The semistarvation of anorexia nervosa, and the purgingbegaviours sometimes associated with it, can result in significant associated general medical conditions. These include the development of normochromic normocytic anemia, impaired renal function (associated with chronic dehydration and hypokalemia), cardiovascular problems (severe hypotension,arrhythmias), dental problems, and osteoporosis(resulting from low calcium intake and absorption, reduced strogen secretion, and increased cortisol secretion).