Men with muscle dysmorphia — there are some women, but most are men — don’t feel that they have a psychiatric problem. They simply feel that if only they were a little bigger, everything would be fine.
Big-orexia: Why 90 Percent of Steroid Users Are Regular Guys
C. Brian Smith

Sounds a lot like gender dysphoria.

I wonder if there is any research on the folks with both anorexia and “muscle dysmorphia”, and whether or not physical and mental health outcomes are improved by psychiatric care, or surgical/hormonal treatment to match the body to their mental image.

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