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and lower adherence to a Mediterranean diet pattern.2,6,7,10,12,16,18 Furthermore, a high percentage of individuals with BDup to 30% in some studiesreport binge-eating behaviors.10,12 Excess sugar intake and other poor dietary and lifestyle habits can contribute to problems frequently experienced by individuals with BD, such as chronic inflammation, oxidative stress, overweight, and metabolic dysfunction, including higher blood glucose and lipid levels.2,7,11,18 Sleep disturbances in BD may also increase inflammation and negatively impact immunity.7 Increasing physical activity may improve symptoms and functioning in people with BD