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After suffering from an eating disorder for seven years, Jackie Evancho is ready to make a change.

In the new issue of PEOPLE, the singer, 22, opens up about her battle with anorexia and how she's working to get healthy.

While she's struggled with disordered eating since she was a teenager, the America's Got Talent alum — who placed second in 2010, at just 10 years old — knew she needed help last year, after she was hospitalized following a January 2021 car accident that broke her back in two places.

"They were abnormal breaks, breaks that you see in 80-year-olds," Evancho explains.

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"That's how I learned that my eating problems created osteoporosis. So now I'm a 22-year-old with osteoporosis."

But the bone-disease diagnosis didn't immediately compel Evancho to address her food issues.

"I had to eat [for my bones] to heal, and that really messed me up with my eating problems, because I was gaining weight to heal," s

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