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It is common sense to assume that individuals who restrict or purge their food may have specific nutrient
deficiencies. There has even been some question and research as to whether certain deficiencies existed
before the development of the eating disorder. If it were determined that certain deficiencies predisposed,
or in some way contributed to, the development of eating disorders, this would be valuable information for
treatment and prevention. Regardless of which came first, nutritional deficiencies should not be overlooked
or under treated, and correcting them must be considered a part of an overall treatment plan.
The area of nutrient supplementation is a controversial one even in the general population and even more
so for eating disordered individuals. First, it is difficult to determine specific nutrient deficiencies in
individuals. Second, it is important not to impart to clients that they can get better by the supplementation
of vitamins and minerals instead of the necessary food and calories. It is common for clients to take vitamins,
trying to make up for their inadequate intake of food. Vitamin and mineral supplements should be recommended
only in addition to the recommendation of an adequate amount of food.
Typically clients are educated about nutrition, metabolism, and even about the dangers their eating disorder
behaviors could cause. They are also given suggestions and helped to see how changes can be made. Providing
information may be sufficient to help some individuals change their eating patterns, but, for many, education
and support are not enough.
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