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It's worth noting that while some of the impetus for anorexia may come from social and cultural expectations and so on, it is very, very much a mental illness and has dysmorphic components. You can't easily reason your way out of it especially if people "feel" fat (while objectively being thin, it's somewhat of a psychotic process). "Yeah yeah if I was really skinny you might be right but I just have to shed these last few pounds to be normal" is a bizarre sounding but reasonable in their own mind response.
The only two anorexics I ever knew in real life were my grandmother in her final years and a boy I went to school with. The meme when I was growing up was that teenage girls caught anorexia from reading fashion magazines. It jarred so much with my own experience that I always figured there must be more to to disease than 'I wanna be skinny so boys will like me'.
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