A biological account of both anorexia and bulimia suggests that self-starvation and maintaining a low body weight may be reinforced by:

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Endogenous opioids are believed to play a role in reinforcing behaviors associated with eating disorders like anorexia and bulimia by providing a sense of euphoria or relief from stress, which can encourage self-starvation and maintaining low body weight.

A Biological Account of Both Anorexia and Bulimia Suggests That