment of several health conditions including obesity, diabetes, and many other health problems. Some of the applications commonly used may include low carb high fat (LCHF), Rosedale diet, Atkins, Ketogenic and Protein power. In a little while and with the help of doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center, we will be discussion in details low carbohydrates diets work in addressing all these health complications but in the meantime let us look at some of the benefits and side effects that may come with this application:

Prospective benefits

  • It provides the very best diet for carbohydrate-sensitive individuals
  • It encourages consumption of fatty foods which is the preference of many people
  • Improvement of energy
  • With this one may not need to count calories
  • Improvement of moods
  • It is one of the best and effective diet for weight loss
  • Possess high potential of eradicating food cravings and obsession
  • Offers good ways of managing chronic health complications

Even though the concept of low-carbohydrate diets was made popular in recent decades by Dr. Atkins, the concept was discovered very long time ago and has been in exisistance for more than a century now. Over the period quality scientific research findings have established that very low-carbohydrate diets are effective not only as a weight loss strategy, but also as a way of treating and in many cases preventing chronic conditions like diabetes, epilepsy and other common chronic diseases caused by insulin resistance. Now for us to find out how low carbohydrate diets works, we are going to seek answers to some questions as we move along in this order.

Low carbohydrate diets effectiveness and health benefits: How safe are low carbohydrate diets?

The question of safety is very vital and scientific evidence has confirmed that low carbohydrates are indeed safe. This has been further affirmed by the fact that over the years the indigenous Eskimos who were gatherers lived and thrived for centuries feeding essentially on almost carbohydrate free diet and no trace of complications were registered in them. It therefore means that the body can actually survive on a zero grams of carbohydrate and so eliminating carbohydrate from your diet will certainly not cause any harm to your health.

Besides the factors of safety highlighted above, it is important to note that, this is only applicable where one is in perfect health. That is to say if an individual is under certain medication like for instance that of any chronic health conditions like diabetes, heart disease or high blood pressure, such individuals needs to be under close supervision by their physician from the initial stages of this diet. This is very necessary for the medication dosage to be proper. The reason why this is necessary is because this diet can have a powerful effect on your body chemistry quite very fast. With that the blood pressure and blood sugar can naturally fall towards more normal values even in just a few days, thereby necessitating the need for medication dosages to be reduced progressively to avoid any possible serious medication side effects.

The effectiveness of low carbohydrate diets

If one was to ask if the administration of low carbohydrates is effective the answer would be yes and not just yes but exceptionally effective. Research has established that majority of people do lose essentially more body fat much faster and more comfortably on a low carbohydrate diets in relation to other tested diets. The message being passed there is simple and direct to the point that low carbohydrate diets are much healthier than other diets simply because they improve cholesterol profiles together with blood sugar or insulin profile far much better than other diets. The reason behind this is because carbohydrates are a driving force behind cholesterol and blood sugar problems. Experts have since concluded that these diets are actually the best for patients struggling with any pre-diabetes and even diabetes type I and II, besides this category of people this diet is also suitable for all those people who are generally carbohydrate sensitive. The good news about this diet is that it has the potential to entirely reverse the complications of type I and II diabetes.

Low carbohydrate diets effectiveness and health benefits: Ketogenic diets

The most interesting thing about ketogenic diet is that besides being very low in carbohydrates, it is also very limited in protein. These characteristics enable the body to burn fat for energy effectively. Over the years these low carbohydrates diets have been used to effectively and successfully treat epilepsy and have been seen to be much more effective in relation to the anti-seizure medications in most cases. At the moment researchers are busy carrying out test with a view of finding any possibilities of cancer treatment through the application of low carbohydrate diets and any positive result in this line will be a serious break through. Finally and besides the aforementioned, low carb diet is also recommended for treatment of mental health like depression, eating disorder, anxiety and bipolar disorder.

Low carbohydrate induction phase

Like with all new things sometime of adaptation will be necessary. If you are going to begin using low carb diet for the first time, things may not be as normal in the early stages of usage. Like for instance in most cases the first few hours (24-72 hours) of being introduced on a very low-carbohydrate diet, you will be faced with some tough situations as your body makes adjust to living without dietary sugars and starches. During this period of adaptation you are likely to feel some changes in your system including being irritable, hungry, moody and tired most of the time. You could also have trouble with sleeping and just feeling restless and unease. It is however important to note that these are very normal experiences and once you get through that preliminary withdrawal period, your body shall have become adaptable to the new environment and you will be able to feel much better.

