Orthorexia Nervosa Symptoms
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Orthorexia Nervosa Symptoms

August 26, 2019

“Orthorexia Nervosa Symptoms” Orthorexia Nervosa is an
unrecognized eating disorder in which the person becomes
obsessed with eating healthy foods. Whereas recognized eating
disorders like anorexia deal with the quantity of food, orthorexics care about
the quality of their food. Many researchers have raised
questions about the validity of orthorexia as an entity, but I always
try to give the benefit of the doubt. A medical case report was published
on orthorexia in a critical care journal about eating disorder emergencies.
OK, I’m listening. So they’re like talking about cases
of bona fide eating disorders, like this woman with anorexia collapsing
after self-induced vomiting and laxatives after years of throat and rectal bleeding. I mean that is indeed a tragic
eating disorder emergency. OK, so what’s their orthorexic case like? A 53-year-old man who had triple bypass
two years ago comes in for a check-up. His physician recommends seeing
a dietitian since his BMI is down to like 18.5, which is right on the
cut-off for being underweight. He’s evidently been eating so healthy
he’s lost a significant amount of weight. He states that since his diagnosis
of coronary heart disease and high cholesterol, he only
eats natural and organic foods. Therefore, he probably
has a psychiatric illness. He clearly is preoccupied with food and judges others based
on their food choices, when in fact he may very well
have been saving his own life. I mean to me, the craziest thing
this guy did was get a triple bypass. I mean imagine lying on a
psychiatrist’s couch and being like: Yeah, I know I could switch to bean
burritos, but I’d rather pay someone to slice my chest open with a knife,
maybe saw my breastbone in half, put me at risk for stroking
out, you know, instead of dealing with the underlying cause.
What do you think, doc? Then we could see some orthorexics
becoming evangelical as they share their feelings of disgust or
disappointment towards their family, friends, and even children for
their “normal” food choices. I mean it’s bad enough they
care about their own health, but caring about their family
and friends, their children? Off to the funny farm you go. I mean it’s not like what we eat is the
#1 cause of death in the United States or anything, killing hundreds of
thousands more Americans every year than cigarettes.
Oh, wait, it is. And also the #1 cause of disability. But you may have a mental
illness if you’re disappointed that your kids are eating multi-colored
marshmallows for breakfast. If you recognize these warning
signs, what should you do? You should confront the person. I know it’s not easy, but if you see
someone obsessively trying to avoid unhealthy foods—and worse, trying
to get others to do the same— then confront them. The possibility
of helping them save their own life far outweighs
uncomfortable emotions. The irony, of course, is that
they’re trying to save your life. Imagine if you were able to
talk Mr. Triple Bypass out of his healthy eating obsession.
You’d probably kill him. To his credit, even Steven Bratman,
the guy who coined the term orthorexia, has backed off, saying that
he never intended to propose a new eating disorder. As an
alternative medicine practitioner, he just wanted his patients to relax
their dietary corset and live a little. I mean where did people get this idea
that he was trying to coin the name for a novel eating disorder? I mean if you go back to his original
article, he just said he was trying to coin the name for a novel eating
disorder, an eating disorder he saved himself from.
Saved from the doom of his eternal health food addiction with the
help of tacos, pizza, and a milkshake. One of the directors of the Yale Center
for Eating Disorders is skeptical. We’ve never had anybody come
into our clinic with orthorexia, and I’ve been working in this
field for at least 20 years. Without research to back his theory,
Bratman is simply another guy trying to make a buck off
the health-conscious public. They invent some new term,
a new diet, a solution to a problem that doesn’t even exist. The
burden should fall to the authors to prove that what they’re
saying is correct before they start unleashing
advice on the public.

Only registered users can comment.

  1. I think orthorexia could definitely be a real thing. The component that I believe would make it real, is that the 'healthy' part of it would refer to the psychology of the subject, not what healthy means to society. I know that makes no sense so let me explain. As a society, healthy means good. This word always has a good connotation. However, just like anorexia, I believe orthorexia would be when someone twists the idea of healthy within their own mind. For example, take the recent drama of all these ex-vegans. Many of them followed extreme diets they believed to be healthy. Someone may genuinely believe that eating and drinking nothing but water for 25 days is healthy. This could be an example of orthorexia, because they are obsessed with being healthy and doing what's best for their body without realizing or refusing to acknowledge that it is actually really bad for their body, or not healthy. Another example would be the whole freelee thing of only eating 30 something bananas a day. People do it as a way to be healthy, but it's actually harming them. I believe the definition of orthorexia would be the need to be 100% pure in terms of health, resulting in extreme obsessions and potentially dangerous diet choices. If you think about it it's just like ocd. There's nothing 'really' wrong with wanting to have a super clean environment. But when it becomes an obsession it usually becomes a problem.

