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Hownowbrowncow,
Just to play devil's advocate for a minute, let's say her excuses make perfect sense (and they do, really). Is there any other proof that you have that would be reason to tell an authority, or make any other moves to get her treatment? Have you seen any behavior that might back up your suspicions other than "she's extremely skinny?" I'm just trying to help--b/c if you are really serious about getting her help, you're going to have a lot of explaining to do. Before anyone will stick their neck out and intervene in this young woman's life, they're going to need really good reasons and a bunch of them. Look up the "signs" of someone who may have anorexia and see if they apply to your sister, then you'll seem more credible and have more of a reason to do whatever it is you plan to do. Because if you aren't 1,000% positive that her problem isn't some sort of illness or stress or training, then your case won't be solid when you lobby to get her help. It could majorly backfire and her trust in you guys could disappear and that's the last thing any of us want for her.
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"We have letters. You have dreams." ~Senusret I
"My dreams have become letters." ~christiangirl
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