Because the body was originally designed to be burning fat, our daily practices have made it almost impossible for this function to be performed effectively thanks to the high intake of carbs. And because of this the body has over a very long period of time been changed or reduced into a tool of carbs instead of burning fat. Because of this, it is therefore necessary that the body will have to take some few weeks to completely transition to its original function of burning fats and that is why there will be such feelings during the transition period.

Low carbohydrate diets effectiveness and health benefits: How it works to control weight

 

 

 

 

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Why medical detox is necessary to addicts

Taming food addiction to improve your health

February 27, 2016

Taming food addiction before it complicates your health: Necessary steps to take

Taming food addiction

Taming food addiction before it complicates your health is a must do for all people in this generation

Has it ever occurred to you that one of the most basic needs in life could turn into a serious health problem? Many times when you look at what you want to eat all you do is to invite appetite and begin the celebration. I am not saying that is not right however I want to bring to your attention that food may be good for the body but when not used well, could be the real nightmare we don’t want to associate with. Keep reading and find out why taming food addiction before it complicates your health is a must do thing in this generation. And like we have mention before, addiction does not necessarily have to involve an addictive substance or drug. The term addiction on the other hand can be used to describe any excessive behavior including compulsive eating. Form the various studies done to date, there are different opinions and thought about addiction but the scientific literature in the area of food addiction is still in the beginning stages of investigations and many experts believe that addiction to food really isn’t about the food.

That is to say that food is a variable that do not have addictive properties that may make someone to depend on unlike chemical substances. According to the experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury MD, President and founder of the establishment, food addiction has more to do with the user, that is to say how a one behaves around food, what he think about food and how he relates or his habits with food. Doctor Akoury says that the habits are the real source of the addiction. We therefore must be careful with how we relate with food because for many food can become a way of coping with emotional matters and if this is done repeatedly, the consequences is that this coping mechanism can result into addiction. The danger comes in the sense that by using food as a means to deal with complications like anxiety, stress, grief, etc., the body is likely to become conditioned to crave that process to feel relief.

The other danger about food is that many at times people do associate pleasure with foods particularly those that contain fat, sugar and salt. Because of the vulnerabilities of these food elements, we get introduced to this at a young age when candy and soda are given as a “treat” or “reward” for good behavior, or when we have excelled in academic with good grades or during normal celebrations. Research studies have shown the reward centers of the brain to light up and release dopamine when pleasurable foods are consumed. The question that follows would be “could this be that we’ve conditioned our bodies to react this way?” Let’s respond to that subsequently as we progress into the discussion.

Taming food addiction before it complicates your health: The slippery slope of food addiction

Like we have said food is a basic need and we all need to eat to get the constant supply of energy to move. It therefore means that people do not just decide that they want to feel out of control with food. It’s often a slippery slope that leads a one into food addiction. Because of this we need to be on the alert to be safe from the temptation of being addicted to food. The following are some of the common warning signs and traits among people suffering from food addiction:

  • Rewarding/treating yourself with food
  • Thinking about food all the time
  • Restrictive dieting
  • Eating in secret or sneaking food
  • Feeling out of control with food
  • Feeling disgusted, guilty or upset after eating
  • Feeling stressed or tension that is only relieved by eating
  • Weight fluctuations and/or difficulty managing weight
  • Body dissatisfaction
  • Feeling unsatisfied even after meal times
  • Changes in mood
  • Labeling food as “good” and “bad”

Taming food addiction before it complicates your health: Overcoming food addiction

Taming food addiction is a process worth taking by everyone if we want to find lasting freedom from this condition. Doctor Akoury and her team of experts can help you redeem your-self professionally. For a full recovery you can call doctor Akoury today to help you take back the power from food so that you can achieve a full recovery. And as you consider that the following are some steps you may want to consider to help you or someone recovering from food addiction:

Healthy relationship with food – Unlike with 12-step addiction-based recovery models where individuals are encouraged to remain abstinent for healing, when it comes to food addiction, things are different because we still need to eat because food is a necessity to life. Therefore anyone struggling with food addiction must learn how to eat properly again by establishing a healthy relationship with food.

