** 1. because you are pregnant and suffering from habitual bulimia and purging, thus remember that repeated acts [vomiting/purging] can cause serious health problems to you and the developing baby. 2. miscarriage/gestational diabetes are commonly experienced pathology in mothers while if you have low BMI [body mass index] during pregnancy, you are likely to give birth to a low birth weight baby. PS. Because bulimia is usually a long-term disease, a health care provider will need to check the weight, exercise habits, and physical/mental health from time to time. 3. If you think you have an eating disorder, then it s really important to talk to your midwife or primary care Doctor [gynecologist] as soon as you can. It may not be easy for you to tell them, but it will be worth it. PS. You may also be more likely to develop postnatal depression (PND) . It s important to be aware of the signs of PND, talk with your Primary doctor. 4. Avoid caffeine, alcohol, and tobacco, refined sugars, soft drinks, drink 6 - 8 glasses of filtered water daily. . prefer quality protein: such as lean meat and eggs, whey, and vegetable protein shakes. . daily multivitamin including trace minerals . Pro-biotic supplement [yogurt], and prescription medicines [safe in transplant/pregnancy] are: brahmi, jatamansi, Tulsi, So-Hum meditation and Ujjayi Pranayam are useful.