the psychological things that make underweight people have trouble gaining weight
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There are a lot, but a general theme is a profound and deep seated problem with self image. Not feeling one is fit or thin enough, being bullied about it, having no control in ones own life outside of what one eats, etc can leave lasting impressions on the way you see yourself. It can be so severe that their brains literally see themselves as a fat blob in the mirror, even when they are dangerously thin.
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