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In contrast to most other mental illnesses, electrolyte abnormalities are very commonly found in patients with eating disorders. Many of them, if untreated, are particularly dangerous for these patients. Abnormalities of sodium, potassium, bicarbonate and phosphorous are the most commonly found. In fact, the presence of these abnormalities are pathognomonic of particular eating disorder diagnoses and can help elucidate the presence of a covert eating disorder. Given the inherent and dangerous features of eating disorders, these electrolyte abnormalities have unique treatment approaches which must be considered to avoid additional complications. This session will touch on all of these issues.