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It not unusual for women with anorexia to suffer heart attacks.

The anorexic is out to prove how little she needs, how little she can survive on; she is out, in a sense, to discredit her nurturers, while at the same time making a public crisis out of her need for nurture. Such vulnerability and such power: it brings the whole female machinery to a halt.

I used to refer to myself as a 'theoretical anorexic,' just as crazy when it came to body image, but saved by a lack of self-discipline. My daughters do everything better than I do - they're smarter, more beautiful, happier. What if they end up better at anorexia, too?

Anorexia is an awful thing, but you get yourself into it, and only you can get yourself out of it.

Anorexia is a response to cultural images of the female body - waiflike, angular - that both capitulates to the ideal and also mocks it, strips away all the ancillary signs of sexuality, strips away breasts and hips and butt and leaves in their place a garish caricature, a cruel cartoon of flesh and bone.

Our society's strong emphasis on dieting and self-image can sometimes lead to eating disorders. We know that more than 5 million Americans suffer from eating disorders, most of them young women.

I always felt that anorexia was the form of breakdown most readily available to adolescent girls.

When I was 19 years old, I came down with anorexia. I had it for about a year before it became public. And it had a lot to do with my self-esteem.

Anorexia taught me to love life and to realise that starving yourself to death is a bloody waste of time. It's awful, and it hurts so many people around you. It's a terribly selfish thing to do.

In high school, I had a couple girlfriends who had very extreme eating disorders. Anorexia and bulimia. And in college as well. It's just heartbreaking. As someone going through it, it's heartbreaking. And as a friend who's helping a friend going through it, it's heartbreaking. It's a real, real disease.