There are people out there who do have "Slow Metabolisms". Morbid Obesity is a disease in many cases. I am not saying all of those who are Morbidly Obese have a disease, but many do. Why is that so hard for so many to believe? I realize that it is difficult to say the least handling a morbid obese person, especially in transporting. These people depend on you, they rely you, and on your sense of compasion, strength, health, and respect for them to aide them in their weakness, illness, and hour of need. For the most part these people are extremely grateful to you for what you suffer to care for them.