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the only way obesity is going to be "medical related" is if you are medically prevented from eating the same or less calories that you expend. people LOVE to blame "medical factors" on obesity such as medications etc. because they "may" contribute to.... However, the laws of physics are the laws of physics. if you burn 2200 calories a day and eat 2200 calories a day, you can't gain weight. thats not some wild, crazy idea that doesn't apply to Aunt Phyllis... thats the fundamental laws of physics at work. energy is energy.
I think that one of the greatest disservices we can do to people that are obese is to rationalize or validate what they've reasoned to be "causes".
it costs x amount of energy to do your thing eat day
the food you consume contains x amount of energy
at the end of the day, you have a deficit or surplus
a wide variety of things can affect how you metabolize food. however, at the end of the day, you simply can't eat 2000 calories a day, expend 2000 calories a day and gain weight. that's an inescapable fact of physics.
we are all unique to some degree. our individual diets, metabolic rates, physical activity levels, medical issues, medications or whatever can all play a role in how difficult or easy it is to keep weight off. but the ultimate responsibility for being obese can only fall on the individuals shoulders for their failure to manage their eating/exercise in accordance to their needs.
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