Totally.
I've had my body in such a state. Its just starting to unravel now.
Stress then burn out, then insulin then lchf then low carb high protein, now low carb, medium fat with not full orilstat med. I take 2 per day not 3. As eating just 2 meals but occasionally 3.
Lost just under 3 stones. (18kgs) Looks like still losing too.
I have another 4-5 stones to lose. Maybe by bariatric surgery as I know my body will just stop losing and then may start adding again. I was nearly bed ridden in winter. In one hellava state! I cannot face thst or even close again.