Bulimia can also lead to endocrine changes, the most common of which is menstrual irregularities in women, who might even develop amenorrhea, where either the normal menstrual cycle stops or menstruation doesn't start by age 15.

暴食症也可导致内分泌异常，最常见的是女性的月经失调，甚至会发展成闭经，即月经周期全部停止或15岁仍无月经初潮。

While eating disorders can affect each person differently, and also depend on the specific type of eating disorder they have, they share some common symptoms, like withdrawal from friends and activities, mood swings, menstrual irregularities, and difficulties concentrating.

KATI：虽然饮食失调对每个人的影响不同，并且也取决于他们所患饮食失调的具体类型，但他们有一些共同的症状，例如回避朋友和活动、情绪波动、月经不规律和注意力不集中。