She also thinks his results are consistent with her 2013 meta-analysis, falling pretty much in the middle of the other studies that we found. Stokes disputes this. That compared with 24 percent of underweight and 31 percent of normal-weight adults. There aren't many risk factors for heart disease and stroke, the big killers The idea that it is about. Whats more, in 1998 the NIH revised down its BMI threshold for overweight to 25, from 27.8 for men and 27.3 for women, in order to better align with the rest of the world. As well, being overweight may increase the risk of other diseases such as diabetes, high blood pressure, and cancer. And if that's not bad enough, it also increases the risk of male maladies, ranging from erectile dysfunction to BPH and prostate cancer. Pretty good odds, but not as good as those for people who are within the Our culture has enormous negativity toward overweight people, and doctors aren't immune. By the same token, studies have shown, being thin is no guarantee of good health. But, Hunger said, the new findings also help "solidify" the number of Americans who could be mistakenly deemed unhealthy based solely on BMI. Just like being overweight, underweight is unhealthy but don't act like there's no middle ground here. More answers below Susan Baker B.A in Psychology, The University of British Columbia (Graduated 2022) Author has 185 answers and 593.4K answer views 1 y Related Instead, he offered her cryoablation -- a technique that freezes and removes tissue but is less effective than surgery for large tumors. All rights reserved. When Jen Seelaus, from Danbury, Connecticut, went to her doc's office because she was wheezing, she expected to get her asthma medication tweaked. There are bigger people who are healthier than thinner people. Or, it could just be that as the population has become more overweight and obese, the people who are in the middle of the BMI distribution, these are the most normal people, they are the ones who do all the most normal things, Nordestgaard said. Fat mass obesity is when there is an excess of fat tissue, causing the body weight to appear high even though there is no more muscle tissue. He wouldn't risk it," she says. Your body needs a healthy amount of fat to function properly; if you have too much fat on top of your bones, it can lead to osteoporosis. Whats more, in 2014, New Orleans cardiologist Carl Lavie published the book The Obesity Paradox: When Thinner Means Sicker and Heavier Means Healthier, based in part on his research showing that overweight and mildly obese patients with cardiovascular disease have a better prognosis than their leaner counterparts. Yates Jr., M.D., associate professor in the Department of Orthopaedic Surgery at the University of Pittsburgh Medical Center, says there are legitimate concerns about operating on patients with a very high body mass index (BMI). Lean mass obesity is when there is an excess amount of muscle tissue in the body, causing the body weight to appear low despite the presence of extra fat. It can also cause depression and anxiety. Other factors that may influence your health include age, gender, race, ethnicity, language spoken at home, education level, income, physical activity, smoking status, and food security. "My doctors were really pleased." Both Flegal and Nordestgaard said no., Weight is just one risk factor for most of these conditions, its not the risk factor, Flegal said. Obese men and women were, in fact, the most likely to fall into the unhealthy category: Depending on the severity of their obesity, 71 percent to 84 percent had risk factors for heart disease and diabetes. Ultrasound is the approach that's the most limited by body fat, because the beams can't penetrate the tissue if you have more than 8 centimeters of subcutaneous fat. ranging from tiny Olympic gymnasts to massive NFL linemen. By reviewing the effect obesity has on our psychological and physical health, it is sadly true that being overweight is not good for our health. MedTerms medical dictionary is the medical terminology for MedicineNet.com. they are have permitted whole industries to flourish. He and Andrew Stokes, a demographer at Boston University, say Flegals work suffers from a problem they call reverse causality. They think that because she didnt examine her subjects entire weight history, her study didnt control for people who used to be overweight, but became normal-weight because they got sick before they died. Telling people its perfectly fine to be dozens of pounds overweight would be terrible adviceif its wrong. I was obese, lost the weight, got fat again and have now lost the weight again. A heart attack can occur if the arteries that deliver blood to your heart become damaged or blocked. The dangers of being underweight hide the dangers of being overweight. A 5-foot-6-inch woman, in other words, would be better off weighing 180 pounds than 120. In another study, obese women were 20 percent more likely to have false-positive results from mammograms -- readings that can lead to unnecessary biopsies and anxiety. Overweight or obese people (BMI 30 or more) are more prone to suffer heart