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For the Milla character, Strauss researched orthorexia, an eating disorder in which people are obsessed with “healthy” food, and also delved into the history of alternative medicine retreats like the one Milla visits in Mexico.

He added that when supplements come to market claiming to promote the “good bacteria” in a person’s intestines, he’s concerned it pushes rhetoric promoting orthorexia, or the obsession with eating healthy food, usually featuring dangerous overfixation on the quality of food and not the quantity.

And she observes, "Orthorexia is hard to treat in mid-life in part because the behavior is largely celebrated by modern culture — and often by the person's doctors and health care providers."

When supplements come to market claiming to promote the “good bacteria” in a person’s intestines, this mimics similar rhetoric that promotes and supports orthorexia, or the obsession with eating healthy food usually featuring dangerous overfixation on the quality of food and not the quantity.

The researchers found that people in the broader eating disorder community—not only those with orthorexia—were using the hashtag, having turned to social media for support that they could not otherwise find.