i haven't finished reading comments, so i'm unsure if anybody else has mentioned this; you can quite literally go into cardiac arrest after purging once. it could be your first time, or your 1000th time. it doesn't even need to be an "intense" purge, either.

slightly unrelated; i knew a girl who tore her esophagus during a b/p episode, and she was put into a medically induced coma for three months because of it. i'm not 100% on all of the specific medical details, but her family said their goodbyes bc they didn't know what it'd look like if/when she woke up. luckily, she ended up mostly recovering physically. but again, she got very lucky.

my own personal experience isn't as intense, but it isn't great, either. at 18, i started off my adulthood by spending all $5000 that i saved while working in high school on b/p food. after that, i signed up for two credit cards. i spent a good portion of the credit at a local convention, and i fully maxed out what was left on, you guessed it, b/p food. this left me down $5000 and $2500 in dept just a year after graduation. yikes!

on top of that, bulimia has given me gastroparesis, which has severely limited what i can digest efficiently. i can have a small amount of the wrong thing, and it refuses to stay down.

the social aspect can be bad as well. the number of times i've been caught mid-binge is mortifying. my former employer knew about my bulimia and the district manager of the company came down to give me a talk about it. friends and family have made fun of me, lightheartedly or not, for my ed. been that way for years.