disease, strokes, diabetes, cancer, and depression. "So individuals who are classified as obese by BMI are at increased risk for a variety of obesity-related ills," he said. Heres whats really going on. Because obesity can cause so many health problems, it's very easy to blame a variety of complaints, from knee pain to breathing troubles, on a patient's weight. Just last May, researchers at the University of Texas Southwestern Medical Center at Dallas reported a 20 percent decrease in the ability to detect problems in fetuses of obese women with ultrasound. We need to stop assuming that being fat means that you're automatically lazy or you don't exercise enough. The definition of "ideal body weight" has been a thorn in the side of many Smoking, high blood pressure, high cholesterol, diabetes, and information on how the engine is holding up. High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides (dyslipidemia). MedicineNet does not provide medical advice, diagnosis or treatment. Scores under 20 are considered underweight. I think Kathy Flegal just doesnt get it that people often lose weight before they die, Willett told me. "By the time I was referred to a gynecologist, I had a fibroid the size of a melon -- so large it was putting pressure on my bladder," she recalls. If you eat more calories than you need each day, you'll gain weight. American life expectancy recently dipped slightly, and obesity might be part of the cause. Thats not the end of the methodological gripes, though. Besides, other studies have since implied theres a health benefit to heaviness. Suzy Smith, a 5-foot-3, 400-pound woman from Colonial Beach, Virginia, believes she was one of those people. chance of having high cholesterol, high blood pressure, or elevated blood sugar A pile of rubbish is what Walter Willett, a Harvard University professor of epidemiology and nutrition, deemed that paper. The more I thought about it, the madder I got. In a paper published this April, Stokes, Willett, and others found being overweight was associated with mortalitybut only if you looked at a persons maximum weight over the past 16 years. Overweight and obesity are defined as abnormal or excessive fat accumulation that may impair health. That is, the goal of fat shaming is to make another person feel bad about herself. The same principles apply to the body. Obesity is defined as having an abnormally high level of body fat. Many larger U.S. businesses offer employee wellness programs, which can include discounts on health insurance premiums for meeting certain goals, such as weight loss. It is defined as a person's weight in kilograms divided by the square of his height in meters (kg/m2). "Being mistreated or dismissed by your doctor because of your weight is unacceptable. She speculates the change was made to emphasize the seriousness of the obesity epidemic, and she notes that her critics have expressed fears her results might lull the public into complacency around obesity. " says Barbara Thompson, vice-chair of the Obesity Action Coalition, a nonprofit advocacy group. Based on anecdotal evidence -- patients who've told her that their doctors are often too quick to blame symptoms on weight -- Rebecca Puhl, Ph.D., director of Research and Weight Stigma Initiatives at the Rudd Center for Food Policy and Obesity at Yale University, suspects that being heavy could further increase the odds of being misdiagnosed. But Yates also notes that some surgeons are reluctant to offer surgery to very overweight patients because the operations are more difficult and time-consuming. "I use an electronic stethoscope, which works well, but I'm very aware of the issues that can crop up in overweight patients. Stokes, meanwhile, thinks that explanation is speculative, and it pales compared to the many ways obesity harms health. Their takeaway was clear: Above the normal weight range, the fatter you are, the higher your risk of premature death. Being overweight or obese increases your risk of developing diseases such as heart disease, diabetes, cancer, and arthritis. Obesity can be cured, but not always treated. Being overweight might cause fatty material to accumulate in your arteries (the blood vessels that carry blood to your organs). It is objectifying someone's body for the purpose of making them feel ashamed. at least partly on the presumption that being overweight equaled being at risk "Oncologists usually base chemo on patients' ideal weight rather than their true weight, partly because chemo is so toxic and partly because drug trials typically include only average women, so we don't know the correct dose for bigger women," says Dr. Kellie Schneider, M.D., a gynecologic oncologist at the University of Alabama at Birmingham. Being lazy and eat bad foods and you're overweight. The bottom line remains the same. The new study's findings are based on more than 40,000 U.S. adults who took part in a nationally representative federal health study between 2005 and 2012. Still, Hunger and his colleagues warn against "obsessing" over weight, which may only worsen heavier people's well-being. MedicineNet does not provide medical advice, diagnosis or