Are anorexic people in ketosis? A critical look at the metabolic state
                                
                                
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                                    4 min read                                
                            
                                According to research published by the National Institutes of Health, anorexia nervosa is a complex illness with severe physical consequences, including metabolic abnormalities. Due to the body's response to extreme calorie restriction, a person with anorexia will enter a state of starvation ketosis, which is fundamentally different from nutritional ketosis and poses significant health risks.