Sally Daganzo,MD Inc, 454 Las Gallinas Avenue #1083, San Rafael, CA (2025)

06/23/2023

🔶 Eating disorders are serious mental health conditions that can have significant physical consequences. Besides affecting overall health, these disorders can also lead to various dental problems.

🔶 One of the primary ways eating disorders contribute to dental problems is through the frequent exposure of teeth to stomach acid. The regular contact between the stomach acid and the teeth can cause dental erosion, which is the irreversible loss of tooth enamel. Eroded enamel can lead to tooth sensitivity, discoloration, increased risk of tooth decay, and even tooth loss.

🔶 Anorexia nervosa, characterized by severe restriction of food intake, can also affect oral health. Inadequate nutrition can lead to a weakened immune system, making the gums more susceptible to infection and periodontal disease. Nutrient deficiencies, particularly in calcium, vitamin D, and vitamin B12, can result in weakened teeth and increased risk of cavities.

🔶Remember, seeking help early is crucial for effective treatment and minimizing the potential long-term impact on both mental and physical health, so when you feel that something is not right, call a specialist!

✔️ www.sallydaganzomd.com

06/21/2023

🔸Atypical anorexia nervosa is a lesser-known variant of an eating disorder that often goes unrecognized due to its contradictory nature. Unlike typical anorexia, individuals with atypical anorexia tend to have a higher body weight, which may lead to the assumption that they do not struggle with an eating disorder or are not very sick. However, this assumption is far from accurate.

🔸People with atypical anorexia demonstrate similar patterns of restrictive eating and negative thinking as those with anorexia nervosa. They frequently experience intense fear of gaining weight, distorted perception of their bodies, and feelings of shame and guilt surrounding food.

🔸Atypical anorexia can have severe health implications, including malnutrition, heart disease, osteoporosis and significant mental health conditions.. Unfortunately, due to the misconception that individuals with this type of eating disorder are merely "overweight," it often remains unnoticed and untreated.

🔸It is crucial to acknowledge that atypical anorexia is a legitimate and serious medical illness that necessitates specialized treatment. Increasing awareness and understanding of this condition is essential to ensure that those affected receive the necessary support and care to recover and achieve optimal well-being.

06/19/2023

🔸 When diagnosed with an eating disorder, understanding levels of care is crucial. Treatment options include outpatient care for mild to moderate cases, intensive outpatient programs (IOP) and partial hospitalization programs (PHP) for more severe cases, residential treatment centers (RTC) for intensive support, and inpatient treatment for critical situations. Aftercare and telehealth services are also available.

🔸 The appropriate level of care depends on factors like symptoms, physical health, and support system. A treatment team assesses the individual's needs and may adjust the level of care as necessary. Clear communication among team members and the client is essential.

🔸 Read the entire blog here: https://www.sallydaganzomd.com/post/levels-of-care-in-eating-disorder-treatment

06/14/2023

🔸 Myth: People at a normal body weight cannot have an eating disorder.

✔️ Fact: At their core, many eating disorders are about the undue influence of body weight or shape on self-worth, distortion of body image, and pervasive thoughts about ways to become thinner or to avoid gaining weight. Additionally, eating disorders serve the individual suffering by providing a way to cope with trauma, anxiety, OCD, and other conditions that cause internal distress.

🔸 A person at a “normal” body weight (another several posts on this, alone!) may have all of these features. In fact, normal weight individuals who have these features of eating disorders often suffer more than those who are “underweight. One reason is that the severity of their symptoms are not validated by their appearance by most people in their lives.

06/12/2023

🔸Eating disorders are not a choice!

🔸Although it may seem like individuals with eating disorders have made a conscious choice to engage in unhealthy behaviors, this is far from the truth. Eating disorders are serious medical conditions that affect both the mind and body, leading to severe disturbances in eating behaviors.

🔸As an expert in eating disorders, I know that these illnesses are not a choice and cannot be overcome through willpower alone. Rather, they require specialized treatment and support to address the complex physical, emotional, and mental aspects of the disorder. Let's work together to raise awareness and understanding of eating disorders and help those affected by them.

06/07/2023

🔸Were you aware that Binge Eating Disorder is the prevailing eating disorder in the United States? It is not simply indulging in an extra cupcake or two. Binge Eating Disorder is characterized by excessive consumption of food accompanied by intense feelings of guilt or disgust towards the behavior.

🔸Common health complications that result from Binge Eating Disorder can include:
✔️Hypertension
✔️Joint pains
✔️Sleep apnea
✔️Hyperlipidemia
✔️Heartburn
✔️Medical Trauma

06/05/2023

🔸 RED-S is a condition affecting athletes with physical and psychological symptoms due to low energy availability. It impairs multiple bodily systems, such as endocrine and musculoskeletal, and can lead to decreased bone density, menstrual dysfunction, fatigue, and more. RED-S often goes unrecognized, especially in young athletes.

