In аdditiоn tо the аbоve scenаrio the physician ordered an exploratory laparoscopy of the upper gastrointestinal. The findings indicate K.R. has extensive gastric ulcers and a biopsy has been done. K.R. was placed on a TPN to allow for bed rest. The RDN completed the NFPE and found K.R. had 2+ pitting edema and moderate muscle wasting. Based on all of the information provided, what indications does K.R. have for a malnutrition diagnosis?