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Obesity is now a pandemic in industrialized societies. Who can feel confident that health care professionals have adequately met the needs of patients or communities with regard to this problem? By what measure do we know what these needs are? Obese patients may tell us first about their cosmetic concerns, their shortness of breath, or their sore knees. We, in turn, may tell them about their increased risk for diabetes or myocardial infarction. We are increasingly successful at tinkering with their blood pressure, blood lipids, and blood glucose levels. But the proportion of persons in our society who are overweight
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