# Eating Disorders — GCMD Library living collection

Everything in the library about eating disorders — built automatically from dossiers that name it.

Updated: n/a · 3 episodes · 59 cited statements

## Episodes
### Diagnosis & Workup
- [Identifying & Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885) — video · 0:53 · [machine version](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885.md)
- [Identifying & Managing Eating Disorders in Pediatric Obesity Treatment: Current Practices in Weight](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886) — video · 0:53 · [machine version](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886.md)

### In-Depth Reviews
- [Eating Disorders in Adolescence](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333) — video · 39:27 · [machine version](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333.md)

## Chapters
- [0:02](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=2) Updated DSM-5 Diagnostic Criteria and Atypical Anorexia (Ep 1)
- [4:23](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=263) Screening, Diagnosis, and Overweight Patient Considerations (Ep 1)
- [11:20](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=680) Treatment Approaches and Inpatient Criteria (Ep 1)
- [19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180) Amenorrhea Evaluation and Contraception Counseling (Ep 1)
- [25:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1500) Contraceptive Method Selection in Eating Disorders (Ep 1)
- [28:35](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1715) Hormone Replacement Therapy for Bone Health (Ep 1)
- [34:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=2080) Alternative Hormone Therapy and Clinical Implementation (Ep 1)
- [0:00](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=0) Eating Disorder Screening Gaps in Pediatric Weight Management (Ep 2)
- [0:00](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=0) Eating Disorder Screening Gaps in Pediatric Weight Management (Ep 3)

