Not true of Anorexia nervosa

(D) Loss of weight according to the patient COMMON CHARACTERISTICS Anorexia NervosaBulimia NervosaClinical CharacteristicsOnsetMid-adolescenceLate adolescence/early adulthoodFemale:Male10:0110:01Prevalence in women0.50%1-3%WeightMarkedly decreasedUsually normalMenstruationAbsentUsually normalBinge eating25-50%Required for diagnosisMortality~5% Per decadeLowPhysical & Laboratory FindingsSkin/extremities* Lanugo* Acrocyanosis* Edema Cardiovascular* Bradycardia* Hypotension Gastrointestinal* Salivary gland enlargement* Slow gastric emptying* Constipation* Elevated liver enzymes* Salivary gland enlargement* Dental erosionHematopoietic* Normochromic, normocytic anemia* Leukopenia Fluid/Electrolyte* Increased BUN, creatinine* Hyponatremia* Hypokalemia* Hypochloremia* AlkalosisEndocrine* Hypoglycemia* Low estrogen or testosterone* Low LH and FSH* Low-normal thyroxine* Normal TSH* Increased cortisol Bone* Osteopenia