Yes. There is a disease called anorexia nervosa. This is a mental disease. Some people feel that they are fat even if they're not and so they start to diet. Even when they are at there slimmest they still think they are fat and so they starve. Soon enough because their body is not getting enough food they could have a cardiac arrest (heart attack).if you are naturally skinny and eat normally with a balanced diet you should be fine. It is very important to eat a balanced diet so that you can be healthy.
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I don't have a definite answer, but I can tell you that the body starts to eat muscle after the fat is consumed. In cases such as these, people usually die because the body starts to eat the heart muscle.
it's different for every body and how there rib cage was built i tell mine all the fat is in the mid and if you look over more if goes down so basically if you put your hand on your hips the area between your fingers and thumb is a healthy and normal spot so if the area is say like mine is 4 inches from your back to your stomach is how skinny you are supposed to be (unless you have big abs lol)