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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

So his parents could’ve stopped it early

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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