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Acknowledgments The author declared that there is no conflict of interest
From a dermatologic and metabolic perspective, this raises an important question

S.RoseL.HansenT.ZachoJ.et al (2018)

10.1210/jendso/bvz042 38 IbrahimN
Malnutrition and Dehydration: In extreme cases, the cumulative impact of reduced food intake, frequent vomiting, and the bodys inability to absorb nutrients effectively can result in malnutrition

Red flags requiring urgent medical attention include triglyceride levels 10 mmol/L (risk of pancreatitis) and suspected familial hypercholesterolaemia, which requires specialist referral