  2. For those who dont want to read my long paragraph: it should be a real thing. It's just like ocd. There's nothing 'really' wrong with wanting a super clean environment right? But once it becomes an obsession it becomes a problem. It ruins people's lives. And this does to, and it's almost worse because it's actually harming your body.

  3. mmmm nop, one thing is eating healthy and have differences with your love ones about it, get frustrated, sad, worried for other's health, etc., and other WORLD is getting obsessed, fobic and extremly strict, to the point to get paranoic about it, not eating enough or isolated (I mean not being available to go out of your house, for example) . ok no, it doesn't exist in the DSM, but that doesn't mean that the symptoms aren't real. Don't call it orthorexia, call it OCD, fobia, or whatever, point is if you are eating healthy (or not eating unhealthy food, maybe that's the big difference) not to actually being healthy, but to avoid anxiety and fear, you might need help. do not use sarcasm with other's real suffering. I'm wondering which other videos has this kind of cherry pick data 😔 (doing my best with my english, sorry)

  4. This is the only video I've ever disagreed with and almost disliked with our good Doctor. Hes making jokes and poking fun, when it's a potentially very real thing. An obsession with health can mean ANYTHING in ANYBODYS mind. My idea of health is whole food plant based diet, limited oil, salt, and processed products. Look at all these ex-vegans idea of health. Not eating anything but water for 25 days??? That's an extreme need and addiction that should be diagnosable! I could never ever have the will power to actually go through with that. But like anorexics have the will power to not eat for days and days, orthorexics have the will power to do anything necessary to achieve what they believe is the perfect state of health! Even if it has detrimental effects on them, which they won't even realize because it's an addiction or obsession.

  5. I think this is what happened to poor Izzy Davis (vegan youtuber). She had a past history of anorexia and fell back into it a bit and her family had her start seeing a therapist (which she made videos of) Who demonized the lifestyle and made her feel that the diet was extreme and the cause of her weight loss. Izzy is a type A personality and took veganism very seriously and was brainwashed to think that her diligence with her diet was wrong and the root of her problem. So, she quit. It's sad that this diagnosis is probably going to be what makes her I'll in the end.

  6. Pride is a far horrible state of being than is being a glutton as far as I can see.

    ON I think is trying to make a spiritual term medical and that's why the confusion. So, from this perspective yes it's a big issue.

    ON/pride is:
    *Telling you you are better (more righteous) than fat /carnivores people
    *Makes you feel like a failure if you eat non-plant-based
    *become emotionally invested in eating, neglecting more important aspects of life
    *did I mention self-righteousness?

    Mr. Greger seems to be blind to this aspect. Well to those who can relate to the above there is only one thing that helped me, focusing on Christ.

    Mark 7:18–7:19

  7. Imagine there being a disease invented for people who turned down cigarettes in the 50's and told other people it's gonna cause them incredible pain and suffering before leading to an early death.

  8. I’m so glad you are addressing this. I have been accused more than once of this and it was always with the attitude that it is an bona fide eating disorder. Thank you Thank you.

  9. I have this because most of my day is focused on what I'm gonna eat, the time I do it to digest it perfectly, and picky about quality and cleanliness. I realized it a while ago after being depressed that other vegans were eating delicious food and I'm stuck with the same foods. I know that when ppl fall into strictness and disorders, they deprive themselves of taste and the ease of convenience and ending up dropping a vegan life which is unfortunate. My strictness came about to achieve clear skin which has been working but I still want me some vegan donuts. Everyday…

  10. That was a masterpiece Dr. Greger. I feel great now that I have been diagnosed! Keep on speaking truth to power!

  11. My hospital was serving no protein dense food, other than animal and bread or porridge with allergenic soy mixed into it – upon refusing both i was stuck with 30g of protein from bananas, rice and potatoes, vitamin juice, 1900kcals – and was repeatedly accused of not eating enough. But I ate ALL of their bananas. They couldn't organize more than 3. And apparently didn't know how to open a can of beans either. Miraculously I lost 5-6kg in 3 weeks, not including (sodium-infusion-)water weight. Probably 2kg muscles. Kitchen personnel was trying to convincing me, that i needed to have bone broth and a nurse was trying to convince me, that bananas cause indigestion but at least the chief doc realized that bananas were the most healthy thing in my diet and that i should eat more of them. If only there had been any more. Uniklinik, MA, Ger.

