It's not about how sick you look, that comes with the territory. It's about how sick you are now. Are you going to be so far gone that you potentially die while beinf a "normal" weight? Are you going to be bones by that time? Fun fact, it doesn't matter. Regardless of what a number says the damage is constant and consistent, and can and will kill you at any weight. The "skin and bones" is because you're sick and have dealt with it majority of your life. It does not determine your sickness, because you are sick regardless of what your weight is. The body dies at an "average" weight through EDs. You don't have to look malnourished to be malnourished. All of the love.