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10 minutes of real time is near 3.5 hours of game time. If all you're doing is eating or drinking to the minimum, its not unexpected that you'll be feeling *peckish* 3-4 hours later. Just like you would in real life.
If you use chems like stimpacs, rad x, you can very easily go through 20 units of food and purified water. If you also use rad-away, you will need even more food and water, and you WILL get sick.
So, yeah, I think the food and water requirements in Survival Mode are a little ridiculous.
default is 1 second in reality is 30 seconds in game.