These empirical observations argue strongly against the high remittance rate of at least 50% within 1–3 years. Furthermore, the data in my review showed that, depending on duration of follow-up, not 50%–70% but rather 33%–73% of the patients recovered with only very limited period effects over the past 50 years. The inclusion of the improved cases would not result in an average of 90% but, rather, only 80%. However, this combination of data would imply a problematic underestimation of clinical problems that remain in improved cases, leaving aside other psychiatric disorders, additional psychosocial problems, and the need for further treatment. As stated in my review, anorexia nervosa did not lose its relatively poor prognosis in the 20th century.