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Undernutrition can be practically excluded in acutely ill severely  obese patients? 

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Undernutrition cannot be practically excluded in acutely ill severely obese patients. Severely obese patients may have underlying nutritional deficiencies or comorbidities that can contribute to undernutrition. Additionally, acutely ill patients may experience decreased appetite, malabsorption, or increased nutrient requirements, further increasing the risk of undernutrition. Therefore, it is important to assess the nutritional status of all patients, including those who are severely obese and acutely ill.

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