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C!Dream affected not only by malnutrition, but but by a lack of sunlight.
When he first enters pandoras vault he’s doing, okay. Mentally and physically. Still shaken by his two canon deaths in quick succession, but he’s handling it.
But then he starts sleeping more (and it hurts because it reminds him of c!george). But sleeping is all he has to occupy himself, a way to make the time pass faster. He tries to keep his strength up, to exercise regularly, maintain his stamina, but it seems to get harder everyday. Not just because there’s no point, but physically. Fatigue plagues him every waking moment. He sleeps not because of its restorative effect, but because when hes sleeping, he doesn’t know just how tired he is.
Everything hurts. He can never find a comfortable position on the obsidian floor, but it’s more than that. His very bones ache. Muscle pain is constant, with no exertion to explain it. His legs cramp, his whole body does, despite it never happening to him previously.
When c!Quackity visits, things are worse then they should be. Hits that would have only bruised in the past now break bones. His wounds don’t heal like they used to. Infections set in easily. He can only watch as his body breaks down, is broken down, and one day he forgets what the sun looks like. Did its warm rays on his skin feel the same as the heat radiating of the lava? He can’t remember anymore.
Everything listed is an actual symptom of vitamin d deficiency! Not included is depression and mood swings. Add onto all that solitary confinement & malnutrition. 6 months of no sunlight is a Very Bad Thing.
C!dreams diet is not nutrionally sufficient. He has no source of vitamin A or B12. Whilst the latter cause extreme fatigue, the former cause vision problems, especially in low light conditions. He wouldn’t notice it in pandoras vault, not with the ever present lava, but afterwards he is so much more vulnerable. The night is an even bigger threat, and he carries a light source on him at all times.
C!dream learns to fear the night, the shadows, the unknown.