What you’re seeing is a person who have very little body fat. This is because they are malnourished. Two things at play here. The first is that stimulants like meth and crack decrease your appetite. You’re basically in fight-or-flight mode at all times so you just don’t have much appetite. The second is that the financing and obtaining of drugs becomes a total preoccupation. They use up every penny they have to obtain drugs, and have none left for food.
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