  12. Orthorexia cannot be a diagnostic category of dysfunction, because it is not an essential complex, but only another randomly fashioned example of an underlying, essential complex in question – this essential complex may be stupidity – in the case where false and dysfunctional concepts of health are defended with fundamentalist conviction (breatharianism, paleo, etc), it may be survivalism of the kind, that is common to all humans and thus would not qualify as a disorder or dysfunction, or, in addition to that, it may be egocentricity, in a case when one obsessive narrative about survivalism is exaggerated to the extend of neglect of other necessities of life, like when people build underground shelters to protect their family from the unpredictability of life or collect weapons, that scare everyone away, instead of saving some money – finally it may be disinformation, which is a collective state, not an individual disorder. Also a believe in Orthorexia is often justified by factually invalid concepts, such as "balance is always safer than elimination" or "the dose makes the poison" mistaken to mean "nothing in moderation is poisonous".

  13. People who are addicted to unhealthy food despite all the scientific evidence came up with this sham disorder.

  14. Person: "Colon cancer runs in my family, so I eat broccoli and beans every day."

    Doctor: <whips out prescription pad>

  15. I just watched this while eating my bean burrito inside Taco Bell. I was trying not to bust out laughing in the middle of the establishment. 🤣🤣🤣

  16. Big yikes Dr.G, Orthorexia =/= eating healthy.

    It is the obsession with what one thinks is healthy– even when it is detrimental (e.g. a meat only diet). Luckily society isn't shaming people for their weight as much, but instead one is shamed for their health– even when poor nutrition isn't the primary cause. This shame + and obsessive need for control == eating disorders.

    Really harmful messaging in this series. Not significantly different from dismissing anorexia by citing the health benefits of losing weight.

  17. Do a video on treating eating disorders with MARIJUANA! Seriously, the stoner munchies can be life-saving. Salute from The Netherlands! Now where's my bong…

  18. My "orthorexia" started when I was on a road trip, it wasn't easy to always get that amount of healthy food that I need to be full. So I started eating rather nothing than eating anything that might be a little unhealthy. I was starving while my friends had pizza and oily pasta. That time I lost a lot of weight (I was skinny before). Nevertheless I continued doing lots of sports back home and thought my new, very skinny body was even more beautiful and healthy. Very soon my doctor told me I have the same symptoms as with anorexia. No period, hair loss, yellowish skin, light depression, no energy, lack of hormons…
    I definetely know that eating healthy (WFPB) is best but I'm still in recovery and I will never prefer no food at all over unhealthy food again. It made me ill.
    (Sorry for potentially bad English, this isn't my mother tongue)

  19. It's not just friends and acquaintances who throw the term around. It's also insurance companies who are upset that you dared to go off your medications (after the plant-based-diet-aware doctor approved!).

  20. I logged on to watch some whole plant foodie shows. Ha ha. So funny! And, true most people do not get it and would love for me to eat meat and dairy and processed foods with a ton of oil. What a joke. Logging my dinner on cronometer and planning what we will eat around five and tomorrow! Whatever! I like feeling good and healthy.

  21. Thank you, Dr Greger! Another intelligent and relevant video yet again. Its always a pleasure to learn new stuff from you. I agree that the people coining terms like these should take some responsibility for the fallout from them.

  22. Well everyone who eats like this doesn't have a eating disorder, but there certainly are people with eating disorders who eat like this. Just because it's not harming their bodies like someone who starves themselves or throws up does doesn't mean they're not ill mentally.

  23. Fake medical/dietary terms, like the "carnivore diet" stupidity that is going around, especially used as an attack on vegans. We all know that those doing it are still consuming plants in some form, else they will end up ill quite soon.

