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“Female reproductive life history is linked to cardiovascular, metabolic, inflammatory and endocrine alterations to physiology in ways that have not only short-term but also long-term and, in some cases, permanent effects.”

“Everyone knows that the environments we created to satisfy our wishes for sweets, salt, fat and leisure have resulted in epidemics of chronic disease. Obesity and eating disorders are prime examples, but alcoholism and drug addiction are also made possible by ready access to substances and means of administration that have only recently become available. Lack of selection until recent times against these often fatal disorders is an essential part of any evolutionary explanation.”

“The sexual competition hypothesis suggests that women are vulnerable to eating disorders because modern media augment the natural motivation for having a desirable body in order to get better mates. This explains why so many women use extreme caloric restriction in intense efforts to be attractive, but it does not by itself explain anorexia nervosa and bulimia.”

“The belief that one is unattractive can be as intractable as the belief that one has an undiagnosed disease. It's often present in people who are, to other people's perceptions, very attractive indeed. However, once the belief in one's unattractiveness gets established it can be used to account for all manner of experiences, such as being rejected by a date. The normal trait related to this disorder is wanting to be attractive. In the usual range, this is almost certainly useful.”