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This question would likely get more replies in the DD forum but my guess is yes. They are here to protect you, keep your body going and when you are restricting/purging etc your alters can come out to be sure you get what you need to survive, it is their purpose after all. I have known some alters to come out and eat when the body was not getting enough. As well as some alters come out to take meds when the core or other alters do not want the meds... Better answered by the DD forum, but I do think it's a high chance.
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I'd lock my hands behind my head, I'd cover my heart and hit the deck, I'd brace myself for the impact if I were you.
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