Clinical Practice Bulimia Nervosa

August 28, 2003

Published By ACUTE Center for Eating Disorders

A 20-year-old woman presents with fatigue; laboratory tests reveal a serum potassium level of 2.3 mmol per liter and a serum bicarbonate level of 36 mmol per liter. She is 163 cm (64 in.) tall and weighs 54 kg (119 lb). The findings on physical examination are normal. On questioning, she admits to binge eating and vomiting as frequently as five times per day. How should she be treated?

Read the full article in the New England Journal of Medicine.


  1. Mehler Philip S. Clinical Practice Bulimia Nervosa. New England Journal of Medicine 349(9):875-881, 2003. DOI: 10.1056/NEJMcp022813 | August 28, 2003 N Engl J Med 2003