Anorexia is not my ED, but Im currently diagnosed bulimia nervosa, and my purging method of choice is actually restricting (most bulimics vomit, but quite a few don't). So I kind of know at leas half way what anorexia nervosa is like.  You seriously know when your eating disorder becomes a thing. Now, you may be in complete denial about it, but it's a completely consuming thing. From the moment my eyes open in the morning to the moment my head hits the pillow I am actively and constantly thinking about my weight, how my body looks, and what I've consumed. The drive is so intense it just takes over your life, body and soul.  I have never been severely underweight (most bulimics never become severely underweight because you can only purge a certain percentage of your binge intake), but it doesn't take that long to get there if you truly are an adult anorexic. Fat "anorexics" would be dropping weight so quickly they simply wouldn't be fat anymore. There's just no way. At my worst I was eating 100-200 calories a day and could drop a half pound to a pound every single day. Fats could easily go that low and lose 50-60lbs in a month probably.  They mistake disgust with themselves as a serious mental disorder that is a living hell they cannot fathom. They probably think their 1200 calorie, or even 1000 calorie diet is extreme and starvation. My "perfect" number is 400-600, and I'm not even that low in terms of extreme restriction. And I can still function in society for the most part at those numbers. Fats just have no clue how amazing the human body is and how keen the drive for survival is.  So yeah, I'd agree that their body is trying desperately to lose the weight that is killing them. They also clearly don't understand the nuances of the disease they claim to have. They are ED Tourists. They want all the supposed "glamour" of a mental illness with none of the horror.  TL;DR Fats are cunts who want attention, not help.