Are there documented cases of this that I could read.  In terms of physiology, how does non compliance look like.  Any insight into this would be greatly appreciated.

I found a couple of cases in PubMed, focusing in particular on one lady who didn't take vitamins. Not only was she tired and feeling gross, but she ended up with a heart murmur-- which could be from other things, but they thought it was important enough to write about.

Oh, there have been some doozies over the years out here, but of course I didn't save them.

I recall one that started with some swelling in her legs, then lost her hair and was also losing teeth, was very frail and could barely walk and broke bones.  That occurs before the body starts to harvest organs for nutrition.

I think I remember her. SHe used to come to this site asking for money right?