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I agree with Helenthereef's post: probably has a slow-growing tumor or other malformation internally that prevents him from consuming normal-sized prey. Sounds to me like he's slowly starving to death, which honestly isn't kind. I'd either go the vet-route, see if you can identify the problem & fix it (that's likely to be a big invasive deal to put him through and expect survival, especially in his already-thin-ie. weak condition), or euthanize him out of kindness....so sorry.
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