be normal but findings could include bradycardia, hypotension, peripheral oedema, gaunt face, lanugo hair, scanty pubic hair, and acrocyanosis (hands or feet are red or purple).Investigations[6]An ESR and TFTs are useful screens for other causes of weight loss.Other tests will depend on the individual presentation.U&Es should be checked in all those with behaviours such as vomiting, taking laxatives to the development of kidney disease).Dental: erosion of tooth enamel from vomiting.Dermatological: dry skin, alopecia, lanugo hair and chilblains.Obstetric and gynaecological: infertility, sexual dysfunction, risk of polycystic ovaries, miscarriage, hyperemesis, anaemia, intrauterine growth restriction, preterm birth, postpartum depression and anxiety.Mortality: most deaths due to anorexia nervosa are a result