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Fat Jab

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  • bobmunro said:
    I am Type 2 Diabetic and about a stone overweight, would this be suitable for me in the short term?
    If necessary, can I get it done privately?
    Is it a course of jabs, say over a six month period, how many jabs would I need?


    In very simplistic terms, a pound of fat is approximately 3,500 calories. By reducing your intake by 500 calories a day, or increase your activity so as to use up an extra 500 calories would result in a loss of 1lb a week. In 14 weeks you've lost your stone and didn't have to change your lifestyle a great deal.

    That's assuming that you currently maintain your weight of +a stone with your current calorie intake.

    One of the biggest obstacles in a psychological sense is thinking you can lose 3-4lbs a week by starving yourself. You might be able to achieve that in the first week or so but then it slows down or appears to stop, leading to a sense of defeat and bang goes weight loss.

    Lose 1lb a week by gently changing your habits and you've got much more chance of keeping it off.
    Technically, you don't lose a pound of fat. You lose a pound of weight - the majority of which is *not* fat, but muscle.

    And you absolutely can lose weight by massively reducing calorie intake. I say this as someone who has lost 25kg in four months a few years back, and 10kg in just over 2 months earlier this year. Unfortunately, you need a large calorie deficit, a lot of willpower and to supplement that with endurance exercise (cycling is ideal because there's less chance of injuring yourself than there is with running). 

    Use a calorie tracker (My Fitness Pal is perfect) to track EVERYTHING you eat, and link it to whatever you use to record exercise (Strava, Garmin Connect, your apple watch or whatever) and use the calories you burn in exercise (only *actual* exercise, not steps - I'll get to those shortly) to 'earn back' food above your base calorie rate.

    But here's the important thing - the base calorie rate that is suggested is often wildly excessive for the modern, non-manual worker. It suggests I should eat around 2000 calories per day, which is frankly ridiculous. A healthy number is around 1800, I use 1500 as a base when running a calorie deficit for weight loss. 

    10,000 steps should be the MINIMUM number required to support my suggested rate of 2000 calories. I do this daily as 'extra' exercise, because on a normal weekday, working from home, I'm lucky if I do 3,000 steps as part of my regular day.

    90% of weight loss is diet... Unless you do a lot of exercise, if so you can tip it to more like 75%. On most weeks I ride my bike somewhere between 350 and 400km - which includes a lot of HIIT - and adds up to around 12 hours on average per week.

    But most people don't have the luxury of time or willpower to do that much exercise - and if you're already overweight, it's really difficult to even get started. I coach riders, and regularly work with people who've come to riding to lose weight and found it's much better than running, but all of them remember how difficult it was to get started. If the jabs help people lose enough weight to begin that journey, then they're a massive benefit to society - the amount of money we pay into the NHS to treat weight-based illness alone makes it worth the expense. 
  • edited September 6
    Probably doesn't help that a huge % of those with weight issues are over 45, the desire to suddenly take up running can't be easy.

    I eat absolute garbage most of the time but manage to walk 11-13 miles a day for work and the dog walk, average around 17000 steps a day.
  • edited September 6
    The Nutracheck app I use is based on 1200 calories a day, for me to lose 2lbs a week. My Fitbit is connected to the app and if I do enough steps it allows extra calories, usually up to 1400 in total. Women need fewer calories than men and the menopause certainly increases the difficulty in shifting excess weight.

    Exercise is a problem for me as I have arthritis in both ankles and now use a walking pole if I go out. I have severe over pronation in one ankle, which makes my walking unbalanced and affects my hips as well. In order to increase my exercise, I have found that marching on the spot has helped boost my step count. I can walk a bit further now having lost 2 stones and hopefully will be able to do more, as more weight comes off.
  • The Nutracheck app I use is based on 1200 calories a day, for me to lose 2lbs a week. My Fitbit is connected to the app and if I do enough steps it allows extra calories, usually up to 1400 in total. Women need fewer calories than men and the menopause certainly increases the difficulty in shifting excess weight.

