Box turtles are opportunistic omnivores, meaning that they will eat a very wide variety of foods. Your turtle has probably not been getting enough variety in it's diet to satisfy some basic nutritional needs.

Check the link below for an overview and suggestions on how to vary your turtle's diet.

I feed the turtles here a wide range of foods, including cooked chicken, turkey, cooked beef heart, venison, worms, grubs, slugs, beetles, carrion, also greens, assorted vegetables including various squashes, carrots, peas, corn, wild mushrooms, yams, fruits such as melon, various berries, grapes, tomatoes.

My one outdoor cat occasionally kills a baby rabbit or squirrel or bird, and leaves the carcass in the turtle pen: the turtles consume the rest. I also leave chunks of cuttle bone (minus the hard 'shell') in the pen for the turtles to graze on at will.
Low fat canned dog food, while not ideal, is ok as an occasional protein source, but it should be supplemented with bits of fruit and vegetables.
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