Bulemia is a very serious condition relating to body image and perception of body image. Bulemic patients have a tendency toward malnutrition and electrolyte imbalances. These imbalances can affect muscles in different ways, but it is unrelated to the Botox. More importantly, someone with Bulemia needs to have a medical professional who can help treat the Bulemia. It is obviously not an easy problem to "fix." It takes a lot of effort and time and you need to make sure you are being adequately treated. If you came to see me for Botox, I would want to speak with your therapist and doctor before I consider a elective, cosmetic procedure. Good luck and make sure you take care of yourself first.