  24. These Orthorexia videos (as well as the articles discussed) miss quite a few points about the criteria of this disorder that should be taken into consideration.
    – Whilst Anorexia is summarised by 'avoiding food for fear of gaining weight', Orthorexia could be described as 'avoiding unhealthy food for fear of getting a disease.' They take it to a level of obsession, where it is on their minds all day, carefully planning meals to make sure they tick all the right boxes. The thought of having a red light or even amber light food is intolerable and can cause anxiety. Green light food are the only ever acceptable. Being in a social situation where they might be offered unhealthy food might cause panic and becomes undesirable, leading to isolation. Meals must be controlled to precision and it can be very distressing if someone else were to prepare a meal for them. This means eating in restaurants or in public is very difficult or entirely avoided, because even the most health-conscious caterers look at you funny for asking if they will prepare a meal without oil. The guilt that follows after having something that should be avoided is excessive. Maintaining this level of perfection is almost impossible which can lead to an all-or-nothing situation where if a mistake is made (something unhealthy is consumed), the day has been ruined and further unhealthy foods eaten, increasing the guilt and shame that follows. The obsessive avoidance of unhealthy food can lead to under-eating, skipping meals when there is no alternative, and of course extreme weight loss over time. Again, it's not about viewing the foods as 'fattening' or full of calories like an Anorexia sufferer would: it's the fear that eating these foods WILL give you a terrible disease.
    I hope this explains more of the mental distress which comes from the health-obsessed style eating disorder. I'm not suggesting Orthorexia is defined enough to be accepted as a standalone illness and is possibly more of a subdivision of Anorexia, but it shouldn't be shrugged off as an attack on those who are just being health-conscious because there is definitely more to it than these studies portray.

  25. Won’t somebody think of the children!

    God forbid you tell kids to eat fruits and vegetables it’s weird how far we’ve gone from even when I was a kid and we always had peanut butter and jelly sandwiches, lots of fruit, to now kids are eating fruit snacks, but it’s okay because they’re organic 🤦‍♂️

  26. While I truly enjoyed the video and laughed frequently, and I do not think it belongs in the DSM, it's not like there's nothing to the orthorexia idea. A great number of people have become so confused about what is healthy and what is not healthy, with good reason, that they have adopted some very unhealthy diets – like for example, 30 bananas a day, or deciding to go hungry for extended periods rather than eating white potatoes or white rice. So, maybe we should do more than just laugh.

  27. is it even possible to call it disease since you got only goods symptoms and zero death recorded
    when your health improve i think its called a cure

  28. Dude, you're not a psychiatrist. It's getting offensive at this point, honestly. You're using very mild examples (a man who is eating only organic) when there are people who literally have a full mental breakdown about eating something they don't think is "pure" or "clean" enough. Call it whatever you will, but there are people who are genuinely struggling and you're refusing to acknowledge it. Sure, it may not always be as serious as anorexia or bulimia, but it causes psychological distress nonetheless. This video comes off as misinformed at best and outright belittling at worst.

  29. And all of the "proud to be orthorexic!" comments are just…depressing. Honestly. People are suffering and you're practically laughing in their face. 🙁

  30. When you are afraid at a drop of oil will kill you then yes it’s a valid eating disorder. When you never eat out , when you can eat only you yourself have prepared and when you trust no one else to make food for you then yes again it is a valid eating disorder.

  31. Me think the doctor doth protest too much. I love doc g (I use the daily dozen app everyday) but he is mocking this too much.

  32. I had a heart attack at 47 so I quit smoking, greatly reduced my alcohol consumption, got on the treadmill, eliminated meat and dairy, started eating a plant-based whole foods diet, lowered the stress in my life, and began sitting meditation and yoga. I'm now in my sixties and weigh what I did in my 20s. I read books, attend the symphony regularly and sail when the weather permits it. Should I start eating bacon and eggs, Kentucky Fried Chicken, potato chips, and fast food burgers and fries, and chase it all with a six-pack of beer every other day? I'd hate to have people call me kray kray.

  33. If you say you are 'proud to be orthorexic', you DO NOT have orthorexia. Just because somebody cares about their health, it does not mean they necessarily have the knowledge to truly eat healthy. What if an orthorexic person was to eat a ketogenic diet? They would not experience health benefits, despite making a 'healthy diet' a focus in their life. These videos are insulting to people actually suffering from the restrictive eating disorder.

  34. This exact thing happened to me. MDs so often seem obsessed with diagnosing… even for getting healthier, especially if you do it without their prescriptions.

  35. Grateful for you Dr Greger!! I'm a big fan. I'm a 25 yr vegan and you've really helped me to improve my diet.

  36. I'm concerned that these videos could fuel the ED voice of someone who has a restrictive ED. When you have an ED, it will constantly make you look for signs that you're doing the right thing. Signs that you're 'not sick enough', or that you're restricting 'for health', so the ED can continue to have a hold on your life. Trying to eat healthier DOES NOT equal orthorexia. It's when you feel as though food is controlling your life and preventing health.

