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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 because although they may have excess body weight, they can still be deficient in essential nutrients. Severely obese individuals often have poor dietary habits and may not consume a balanced diet, leading to deficiencies in vitamins, minerals, and other nutrients. Additionally, their excessive body weight can put them at risk for various health complications, which can further impact their nutritional status. Therefore, it is important to assess the nutritional status of acutely ill severely obese patients to ensure appropriate care and management.

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