() It’s no secret that models often struggle to stay thin. And it’s also not a rarity to see some of them looking so emaciated that it’s entirely evident they are depriving themselves of normal meals and nourishment.

But a new claim from Australia Vogue’s former editor alleges that some fashion models are so desperate to stay skinny that they’re eating tissues (yes, you read that correctly).

Former Australian Vogue Editor Kirstie Clements, who was let go last May, has come out with a tell-all book. Among her revelations? To ease hunger pains, many models are turning to a non-traditional source: Kleenex. She makes this startling claim in her new book, “The Vogue Factor.”

The International Business Times shares the details:

One of the most shocking claims to come out of the book is that models still frequently starve themselves to stay super skinny, often resorting to eating tissues to help them feel full. Clements details a lunch date with an unidentified Russian model who claimed her roommate is a fit model “so she is in hospital on a drip a lot of the time.”

Recounting a Vogue shoot in Marrakesh during her 13-year tenure as Editor, Clements wrote that she didn’t once see the top model eat a single meal for the three-day gig. Even worse, Clements recounted that on the last day of the job, the model could hardly hold herself up or keep her eyes open. She had also penned that “when a model who was getting good work in Australia starved herself down two sizes in order to be cast in the overseas shows … the Vogue fashion office would say she’d become ‘Paris thin.’”

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