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An image captures a digital document displayed on a tablet or e-reader, viewed from an oblique angle. The scene is indoors, likely a study or office setting. The document features text and a medical or scientific diagram, possibly related to Anorexia Nervosa (AN) and its pathophysiology.

The top left text discusses "trastorno de la conducta alimentaria (TCA) (4)" (eating disorder (ED)), describing it as a "enfermedad multifactorial" (multifactorial disease) involving "factores individuales, familiares y culturales" (individual, family, and cultural factors) like "baja autoestima, insatisfacción con la imagen corporal, características familiares, presión social y cultural por la delgadez" (low self-esteem, body image dissatisfaction, family characteristics, social and cultural pressure for thinness).

The top right text mentions the "microbiota normal" and "disbiosis," defining it as "la pérdida o desequilibrio de simbiosis fisiológica entre microbiota y hospedador" (loss or imbalance of physiological symbiosis between microbiota and host).

A prominent diagram in the center is titled "Alteraciones con las que nos encontramos en AN" (Alterations we find in AN). This section lists bullet points including "Restricción dietética" (Dietary restriction), "Presencia de malnutrición" (Presence of malnutrition), "Alteraciones gastrointestinales" (Gastrointestinal alterations), "Complicaciones neurológicas y alteraciones cognitivas" (Neurological complications and cognitive alterations), "Alteraciones inmunológicas" (Immunological alterations), "Distorsión de la percepción del hambre/saciedad" (Distortion of hunger/satiety perception), "Depresión y trastornos del estado del ánimo" (Depression and mood disorders), and "Dificultades en el proceso de recuperación" (Difficulties in the recovery process).

Connected to this list is a circular diagram that illustrates interactions between "Vías inmunológicas" (Immunological pathways), "Neurotransmisores" (Neurotransmitters), "Hormonas" (Hormones), and an icon resembling gut microbes or the microbiome. Arrows indicate cyclical relationships between these elements and also from the "Alteraciones" box.

The bottom text partly reads "su relación con las alteraciones observadas en pacientes con anorexia nerviosa." (its relation with the alterations observed in patients with anorexia nervosa.). Some text is highlighted in yellow, suggesting a reader's annotations. The screen shows some reflections from ambient light.
Euge Rivers

Jun 3, 2026

Puebla, Mexico

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An image captures a digital document displayed on a tablet or e-reader, viewed from an oblique angle. The scene is indoors, likely a study or office setting. The document features text and a medical or scientific diagram, possibly related to Anorexia Nervosa (AN) and its pathophysiology. The top left text discusses "trastorno de la conducta alimentaria (TCA) (4)" (eating disorder (ED)), describing it as a "enfermedad multifactorial" (multifactorial disease) involving "factores individuales, familiares y culturales" (individual, family, and cultural factors) like "baja autoestima, insatisfacción con la imagen corporal, características familiares, presión social y cultural por la delgadez" (low self-esteem, body image dissatisfaction, family characteristics, social and cultural pressure for thinness). The top right text mentions the "microbiota normal" and "disbiosis," defining it as "la pérdida o desequilibrio de simbiosis fisiológica entre microbiota y hospedador" (loss or imbalance of physiological symbiosis between microbiota and host). A prominent diagram in the center is titled "Alteraciones con las que nos encontramos en AN" (Alterations we find in AN). This section lists bullet points including "Restricción dietética" (Dietary restriction), "Presencia de malnutrición" (Presence of malnutrition), "Alteraciones gastrointestinales" (Gastrointestinal alterations), "Complicaciones neurológicas y alteraciones cognitivas" (Neurological complications and cognitive alterations), "Alteraciones inmunológicas" (Immunological alterations), "Distorsión de la percepción del hambre/saciedad" (Distortion of hunger/satiety perception), "Depresión y trastornos del estado del ánimo" (Depression and mood disorders), and "Dificultades en el proceso de recuperación" (Difficulties in the recovery process). Connected to this list is a circular diagram that illustrates interactions between "Vías inmunológicas" (Immunological pathways), "Neurotransmisores" (Neurotransmitters), "Hormonas" (Hormones), and an icon resembling gut microbes or the microbiome. Arrows indicate cyclical relationships between these elements and also from the "Alteraciones" box. The bottom text partly reads "su relación con las alteraciones observadas en pacientes con anorexia nerviosa." (its relation with the alterations observed in patients with anorexia nervosa.). Some text is highlighted in yellow, suggesting a reader's annotations. The screen shows some reflections from ambient light.

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Euge Rivers

Jun 3, 2026

Puebla, Mexico

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