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It has something to do with the opening glimpse we get of an unsettling Russian snuff video: dangling figures, distended bellies, eyes that plead for help.

Mrs Cook's symptoms worsened over the following months: her appetite "diminished", she needed to urinate more and by September 2021 her stomach had distended to the point that she looked pregnant.

Onyeaka wondered if that abundance could be harnessed to feed people in conflict zones where children were suffering from malnutrition, their distended stomachs a clear sign of protein deficiency.

His eye looked "very distended, swollen," he said.

He still had the slightly distended belly and sagging skin which indicate malnutrition in children.