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Skeletal muscles cells can divide, but not nearly like what skin or other organ cells can. Mostly, muscle cells can expand ("building" muscle). With anorexia, muscles often become thin, wiry, and lean. They can easily "re-bulk" up, though, if the person resumes eating normally. In very extreme cases of anorexia, though, a person has no energy or fat cells left in their body. In these rare instances, the body will begin to metabolize what is left of the thin muscles cells in order to obtain enough energy to survive. In this case, many of those muscle cells can never re-grow again once they have been metabolized by the body.

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Q: I heard skeletal muscle cells don't divide. Does that mean that people with long term anorexia or people who experienced long term starvation would have permanent muscle loss?
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