Transgender individuals face a significantly higher risk of developing eating disorders (EDs) compared to their cisgender peers. This increased vulnerability is linked to body dysphoria, societal pressures, discrimination, and mental health struggles.

Steroid use, particularly anabolic-androgenic steroids (AAS), can be a significant indicator of eating disorders in males, often tied to body image concerns and muscle dysmorphia (bigorexia). While eating disorders in men can sometimes go unnoticed due to societal stigma, excessive focus on muscularity and leanness—often leading to steroid abuse—can be a key warning sign.

Naltrexone, an opioid receptor antagonist, has been studied as a potential treatment for eating disorders in adolescents, particularly for binge eating disorder (BED), bulimia nervosa (BN), and hyperphagia associated with conditions like Prader-Willi Syndrome (PWS). However, its use in teens remains off-label and requires careful consideration.

Eating disorders in children and adolescents can be challenging to detect early because some behaviors may be mistaken for “typical” teenage moodiness or picky eating. However, certain warning signs and changes in behavior or physical health can indicate that an eating disorder may be developing. It’s important to remember that no single sign confirms an eating disorder, but a pattern of behaviors or symptoms may warrant a closer look and professional evaluation.

One of the lesser talked-about — but emotionally painful — side effects of eating disorders is hair loss or noticeable changes in hair texture, thickness, or growth. For many teens and young adults, especially, these physical signs can increase distress or shame.

Whether you're struggling with anorexia, bulimia, ARFID, or another form of disordered eating, your oral health is part of your overall health — and your dentist can play an important role in early detection and long-term healing.