    Exercise is a problem for me as I have arthritis in both ankles and now use a walking pole if I go out. I have severe over pronation in one ankle, which makes my walking unbalanced and affects my hips as well. In order to increase my exercise, I have found that marching on the spot has helped boost my step count. I can walk a bit further now having lost 2 stones and hopefully will be able to do more, as more weight comes off.
    Swimming would be a good option as there's less pressure on joints.
  • shine166 said:
    The Nutracheck app I use is based on 1200 calories a day, for me to lose 2lbs a week. My Fitbit is connected to the app and if I do enough steps it allows extra calories, usually up to 1400 in total. Women need fewer calories than men and the menopause certainly increases the difficulty in shifting excess weight.

    Exercise is a problem for me as I have arthritis in both ankles and now use a walking pole if I go out. I have severe over pronation in one ankle, which makes my walking unbalanced and affects my hips as well. In order to increase my exercise, I have found that marching on the spot has helped boost my step count. I can walk a bit further now having lost 2 stones and hopefully will be able to do more, as more weight comes off.
    Swimming would be a good option as there's less pressure on joints.
    It is, but I have only ever been able to do breast stroke and hate putting my head under water. Since I had a knee replacement, the breast stroke leg action affects the replaced knee. Doing breast stroke with kicking legs crawl fashion is not easy to do.
  • Or aqua aerobics 
  • edited September 6
    Solidgone said:
    I am Type 2 Diabetic and about a stone overweight, would this be suitable for me in the short term?
    If necessary, can I get it done privately?
    Is it a course of jabs, say over a six month period, how many jabs would I need?

    https://onlinedoctor.asda.com/uk/mounjaro.html
    Shop around I’d say, a friend gets it cheaper in Boots I believe.
    Comparison site for finding the cheapest pharmacies for mounjaro. Do your own research in to each before buying. 


    For those who have asked (you need to make your own decisions) the average cost of my first 3 months worth of jabs (one per week, in a pen that holds 4 jabs) is £120 per month.  

    the price increases as you increase the dose (currently I only have 2.5 and 5mg pens) so the average will increase. 

    As covered elsewhere, the prices are rising due to the maker putting up prices in the Uk to match EU. 
  • A key factor behind this price shift is mounting political pressure from the US. President Donald Trump has demanded that drug companies lower medicine prices for Americans to match—or not exceed—the lowest prices in other wealthy nations. In response, Eli Lilly has raised prices abroad to prevent US prices from dropping too steeply under this “most favored nation” framework. 


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  • A key factor behind this price shift is mounting political pressure from the US. President Donald Trump has demanded that drug companies lower medicine prices for Americans to match—or not exceed—the lowest prices in other wealthy nations. In response, Eli Lilly has raised prices abroad to prevent US prices from dropping too steeply under this “most favored nation” framework. 


    So nobody wins except the drug company, well done Trump. 
  • A key factor behind this price shift is mounting political pressure from the US. President Donald Trump has demanded that drug companies lower medicine prices for Americans to match—or not exceed—the lowest prices in other wealthy nations. In response, Eli Lilly has raised prices abroad to prevent US prices from dropping too steeply under this “most favored nation” framework. 


    So nobody wins except the drug company, well done Trump. 
    The man’s a menace.
  • edited September 6

    A key factor behind this price shift is mounting political pressure from the US. President Donald Trump has demanded that drug companies lower medicine prices for Americans to match—or not exceed—the lowest prices in other wealthy nations. In response, Eli Lilly has raised prices abroad to prevent US prices from dropping too steeply under this “most favored nation” framework. 


    Not true unfortunately.  UK prices were lower than anywhere in the world. 

    They have been brought in line with EU prices, but US is still at least double (due to their fucked up healthcare system). 



    FYI, only the most expensive pharmacies are charging £330 with discounts and generally more like German prices.  
  • Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.
  • Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
  • shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    That works if you are a horse. 

    It doesn't work if you are working on a building site. 
  • shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    Indeed they are.
    A worrying trend i have noticed at Greggs is the amount of schoolkids getting their breakfast and eating it while walking to school. Not only unhealthy but expensive.
  • shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    Indeed they are.
    A worrying trend i have noticed at Greggs is the amount of schoolkids getting their breakfast and eating it while walking to school. Not only unhealthy but expensive.
    I agree but ME14 was saying it's cheap.

