I would go ahead & let them weigh you.....when they see that your weight is at a safe place.....they will no longer bother you about your weight issues. I know that my GP told me when I was dealing with major anorexia after going through a trauma, that his only concern was my health during that period of time & my pdoc (who he did end up talking with) was the one who needed to help me with the psychological end & any meds that could help me gain weight (which I absolutely refused).

Trauma & stress are a major trigger for anorexia for me......I had just started going to a new GP when all the stress hit with my mother's cancer surgery & all the complications after that.

My GP ended up admitting me into the medical hospital because I was so sick from the stress & the anorexia got so bad that I needed IV nutrition through a central line. That had been the first time in many years that my weight had gotten so low & the anemia was so bad. The PTSD I was left with after the trauma I went through with the home care person really messed up my ability to eat & drink without getting sick.

The point being....after your GP knows you are at a healthy point weight wise.....there is nothing they can do about the purging....that is something that needs to be dealt with in therapy. Sorry, that's something I can't relate to because I hate getting sick....when I feel sick....that is when I can't eat because I will do anything not to get sick. After having the stomach flu when I burst blood vessles in the whites of my eyes & in my face little red dots all over.....there is no way that getting sick to my stomach even to purge is appealing. Seemed like every time I got the stomach flu, that would happen.....& it's embarrassing to have the whites of my eyes blood red.....so I would never do something like that on purpose.

Interesting fact I have read however is that purging really does absolutely NO good for loosing weight because by the time the food is chewed & gets down in the stomach, the nutrition has already gone into the body & whatever would end up in fat has already been absorbed by the time purging usually happens......not sure where I read that.....but it makes sense because people who purge usually don't have a low weight problem.

Something you might want to investigate......the damage it can to with a ruptured esophagus really isn't worth the fact that it's really not accomplishing what one thinks in the first place......

Hope you can resolve your purging issues.......but that's definitely not something that your GP deals with....they only monitor weight so they can treat you if your weight & blood tests show it's necessary.