Management of consumption of unsafe foods – What we call unsafe foods is still foods and must be taken in moderation (proper management) so that we remain on a healthy by feeding on healthy food. However if for example one binges on ice cream because of a stressful situation, it’s advisable not to keep it in the house.

Structured meal plan – With a well-structured meal plan anybody suffering from an unhealthy relationship with food can bounce back on the right track of recovery. With this done the individual victim will be able to set safe boundaries with food. And alongside that the individual will feel satisfied thereby reducing the physiological need to eat. Remember that it’s more enticing to be out of control with food when there is physical deprivation.

Adopt healthy coping strategies – Address reasons for turning to food to cope by identifying much healthier coping mechanisms and strategies so that one can begin learning healthier means of dealing with emotions.

Finally taming food addiction before it complicates your health is one that will need real consultation with experts just to void making costly mistakes. Calling doctor Dalal Akoury for help will be very beneficial to you as she will professionally take you through the recovery process. And even as you consider doing that it is important to note that in order to defeat food addiction, one need to be very patient because it is a process and may not happen overnight as you may want. A registered dietitian or a licensed therapist who is specialized in the area of disordered eating will be very instrumental in offering solutions by helping you in the implement appropriate strategies and providing accountability and sound advice.

http://regenerativepotential.com/integrativeaddictionconference/

 

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Misuse of alcohol

Sugar addiction exposed partnership with obesity

February 23, 2016

Stopping sugar consumption

Sugar addiction exposed

Sugar addiction is becoming one of the major causes of health complications and the sooner sugar addiction exposed for treatment the better.

I am yet to meet that person who says that sugar is bitter and tasteless. Are like me? I am persuaded that you are and probably you are into sugar in all the meals you take. Your favorite drink is probably soda, beer and energy drinks. And when you feel like eating something quick you probably go for the processed food readily available in all our stores. You are no different from everyone in fact you are practicing what you were brought up seeing you’re your seniors do and you don’t bear any blame and believe you me, I am not going to blame you either. However I want you to stay with us on this link to discover for your-self the new revelations about your sweet sweetener in all meals. I am addressing the topic before us sugar addiction exposed as deadly partner in obesity epidemic. Many have associated being obese with consumption of a lot of fats but wait a minute, that may have some truth in it but have you ever looked at the other side of the discussion? Experts from AWAREmed Health and Wellness Resource Center under the able leadership of doctor Dalal Akoury MD, President and also the founder of the same are sharing with us what may have escaped our minds.

Various studies have sugar exposed addiction  thereby likens it to other controlled substances like cocaine and heroin which are seen as deadly, addictive and toxic. These are facts we cannot pretend don’t exist because they do. Therefore doctor Akoury advices that as a matter of agency, we need to start weaning ourselves off this practice. We must begin to use sugar not as a main stream diet but as a treat if we want to make any meaningful change in our health. A time has come when we must choose to go for health and drop the lucrative commercials the food industry is making us to believe. This industry is succeeding in making sugar as a staple diet and it is regrettable that we are dancing to their tune by buying their product at the expense of our health. This is what we want to correct across the globe by posting health contents to enlighten our communities into making the right decisions.

Without missing my words, the bitter truth about sugar is that it is addictive just like any other substance and has life threatening consequences that is why it is important that sugar addiction exposed programs should be encouraged so that every body is aware of the bitterness in sugar. In her over two decades of transforming people’s live across the globe, doctor Akoury is registering that the effects of sugar in the nervous system, metabolism and numerous diseases is largely contributed by the consumption of Coca-Cola and Pepsi mainly by the young generation and that explains why we have a society of heavy people today. How then do we remedy the situation, writing these health content is just one avenue experts at AWAREmed Health and Wellness Resource Center are administering and a long side that we have annual Integrative Addiction Conference Workshops that adopt partnership and dialog among integrative medical experts in nurturing, empowering, motivating, cozy atmosphere. This year we are having our second conference schedule in June and the conference venue is in Austin Texas 6505 Interstate Highway-35 North Austin, TX 78752. For further enquiries you can get us on telephone number
512-454-3737 Fax: 512-419-0102. Remember that the full-day workshops will offer information personalized for your interest and are designed to ease you towards transformational growth. Therefore get in touch and be part of the solution.

