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It is because society is overtly accepting of the end result of that extremely dangerous weight loss; in other words, it is seen as marginally beneficially, in a superficial way. Self injury doesn’t have an outward effect other than signaling that there is a problem within oneself, but excessive use of weight loss products, such a diuretics, is merely a social taboo that people look past, mainly due to their own inner insecurities.
It doesn’t really make all too much sense, and that’s the problem, challenging societies values is a very illogical thing.