Dr. Mahima Chaudhary (General Practice) needs a second opinion on this medical case.
A 16-year-old female patient was brought by her parents. They explained they have noticed a strange behavior change in her. she has become very fearful of becoming fat and wants to be fit snd completely in shape. She eats less than the daily recommended intake of calories and exercises daily for one and a half hours.
They have noticed this behavior for 6 months and she also lost 8 kg in this period.
Her weight is 44 kg, height 5.4 feet, BMI 15.45 kg/m2,
BP was bit low.
She is doing very well in school.
While talking to her she said she wants to be lean so she is exercising hard for that and her parents don't want her to lose weight.
She has OCD for cleanness. No other relevant medical and surgical history. She is not on any medication.
Her CBC, serum electrolytes, and urinalysis are all normal.
What will you suggest for this case?