Sugar addiction exposed as deadly partner in obesity epidemic: Insulin blamed on obesity

The greatest concern we have with sugar addiction being exposed is primarily narrowed down to the consumption of foodstuffs that are known to increasing the levels of insulin says doctor Akoury. This is because too much insulin in the body is very catastrophic. As a matter of fact about 75% of all the weight related problems are traced to insulin. This is the hormone which allows energy to be stored in the fat cells and sugar energy is the most disturbing of all categories. However even as we blame insulin, there are three other categories including: Tran’s fats, alcohol and dietary amino acids. To understand this better, we must appreciate that cheap sugar is endangering lives. The most painful thing about it is that this cheap sugar has been introduced into your diet, our kids have access to it and we consume them in all sorts of foods processed foods we use daily in our lifetime. When high-fat foods were blamed for making us overweight, manufacturers tumbled over each other to produce low-fat products. But to make them palatable, they added sugar, causing much greater problems. In their effort to stay in business they keep trying to cover the truth with other ingredients while the physical truth is that their products are still rich in sugar.

Sugar addiction exposed as deadly partner in obesity epidemic: Cutting on calories

Somebody once said to the total surprise of many that the sweetness of sugar cannot be compared with the pain of diabetes. People did not understand him and we are trying to make you understand his point by discussing this topic “sugar addiction exposed as deadly partner in obesity epidemic” in very simple terms that you can understand. Available statistics indicates that the dietary effects on the body may be very difficult to collect. This is so because people are not honest when disclosing the kinds of food they feed on. And trying the randomized option of collecting data for analysis, this in essence is impossible because everyone normally reverts back to their normal eating habits just after a few months. Therefore if you want to be safe you may want to work on cutting on calories not just by choosing food of low calories but also engaging in other physical activities like exercise.

Finally having known that sugar consumption is not going to be eradicated any time soon, we all have a duty to perform in keeping healthy. Experts say that when sugar addiction exposed program campaign are being advocated for the whole idea is to keep healthy. nonetheless being healthy doesn’t necessarily mean that we totally eradicate sugar from the diet; it is all about moderate consumption and that is to say getting it down to levels that are not toxic. This we believe you can do however because this is a sweet product and addictive for that matter, if in any case you’re struggling with sugar and you need help, you can schedule for an appointment with doctor Dalal Akoury today for a more personal discussion on how best you can reduce your level of sugar consumption for a healthy life thereafter.

http://regenerativepotential.com/integrativeaddictionconference/

 

 

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Alcohol kills

Excess sugar consumption harms your health badly

February 22, 2016

Facts about the consequences of sugar usage

Excess sugar consumption

Excess sugar consumption can harm your health badly if not controlled properly. All the sugary food must be taken in moderation

There is no doubt that sugar is sweet and appealing for consumption. When you look at food products arising from sugar, they are so appetizing and luring. Because of this we have made sugar part of our daily meals in nearly all food that we use. Talking to the experts from AWAREmed Health and Wellness Resource Center, it is becoming evident that not all that glitters is gold. Does that surprise you? Stay tune on the link and get some of the dangers that are associated with excess sugar consumption (sugar addiction). Doctor Dalal Akoury a veteran addiction expert in the MD, President and founder of AWAREmed Health and Wellness Resource Center and she is helping us understand the enemy (excess sugar consumption) within and how we are all affected by this way of life in the name of being addicted to sugar. No the following are some of the consequences coming out of excess sugar consumption.

Sugar causes blood glucose to spike and plummet

Excess usage of sugar is characterized with blood sugar often leads to several complications including mood swings, fatigue, headaches and cravings for more sugar. When one craves for sugar, such individual is likely to become addicted to the product thereby making them to always want to use it more and more. This usage will create a temporal feeling of some relief which will not last before they start craving for more of the substance. The reverse side is also true in the sense that, those who avoid sugar will always register having less or no cravings for sugary food stuff and feeling emotionally balanced and energized.

