Which of the following statements is not considered a common symptom of both anorexia and bulimia?

Distorted body image, menstrual changes, and intense fear of gaining weight can occur with both anorexia and bulimia. Calluses or sores on the hands are more specifically associated with bulimia, sometimes caused by using the fingers to induce vomiting, and are not a common symptom of both disorders. Therefore, the statement about hand calluses or sores is the best answer.

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