Food Junkies Podcast

Episode 230: Dr. Cynthia Bulik

17 snips
May 22, 2025
Dr. Cynthia Bulik, a leading expert on eating disorders and director at the UNC Center of Excellence, discusses the intricate world of disordered eating. She reveals how conditions like anorexia and bulimia are biologically driven rather than willful acts. The conversation explores genetic factors influencing eating disorders and the emerging concept of metabo-psychiatric diseases. Bulik emphasizes the importance of personalized treatment and highlights the challenges of navigating food addiction, making a compelling case for empathy and understanding in recovery.
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ANECDOTE

Dr. Bulik's Eating Disorder Discovery

  • Dr. Cynthia Bulik was initially unfamiliar with eating disorders until she shadowed on an eating disorders unit.
  • Her background as a competitive figure skater connected personally with what she observed clinically.
INSIGHT

Anorexia and Negative Energy Balance

  • People predisposed to anorexia respond uniquely to negative energy balance and actually feel better when in starvation.
  • This contradicts sociocultural theories and points to metabolic influences in anorexia nervosa.
INSIGHT

Genetic Roots of Eating Disorders

  • Eating disorders strongly run in families due to genetics, not just environment.
  • Genome-wide association studies reveal metabolic and psychiatric genetic factors underlying anorexia.
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