Impoant medical complications related to Anorexia Nervosa Peripheral oedema Lanugo hair development Skin changes (dryness, scaling, yellow tinge caused by carotinemia) Lowered metabolic rate (bradycardia, hypotension, hypothermia) Normal thyroid-stimulating hormone levels; low triiodothyronine (T3) syndrome Normal or overstimulated adrenal axis; possible loss of diurnal variation in coisol Normal serum protein and albumin concentrations Impaired regulation in growth hormone levels; increased basal levels Decreased total brain volume/increased ventricular size on imaging