But in some ways, the most significant choices one makes in life are done for reasons that are not all that dramatic, not earth-shaking at all; often enough, the choices we make are, for better or for worse, made by default.

There is never a sudden revelation, a complete and tidy explanation for why it happened, or why it ends, or why or who you are. You want one and I want one, but there isn't one. It comes in bits and pieces, and you stitch them together wherever they fit, and when you are done you hold yourself up, and still there are holes and you are a rag doll, invented, imperfect. And yet you are all that you have, so you must be enough. There is no other way.

I do have faith. I don't have faith that a God exists, nor do I have faith that one does not; I have absolute faith that I do not know, cannot know, am only human, am an infinitesimal creature packed onto a cramped planet crowded with seven billion bodies, and as many yearning hearts, and as many questioning minds.

Recovery isn’t easy, at first. It takes time. It takes more work, sometimes, than you think you’re willing to do. But it is worth every hard day, every tear, every terrified moment. It’s worth it, because the trade-off is this: you let go of your eating disorder, and you get back your life.

You will not stop. The pain is necessary, especially the pain of hunger. It reassures you that you are strong, can withstand anything, that you are not a slave to your body, you don't have to give in to its whining.

Anorexia and bulimia seem to be getting much more common in boys, men, and women of all ages and socioeconomic backgrounds; they are also becoming more common in racial groups previously thought to be impervious to the problem.

If I had been a different sort of person, maybe less impressionable, less intense, less fearful, less utterly dependent upon the perceptions of others - maybe then I would not have bought the cultural party line that thinness is the be-all and end-all of goals. Maybe if my family had not been in utter chaos most of the time, maybe if my parents were a little better at dealing with their own lives maybe if I'd gotten help sooner, or if I'd gotten different help, maybe if I didn't so fiercely cherish my secret, or if I were not such a good liar, or were not quite so empty inside... maybe.