When the body is starving it will first go to its adipose tissue (Glycogen stored as fat reserves). Once it has consumed all of the fat, the body will actually break down muscle and protein and turn it into the nutrients it needs in a process called gluconeogenesis. If this goes on for too long, the body will not be able to sustain itself by attacking muscles...not enough of the right nutrients will cause certain organ systems to fail and eventually lead to death. --Dr. Mekhail--
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Ya, because your body ends up not getting enough nutrients, so it starts to eat itself. People might also get depressed from this and try to commit suicide. I know a couple people that tried this.
Yes. After a while your body will begin to literally eat your muslces and organs. The first to go is usually the heart, and we all know you can't live without your ticker.
Yes you can die if it is a very bad case and any case of anorexia can shorten your life by 20-30 years.