There is a woman sitting on a desk with a book

extremely thin woman，The body very thin，drying，Rib chest，Protruding sternum，The sternum distinct，The waist very thin，The pelvic protrusion very obvious，Clear outline of pelvis，The crotch protrudes，The hip bones are very clear，thin shoulde，The waist very thin，Sunken abdomen，Abdominal muscle atrophy，Delicate arms，arm muscle atrophy，Slender thighs，lean legs，Knees are obviously protruding，Ankle bulges，The ankle bones are obvious，The leg bones are obvious，leg muscle atrophy，anorexia，Wear a suit and tight leather pants，Asia face，Expressions of sadness and crying，Excessive weight loss，sunken face，Apply lipstick，Severe malnutrition

(nsfw:1.5),owres,bad anatomy,bad hands,text,error,missing fingers,extra digit,fewer digits,cropped,worst quality,low quality,normal quality,jpeg artifacts,signature,watermark,username,blurry,missing fingers,bad hands,missing arms,large breasts