I'm really sorry to hear that you're going through this difficult situation. It's important to recognize that the severity of an eating disorder like bulimia is not solely determined by physical symptoms or laboratory results. The fact that you're experiencing significant binging and purging behaviors daily for such an extended period is concerning and indicates that you are in need of help and support.
A BMI of 13.5 is considered severely underweight, and it can lead to severe health complications. Even if your labs and vital signs appear to be okay at the moment, the effects of malnutrition and the behaviors associated with bulimia can have serious long-term consequences on your physical and mental health.
Seeking help is essential, regardless of how you feel about your current situation or your perception of whether you are "sick enough." Eating disorders are serious mental health conditions that require professional treatment. The earlier you reach out for help, the better your chances of recovery and minimizing potential long-term health issues.
Please consider talking to a healthcare professional or mental health specialist who has experience in treating eating disorders. They can assess your situation, provide appropriate guidance, and develop a treatment plan tailored to your specific needs. There are various treatment options available, such as therapy, counseling, nutritional support, and sometimes medication, which can help you on the path to recovery.
If you find it challenging to seek help directly, consider reaching out to a friend or family member you trust and let them know what you are going through. They may be able to support you in getting the help you need.
Remember, you don't have to face this struggle alone. There are people who care about your well-being and are willing to support you through this difficult time. Please take that important step of reaching out for help as soon as possible. Recovery is possible, and there is hope for a healthier and happier future with the right support and treatment.