I’ve been starving for most of the year, unable to eat much due to severe discomfort when I do. I’m about 10% below a healthy weight. At this point the idea of hunger doesn’t faze me at all - I barely feel it anymore.
Malnutrition is a slow process. It doesn’t feel very intense.
I’m basically starving while surrounded by food, like these people. What keeps me from eating it is that it causes greater pain to eat than not to.