"My doctor felt that the main contributing factor was so many years of malnutrition, especially during my formative years, even before I got into modeling"

In this quote, Carre Otis, a former design, is discussing her health issues with her physician. She discusses that her medical professional thinks the primary factor for her illness is due to years of malnutrition. This poor nutrition was especially prevalent during her formative years, which refers to the turning point of advancement during childhood and teenage years. Otis suggests that her battles with poor nutrition started even before she went into the modeling market. This recommends that the pressure to keep a particular body image in the modeling world may have intensified her pre-existing health concerns. In general, Otis highlights the damaging impacts of malnutrition and the value of proper nutrition during the developmental years of an individual's life.