by dj 21 LONG years of bulimia
Immediately following a purge there's always redness on the knuckles (and tooth marks on the middle of the top of the hand if you're using 3 or 4 fingers like i do) on the hand you use to force yourself to vomit-
Over time there's usually a build up of hard scar like tissue also somewhat visible (feels harder to the touch than normal soft skin)
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