  37. There is a difference between choosing to not eat something or choosing to only eat specific foods because you want to look after your own health, and getting anxiety and panicking in situations where you might not be able to eat your own normal food. Like if you went to a restaurant and start having a panick attack and thinking 'oh no I'm going to die' because there is some oil on your food or something like that, I would call that orthorexia and is definitely not healthy, and will cause more harm to your health that any food ever will.

  38. I’m sorry, but this perception is very wrong. It’s easy to laugh orthorexia off when you have a healthy relationship with food in general. Try to laugh it off after you feel so guilty that you want to phisically punish yourself all day after having a small piece of your birthday cake or after you start to avoid going out with people in general, because you can’t stand to sit at one table with them. Eating disorders are a real mental health issue, and they come in very different forms.

  39. As much as previous videos contain a good literature review….this video is extremely biased and possibly harmful. It's like saying washing your hands and locking doors is good right? Therefore OCD can't exist….BUT it does. And the compulsions can truly ruin lives. I have struggled with orthorexia (or complusive health obsession) for a few years. I do eat fine if I know exactly what is in my food, and I can prepare it all without oil, only using whole fats, no meat, dairy, additives etc… But if someone else made it, if it came from a restaurant or supermarket? That's a whole other story. I cried at my birthday because I couldn't eat my birthday cake. I would lie awake at night trying to figure out how I could bring enough food in my bag for special occasions. I couldn't engage in aspects of life that meant a lot to me. Have a milky latte in a special coffee shop, trying my mum's lasagne, having champagne on my graduation day, or traveling to a new country. For me, physical health to the degree Michael greger promotes completely ruined my mental health. Every day food and exercise routine was top priority and the rest of life was just "filler,". Now I am learning to recover from "orthorexia" and engage with balance again. I do still love eating plant based and exercise…but I love the freedom of being able to relax and enjoy any food that come my way. Broccoli, organic beans, or cake and cheese pizza. I know it's not the same for everyone, but that is my experience of orthorexia, and I hope it shows another side to this biased video. Xxx

  40. Watch the newly released documentary Biosludged and if you DON’T become instantly orthorexic then something is surely wrong with you!!!
    I DON’T want to eat the food that’s been fertilized with this crap💩💩💩 (eh-hem.. most conventional foods)

  41. I sincerely hope the beef and dairy councils use their power and altruism to fund research to find a cure for this illness

  42. I'm conflicted because i think i might had it when i was trying to clear my skin. There's still a debate weither the food we eat makes a difference with acne or not, but having tried everything i've decided to see for myself.
    Basically i looked through a lot of forums in search of foods that caused others to break out. After i had a pretty substantial list – i cut all these things out. Nothing with GI above 35, no tomatos, potatos, bananas, watermelons, citrus, eggplants, any type of beans or nuts, no dairy or meat, no seafood or seaweed, of course no sweets, bread or pastry, no butter on condiments and a while buhcn of E-numbers. It got me very stressed but i couldn't stop because i wanted to clear my skin so desparately. I didn't starve myself or anything, but i was constantly thinking about what i could and couldn't eat.
    It wasn't the same as "just eating healthy" for me

  43. Hugely ill-researched video by someone who thinks he knows it all. He sure as hell knows nothing about psychological aspects related to eating habits. If only he had interviewed a couple of people with ON…

  44. The problem with orthorexia is that people become too underweight or even malnourished because of their obsessively "healthy" diet.
    It's a fixation that can be dangerous. But it isn't meant as a clear classification as "Anorexia Nervosa".

    People avoiding salt like the plaque and becoming iodine deficient while also having electrolyte imbalances.
    People avoiding even healthy fats and therefore getting hormonal issues and brain fog.
    Fasting and doing juice cleanses for "detoxification", destroying your gut in the process.
    Going carnivore because of you deluding yourself into thinking that eating plants of any kind just fuels a sugar addiction.

    Orthorexia is basically misinformed thinking constantly being endorsed by a fixation. You'll get sick if you keep doing your diet.
    Obviously, doctors can easily see any kind of positive change as orthorexic, because getting your life together needs discipline.

    So: No, professionals probably shouldn't diagnose orthorexia, because too many people have different ideas, as to what "Orthorexia Nervosa" even means.
    However, professionals should address disordered eating patterns with their patients.

