Internal medicine (Tokyo, Japan)

Unusual Anorexia Nervosa After Weight-Loss Surgery and Diabetes Medication in a Patient with Severe Obesity and Type 2 Diabetes

Updated

Abstract

A 60-year-old woman experienced a drastic weight loss from 113 kg to 50.3 kg after bariatric surgery and medication.

  • The patient had severe obesity with a BMI of 47.0 before undergoing laparoscopic sleeve gastrectomy.
  • Semaglutide and tirzepatide therapy began one month post-surgery.
  • Three years after surgery, the patient developed atypical anorexia nervosa due to rapid weight loss and a fear of weight gain.
  • Her body image obsession persisted despite a normal weight with a BMI of 20.9.

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