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Rebecca Lester, Professor of Anthropology, Washington University in St. Louis

Middle age is a time when women are vulnerable to eating disorders

Eating Disorders Janelle
Changes in identity in midlife can increase the risk of developing an eating disorder. muratseyit/E+ via Getty Images

“No one expects a grown woman in her 40s to have an eating disorder. That’s for teenagers, right? Well, guess what – it happened to me.”

Alexa, a 44-year-old real estate agent, was telling me about her struggle with non-purging bulimia, which has come to control her life. We spoke in 2024 at a coffee shop as part of my ongoing research on eating disorders.

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