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Technical Summary of Evidence Report (PDF)

This executive summary of the evidence report underpins the comprehensive resource guide about bulimia nervosa and its treatment. ECRI Institute’s approach to producing this evidence report and the resource guide was unique. The focus of the work was driven by an external advisory committee of patients and family members affected by bulimia nervosa, clinicians and specialists who treat eating disorders, scientists who conduct research on eating disorders, health insurance representatives, and others who affect patient care for the disorder.

ECRI Institute gratefully acknowledges the support of The Hilda and Preston Davis Foundation, which provided major funding for the creation of this evidence report, the resource guide on bulimia nervosa, and this Web site.

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Bulimia nervosa is an eating disorder in which a person engages in binge eating (eating a lot of food in a short time) followed by some type of behavior to prevent weight gain from the food that was eaten. This behavior can take two forms: self-induced vomiting, misuse of enemas, laxatives, diet pills (called purging) and excessive exercise, fasting, or diabetic omission of insulin (called non-purging). Some people with bulimia nervosa may also starve themselves for periods of time before binge eating again. Bulimia nervosa has important mental, emotional, and physical aspects that require consideration during treatment.

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