treatment. "No anesthesiologist is going to take that risk for someone who's not willing to make the effort to lose weight," Jacobs says. But this is lifesaving surgery, and we don't want to turn people away. Flegal pressed on, and in 2013 she and colleagues published a meta-analysisa study of studiesthat replicated her earlier findings. It's possible to be hard working and practice lots of healthy habits while still being bigger in size. To maintain a fit physique it takes a ton of discipline and exercise to keep that good looking body. Body mass index (BMI) is a simple index of weight-for-height that is commonly used to classify overweight and obesity in adults. In fact, weighing too much can have surprising -- and devastating -- health repercussions beyond the usual diabetes and heart-health concerns you've heard about for years. It is very difficult to be obese without also having one or more of the following risk factors that go hand in hand with being overweight: Insulin resistance or type 2 diabetes High LDL cholesterol, high triglycerides, and low HDL cholesterol Hypertension Sedentary lifestyle Increased abdominal fat Diastolic dysfunction I promise you life is better when you have a healthy weight. "Doctors make mistakes in diagnosing 10 to 15 percent of all patients, and in half of those cases it causes real harm," Groopman says. Eating a lot of food will always give you a lot of energy - whether that's enough for you depends on how many calories you're eating. You can't look in the "It's an extremely important question with significant implications. Willett has co-authored studies finding the opposite effect. (Health.com) -- It's shocking, but it's true: Being a woman who's more than 20 pounds overweight may actually hike your risk of getting poor medical treatment. When her doctor found a large tumor on her kidney, she struggled to find a surgeon who would treat her. Most fertility clinics have stringent rules. Being overweight is more than just having a few extra pounds; it is also based on body mass index (BMI). Equal Employment Opportunity Commission has proposed rules that would allow employers to charge workers up to 30 percent of their health insurance costs if they fail to meet certain health criteria, including a specified BMI. "Asthma can be dangerous if it gets out of control, and the nurse practitioner totally ignored that because of my weight. When you gain weight as an adult, whether or not it makes you obese, you're more likely to get some cancers, including breast, colorectal, endometrial, and kidney. They have a 75% chance of having normal results on blood Feeling dissed about their weight can make some women turn to food for comfort. ", Health.com: America's top 10 healthiest diets, Doctors have long known that obese women are more likely to die of ovarian and breast cancers, but when Schneider and her colleagues recently gave a group of overweight ovarian cancer patients chemotherapy based on their actual weights, they found that the women were as likely to survive the illness as thinner patients. "We can't afford to be complacent about the epidemic of obesity," JoAnn Manson, the chief of preventive medicine at Brigham and Women's Hospital in Boston, told The New York Times after Flegals study came out. If Flegal and Nordestgaard are right, and being overweight is linked to less mortality, then should people whose BMIs fall in the normal range gain weight? 2008;168(15):1617-1624. Obese kidney-transplant patients may not survive as long as thinner patients, but they live an average of three times longer than if they didn't get the transplant. Notably, a five-and-a-half-year study that examined the health records of 3.5 million people in the UK found that overweight but metabolically . overweight have a fifty-fifty Excessive weight also puts stress on organs like the liver and kidneys - these organs work hard just trying to process all the fat you're eating! What's going on here? By understanding how obesity develops and what role it plays in other diseases, we can take steps to prevent it from happening in the first place or manage it once it does. People who are very obese may have less muscle and more fat tissue than normal-weight people, so they would be in a state of fat mass obesity. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. --Dr. Jerome Groopman, Harvard Medical School professor and author, Tobacco companies ordered to publicly admit deception on smoking dangers, Fine art from an iPhone? Being overweight or obese can lead to many problems with your health. Perceptions of how people appear, how their clothes fit, and how fat Still, Hunger said, weight is not the be-all and end-all. you like the shape and style, but its external appearance gives you little "How do we determine whether a person's weight somehow justifies withholding needed medical care or whether bias by providers is the reason treatment is denied?" Obesity is the cause of many health issues, some of them may turn serious over the years. He noted that some recent studies have been challenging that idea of "metabolically healthy obesity.". That meant they had no more than one risk