This patient is exhibiting the classic constellation of signs and symptoms of anorexia nervosa. This condition is associated with excessive weight loss and a distorted body image, and can result in medical complications such as heart disease, respiratory problems, and bone loss. It is important to ensure this patient is properly evaluated and receives the appropriate treatment for her condition. Additionally, it is important to provide emotional support and guidance regarding her training routine, as restricting caloric intake and engaging in excessive exercise can both harm her physical and mental health. by