The second phase occurs if fasting continues. In the second phase, the body limits some energy-intensive systems. Menstruation ends, blood circulation in the arms and legs decreases, as a result of which a feeling of freezing occurs, the ability to concentrate decreases. If the condition does not improve, the patient is usually hospitalized. Some patients experience an elevated mood because the feeling of hunger has disappeared. At this stage, the situation can still turn for the better.