    Earning your food, when it is in your healthy daily caloric limit, isn't healthy thinking.
    Feeling like you aren't allowed to ever mess up on your diet, isn't healthy thinking.
    Thinking that messing up once on your diet makes you eligible to binge, isn't healthy thinking.
    Still avoiding nutrient dense foods because "drinking calories is bad", fats are bad", "I need to cleanse my gut first", isn't healthy thinking.

    Professionals should also enlighten their patients about a healthy whole food plant-based diet and recommendable supplements like Vitamin B12.

  45. Let.s assume for a second that orthorexia is real then wouldn.t all the standard diet people claiming they eat meat and dairy because they need it in order to remain healthy or because it.s part o a heathy diet be considered orthorexic? İ mean İ personally hear the people around me clinging with their every strength onto that statement whenever diet comes up: but you need meat blabla, everything in moderation and there needs to be a balance… That.s maybe mirrored orthorexia or something…

  46. Orthorexia isn't always about actual health, though, right? Isn't it more the sufferer has a perceived notion of what is healthy, causing them to categorize 'healthy' and 'unhealthy' foods not based on fact. Water fasting, colonics, juice fasts, fear of specific macronutrients… I associate these things more with orthorexia than just eating WFPB.
    If someone is managing their food through compulsive restriction and is terrified of what they deem an unhealthy food and it causes them actual distress… it's more than just eating healthy.

  47. You've really missed the issue here. Orthorexia is an obsession with 'trying to be healthy', not an obsession with or dedication to being healthy. Orthorexia can be life-destroying. An orthorexic will limit themselves to a limited range of 'healthy' foods, and they might not be healthy, for example, they may avoid vegetables that they suspect are non-organic to the point of eating none, or develop of fear of all processed foods to the point where the thought that something may have a tsp of flour in it means they can't eat that food. They will isolate themselves to avoid a situation where food is not under their control, and it can be comorbid with, or lead to, other eating disorders. It is also commonly comorbid with OCD.

  48. I love your videos so much but I was very disappointed with your comments on orthorexia. I understand that being conscious and committed to plant based eating is beneficial, and we should all care about what we consume. But the big part of this disorder you missed is the psychological aspect. Someone suffering from orthorexia is obsessed with food and purity, making it their main concern in life. This may cause intense anxiety and/or OCD that can quickly take over someone’s life in a negative way, much like the those with anorexia or bulimia. There’s a difference between a healthy diet and and unhealthy obsession with food

  49. The idea that someone would try to take common sense, like the idea that it is good to take care of your own health, and make it a disorder is apalling. What is next? “Saving people from a burning building disorder?”

  50. Nutritionfacts dott org
    Psychologymusings dott org. Right up there with MysticMeg dott org this one. What an eye roll. Created a strawman of the position, attacked it by citing brief opinions of others who either agree with the idea that it's not a disorder, or refuting people's words who have come up with a ridiculous definition of the disorder. Rounds it off by debunking outrageous and stupid flawed internet surveys.

    Anybody could attack and refute those positions effectively… Maybe actually "Steelman" the argument and investigate the case for its legitimacy and don't refute an imaginary position.

    I was totally polite on the last video but my comment seemingly got deleted, so I think that tells you everything. And I'm a long-time fan of Dr Greger and his videos!

    People have food phobias that can lead them to obsession. It doesn't matter what you want to call it, dismissing it as a not a problem when it plagues so many people is dangerous

  51. How do you feel about people refusing to eat certain foods on occasion, to the point of extreme anxiety in situations that involve foods they have deemed unhealthy? I do think that healthy eating is what is needed for humanity, but if you're at the point where one slice of vegan sugar free cake or vegan macaroni at Christmas makes you so upset you won't go near it, and your daily diet is only steamed, juiced or raw green vegetables, this is too extreme. Clearly vegetables are healthy, and we need them to survive and thrive. But we also need a variety of other foods to reach nutritional needs. I feel like orthorexia is more about an unhealthy obsession with health, as ridiculous as that might sound. In this sense most patients diagnosed with orthorexia seem to show signs of obsession with exercise (which is technically exercise bulimia) and obsession with not over eating or possibly with under eating via high volume calorically dilute foods (similar to anorexia). Orthorexia seems like a slightly healthier variant of anorexia to me

  52. The "irony" is that when I followed Dr. Gregor's Nutrition information, I felt incredibly worse and yes had an unhealthy relationship with food. The hyperbole that animal products are the cause of most disease IS an unhealthy and unrealistic given that humans have submitted on them for millennia.

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