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According to friedrich, when food and fluid intake is poor, starvation occurs before dehydration

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The statement of Liz Friedrich is verified by evidence from research of a physiologic adaptation, during the vanishing development, the famine that averts any uneasiness as a outcome of the absence of food. Dehydration may result to hemoconcentration and hyperosmolality, with consequent azotemia, hypernatremia, and hypercalcemia. These metabolic fluctuations may create a soothing effect on the brain before passing away.

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