Excess sugar consumption can harm your health badly: Risk of obesity, diabetes and heart disease

Besides the dangers registered above the risk of obesity, diabetes and heart diseases is one that is very disturbing. Experts have actually established that the more we feed on food stuff rich in sugar, the higher the risk of becoming obese and we are all aware of the health complications that comes with being obese. Diseases like diabetes, certain types of cancers and heart diseases will then come knocking further complicating our health conditions.

Immune function – Even though studies done on human about this subject is not very adequate, those done on animals have shown that sugar destroys immune responses. Therefore doctor Akoury is advising that a lot more research should be done to bring more clarity. Besides that, what is very evident is that bacteria and yeast feed on sugar and when these organisms get out of balance in the body, one is likely to suffer infections and various kinds of illness.

Sugar accelerates aging – It even contributes to that telltale sign of aging: sagging skin. Some of the sugar you consume, after hitting your bloodstream, ends up attaching itself to proteins, in a process called glycation. These new molecular structures contribute to the loss of elasticity found in aging body tissues, from your skin to your organs and arteries. The more sugar circulating in your blood, the faster this damage takes hold.

Gum disease leading to heart disease – Increasing evidence shows that chronic infections, such as those that result from periodontal problems, play a role in the development of coronary artery disease. The most popular theory is that the connection is related to widespread effects from the body’s inflammatory response to infection.

Excess sugar consumption can harm your health badly: Stress

When we’re under stress, our stress hormone levels rise; these chemicals are the body’s fight-or-flight emergency crew, sent out to prepare the body for an attack or an escape. These chemicals are also called into action when blood sugar is low. For example, after a blood-sugar spike (say, from eating a piece of birthday cake), there’s a compensatory dive, which causes the body to release stress hormones such as adrenaline, epinephrine and cortisol. One of the main things these hormones do is raise blood sugar, providing the body with a quick energy boost. The problem is, these helpful hormones can make us feel anxious, irritable and shaky.

Excess sugar consumption can harm your health badly: Sugar takes the place of important nutrients

The body needs nutrient to be healthy however any excess sugar consumption will cause sugar to predominantly take the place of those essential nutrients like vitamin A, vitamin C, folate, vitamin B-12, calcium, phosphorous, magnesium and iron. Ironically, those who consume the most sugar are children and teenagers, the individuals who need these nutrients most12.
Slashing Sugar

Finally having understood the negative impacts refined sugar on your body and mind, it is only fear that you take the necessary precaution and be more careful about the foods you use. Doctor Akoury advices that for this to be done effectively the first step is educated adequately about where sugar lurks. I know this may be difficult to believe but the fact is, food need not to taste all that sweet for it to be loaded with sugar. Therefore before picking any food item from your shopping spree, take keen interest in the ingredients information on the label to guide you in making the right decision. And remember that not all that glitters is gold, that is to say, just because the advert is loud on low carbs or diet food, doesn’t necessarily mean it’s free of sugar. Be warned and if you are still struggling with this problem, you can schedule for an appointment with doctor Dalal Akoury for further professional direction.

Facts about the consequences of sugar usage

 

 

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losing-weight

Eating disorders problems and food addiction

February 18, 2016

Eating disorders problems that is associated with food addiction: Overeating to the point of obesity

Eating disorders problems

Eating disorders problems are conditions that may be associated with food addiction and needs to be addressed before the problem escalates to serious complications

Eating disorders problems is becoming a serious concern to many people across the globe and while food is a basic need, when it is abused it brings with it weight related health complications which can be very chronic in nature. As things stand now, there are several types of eating disorders problems many families are struggling with including compulsive eating, anorexia nervosa and bulimia. In our previous article we dealt with compulsive eating and you can make reference to that on this link. However for the purpose of this article, we want to concentrate on anorexia nervosa and bulimia. Talking of weight related complications it is amazing how people respond to this situation. Available statistics indicate that people do overeat and this often escalates to the point of obesity, others ingest large quantities of food and then avoid its integration by vomiting and still others chose to go starve themselves in order to lose weight. All of these practices are considered to be addictive behaviors with no clear etiology.

