When weed equals weight loss

Weight loss is common. Usually there are good clues as to the disease process, but occasionally the truth has remained enigmatic for some time.

At fourteen, Mandy was a curvaceous, bubbly teen who carried a couple of excess kilos. There were a few years of social upheaval, during which she moved away. At age eighteen she reappeared with her concerned mother and boyfriend, having lost thirty kilos in a few months.

Mandy looked gaunt and drawn, with bones protruding and a haunted look. She spoke rapidly, expressing anxiety at her weight loss. She professed to eating well and having a healthy appetite, but vomiting