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According to Hostage US’s Amy Manson, former WNBA player Brittney Griner is suffering extreme trauma and challenges, Insider reported.

“They face the reality of poor nutrition, sometimes no access to fresh air or actual daylight,” Manson said. “Some of our returnees face as much as 50 to 60 to 70 pounds lost. And then we’re talking about muscle wastage, as well as the impact on their bodies of constant poor nutrition and constant stress.”