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Eating disorders affect millions of individuals worldwide, yet their consequences are under-recognised. Previous studies have reported that individuals with eating disorders experience significantly higher risks of physical illness, psychiatric comorbidity, and death from unnatural causes.1 2 A linked cohort study by Morgan and colleagues (doi:10.1136/bmjmed-2025-001438) in BMJ Medicine provides comprehensive evidence on these associated risks to patients from a primary care perspective.3 Drawing on data from more than 24 000 patients aged 10-44 years in the Clinical Practice Research Datalink, the study shows that a multitude of adverse health outcomes appear quickly in patients after receiving a diagnosis of an eating disorder and persist for years afterwards.