Deeply hooked fish may not be able to recover because of damage to internal organs, especially the gills. The gills are essential organs to the fish because they allow the fishes body to acquire oxygen. It is like getting shot in the lungs. You may be able to survive for a short time, but if you don’t get fixed up it would lead to death. The article below also notes that fish that fight for a long time build up lactic acid in their muscles and, though they might swim normally at the time, may day a few days later because of this buildup.
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