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When Fileto got custody of her three grandchildren last year, she said they were so malnourished that their bones were showing.

Hayley Hubbard, who runs the charity, said Hope was "severely malnourished, dehydrated, and unable to stand" and they were now looking to raise money for a wheelchair.

It said this would have prevented it from feeding and it was likely to have been malnourished for some time.

"But you see them wearing out and thinning in front of you - malnourished children. You see mothers who are trying to breastfeed, and there is nothing coming out of their breast," she said.

The “literal” merging takes us back to the show’s supernatural elements — if they even exist, and aren’t just projections of our unmedicated and malnourished characters’ fraying mental states.