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Severe Malnutrition and Dehydration When GI Problems Become Systemic: Chronic inability to eat or keep food down leads to: Dangerous weight loss (beyond intended amount) Vitamin and mineral deficiencies Muscle wasting Weakness and fatigue Electrolyte imbalances (can cause heart problems) Need for IV nutrition (TPN - total parenteral nutrition) Legal Damages: Cost of nutritional support Hospitalizations Lost ability to work Permanent health consequences 5

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