Earlier quoted context omitted.
"Self-inflict." It's actually a fairly complicated and can be quite difficult for people to break out of, even people who desperately want to change. When people follow the standard guidelines (which are beginning, slowly, to change) to avoid fat and reduce calories, they end up feeling hungry all the time, and have to white knuckle their way through. This is not a state that people can maintain long-term. Starvation…
> Starvation studies from the University of Minnesota have been described this way: "During the semi-starvation phase the changes were dramatic. Beyond the gaunt appearance of the men, there were significant decreases in their strength and stamina, body temperature, heart rate and sex drive. The psychological effects were significant as well. Hunger made the men obsessed with food. They would dream and fantasize abou…
This is still talking about near starvation mode. People who stop menstruating and who grow lanugo are doing stuff that reduces their need for energy.
(I'm not sure it's accurate even for this extreme state though. Re-feeding is risky, but I don't know if "starvation mode" is part of the cause of that risk.)