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Well, the constant bingeing and purging for one... it is said that a third of the calories consumed during a binge are not purged... so if you binge and have about 900 calories, and you purge, you still wont have gotten rid of all the calories. you will still have 300 in you. that's clearly very little, but if you have a massive binge, then you hold in more calories. also, the digestive process begins the minute you put food in your mouth, and if your binges last a long time, then by the time you're done eating, a lot of the stuff you have eaten will have probably been broken down already... it sucks, but that's what happens!

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