There are ladies at the gym I go to that compete in fitness competitions, and yes they do go to a more extreme diet right before the competition. That being said, they don't look anything at all like Rachel. They are fit, healthy, with fantastic muscle tone. They are strong, they don't look anorexic nor do their faces make them look years older because they are too thin. Rachel looks anorexic. There was no muscle tone at all to her. I was shocked at her appearance. I really hope she gets some help. That can't be good for her heart.