The books I’ve recently read have made me aware, again, how complex obesity is. My god, there are viruses that may make you fat, genes, bacteria, ethnicity, age, gender. Most of my patients lose some weight and keep it off, but there is variation. Some lose a lot, some lose a little, a few lose none. Some keep it off, some regain. Some are not following my Ten Orders, others are. Some ‘fess up, others lie. Some think they are not following the orders even when they really are. They assume that if they are not losing weight, THEY must be at fault.
They might be. They may not be. It may even be MY fault. It’s just all so darn complicated.
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