The effect in bad cases is to cause loss of appetite, a leaden pallor of the skin, and a degree of leanness so excessive as to make its victims appear like living skeletons.
His vessel was wrecked, and he fell into the hands of cannibals; but he was saved by his leanness, and by the opportune invasion of a neighbouring tribe.
It takes a very specific and concentrated effort (as well as hours and hours in the gym) to develop the huge muscles and extreme leanness of a competitive bodybuilder.