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NEDA TOOLKIT for Coaches and Trainers Bulimia Nervosa Binge Eating Disorder • Erosion of tooth enamel from the acid produced by vomiting • Inflammation of the esophagus • Enlarged glands near the cheeks (giving the appearance of swollen cheeks) • Damage to the stomach from frequent vomiting • Irregular heartbeat • Heart failure • Electrolyte imbalances (loss of important minerals like potassium) that can lead to sudden death • Peptic ulcers • Pancreatitis (inflammation of the pancreas) • Long-term constipation • • • • • • • High blood pressure High cholesterol Fatigue Joint pain Type II diabetes Gallbladder disease Heart disease Page  | 19