Jana's BMI Is 25

Jana's BMI is 25.5.She skips breakfast and usually eats a salad for lunch.While she is with friends,she eats large amounts of cookies,pastries,and ice cream.After eating such foods,she excuses herself to go to the bathroom.Her friends are amazed that she doesn't gain weight.Based on this information,Jana may have ________.

A) a hypoactive thyroid gland
B) a "lazy" spleen
C) systemic lipodystrophy
D) bulimia nervosa

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