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The point that you are missing is that these kids don’t know about these things in their sheltered lives. Then they live with other girls who introduce them to these new ways of dieting and getting skinny for the dating scene. Girls tell each other how to be thin and how important it is for when they get home! This is how it starts. Once girls start and feel the power of “control” over their own bodies that power takes control of their mind, body and spirit. They lose control over their power of choice and the illness begins because they are no longer capable of choosing health over bad habits and illness. They hide their habits so no one can see what they are doing. They will eat normally and then heave it up when no one is looking or they will push food around the plate and pretend to eat. Or they might binge when no one is looking and then heave it up. They might obsess about the scale or about their exercise routine. They will look in the mirror and no matter how much weight they lose or how skinny they look they won’t see it. They will only see what they perceive themselves to be in their mind which is “fat”, so they will continue with their sick routine until someone intervenes and stops them.