There are some days when I am really taken aback by the number of our pharmacy customers who are seriously, morbidly overweight. They are young and old, male and female alike. I have to wonder what it's like for them at their doctor visits --- is the doctor laying it on the line? --as in saying, "Most of your health problems and the majority of your prescriptions could be eliminated if you JUST LOST WEIGHT." I know it's easier said than done, and doctors probably repeat it over and over (perhaps at some point they have to give up), but it is so true.
You look at the meds these people are on. A serious weight loss (and for some, we are talking 80-100 pounds that needs to go) would mean they could probably cut back or eliminate meds for blood pressure, blood sugar, joint pain, depression, breathing & wheezing, fungal skin conditions and many more. Next to quitting smoking, weight loss has to be the #1 best thing you can do for your overall state of health (that you have control over.) It seems so simple, but of course it isn't....
Most of us would love to drop 5-10 pounds anytime, but the folks I'm talking about are way past that. And you know the sad part is that exercise is out of the question -- they can barely MOVE. Where the heck do you go from there, other than into surgery? Way easier to just not let it get to that point. This kind of weight gain doesn't happen overnight and you wish these people would have looked in the mirror honestly a few years ago and said, I gotta change this.
It is a uniquely American predicament. I've been lucky enough to travel to some other parts of the world and I am struck by the fact that looking around you, you just don't see the fat like you do here.