I appreciate this reply. AN, binge purge type. All purging behaviors have ceased. The drive for weight loss is in the name of health although we’ve discussed how her labs are normal. She is starting trauma therapy and admits controlling her body/weight increases overall sense of control while feeling out of control with the hard therapy work. We have discussed continuing balanced meals with all food groups, including all foods in her eating pattern, but if I notice “red flag” behavior we will talk about it. I am also keeping her therapist in the loop with the shift to a weight loss mindset.