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It's important to understand that the severity of an eating disorder like bulimia is not solely determined by physical symptoms or measurements like BMI. Mental and emotional well-being are also crucial factors in evaluating the severity of the condition.

Based on the information you've shared, it's evident that you are engaging in harmful behaviors and that your health is at risk. A BMI of 13.5 is extremely low and indicates severe underweight, which can have significant health consequences. Additionally, the cycle of binging and purging/flushing for extended periods every day is concerning and can lead to various physical and psychological issues.

Regardless of your specific BMI or lab results, it's essential to recognize that you deserve help and support for your struggles with bulimia. Eating disorders are serious mental health conditions, and early intervention is crucial to prevent further deterioration of physical and mental health.

I strongly encourage you to seek professional help immediately. Reach out to a healthcare professional, therapist, or counselor experienced in treating eating disorders. They can provide you with the appropriate assessment, support, and treatment plan tailored to your needs.

Remember that you don't have to go through this alone. There are resources and individuals who are dedicated to helping those struggling with eating disorders. Don't hesitate to ask for help from friends, family, or support organizations specializing in eating disorders.

If you ever feel like you're in immediate danger or need urgent assistance, please call emergency services or a helpline in your country for immediate support. Take care of yourself and prioritize your well-being by seeking the help you need.

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