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From the Publisher

Liela O’Keefe does not secretly make herself throw up because she believes she needs to be thinner. The bruises on her knees and the scratchiness in her throat are not about changing her outward appearance. Liela does it because it is the only thing that makes her feel like she is control within the Ailey-centered universe she is stuck in. Ailey is Liela’s identical twin sister, diagnosed with pervasive development disorder. Because of this, Ailey requires predictability and stability, which leaves very little room for Liela to have a separate life of her own.

Even following Ailey’s carefully mapped out schedule, Liela’s world begins to spin out of control. All she can do is throw up and pretend that everything is okay. Pretend to her mother. Pretend to her best friend, Camlyn. Pretend to herself. But pretending can only go on for so long.
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