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Losing weight is a simple mathematical equation of expending more calories than consumed for an extended period of time. The imbalance does not need to be a large one, just a small and consistent one. For long term, successful weight loss, a conscious lifestyle change, including a new approach to food consumption, is needed.

Someone isn’t stupid or worthless if they don’t appear to be doing something about it that you can see. Because maybe they are and maybe their fatness is caused by a secondary disease that they are treating in order to lose the weight. Maybe they’re working on a treatment plan for their specific situation with their doctor.