It's a combination of not having the right type of food available, because she is vegan with a health condition called Gastroparesis. Her stomach doesn't digest well certain foods and she gets very bloated. Also, being under lots of stress, because of her mother's condition.
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Howdy again Miss Lena! Oh, I feel so bad for her. There is a lack of the type of food she needs there? What will it take to make this better? This sounds really hard.