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Obsessiveness about the quality of the food being ingested, ensuring that it is the most healthy, the most organic, etc.
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Orthorexics can be under pressure to stay fit and young while experiencing life stress on an intense, long-lasting level.
Some of the foods orthorexics tend to restrict, or completely remove from their diets are dairy, meat, eggs, gluten and grains, good quality fats found in foods like olive oil, avocado, nuts and seeds, grass-fed beef, grass-fed dairy and pasture-raised eggs.
Orthorexics are obsessed with eating "perfectly," even when their idea of perfect eating isn't nutritionally sound--and it's becoming more prevalent.
It is possible that the orthorexic may have been given the message sometime in the past that they're not good (or pure, or perfect) enough, causing a sense of inadequacy and resentment that worsens their condition.
Those who binge eat, starve themselves or poison their bodies with obvious toxins on a regular basis dwindle in vibrancy alongside the orthorexic.
Orthorexics start small, giving up the usual suspects - fat, caffeine, junk food, but can easily escalate into avoiding major food groups such as dairy and meat.
Dr Yellowlees said, "For orthorexics, a fixation with what they eat becomes an all-consuming lifestyle.
Orthorexics usually rule out sugar, salt, caffeine, alcohol, wheat, gluten, yeast, soya, corn and dairy foods, as well as those in contact with pesticides, herbicides or artificial additives.
I am definitely seeing significantly more orthorexics than just a few years ago," the Telegraph quoted Ursula Philpot, chair of the British Dietetic Association's mental health group, as saying.
But so-called orthorexics are obsessed with food quality rather than their body image, often avoiding caffeine, preservatives, salt and sugar in their diet.
The motivation of orthorexics stems from a longing to feel pure, healthy and natural by pursuing a rigidly healthy diet.