What is a likely symptom of bulimia nervosa aside from purging?

Bulimia nervosa is characterized by cycles of binge eating followed by compensatory behaviors aimed at preventing weight gain, such as purging. Aside from these purging behaviors, excessive exercise is commonly reported among individuals with this disorder. This symptom often stems from a desire to compensate for the calories consumed during binge episodes, reflecting an unhealthy relationship with food and body weight.

Individuals with bulimia may engage in excessive exercise as a means of controlling their weight or as a method to alleviate feelings of guilt and anxiety after episodes of bingeing. This behavior can be compulsive and is typically not associated with a healthy fitness routine. Combining this with the psychological and emotional factors that accompany bulimia illustrates how excessive exercise can fulfill a role similar to purging in maintaining control over weight.

The other options, such as severe weight gain, compulsive dieting, and frequent snacking, are not as directly associated with bulimia nervosa as excessive exercise is. While individuals can experience weight fluctuations and may engage in dieting behaviors, the compulsive nature and the consequences of excessive exercise specifically highlight the complex relationship that those with bulimia often have with physical activity.