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I highly recommend this book (there are two links) about the underclass and a family who was part of it; the family happens to be black but so is the author. "Underclass" in this case is defined as whole families where nobody has ever had a job (or at least not long-term), nobody graduated from...

If you buy bagged salad greens, you do need to wash them first.

Even the simplest "healthy food" requires some preparation, beyond ripping open a sack. Herein may lie the problem.

Maternal malnutrition is also a factor, and people who are addicted to a point where they're going to use while they're pregnant are probably not going to "eat right" either. This is what WIC was founded for - to improve kids' nutrition and overall school and life performance.

ADULTS who have been intubated long-term aren't the same either, whether due to accident or serious illness (like COVID, for instance).

If they were 50 or so pounds overweight, not quite morbidly obese, then their excuse MIIIIIIGHT be true. It would take more than 7,000 calories a day just to maintain weights like that, and you can feed KIDS healthily as well.

I just remembered getting in trouble on another website when a poster said that she weighed over 300 pounds, and her husband 400, and their excuse was that they couldn't afford to eat healthy. I replied, "If you can afford that many calories, you can afford to eat healthy." (well, it's true)

That no health insurer in the United States covers this procedure says a lot right there.

I started this gnarly thread a few months ago. Read it at your own risk. https://kiwifarms.net/threads/aspiration-therapy-for-weight-loss-another-method-of-purging-tbh.88565/

I did clinicals on an Indian reservation, and FAS was common enough that it was part of a standard newborn checklist. I've never seen anything like that anywhere else; if a baby is suspected of having it, it's charted separately.

I've always heard that Aetna is THE WORST when it comes to paying health insurance claims. However, in this case, I can understand why they're asking questions.

That "deathfat mama" sounds like she was on long-term prednisone therapy. People who are often look something like this. https://www.mayoclinic.org/diseases-conditions/cushing-syndrome/symptoms-causes/syc-20351310 Cushing's disease is rarely seen in this country nowadays, but this is the best...

I've seen huge staples used on large people.

My vet told me, "If you keep your pets slim, you'll have them longer."

Extreme obesity in an otherwise-healthy child, when there's no family history of it, is often a signal of sexual abuse.

You know you're "made it" in the LOLCow department when you get the Dr. Grande treatment. https://www.youtube.com/watch?v=5GE1IMfHnYc He did one on Boogie2988 a few weeks ago.

Mamelon - I just learned a new word today! So that's what those notch things on kids' teeth are called.

That reminded me of the time a man came into the hospital where I worked, and the nurse couldn't find his penis to catheterize him, so they had to call a urologist to insert it. Guess how he found it?

Several years ago, an old co-worker posted a picture of her teenage daughters' Rainbow Girls group. (If you don't know, it's a Masonic organization for young girls.) ALL of the girls, including her daughters, were obese, and several of them dangerously so. Two of them had to weigh 400 pounds...

Dental care is also very difficult and usually requires heavy sedation. Putting braces on a child like that is usually not feasible, either. Plus, they may be on medications that can cause dental issues; phenytoin, used for seizures, is notorious for causing gum problems.