James E. Gray, MS, ATC, CSCS, contributed to conception and design; acquisition and analysis and interpretation of the data; and drafting, critical revision, and final approval of the article. Objective: To present the reader with various psychobehavioral characteristics of muscle dysmorphia, discuss recognition of the disorder, and describe treatment and referral options. All years from to the present were searched for the terms muscle dysmorphia, bigorexia, and reverse anorexia. Data Synthesis: The incidence of muscle dysmorphia is increasing, both in the United States and in other regions of the world, perhaps because awareness and recognition of the condition have increased. Although treatment options are limited, therapy and medication do work.
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Body fat percentage is thankfully gaining more popularity as an effective marker of overall health and fitness instead of the BMI Index. I searched thousands of images in order to create this article. Most of the images I purchased from stock photography websites, but others are in the public domain at least I hope. If one of these pictures is copyrighted, please let me know and I will list proper attributions, or replace it if need be.
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