Despite being a middle class, college educated woman, I was undernourished. Because the focus of weight loss is never nutrition — just burning off as much fat as possible, as quickly as possible. Anything that didn’t do that was an abject failure.
On “tough love” and your fat friend’s health.
Your Fat Friend

yup, and, as you said, killing yourself to get thin is considered a success (obviously not if you’re anorexic, but if you destroy yourself to look healthy)