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This is actually really common with bulimia (binging and purging), which is often why it's hard to detect. From my understanding, a person with bulimia usually consumes enough calories to maintain their weight. When a person binges, they are consuming excess calories, so when they purge they are getting rid of these EXCESS calories, preventing them from gaining weight, but not making them lose weight.

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Q: If you have bulimia is drastic weight loss ever not seen?
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