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Is my too-thin friend OK...? URGENT!

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I have a friend who is 12 years old, about 4"9 tall and just 4 stone 4 pounds. Her arms are like sticks and she looks really skinny. If I tell her she should eat more, she just says, 'no, I'm fine, leave it,'. At school, she'll only have a little salad or a tiny bowl of spagetthi, with LOTS of water. Should I be worried or am I just over-reacting? Please help ASAP! xx