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@GA2G
I knew a girl in Queens Park, back in the 1980's, who had been diagnosed with an overactive pituitary gland. She was obese, and even I thought that her stomach rolls were from a lack of healthy diet and lifestyle. I saw her about 15 years later, and she had lost what looked like at least 7 stone. When I asked her what she did to lose weight, she told me that after more than a decade of being administered different drugs from her consultant at St.Mary's Hospital, Paddington, one eventually worked. Her glands started behaving more normally, and her weight just fell off.
I admit, that I never gave her an inkling of my original thoughts....as I was too embarassed.
I presume she also was a great fat lard-arse that needs to be shot?
As lileth has intimated, there are sometimes more things going on than just the obvious.