Eating disorders problems that is associated with food addiction: Anorexia Nervosa

Experts at AWAREmed Health and Wellness Resource Center says that this addictive behavior (anorexia nervosa), causes people to start believing that they are too fat, even when they are of normal weight for their age and height. Under these circumstances, the individual feels that they must always be on diet and occasionally starve themselves to be slim and remain composed and beautiful. The implication of this practice is that once in it becomes so addictive that getting out becomes very difficult. Doctor Akoury reiterates that persons struggling with anorexia (Anorexics) will be emotionally disturbed and a lot of energy thinking of ways of avoid food and also to cover up their lack of eating. The cost of hiding some of this practice can be very disturbing thereby causing the victim even to wear bulky clothing, throw food away secretly and also engages in frequent exercises away from the view of people including in the middle of the night all in an attempt to burning up calories.

While the desire of the victim may be genuine the consequences may be very wanting because lack of eating and extreme diets. This then causes anorexics to be malnourished and also exhibit signs and symptoms of starvation. Other symptoms of anorexia may include cessation of menstruation, extreme thinness, edema (swelling in various parts of the body from electrolyte imbalance), thinning or falling hair, tooth decay, and dry skin from dehydration. Even with these symptoms they continue to compulsively lose weight to the point of emaciation and sometimes death. Along with losing weight, they are often obsessed with obtaining extremely low body fat composition. Even when they have lost weight to the point of emaciation, they view themselves as being fat.

Statistics indicate that most anorexics are of the female gender from white upper-middle-class families. They tend to be high achievers and to be compulsive in other aspects of their life such as schoolwork. As an example, they become extremely depressed if they do poorly on an exam. They have low self-esteem usually they often deny of not having a problem and are often depressed.

The problem of addiction is one which can be a serious thorn in people’s flesh. A lot is being done to contain the general problems of various types of addiction and doctor Dalal Akoury MD, President and founder of AWAREmed Health and Wellness Resource Center is not left out. And in her effort to making a positive difference in people’s lives AWAREmed Health and Wellness Resource Center is organizing their 2nd Annual Integrative Addiction Conference Workshops that adopt partnership and dialog among integrative Medical experts in a nurturing, empowering, motivating, cozy atmosphere. This conference venue will be at Austin Texas: Doubletree by Hilton Austin and it will be very helpful for you and your career; you’re free to register your attendance for the full-day workshops which will offer information personalized for your interest and are designed to ease you towards transformational growth. For further enquiries you can get in touch with us at 6505 Interstate Highway-35 North Austin, TX 78752 and out Phone contact is: 512-454-3737 Fax: 512-419-0102. You are most welcome to this year conference schedule for June this year.

Eating disorders problems that is associated with food addiction: Bulimia

The person who overeats or binges on food and then prevents absorption by purging (laxatives, vomiting, water pills, enemas etc.) is considered to have bulimia. In this obsessive behavior the person feels driven to consume food as well as to purge him/herself of it to prevent gaining weight. It is often associated with anorexia. Bulimia can occur with individuals who are of normal weight or even overweight. The bulimic person often plans and organizes the consumption of a large amount of food. The planning is often ritualistic and secretive. So great an amount of time and energy is spent thinking of food that it often interferes with an individual’s ability to function.

This behavior is usually cyclic in nature, with the person binging due to loneliness, depression, or boredom and then purging due to feelings of guilt about binging. Symptoms of bulimia include tooth decay, dehydration, constipation, weakness, lightheadedness, low blood potassium, cardiac arrhythmias, kidney damage, swelling of salivary glands, and irritated esophagus. The blood chemical imbalance can lead to heart attack. The individual is usually secretive about the behavior and may make numerous trips to the bathroom as the result of laxative abuse or desire to vomit.

Finally, just like it is with anorexics, bulimics is also common with white upper-middle-class females. Their involvement is always in line with cheerleading, performing arts, or gymnastics. This causes them to have low self-esteem and rely on the opinions of others to validate their self-worth. As things stand now, what causes bulimia is not known, however various theories, including emotional stress, need for relief from anger and depression, and pre-occupation with body size, have been suggested as possible causes. And just like with anorexia, bulimia may be related to a malfunctioning hypothalamus or a need to be in control of one’s environment.

Eating disorders problems that is associated with food addiction: Overeating to the point of obesity

 

 

 

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