BED was added to the American Psychiatry Associations Diagnostic and Statistical Manual of Mental Disorders classification system in 2013, characterized by two specific behaviors: the first is that an individual will eat a significantly greater amount of food than most people in a two-hour period, and second is that they will experience a feeling of being out of control of their eating
That ratio, roughly 35-40% of total weight lost coming from muscle, significantly exceeds what happens with diet and exercise alone, where lean mass typically accounts for only 15-20% of weight lost
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Journal of Functional Foods, 112, 105944