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Fat free mass (FFM) is not a good indicator of body cell mass (BCM) in severe disease or malnutrition because of fluid shifts.  

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Fat free mass (FFM) refers to the weight of the body without any fat content. On the other hand, body cell mass (BCM) refers specifically to the weight of the body's cells. In severe disease or malnutrition, fluid shifts can occur in the body, which can affect the accuracy of FFM as an indicator of BCM. This means that even if FFM appears to be low, it may not accurately reflect the actual amount of cells in the body. Therefore, FFM is not a good indicator of BCM in severe disease or malnutrition.

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