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There are three grades of obesity. I'd say someone who is grade 3 may have something wrong with them aside from binge eating.
I know someone who has been diagnosed with having a very slow metabolism and doctors have been able to do nothing about it for 30 years. She is huge, yet eats like me and I'm close to being underweight.
Then again I've got another severely obese friend who just wont' stay on diets, but when she is on them she loses 50... 75 pounds and then suddenly goes off the diet and gains it all back.
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