In most cases,bulimia nervosa starts _____.

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Bulimia nervosa typically starts with voluntary dieting to lose weight. The individual may then begin to engage in binge eating and purging behaviors, leading to the development of the disorder. While a fear of gaining weight and low self-esteem may contribute to the development of bulimia, they are typically not the initial starting points. Additionally, low estrogen levels may be a factor in some cases, but are not typically the primary cause of the disorder. There is also no evidence to suggest that a comment from a parent, coach, or friend about weight is the starting point for most cases of bulimia nervosa.

In Most Cases,bulimia Nervosa Starts _____