--- title: National Association of Anorexia Nervosa and Associated Disorders (ANAD) type: entity entity_type: organization domain: health status: active --- # National Association of Anorexia Nervosa and Associated Disorders (ANAD) Oldest U.S. eating disorder advocacy organization, founded 1976. Provides clinical guidance, support groups, and treatment resources. ## Timeline - **2025-01-01** — Published joint clinical guidance with NEDA on GLP-1 receptor agonist use in eating disorder populations, documenting that GI side effects 'can trigger or worsen purging behaviors' and recommending tri-specialist care teams with hydration/electrolyte monitoring ## Overview ANAD focuses on eating disorder treatment access, clinical standards, and patient advocacy. Their guidance documents clinical best practices but carries no regulatory authority. ## Key Clinical Positions **GLP-1 Monitoring Requirements (2025):** - Hydration and electrolyte levels (vomiting + GI side effects pose serious risk) - Emergence of restrictive eating behaviors - Weight loss rate and magnitude - Eating disorder symptom changes via standardized measures **Required Care Team:** - Physician versed in GLP-1s and eating disorders - Therapist experienced with both GLP-1s and ED treatment - Dietitian familiar with this medication class and recovery nutrition **Documented Risks:** ANAD notes that GI side effects (nausea, vomiting, diarrhea, gastroparesis) 'can trigger or worsen purging behaviors' in vulnerable individuals, creating a direct pharmacological harm pathway. Approximately 2/3 of weight loss returns within one year if medication stops, creating weight cycling risk particularly harmful for ED populations.