🔸 Treatment requires a multi-disciplinary approach addressing both physical and psychological aspects. Prevention involves maintaining a balanced diet and educating athletes about energy balance.

🔸Read the entire blog here: https://www.sallydaganzomd.com/post/relative-energy-deficiency-in-sport-red-s

02/22/2023

🔸Eating disorders and mental health issues are closely related. Not only are eating disorders diagnosable mental illnesses, but they also impact other aspects of mental health. Here are some of the most prevalent ways that the two are connected.

🔸There are tremendous effects of eating disorders on mental health, and some of them can be dangerous or life-threatening. Eating disorders are more lethal than other mental illnesses, second only to opioid overdose, according to the National Association of Anorexia Nervosa and Associated Disorders. Often, individuals restrict calories so significantly that they die from malnutrition, and as many as 26% of those with eating disorders attempt su***de. Immediate treatment is extremely important to address any eating disorder.

🔸A person struggling with an eating disorder is at increased risk of co-occurring disorders like anxiety, depression, obsessive compulsive disorder or substance use disorder. According to a study published in Psychosomatic Medicine, 97 percent of patients being treated for an eating disorder were also diagnosed with one or multiple mental health disorders. About 94 percent of patients struggled with depression or a related mood disorder and 56 percent of patients struggled with an anxiety disorder.
This high correlation between mental health and eating disorders can leave someone wondering which came first. There is no one-size-fits-all answer to this question. It’s evident that they contribute to each other, however, and it may be relevant to note that eating disorders typically have a genetic component, too.

02/21/2023

🔸Extra support and awareness for eating disorders is crucial in healthcare. Eating disorders are complex mental illnesses that can have serious physical consequences, and they require specialized care from healthcare professionals who understand their unique challenges.
🔸Unfortunately, eating disorders are often misunderstood or overlooked in healthcare settings, leading to misdiagnosis or inadequate treatment. Many healthcare providers may not have the training or resources needed to effectively screen, diagnose, or treat eating disorders, and this can lead to negative outcomes for patients.
🔸Extra support and awareness for eating disorders can help address these gaps in care. This can include training for healthcare providers, increased funding for research, and public education campaigns to reduce the stigma associated with eating disorders.
🔸By improving awareness and support for eating disorders, we can help ensure that patients receive the care they need to recover and lead healthy, fulfilling lives.

02/20/2023

🔸Eating disorder myth: Recovery is simply a matter of re-learning how to eat
🔸Eating disorder fact: Recovery is a complex and multi-faceted process.
🔸The cause and maintenance of an eating disorder involves various physiological and psychological factors. Thus, the belief that recovery only involves changing eating habits is incorrect and can lead to ineffective treatment.
🔸A narrow focus on behavior instead of addressing the underlying thoughts and processes can result in a higher risk of relapse. It's important to understand that even if eating patterns seem to have improved, the person may still experience anxiety and guilt related to food and therefore, require continued support and compassion.
🔸Family and friends may mistakenly believe that recovery has been achieved based solely on changes in eating habits, but it's crucial to recognize that recovery is a complex journey that involves addressing multiple aspects of the disorder.

02/17/2023

🔸WARNING SIGNS & SYMPTOMS OF ARFID
✔️Behavioral and psychological
✔️Dramatic weight loss
✔️Dresses in layers to hide weight loss or stay warm
✔️Reports constipation, abdominal pain, cold intolerance, lethargy, and/or excess energy
✔️Reports consistent, vague gastrointestinal issues (“upset stomach”, feels full, etc.) around mealtimes that have no known cause
✔️Dramatic restriction in types or amount of food eaten
✔️Will only eat certain textures of food
✔️Fears of choking or vomiting
✔️Lack of appetite or interest in food
✔️Limited range of preferred foods that becomes narrower over time (i.e., picky eating that progressively worsens).
✔️No body image disturbance or fear of weight gain

02/16/2023

🔶 Bulimia and Attention Deficit Hyperactivity Disorder (ADHD) are two separate but potentially co-occurring conditions. Bulimia is an eating disorder characterized by binge eating followed by purging behaviors such as vomiting or laxative abuse. ADHD is a neurodevelopmental disorder characterized by symptoms of inattention, hyperactivity, and impulsivity.

🔶 Studies have shown that individuals with ADHD may be at higher risk for developing bulimia due to the impulsivity and emotional dysregulation associated with ADHD. Additionally, those with bulimia may also experience symptoms of ADHD, such as difficulty concentrating and impulsiveness around food and eating behaviors.

🔶 It is important for individuals with both conditions to receive a comprehensive evaluation and treatment plan that addresses both the bulimia and ADHD symptoms.

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