Their intense fear of gaining weight combined with their distorted view of themselves drives them to take extreme measures to ensure they lose weight (Bjork 1). These extreme measures cause many symptoms to appear and some are even fatal. People with AN often have irregular or absent menstrual cycles. They experience fatigue as well as irregular heartbeat, dizziness, headaches, fine baby hairs covering the body, brittle nails and hair, mild anemia and low blood pressure. Anorexics can also have heart problems, and the heart can stop completely if the disorder lasts too long (Eating 1). Anorexics, like bulimia, usually have other psychiatric problems, such as depression, which can then lead to suicide (Update 1). In fact, women ages 15 to 24 with AN have a suicide rate more than 200 times that of people without AN (Levine 2). Anorexia nervosa is actually the deadliest psychiatric disorder in the United States (Update 1). Most experts agree that AN is caused by a combination of environmental factors and genes. Cynthia Bulik, director of the eating disorders program at the University of North Carolina, says, “It's definitely both. Genes load the gun and an environment pulls the trigger” (Updated