Well, I might argue there is another, albeit in my case it was in no way intentional. I was hospitalized with kidney stones, and six days later flipped my car at 65 mph. The resulting stress was pretty bad. I dumped thirty pounds in a month, not at ALL what I would do under any normal circumstances. But this isn't normal. I get that you're discussing intentional, which damages the gall bladder. The gym is hardly the only place: dance, ballet, gymnastics, name your body-beautiful sport. We eat our own and kill ourselves to be something we aren'. Fit is NOT thin is NOT fit. Fit is fit. And it wears eight billion different iterations.