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[–] Nofats_will_MAGA 0 points 4 points (+4|-0) ago 

With extremely rare exceptions, obesity is always, always a choice. The patient in the article chose to become 500 pounds, every single forkful of food that she didn't have to, but did, eat.

"Help Doctor, it hurts if I do this", needs to be followed by "then don't do it". Don't want to die of obesity at 40? Don't choose to become obese.