I had to be on IV feeding for a month last year and it felt like I was starving because I wasn’t getting any calories. I lost 20 kg in 2 weeks, despite the fact I was confined to a bed 24 hours.
If you make the platform, you can influence it through design decisions. It’s far more subtle than what spez did, but it’s still an effective method of control.
I went to the ER and the doctor said “You are dying,” which I took as a bad sign.