As someone who previously worked for many years with people suffering Anorexia nervosa, just looking at photos of Justina, she doesn’t appear to have AN. What does she say about how she feels? She’s old enough to help direct her own care and not be governed by her parents’ inclinations. If she was given control, what would she want to do? However, also from those years of familiarity with AN, she may have one of the auto immune colitis conditions or that mysterious syndrome where the stomach just will not tolerate whole food. One girl was brought halfway around the world to the eating disorder specialist unit here with suspected anorexia and bulimia, but found immediately to have Crohn’s disease. The psychiatrist took her off all medication and handed her over to the gastro and immunology team. Gastroenterologists here in South Australia also have several young people on overnight enteral feeding permanently for complete food intolerance. In fact one young fellow has now married and his wife is expecting a child, even though he cannot eat normal meals at all without crippling pain and subsequent severe weight loss. I hope Justina recovers from whatever she has, or they find a satisfactory treatment for her ailments that leaves her with no significant disability.