That's why people need to take parasites very seriously. A lot of times when we see emaciated dogs on the street we just presume that it is hunger, but it actually can be a lot of other things. Panther never wanted for food, he was really well-fed but just like when a person is sick, the appetite is one of the first things to go. Without intervention their situation will get progressively worse.
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Yes if anyone did not have your knowledge people would presume hunger was the problem.