our literature search identified 16 case studies documenting eating disorders in men aged 40 years or older. As shown in Table 1,the mean age at treatment presentation was 58.3 years, with age of 40 to 81 years. Seven cases were diagnosed with AN, 6 cases with BN, 2 were diagnosed with EDNOS, and 1 was diagnosed with BED. The majority of cases had been identified on inpatient psychiatric or geriatric units, or intermediate care or nursing facilities. Table 1 demonstrates high rates of comorbid depressive and anxiety disorders, including two patients who reported suicidal ideation. Of the 9 cases providing information on psychiatric comorbidity, the majority (78%) had a depressive disorder.Three cases were diagnosed with an anxiety disorder or obsessive-compulsive disorder, and 3 cases had a substance abuse disorder.High rates of medical comorbidity were also found, including gastrointestinal problems, osteoarthritis and osteoporosis, electrolyteabnormalities, and cardiovascular and pulmonary problems which included sinus bradycardia [40]. In addition to medical sequelae,evidence of psychosocial impairment directly associated with eat-ing disorders was found. For example, the daughter of the 70 year old man reported that his issues surrounding food and eating werea contributing factor to the dissolution of an earlier marriage [41].