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A deficiency state of malnutrition develops called kwashiorkor. This occurs when the body receives enough calories but not enough protein, and results in the gaunt look in the limbs and face along with a protruding round abdomen, as may still be seen in areas of the world like China, where rice is a major staple of the diet. It was also seen in the United States in several decades ago when a "macrobiotic" diet of brown rice was consumed by individuals, to the exclusion of adequate proteins. Lacking adequate nitrogen from proteins causes muscle wasting along with fat deposition to result in this overall appearance.
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