Does this deficiency malnutrition include individuals? You might think not, in order to eat in reality. But in fact, dietary deficiency is commonplace in the West, because so high of our foods are highly refined and used. It's this processing which mostly causes that ALA deficiency which affects almost each and every us inside the West. Aside the fibre problem, the salt trouble and getting poisoned by the food (see below for links to articles on these) the main issue with refining just what the processing removes.