Serial urinary gonadotrophin measurements were made during dietary treatment of patients with anorexia nervosa and with obesity. Results indicate that food restriction and weight loss give rise to a general reduction in gonadotrophin excretion. An important endocrine feature of anorexia nervosa is a lack of cyclical gonadotrophin excretion even after normal body weight has been restored. This loss of rhythmicity cannot be accounted for simply in terms of weight loss. It is suggested, on the basis of reported animal studies, that the endocrine disturbance in anorexia nervosa may be due to a failure of the anterior hypothalamic mechanisms concerned with the control of rhythmic gonadotrophin secretion.