    In my experience egg on toast at home for breakfast is cheaper than a McDonalds.
  • edited September 6
    shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    Indeed they are.
    A worrying trend i have noticed at Greggs is the amount of schoolkids getting their breakfast and eating it while walking to school. Not only unhealthy but expensive.
    I agree but ME14 was saying it's cheap.

    In my experience egg on toast at home for breakfast is cheaper than a McDonalds.
    A sausage roll from Greggs is cheap and far more likely to be used as a meal than an apple. I wasn't suggesting that it was a great thing to eat. An apple on its own or even three, wouldn't be much of a meal either. 
  • edited September 6
    shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    That works if you are a horse. 

    It doesn't work if you are working on a building site. 
    TBH, the op did say family, so the kids should be at school and not on a building site.

    Aint getting much energy out of a greggs sausage roll anyhow, better off with a bowl of porridge. Although the greggs coffee and a bacon roll for £2.60 is a pretty good deal if youre in desperate need and on the road.
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  • shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    Indeed they are.
    A worrying trend i have noticed at Greggs is the amount of schoolkids getting their breakfast and eating it while walking to school. Not only unhealthy but expensive.
    I agree but ME14 was saying it's cheap.

    In my experience egg on toast at home for breakfast is cheaper than a McDonalds.
    A sausage roll from Greggs is cheap and far more likely to be used as a meal than an apple. I wasn't suggesting that it was a great thing to eat. An apple on its own or even three, wouldn't be much of a meal either. 
    I used to have a banana for breakfast at work, cost 30pish.
    Far healthier and cheaper than a £1.65 Gregg's sausage roll.
    We'll have to disagree that junk food is cheaper.
    How much is a sausage and egg Mcmuffin £3?
  • shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    Indeed they are.
    A worrying trend i have noticed at Greggs is the amount of schoolkids getting their breakfast and eating it while walking to school. Not only unhealthy but expensive.
    I agree but ME14 was saying it's cheap.

    In my experience egg on toast at home for breakfast is cheaper than a McDonalds.
    A sausage roll from Greggs is cheap and far more likely to be used as a meal than an apple. I wasn't suggesting that it was a great thing to eat. An apple on its own or even three, wouldn't be much of a meal either. 
    I used to have a banana for breakfast at work, cost 30pish.
    Far healthier and cheaper than a £1.65 Gregg's sausage roll.
    We'll have to disagree that junk food is cheaper.
    How much is a sausage and egg Mcmuffin £3?
    I've never had a McDonalds breakfast so wouldn't know, but many families on low incomes do use cheap junk food. I'd much rather have a banana than a McDonalds for breakfast.  
  • shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.


    That's not really the case though overall, you've picked the very extreme end of the scale. A McDonald's bigmac meal is £9 and fills 1 person up for a hour. I can make a cheap family meal for 3 for £10 full of nutrition and relatively healthy. 

    A Greg's sausage roll is a snack full of garbage and zero nutrition, takes 2 mins to chop some fruit/veg and make a wrap for a child. 

    Don't get me wrong, people on benefits and/or single parents must be having a really rough time right now. 
    Agree with this. 

    I do thing that claiming it's all just financial/education based is misunderstanding the problem. 

    It's not cheap to eat shit, eating good food is not prohibitively expensive at all in my opinion. Some of the deals on veg in Lidl/Aldi etc are amazing. It can be done. 

    On the education piece, it's the bigotry of low expectations, the idea that fat people are just ill educated really offends me.

    My personal view (as someone who has spent more of my adult years bordering overweight than normal) is that people generally eat too much for a reason, just like how happy people don't tend to take up heroin. 