factor for type 2 diabetes and heart disease -- including high blood pressure, unhealthy cholesterol or triglyceride levels, elevated blood sugar, or high concentrations of C-reactive protein (a marker of inflammation in the blood vessels). Andrew Stokes, the demographer at Boston University, says some of most vocal supporters of the obesity paradox are activists and people with vested interests. "It went fantastically well," Smith says. Doctors are sometimes left with little to go on except symptoms and intuition, especially in the emergency room, where physicians make life-and-death decisions in minutes. levels. The good news is that most people can lose weight and keep it off. ), The new standard means that if you showed someone with a 26 [BMI] had no excess mortality in 1996there would be no question, Flegal said. "It can be frustrating to treat obese patients," admits Dr. Lee Green, M.D., M.P.H., a professor of family medicine at the University of Michigan in Ann Arbor. But the overall experience, she says, was degrading and disheartening. "Doctors aren't intentionally under-treating overweight women," Schneider says. The new research confirmed this. "But if the tests aren't performed, heavy patients may not receive appropriate therapy.". Anybody who thinks doctors treat heavy women the same as thin women has obviously never had a weight problem. Without a doubt, the medical community needs to take a hard look at the secret biases that may be coloring how they care for overweight women. "I left his office feeling ashamed," she recalls. "It's called attribution, because your thinking is colored by a stereotype and you attribute the entire clinical picture to that stereotype. Thats not science., But theres a big caveat to this theory. Dr. Jeffrey C. King, M.D., professor and director of maternal-and-fetal medicine at the University of Louisville School of Medicine, says that "the more tissue between the palpating hand and what you're trying to feel, the harder it is to detect a mass." Like many internecine wars, the dispute mostly comes down to one small thing: how you define the overweight population in the study. If someone tells me, I have a bachelors degree, but I know the risk is lower if I have a doctoral degree, should I tell them they should go get a Ph.D.?, She reiterated somethingperhaps the only thingthat epidemiologists who work on this issue can still agree on: Its associated. Being obese also more than likely aggrevates issues that aren't directly linked to it. I think it was the French who pushed [the lower cutoff], said Judy Stern, an emeritus professor of nutrition at the University of California, Davis, and a member of the advisory panel that worked on the new guidelines. Being overweight affects your heart in several ways: increased blood cholesterol, increased blood pressure, increased risk of diabetes, decreased ability of the lungs to fight off infections, and more. The results of a study published in the Archives of Internal Medicine should Finally, in early-December 2008 a doctor removed the tumor. article, Medical Author: Benjamin C. Wedro, MD, FAAEMMedical Editor: Melissa Conrad Stppler, MD. ", Many experts believe the issue goes beyond the strictly medical and into the arena of ethics. MD; K. Rittig, MD; B. Balletshofer, MD; F. Machicao, PhD; A. Fritsche, MD; H. Haring, MD; "Identification and Characterization of Metabolically Benign Obesity in Humans." N. Stefan, MD; K. Kantartzis, MD; J. Machann, PhD; F. Schick, PhD; C. Thamer, The main effect that being overweight has on your heart is due to the fact that it increases your risk of developing cardiovascular diseases. Fat discrimination is part of the problem. The researchers estimate that nearly 75 million Americans would be "misclassified" as heart-healthy if BMI is the only yardstick. training decreases their heart and stroke risk factors. Medical advice urging heavy people to lose weight is based on the premise that being overweight is unhealthy. Health.com: 20 meals that won't kill your cholesterol. ". On the other hand, more than 30 percent of normal-weight Americans were metabolically unhealthy. She may have been right. They don't really know why being very overweight is bad for you, but the thinking is that all those. found that there may be more to health than meets the eye. That level of conversation requires a certain degree of comfort, and the basis for that is mutual respect, plain and simple," she says. It also causes complex changes in hormones and metabolism and increases inflammation in the body. And for those who are obese, the chance Overweight people are also more likely to develop other chronic diseases like diabetes and cancer.if(typeof ez_ad_units != 'undefined'){ez_ad_units.push([[580,400],'staminacomfort_com-medrectangle-3','ezslot_1',118,'0','0'])};__ez_fad_position('div-gpt-ad-staminacomfort_com-medrectangle-3-0'); Being overweight increases your risk of developing heart disease and other obesity-related illnesses such as diabetes and cancer. Being obese increases your risk of developing cardiovascular problems including heart attacks and strokes. Athletes at both "I'd say 95 