## Statements
Every statement is attributed, typed, and timestamped; the link is the citation.
- "A national survey examined pediatric weight management programs across the US regarding eating disorder screening practices" — Lizzie Lee (epidemiological) [Ep 2 · 0:08](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=8)
- "Most programs are screening for eating disorders but not in a standardized way" — Lizzie Lee (epidemiological) [Ep 2 · 0:14](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=14)
- "About 60% of programs perform some form of eating disorder screening" — Lizzie Lee (epidemiological) [Ep 2 · 0:19](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=19)
- "Much of the screening is informal, using homegrown questionnaires or clinical judgment rather than validated tools" — Lizzie Lee (clinical) [Ep 2 · 0:19](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=19)
- "Providers are generally comfortable with screening for eating disorders" — Lizzie Lee (epidemiological) [Ep 2 · 0:29](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=29)
- "Medical providers lag behind behavioral health specialists by a wide margin when diagnosing conditions like binge eating disorder" — Lizzie Lee (epidemiological) [Ep 2 · 0:29](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=29)
- "Clinicians report not being trained enough as a barrier to eating disorder management" — Lizzie Lee (epidemiological) [Ep 2 · 0:39](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=39)
- "Clinicians report not knowing how to manage eating disorders they identify as a barrier" — Lizzie Lee (epidemiological) [Ep 2 · 0:39](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=39)
- "Clinicians report lacking clear treatment pathways for eating disorders as a barrier" — Lizzie Lee (epidemiological) [Ep 2 · 0:39](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=39)
- "Medical providers may need more training for diagnosis and treatment of eating disorders in pediatric obesity settings" — Lizzie Lee (opinion) [Ep 2 · 0:47](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13885?t=47)
- "A national survey of pediatric weight management programs across the US was conducted" — Lizzie Lee (epidemiological) [Ep 3 · 0:08](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=8)
- "Most programs are screening for eating disorders, but not in a very standardized way" — Lizzie Lee (epidemiological) [Ep 3 · 0:14](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=14)
- "About 60% of programs are doing some form of screening" — Lizzie Lee (epidemiological) [Ep 3 · 0:19](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=19)
- "A lot of screening uses informal, homegrown questionnaires or just clinical judgment rather than validated tools" — Lizzie Lee (epidemiological) [Ep 3 · 0:19](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=19)
- "Providers are generally comfortable screening for eating disorders" — Lizzie Lee (epidemiological) [Ep 3 · 0:29](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=29)
- "When it comes to diagnosing binge eating disorder, medical providers lag behind behavioral health specialists by a wide margin" — Lizzie Lee (epidemiological) [Ep 3 · 0:29](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=29)
- "Clinicians report not being trained enough as a barrier to eating disorder diagnosis and management" — Lizzie Lee (epidemiological) [Ep 3 · 0:39](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=39)
- "Clinicians report not knowing how to manage eating disorders they find as a barrier" — Lizzie Lee (epidemiological) [Ep 3 · 0:39](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=39)
- "Clinicians report lacking clear treatment pathways for eating disorders as a barrier" — Lizzie Lee (epidemiological) [Ep 3 · 0:39](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=39)
- "Medical providers may need more training for diagnosis and treatment of eating disorders" — Lizzie Lee (opinion) [Ep 3 · 0:47](https://library.globalcastmd.com/watch/identifying-managing-eating-disorders-in-pediatric-obesity-treatment-current-practices-in-weight-13886?t=47)
- "Eating disorder prevalence has doubled in the last 10 years to about 7.8%" — Erica (epidemiological) [Ep 1 · 0:02](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=2)
- "About 40% of eating disorders occur in adolescents aged 15 to 19 years" — Erica (epidemiological) [Ep 1 · 0:02](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=2)
- "Among psychiatric disorders, eating disorders have one of the highest mortality rates at 5 to 6%, primarily from suicide and medical complications" — Erica (epidemiological) [Ep 1 · 0:02](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=2)
- "DSM-5 removed the requirement for low BMI and amenorrhea from anorexia nervosa diagnosis criteria that existed in DSM-4" — Erica (guideline) [Ep 1 · 2:12](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=132)
- "Atypical anorexia diagnosis applies to patients with all cognition and behavior of anorexia nervosa but at normal or above normal BMIs, with very similar medical complications" — Erica (clinical) [Ep 1 · 2:12](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=132)
- "Female athlete triad terminology is being replaced with relative energy deficiency in sports for more inclusive language covering all genders and exercise contexts" — Erica (guideline) [Ep 1 · 2:12](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=132)
- "Overweight adolescents have higher rates of body dissatisfaction and more weight concern compared to normal weight peers" — Erica (clinical) [Ep 1 · 11:20](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=680)
- "In Rastogi study, 31% of eating disorder patients had a history of overweight, with prevalence of eating disorders in those with overweight/obesity history between 11 and 36%" — Erica (epidemiological) [Ep 1 · 11:20](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=680)
- "Overweight patients with eating disorders are less likely to be hospitalized even with same degree of symptoms and similar medical presentation due to weight bias" — Erica (clinical) [Ep 1 · 11:20](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=680)
- "Previously overweight patients resume menses at younger age and higher BMI than peers, suggesting individualized rather than absolute BMI threshold for menstrual return" — Erica (clinical) [Ep 1 · 11:20](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=680)
- "Overweight patients return to menses 11 kg below maximum weight compared to 2 kg below for normal weight patients, representing higher BMI threshold" — Erica (clinical) [Ep 1 · 11:20](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=680)
