Bulimia nervosa is an eating disorder in which episodes of eating a large amount in a short time are followed by attempts to undo the food. Vomiting, laxative misuse or excessive exercise can serve as the compensation. Weight often stays within a normal range, so the pattern can go unseen for years.
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Fluoxetine is an SSRI capsule for major depressive disorder, obsessive-compulsive disorder and bulimia nervosa. You can choose from several strengths and pack sizes. You see the price per capsule for each option.
Repeated vomiting leaves physical marks: eroded tooth enamel, swelling of the glands near the cheeks, and calluses where the knuckles meet the teeth. Behavioural signs can be quieter, such as eating in secret, heading to the bathroom straight after meals, and shifting mood.
Cognitive behavioural therapy carries the strongest evidence base. Medicine sits alongside it: fluoxetine is the best-studied option, part of the wider group of antidepressants that reduce binge frequency. Using both tends to give better results than either alone. Orders are prepared by licensed pharmacy partners in India and shipped to Malaysia in discreet packaging.
Speaking to a doctor or mental health professional is the right first step, whether for yourself or for someone close to you. Enamel damage and swelling near the cheeks also deserve a medical look.
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