    If you watch one of those shows with morbidly obese people trying to lose weight, they almost always have a "trauma" they are eating to forget about. This is why for me there are a lot parralels with drug/alcohol abuse. 
  • JaShea99 said:
    I don’t buy the ‘I don’t have time to cook’ thing. Whenever I cook, I make sure there is enough for at least two sittings of food. It’s not a stretch to cook 4 meals and freeze 2. Quite quickly you will build up enough to be able to defrost meals when time is short. 
    It’s all about picking the right meals. 
    And. If you pick the right foodstuffs, you can cook very cheaply if you need to. 
    What don’t you buy about it? Out of interest how many hours do you work a week? Not that it’s a competition but I do a lot and genuinely don’t usually have time to cook if I want to be in bed at a decent time. I batch cook sometimes but other times I don’t fancy having the same meal 3/4 times a week or once a week for a month.
    It’s a life choice I guess. For what it’s  worth I am now retired so have lots of time to cook. Before that I was COO (with the associated hours) of a company yet still made time to cook proper food. If you follow my logic you can rapidly build a freezer full of no repeatable meals. 
  • Forget the Mounjaro jab, sounds like Greggs is the place to go!
  • Forget the Mounjaro jab, sounds like Greggs is the place to go!
    Waiting for the Greggs jab... 
  • shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    Indeed they are.
    A worrying trend i have noticed at Greggs is the amount of schoolkids getting their breakfast and eating it while walking to school. Not only unhealthy but expensive.
    They'd have not paid for it though.
  • shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.

    Despite NICE giving the go ahead for the NHS to prescribe Mounjaro, very few are actually able to access it and unless you can afford to pay, many of the people most in need of the drug won't get it. 

    Like a lot of people who struggle with their weight, I find that it takes my body a long time to register that I am full, in that time it is very easy to overeat and achieve that feeling of satisfaction; Mounjaro would help with that.

    Anyone who thinks that being obese is just being greedy, doesn't have a clue. 

    A Gregg's sausage roll is £1.65.
    An apple is 50p.
    To be fair if you work outside an apple doesn't really cut it at 6 in the morning.

    3 apples for £1.50 ? :)  
    Indeed they are.
    A worrying trend i have noticed at Greggs is the amount of schoolkids getting their breakfast and eating it while walking to school. Not only unhealthy but expensive.
    That’s an interesting point. I know local authorities are being far more strict with fast food “joints “ being given permission near schools and in all honesty I don’t think Greggs are that much better in those terms. 
  • edited 8:24AM
    Huskaris said:
    shine166 said:
    Unfortunately a lot of the processed food that people eat is a lot cheaper than buying fresh fruit & vegetables and making things yourself. A Greggs sausage roll is cheap and filling and if you are on a limited budget, it must be tempting to feed your family on this type of food.


    That's not really the case though overall, you've picked the very extreme end of the scale. A McDonald's bigmac meal is £9 and fills 1 person up for a hour. I can make a cheap family meal for 3 for £10 full of nutrition and relatively healthy. 

    A Greg's sausage roll is a snack full of garbage and zero nutrition, takes 2 mins to chop some fruit/veg and make a wrap for a child. 

    Don't get me wrong, people on benefits and/or single parents must be having a really rough time right now. 
    Agree with this. 

    I do thing that claiming it's all just financial/education based is misunderstanding the problem. 

    It's not cheap to eat shit, eating good food is not prohibitively expensive at all in my opinion. Some of the deals on veg in Lidl/Aldi etc are amazing. It can be done. 

    On the education piece, it's the bigotry of low expectations, the idea that fat people are just ill educated really offends me.

    My personal view (as someone who has spent more of my adult years bordering overweight than normal) is that people generally eat too much for a reason, just like how happy people don't tend to take up heroin. 

    If you watch one of those shows with morbidly obese people trying to lose weight, they almost always have a "trauma" they are eating to forget about. This is why for me there are a lot parralels with drug/alcohol abuse. 
    Lots of people are unhappy and or unsatisfied with their lives and life choices. How people deal with that is an answer that covers every aspect of the human psyche. Eating for comfort of the things you like is an easy go to and people ought not to be judged for that any more than someone with the same life that does something we’d see as a positive. We’re all different and face our challenges in different ways. I’d suggest that the vast majority of people who reach being morbidly obese don’t get there by being solely greedy. 
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