Extreme food obsession involves intense physical pain and a constant focus on food.

“after I had a diet it down to body fat that was uh competitive bodybuilding appropriate enough times you feel what it's like to be obsessed all you're thinking about is all you're thinking about food tastes good to a level if you like am I eating drugs like what the hell is going on and you're in pain physically from the expansion of your abdominal tract and you're still eating and your eyes are this wide like a hungry ravenous dog who like he just tortured and not allowed to eat for a long time”