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My sister is oblivious about her orthorexia

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#1 prana_ana


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Posted 22 July 2021 - 09:41 AM

Her BMI ranges between 15-17 never above 17 ever
She is “Puritan” in her approach towards food
She won’t eat meats or dairy
Won’t eat tomatos, onions or garlic (staple in Indian food)
Would eat only a fruit or two for the first half of the day
For dinner she would have a bowl of muesli at best and a glass of juice
Her vitamin D3 was 28 (minimum should be 50-80)
Sometimes she would just fast for an entire day for “detox” even during her lowest of weights

She’s close to me and I am concerned about her health. Her bones are weak because of the vitamin D levels. I’ve told her in the past that her behaviour is orthorexic but she won’t listen to me. I don’t think she does this on purpose but her behaviour towards food is very controlling. She won’t seek a therapist even after my constant pleas. What to do.

147 140 130 120 110 105 100 97 95 90 84
Height: 5'6
SW: 147
LW: 92
CW: 97
UGW: 84

#2 stuckinhosp



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Posted 22 July 2021 - 09:44 AM

Sounds like anorexic to me …
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#3 yellow_sun


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Posted 22 July 2021 - 09:47 AM

Sounds like anorexic to me …

Yes, I was about to write the same... 

It doesn't sound like orthorexia, but more anorexia 

OP, why do you think it's orthorexia ? 

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Diagnosed with anorexia b/p subtype and on the autism spectrum

Height: 5'6 ft

#4 Irreverent Parrot

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Posted 22 July 2021 - 09:53 AM

Sounds like anorexic to me …



Yes, my thoughts too.  In the DSM-V technically you only have to have BMI <18.5 in the AN criteria.  Maintaining an underweight BMI is not an orthorexic thing, but she would be in what used to me the mild to moderate AN criteria. (I would read that as mildly to moderately severe, otherwise there will be a load of us feeling we're not even worth taking seriously!)


It sounds like you are not the right person to help your sister deal with this; for whatever reason your attempts at intervention are not succeeding.  I wonder if she has a friend you could have a quiet word with, and just see if they have any of the same concerns.  But don't go massively discussing her behind her back because then she'll rightly resent both of you.

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#5 Starduss



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Posted 22 July 2021 - 10:08 AM

She may just want you to think she's oblivious.
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#6 ArmyPrincess



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Posted 22 July 2021 - 10:32 AM

Sounds like an anorexic who tries to cover up her behaviour by claiming she is just trying to be healthy.. I think she is extremely aware. Correct me if i'm wrong but I feel like orthorexia is not this restrictive in terms of amount and calories? 

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HW: 57 kg / 125 lbs (BMI 21.7) July 2019


LW: 47.5 kg / 104 lbs (BMI 18.1) Dec 2020


CW: 52kg / 114 lbs  (BMI 19.8) July 2021




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Posted 22 July 2021 - 01:19 PM

I don't say it has to be this way but... Maybe she completely denies her problems bc she just can't talk about it.

I wonder how many who "are in denial" who do know they have a problem but can't talk about it. Maybe they're not able to put a word on their feelings/struggles, they don't feel comfortable talking about it with someone face to face
Maybe everything is so bottled up that if you would try to talk about your ed you would break down.

That's the case for me, so I always deny any problem whenever m a family member or classmate brings it up. Maybe your sister can't talk about it neither and that's why she's denying it.

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