PT - JOURNAL ARTICLE AU - Nitsch, Allison AU - Dlugosz, Heather AU - Gibson, Dennis AU - Mehler, Philip S. TI - Medical complications of bulimia nervosa AID - 10.3949/ccjm.88a.20168 DP - 2021 Jun 01 TA - Cleveland Clinic Journal of Medicine PG - 333--343 VI - 88 IP - 6 4099 - http://www.ccjm.org/content/88/6/333.short 4100 - http://www.ccjm.org/content/88/6/333.full SO - Cleve Clin J Med2021 Jun 01; 88 AB - Bulimia nervosa, a mental illness 4 times more common than anorexia nervosa, is characterized by binge-eating followed by compensatory purging behaviors, which include self-induced vomiting, diuretic abuse, laxative abuse, and misuse of insulin. Patients with bulimia nervosa are at risk of developing medical complications that affect all body systems, especially the renal and electrolyte systems. Behavior cessation can reverse some, but not all, medical complications.