percent won't do IVF on a woman with a BMI higher than 39 [5-foot-4, weighing 228 pounds, for example], and they usually require an electrocardiogram (EKG) and blood tests if it's higher than 34, because being overweight reduces your chance of getting pregnant and having a healthy pregnancy," says Dr. Laurence Jacobs, M.D., of Fertility Centers of Illinois. The causality is unclear.. "I spend most of my time treating the consequences of unhealthy lifestyles instead of actual illnesses. Routine "We're just working with limited information.". It is estimated that by 2050, half of all Americans will be obese. Body mass index, or BMI, is a measure of a persons weight divided by their height. It is well-known that underreporting of body weight along with underreporting for females and overreporting for males of height can result in biased BMIs, said Barry Graubard, a senior investigator with the National Cancer Institute, which is part of the National Institutes of Health. These are all considered lifestyle diseases because they are influenced by many factors outside of your control, such as your genetic makeup, whether or not your parents were obese, and what environment you live in. Being overweight doesn't necessarily make On average, overweight people lose about one year of life expectancy, and moderately obese people lose about three years of life expectancy, the papers lead author, Emanuele Di Angelantonio, told The Guardian. It seems like they took studies they already knew about and that gave the answers that they preferred, said Flegal, who is now a consulting professor at Stanford. for heart disease and diabetes. The French always push. She thinks it might have had something to do with different standards of beauty around the world. They are the ones who survive the best.. Physical exams aren't the only things hampered by obesity. However, by making some changes to your diet and activity level, you can reduce your risk of becoming obese, or even improve your existing condition, which may help prevent certain diseases from developing. "I spend most of my time treating the consequences of unhealthy lifestyles . ", Studies have also found that overweight women are more likely to delay doctors' appointments and preventive care, including screenings for cancer, because they don't want to face criticism. In most cases, he can't accept a patient with a BMI of 40, even if she has no other health issues, because IVF typically takes place in an outpatient setting that's not set up for the higher anesthesia risks associated with obese patients. Yale's Rebecca Puhl asks. Being overweight can get in the way of effective cancer treatment, too, experts say. This endangers your health. Using a government health survey, researchers found that nearly half of overweight U.S. adults were "metabolically healthy.". Pretty good odds, but not as good as those for people who are within the normal weight range. What we look like on the outside doesn't their frames. Overweight/obesity is a condition in which a person has a harmful amount of body fat or an unhealthy distribution of body fat. mirror and see high blood pressure or high cholesterol; you need to take Her urologist said that the hospital where he practiced didn't have a table sturdy enough to hold her, and he referred her to a surgeon several hours away. The studies in the "Doctors need to ask themselves, 'Is this obese person less deserving of medical care than the same person would be after weight-loss surgery?' Having those individuals in the pool of normal-weight people makes the normal-weight people seem sicker, and the overweight people seem healthier, than they actually are. ", Health.com: 25 diet-busting foods you should never eat, Seelaus's nurse made a classic diagnostic error, according to Groopman. There are surgeries that can remove fat cells permanently, but they are only done on extremely obese people because it's so hard to recover from these operations. Wylie-Rosett, EdD; M. R. Sowers, PhD; "The Obese Without Cardiometabolic Risk Factor Clustering and the Normal Weight With Cardiometabolic Risk Factor Clustering." The main effect that being overweight has on your heart is due to the fact that it increases your risk of developing cardiovascular diseases. Obese men and women were, in fact, the most likely to fall into the unhealthy category: Depending on the severity of their obesity, 71 percent to 84 percent had risk factors for heart disease and. And while those who have "healthy obesity" may escape some of the risks above, they are not out of the woods. Answer (1 of 6): A Plethora Of Reasons. BMI scores of 20 to 24.9 are considered normal, scores of 25 to 29.9 are overweight, scores of 30 to 34.9 are obese, and scores above 35 are extremely obese. Should they be guzzling milkshakes in hopes of staving off death? Wildman, PhD; P. Muntner, PhD; K. Reynolds, PhD; A. P. McGinn, PhD; S. Rajpathak, MD, DrPH; Ju. The study reminds us that looking after the body is no different than car Find hardcore sex movies of ebony porn stars fucking big black cocks and thick thots sucking BBC's in the hood. Even organ transplants may be withheld because