Physical changes

• Wearing baggy or layered clothing that hides body shape
• Relentless, excessive exercise
• Exercise through injury/illness with inadequate recovery
• Bone stress injury
• Hormone dysfunction (including dysregulated menstrual cycle, libido and erectile function)
• Frequent illness
• Low body fat
• Dehydration
• Bad breath, sore gums or signs of enamel loss on teeth
• Swelling around jaw
• Skin effects, including dry skin, fine hairs growing around the face, or signs of calluses on the knuckles
• Unexpected weight gain beyond that expected from growth/development/puberty
• Dramatic or rapid weight loss or gain or fluctuation