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There are many reasons for obesity and many are beyond an individual's control, including:

- Medications that promote weight gain e.g. certain antidepressants

- Untreated endocrine disorders e.g. hypothyroidism

- Untreated depression that removes the energy/will to exercise and/or control diet

- Physical impairment that precludes exercise

- Exposure to pthalates (chemicals found in some plastic products) as an infant

- Genetic predisposition

- Parental influence in childhood, specifically inappropriate diet (the number of fat cells are fixed at adolescence)

and others.

Furthermore, aggressive dieting can exacerbate the situation by adversely affecting one's metabolism. Chances are the person who's derided as a 'fatty' has been dieting for most of their life.

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