i remember my one friend had that, and she was so preoccupied with food (no butter on rolls, no dressing on salad, always eating dried fruit crap), and she lost almost as much weight as i did when i was hopitalized for a physical problem...she is a few inches taller than me (i'm 5'5"), and she weighed like, 102 pounds, which made her look really sick...
her parents (who have no insurance) took her and they did all kinds of medical tests and wasted money, b/c she was too proud to admit that the reason she'd lost so much weight was b/c she was eating "so healthy"!!! i know its a mental problem, but i think it was an unintentional scam to get attention....she's very needy like that, an obscene overachiever (which i am myself, but she's really perfectionist!!!), so i think she's just the attention craving type...
also, she obviously has some kinda parania going on, cause she was afraid to eat fatty foods b/c of "the risk of heart disease"..now, what possesses a 15 yr old to obsess over cardiac disease??? just an insight into the orthorexic mindset...
i'm not being harsh or judgemental or anything, b/c i have many close friends and family members with severe mental disorders....i'm just telling you the actions that caused her to be that way, and pointing out the illogic of it that cause her problem to progress as it did...hope this helps!
rach
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Thought This Might Be of Use...Since Alot of Others Have It:
Updated on 6/18/02
August 1999: diagnosed with GERD and IBS...put on zantac, then aciphex
Spring 2000: diagnosed with TMJ...have lower splint
September 2000: hospitalized for failure to thrive due to malnutrition and dehydration; fed with ng tube for 3 months, put on prilosec
2001-02: developed chronic sinusitis/rhinitis from NG tube, put on nasonex and allegra
January 2002: switched GI's, diagnosed with hiatal hernia, switched to nexium, added peppermint oil, put on bentyl PRN for pain, zoloft for nausa
March 2003: IBS getting worse, switched PRN bentyl to BID levbid ER
May 2003: diagnosed with asthma from GERD, put on advair and singulair, albuterol PRN
May 2003: back pain and limited mobility, caused by 2002 car accident and dance injury, unidentified
April-June 2003: minor ear irritation and hearing problems, and extra sinus swelling, unidentified
May-June 2003: heartburn recurring even with meds!- GI put me on 40mg Pepcid Rx in the morning and at bedtime...Seems to be holding over till August... 
July: chest x-ray came back, found mild thoracic scoliosis, and small "heart shadowing", EKG results are coming...
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