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There are physical, interpersonal, and social elements that contribute to eating disorders, including:
- having low self-esteem
- not feeling in control of one's life
- bad family or peer relationships
- finding it hard to express emotions
- being teased by others about size or weight
- depression, loneliness, anger and anxiety
- physical or sexual abuse
- living in a society that only promotes a certain body type as beautiful which enforces the notion that thinness is perfection

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