** spoiler alert ** 
 I really liked this book, however, at times it was hard to read, just because it was so sad that Lia felt the need to starve herself, even though she weighed less than 95 pounds. 
 Cassie, Lia's former best friend dies in the beginning of the book, after calling Lia 33 times, trying to tell her that she won their eigth grade bet of who could be the skinniest girl. 
 Lia has been to the hospital two times due to her anorexia, and she has failed to get better each time. She barely eats, and when she does, she either gets sick from the change in schedule of eating, or she cuts herself. Not helping her to get better, is the ghost of Cassie, who appears at Lia's side randomly, pushing her to die, and to starve herself until she disappears, so that she can join her (Cassie) on the other side. 
 When Lia hits 85 pounds, she cuts herself all over her body, and is caught by her step-sister. She is immediatly rushed to the hospital, and put under special care. While she is in her mother's house, waiting to be re-admitted into the special center, she is about to run away with Elijah, the staff member who found Cassie's body, whom she befriended. But, while she is asleep, Elijah steals Lia's money, and runs away without her, telling her that she wouldn't be able to get better if she ran away with him. While a part of me wishes that he had stayed with her, I realize that Lia would never have been able to eventually get better had they run away together. 
 In the end, Lia realizes that she has to get better for her family and herself. During her third time in the special center, she actually eats, she doesn't secretly exercise, and she doesn't beg the guard to lie about her eating.