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As defined by the American Psychiatric Association's Diagnostic and Statistical Manual, fourth edition (DSM-IV;1994), anorexia nervosa is an eating disorder marked by four major symptoms. First, the patient must be less than 85 percent of ideal weight for age, height, and gender. Second, there must be a morbid fear of fat. Third, the person must believe himself or herself to be normal weight or even fat despite emaciation. Finally, the victim should be amenorrheic (i.e., have no menstrual periods) or, in the case of men, show abnormally low levels of testosterone.
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