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I wonder if something is wrong with his mind as well. Maybe that needs to be addressed first

There is for sure something wrong but that’s more reason why people should be intervening

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At that size. I would think his relatives tried to say something. Did he listen though? That’s a whole other thing

I feel like at that size, you have to start young

So his parents could’ve stopped it early

The parents are part of the problem here. Definitely

Parents aka the enablers in this case. Some of it is probably tied in emotional shit too

Would you consider this child abuse?

Child abuse caused by ignorance/incompetence and fiat foods

Yeah. Its similar to neglect