of weight. Copyright 2020 - 2022 Stamina Comfort Inc. How does being overweight affect your heart? High blood pressure can cause heart strain, blood vessel damage, and an increased risk of heart attack, stroke, renal illness, and death. But whether just a few extra pounds raise the risk of death is a surprisingly controversial and polarizing issue. can be controlled and therefore, risk minimized. in the United States. As well as being linked to diabetes, obesity can also be responsible for osteoarthritis, gout, breathing problems, high blood pressure and other conditions. Health.com: 50 ways to cut 500 calories a day, Even if doctors are aware of the potential traps they can fall into when diagnosing an overweight patient, extra body fat can literally obscure some illnesses, including heart disease and different types of cancer. Appetite is regulated by several hormones including glucagon, ghrelin, and leptin. really matter; it's what's inside that really counts. What are the three different health-related concerns with being overweight or obese? It leads to diabetes, heart attacks, blood pressure issues and a lot of other illness. The BMI score is meant to be a quick way of determining whether a person has too much body fat. Extra weight also increases blood pressure, which can ultimately damage the heart. Hes found that the paradox disappears when normal weight is defined as only those people who have remained thin over time, as opposed to those who entered the normal-weight category after losing weight due to an illness. It raises the risk for several serious health complications. In general, in Europe, its better to weigh less. Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. The result is feelings of inferiority, feelings of shame and an unhealthy relationship with the body and with food. But over the years, obesity takes its toll. Larger or modified speculums can help, but not all docs have them and they can make the exam more uncomfortable, says Dr. Lynda Wolf, M.D., a reproductive endocrinologist at Reproductive Medicine Associates of Michigan. A University of Connecticut study of more than 1,300 physicians found that 17 percent were reluctant to do pelvic exams on obese women and that 83 percent were hesitant if the patient herself seemed reluctant. If they do slim down, the process might distort their metabolisms forever. Deciding about what constitutes an ideal weight using a scale or measuring This is because there's no limit set for appetite in our body, so we can eat as much as we want provided we consume more calories than we burn with physical activity. That's a big benefit, even if there are risks. Flegal, meanwhile, thinks Stokes and others havent demonstrated that the weight loss was the result of a sickness, or that the sickness-induced weight loss is a big enough problem to taint an entire study. It might be because fat cells. 2008;168(15):1609-1616. They dont really know why being very overweight is bad for you, but the thinking is that all those fat cells disrupt how the body produces and uses insulin, leading to elevated glucose in the blood and, eventually, diabetes. Even when adjusting for smoking, age, and sex, overweight peoplethose with a body mass index of between 25 and 30had a 6 percent lower risk of dying than normal-weight individuals. Being overweight is a lifestyle that is the number one cause for many diseases and conditions like type 2 diabetes, high blood pressure, cancer, high cholesterol and much more. "I didn't go to be lectured about my weight. They also found something peculiar. "Practically speaking," he said, "the conversation needs to shift.". See additional information. Being overweight can get in the way of effective cancer treatment, too, experts say. Her doctor palpated her uterus but didn't feel anything. Sports fans have known this forever; elite athletes can have an appearance Being overweight or having obesity may raise your risk of getting osteoarthritis by putting extra pressure on your joints and cartilage. References: R.P. SOURCES: Jeffrey Hunger, M.A., doctoral candidate, social psychology, University of California, Santa Barbara; Gregg Fonarow, M.D., professor, cardiovascular medicine and science, University of California, Los Angeles, David Geffen School of Medicine; Feb. 4, 2016, By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Repeat COVID Infection Doubles the Risk of Death, CDC: 16 Places in U.S. Where Flu Cases Are High, Foods Are Getting Sweeter, Appetites Are Changing, Amazon Launches Virtual Health Care Service, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Weight Loss Surgery Health Check - Take the WebMD Weight Loss Surgery Assessment, Lose Weight and Lower Your Blood Pressure, Weight Loss Stories: How 6 People Shed the Pounds. Because of recent studies about various complications, Dr. A.J. In today's America, being overweight is the norm but it's not normal. "He was basically telling me he wouldn't do the thing that was the most likely to save my life." They have a 75% chance of having normal results on blood tests for cholesterol and blood sugar. 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