- "Family-based therapy has the strongest evidence for eating disorder recovery and is the first-line approach" — Erica (guideline) [Ep 1 · 15:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=900)
- "CBT is generally more helpful in bulimia and binge eating disorder for working through compulsion to purge or compensate" — Erica (clinical) [Ep 1 · 15:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=900)
- "Inpatient management criteria include BMI less than 75% median, dehydration, electrolyte abnormalities, EKG abnormalities, unstable vital signs, acute food refusal, uncontrollable binging/purging, failing outpatient treatment, acute medical complications, and significant comorbid conditions" — Erica (guideline) [Ep 1 · 15:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=900)
- "Eating disorders primarily result in hypothalamic hypogonadotropic hypogonadism due to imbalance in energy intake/expenditure, stress, and loss of fat mass" — Erica (clinical) [Ep 1 · 19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180)
- "Anorexia nervosa has 60-80% rate of amenorrhea compared to about 40% in bulimia" — Erica (epidemiological) [Ep 1 · 19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180)
- "Self-induced vomiting alone has 3 times higher rate of irregular menses, and binge eating alone causes menstrual irregularity" — Erica (clinical) [Ep 1 · 19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180)
- "Return of menstrual function is an important marker of physiologic recovery, serving as a natural test of endocrine system function" — Erica (clinical) [Ep 1 · 19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180)
- "Endocrine Society guidelines recommend pregnancy test, prolactin, TSH for exclusionary causes, plus FSH, LH, estradiol, CBC, BMP, and AMH for functional hypothalamic amenorrhea evaluation" — Erica (guideline) [Ep 1 · 19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180)
- "Functional hypothalamic amenorrhea shows low or normal FSH, low LH, and low estrogen" — Erica (clinical) [Ep 1 · 19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180)
- "Patients with eating disorders are malnourished and not in good physiologic condition to carry pregnancy, making contraception discussion critical" — Erica (clinical) [Ep 1 · 19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180)
- "Combined oral contraceptives should not be used for sole purpose of regulating menses" — Erica (guideline) [Ep 1 · 19:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1180)
- "Women in recovery from eating disorders have significantly higher rates of unplanned pregnancy than general population" — Erica (epidemiological) [Ep 1 · 25:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1500)
- "Mirena and Kyleena IUDs have no negative effect on bone mineral density" — Erica (clinical) [Ep 1 · 25:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1500)
- "Nexplanon shows mixed results on bone mineral density with either no effect or slight decrease, but is still considered first-line therapy" — Erica (clinical) [Ep 1 · 25:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1500)
- "For combined oral contraceptives, recommend at least 30 mcg ethinyl estradiol for better bone accretion compared to 20 mcg" — Erica (clinical) [Ep 1 · 25:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1500)
- "Vaginal ring and patch don't negatively affect bone mineral density based on available studies" — Erica (clinical) [Ep 1 · 25:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1500)
- "Depo-Provera is not best option for eating disorder patients because it is associated with decreased bone mineral density" — Erica (clinical) [Ep 1 · 25:00](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1500)
- "Patients with anorexia who have amenorrhea for 20 months have 92% rate of osteopenia and 38% rate of osteoporosis" — Erica (epidemiological) [Ep 1 · 28:35](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1715)
- "Rates of osteopenia are higher for those who have eating disorder in adolescence, a critical time for bone health development" — Erica (clinical) [Ep 1 · 28:35](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1715)
- "Resumption of menses is critical for lumbar spine bone mineral density, while weight gain is more critical for hip bone mineral density" — Erica (clinical) [Ep 1 · 28:35](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1715)
- "Combined oral contraceptives are ineffective for increasing bone mass in adolescents with anorexia nervosa, shown by multiple studies in 2000s" — Erica (clinical) [Ep 1 · 28:35](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1715)
- "Hepatic metabolism of ethinyl estradiol down-regulates IGF-1, a factor anabolic to bone growth, explaining oral contraceptive ineffectiveness" — Erica (clinical) [Ep 1 · 28:35](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1715)
- "Endocrine Society 2017 guidelines recommend short-term transdermal estradiol with cyclic progestin after 6-12 months of behavioral, nutritional, and psychological intervention" — Erica (guideline) [Ep 1 · 30:42](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1842)
- "2011 study by MSR et al at Boston Children's showed transdermal patch increased bone mineral density at all skeletal sites (lumbar spine and hip)" — Erica (clinical) [Ep 1 · 30:42](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1842)
- "Transdermal estrogen patch bone mineral density improvement was not related to changes in weight or fat mass" — Erica (clinical) [Ep 1 · 30:42](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1842)
- "Estrogen patch itself doesn't cause weight or body composition changes, which can be used as discussion point to improve patient compliance" — Erica (clinical) [Ep 1 · 30:42](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1842)
- "Endocrine Society guideline 3.6 specifies transdermal E2 therapy with cyclic oral progestin, not oral contraceptives or oral ethinyl E2" — Erica (host_summary) [Ep 1 · 30:42](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=1842)
- "Boston Children's 18-month trial of DHEA plus combined oral contraceptives in 80 anorexia nervosa patients showed stabilization of bone mineral density compared to placebo, controlling for weight gain" — Erica (clinical) [Ep 1 · 34:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=2080)
- "DHEA plus combined oral contraceptive therapy showed improved bone geometry in addition to bone mineral density stabilization" — Erica (clinical) [Ep 1 · 34:40](https://library.globalcastmd.com/watch/eating-disorders-in-adolescence-7333?t=2080)

## Changelog
- Sep 22: 3 items added automatically

---
Educational content from recorded physician discussions — not medical advice. Cite the canonical URL or the ?t= deep link. Policy: https://library.globalcastmd.com/ai