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Drugs by Condition Severe obesity is a serious medical condition experienced by people with a body mass index of 40 or above. Previously called morbid obesity, it affects an estimated six million American adults, or about 1 in 33 of the adult population. Associated with a range of complex metabolic disorders including type 2 diabetes, insulin resistance syndrome and raised blood-fats, plus other weight-related health problems, this condition should not be confused with overweight (BMI > 25) or regular obesity (BMI > 30). It is a serious disease requiring professional help.

Since I started my weight loss consultancy over 24 years ago, I have met and spoken at length with hundreds of severely obese individuals weighing 300 pounds or more. For most of them, their weight was a major source of discomfort - both physical and emotional - yet over the years most had "adapted" to their growing waistline and were resigned to remaining seriously overweight for the rest of their life.

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  2. For doctors and other health care specialists who work with obese patients, this type of patient-resignation to lifelong obesity is no surprise. But in fact it is only one of many obstacles to long-term weight loss. Many clinically obese individuals struggle with a variety of psychological issues to which they have trained themselves to respond by overeating. Some of these issues - for example, the early loss of a parent - require sophisticated counseling and even then may remain unresolved. In addition, many obese people struggle with family, educational or financial difficulties which further reduce their treatment and recovery options. Given the complex causes, responses and conditions surrounding obesity, it comes as no surprise that many conventional treatments remain largely ineffective. Sadly, many people of normal weight - including members of the medical profession - still find it difficult to accept the intractable nature of the condition, which only adds to the sense of alienation and guilt experienced by the very obese.
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