Weight Manipulation: Eating disorder patients tend to experience fear of weight gain during the early phases of treatment [refeeding]. Under the influence of the eating disorder, patients often resort to deceptive tactics to create the impression that they are complying with treatment, when they have actually found ways to evade adequate nutrition. Patients may hide items in their clothing or shoes and body cavities such as sand, coins, wrist and/or ankle weights; or other items, at the appointed time of weight checks. It is important for patients to be weighed in a hospital gown, without shoes, socks, or underwear when this is suspected. Random, unscheduled weight checks can also be used to reduce temptation to manipulate weights. Urine tests for water loading can serve both diagnostic and preventive purposes.
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