Although bulimia nervosa cannot always be prevented, it can be more effectively managed by taking steps that can reduce chances of a relapse, including:

• Attending regular follow-up consultations with a primary care physician, psychotherapist and nutritionist to monitor the eating disorder and any related substance abuse
  
  
• Eating healthy, well-balanced meals
  
  
• Following a regular schedule of meals
  
  
• Taking vitamin and mineral supplements
  
  
• Exercising regularly as recommended by the physician
  
  
• Getting proper rest and sleep
  
  
• Engaging in activities that boost self-esteem, such as learning a new skill or hobby or joining a local social group
  
  
• Setting realistic expectations regarding body and weight (for example, not accepting some media portrayals about ideal body image)