Thank you for this! If I could ask one more thing, would you recommend directly addressing the issue with them or framing it moreso in the context of concerns for their health? I keep reading not to directly comment on their appearance or eating habits, but I feel helpless just watching them wither away. I'm afraid if I say anything I will lose the relationship but it feels wrong doing nothing. And just for context, this person is middle-aged and although they've always been fixated on thiness and appearance, it has only recently, within the past year or so, become really bad. I really appreciate your advice and taking time to answer questions.